HTML Preview Dental Assistant Evaluation Form page number 2.
Dental Assistant Job Desc Performance Eval -- May 2013 Page 2 of 10
by ICHC. Special populations groups include those defined by race, ethnicity, language, age, sex, sexual orientation, economic
standing, & others.
Blood-Borne Pathogens Exposure: Category I
(1) NOT ACCEPTABLE
Performance has consistently failed to meet requirements. Immediate corrective action should result.
(2) NEEDS IMPROVEMENT
Performance meets some of the requirements but should be improved. Plans should be pursued to develop consistently effective performance.
(3) MEETS EXPECTATIONS
Performance has been satisfactory and fully meets requirements.
(4) EXCEEDS EXPECTATIONS
Performance has consistently gone beyond requirements.
This position’s roles and functions in our team-based model include:
JOB DUTIES AND
RESPONSIBILITIES
JOB PERFORMANCE STANDARDS
PERFORMANCE
RATING
COMMENTS
NOTE: Ratings 1, 2 & 4
require written narrative.
The Performance Rating
“EXCEEDS
EXPECTATIONS” can be
used for Annual reviews
only.
Clinical Skills and Duties:
1. Demonstrates a strong knowledge base of dental procedures and oral
health issues.
2. Understands various needs and characteristics of various age groups and
communicates effectively with them.
Patient Preparation:
1. Anticipates equipment and instruments necessary for various procedures
and plans ahead to ensure readiness of supplies.
1
2
3
4