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iRubric: Positioning the Patient rubric

iRubric: Positioning the Patient rubric

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Positioning the Patient 
Positioning the Person
Student will demonstrate how to position the patient in the Sims, Fowlers, ,, Prone, and Supine Positions
Rubric Code: MX5B8A8
By crhodges
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: 9-12

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  Poor

1 pts

Fair

3 pts

Good

5 pts

Pre-Procedure

Knocks, Introduces Self,Provides for privacy explains procedure, washes hands and applies gloves
Poor

Unable to complete without more than 2 assists from instructor or classmate and does not know the purpose of the position. Has to be reminded more than once to elevate bed to waist or use correct body mechanic .
Fair

Requires 1 assist from instructor or classmate.Has to be reminded to elevate bed to waist or use correct body mechanics. Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor or classmate. Uses correct body mechanics. Elevates bed to waist level. Able to state purpose of the position.
Fowler's Position

Spine is straight, head supported with a small pillow,the arms are supported with a pillow, pillow under the lower back, thighs and ankles. this is a semi-sitting position between 45-60 degrees used for respritory patients or those with cardiac issues.
Poor

unable to complete without more than 2 assists from instructor or classmate and does not know the purpose of the position. Has to be reminded more than once to elevate bed to waist or use correct body mechanics.
Fair

Requires 1 assist from instructor or classmate.Has to be reminded to elevate bed to waist or use correct body mechanics . Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor or classmate. uses correct body mechanics. Elevates bed to waist level. Able to state purpose of the position.
Supine Position

(AKA: Dorsal Recumbent)
back-lying position
bed is flat, head and shoulders are supported with a pillow, arms and hands at side and supported with pillow and palms down.
Poor

Unable to complete without more than 2 assists from instructor or classmate and does not know the purpose of the position. Has to be reminded more than once to elevate bed to waist or use correct body mechanics .
Fair

Requires 1 assist from instructor or classmate.Has to be reminded to elevate bed to waist or use correct body mechanics . Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor or classmate. uses correct body mechanics. Elevates bed to waist level. Uses correct body mechanics. Able to state purpose of the position.
Prone Position

lies on the abdomen with head turned to one side, bed is flat, small pillows are placed under the head, abdomen and lower legs, arms are flexed at the elbows with the hands near the head. no pillow needed under feet.
Poor

Unable to complete without more than 2 assists from instructor or classmate and does not know the purpose of the patient. Has to be reminded more than once to elevate bed to waist or use correct body mechanic .
Fair

Requires 1 assist from instructor or classmate.Has to be reminded to elevate bed to waist or use correct body mechanics . Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor or classmate. Elevates bed to waist level. Uses correct body mechanics. Able to state purpose of the position.
sim's position

(Semi-prone)
left side lying position. upper leg is sharply fleced so it is not on the lower leg. the lower arm is behind the patient, bed is flat, pillow under the head and shoulder, upper leg supported with a pillow, a pillow is under the upper arm and hand
Poor

Unable to complete without more than 2 assists from instructor or classmate and does not know the purpose of the position. Has to be reminded more than once to elevate bed to waist or use correct body mechanics .
Fair

Requires 1 assist from instructor or classmate.Has to be reminded to elevate bed to waist or use correct body mechanics. Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor or classmate. uses correct body mechanics. Elevates bed to waist level. Able to state purpose of the position.
Safety Check

Room clear of clutter, call light in reach, personal items in reach, bed low and wheels locked
Poor

Unable to complete without more than 2 assists from instructor or classmate.. Has to be reminded more than once to elevate bed to waist or use correct body mechanics . Student needs prompt to state purpose of the position .
Fair

Requires 1 assist from instructor or classmate.
Has to be reminded to elevate bed to waist and place it in low position when complete. May need reminder to check for clutter and place call light in reach
Good

Able to safely perform without assist from instructor or classmate. Elevates bed to waist level and places in low when complete.Checks for clutter and place call light within reach
Post procedure

thanks patient, removes privacy barrier, removes gloves and washes hands
Poor

Unable to complete without more than 2 assists from instructor or classmate and does not know the purpose of the position. Has to be reminded more than once to elevate bed to waist, thank patient remove gloves and wash hands.
Fair

Requires 1 assist from instructor or classmate.
Has to be reminded to elevate bed to waist. Needs prompt to state purpose of the position, remove gloves, wash hands or thank patient.
Good

Able to safely perform without assist from instructor or classmate. Elevates bed to waist level.Removes privacy barrier, Thanks patient, washes hand and removes gloves when complete.
Tredelenburg

Uses appropriate button on bed to place the patient in position. Is able to explain the purpose of the position
Poor

Unable to complete without more than 2 assists from instructor or classmate and does not know the purpose of the position. Has to be reminded more than once to elevate bed to waist or use correct body mechanics.
Fair

Requires 1 assist from instructor or classmate.Has to be reminded to elevate bed to waist or use correct body mechanics. Needs prompt to state purpose of the position.
Good

Able to safely perform without assistance from instructor or classmate. uses correct body mechanics. Elevates bed to waist level. Able to state purpose of the position.




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