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iRubric: Patient Intake - Practical Exam rubric

iRubric: Patient Intake - Practical Exam rubric

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Patient Intake - Practical Exam 
Lab Practical Exam
Medical History Interview, Vitals, Anthropometrics, Injections (ID, SC, SQ)
Rubric Code: GXB9543
By kdporter67
Ready to use
Public Rubric
Subject: Health  
Type: Exam  
Grade Levels: Undergraduate

Powered by iRubric Lab Practical
  Good

5 pts

Fair

3 pts

Poor

1 pts

Preparation

Good

Good preparation. Read order and did the math correct. Assembles equipment correctly (syringe, needle, gauze, alcohol wipes, band-aid.)
Fair

Fair preparation. Read the order but did the math wrong. Assembled equipment but forgot a few things. (syringe, needle, gauze, alcohol wipes, band-aid.)
Poor

Poor preparation. Had nothing ready for the exam. Incorrect math problem. Did not assemble equipment correctly. (syringe, needle, gauze, alcohol wipes, band-aid.)
PPE

Good

Good PPE. Had everything needed to start exam. Washed hands, Sharps ready, right size gloves.
Fair

Fair PPE. Had most PPe, forgot a few things. Didn't wash hands but remembered Sharps container, right size gloves.
Poor

Poor PPE. No PPE ready for exam. Didn't wash hands, forgot sharps, and no gloves.
Patient Interview

Good

Good. Reviewed patient health history. Asked questions Determined patient's reason for visit (chief complaint). Asked follow up questions
Fair

Fair. Did not completely review patient's health history. Did not fully determine patient reason for visit (chief complaint). Asked some follow-up questions
Poor

Poor. Did not review patient health history. Did not ask questions or determine reason for patient's visit (chief complaint). Did not ask followup questions
Medication and Syringes

Good

Good. Used proper technique for drawing up.Had the right needles and right amount of medication with no bubbles.
Fair

Fair. Less than 2 errors in technique. Used the incorrect needled but realized mistake and correct before injection. Less than 2 errors in drawing up medication right, with a few bubbles.
Poor

Poor. Did not have the right needle and drew up wrong amount of medication. Not sure how to determine correct amount of medication to administer based on doctor's orders. Drew up medication wrong. Not proper technique.
Patient Education about treatment

Good

Good - informed patient of procedures and request of doctor. Asked pt of any known allergies or allergies to medication being administered. Asked pt for verbal consent to touch and treat them. Asked patient preference of arm for treatment.
Fair

Fair. Less than 3 mistakes - Did not fully inform patient of informed patient of the following: procedures and request of doctor. Known allergies or allergies to medication to be administered. Verbal consent to touch and treat them. Patient preference of arm for treatment.
Poor

Poor: Did not inform patient of informed patient of the following: procedures and request of doctor. Did not ask about known allergies or allergies to medication to be administered. Did not receive verbal consent to touch and treat them. Did not ask patient preference of arm for treatment.
Introduction

Good

Good. Introduce self to patient: obtained 2 identifiers, allergies, give location of injections.
Fair

Fair. Did not introduce self to patient but obtained 2 identifiers, allergies, give location of injections.
Poor

Poor. Did not introduce self to patient. Did not identify patient, no allergies or give injection locations.
Vital signs

Good

Good. Took all vitals correctly. knew normal ranges of all vital signs. •B/P: 120/80 mm/Hg<BR>
•Breathing: 12 - 18 <BR>
•Pulse: 60 - 80 <BR>
•Temperature: 97.8 - 99.1 degrees
Fair

Fair. Took vitals correctly but did not know the normal ranges.
Readings more than 5 degrees difference with instructor.
Poor

Poor. Took vitals but did not have correct readings. Did not know normal ranges.
Gloves

Good

Good. Donned gloves correctly and placed necessary barriers during vitals. Correctly removed gloves and properly discarded them.
Fair

Fair. Put gloves on and barriers but took them off incorrectly.
Poor

Poor. No gloves used during vitals
No barriers used during vitals
Site of injections

Good

Good. Selected correct site for injections. Used proper land marking and new the correct names of sites. Cleaned area using a circular motion
Fair

Fair. Selected correct site for injections. Used proper land marking but didn't know the correct names of sites.
Poor

Poor. Didn't select correct sites and didn't know names of locations.
TB technique

Good

Good. 10-15 degree angle used, inserted the needle with bevel up, wheal was obtained, disposed of syringe in sharps container
Fair

Fair. 10-15 angle, inserted the needle with bevel up, no wheal obtained.
Poor

Poor. Incorrect angle, bevel not up, no wheal obtained.
SC technique

Good

Good. 45 angle, pinched up skin, gauze ready, inserted entire needle, aspirated, patted skin after. maintained a steady hand. disposed of syringe in sharps container
Fair

Fair. 45 angle, pinched up skin, inserted the entire needle, aspirated, patted skin, not a steady hand.
Poor

Poor. incorrect angle, did not pinch up skin, did not aspirate, not proper technique
Injection technique

Good

Good. Correct angle. Bevel was always up. gauze was ready, injected needle fast, steady hand, aspirated, safety was engaged after.
Fair

Fair. Correct angle, bevel not up, should insert needle faster, switched hands after inserting needle, safety was engaged.
Poor

Poor. Not correct angle, bevel was down, inserted needle very slow, no safety used.
IM technique

Good

Good. 90 angle, inserted entire needle, gauze ready, aspirated, massaged site. steady hand. disposed of syringe in sharps container
Fair

Fair. 90 angle, did not insert entire needle, aspirated, massaged site. not a steady hand
Poor

Poor. Incorrect angle, moved needle in and out. did not aspirate, not a steady hand.
Disposal of supplies

Good

Good. disposed of syringe, all supplies, removed gloves, washed hands.
Fair

Fair. disposed of syringe, all supplies, removed gloves, but did not washed hands. Treatment left partially cleaned
Poor

Poor. disposed of supplies but in wrong receptacle. did not wash hands. Treatment area left dirty
Charting

Good

Good. charted correctly. date, name, medication, dosage, route, exp date, lot #, initials.
Fair

Fair. Charted but forgot less than 2 entries.
Poor

Poor. Incorrect charting/documentation.




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