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Checklist
for Clinical Demonstration Skills
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| Place a Satisfactory: Performs the step or task according to standard procedure or guidelines Unsatisfactory: Does not perform the step or task according to standard procedure or guidelines Not Observed: Step or task not performed by participant during evaluation by trainer |
| PARTICIPANT________________________ | Date Observed___________ |
CHECKLIST FOR CLINICAL DEMONSTRATION SKILLS |
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STEP/TASK |
OBSERVATIONS |
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| 1. Uses trainer's notes or a personalized reference manual. | |||||
| 2. States the objective(s) as part of the introduction. | |||||
| 3. Presents an effective introduction. | |||||
| 4. Arranges demonstration area so that participants are able to see each step in the procedure clearly. | |||||
| 5. Never demonstrates an incorrect procedure or shortcut. | |||||
| 6. Communicates with the model or client during demonstration of the skill/activity. | |||||
| 7. Asks questions and encourages participants to ask questions. | |||||
| 8. Demonstrates or simulates appropriate infection prevention. practices. | |||||
| 9. When using model, positions model as an actual client. | |||||
| 10. Maintains eye contact with participants as much as possible. | |||||
| 11. Projects voice so that all participants can hear. | |||||
| 12. Provides participants opportunities to practice the skill/activity under direct supervision. | |||||
| Presented an effective clinical demonstration | |||||
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