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iRubric: Preceptee Performance Assessment rubric

iRubric: Preceptee Performance Assessment rubric

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Preceptee Performance Assessment 
Rubric Code: NXW73XA
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: (none)

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  Novice

Does not the see the big picture yet

1 pts

Advanced Beginner

Sees part of the big picture

2 pts

Competent

Sees the basic picture

3 pts

Proficient

Sees the big picture

4 pts

Expert

Anticipates the changing picture

5 pts

Patient Assessment

Novice

Performs patient assessment with guidance/prompts
Advanced Beginner

Distinguishes between normal and abnormal assessment findings
Competent

Recognises changes in patient condition, intervenes appropriately and reassesses
Proficient

Classifies relative importance of multiple assessment findings over time
Expert

Relates ongoing findings to potential complications; modifies plans and nursing interventions accordingly
History gathering

Novice

Recalls questions for basic history data with guidance/prompts
Advanced Beginner

Discriminates between normal and abnormal history data
Competent

Uses understanding of disease process to focus questioning
Proficient

Includes past medical history to develop comparison with current condition
Expert

Anticipates potential outcomes based on history findings
Patient/Family education

Novice

Seeks guidance to answer patient/family questions
Advanced Beginner

Explains procedure to patient/family
Competent

Rephrases medical information into lay terms for patient/family
Proficient

Modifies patient/family education based on patient/family response and learning barriers
Expert

Identifies need and resources for further patient/family education; initiates multidisciplinary involvement
Lab data and diagnostics

Novice

Reports lab data
Advanced Beginner

Distinguishes between normal and abnormal lab data/diagnostic studies
Competent

Uses understanding of lab values/studies to plan care
Proficient

Analyses trends in lab values; compares with patient response
Expert

Monitors patient response via analysis of lab data and exam; assists with plan for future testing
Nursing interventions

Novice

Performs simple, basic nursing care with prompts
Advanced Beginner

Identifies active patient problems(s), but needs help on selecting intervention(s)
Competent

Implements appropriate routine nursing intervention(s) and evaluates effect; may delegate
Proficient

Implements appropriate nursing intervention plan in timely manner; consistently delegates
Expert

Modifies nursing care by synthesizing evidence-based knowledge into practice; utilises and /or conducts research
Nursing and Medical Knowledge

Novice

Unable to answer questions despite much prompting.
Advanced Beginner

Unable to answer certain questions. Requires much prompting. Basic knowledge evident.
Competent

Knowledge sufficient to design presentation, but not for clear delivery. Information incomplete or inaccurate. Answers to questions consist of re-stating earlier points.
Proficient

Adequate knowledge of disease, illness or condition. Explains basic physiology and etiology, and presents the nurses role in treatment and management adequately. Rationales provided for nursing interventions Answers some, but not all questions.
Expert

In depth knowledge of disease, illness or condition. Clearly explains physiology, etiology in detail, and presents in detail the nurses role in treatment and management. Excellent researched rationales for nursing interventions. Fully prepared for questions.
Clinical Judgement

Novice

Recalls norms in patient condition
Advanced Beginner

Recognises variations in patient condition, but needs help prioritising; may access resources
Competent

Determines priorities in aptient care based on varying patient condition; accesses appropriate resources
Proficient

Carries out care while managing multiple contingencies in concert with health care team members
Expert

Devises plan to avoid complications; acts as resource when patiuent complications occur
Communication

Novice

Repeats basic information with prompting for documentation and/or report to physician and colleagues
Advanced Beginner

Summarises available information for documentation and discussion with colleagues and/or physician; may standardised approach
Competent

Prioritises avaliable information for documentation and discussion with colleagues and/or physician; uses standardised form for handoff/report
Proficient

Draws conclusions based on available information for documentation and discussion with colleagues and/or physician; uses standardised form for handoff/report
Expert

Synthesises available information and possible patient outcomes for documentation and discussion with colleagues and/or physician; uses standardised form for handoff/report
Safety

Novice

Identifies patient with prompts; sanitises hands with prompts
Advanced Beginner

Identifies patient with single identifier; hand sanitisation majority of times; may recognise unsafe equipment or situation
Competent

Identifies with 2 identifiers; sanitises hands; employs universal precautions, recognises unsafe equipment or situation and corrects
Proficient

Uses more than 2 identifiers and actively incorporates patient, environment and procedural safety standards of care
Expert

Synthesises patient safety assessment and standard of care to devise multidisciplinary plan for optimal patient safety and healthcare team member protection
Learning

Novice

Needs to be prompted to find opportunities to learn new skills and knowldege
Advanced Beginner

Identifies opportunities to learn but requires direction in relation to relevant learning resources
Competent

Identifies opportunities to learn independently. Able to point out learning resources available within the organisation.
Proficient

Identifies opportunities to learn independently. Able to point out learning resources available within and outside the organisation. Able to teach peers.
Expert

Identifies opportunities to learn independently. Able to point out learning resources available within and outside the organisation. Able to teach peers and share new information with them.




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