Summative NDT

Student name *

Evaluator name *

Skill Steps *

Verbalizes/demonstrates appropriate infection control precautions

Gathers equipment

Identifies site

Cleanses site

Inserts large bore catheter

Removes needle and disposes in sharps container

Secures catheter

Reassesses patient

Required

Critical Criteria

Failure to select proper insertion site

Uses or orders a dangerous or inappropriate intervention

Exhibits unacceptable affect

Evaluator Comments

Was the student able to successfully perform this skill? *

Yes

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