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iRubric: Clinical Medical Assisting rubric

iRubric: Clinical Medical Assisting rubric

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Clinical Medical Assisting Clinical Medical Assisting Practical exam of the skills needed to assist in patient in the medical office setting Rubric Code: B22523W By jcampbell1 Ready to use Public Rubric Subject: Medical Type: Assessment Grade Levels: Undergraduate

Certified Medical Assistant
	DEMONSTRATION 0 pts	EXPLEMPLARY Performs metric, at highest level, adhering to policies and procedures. 50 pts	ACCOMPLISHED Level of expected performance. 25 pts	DEVELOPING Almost there, as completed the metric several times 15 pts	BEGINNING Novice, first time do identified metric. 10 pts
Documentation	DEMONSTRATION Demonstrated and reviewed. Documentation policies and procedures reviewed.	EXPLEMPLARY Performs Skill with high level of proficiency. Made needed corrections. checked allergies, Documented histories findings, medications, and procedures with completeness and accuracy.	ACCOMPLISHED Review demographic sheets for completeness and make needed corrections, complete history form accurately(check for allergies/medications, sign and date Hx form, visits,sign and date	DEVELOPING Review demographic sheets and place in chart, complete Hx form and place in chart sign and date, make note of all follow up visits(not with SOAP)	BEGINNING Placed demographic sheets in chart, complete Hx form, make note of return visits (lack of signatures/dates/ times)
Front Desk Check In	DEMONSTRATION Demonstration to Associate	EXPLEMPLARY Asked for patient by name, greeted with smile and introduction, reviwed demographic info with patient in quiet voice, obtained insurance, indentification, collected copay/balances, gave reciept. Explained processes and wait times.	ACCOMPLISHED Summoned patient by name, greeted with smile and introduction, observered HIPPA compliance, gave demographic info sheets, obtained insurance, indentification, collected copay/balances, gave reciept.	DEVELOPING Called patient's name, greeted and gave demographic info, performed interview in soft tone, obtained insurance, identification, collected copays and/or balance.	BEGINNING Called patients name, gave demographic info sheets, requested insurance card and identification,as patient approached check in window, conducted interview in loud tone, -no regard to HIPPA
Infection Control	DEMONSTRATION Demonstration to Associate/ Policy Reviewed	EXPLEMPLARY Consistently Performs Skill observing the policies and procedures. Check all common surfaces upon arrival, perform 2 minute hand wash before seeing 1st patient-, use of proper PPE in potential biohazards, disinfect allsurfaces and proper disposal of all contaminated materials and wash hands 1minute after patient exam	ACCOMPLISHED Check all common surfaces upon arrival, perform 2 minute hand wash before seeing 1st patient-, use of proper PPE in potential biohazards, disinfect allsurfaces and proper disposal of all contaminated materials and exam	DEVELOPING Perform 2minute hand wash before 1st patient, patients, use of gloves in potential biohazards, clean all surfaces and dispose of contaminated materials, wash hands 1minute after patient exam	BEGINNING wash hands <2minutes prior to 1st patient, clear all surfaces of contaminated materials, place contaminated material in waste can
Back Office Check In	DEMONSTRATION Demonstration to Associate	EXPLEMPLARY Ask for patient by name, utilitizing the 5- 10 rule, greeted with smile and introduction,escorted to exam room, performed review in quiet secluded area/ or patient room. Explained procedures and wait times.	ACCOMPLISHED Asked for patient by name, greeted with smile and introduction,escorted to exam room, performed review in quiet secluded area/ or patient room.	DEVELOPING Called patient's name, greeted and performed interview in soft tone in open environment	BEGINNING Called patients name, walked patient to care area.
TRIAGE- VITAL SIGNS	DEMONSTRATION Demonstration to Associate	EXPLEMPLARY informed patient of process/ procedures performed, vitals with accurracy and in timely manner, documenting and time stamped in EHR.	ACCOMPLISHED informed patient of process, peformed vitals in timely manner, with accuracy. (Temp, BP,HR, RR, 02 sat etc)	DEVELOPING peformed vitals, metric took longer than indicated, findings/ measures were accurate. (Temp, BP,HR, RR, 02 sat etc)	BEGINNING peformed vitals, with marked difference in findings. (BP, RR, etc)
