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iRubric: Teaching patients how to use an inhaler rubric

iRubric: Teaching patients how to use an inhaler rubric

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Teaching patients how to use an inhaler 
Evaluate students (1)ability to teach a patient how to use an MDI (2) ability to teach a patient how to use a DPI (3) communicate with the patient
Rubric Code: TX92CW8
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

Powered by iRubric Teaching how to use an MDI
Teaches a patient how to properly use a metered dose inhaler
  Unacceptable

Information given is incorrect or incomplete

0 pts

Fair

Information given is partially correct or incomplete.

0.5 pts

Good

Information complete and correct

1 pts

Prepare inhaler

• shake inhaler well immediately before use
•pull off cap and hold upright
• prime inhaler with first use or if not used for >=2 wks (some manuf. recommend daily)

Unacceptable

Does NOT show the patient how to do all of the following:
• shake inhaler well immediately before use
•pull off cap and hold upright
• prime inhaler with first use or if not used for >=2 wks (some manuf. recommend daily)

OR information given is incorrect
Fair

Shows the patient how to do all of the following:
• shake inhaler well immediately before use
•pull off cap and hold upright
• prime inhaler with first use or if not used for >=2 wks (some manuf. recommend daily)

BUT Information given is partially correct or incomplete.
Good

Shows the patient how to do all of the following:
• shake inhaler well immediately before use
•pull off cap and hold upright
• prime inhaler with first use or if not used for >=2 wks (some manuf. recommend daily)

AND All information is correct and complete
Inhale medication

• breathe out slowly through the mouth, expelling all air
• place lips around mouthpiece holding the inhaler upright
• while breathing in deeply and slowly through mouth, fully depress and immediately release the top of the canister with your index finger
• continue to breathe in slowly until a full breath is taken
• hold your breath for as long as you can, up to 10 sec
• wait one min between puffs
• recap and repeat if prescribed

Unacceptable

Does NOT show the patient how to do all of the following:
• breathe out slowly through the mouth, expelling all air•place lips around mouthpiece holding the inhaler upright •while breathing in deeply and slowly through mouth, fully depress and release the top of the canister with your index finger•continue to breathe in slowly until a full breath is taken • hold breath for as long as you can, up to 10 sec•wait 1 min between puffs
OR information given is incorrect
Fair

Shows the patient how to do all of the following:• breathe out slowly through the mouth, expelling all air•place lips around mouthpiece holding the inhaler upright •while breathing in deeply and slowly through mouth, fully depress and release the top of the canister with your index finger•continue to breathe in slowly until a full breath is taken • hold breath for as long as you can, up to 10 sec•wait 1 min between puffs BUT Information given is partially correct or incomplete.
Good

Shows the patient how to do all of the following:• breathe out slowly through the mouth, expelling all air•place lips around mouthpiece holding the inhaler upright •while breathing in deeply and slowly through mouth, fully depress and release the top of the canister with your index finger•continue to breathe in slowly until a full breath is taken• hold breath for as long as you can, up to 10 sec•wait 1 min between puffs
And All information is correct and complete.
Rinse mouth after inhaler

Rinses mouth after inhaler if steroid used

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.
Cleaning your MDI

• wash at least weekly or if you notice powder on the inside of mouthpiece
• remove metal canister
• wash mouthpiece and cap in warm water
• let dry overnight
• do not dry with towel

Unacceptable

Does NOT show the patient how to do all of the following:
• wash at least weekly or if you notice powder on the inside of mouthpiece
• remove metal canister
• wash mouthpiece and cap in warm water
• let dry overnight
• do not dry with towel
OR information given is incorrect
Fair

Shows the patient how to do all of the following:
• wash at least weekly or if you notice powder on the inside of mouthpiece
• remove metal canister
• wash mouthpiece and cap in warm water
• let dry overnight
• do not dry with towel
BUT Information is not completely correct OR incomplete.
Good

Shows the patient how to do all of the following:
• wash at least weekly or if you notice powder on the inside of mouthpiece
• remove metal canister
• wash mouthpiece and cap in warm water
• let dry overnight
• do not dry with towel
AND All information is correct and complete
Knowing when to replace MDI

• canister may be empty but still contain propellant
• Floating, spraying 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

Unacceptable

Does NOT show the patient how to do all of the following:
• canister may be empty but still contain propellant
• Floating, spraying 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 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 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
Review to ensure understanding

Ensures that patient understands teaching. Ask patient to demo back. 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 or demo back or giving written material only
Good

Ensures that patient understands teaching by asking them to demo back. Follows up with written materials or other teaching materials if needed.
Ability to answer questions

Answers all questions appropriately. Does not use medical jargon

Unacceptable

Unable to answer questions correctly
Fair

Able to answer questions but are not able to give complete answers or used medical jargon
Good

Able to answer questions correctly, completely and confidently and does not use medical jargon.
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,

Subjects:






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