Gadsden State Community College - Radiologic Technology ...
Gadsden State Community College Radiologic Technology Program General Clinical Evaluation
SLO#3 ASSESSMENT METHOD#1 DOCUMENT 1 OF 2
Student Name__________________________________ Clinical Site_____________
Excellent Good Average Fair Poor
Circle the score earned for each category.
Any score lower than average should receive a comment on how the student could improve.
1. 2. Adheres to room assignment 3. Demonstrates proper use & care of equipment 4. Displays positive attitude 5. Cleans and/or stocks rooms 6. Displays a willingness to learn 7. Demonstrates cooperativeness / tactfulness 8. Communicates appropriately with patients 9. Communicates appropriately with peers 10. Properly prepares patients for exams 10. Assures patient safety /comfort 11. Returns patients to proper area after exam 12. Takes logical approach to procedure 13. Provides adequate procedural & post-procedural education 14. Completes exam in timely manner 15. Attempts more difficult exams 16. Demonstrates ability to work independently 17. Follows protocol and procedure 18. Keeps work area neat 19. Shows desire to be at clinical site 20. Works well with others 21. Accepts constructive criticism 22. Continues to perform previous competency exams Overall Performance 23. Quality of radiographs 24. Communication 25. Patient care
Score: ______/125 = _____
5 4.25 3.75 3.0 2.5
6
9
0
0
0
Evaluator Signature: _______________________________________________ Date: ______________ Evaluator Comments:
Student Signature: Student Comments:
Date:
Note to Evaluator: We appreciate your efforts with the students. We could not do our jobs without
your assistance. Thank you for your time and expertise.
Gay Utz and Gina Tice
Revised: 8/2011
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