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iRubric: Medication Administration rubric

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Medication Administration Oral Medication Administration 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: LXB68C2 By Annhahnb Ready to use Public Rubric Subject: Nursing Type: Assessment Grade Levels: Undergraduate

Medication Administration Oral Medcations
	Unsatisfactory Remediate (N/A)	Needs development Debrief- identify omissions (N/A)	Satisfactory Passes (N/A)
Identifies pharmocologic conditions Identifies why the patient is prescribed the medication. Pharmacological class/action reason for medication adverse reactions nursing implications	Unsatisfactory The learner requires prompting to consider the indications and all pharmacologic considerations.	Needs development The learner considers the indication but is unable to identify how all pharmacologic considerations.	Satisfactory The learner correctly identifies the indication for the medication and all pharmacologic considerations.
Learner washes hands Washes hands following CDC hand hygiene guidelines	Unsatisfactory The learner requires prompting to wash hands	Needs development The learner washes hands but does not adhere to the CDC infection control guidelines.	Satisfactory The learner washes hands in accordance to the CDC infection control guidelines.
Gathers equipment. Medication chart Water Medication	Unsatisfactory The learner requires prompting to gather any equipment.	Needs development The learner fails to gather all necessary equipment.	Satisfactory All the necessary equipment is gathered.
Has knowledge of medications Pharmacological class/action reason for medication adverse reactions nursing implications	Unsatisfactory The learner cannot verbalize pharmacologic considerations.	Needs development The learner verbalizes incomplete pharmacologic considerations.	Satisfactory All pharmacologic considerations are verbalized.
Checks and prepares medication. Medication checked three times prior to giving. Medication dispensed into medication container using a non touch technique.	Unsatisfactory There is no evidence of the medication being checked. Medication is dispensed without consideration of a non touch technique.	Needs development The learner checks the medication but less than three times prior to giving and/or the learner attempts but fails to use a non touch technique to dispense the medication.	Satisfactory The learner checks the medication three times prior to administaration and employs a non touch technique to dispense the medication.
Therapeutic communication The learner introduces self to patient and provides an explanation of the procedure. The learner discusses effects and adverse effects of the medication with the patient.	Unsatisfactory There is no evidence of therapeutic communication with the patient.	Needs development The learner attempts to communicate with the patient but requires prompting to introduce themselves, explain the procedure and /or, discuss the medication effects and adverse effects.	Satisfactory The learner shows evidence of therapeutic communication, introducing themselves, explaining the procedure and discussing the effects and adverse effects of the medication.
Assists patient to take medication. Uses problem solving as required. Re-positions patient if necessary. Holds water and/ or medication if required. Assists patient to place medication in mouth as required.	Unsatisfactory Learner does not stay with patient to assist with taking the medication.	Needs development Learner stays with the patient but does not employ problem solving to assist the patient to ingest the medication as required.	Satisfactory Learner stays with the patient and employs problem solving to assist the patient ingest the medication as required.
Uses Six Rights Right: Patient Drug Dose Route Time Documentation.	Unsatisfactory The learner requires prompting to consider the "six rights" of medication administration.	Needs development The learner is unable to identify and adhere to all "six rights" of medication administration.	Satisfactory All "six rights" of medication administration are identified and followed.
Documents relevant information. Documents correctly in the medication chart following the patient ingesting the medication and in the patient notes as required	Unsatisfactory Fails to document in medication chart and/or patient notes.	Needs development Documents in medication chart but does so either before the patient ingests the medication or documents incorrectly in the medication chart and/or patient notes.	Satisfactory Documents correctly in the medication chart and/or patient notes, directly following the patient ingesting the medication.

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