TOPIC : 5 CORRECT WAYS OF WEAR AND OPEN STRILE GLOVE

WRITTEN ASSESSMENT

NAME : _______________________________________________

I/C NO. : _______________________________________________

DATE : 13/03/2015 DURATION : 5 MINUTES

INSTRUCTION:
ANSWER ALL FOUR (4) QUESTIONS BY TICKING (X) ON THE BOX PROVIDED.

NO QUESTION TRUE FALSE

1 Sterile glove can be used for handle chemical.
2 Protect patients from health care personnel who may have cuts is
one of the usage of sterile glove.
3 Infection is one (1) of the effect from incorrect step to wearing
and opening glove.
4 Do not use the glove if seal already open or broken.

RESULT:

PASS / FAIL

COMMENTS:
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__________________________________________________________________________________

ASSESSOR

NAME: ______________________________________

SIGNATURE:

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TOPIC : 9 CORRECT WAYS OF USING GLOVE

PRACTICAL ASSESSMENT

NAME : __________________________________________________

I/C NO. : __________________________________________________

DATE : 13/03/2015 DURATION : 5 MINUTES

NO PERFORMANCE CRITERIA PASS FAIL REMARKS

1 SEE
2 OBSERVE
3 OPEN
4 OPPOSITE
5 WEAR
6 FIT
7 GRAB
8 FINGER
9 THROW

RESULT:

PASS / FAIL

COMMENTS:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

ASSESSOR

NAME: _____________________________

SIGNATURE:

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