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iRubric: Intramuscular Injection Pain Med Administration Rubric

iRubric: Intramuscular Injection Pain Med Administration Rubric

 
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Intramuscular Injection Pain Med Administration Rubric 
Skills Test Rubric
Rubric Code: D228X92
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate


Powered by iRubric IM Medication Administration
  Non-performance

1 pts

Below Expectations

2 pts

Basic

3 pts

Proficient

4 pts

Distinguished

5 pts

*Preparation to give medication

1. Assess patient level of pain on scale 1-10
2. Check MAR
3. Review MAR for allergies
4. Research unfamiliar drugs

Non-performance

no preparation is completed for skill
Below Expectations

1 step is completed
Basic

2-3 steps are completed
Proficient

3-4 steps are completed
Distinguished

4 steps are completed with no self-correction
*Prepare medication

1. Correctly identify medication
2. Check expiration date
3. Calculate correct dose
4. Draw into syringe

Non-performance

Medication is not prepared
Below Expectations

1 step is completed
Basic

2 steps are completed
Proficient

3-4 steps are completed but out of order
Distinguished

4 steps are completed, in order with no self-correction
*Identify client

1. Check client name against MAR
2. Check client name against name band
3. Ask client his/her name
4. Ask client if they have any allergies

Non-performance

Client not identified
Below Expectations

1 identifier completed
Basic

2 identifiers completed
Proficient

3 identifiers completed
Distinguished

All 4 patient identifiers are completed
*All IM sites are identified

1. Ventral gluteal
2. Vastus lateralis
3. Deltoid

Non-performance

IM sites are not identified
Below Expectations

IM sites are referred to but not identified
Basic

1-2 IM sites is correctly identified by location
Proficient

2-3 IM sites are correctly identified by location
Distinguished

All 3 IM sties are correctly located. Student using correct anatomical language.
*Meds are administered as ordered

1. Cleanse one chosen site
2. inject 90 degree angle
3. aspirate
4. inject over 3 seconds
5. remove syringe

Non-performance

Medications are not administered
Below Expectations

Medications are administered but one or more mistakes occur in the administration process
Basic

More than one attempts must be made to administer medications accurately
Proficient

Medications are administered accurately in one attempt with the learner self-correcting any mistakes
Distinguished

Medications are administered accurately in one attempt with zero mistakes or self-corrections
*Safety precautions used

1. Gloves used to administer medication
2. needle not recapped
3. sharps disposal of used syringe

Non-performance

The learner does not follow the indicated steps
Below Expectations

The learner follows some, but not all of the steps
Basic

The learner attempts to follow each step but makes several mistakes
Proficient

The learner follows each step self-correcting any mistakes in the process
Distinguished

The learner follows each step exactly as described making zero mistakes or self-corrections
Positioning
  Non-performance

0 pts

Below Expectations

0 pts

Basic

0 pts

Proficient

3 pts

Distinguished

(N/A)

Position for IM injection

1. Supine for vastus laterals
2. Sitting for deltoid
3. Semi-fowlers for ventral gluteal

Non-performance
Below Expectations
Basic
Proficient

Learner chose correct position for IM pain med administration
Distinguished
Documentation
  Non-performance

0 pts

Below Expectations

1 pts

Basic

2 pts

Proficient

3 pts

Distinguished

4 pts

Document Completely

1. Date
2. Time
3. Initials
4. Signature at bottom of MAR

Non-performance

no documentation or any omission of either date and/or time
Below Expectations

2 documentation step completed
Basic

3 documentation steps completed
Proficient

4 documentation steps completed
Distinguished

All 4 documentation steps completed and legible
Evaluation
  Non-performance

0 pts

Below Expectations

(N/A)

Basic

(N/A)

Proficient

1 pts

Distinguished

(N/A)

Evaluation of med effectiveness

1. ask patient to rate pain on scale 1-10 30 minutes after administration of medication

Non-performance
Below Expectations
Basic
Proficient

Evaluates patient pain level on scale of 1-10, 30 minutes after med given
Distinguished





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