iRubric: Medication Administration rubric

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Medication Administration

Michelle Nichols - EDU358 - Medication Administration

Medication Administration Performance Evaluation N336

Rubric Code: EX4CA4W

By NUR336

Draft

Private Rubric

Subject: Nursing

Type: Assessment

Grade Levels: Undergraduate

Medication Administration
	Non-performance Fail this performance if any of the boxes below are checked. 0 pts	Below Expectations Fail this performance if any of the boxes below are checked. 0 pts	Basic 3 pts	Proficient 4 pts	Distinguished 5 pts
KWIPES K=Knock W=Wash hands I= Identify self & patient P=Privacy E= Explain S= Safety	Non-performance The learner did not use KWIPES method	Below Expectations The learner is unable to identify and use acronym without continuous prompting	Basic The learner uses every letter of the acronym with two prompts. Two patient identifiers must be used.	Proficient The learner uses every letter of the acronym with one prompt. Two patient identifiers must be used.	Distinguished The learner uses every letter of the acronym appropriately with zero prompting. Two patient identifiers must be used
Meds are administered as prescribed Right Route & Site IM=Ventralgluteal SubQ=abdomen Oral	Non-performance Medications are not administered. Unsafe practice.	Below Expectations Medications are administered but one or more mistakes occur in the administration process. Incorrect site or route used.	Basic More than one attempt must be made to administer medications accurately. Self correcting any mistakes.	Proficient Medications are administered accurately with appropriate route and site in one attempt with the learner self-correcting any mistakes	Distinguished Medications are administered accurately with appropriate route and site in one attempt with zero mistakes or self-corrections
The Six Rights are followed	Non-performance The Six Rights are not followed and are not verbalized	Below Expectations The Six Rights are verbalized but one or more Right is not followed	Basic The Six Rights are followed but one or more Right is not verbalized	Proficient The Six Rights are followed and verbalized at any point during the administration	Distinguished The Six Rights are followed and verbalized as they occur
Medications are secured	Non-performance Medications are not secured following administration	Below Expectations Some medications are secured and some are left unsecured following administration	Basic The medications are secured but the learner does not explain or simulate the securement	Proficient The medications are secured and the learner explains the securement process	Distinguished The medications are secured and the learner explains and simulates the securement process
INJECTIONS: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
INJECTIONS: Insulin Calculate dose total Identify insulin types and check expiration dates Invert/roll NPH vial Clean top of vials Use U100 syringe Draw clear to cloudy Identify appropriate site Document	Non-performance Unsafe preparation of medications	Below Expectations Medications are prepared but one or more mistakes occur in the process	Basic More than one attempt must be made to prepare medications accurately. Self correcting any mistakes	Proficient Medications prepared accurately in one attempt with the learner self-correcting any mistakes	Distinguished Medications prepared accurately in one attempt with zero mistakes or self-corrections
Documentation is accurate	Non-performance Documentation is not completed	Below Expectations Documentation is completed erroneously	Basic The medication log is signed but not initialed, or initialed but not signed	Proficient The medication log is initialed and signed	Distinguished The medication log is initialed and signed, and the learner verbalizes the documentation is complete
Professional/Ethical Behavior No chewing gum, no phones in ab/Simulation Center, Provide honest and clear feedback in a respectful manner. Recognize unprofessional and unethical behavior during lab and take steps to stop it. Demonstrate mutual respect. Uniform neat and clean, name badge on, hair back (if shoulder length or longer) maximum 1 pair small post style earrings to ear, all tattoos covered . No	Non-performance Little or no attempt to follow professional/ethical behaviors or dress code during lab/simulation.	Below Expectations Cell phone use during any lab/simulation phase. Baseball style hats worn during lab/simulation. Disrespectful to faculty or students. More than one component of dress code in violation.	Basic NA	Proficient 1 component of dress code in violation. 1 component of professional/ethical behavior in violation.	Distinguished * Promotes professional and ethical behavior for experiential learning in lab/simulation. * All components of clinical dress code in place in accordance with clinical/simulation guidelines.

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