Raven EMS Education Program ManualPreparatory Gloves Donning Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Open sterile glove package.
Pick up first glove by grasping it on the inside of the cuff.
Put on first glove.
Grasp second glove on the outside of the cuff.
Put on second glove.
Keep gloves as sterile as possible.
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.