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Sample 
Using Ampules
Demonstrate proficiency in the aseptic preparation of an IV medication withdrawn from a glass ampule.
Rubric Code: RX7B6XW
By slblankenship
Ready to use
Public Rubric
Subject: Vocational  
Type: (Other)  
Grade Levels: Undergraduate

Powered by iRubric Using Ampules
  Not Acceptable

1 pts

Needs Improvement

3 pts

Acceptable

5 pts

Gathers Equipment

Not Acceptable

Does not gather needed equipment. Needs reminding of materials needed for skill. seems lost
Needs Improvement

Gathers most materials. Identifies items are needed or excess materials gathered.
Acceptable

Gathers all necessary equipment to correctly perform skill.
Place items in flow hood correctly

Not Acceptable

Improper placement of items in flow hood.
Asks questions regarding proper placement of items in flow hood.
Needs Improvement

Recognizes improper placement of items in flow hood. Identifies problem, corrects problem or explains proper procedure.
Acceptable

Places all items in flow hood correctly for use.
Prepare ampule

Not Acceptable

Student doesn't tap/swirl ampule so some medication is still present in head/neck of ampule. Ampule not properly sterilized. Student does not detect error nor asks instructor for assistance.
Needs Improvement

Student doesn't tap/swirl ampule so some medication is still present in head/neck of ampule. Ampule not properly sterilized. Student identifies/corrects error without reminder.
Acceptable

Taps or swirls ampule so that head/neck are free of fluid and all medication is in the body of the ampule. Clean neck of ampule with sterile alcohol swab. All steps performed correctly.
Prepare syringe/Break ampule

Not Acceptable

Does not open syringe or attach needle correctly.
Does not break ampule using proper technique.
Student does not detect error nor asks instructor for assistance.
Needs Improvement

Opens syringe correctly, chooses regular needle and attaches with minor, but acceptable error, as described in lecture/reading. Breaks ampule without proper technique (crosses over, etc.) but identifies error. My not have clean break.
Acceptable

Opens syringe properly. chooses regular needle and attaches correctly. Breaks ampule with proper technique. Clean break is achieved.
Drawing up correct volume of med

Not Acceptable

Student draws up incorrect volume of medication or improper technique. Student does not detect error nor asks instructor for assistance.
Needs Improvement

Student draws up incorrect volume of medication or improper technique. Identifies problem, corrects problem or explains proper procedure.
Acceptable

Student draws up correct medication volume using proper technique. Does not require assistance.
Change needle

Not Acceptable

Does not know which needle to use after drawing up medication. Does not change needle properly.
Needs Improvement

Prompting required or questions asked to change needle or use filter needle properly. Identifies problem, corrects problem or explains proper procedure.
Acceptable

Uses filter needle. Changes to filter needle without prompting. Changes needle properly.
Adding med to IV bag

Not Acceptable

Student incorrectly swabs the port of IV bag and/or doesn't inject medication dose according to accepted protocol.
Needs Improvement

Student incorrectly swabs the port of IV bag and/or doesn't inject medication dose according to accepted protocol. Identifies problem, corrects problem or explains proper procedure.
Acceptable

Student correctly swabs the port of IV bag and inject medication dose according to accepted protocol with instructor assistance.
Crossing over/general

Not Acceptable

Crosses over constantly. Constantly interupts air flow. Medication is contaminated.
Needs Improvement

Crosses over 1-2 times. Medication may be contaminated.<BR>
Student identifies errors and correct technique is described.
Acceptable

Does not cross over or interrupt air flow.



Keywords:
  • Aseptic Technique

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