PUTTING ON PPE TASK EVALUATION SHEET

PUTTING ON PPE TASK EVALUATION SHEET

Please add the student name as shown on the ID

Objective: The students will demonstrate the proper technique for putting on PPE prior to providing patient care.

Competency: The student will set up armamentarium and Students will be taught the proper technique for putting PPE.

Practice Required: 3

Put on protective clothing over the scrub uniform.

Put on a surgical mask and adjusted to fit.

Put on protective eyewear.

Hand washing technique

Place gloves on clean hands according to standard protocol

Total Possible Points = 20 points

Minimum passing score = 20 points

If step is missed or minimum competency is not met, the evaluated procedure fails and must be repeated.

All Tasks are critical to the procedure Scoring:
1. Below basic skill level – No concept of skill.
2. Basic skill level – Minimum concept of skill, guidance needed.
3. Proficient skill level – Able to perform skill with minimal guidance.
4. Advanced skill level – Able to perform skill with no guidance.

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