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iRubric: Mock Code Simulation rubric

iRubric: Mock Code Simulation rubric

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Mock Code Simulation 
To evaluate the team performance and communication during mock code simulation senario
Rubric Code: LXB87B6
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Subject: Nursing  
Type: Assessment  
Grade Levels: Graduate

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  Novice

The Novice or beginner has no experience in the situations in which they are expected to perform. The Novice lacks confidence to demonstrate safe practice and requires continual verbal and physical cues.

1 pts

Advanced Beginner

Advanced Beginners demonstrate marginally acceptable performance because the nurse has had prior experience in actual situations. He/she is efficient and skilful in parts of the practice area, requiring occasional supportive cues.

2 pts

Competent

The nurse is able to demonstrate efficiency, is coordinated and has confidence in his/her actions. For the Competent nurse, a plan establishes a perspective, and the plan is based on considerable conscious, abstract, analytic contemplation of the problem. Care is completed within a suitable time frame without supporting cues.

3 pts

Proficient

Proficient nurses understand a situation as a whole because they perceive its meaning in terms of long-term goals. The Proficient nurse learns from experience what typical events to expect in a given situation and how plans need to be modified in response to these events.

4 pts

Expert

The Expert nurse has an intuitive grasp of each situation and zeroes in on the accurate region of the problem without wasteful consideration of a large range of unfruitful, alternative diagnoses and solutions. His/her performance becomes fluid and flexible and highly proficient.

5 pts

Patient Condition

Recognize patient's condition is deteriorating

Novice

Does not recognize patient deterioration until monitor alarms and patient has no vital signs.
Advanced Beginner

Recognizes patient has or is deteriorating detoriating. Does not begin interventions until patient has no vital signs
Competent

Recognizes patient condition is deteriorating by analizing vital signs. Begins to resuscitate patient when patient has no vital signs.
Proficient

Recognizes patient condition is deteriorating by analizing vital signs. And considers interventions. consults other team members.
Expert

Recognizes patient condition is deteriorating by analizing vital signs. And anylizes and implements interventions. Activates code team prior to loss of vital signs
Activation

Activates Code Blue

Novice

Needs to be directed to call 1100 to call code blue
Advanced Beginner

Yells Code Blue, I need help. Fails to use phone to notify switch board of code blue and room number.
Competent

Activates Code Blue, calls 1100, states Code Blue, gives room number
Proficient

Activates Code Blue, calls 1100, states Code Blue, gives room number, goes or sends someone for crash cart
Expert

Activates Code Blue, calls 1100, states Code Blue, gives room number. Begins to direct other team members in Code. Sends someone to get crash cart.
Begins CPR

Begins CPR starting with compressions

Novice

Begins chest compressions, no back board under patient, interrupts compressions, or compression are less than 100 per min.
Advanced Beginner

Begins chest compressions, requires guidance and direction to place back board under patient.
Competent

Does compressions, but Compression not fast enough or deep enough, must be reminded to push harder and faster. Back board is under patient.
Proficient

Places bed or stretcher in correct position to begin chest compressions. Places back board under patient. Places hands breast bone, performs compressions at a rate of 100 per minute, pushes 1 1/2 to 2 inches deep.
Expert

Places bed or stretcher in correct position to begin chest compressions. Places back board under patient. Places hands breast bone, performs compressions at a rate of 100 per minute, pushes 1 1/2 to 2 inches deep. Allows chest to fully recoil. Minimizes interruptions to compressions. Does all actions quickly and independantly.
Initiates Ventilations

Novice

Needs assistance to locate ambu bag in crash cart.
Advanced Beginner

Needs assistance in connecting ambu bag to O2 and how to place the bag. Not all ventilations make the chest rise
Competent

Locates Ambu bag in crash cart. Removes ambu bag and connects to O2 source, turns on O2. Properly places bag on patient face with narrow end of mask over the nose. Uses the C placement to open airway and deliver 2 breaths in 10 seconds when compressions are stopped. Visible chest rise when ventilations are performed. May require minor assistance with any steps.
Proficient

Removes headboard from bead. when told. Locates Ambu bag in crash cart. Removes ambu bag and connects to O2 source, turns on O2. Properly places bag on patient face with narrow end of mask over the nose. Uses the C placement to open airway and deliver 2 breaths in 10 seconds when compressions are stopped. Visible chest rise when ventilations are performed.
Expert

Removes headboard from bead. Locates Ambu bag in crash cart. Removes ambu bag and connects to O2 source, turns on O2. Properly places bag on patient face with narrow end of mask over the nose. Uses the C placement to open airway and deliver 2 breaths in 10 seconds when compressions are stopped. Visible chest rise when ventilations are performed. Directs other team members to help with patient care. Does all actions quickly and independantly.
Attach defibrillator Pads

Novice

Requires guidance to find pads, gives pads to other team member to apply. Requires help to connect pads to defibrillator
Advanced Beginner

Selects pads, and applys. Requires several attemts to connect pads to defibrillator
Competent

Selects appropriate (adult) pads. Opens package and applies to patients bare chest. Requires assistance to connect pads to defibrillator Connects pads to defibrillator on first attempt.
Proficient

Selects appropriate (adult) pads. Opens package and applies to patients bare chest. Connects pads to defibrillator on first attempt.
Expert

Selects appropriate (adult) pads. Opens package and applies to patients bare chest. Connects pads to defibrillator on first attempt. Turns on Defibrillator
Communication & Teamwork

Novice

Steps back and becomes an observer
Advanced Beginner

Requires direction to perform tasks. Does not offer opinions or help independantly
Competent

Functions as a member of the team. Follow leaders direction and offers suggestions
Proficient

Functions as active member of the team, helps leader trouble shoot problem, asks whats next, and provides closed loop communication
Expert

Assumes leadership role and communicates directions to other members of the team. Uses closed loop communication




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