INJECTIONS - 3 injections observed	DEMONSTRATION Demonstration / video to Associate	EXPLEMPLARY Completed all steps 1. (5) RIGHTS: Patient, Drug, Dose, Route & Time 2) Allergies 3) Injection Types 4) Metrics (cc / ml) 5) Knows the parts of a syringe. 6) Applicable muscles - sites. 7) Identified patient / permission obtained, explained the process. 10) Infection Control 11) Aspirated 12) Observed patient allergic reaction protocols. 13) Id	ACCOMPLISHED Comptent in giving injections most steps followed. (circle the missed steps) 1. (5) RIGHTS: Patient, Drug, Dose, Route & Time 2) Allergies 3) Injection Types 4) Metrics (cc / ml) 5) Knows the parts of a syringe. 6) Applicable muscles - sites. 7) Identified patient / permission obtained, explained the process. 10) Infection Control 11) Aspirated 12) Observed p	DEVELOPING Somewhat comptent steps: (circle the missed steps) 1. (5) RIGHTS: Patient, Drug, Dose, Route & Time 2) Allergies 3) Injection Types 4) Metrics (cc / ml) 5) Knows the parts of a syringe. 6) Applicable muscles - sites. 7) Identified patient / permission obtained, explained the process. 10) Infection Control 11) Aspirated 12) Observed patient allergic reac	BEGINNING Missed many steps - remediation required. (circle the missed steps) 1. (5) RIGHTS: Patient, Drug, Dose, Route & Time 2) Allergies 3) Injection Types 4) Metrics (cc / ml) 5) Knows the parts of a syringe. 6) Applicable muscles - sites. 7) Identified patient / permission obtained, explained the process. 10) Infection Control 11) Aspirated 12) Observed patie
EMERGENCIES	DEMONSTRATION Demonstration / video to Associate	EXPLEMPLARY Understands and showed compentence. Related to emergencies. CPR Oxygen Tank EPI Pen Eyewash Blood/ Chemical Spills	ACCOMPLISHED Understands but lacks knowledge related to emergencies. CPR Oxygen Tank EPI Pen Eyewash Blood/ Chemical Spills	DEVELOPING Understands but lacks knowledge of emergency procedures. CPR Oxygen Tank EPI Pen Eyewash Blood/ Chemical Spills	BEGINNING Little to no knowledge of emergency procedures.
WOUND CARE	DEMONSTRATION Demonstration / video to Associate	EXPLEMPLARY Performs Skill with high level of proficiency. Infection control prodecure followed. Peformed dressing change as directed by provider. Competent with dressing types Wet to dry Low - Non-adherent Semipermerable Hydrocolloid Hydrogels	ACCOMPLISHED Performs Skill moderate level of proficiency. Infection control prodecure followed. Peformed dressing change as directed by provider. Competent with dressing types Wet to dry Low - Non-adherent Semipermerable Hydrocolloid Hydrogels	DEVELOPING Performs Skill intermidiate level of proficiency. Infection control prodecure followed. Peformed dressing change as directed by provider. Competent with dressing types Wet to dry Low - Non-adherent Semipermerable Hydrocolloid Hydrogels	BEGINNING Skill not performed little to no knowledge, noted. Infection control prodecure followed. Peformed dressing change as directed by provider. Competent with dressing types Wet to dry Low - Non-adherent Semipermerable Hydrocolloid Hydrogels
EKG	DEMONSTRATION Demonstrate	EXPLEMPLARY Performed EKG with high level of profiency. Explained procedure to patient. Shaved patient if indicated. Cleaned skin if indicated Applied leads correctly Performed without difficulty. Identify abnormal rythyms, heart rate, Performed rythym strip.	ACCOMPLISHED Performed EKG with moderate level of profiency. Explained procedure to patient. Shaved patient if indicated. Cleaned skin if indicated Applied leads correctly Performed without difficulty. Identify abnormal rythyms, heart rate, Performed rythym strip.	DEVELOPING Performed EKG with intermediate level of profiency. Explained procedure to patient. Shaved patient if indicated. Cleaned skin if indicated Applied leads correctly Performed without difficulty. Identify abnormal rythyms, heart rate, Performed rythym strip.	BEGINNING Novice at performimg EKG. Explained procedure to patient. Shaved patient if indicated. Cleaned skin if indicated Applied leads correctly Performed without difficulty. Identify abnormal rythyms, heart rate, Performed rythym strip.
CONSENTS & QM	DEMONSTRATION Demonstration/Review	EXPLEMPLARY Advance Knowledge of forms. ABN Consent for Invasive Procedure Consent to treat Influenza Consent Transact Rx Meaningful Use Quality Measures Flow Sheets	ACCOMPLISHED Moderate Knowledge of forms ABN Consent for Invasive Procedure Consent to treat Influenza Consent Transact Rx Meaningful Use Quality Measures Flow Sheets	DEVELOPING Intermediate Knowledge ABN Consent for Invasive Procedure Consent to treat Influenza Consent Transact Rx Meaningful Use Quality Measures Flow Sheets	BEGINNING Novice ABN Consent for Invasive Procedure Consent to treat Influenza Consent Transact Rx Meaningful Use Quality Measures Flow Sheets
PROCEDURES	DEMONSTRATION Demonstration	EXPLEMPLARY Performs Skills with high level of proficiency. Phlebotomy Sample processing Fingersticks Throat Swabs Strept Testing Pregnancy Testing Urine Testing PT INR Ear Lavage Eye washing Splinting / Casting	ACCOMPLISHED Performs Skill moderately high level of proficiency. Phlebotomy Sample processing Fingersticks Throat Swabs Strept Testing Pregnancy Testing Urine Testing PT INR Ear Lavage Eye washing Splinting / Casting	DEVELOPING Performs Skill intermediate level of proficiency. Phlebotomy Sample processing Fingersticks Throat Swabs Strept Testing Pregnancy Testing Urine Testing PT INR Ear Lavage Eye washing Splinting / Casting	BEGINNING Missed many steps - remediation required. (circle the missed steps) Phlebotomy Sample processing Fingersticks Throat Swabs Strept Testing Pregnancy Testing Urine Testing PT INR Ear Lavage Eye washing Splinting / Casting
PHLEBOTOMY	DEMONSTRATION	EXPLEMPLARY	ACCOMPLISHED	DEVELOPING	BEGINNING

Keywords:

Infection control, documentation, SOAP, PPE, confidentiality

Subjects:

Medical

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