Document Code

ISABELA STATE UNIVERSITY

College of Nursing
Revision No. Page 00 of 00

EVALUATION TOOL Effectivity Date

Name: ___________________________________ Date performed: ______________

Year Level & Section: ______________________

GOWNING RATING
Preparations
1. Keeping your arms elevated, dry your hands and forearms with the
sterile towels in the gowning pack, using a dabbing motion instead of
a wiping motion; use one towel for each hand, before throwing them
away
SKILLS
1 Take the sterile gown and gently shake it out, taking care not to let
anything else touch it
2 Open it up and place your hands into the sleeves; keep your hands
inside the sleeves
3 Ask an assistant to help pull it up over your shoulders and fasten it up
at the back
4 For wraparound sterile gown: With cover hand grab and release
fastener or ties in front of gown
5 Hand paper tab connected to sterile tie to circulating nurse, who is non
sterile. Circulating nurse stands still as you turn completely around to
left, allowing for margin of safety as gown wraps around and covers
your back. Take back sterile tie from circulating nurse and secure tie
to gown.
TOTAL

Rating Scale:
0 – Not Observed
1 – Needs Improvement
2 – Satisfactory
3 – Very Satisfactory
Clinical Instructor