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iRubric: Rubric Chest/Lungs - Final Exam 20 pts

iRubric: Rubric Chest/Lungs - Final Exam 20 pts

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Rubric Chest/Lungs - Final Exam 20 pts 
Chest/Lungs Assessment
Rubric Code: DXB8CCC
By jazlady
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

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  Excellent

3.3 pts

Good

2.7 pts

Needs Improvement

2.4 pts

Unacceptable

0 pts

HEALTH & SAFETY

Sanitizes hands prior to beginning procedure.
Excellent

Sanitized hands prior to beginning exam
Good

N/A
Needs Improvement

N/A
Unacceptable

Did not sanitize hands prior to beginning exam
OBSERVATION

Looks & Listens; verbalizes observation of: Color; Audible wheeze/rattle;
Presence/absence of cough, etc. if client presented w/resp.CC
Excellent

Verbalized observation for: 1. Color 2. Audible wheeze/rattle 3. Cough, etc. if client presented with resp. problem
Good
Needs Improvement
Unacceptable

Did not verbalize observation of the chest
INSPECTION

Has patient remove shirt. Inspects and verbalizes assessment for: Respiratory rate (states rate), rhythm, and depth; effort of breathing; signs of respiratory difficulty, asymetry, deformities, estimated A-P/lateral diameter.
Excellent

Asked patient to remove shirt. Inspected and verbalized assessment for:
1. RR (stated rate)
2. Rhythm
3. Depth
4. Effort of breathing
5. Signs of resp difficulty
6. Deformities
7. Asymmetry
8. Estimated AP/lat dia.
Good

Had patient remove shirt
Inspected and verbalized assessment of 5-7 areas
Needs Improvement

Inspected and verbalized assessment of 1-4 areas
AND/OR
Did not have patient remove shirt
Unacceptable

Did not verbalize inspection of the chest
Palpation

Palpates AND verbalizes findings for:
1. Crepitus
2. Thoracic expansion (@ Du7)
3. Tactile fremitus
Excellent

Confidently palpated in appropriate ares AND verbalized findings for:
1. Crepitus (palp @ base of neck, suprasternal notch)
2. Thoracic expansion (@ Du7, watches thumbs)
3. Tactile fremitus (palpates @ T5-T7, uses ulnar or palmar surface
Appears confident in locating palpation stations, performing the palpations and verbalizing results.
Good

Hesitated/did not appear confident
Palpated all 3 areas
Palpated in correct location/hand position correct
Verbalized palpations
Needs Improvement

Appeared unsure of how to proceed
Palpated and verbalized assessment of at least 2 areas
Hand position incorrect for 1 or more area
Unacceptable

Did not verbalize palpation of the chest
PERCUSSION

Percusses chest with middle finger hyperextended and presses firmly on the chest with the opposite middle finger striking the finger on the chest with a relaxed wrist motion:
1. Posteriorly, 4 areas, arms crossed in front of chest
2. Symmetrically
3. Apex to base
Excellent

Confidently percussed chest (middle finger hyperextended and pressed firmly on the chest; opposite middle finger striking the finger on the chest with a relaxed wrist motion:
1. Posteriorly, 4 areas, arms crossed in front of chest
2. Symmetrically (side to side)
3. Apex to base
Good

Technique not correct
OR
Missed 1 of the 3 requirements
Needs Improvement

Technique not correct
OR
Missed 2 of the 3 requirements
Unacceptable

Did not percuss the chest
AUSCULTATION

Auscultates chest:
1. Posteriorly, 7 areas
2. Anteriorly, 6 areas
3. Symmetrically
4. Listens for full breath
Excellent

Auscultated chest:
1. Posteriorly, 7 areas
2. Anteriorly, 6 areas
3. Symmetrically
4. Apex to base
5. Used bell at apex, diaphragm for rest
6. Listened for full breath
Good

Auscultated anterior and posterior chest, using 7-12 of the 13 listening posts
AND
Listened for a full breath
Needs Improvement

Auscultated 1-6 listening posts, did not listen symmetrically,
AND/OR
Did not listen for a full breath
Unacceptable

Did not auscultate the chest for lung sounds




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