Des Moines Area Community Coliege
Dental Hygiene Program F
Clinical Rotation Evaluation ed
“Student: KOH Rainey
Supervisor: _@ynthta Henke RD
fate eee =O (aoe
Please evaluate the student in the following areas:
Prompt: Arvived and departed as scheduled yes
Comments:
Prepared
very Pritndly
| titentive: An active listener, interested in learning from this experience.
~ Asks questions in an appropriate manner. yes
Comments:
Very Enieressted , 08ked guashiona
Active Participation: Willing o be of assistance as needed. yes.
Comments:
BE Student was very helpful help Sud at “pening, beg over
CO Renke_, RD
Please return to DMACC Dental Hygiene in the return envelope provided.
Thanks for your interest and cooperation.
PADental Hygiene\Forms\Clinical Evaluation Rotation.doc
24
>lowa Correctional Institution for Women DMACC Dental Hygiene Rotation
DMACC Student: Karlee Rainy
Supervisor: Dr. William Keul DDS/Becky McCarl ROH
Date of Rotation: 9/29/16
Prompt: Karlee arrived at ICIW on time, but unfortunately started at the wrong entrance. Once security
directed her to the appropriate entrance she quickly made her way in the right direction. She came
dressed appropriately, and prepared to proceed with our schedule. She checked in through our security
procedure professionally and held that professionalism throughout her day here with us.
Attentive: This student was confident in the services she could offer to our offenders and seemed
interested in our daily routine and patient base right away. Throughout the day she used that
confidence in comforting her offender patients and educating them about their dental needs. Each
patient Karlee addressed she confirmed her care plan and education met our expectations and followed
direction very well.
Active Participation: Karlee was active in all procedures she was available throughout her day with us.
She met all expectations with her own scheduled patient including set up and break down of her own
area, delivered anesthetic to one of the dentist's scheduled patients, and any breaks in her own,
scheduled she politely asked to observe the dentist in his procedures.
Comments: It was great to see Karlee be confident in herself, her skills, and knowledge.
Thank you for the opportunity to work with Karlee Rainy.
Be Aree. ps
Becky McCarl RDHNewton Correctional Facility
Evaluation of Student Performance on Clinical Rotation
STUDENT: Ka iv dee Q. ain ZY
SUPERVISOR: | x, Tdanie fopteeyY
DATE: F1b 7 G/¢
Please indicate your evaluation of the student with respect to each
characteristic. If you did not have the opportunity to observe a characteristic,
mark the “NA” (not applicable) column. If you mark columns 1, 4, or 5, please
provide an explanation under the “Comments” section.
Excels Unaccept. NA
1 2 3 4 5
Professionalism/punctuality R
Interest/Initiative
Patient management
Clinical time management
Infection control
Assessment (exploring) skills
Calculus removal skills
Local anesthetic administration
COMMENTS: af / :
/ alee canfleted Mier Ai Kjeulk cles IL cre.
with all depasty rem svel, Tenacious degen) Vay geod
Cnfibence level yf Ipcal anesthetic placernents
Dyerall Well rene !l