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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 RDH Newton 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

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