iRubric: Neurological Assessment rubric

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Neurological Assessment

Understand the Basic Components of the Neurological Examination: History; Cerebral function; Cranial nerve function; Motor function; Sensory function; Cerebellar function; Reflex function; Gait and stance.

Rubric Code: BXA2BBB

By lesliemccoy

Draft

Public Rubric

Subject: Health

Type: Presentation

Grade Levels: Graduate

Basic Neurological Exam
	Exceeds Expectations 5 pts	Meets Expectations 4 pts	Needs Improvement 3 pts	Unacceptable 2 pts	Did Not Attempt 0 pts
Cerebral Function	Exceeds Expectations The student notes > 4 cerebellar findings	Meets Expectations The student notes 3-4 cerebellar findings.	Needs Improvement The student notes 2 cerebellar findings.	Unacceptable The student notes 1 cerebellar finding.	Did Not Attempt The student does not test.
Olfactory Nerve Cranial Nerve I	Exceeds Expectations Student discusses AND demonstrates exam.	Meets Expectations	Needs Improvement Student only discusses exam.	Unacceptable	Did Not Attempt Student fails to discuss or demonstrate exam
Optic Nerve Cranial Nerve II	Exceeds Expectations Student tests for BOTH visual acuity and visual fields.	Meets Expectations	Needs Improvement Student uses correct technique to test for only VA or visual fields	Unacceptable	Did Not Attempt Student fails to test acuity and visual fields
Oculomotor (III), Trochlear (IV), &	Exceeds Expectations Student uses correct technique to check for all four of the eye movements and notes their coordination.	Meets Expectations	Needs Improvement Student uses correct technique to check for three of the eye movements	Unacceptable	Did Not Attempt Student uses correct technique to check for two of the eye movements
Trigeminal Nerve (V)	Exceeds Expectations Student uses correct technique to isolate and check sensation.	Meets Expectations	Needs Improvement Student checks sensation but does not isolate left/right component.	Unacceptable	Did Not Attempt Student does not test.
Facial Nerve (VII)	Exceeds Expectations Student checks all movements tests all 5 branches of CN VII.	Meets Expectations Student tests 4-3 branches of CN VII.	Needs Improvement Student tests 1-2 branches of CN VII.	Unacceptable	Did Not Attempt Student does not test.
Auditory Nerve (VIII)	Exceeds Expectations Student uses correct technique isolate left/right and/or uses Weber/Rinne as indicated.	Meets Expectations	Needs Improvement Student checks buts does not isolate left/right component, or utilize Weber/Rinne if needed.	Unacceptable	Did Not Attempt Student does not test.
Glossopharyngeal (IX) and Vagus (X)	Exceeds Expectations Student assess both swallow/gag reflex and phonate.	Meets Expectations	Needs Improvement Student assess only one aspect of nerve (swallow/ gag or phonate).	Unacceptable	Did Not Attempt Student does not test.
Spinal Accessory (XI)	Exceeds Expectations The student tests both aspects of nerve.	Meets Expectations	Needs Improvement The student only tests one component (either shrug or pushing head against resistance).	Unacceptable	Did Not Attempt The student does not test.
Motor Function	Exceeds Expectations Student uses correct scale to test 5 or > muscle groups.	Meets Expectations Student uses correct scale to test 3-4 muscle groups.	Needs Improvement Student uses correct scale to test 2 muscle groups.	Unacceptable Student uses correct scale to test 1 muscle group.	Did Not Attempt Student does not test.
Sensory Function	Exceeds Expectations Student tests 2PD/JP in upper and lower extremities, assesses discrimination btwn hot/cold, and vibratory sense in upper and lower extremities.	Meets Expectations Student tests for only 3 sensory functions in either upper or lower extremities.	Needs Improvement Student tests for only 2 sensory functions in either upper or lower extremities.	Unacceptable Student tests for only one sensory function in either upper or lower extremities.	Did Not Attempt Student does not test.
Hypoglossal (XII)	Exceeds Expectations The student assess both components of nerve.	Meets Expectations The student uses two correct assessment techniques to assess for cerebellar deviation.	Needs Improvement The student tests only one aspect of nerve (movement of tongue OR slurring of speech).	Unacceptable	Did Not Attempt The student does not test.
Reflex Function	Exceeds Expectations The student uses correct technique to assess DTRs in five locations, and also assess for Babinski's Sign and charts correctly.	Meets Expectations The student uses correct technique to assess DTRs in three locations, and charts correctly.	Needs Improvement The student uses correct technique to assess DTRs in two locations, and charts correctly.	Unacceptable The student uses correct technique to assess DTRs in one location, and charts correctly.	Did Not Attempt The student does not test
Gait and Stance	Exceeds Expectations Student has client to walk normally as well as heel-to-toe fashion and correctly charts results.	Meets Expectations	Needs Improvement Student has client to walk and correctly assesses his/her gait and stance.	Unacceptable	Did Not Attempt Student does not test.

Subjects:

Health

Types:

Presentation

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