Surgical Nurse Performance Evaluation

Comprehensive Surgical Nurse Performance Evaluation Template

Evaluating surgical nurse performance requires a structured approach that addresses the unique demands of the operating room environment. This Surgical Nurse Performance Evaluation template provides healthcare administrators, nurse managers, and clinical supervisors with a comprehensive framework to assess perioperative nursing competencies across all critical areas of surgical care.

Why Use This Surgical Nurse Evaluation Form?

Operating room nurses are essential members of the surgical team, responsible for patient safety, sterile technique maintenance, and seamless coordination during procedures. Regular performance evaluations help:

• Identify training needs in specialized surgical procedures and technologies
• Recognize excellence in patient advocacy and teamwork
• Ensure compliance with sterile technique and infection control protocols
• Support professional development and career advancement
• Maintain quality standards in perioperative care

Key Areas Assessed

This template evaluates surgical nurses across five critical competency areas:

Pre-Operative Preparation: Assessment of case planning, equipment setup, instrument counting protocols, and patient preparation procedures that ensure surgical readiness.

Intraoperative Assistance: Evaluation of anticipation skills, instrument handling, surgical field maintenance, and technical proficiency during procedures.

Patient Advocacy & Communication: Review of patient safety initiatives, communication with the surgical team, family interaction, and patient-centered care delivery.

Sterile Technique Compliance: Critical assessment of aseptic technique adherence, contamination management, and infection control protocol compliance.

Professional Competencies: Evaluation of teamwork, stress management, continuing education participation, and overall professional conduct.

Designed for Healthcare Leaders

Whether you manage a hospital surgical department, ambulatory surgery center, or specialty surgical practice, this evaluation form helps you maintain high standards of perioperative nursing care. The structured rating system with comment fields allows for both quantitative tracking and qualitative feedback.

Paperform makes this process seamless with conditional logic that adapts questions based on responses, calculation fields that automatically compute overall performance scores, and workflow automation through Stepper to route completed evaluations to HR systems, trigger follow-up meetings, or generate development plans.

For organizations requiring signature confirmation, Papersign integration allows both evaluators and nurses to electronically sign performance reviews, creating a complete digital audit trail for credentialing and compliance purposes.

Streamline Your Healthcare HR Processes

Paperform is trusted by healthcare organizations worldwide for GDPR-compliant, secure data handling. Create professional evaluation forms that reflect your facility's standards, integrate with your existing HR systems, and provide the documentation needed for clinical excellence and regulatory compliance.