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iRubric: Sterile Field/Foley Cath Insertion rubric

iRubric: Sterile Field/Foley Cath Insertion rubric

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Sterile Field/Foley Cath Insertion 
Sterile Field/Foley Cath Insertion
A satisfactory score is required. If the student has four or less on "needs development" he or she will have the opportunity to explain the corrective action in post simulation debriefing. If greater than four "needs development", the student will need to remediate the skill with a scheduled lab appointment.
Rubric Code: HXAA533
By Annhahnb
Ready to use
Public Rubric
Subject: Nursing  
Type: Exam  
Grade Levels: (none)

Powered by iRubric Sterile Field/Foley cath
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  Unsatisfactory

Remediate

(N/A)

Needs Improvement

Debrief- identify omissions

(N/A)

Satisfactory

Passes

(N/A)

Pt verification/ preparation

ID patient
ID Care provider
Explain procedure.
Unsatisfactory

Does not know pt identifiers. Selects and prepares inadequate or inappropriate equipment.
Missed 2 or more of the criteria:
Needs Improvement

Identifes patient name or birthdate, but not both. Selects and prepares most of equipment and supplies.
Satisfactory

Correctly identifies pt information by protocol. Selects and prepares all equipment and supplies Check physicians orders.
Pre procedure performance

Performs hand hygiene per WHO guidelines
Provides for patient privacy.
Unsatisfactory

Missed both performance procedures
Needs Improvement

Missed 1 of the below

Performs hand hygiene
Provides for patient privacy
Satisfactory

Performs hand hygiene
Provides for patient privacy
Patient Preparation

Unsatisfactory

Patient completely exposed
Needs Improvement

Patient partially exposed
Satisfactory

Patient completely draped for privacy
Prior to sterile field set up

Apply clean gloves
Wash perineal area
Examine meatus****
Unsatisfactory

Missed 2 or more of the criteria
Needs Improvement

Missed 1 of the criteria
Satisfactory

Took all correct steps.
Sterile Gloves & Field

Unsatisfactory

Unable to open sterile packet without contamination
Unable to apply sterile gloves, set-up sterile field or maintain sterile field throughout procedure.
Needs Improvement

Able to open sterile packet without contamination
Able to apply sterile gloves after 2 attempts. Able to set-up and maintain sterile field with minimual errors.
Satisfactory

Able to apply sterile gloves with out contamination. Able to set-up sterile field and maintain sterility of field throughout procedure.
Prepping Site for cath insertion

Lubricate the catheter
Separate the labia with non-dominant hand
Use one clean cotton ball or wipe for each area
Clean the far labia fold
Clean the near labia fold
Clean directly over the center of the urethral
Unsatisfactory

Missed 2 or more steps
Needs Improvement

Missed 1 step
Satisfactory

Prepared site with all correct steps.
Foley Insertion

Continue to hold labia until insertion completed
Inflate balloon
Secure foley bag to patient and to bed frame.3
Unsatisfactory

Preformed insertion with 3 or more missed steps.
Needs Improvement

Able to insert foley catheter with 2 incorrect steps.
Satisfactory

Able to insert foley catheter using correct steps.
Post skills

Dispose of supplies
Remove gloves
Perform hand hygiene
Did not provide patient safety
Call Bell
Bed to lowest position
Leave room tidy.
Unsatisfactory

Missed 2 or more steps
Needs Improvement

Missed 1 step
Satisfactory

Able to perform all steps.
Documentation

Document the procedure
Amount of urine
Urine color
Catheter size
Patient tolerance of procedure
Time and date
Unsatisfactory

Documentation is missing.
Needs Improvement

Document part of required components.
Satisfactory

Document all required components.





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