{"id":141688,"key":"SELF/Perioperative_Nursing/Setting_Up_the_Operating_Room/Psychomotor_Skills_Practice_Assessment","title":"SELF/Perioperative Nursing/Setting Up the Operating Room/Psychomotor Skills Practice Assessment","latest":{"id":1255199,"timestamp":"2026-07-14T12:56:28Z"},"content_model":"wikitext","license":{"url":"https://www.appropedia.org/Appropedia:Copyrights","title":"CC-BY-SA-4.0"},"source":"== Psychomotor Assessment Rubric for Operating Room Setup (ECSACONM) ==\n\n
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\n\n=== Overview ===\n\nThis page provides a psychomotor assessment rubric for evaluating operating room (OR) setup competency, developed for perioperative nursing training under ECSACONM (East, Central and Southern Africa College of Nursing). It is a companion assessment tool to the OR Setup Skills Practice Instructions page, used by evaluators to rate student/practitioner performance on each step of OR readiness on a 5-point scale.\n\n=== Purpose ===\n\nTo provide a standardized scoring framework for assessing clinical competency in OR setup, ranging from \"Clinically Unacceptable / Not Performed\" (1) to \"Excellent\" (5), with defined criteria at each anchor point.\n\n=== Rating Scale ===\n\n* '''1''' – Clinically Unacceptable / Not Performed\n* '''2''' – (between 1 and 3, no separate descriptor)\n* '''3''' – Clinically Acceptable / Performed\n* '''4''' – (between 3 and 5, no separate descriptor)\n* '''5''' – Excellent\n\n=== Assessment Rubric ===\n\n{| class=\"wikitable\"\n! Step\n! Name\n! Assessment Method\n! 1 – Clinically Unacceptable / Not Performed\n! 2\n! 3 – Clinically Acceptable / Performed\n! 4\n! 5 – Excellent\n! Comments\n|-\n| 1\n| Environmental readiness check\n| Articulated\n| Not done\n|\n| Done\n|\n|\n|\n|-\n| 2\n| Verify:\n\n* Planned procedure\n* Surgeon requirements/preferences\n* Special equipment needs\n\n| Articulated\n| Not done\n|\n| Done\n|\n|\n|\n|-\n| 3\n| Gather supplies\n| Articulated\n| Not done\n|\n| Done\n|\n|\n|\n|-\n| 4\n| Check and position OR furniture\n| Observed\n| Layout obstructs movement/transfer; hazards present; table/lights misaligned, unstable or unlocked equipment\n|\n| Clear pathways and transfer space; functional equipment; table positioned for case\n|\n| Optimized flow and ergonomics; clear zones for anesthesia/scrub/circulator; hazards eliminated without prompting\n|\n|-\n| 5\n| Check lighting\n| Observed\n| Lights not tested or poorly positioned; inadequate illumination expected\n|\n| Lights are functional and positioned over expected fields\n|\n| Minimizes shadows; lighting precisely over the operative field; confirms adjustment range; identifies backup light if needed\n|\n|-\n| 6\n| Check suction system\n| Observed\n| Suction not functional or not tested; no backup\n|\n| Suction tested and functional; correct connections; backup canister/tubing available\n|\n| Systematically tests suction function, secures correct and leak-free tubing connections, confirms adequate suction pressure, and readiness for use during case with backup supplies (e.g., spare canister) in place\n|\n|-\n| 7\n| Check anesthesia machine (readiness confirmation)\n| Observed\n| Proceeds without anesthesia readiness confirmation; oxygen source unknown\n|\n| Identifies gaps and escalates to anesthesia lead; ensures readiness communicated before patient arrival\n|\n| Systematically identifies gaps and escalates; ensures readiness communicated before patient arrival\n|\n|-\n| 8\n| Set up waste disposal system\n| Observed\n| Sharps container/bins missing or unsafe placement; waste streams unclear\n|\n| Sharps container and labeled bins present and positioned appropriately\n|\n| Waste setup supports workflow and safety; bins not obstructing; clear separation of waste streams\n|\n|-\n| 9\n| Verify available surgical instrument sets\n| Observed\n| Wrong/missing sets or compromised packaging; no escalation\n|\n| Correct sets staged; seals intact\n|\n| Confirms integrity and sterility indicators; correct surgical instrument sets and backups for the case; flags mismatches early to prevent delays/waste\n|\n|-\n| 10\n| Arrange sterile supplies (without opening)\n| Observed\n| Packs on wet/dirty surfaces; expired/compromised items missed\n|\n| Packs staged clean/dry; labels visible; expiry checked\n|\n| Organized staging by use/sequence; clear landing zone; replaces questionable packs proactively\n|\n|-\n| 11\n| Check patient positioning equipment\n| Observed\n| Missing/unsafe positioning aids; damaged straps/padding not recognized\n|\n| Required equipment present, clean, functional\n|\n| Anticipates case needs; confirms integrity and mitigates pressure injury risk before patient arrival\n|\n|-\n| 12\n| Set up auxiliary equipment such as diathermy, warming devices\n| Observed\n| Key device missing/not tested; unsafe cable routing; grounding pad unavailable\n|\n| Devices present and tested; cables inspected; grounding pad staged\n|\n| Routes cables to reduce trip/pull risk; confirms backups/batteries; resolves minor faults promptly\n|\n|-\n| 13\n| Verify emergency equipment, supplies and medications\n| Observed\n| Emergency equipment, supplies and medications inaccessible or unverified; defibrillator not functional\n|\n| Emergency equipment, supplies and medications accessible; defibrillator functional\n|\n| Systematic functional check of emergency equipment; confirms availability and accessibility of supplies and medications; identifies escalation path for missing/non-functional items\n|\n|-\n| 14\n| Patient data board, time-out list and count board\n| Observed\n| Checklist/count board missing or outdated; patient info mishandled\n|\n| Checklist/time-out materials and count board set up for case\n|\n| Board organized for closed-loop time-out; updates at correct time; avoids premature PHI display\n|\n|-\n| 15\n| Final room readiness check\n| Observed\n| Final sweep incomplete; hazards/missing items remain\n|\n| Final sweep completed; hazards removed; stations ready\n|\n| Uses consistent sweep method; confirms readiness with team; resolves/escalates remaining gaps\n|\n|-\n| 16\n| Ensure backup energy supply\n| Articulated\n| Not done\n|\n| Done\n|\n|\n|\n|}\n\n{{Page data}}"}