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iRubric: Dona Ana Nursing Assistant Program Clinical Rubric

iRubric: Dona Ana Nursing Assistant Program Clinical Rubric

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Dona Ana Nursing Assistant Program Clinical Rubric 
Dona Ana Nursing Assistant Program Clinical Rubric
Clinical Evaluation of student performance of resident care in a Nursing Home. Students are required to perform patient care ADL's, and use critical thinking skills while working in the clinical setting. Work Ethic, Communication, Attendance/Tardiness/Safety/ Indirect Care Measures are evaluated.
Rubric Code: KX358CW
By EDenise1
Ready to use
Public Rubric
Subject: Nursing  
Type: Assignment  
Grade Levels: Undergraduate

Powered by iRubric Clinical Rubric
  Acceptable

10 pts

Average

7 pts

Below Average

5 pts

Unacceptable

0 pts

Dress Code

1. Uniform neat & clean.
2.white shoes.
3. watch.
4. Only one pair of stud earrings.
5. No facial or tongue piercings.
6. Hair neat & off shoulders.
7. Nails short; no polish.
8. Tattoos covered neatly.
9. Name tag
10. No use of electronic devices in clinical setting/classroom
(during hours of instruction)
Acceptable

-All components of clinical uniform in place in accordance with Uniform Policy.
-Phone is on vibrate and is not answered when on floor. All Calls and text can be returned on break off of the floor.
Average

1 component of clinical uniform missing.
Below Average

2 components of clinical uniform missing.
Unacceptable

3 or more components of clinical uniform missing.
-Student talking or
useing electronic devices in clinical setting/classroom
(during hours of instruction)
Attendance/Tardy

Must attend 75 hours of clinical instruction.
Clinical
starts at _______
ends at _______
Student to be in pre-conference room by _____
-Keeps instructor informed of whereabouts.
-Makes request for break before leaving floor.
Acceptable

Student in -pre-conference room at _______ ready to go.
-Makes request for break before leaving floor.
-Keeps instructor informed of whereabouts.
Average

1 of following
-5 minutes late
-Did not notify instructor in advance
-Cannot provide legitimate evidence/documentation of reason late
Below Average

2 of following
-5 minutes late
-Did not Notify instructor in advance
-Cannot provide legitimate evidence/documentation of reason late
Unacceptable

-Later than 5 minutes without notification of instructor
-No Call No show
-3rd time to call in late regardless of reason.
-Instructor must look for student
-Student leaves floor without requesting to do so from instructor.
Clinical Preparation

-Prepared with list of skills; reviewed at home & prepared to do.
-Skills book
-small notebook for pocket & Pen
- checks student assignment
- reviews residents CNA plan of care
-Identifies skills that will need to be done
-identifies hall CNAs and nurse.
-Provides list to instructor of skills planned
-makes arrangements for instructor to be present to witness skill performance.
Acceptable

-Checks student assignment sheet
-Reviews resident CNA plan of care
-Identifies hall CNAs and nurse.
-Student identifies skills will need to provide.
-Provides list to instructor of skills planned
-makes arrangements for instructor to be present to witness skill performance.
Average

1 component of clinical preparation assignment missing.
Below Average

2 components of clinical preparation assignment missing.
Unacceptable

Did not perform 3 or more components of clinical preparation
Unprepared.
Safety Measures

-Locks brakes on bed/wheel chair
-Uses gait belt for ambulating or transferring.
-Does not transfer without instructor
-Uses side rails & elevates bed for care
-uses good body mechanics
-Leaves bed lowest position
-Leaves call light in reach
-Does not leave in dining room etc unattended
-Watchful potential accidents i.e. spills or broken equipment. Cleans or notifies maintenance asap.
-Notifies Nurse and instructor of changes in resident co
Acceptable

-Observes Safety Measures
-Student reviews skill with instructor prior to performing.
-Reports abnormal findings to instructor.
Average

1 violation of safety measures. Minimal Coaching required
Below Average

2 violations of safety measures. Requires Coaching.
Unacceptable

Student non compliant, 3 or more violations. Student performs tasks in unsafe manner.
Residents safety at risk or compromised.
Work Ethic

