iRubric: Clinical Assessment Musculoskeletal post-op TKA rubric

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Clinical Assessment Musculoskeletal post-op TKA

Evaluation of the following objectives 1. Demonstrate appropriate communication skills with the patient and other health care professionals 2. Assess the pertinent aspects of the patients condition. 3. Perform clinical skill appropriately.

Rubric Code: HXX7XX9

By willjr

Draft

Private Rubric

Subject: Nursing

Type: Assessment

Grade Levels: Undergraduate

Clinical Assessment post-op TKA
	Advanced Independently performs all skills fluently and without difficulty. 4 pts	Proficient Performs skills with some difficulty. Omits 1 step while providing care. 3 pts	Basic Performs skills with some difficulty and has omitted 2 step while providing care 2 pts	Below Basic Has difficulty performing skills and omitted greater than 3 steps times or 1 major step while providing care. 1 pts	Student comments (N/A)	Instructor comments (N/A)
Initial Steps 1. Prepares for patient contact ppe/handwashing. 2. Introduces him/herself to the patient. 3. Assures patient privacy and dignity. 4. Provides a confident, professional impression at initial meeting and while preforming care. 5. Respects the right(s) of the patient.	Advanced Independently performs all skills fluently and without difficulty.	Proficient Performs skills with some difficulty. Omits 1 step while providing care.	Basic Performs skills with some difficulty and has omitted 2 step while providing care	Below Basic Has difficulty performing skills and omitted greater than 3 steps times or 1 major step while providing care.	Student comments	Instructor comments
Vocabulary Uses appropriate vocabulary for patient/family/others.	Advanced Independently performs all skills fluently and without difficulty.	Proficient Performs skills with some difficulty. Omits 1 step while providing care.	Basic Performs skills with some difficulty and has omitted 2 step while providing care	Below Basic Has difficulty performing skills and omitted greater than 3 steps times or 1 major step while providing care.	Student comments	Instructor comments
Musculoskeletal Assessment Preform a focused assessment on a patient post-op TKA
Patient Assessment Neurovascular operative extremity 1. palpate pedal pulses 2. capillary refill < 3 sec 3. extremity warm and usual color 4. ability to flex and extend foot and toes 5. absences of numbness and tingling in foot and toes. 6. absence of foot pain during passive movement of toes and foot 7. no increased pain in extremity 8. assess and maintain operative extremity in proper alignment. 9. assess and maintain patency of wound drainage system	Advanced Independently performs all skills fluently and without difficulty.	Proficient Performs skills with some difficulty. Omits 1 step while providing care.	Basic Performs skills with some difficulty and has omitted 2 step while providing care	Below Basic Has difficulty performing skills and omitted greater than 3 steps times or 1 major step while providing care.	Student comments	Instructor comments
Tissue integrity Inspect the following areas for pallor, redness, and breakdown. 1. skin in contact with wound drainage, tape and tubing(s) 2. back, coccyx, and buttocks 3. elbows and heels 4. area at edges of compression dressing or knee immobilizer	Advanced Performs skills with some difficulty. Omits 1 step while providing care.	Proficient Performs skills with some difficulty. Omits 1 step while providing care.	Basic Performs skills with some difficulty and has omitted 2 step while providing care	Below Basic Has difficulty performing skills and omitted greater than 3 steps times or 1 major step while providing care.	Student comments	Instructor comments
IV and Foley 1. assess IV site for patency, color, swelling, and pain 2. Ensure pump is set at the right rate and functioning properly 3. Assess Foley for drainage, urine color and amount	Advanced Independently performs without difficulty or prompting.	Proficient Performs skills with some difficulty. Omits 1 step while providing care.	Basic Performs skills with some difficulty and has omitted 2 step while providing care	Below Basic Has difficulty performing skills and omitted greater than 3 steps times or 1 major step while providing care.	Student comments	Instructor comments
Documentation Correctly identifies documentation requirements.	Advanced Independently performs without difficulty or prompting.	Proficient Performs skills with some difficulty. Omits 1 step while providing care.	Basic Performs skills with some difficulty and has omitted 2 step while providing care	Below Basic Has difficulty performing skills and omitted greater than 3 steps times or 1 major step while providing care.	Student comments	Instructor comments

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