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

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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