- Prepares for skills, considers Logical order & residents preference
- Ensures resident in neat, clean & up for meals & activities.
- If resident is unavailable student will look for additional skills to complete or assist other students.
-Completes 3 different sets of vital signs with manual cuff.
-Pass Ice Water
-Answers call lights promptly
-If completes all skills checks with instructor to spend time with residents
-Leaves area clean and neat aft
Acceptable

All components met.
Average

Student observed/reported not staying on task OR incompletion of 1 assigned duty.
Below Average

2 assigned duties found incomplete OR 2 times observed not staying on task.
Unacceptable

Poor work ethic/not staying on task/duties not completed.
Demonstrate Professional behavior

-Uses manners/polite
- Addresses staff & residents by name. -Address residents when providing care.
-Notifies instructor, CNA, and Nurse of care provided.
-Demonstrates positive caring attitude
-Complains about assignments
-Stands in hallway talking with staff or students
-wanders around avoiding instructor or tasks.
Acceptable

All components of professional behavior are met.
Average

1 component missing.
Below Average

2 components missing
Unacceptable

3 or more components missing. Student demonstrates
-Unprofessional behavior
such as calling resident names... momma, baby, sweetie.
-poor attitude.
-Instructor has to look for student on more than one occasion
Skill Compentency

Demonstrated Skills to Instructor per skills checklist
Acceptable

Student able to perform all steps per checklist correctly without coaching.
Average

Student missed one or two steps on the skills checklist but was able to complete with minimal coaching. Violation of safety or infection control automatic failure.
Below Average

Student missed more than 3 steps on the clinical checklist. Student will be required to demonstrate the skill for the instructor at a later time. Violation of safety or infection control automatic failure.
Unacceptable

-Student requires significant coaching to complete skill.
-Missed a major step that involves safety or infection control.
OR Performed skill incorrectly. i.e. cleaned back to front.
Student will need to study the skill and demonstrate at a later time.
Infection Control

-Washes hands upon entrance and exit of room
-washes hands before and after care
-wears gloves if potential contact with blood or body fluids
-Does not let linen touch uniform.
-Removes gloves & washes hands before exiting into hallway.
-Does not carry dirty linen down hallway
-Properly handles toothbrushes, dentures and eating utensils to prevent contamination.
-Properly disposes of briefs
-Properly removes gloves without contaminating self
Acceptable

Always on task,100% complaint with infection control measures
Average

Failed to use infection control measures on one or two occasions, requires minimal coaching
Below Average

Failed to use infection control measures on 3 or 4 occasions, requires repeated reminders.
Unacceptable

Failed to use infection control measures on more than 4 occasions. Student seems to disregard reminders. Serious infection control breech.
Communication Skills

During Care the Student
-Greets resident
address by name
-introduces self
-Provide
explanations to resident about care before & during care.
-Ask resident about preferences
_Ask resident about comfort or needs
Acceptable

Interacts appropriately with staff,resident, instructor,classmates.Reports abnormal findings to instructor. Communicates needs and asks questions prior to performing task if unsure
Average

50% time interacts appropriately with staff, resident, instructor. May report incidental abnormal findings. <BR>
Does not always express needs, sometimes will ask questions prior to performing task if unsure
Below Average

25% time interacts appropriately with staff, resident, classmates, instructor. Does not report any abnormal findings. Clearly not expressing needs and rarely will ask questions, even if unsure with performing task
Unacceptable

No interaction with staff,classmates, or resident. Does not communicate needs to instructor. Does not ask questions with performing tasks if unsure.
Resident Rights

-Protects confidential information HIPAA
-Provides privacy
-Allows to refuse care notifies instructor & nurse
-Provides personal choice
-Assists to voice concerns or questions
-Assist to participate in groups
-Right to keep & use personal items
- Ask permission to look in closet or drawers
-Does not take or misuse belongings
-Treats carefully handling gently.
-Does not seclude, verbally, sexually, physically, or mentally abuse
-
Acceptable

Observes Residents Rights. Is honest and thoughtful. Follows agency policies and procedures.
Average

One violation Resident's Rights. Requires minimal coaching.
Violation of confidentiality or abuse is automatic failure in this area.
Below Average

Two violations of Resident's Rights. Requires repeated coaching or reminders.
Violation of confidentiality or abuse is automatic failure in this area.
Unacceptable

Three or more violations of Resident Rights.
Violation confidentiality or abuse.



Keywords:
  • Nursing Assistant Daily Clinical Evaluation


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