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    This document contains an evaluation of a student's performance of tracheostomy care procedures. It rates the student's performance of 21 individual steps on a scale of 1-5, with 5 being excellent. Overall, the student performed without error or prompting, and was rated as having satisfactory performance. The evaluator recommends the skills may be applied in a clinical setting with minimal supervision for refinement.

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    Competency checklist

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    This document contains an evaluation of a student's performance of tracheostomy care procedures. It rates the student's performance of 21 individual steps on a scale of 1-5, with 5 being excellent. Overall, the student performed without error or prompting, and was rated as having satisfactory performance. The evaluator recommends the skills may be applied in a clinical setting with minimal supervision for refinement.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    56 views2 pages

    Tracheostomy Care

    Uploaded by

    schedulea
    This document contains an evaluation of a student's performance of tracheostomy care procedures. It rates the student's performance of 21 individual steps on a scale of 1-5, with 5 being excellent. Overall, the student performed without error or prompting, and was rated as having satisfactory performance. The evaluator recommends the skills may be applied in a clinical setting with minimal supervision for refinement.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    PROCEDURALCOMPETENCYEVALUATION

    Name Date

    TracheostomyCare

    Setting:

    Lab

    Clinical

    Evaluator:

    Peer

    Instructor

    Conditions(describe):________________________________________________________________________
    _______________________________________________________________________________________________

    EquipmentUsed
    _______________________________________________________________________________________________ _______________________________________________________________________________________________

    S A T I S F A C T O R Y

    U N S A T I S F A C T O R Y

    N O T O B S E R V E D

    N O T A P P L I C A B L E

    EquipmentandPatientPreparation NOTE:Tracheostomypatientsshouldalwayshaveareplacementtracheostomytubeatthe bedsideincaseanemergencyreplacementbecomesnecessary 1.Selects,gathers,andassemblesthenecessaryequipment 2.Washeshandsandappliesstandardprecautionsandtransmissionbasedisolationproceduresas appropriate 3.Identifiespatient,introducesselfanddepartment 4.Explainspurposeoftheprocedureandconfirmspatientunderstanding AssessmentandImplementation 5.Assessespatient 6.Positionspatient 7.Suctionsthoroughly 8.Removestheolddressinganddiscardsproperly 9.Removestheinnercannulaandreplaceswiththespareredtopcannulaifanondisposable cannulaisinplace 10.Opensthetracheostomycarekitandfillsonebasinwithhydrogenperoxideandtheotherwith sterilesaline 11.Scrubsthecannulawithperoxideandrinseswithsterilesaline 12.Replacesthepermanentcannula 13.Ifadisposablecannulaisused,removesthedirtycannula,disposesofitproperly,andreplaces itwithaclean,disposablecannula 14.Cleansthestomasiteandexteriorportionsoftubeusingperoxide,cottontippedapplicators, andpipecleaners 15.Replacesthedressingusingaprecut4x4gauzepad 16.Removestheoldtiesortubesecuringdeviceandreplaceswithcleanones 17.Ensuresthatthetubeissecuredinproperpositionandreassessesthepatient Followup 18.Maintains/processesequipment 19.Disposesofinfectiouswasteandwasheshands 20.Recordspertinentdatainchartanddepartmentalrecords 21.Notifiesappropriatepersonnelandmakesanynecessaryrecommendationsormodifications tothepatientcareplan SignatureofEvaluator SignatureofStudent
    TracheostomyCare.docx

    PERFORMANCE RATINGSCALE

    5EXCELLENTFAREXCEEDSEXPECTEDLEVEL,FLAWLESSPERFORMANCE 4ABOVEAVERAGENOPROMPTINGREQUIRED,ABLETOSELFCORRECT 3AVERAGETHEMINIMUMCOMPETENCYLEVEL,NOCRITICALERRORS 2IMPROVEMENTNEEDEDPROBLEMAREASEXIST;CRITICALERRORS,CORRECTIONSNEEDED 1POORANDUNACCEPTABLEPERFORMANCEGROSSINACCURACIES,POTENTIALLYHARMFUL

    PERFORMANCECRITERIA
    5 5 5 5 5 5 5 5 5 5

    SCALE
    4 4 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1

    1.DISPLAYSKNOWLEDGEOFESSENTIALCONCEPTS 2.DEMONSTRATESTHERELATIONSHIPBETWEENTHEORY ANDCLINICALPRACTICE 3.FOLLOWSDIRECTIONS,EXHIBITSSOUNDJUDGEMENT,AND DEMONSTRATESATTENTIONTOSAFETYANDDETAIL 4.EXHIBITSTHEREQUIREDMANUALDEXTERITY 5.PERFORMSPROCEDUREINAREASONABLETIMEFRAME 6.MAINTAINSSTERILEORASEPTICTECHNIQUE 7.INITIATESUNAMBIGUOUSGOALDIRECTEDCOMMUNICATION 8.PROVIDESFORADEQUATECAREANDMAINTENANCEOF EQUIPMENTANDSUPPLIES 9.EXHIBITSCOURTEOUSANDPLEASANTDEMEANOR 10.MAINTAINSCONCISEANDACCURATERECORDS

    ADDITIONALCOMMENTS:INCLUDEERRORSOFOMISSIONORCOMMISSION, COMMUNICATIVESKILLS,ANDEFFECTIVENESSOFPATIENTINTERACTION:

    SUMMARYPERFORMANCEEVALUATIONANDRECOMMENDATIONS SATISFACTORYPERFORMANCEPerformedwithouterrororprompting,orabletoselfcorrect,nocriticalerrors.

    LABORATORYEVALUATION.SKILLSMAYBEAPPLIED/OBSERVEDINTHECLINICALSETTING.
    CLINICALEVALUATION.STUDENTREADYFORMINIMALLYSUPERVISEDAPPLICATIONANDREFINEMENT.

    UNSATISFACTORYPERFORMANCEPromptingrequired;performedwithcriticalerrors,potentiallyharmful.

    STUDENTREQUIRESADDITIONALLABORATORYPRACTICE.
    STUDENTREQUIRESADDITIONALSUPERVISEDCLINICALPRACTICE. SIGNATURES

    STUDENT: DATE:

    TracheostomyCare.docx

    EVALUATOR: DATE:

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