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iRubric: Clinical Rubric

iRubric: Clinical Rubric

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Clinical Rubric 
Clinical Rubric
Students are required to perform clinical nursing skills with 100 % proficiency. In addition to skills performance of skills, students must use critical thinking skills to include indirect care measures: safety, infection control, comfort measures, patient rights.
Rubric Code: FX65XX8
By pcatlin
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Lab Skill
Nursing Assistant Skill Checklist Assessment
  Advanced

4 pts

Proficient

3 pts

Basic

2 pts

Below Basic

1 pts

Initial Steps of skills

Indirect Care Measures,
Rights: Knocks on door, greets patient, introduces self to patient and primary team lead, wash hands, check patient ID bracelet after washing hands, privacy curtain, lock wheels to bed,w/c,
Set up for procedure and coordinating nursing care of two patients
Advanced

Performs all initial steps without difficulty that are required in the skill listed.
Proficient

Performs more than
three initial steps required in the skill performance or 85% of combined skill and indirect care measures
Basic

Performs less than two initial steps required in the skill listed, or 75 % of the combined skill and indirect care measures
Below Basic

Does not perform any of the initial steps required in the skill listed, or indirect care measures
Indirect Care/Critical Steps

Safety: lock wheels to bed.w/c, call light, bed alarm on, uncluttered room,bed low position
infection control: wash hands, empty trash
comfort: reposition, pillows, blankets, water
rights; address by name, introduce self, open curtain when not in use, privacy, knock on door before entering
Advanced

Recognizes, verbalizes, and demonstrates all critical steps in a logical manner consistently without difficulty.
Proficient

Recognizes, verbalizes, and demonstrates the critical steps in a logical manner 85% of the time during this check off.
Basic

Able to recognize, verbalize, and demonstrate the critical steps in a logical manner 50% of the time during this check off.
Below Basic

Fails to recognize, verbalize, and/or demonstrate the critical steps in a logical manner less than 25%f the time during this check off.
Rationale

Student explains to examiner steps of procedure while performing
Advanced

Verbalizes relevant information relating to the skill being checked off on.
Answers instructor's questions regarding the skill and its importance plus the impact to the client
without difficulty.
Proficient

Able to verbalize relevant information relating to the designated
skill that is being checked off on.
Able to answer more than two questions regarding the skill and its importance re
guarding the skill and its importance
plus the impact to the
client.
Basic

Limited ability to verbalize relevant information relating to the designated
skill that is being checked off on.
Able to answer less than two questions regarding the skill and its importance plus the impact to the client.
Below Basic

Fails to verbalize relevant information relating to the skill being checked off on.
Unable to answer instructor's questions regarding the skill and its importance and/or impact to the client.
Final Steps & Lab Area

Indirect Care- Safety- bed locked, call light,w/clocked, bed low position
Resident Rights: privacy curtan opened.
Comfort: pillow, blanket, repositioned,
Infection Control, trash empty, wash hands
Advanced

Able to do all of the following:
a.verbalize final steps.
b. mention documentation of skill.
c. mention client response to skill performed.
d.clean up after the skill is performed.
Bed is returned to the lowest position.
Mentions call bell is placed within reach.
Maintains privacy.
Respectful to the patient and pt family members.
Proficient

One of the following occurs:
Fails to:
a. verbalize final steps.
b. mention documentation of skill.
c.mention client response to skill performed.
d.clean up after the skill is performed.
Bed is left in high position.
Does not mention call bell is placed within reach.
Privacy is not maintained.
Disrespectful to the patient or patient family member.
Basic

Two or more of the following occurs:
Fails to:
a.verbalize final steps.
b.mention documentation of skill.
c. mention client response to skill performed.
d. clean up after skill is performed.
Bed is left in high position.
Does not mention call bell is placed within reach.
Privacy is not maintained for mannequin.
Disrespectful to the patient or family member.
Below Basic

Three or more of the following occurs:
Fails to:
a.verbalize final steps.
b.mention documentation of skill.
c.mention client response to skill performed.
d.clean up after
skill is performed.
Bed is left in high position.
Does not mention call bell is placed within reach.
Privacy not maintained for mannequin
Disrespectful to the patient and family member.
Attendance and Mannerism

On time, prepared to perform skills, professional attire and attitude. If student able to select appropriate patient assignment to give student varied learning opportunities.
Advanced

On time to clinical
Has patient chart flagged prior to medication pass
Patient teaching of medication given to pt and pt family member(s)
Calm demeanor with
appropriate mannerisms
Proficient

Able to perform nursing task within reasonable time frame.
Appears nervous yet able to continue with check off with some distraction.
Mannerisms are appropriate.
Able to verbalize would keep pt comfort while performing task skills.
Basic

Absent or Tardy to clinical.
Instructor notices that the student has limited ability to check off for the designated skill at this time.
Body language and mannerisms are inappropriate at times.
Student needs to focus on patient needs instead of performing tasks.
Below Basic

Absent or Tardy to clinical.
Instructor is notices that the student is not prepared to check off at this time.
Student is not familiar with the designated skill .
Frustration noted.
Body language and mannerisms are inappropriate for most of the check off.
Little to no consideration for patient needs while performing task.




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