Name of Student Grade: Year/ Section/ Group Number: OB Ward Clinical Performance Evaluation
Name of Student Grade: Year/ Section/ Group Number: OB Ward Clinical Performance Evaluation
OB Ward
Clinical Performance Evaluation
4- Excellent (Carries out procedures efficiently, systematically and independently/ Personality trait is
observed at all times)
3- Satisfactory (Carries out procedures efficiently and systematically but requires minimal guidance and
supervision/ Personality trait is observed most of the time)
2- Fair (Carries out the procedures efficiently and systematically but requires close guidance and supervision/
Personality trait is seldom observed)
1– Poor (Carries out the procedures inefficiently, unsystematically even under close guidance and
supervision/ Personality trait is never observed)
X. Communication
1. Establishes and maintains effective communication with clients, families, significant
others and health team members.
2. Communicates effectively and appropriately with members of the health care team
to provide continuity and comprehensiveness of care.
3. Establishes a climate conducive to communication.
XI. Collaboration and Teamwork
1. Collaborates plan of care to the Clinical Instructor and other members of the health
care team.
2. Demonstrates willingness to work as a team member and assist others.
3. Establishes collaborative relationship with group members, Clinical Instructor, and
other members of the health care team.
Comments/ Suggestions:
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Computation:
Total score multiply to 25 divided by the total number of items (40) = _____________________