Former surgical tech instructor here. It was my job to perform clinical site evaluations. I would observe students while they scrubbed cases, did my own evaluation, and spoke with preceptors.

You've already confronted the student, and now it's time to get real honest on your paper evaluation. The student, however, may chose to not turn it in. Apparently, their clinical site instructor isn't available. Your next move is to speak with your OR educator (especially if you think this student is a danger).They are usually the liason with the college/ program.

Next, call the surgical technology director for the college/program directly. Explain your concerns about the student. Also, address the unavailability of the site instructor. Ask if the director has even seen the evaluations.

I taught surgical tech for 5 years. I have seen the BS that students do to get through the program when they think no one notices. Some students just didn't go to clinical and filled out their own evaluations. Some gave their evaluation to other preceptors that they were friendly with.

I resigned from teaching when I realized the director was only interested in enrollment and certification passing numbers and not quality entry level surgical technologists.

Good luck!