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iRubric: Teaching patients how to use an inhaler rubric

iRubric: Teaching patients how to use an inhaler rubric

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Teaching patients how to use an inhaler 
Teaching patients how to use an inhaler
Evaluate students (1)ability to teach a patient how to use an MDI (2) ability to teach a patient how to use a DPI (3) communicate with the patient
Rubric Code: KBWX27
By steppljs
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

Powered by iRubric Teaching how to use an MDI
Teaches a patient how to properly use a metered dose inhaler
  Unacceptable 7 and below

Information given is incorrect or incomplete

0 pts

Fair 8-7.5 pts

Information given is partially correct or incomplete.

0.5 pts

Good-9-10pts

Information complete and correct

1 pts

Prepare inhaler

• shake inhaler well immediately before use<BR>
•pull off cap and hold upright <BR>
• prime inhaler with first use or if not used for >=2 wks (some manuf. recommend daily)
Unacceptable 7 and below

Does NOT show the patient how to do all of the following:<BR>
• shake inhaler well immediately before use<BR>
•pull off cap and hold upright <BR>
• prime inhaler with first use or if not used for >=2 wks (some manuf. recommend daily)<BR>
<BR>
OR information given is incorrect
Fair 8-7.5 pts

Shows the patient how to do all of the following:<BR>
• shake inhaler well immediately before use<BR>
•pull off cap and hold upright <BR>
• prime inhaler with first use or if not used for >=2 wks (some manuf. recommend daily)<BR>
<BR>
BUT Information given is partially correct or incomplete.
Good-9-10pts

Shows the patient how to do all of the following:<BR>
• shake inhaler well immediately before use<BR>
•pull off cap and hold upright <BR>
• prime inhaler with first use or if not used for >=2 wks (some manuf. recommend daily)<BR>
<BR>
AND All information is correct and complete
Inhale medication

breathe out slowly through the mouth, expelling all air<BR>
place lips around mouthpiece holding the inhaler upright <BR>
• while breathing in deeply and slowly through mouth, fully depress and immediately release the top of the canister with your index finger<BR>
• continue to breathe in slowly until a full breath is taken<BR>
• hold your breath for as long as you can, up to 10 sec<BR>
• wait one min between puffs<BR>
• re
Unacceptable 7 and below

Does NOT show the patient how to do all of the following:<BR>
• breathe out slowly through the mouth, expelling all air•place lips around mouthpiece holding the inhaler upright •while breathing in deeply and slowly through mouth, fully depress and release the top of the canister with your index finger•continue to breathe in slowly until a full breath is taken • hold breath for as long as you can, up to 10 sec•wait 1 min between puffs<BR>
OR information given is incorrect
Fair 8-7.5 pts

Shows the patient how to do all of the following:• breathe out slowly through the mouth, expelling all air•place lips around mouthpiece holding the inhaler upright •while breathing in deeply and slowly through mouth, fully depress and release the top of the canister with your index finger•continue to breathe in slowly until a full breath is taken • hold breath for as long as you can, up to 10 sec•wait 1 min between puffs BUT Information given is partially correct or incomplete.
Good-9-10pts

Shows the patient how to do all of the following:• breathe out slowly through the mouth, expelling all air•place lips around mouthpiece holding the inhaler upright •while breathing in deeply and slowly through mouth, fully depress and release the top of the canister with your index finger•continue to breathe in slowly until a full breath is taken• hold breath for as long as you can, up to 10 sec•wait 1 min between puffs <BR>
And All information is correct and complete.
Rinse mouth after inhaler

Rinses mouth after inhaler if steroid used
Unacceptable 7 and below

Does not teach to rinse mouth after steroid inhaler use
Fair 8-7.5 pts

Teaches how to rinse mouth after steroid inhaler use BUT information is incomplete or not completely correct.
Good-9-10pts

Rinses mouth after inhaler if steroid use. Information is complete and correct.
Cleaning your MDI

• wash at least weekly or if you notice powder on the inside of mouthpiece<BR>
• remove metal canister<BR>
• wash mouthpiece and cap in warm water<BR>
• let dry overnight<BR>
• do not dry with towel
Unacceptable 7 and below

