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iRubric: NG insertion, Feeding, and Removal rubric

iRubric: NG insertion, Feeding, and Removal rubric

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NG insertion, Feeding, and Removal 
NG insertion, Feeding, and Removal
Rubric Code: K2XWB43
By ssesteban
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric NG Insertion, Feeding, and Removal
LPN/ADN Spring 2020
  Poor

3 or > misses
No points rewarded

(N/A)

Fair

1-2 misses
half points rewarded

(N/A)

Good

No misses
All points given

(N/A)

Evaluator Comments

Score________/100
90-100-A
80-89- B
79-75- C
74 AND BELOW-Failed- requires remediation and recheck

(N/A)

Gathers Equipment-5 points

Gathers equipment & checks order
Poor

**Does not have supplies from Nurse Pack
Fair

Missing items from Nurse Pack-
Good

All equipment gathered, Nurse Pack, Performs independently
Evaluator Comments
2 pt ID, Hand washing- 10 points

Used 2 pt ID, Proper hand washing and set up equipment
Poor

**Fails to perform hand hygiene
** Fails to identify patient- no points given
Fair

Requires minimal prompting, self corrects x 1
Good

Equipment properly set up, patient identified with 2 identifiers, hands hygiene, and table set up with barrier on table, Performs independently
Evaluator Comments
Maintain clean field- 5 points

Maintains a properly equipped field free from contamination
Poor

**Tube is contaminated, does not self correct and unable to discuss when prompted- no points given
Fair

Tube is contaminated, self corrects x 1, able to discuss if prompted
Good

Field maintained, may self correct if tube is contaminated, Performs independently
Evaluator Comments
Patient safety-10 points

Proper explanation, Chin tuck position to help facilitate tube pass, positioning completed prior
Poor

**Does not instruct patient properly and unable to recall with prompting- no points given
Fair

Stalls but moves forward with prompting, or self corrects x1
Good

Able to communicate procedure to patient with medical terminology, Performs independently
Evaluator Comments
NG measured-10 points

Proper technique used to measure NG and mark made. Able to name anatomical sites appropriately (Tip of nose to tip of ear lobe to Xiphoid process)
Poor

Fails to verbalize and locate anatomical site and unable to recall when prompted
Fair

Unable to verbalize correct anatomical sites but able to answer when prompted or self corrects x 1
Good

Able to verbalize anatomical terminology, performs measurement accurately and places tape appropriately
Evaluator Comments
NG & team preps- 5 points

water w/ straw, equipment,facial surgical history, and nare inspected prior to insertion
Poor

** Fails to perform nursing assessment
Unable to demonstrate understanding of nursing assessment
Fair

Needs prompting to ensure nursing assessment is understood or self corrects x 1
Good

Demonstrates understanding nursing assessment
Evaluator Comments
Placement checked-10 points

Tube lubricated. NG placement has 2 checks for proper insertion. Performs air bolus and discusses litmus paper and pH, Chest X-ray
Poor

Unable to demonstrate, requires constant prompting
Fair

Requires minimal prompting with placement and discussion or self corrects x1
Good

Able to demonstrate proper insertion technique,
able to discuss placement techniques, demonstrates air-bolus appropriately
Discusses Chest X-Ray/KUB as definitive method for verifying placement
Evaluator Comments
NG secured-3 points

NG tube secured to pt, performs "pants" tape split
Poor

Unable to perform, requires constant prompting
Fair

Requires minimal prompting or self corrects x1
Good

Demonstrates proper technique to secure NG tube
Evaluator Comments
Medication administration per NG 2

Discusses Medication crushed or crushes appropriately
Poor

Unable to discuss, requires constant prompting
Fair

Requires prompting or self corrects x 1
Good

Discusses medication safety
Evaluator Comments
Medication safety-5 points

Patient identified, medication verified, Discusses medication that cannot be given per tube (can't be crushed-extended release, enteric coated); placement and patency of NG tube assessed, medication crushed, 15 cc H2O between medications, clamps tube between medication passes, flushes with 30 ml
after all medications
Poor

**Fails to identify patient
Unable to perform/discuss, requires constant prompting
Fair

Requires minimal prompting or self corrects x 1
Good

Performs medication per NG tube appropriately and independently
Evaluator Comments
NG bolus feeding- 10 points

Patient identified, placement assessed, patency checked, feeding administered, flushed with H2O after feeding.
Poor

**Fails to identify patient
** Fails to check placement
** Fails to check patency
Fair

Requires minimal prompting or self corrects x1
Good

Demonstrates bolus feeding independently
Evaluator Comments
NG residual check- 10 points

Discusses residuals; residuals less than 250 or facility, return contents and flush tube appropriately; greater than 250 or facility policy, place continuous feedings on hold x 1 hour, do not administer bolus feeding, recheck
Poor

** Fails to check residuals
Fair

Checks residual, discusses appropriately, self corrects x 1
Good

Able to perform residual check independently
Evaluator Comments
NG tube removal- 5 points

Verifies order for removal
Poor

** Fails to verify order
Fair

Requires minimal prompting, self corrects x1
Good

Demonstrates understanding of order verification prior to task
Evaluator Comments
NG tube removal safety-5 points

Verifies patient, assesses placement. Instructs patient appropriately (hold breath to prevent possible aspiration), assesses for bowel sounds
Poor

** Fails to verify patient
** Fails to verify placement
Fair

Requires minimal prompting, self corrects x 1
Good

Demonstrates appropriate nursing assessment/ able to remove tube independently
Evaluator Comments
Documentation- 5 points

Procedure, pt toleration of procedure, & assessment pre and post procedure
Poor

** Fails to sign name, credentials
Unable to demonstrate acceptable documentation, grammatical errors, lack of medical terminology
Fair

Acceptable documentation, correct use of medical terminology, 1-2 grammatical errors
Good

Demonstrates appropriate documentation
Evaluator Comments






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