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iRubric: SAMPLE HX rubric
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SAMPLE HX
SAMPLE HX
Rubric Code:
A5C3C7
By
garrardo
Ready to use
Public Rubric
Subject:
Medical
Type:
Assessment
Grade Levels:
Undergraduate
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SAMPLE Hx
Poor
1 pts
Good
2 pts
Excellent
3 pts
SIGNS & SYMPTOMS
Poor
Does not look at patient
Does not ask patient to describe discomfort
Does not touch patient
Good
Notes pt. color
Does not touch pt. to note skin's temperature and condition
Ask how they feel
Excellent
Looks at the pt. and notes color
Touches the pt. and notes skin temp. and condition.
Ask pt to describe what they are feeling.
Allergies
Poor
Does not ask allergies of patient
Good
Asks patient if they have allergies
Excellent
Ask patient if they have allergies to medications, food, animals, or environment.
Medications
Poor
Does not ask
Good
Ask if they are taking medications
Excellent
Ask if they are taking prescribed medication, over the counter, or Herbal supplements
Past Medical Hx
Poor
Does not ask
Good
Ask if they have any medical problems
Excellent
Ask if they are seeing a doctor for any reason and if they have a hx of Diabetes, Seizures, etc.
Last Oral Intake
Poor
Does not ask
Good
Ask what they had to eat
Excellent
Ask what they had to eat or drink and when they ate or drank it
Events Leading Up To Ill. / Trauma
Poor
Does not ask
Good
Leads the patient by answering the question them-self instead of patient answering
Excellent
Ask the pt. what they were doing prior to the incident to re-evaluate LOC
Keywords:
Pt. Assessment
Subjects:
Medical
Types:
Assessment
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