Raven EMS Education Program ManualPreparatory Gloves Doffing Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
With gloves on both hands, pinch near the wrist of the first glove and partially remove it.
With the partially gloved hand, pinch the second glove near the wrist.
Fully remove the second glove.
Remove the first glove, being careful to touch only the inside of the gloves.
Dispose of gloves properly.
Accepts evaluation and criticism professionally.
Shows willingness to learn or asks appropriate questions.
Interacts with simulated patient and other personnel in a professional manner (ie, uses appropriate name, explains procedures, maintains modesty, is courteous to crew, etc).
Passing criteria:
Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
