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iRubric: Teaching patients how to use a dry powder inhaler rubric

iRubric: Teaching patients how to use a dry powder inhaler rubric

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Teaching patients how to use a dry powder inhaler Teaching patients how to use a dry powder inhaler Evaluate students ability to teach a patient how to use a dry powder inhaler Rubric Code: PX52XC7 By tracihardin Ready to use Public Rubric Subject: Medical Type: Presentation Grade Levels: (none)

Teaching how to use a DPI Teaches a patient how to properly use a dry powder inhaler
	Unacceptable 0 pts	Fair 0.5 pts	Good Information complete and correct 1 pts
Prepare inhaler • take out of pouch •write pouch opened and use by dates (6 wks later) on the label on the top of the DISKUS • dose indicator on the top of the DISKUS, the last 5 doses will be in red	Unacceptable Does NOT show the patient how to do all of the following: • take out of pouch •write pouch opened and use by dates (6 wks later) on the label on the top of the DISKUS • dose indicator on the top of the DISKUS, the last 5 doses will be in red OR information given is incorrect	Fair Shows the patient how to do all of the following: • take out of pouch •write pouch opened and use by dates (6 wks later) on the label on the top of the DISKUS • dose indicator on the top of the DISKUS, the last 5 doses will be in red BUT Information given is partially correct or incomplete.	Good Shows the patient how to do all of the following: • take out of pouch •write pouch opened and use by dates (6 wks later) on the label on the top of the DISKUS • dose indicator on the top of the DISKUS, the last 5 doses will be in red AND All information is correct and complete
Open • hold disk in one hand and put the thumb of your other hand on the thumbgrip • Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position	Unacceptable Does NOT show the patient how to do all of the following: • hold disk in one hand and put the thumb of your other hand on the thumbgrip • Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position OR information given is incorrect	Fair Shows the patient how to do all of the following: • hold disk in one hand and put the thumb of your other hand on the thumbgrip • Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position BUT Information given is partially correct or incomplete.	Good Shows the patient how to do all of the following: • hold disk in one hand and put the thumb of your other hand on the thumbgrip • Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position And All information is correct and complete.
Click • hold the disk in a level, flat position with the mouthpiece toward you • Slide the lever away from you as far as it will go until it clicks • everytime the level is pushed back, a dose is ready to be inhaled	Unacceptable Does NOT show the patient how to do all of the following: • as above ONLY hold inhaler 2-3 finger widths away from mouth rather than putting in mouth OR information given is incorrect	Fair Shows the patient how to do all of the following: • as above ONLY hold inhaler 2-3 finger widths away from mouth rather than putting in mouth BUT Information given is partially correct or incomplete.	Good Shows the patient how to do all of the following: • as above ONLY hold inhaler 2-3 finger widths away from mouth rather than putting in mouth AND All information is correct and complete
Inhale • breathe out fully while holding the diskus level and away from your mouth • Never breathe out into the diskus • put mouthpiece to your lips, breathe in quickly and deeply through mouth only • remove from mouth, hold breath for 10 sec • breathe out slowly • you should be able to taste or feel the medication if you cannot do not use another dose	Unacceptable Does NOT show the patient how to do all of the following: • as above only insert inhaler into rubber end of spacer • shake, breathe out mouth as above • depress inhaler breathe in slowly over 3-5 sec, note flow signal if too fast • hold breath as long as can OR information given is incorrect	Fair Shows the patient how to do all of the following: • as above only insert inhaler into rubber end of spacer • shake, breathe out mouth as above • depress inhaler breathe in slowly over 3-5 sec, note flow signal if too fast • hold breath as long as can BUT Information is incomplete or not totally correct.	Good Shows the patient how to do all of the following: • as above only insert inhaler into rubber end of spacer • shake, breathe out mouth as above • depress inhaler breathe in slowly over 3-5 sec, note flow signal if too fast • hold breath as long as can AND All information is correct and complete
Close • put your thumb on the thumbgrip and slide the thumbgrip back toward you as far as it will go • the disk will click shut • the lever will automatically return to its original position	Unacceptable Does NOT show the patient how to do all of the following: • canister may be empty but still contain propellant • Floating, spraying or tasting are not reliable methods • if scheduled use calculate when started and when will be finished. • rescue inhalers can attach a piece of paper to inhaler to note when used OR information given is incorrect	Fair Shows the patient how to do all of the following: • canister may be empty but still contain propellant • Floating, spraying or tasting are not reliable methods • if scheduled use calculate when started and when will be finished. • rescue inhalers can attach a piece of paper to inhaler to note when used BUT Information is not completely correct OR incomplete.	Good Shows the patient how to do all of the following: • canister may be empty but still contain propellant • Floating, spraying or tasting are not reliable methods • if scheduled use calculate when started and when will be finished. • rescue inhalers can attach a piece of paper to inhaler to note when used AND All information is correct and complete
To avoid releasing medication • Do Not close the Diskus • Do Not tilt the play with the lever • Do Not move the lever more than once	Unacceptable Does NOT show the patient how to do all of the following: To avoid releasing medication • Do Not close the Diskus • Do Not tilt the play with the lever • Do Not move the lever more than once OR information given is incorrect	Fair Shows the patient how to do all of the following: To avoid releasing medication • Do Not close the Diskus • Do Not tilt the play with the lever • Do Not move the lever more than once BUT Information is not completely correct OR incomplete.	Good Shows the patient how to do all of the following: To avoid releasing medication • Do Not close the Diskus • Do Not tilt the play with the lever • Do Not move the lever more than once AND All information is correct and complete
Rinse mouth after inhaler Rinses mouth after inhaler if steroid use	Unacceptable Does not teach to rinse mouth after steroid inhaler use	Fair Teaches how to rinse mouth after steroid inhaler use BUT Information is incomplete or not completely correct.	Good Rinses mouth after inhaler if steroid use. Information is complete and correct.
Review to ensure understanding Ensures that patient understands teaching. Follows up with written materials or other teaching materials if needed	Unacceptable Does not ensure that the patient understands.	Fair Ensures that patient understands teaching by asking them	Good Ensures that patient understands teaching by asking them to repeat the instructions or by some other appropriate means. Follows up with written materials or other teaching materials if needed.
Ability to answer questions Answers all questions appropriately	Unacceptable Unable to answer questions correctly	Fair Able to answer questions but are not able to give complete answers	Good Able to answer questions correctly, completely and confidently.
Attitude	Unacceptable Lack of confidence, caring attitude OR approachability AND NOT a good listener	Fair Lack of confidence, caring attitude OR approachability. OR not a good listener.	Good Confident, caring and approachable. Listens carefully to patients questions and concerns.

Keywords:

asthma, teaching, inhalers, COPD

Subjects:

Medical

Types:

Presentation

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