iRubric: Vital Signs Assessment rubric

1. Purell on entry
2. Provided privacy for pt.
3. introduce yourself
4. identify patient w/ 2 identifiers: ask patient name and DOB while checking band or MAR
5. Explained procedure (vital sign check) and allowed pt to ask questions.
Purell/full intro /identify/explanation

1. purell on entry
2. Did not provided privacy for pt
3. introduce themselves
4. identify procedure: improper
did not ask 2 questions OR
did not check against band or MAR
5. Explained to pt purpose of visit (No questions)
Purell/introduce/improper identify/"vitals"

1. Purell
2. Did not provide privacy for pt.
3. Failure to introduce
4. Failure to identify pt
5. Explained part of the procedure/Did not allow pt to ask questions

Purell/"Im here to take your vitals"

1. Failure to Purell

2. failure to identify self

3. failure to identify patient

1. Had equipment ready,
2. pt. hands clean and checked for cap refill and remove nail polish
3. able to use oximeter effectively and got correct reading.
Obtained correct reading on 1st try with confidence.

1.Had oximeter and knew how to use equipment
2. Did not varify capp refill or remove nail polish prior to taking the reading.
2. Required some cues from instructor.
Obtained the correct reading on the 2nd try with confidence.

1. Did not have pulse oximeter
2. Did not check pt. to verify if pt. was wearing nail polish
3. Needed cues from instructor.
Failure to Obtain correct reading on the second try/demonstrated little confidence.

1. Found indicated pulse site quickly,
2. findings were correct
3. required no help from instructor.
Obtained correct reading on 1st try with confidence.

1. Found the indicated pulse site
2. Had correct finding after 2nd attempt.
3. Required very little cues from instructor.
Obtained the correct reading on the 2nd try with confidence.

1. Was not able to locate/identify radial
pulse without assistance
2. correct pulse rate After more than 2x
3. Needed help from instructor
Failure to Obtain correct reading on the second try/demonstrated little confidence.

1. Correct cuff size
2. Palpate pulse point
3. Apply cuff correctly (evenly and snuggly)
4. Cuff was inflated correctly
5. Deflated correctly: Let the air out 2-3mm Hg/not painfully slow.
Obtained correct reading on 1st try with confidence.

1. correct cuff size
2. Finds Brachial pulse with assistance
3. fumbles with the cuff, but applies it correctly
4. the cuff inflated correctly
5. Lets air out too fast initially
but Gets correct value
Obtained the correct reading on the 2nd try with confidence.

1. Wrong cuff size
2. Needs several tries to adjust BP cuff
3. Need several attempts to get cuff inflated
4. Cuff Left inflated to long causing some pain to the pt.
5. gets incorrect value or unable to determine correct value on first attempt
Failure to Obtain correct reading on the second try/demonstrated little confidence.

Documents Vital Signs properly: Example
B/P = 120/80 R brachial
Pulse = 70 R +2 Right radial
Temp = 98.7 Tympanic
Pulse Ox = 98% Room Air
Pain = pt denies pain

Documents correct Vital sign values
without complete descriptive explanations
120/80, 70, 98.7, 98%, 0pain

Fails to transcribe all values or
Failure to transcribe correct vital signs values at documentation time
Needs cues

Failure to document Values