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iRubric: Sterile Field/Foley Cath Insertion rubric

iRubric: Sterile Field/Foley Cath Insertion rubric

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Sterile Field/Foley Cath Insertion 
Sterile Field/Foley Cath Insertion
How to correctly place a foley catheter
Rubric Code: B2XW67A
By DonnaTimko
Ready to use
Public Rubric
Subject: Medical  
Type: Exam  
Grade Levels: Undergraduate

Powered by iRubric Sterile Field/Foley cath
  Good 3.5 points

(N/A)

Fair 2.5 points

(N/A)

Poor 1.5 points

(N/A)

Pt verification/ preparation

Good 3.5 points

Correctly identifies pt information by protocol. Selects and prepares all equipment and supplies needed per doctors order. Washes hands.
Fair 2.5 points

Identifies patient name or birthdate, but not both. Selects and prepares most of equipment and supplies.
Poor 1.5 points

Does not know pt identifiers. Selects and prepares inadequate or inappropriate equipment or no equipment.
Explanation of Procedure

Good 3.5 points

Explained procedure to patient/family. Able to state appropriate reason for catheter insertion.
Fair 2.5 points

Explained procedure and appropriate reason for catheter placement with prompts from written checklist.
Poor 1.5 points

Does not explain need for catheter or
answer questions.
Sterile Gloves & Field

Good 3.5 points

Able to apply sterile gloves without contamination. Able to set-up sterile field and maintain sterility of field throughout procedure.
Fair 2.5 points

Able to apply sterile gloves after 2 attempts. Able to set-up and maintain sterile field with minimual errors.
Poor 1.5 points

Unable to apply sterile gloves, set-up sterile field or maintain sterile field throughout procedure.
Foley Insertion

Good 3.5 points

Able to insert foley catheter using correct steps. Verbalizes watching for urine return; once noted, verbalizes continuation of insertion to ensure catheter is in bladder then balloon inflated.
Fair 2.5 points

Able to insert foley catheter with assistance from written checklist OR incorrectly/does not verbalize looking for urine return, continued insertion to ensure catheter tip is in bladder and inflation of balloon.
Poor 1.5 points

Unable to insert foley catheter using all steps for procedure. Does not verbalize correct steps up to and including inflation of balloon to secure placement.
Securement

Good 3.5 points

Instructions provided on securing device to leg and placing bag below to the bladder; attached to non-moveable part of bed.
Fair 2.5 points

Verbalizes securement but omit more than two necessary details (bed or leg)
Poor 1.5 points

Does not verbalize securement of device.
Documentation

Good 3.5 points

Verbalizes appropriate documentation of placement of catheter. Pt tolerance, size, securement of device, initial output amount and descriptors of urine.
Fair 2.5 points

Omits one or more factors important for catheter placement, such as patient tolerance, size of catheter, initial output and urine description.
Poor 1.5 points

Does not verbalize documentation requirements for catheter placement.
Removal of Catheter

Good 3.5 points

Verbalizes clean procedure of catheter removal without prompting from written checklist including removal of securement device, education of patient, verification of removal order, deflation of balloon and documentation.
Fair 2.5 points

Omits one or two elements for appropriate removal:
verification of order for removal
pt education
emptying of bag
removal of securement device
deflation of balloon
documentation
Poor 1.5 points

Omits three or more elements for appropriate removal:
verification of order for removal
pt education
emptying of bag
removal of securement device
deflation of balloon
documentation
Video

Presenter understanding level, clarity, visual effectiveness, flow of information
Good 3.5 points

Student does not display an understanding of the information, is not clearly understood in recording, lacks ease of visualization of procedure, and or uses notes multiple times to prompt next step.
Fair 2.5 points

Student displays a moderate grasp of information, can be heard, but mispronounces or misuses terms, does not allow full visualization of steps, and or relies on notes only occasionally for next step.
Poor 1.5 points

Student conveys a firm grasp of all key concepts, uses clear and concise terminology, provides opportunity for viewer to visualize all steps, moves smoothly through procedure with few to no pauses for prompting.




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