[UPDATED] PRC OR Forms
Instructions:
- Print and bring a copy of Form 2A, B and ODC Form __
- Guidelines for filling out the form:
- Use BLACK ink
- Date Performed: Use MM/DD/YYYY format;
- Time started: Based on the introp record, this is the CUTTING TIME not anesthesia time
- Surgical procedure: NO ABBREVIATIONS in the procedure and site (e.g. write 'Left' in full no 'L')
- OR nurse on duty: Self-inking pad of nurse-in-charge then signature
- If you are doing a procedure as a scrub, NIC signature needed is scrub nurse; if as circulating, NIC signature needed is that of the circulating nurse
- Special circumstance: If NIC assigned is an affiliate (ie. not an employee of PGH, e.g. those rotating in PGH for added experience), let the circulating PGH nurse sign this portion
- Supervised by: Self-inking pad and signature of PRECEPTOR (ie. Ms. Elena Dizon - OPD OR; Mr. Emil Geronimo - Main OR)
- This should be done DAILY. You are NOT allowed to go inside the ORs AFTER your rotations so make sure that you have the correct details.
- Print and fill up the SUMMARY PERFORMANCE EVALUATION ACHIEVING INTRA-OPERATIVE CARE COMPETENCY form.
- This is for SELF-RATING
- Use BLACK ink
- 1st RLE (1st rotation, either OPD or Main OR)
- 2nd RLE (2nd rotation, either OPD or Main OR)
- 3rd RLE (leave blank)
- Last day of duty: Submit then let PRECEPTOR sign under the total score
- If it is your LAST OR schedule, let the PRECEPTOR sign under the total score AND on the Clinical Instructor (page 6, left hand side)
- These should be submitted to A/P Banayat's pigeonhole on Monday following your LAST assigned OR schedules