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Practicum Evaluation Report 
Externship
Rubric Code: EX8XBAC
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Practicum Evaluation Report
  Strongly Agree

5 pts

Agree

4 pts

Neutral (Acceptable)

3 pts

Disagree

2 pts

Strongly Disagree

1 pts

N/A

0 pts

Obtain Vital Signs

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Perform Venipuncture

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Perform Capillary Puncture

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Perform PFT

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Perform EKG

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Perform Pt. Screening

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Select Proper sites for adminsterin

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Adm. Orla Meds

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Adm. Parenteral Meds

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Assist. physician w/ patient care

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Perform Quality control

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
CLIA waived hematology

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
CLIA waived chemistry

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
CLIA waived urinalysis

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
CLIA waived immunology

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Screen test results

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Critical thinking in patient care

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
verbal skills pt. inderstanding

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Respect for diversity

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
prepare proper dosages

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
maintain lab results flow sheets

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
maintain growth charts

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
verify ordered dose

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
normal/abnormal test results

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
training on standard precautions

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
practice standard precautions

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
select proper barrier PPE

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Perform Handwashing

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
autoclaving

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
sterilization procedures

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
obtain specimen

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
clia waived microbiology

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
sensitivity to pt rights

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
explain rationale

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
show awareness

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
use reflection

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
report relevant

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
use medical terminology

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
explain general office

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
instruct patients

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
prepare patient

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demonstrate telephone

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
document pt. care

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
document pt. education

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
compose prof./bus letters

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
respond nonverbal comm

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
develop list of community

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
advocate for pt.

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demonstrate empathy

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
apply active listening

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
use appr. body language

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demonstrate awareness

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demonstrate sensitivity

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demon. aware. personal apperance

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demons. pts level of understanding

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
analyze communication

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
recognize and protect

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demon. respect

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
manage apptointment
schedule patient admiss.

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
organize patient medical record

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
file medical records

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
execute data

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
use office hardware

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
use internet

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
maint. organize files

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
perform routine maint.

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
perform office inventory

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
consider staff needs

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
implement time mgmt.

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
prepare bank deposit
post entries on day sheet

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
billing procedures

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
collection procedures

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
post adjustments

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
process credit balance

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
process refunds

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
post NSF checks

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
post collection agency

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
utilize computerized

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
dem. handling A/R

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
apply both MC policies & proc.
apply 3rd party guidelines

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
complete insurance claim forms

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
obtain precertification

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
obtain preauthorization

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
verify eligibility

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
domon. assertive comm.

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demon. sensitivity in comm

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
comm. in language understood

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
perform procedural coding
perform diagnostic coding

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
work w/ physician

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
respond issues of confidentiality

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
perform w/in scope

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Apply HIPAA

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Practice w/in standard

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
Incorporate Pts. bill of rights

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
complete incident report

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
document accurately

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
apply local, state, federal

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demon. sen. pts. rights

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demo awareness consequences

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
recognize importance

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
report illegal
develop plan

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
apply ethical behavior

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
examine the impact

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demo awareness diversity

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
comply w/ safety signs
evaluate work environment

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
develop personal safety plan

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
devel. environmental s. plan

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
eywash

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
fire extingushers

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
sharps disposal containers

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
part. mock exposure event

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
explain evacuation plan

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demo methods fire prevention

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
maintain CPR Cert.

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
first aid procedures

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
use proper body mechanics

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
maint. current list community

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
recognize effects of stress

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A
demo self-awareness

Strongly Agree
Agree
Neutral (Acceptable)
Disagree
Strongly Disagree
N/A




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