Accreditation Employer Survey for RTC Surgical Technologists

Please complete this survey for the graduate / employee listed in this e-mail. We rely on your responses to complete our accreditation requirements and to keep our program strong. THANK YOU!
Name: 


  1. Employer


  1. Name of Graduate


  1. Length of Employment


  1. PART I

    5 = Exceeds Expectations
    4 = Often Exceeds Expectations
    3 = Regulatly Meets Expectstion
    2 = Sometimes doesn't Meet Expectations
    1 = Seldom Meets Expectations
    NA = Not Applicable


    A. ATTENDANCE AND PUNCTUALITY

    1. Arrives to work prepared and on time, with few absences
    1 2 3 4 5   N/A
     


  1. 2. Proves to be responsible when taking emergency call
    1 2 3 4 5   N/A
     


  1. B. PROFESSIONALISM, JUDGEMENT and ATTITUDE

    1. Exhibits self-direction and responsibility for actions
    1 2 3 4 5   N/A
     


  1. 2. Demonstrates compassion for the patient and maintains his/her confidentiality
    1 2 3 4 5   N/A
     


  1. 3. Exhibits enthusiasm and interest toward work
    1 2 3 4 5   N/A
     


  1. 4. Establishes and maintains good rapport with co-workers
    1 2 3 4 5   N/A
     


  1. 5. Recognizes the value of teamwork and functions well as a member of the team
    1 2 3 4 5   N/A
     


  1. 6. Exhibits a strong sense of ethical behavior and surgical conscience
    1 2 3 4 5   N/A
     


  1. 7. Is receptive to constructive suggestions or corrections
    1 2 3 4 5   N/A
     


  1. 8. Responds calmly and effectively under pressure
    1 2 3 4 5   N/A
     


  1. 9. Observes rules of safety and takes no unnecessary risks
    1 2 3 4 5   N/A
     


  1. 10. Adjusts well to new tasks and situations
    1 2 3 4 5   N/A
     


  1. 11. Participates in continuing education and professional development
    1 2 3 4 5   N/A
     


  1. 12. Demonstrates problem-solving skills
    1 2 3 4 5   N/A
     


  1. C. CLINICAL SKILLS and PERFORMANCE

    1. TECHNICAL KNOWLEDGE - Demonstrates a working knowledge of the following principles:

    a. Surgical Anatomy and Physiology
    1 2 3 4 5   N/A
     


  1. b. Asepsis and Sterile Technique
    1 2 3 4 5   N/A
     


  1. c. Sterilization, Disinfection and Antisepsis
    1 2 3 4 5   N/A
     


  1. d. Surgical Procedures and Specialties
    1 2 3 4 5   N/A
     


  1. e. Surgical Pharmacology and Anesthesia
    1 2 3 4 5   N/A
     


  1. f. Equipment, Supplies and Instrumentation
    1 2 3 4 5   N/A
     


  1. g. Basic Case Preparation
    1 2 3 4 5   N/A
     


  1. h. Patient care (e.g. consent, identification, transportation, positioning, skin preparation, care of specimens, hemostasis)
    1 2 3 4 5   N/A
     


  1. 2. TECHNICAL SKILLS - Demonstrates a working knowledge of the following principles:

    a. Preoperative Routines:
    1 2 3 4 5   N/A
     


  1. b. Intraoperative Routines:
    1 2 3 4 5   N/A
     


  1. c. Postoperative Routines
    1 2 3 4 5   N/A
     


  1. PART II

    5 = Strongly Agree
    4 = Agree
    3 = Somewhat Agree
    2 = Disagree
    1 = Strongly Disagree
    NA = Not Applicable

    1. In general this graduate was adequately prepared for an entry-level position

    1 2 3 4 5   N/A
     


  1. 2. Give the opportunity, I would hire another graduate from this program
    1 2 3 4 5   N/A
     


  1. 3. The graduate needed little time after hiring to be supervised and monitored
    1 2 3 4 5   N/A
     


  1. Name and Title of Evaluator


  1. Date


  1. PART III

    Identify the graduate's strengths:


  1. Identify the graduate's weaknesses:


  1. What suggestions for improvement in training of future graduates would you like to make?


  1. Comments concerning this graduate:


  1. Thank you so much for helping us with out accreditation process. We rely on your input to keep our program strong and accrediated. NO REPLY IS NEEDED HERE. :-)





Karrah Rogers
Instructor / Certified Surgical Technologist
Renton Technical College
Renton, WA