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iRubric: Subcutaneous Injection Administration Rubric

iRubric: Subcutaneous Injection Administration Rubric

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Subcutaneous Injection Administration Rubric 
Subcutaneous Injection Administration Rubric
A satisfactory score is required. If the student has four or less "needs improvement" he or she will have the opportunity to explain the corrective action in the debriefing. If greater than four "needs improvement" , the student will need to remediate. the skill in a scheduled lab appointment
Rubric Code: B228X94
By CU_prof
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric SQ Medication Administration
Allergy Medication
  Unsatisfactory Remediation Needed

Remediate

(N/A)

Needs Some Improvement

Debrief- identify omissions

(N/A)

Satisfactory Progress

Passes

(N/A)

Identifies pharmacologic conditions

1.Identifies why the patient is prescribed the medication. 2.Pharmacological class/action reason for medication
3.Adverse reactions
4.Nursing Implications
Unsatisfactory Remediation Needed

The learner requires prompting to consider the indication. Identifies all pharmacologic considerations
Needs Some Improvement

The learner considers the indication but is unable to identify all pharmacologic considerations.
Satisfactory Progress

The learner correctly identifies the indication for the medication and all pharmacologic considerations.
Washes hands

Washes hands following CDC hand hygiene guidelines
Unsatisfactory Remediation Needed

The learner requires prompting to wash hands.
Needs Some Improvement

The learner washes hands but does not adhere to the CDC guidelines.
Satisfactory Progress

The learner washes hands in accordance to the CDC infection control guidelines.
Gathers equipment

1. Medication
2. MAR
3. SQ Equipment- proper needle size and gauge selected.
4. Gauze Pad
5. Bandage
Unsatisfactory Remediation Needed

The learner requires prompting to gather any equipment.
Needs Some Improvement

The learner fails to gather all necessary and proper equipment.
Satisfactory Progress

All necessary and proper equipment is gathered.
Checks and prepares medication

1. Medication checked three times prior to giving.
Unsatisfactory Remediation Needed

There is no evidence of the medication being checked.
Needs Some Improvement

The learner checks the medication but less than 3 times prior to giving.
Satisfactory Progress

The learner checks the medication three times prior to administration.
Therapeutic communication

1. The learner introduces self to patient and provides an explanation of the procedure. The learner discusses effects and adverse effects of the medication with the patient.
Unsatisfactory Remediation Needed

There is no evidence of therapeutic communication with the patient.
Needs Some Improvement

The learner attempts to communicate with the patient but requires prompting to introduce themselves, explain the procedure and/or, discuss the medication effects and adverse effects.
Satisfactory Progress

The learner shows evidence of therapeutic communication, introducing themselves, explaining the procedure and discussing the effects and adverse effects of the medication.
All SQ sites are identified

1. Abdomen
2. Upper arm
3. Thigh
4. Sub-scapular
Unsatisfactory Remediation Needed

SQ sites are not identified.
Needs Some Improvement

1-2 sites are identified using correct anatomical language.
Satisfactory Progress

All 4 sites are identified using correct anatomical language.
Uses Six Rights

Right:
1.Patient
2.Drug
3. Dose
4.Route
5.Time
6.Documentation
Unsatisfactory Remediation Needed

The learner requires prompting to consider the six rights of medication administration.
Needs Some Improvement

The learner is able to identify and adhere to some but not all of the six rights of medication administration.
Satisfactory Progress

All six rights of medication administration are identified and followed.
Meds are administered as ordered

1. Confirm last injection site
2. Chose different injection site from last injection
3.Cleanse one chosen injection site in circular motion in a upward motion.
4. Allow to dry
4. Inject at a 45-90 degree angle. Depending on needle size selection (ie. 5/8 inch 45 degrees:1/2 inch 90 degrees)
3. Pinch area of injection of thin person to avoid IM injection.
4. Inject 1ml /Sec.
5.. Wait 10 seconds.
6. Remove syringe a the same angle as inserted.
Unsatisfactory Remediation Needed

Medications administered but one or more mistakes occurs in the administration process.
Needs Some Improvement

More than one attempt must be made to administer medication.
Satisfactory Progress

Medications are administered accurately in one attempt.
Safety precautions used

1. Gloves used to administer medication.
2. Syringe plunger is pulled back to ensure needle isn't in blood vessel.
3. If blood return, stop and restart entire procedure.
2. Needle not recapped.
3. Safety cap gauged.
4.Sharps disposal of used syringe
Unsatisfactory Remediation Needed

The learner does not follow the indicated steps
Needs Some Improvement

The learner follows some, but not all of the steps
Satisfactory Progress

The learner follows each step but makes several mistakes
Documents relevant information

Correctly documents the following:
1. injection site
2. injection date and time
3. Medication name
4. Medication dose
.
Unsatisfactory Remediation Needed

Fails to document in Patient Health Record.
Needs Some Improvement

Documents in patient health record but does so either before medication administration or documents incorrectly or incompletely
Satisfactory Progress

Documents correctly in the patient health record directly following the medication administration and includes all pertinent information.
Observe and Document

1. Stay with patient
2. Tell patient she must stay for 15 minutes to observe and reactions unusual reactions
3. Check the injection site for induration and redness
4. If any unusual reactions occur notify the provider
5. Note observation of the injection site in record
Unsatisfactory Remediation Needed

Fails to observe the patient post-injection for the full 15 minutes.
Needs Some Improvement

Observes the patient post-injection but fails to correctly document the observation in the patient health record.
Satisfactory Progress

Observed the patient for the full 15 minutes and documents the observation correctly in the patients health record.





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