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1 Clinical Log OR

This document is a clinical log template for nursing students to document their operating room experiences. It includes fields for the student to record the patient's initials, medical diagnosis, surgical procedure performed, date and time of surgery, the student's role, and spaces to define the procedure, diagnosis, causes, and references. There are also sections to document pre-or post-op notes including date, focus of care, and nurse's notes. Scoring criteria evaluate how complete the student's entry is based on patient-specific health needs.

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612 views2 pages

1 Clinical Log OR

This document is a clinical log template for nursing students to document their operating room experiences. It includes fields for the student to record the patient's initials, medical diagnosis, surgical procedure performed, date and time of surgery, the student's role, and spaces to define the procedure, diagnosis, causes, and references. There are also sections to document pre-or post-op notes including date, focus of care, and nurse's notes. Scoring criteria evaluate how complete the student's entry is based on patient-specific health needs.

Uploaded by

I
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KINGDOM OF SAUDI ARABIA ‫المملكة العربية السعودية‬

Ministry of Higher Education ‫وزارة التعليم العالي‬


University of Ha’il ‫جامـعـة حـائل كلية‬
College of Nursing ‫التمريض‬

Clinical Log (OPERATING ROOM)


Student Name

University Number

Instructor Name

Name of Hospital/Week

Patient initial name Medical Diagnosis Surgical Operation Date/time of Role


performed surgical operation
Date: ( ) Scrub
( ) Circulating
Operation time ( ) PACU/ RR
Started:

Operation time
finished:

Definition of the Surgical Procedure Done:

Definition of Medical Diagnosis:

Causes of the Diagnosis:

References:

Clinicalskillsunit012020-001/
KINGDOM OF SAUDI ARABIA ‫المملكة العربية السعودية‬
Ministry of Higher Education ‫وزارة التعليم العالي‬
University of Ha’il ‫جامـعـة حـائل كلية‬
College of Nursing ‫التمريض‬

Clinical Log (OPERATING ROOM)


Documentation (either pre-op or post-op)

Teacher’s
Date/ Time FOCUS Nurse’s Notes
Remarks

Signature
Title:

______________________________________________________
For Evaluators 3 Ideal The student's answer exceeds expectations. All information needed based on patient-specific health needs are provided.
only 2 Acceptable The student satisfactorily provided the information needed based on patient-specific health needs. The student answer/
entry is partially correct/ lacking or incomplete.
1 Poor The student did not provide an answer. Incorrect answer/ entry.

1 Patient initial name 8 Definition of the Surgical Procedure Done:

2 Medical Diagnosis 9 Definition of Medical Diagnosis:

3 Surgical Operation performed 10 Causes of the Diagnosis:

4 Date of surgical operation 11 References

5 Operation started 12 Documentation Date/ Time

6 Operation finished 13 FOCUS

7 Role 14 Nurse’s Notes

Checked by:
RAW SCORE/ TOTAL # ITEMS X 15

____________________________________________
Field Teaching Staff Name and Signature / Date

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