Does NOT show the patient how to do all of the following:<BR>
• wash at least weekly or if you notice powder on the inside of mouthpiece<BR>
• remove metal canister<BR>
• wash mouthpiece and cap in warm water<BR>
• let dry overnight<BR>
• do not dry with towel<BR>
OR information given is incorrect
Fair 8-7.5 pts

Shows the patient how to do all of the following:<BR>
• wash at least weekly or if you notice powder on the inside of mouthpiece<BR>
• remove metal canister<BR>
• wash mouthpiece and cap in warm water<BR>
• let dry overnight<BR>
• do not dry with towel<BR>
BUT Information is not completely correct OR incomplete.
Good-9-10pts

Shows the patient how to do all of the following:<BR>
• wash at least weekly or if you notice powder on the inside of mouthpiece<BR>
• remove metal canister<BR>
• wash mouthpiece and cap in warm water<BR>
• let dry overnight<BR>
• do not dry with towel<BR>
AND All information is correct and complete
Knowing when to replace MDI

• canister may be empty but still contain propellant<BR>
• Floating, spraying are not reliable methods<BR>
• if scheduled use calculate when started and when will be finished.<BR>
• rescue inhalers can attach a piece of paper to inhaler to note when used
Unacceptable 7 and below

Does NOT show the patient how to do all of the following:<BR>
• canister may be empty but still contain propellant<BR>
• Floating, spraying are not reliable methods<BR>
• if scheduled use calculate when started and when will be finished.<BR>
• rescue inhalers can attach a piece of paper to inhaler to note when used<BR>
OR information given is incorrect
Fair 8-7.5 pts

Shows the patient how to do all of the following:<BR>
• canister may be empty but still contain propellant<BR>
• Floating, spraying are not reliable methods<BR>
• if scheduled use calculate when started and when will be finished.<BR>
• rescue inhalers can attach a piece of paper to inhaler to note when used<BR>
BUT Information is not completely correct OR incomplete.
Good-9-10pts

Shows the patient how to do all of the following:<BR>
• canister may be empty but still contain propellant<BR>
• Floating, spraying are not reliable methods<BR>
• if scheduled use calculate when started and when will be finished.<BR>
• rescue inhalers can attach a piece of paper to inhaler to note when used<BR>
AND All information is correct and complete
Review to ensure understanding

Ensures that patient understands teaching. Ask patient to demo back. Follows up with written materials or other teaching materials if needed
Unacceptable 7 and below

Does not ensure that the patient understands.
Fair 8-7.5 pts

Ensures that patient understands teaching by asking them or demo back or giving written material only
Good-9-10pts

Ensures that patient understands teaching by asking them to demo back. Follows up with written materials or other teaching materials if needed.
Ability to answer questions

Answers all questions appropriately. Does not use medical jargon
Unacceptable 7 and below

Unable to answer questions correctly
Fair 8-7.5 pts

Able to answer questions but are not able to give complete answers or used medical jargon
Good-9-10pts

Able to answer questions correctly, completely and confidently and does not use medical jargon.
Attitude

Unacceptable 7 and below

Lack of confidence, caring attitude OR approachability AND NOT a good listener
Fair 8-7.5 pts

Lack of confidence, caring attitude OR approachability. OR not a good listener.
Good-9-10pts

Confident, caring and approachable. Listens carefully to patients questions and concerns.
Creativity

Unacceptable 7 and below

Project was dry and patients would not be able to understand
Fair 8-7.5 pts

Some parts were creative and some some patients would be able to understand
Good-9-10pts

Presentation was creative and well presented in manner that all patients would understand
Professionalism

Unacceptable 7 and below

Student not professionally groom or partially met the departmental uniform code. Presentation was under the half-way 5 minute time requirement.
Fair 8-7.5 pts

Student was professionally groomed and in departmental uniform. Student only presented a up to half of 5 minute time requirement
Good-9-10pts

Student was dressed and groomed in departmental uniform. Hair was clean and appropriately tied back. Time limit of presentation was met.



Keywords:
  • asthma, teaching, inhalers,

Subjects:


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