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iRubric: Pain management in the Post Operative Patient rubric

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Pain management in the Post Operative Patient 
Rubric Code: MX3W4W7
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

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  Poor

1 pts

Fair

2 pts

Good

3 pts

Post Operative Assessment

Assess LOC, Lungs, IV sites, Urine Output,
Check for site bleeding at surgical site, check hemovac for drainage, check distal pulses.

Poor

Does not fully asses the post operative patient
Fair

Fully assesses patient but assessment is not accurate.
Good

Demonstrates Accurate Assessment of the post operative patient.
Pain Assessment

Accurately elicit pain scale (?/10), determine location, quality, and duration

Poor

Does not perform a pain assessment.
Fair

Demonstrates a pain assessment, but it is inaccurate.
Does not re-evaluate pain after interventions
Good

Demonstrate accurate pain assessment.
Selects appropriate interventions for pain management.
Re-evaluates pain assessment after interventions.
Administration of IV Medication

Select the appropriate medication for pain based on the pain scale

Administer the corrected medication following the 8 Rights if Medication Administration

Poor

Does do administer appropriate pain medication or needs to be stopped int he administration process.
Fair

Administer pain medication accurately and safely, documents appropriately, but does not re-assess.
Good

Administers pain medications accurately and safely.
Documents appropirately.
Demonstrates correct re-assessment after pain medication given.
SBAR

Correctly uses SBAR throughout evaluation

Poor

Does not communicate in SBAR
Fair

Uses SBAR most of the time or is incomplete in the technique.
Good

Accurately uses SBAR technique for communication with staff and physicians.
Patient teaching

Discusses with patient the pain scale and what will be given to manage pain. Be prepared to answer questions about the pain medication being given: What it is, how it is given, and side effects.

Poor

Does not perform patient teaching. Does not effectively communicate with patients or families.
Fair

Patient teaching incomplete or inaccurate.
Communicates effectively with patient families.
Good

Communicated effectively with patients and their families. Is able to describe medication being used and side effects
Cognitive
Recognize unrelieved pain

Reassesses pain, recognizes unrelieved pain and follows protocol to get pain relieved

Poor

Does not recognize
unrelieved pain.
Fair

Recognizes unrelieved pain, but does not take steps to relieve the pain.
Good

Recognizes unrelieved pain, tries different pain relieving techniques. Calls physician is necessary for further orders
Recognize normal vs abnormal findin

Is able to discuss normal versus abnormal clinical findings in a post-operative patient. Specifically related to pain.

Poor

Does not recognize the normal vs abnormal physical assessment findings.
Fair

Recognizes the normal vs abnormal physical assessment findings. Documents appropriately and does not notify the physician of any abnormal findings
Good

Recognizes the normal vs abnormal physical assessment findings. Documents appropriately and notifies physician of any abnormal findings
Pharmacology of Pain Meds

Is able to discuss pain medication, classification, routes of administration, side effects, and nursing implications.

Poor

Does not demonstrate a knowledge for pain relieving medication.
Fair

Demonstrates knowledge of some of the pain relieving medications.
Good

Demonstrates knowledge of pharmacology for pain relieving medication.




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