Instrument Knot Tying
Resident: _______________
Suture tail at appropriate length at beginning of skill
Y
N
Tension maintained on suture throughout performance
Y
N
Smooth transition between knots
Y
N
Y
N
Date: __________
Fluid movement with instrument
Hands crossed at appropriate time to create square knot
Total time for performance
_________________seconds
1
Economy of Time
and Motion
Many unnecessary /
disorganized movements
Final Rating
2
3
4
Organized time / motion, some unnecessary
movement
Other Summative Comments:
 Demonstrates competence
 Requires further practice
Evaluator
5
Maximum economy
of movement and
efficiency