BEHAVIORAL RATING SCALE CLASS 2005 FACULTY REVIEW

AMERICAN RIVER COLLEGE RESPIRATORY CARE PROGRAM BEHAVIORAL RATING SCALE FACULTY REVIEW CLASS 2005

 
INSTRUCTIONS: This is a candid composite in response to the following statements regarding the opinion of the student’s clinical performance. REVIEW OF THE RESPONSES: SA means STRONGLY AGREE; A means AGREE; U means UNDECIDED; D means DISAGREE; SD means STRONGLY DISAGREES and NA means NOT APPLICABLE or NOT OBSERVED.

Name


  1. STUDENT NAME:




  1. HOSPITAL/ROTATION:




  1. Respiratory Course Number:


    RC 113
    RC 123
    RC 131
    RC 141


  1. SEMESTER:


    SPRING
    FALL


  1. THE STUDENT

    Initiates unambiguous and goal-directed communication


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Establishes priorities and efficiently plans activities/assignments


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Displays adequate knowledge of essential concepts


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Exhibits courteous and pleasant demeanor


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Demonstrates thoroughness and attention to safety requirements


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Reports on patient’s status/needs by observation and assessment


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Exhibits self-direction and responsibility for actions


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Displays cooperativeness and receptivity to suggestions and ideas


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Maintains concise and accurate records


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Presents a well-groomed and tidy personal appearance


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Grasps new experiences and readily adjusts to changing conditions


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Provides for adequate care and maintenance of equipment and supplies


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Displays forthrightness and integrity in dealings with patients and peers


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Accepts and applies supervisory guidance and constructive criticism


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Demonstrates the relationship(s) between theory and clinical practice


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Completes delegated tasks and assignments on schedule


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Seeks out new or additional activities on own initiative


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Demonstrates consideration and respect for patient’s needs/rights


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Follows directions and exhibits sound judgment


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. THE STUDENT

    Displays punctuality and dependable adherence to time schedules


    STRONGLY AGREE
    AGREE
    UNDECIDED
    DISAGREE
    STRONGLY DISAGREES
    NOT APPLICABLE / NOT OBSERVED


  1. CRITICAL INCIDENT DESCRIPTIONS: Include (where applicable) the events leading up to the incident (antecedents), the behavior itself, and any observed consequences of the behavior. Be as specific and objective as possible.

     




  1. COMMENTS AND IMPRESSIONS:




  1. RECOMMENDATIONS:




  1. EVALUATOR(S):




  1. DATE:




  1. PROFESSOR OF RECORD:




  1. PROFESSOR: