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  • Operation Theatre Feedback Form

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    othairclub
    75 views1 page
    This operation theatre feedback form asks a patient to rate their satisfaction with the cleanliness of the operation theatre, guidance provided by doctors and staff before, during, and after surgery, whether dietary and sanitary needs were met, the behavior of operation theatre staff, and the doctor's behavior and guidance during surgery. The patient circles either "Good", "Satisfactory", or "Unsatisfactory" for each category and can leave comments before signing and dating the form.

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    This operation theatre feedback form asks a patient to rate their satisfaction with the cleanliness of the operation theatre, guidance provided by doctors and staff before, during, and after surgery, whether dietary and sanitary needs were met, the behavior of operation theatre staff, and the doctor's behavior and guidance during surgery. The patient circles either "Good", "Satisfactory", or "Unsatisfactory" for each category and can leave comments before signing and dating the form.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    75 views1 page

    Operation Theatre Feedback Form

    Uploaded by

    othairclub
    This operation theatre feedback form asks a patient to rate their satisfaction with the cleanliness of the operation theatre, guidance provided by doctors and staff before, during, and after surgery, whether dietary and sanitary needs were met, the behavior of operation theatre staff, and the doctor's behavior and guidance during surgery. The patient circles either "Good", "Satisfactory", or "Unsatisfactory" for each category and can leave comments before signing and dating the form.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Operation Theatre Feedback Form

    Directions: Circle the Satisfaction Scores:

    Cleanliness in Operation Theatre?


    Good Satisfactory Unsatisfactory

    Before, During and After Surgery Guidance by Doctor and OT


    Staff?
    Good Satisfactory Unsatisfactory

    Dietary & Sanitary Needs?


    Good Satisfactory Unsatisfactory

    Operation Theatre Staff Behavior?


    Good Satisfactory Unsatisfactory

    Doctor’s Behavior and Guidance in Surgery?


    Good Satisfactory Unsatisfactory

    Comments

    Signature:____________
    Date:______________

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