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iRubric: NG insertion and Removal rubric

iRubric: NG insertion and Removal rubric

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NG insertion and Removal NG insertion, Feeding, and Removal Rubric Code: P2XW43A By JenniferBullock Ready to use Public Rubric Subject: Nursing Type: Assessment Grade Levels: Undergraduate

NG Insertion, Feeding, and Removal Fundamentals sp2020
	Poor 3 or > misses No points rewarded (N/A)	Fair 1-2 misses half points rewarded (N/A)	Good No misses All points given (N/A)	Evaluator Comments Score________/100 90-100-A 80-89- B 79-75- C 74 AND BELOW-Failed- requires remediation and recheck (N/A)
Gathers Equipment Gathers equipment & verbalizes to check order	Poor **Does not have supplies from Nurse Pack	Fair Missing items from Nurse Pack- Neglects to verbalize checking order at beginning of skill	Good All equipment gathered, Nurse Pack, verbalizes checking order for placement/removal Performs independently	Evaluator Comments
2 pt ID, Hand-washing Verbalizes 2 pt ID, Proper hand washing and set up equipment	Poor Fails to perform hand hygiene Fails to identify patient- no points given	Fair Self corrects x 1; does not verbalize pt identification and/or handwashing PRIOR to starting skill	Good Equipment properly set up, patient identified with 2 identifiers, hands hygiene	Evaluator Comments
Maintain clean field Maintains a properly equipped field free from contamination	Poor **Tube is contaminated, does not self correct and unable to discuss when prompted- no points given "self-contaminated" means NG tube was dropped, placed upon an unclean surface once removed from packaging.	Fair Tube is contaminated, self corrects x 1, able to discuss if prompted	Good Field maintained. Performs independently	Evaluator Comments
Patient safety Proper explanation, Chin tuck position to help facilitate tube pass, positioning completed prior	Poor **Does not clearly verbalize instructions for patient properly and unable to recall without prompting or continually reviewing of written checklist	Fair Stalls but moves forward with review of written checklist, or self corrects x1	Good Able to communicate procedure to patient with medical terminology smoothly and without reviewing written checklist	Evaluator Comments
NG measured Proper technique used to measure NG and mark made. Able to name anatomical sites appropriately (Tip of nose to tip of ear lobe to Xiphoid process)	Poor Fails to verbalize and locate anatomical site and unable to recall without reviewing written checklist	Fair Able to verbalize correct anatomical sites but only when reviewing written checklist and/or self corrects x 1	Good Able to verbalize anatomical terminology, performs measurement accurately and places tape appropriately	Evaluator Comments
NG & team preps water w/ straw, equipment,facial surgical history, and nare inspected prior to insertion	Poor ** Fails to perform nursing assessment Unable to demonstrate understanding of nursing assessment and how to perform correctly	Fair Needs review of written checklist to ensure nursing assessment is understood or self corrects x 1	Good Demonstrates and verbalizes understanding nursing assessment	Evaluator Comments
Placement checked Tube lubricated. NG placement has 2 checks for proper insertion. Performs air bolus and discusses litmus paper and pH, Chest X-ray	Poor Unable to demonstrate and verbalize appropriate placement and placement checking.	Fair Requires minimal prompting with written checklist with placement and discussion or self corrects x1	Good Able to demonstrate proper insertion technique, able to discuss placement techniques, demonstrates air-bolus appropriately Discusses Chest X-Ray/KUB as definitive method for verifying placement. Verbalizes pH check and how it is performed; what the results should be.	Evaluator Comments
NG secured NG tube secured to pt	Poor Does not perform	Fair Requires minimal prompting from written checklist or self corrects x1	Good Demonstrates proper technique to secure NG tube	Evaluator Comments
NG tube removal Verifies order for removal	Poor ** Fails to verify order	Fair Requires minimal prompting from written checklist or self corrects x1	Good Demonstrates and verbalizes understanding of order verification prior to task	Evaluator Comments
NG tube removal safety Verifies patient, Instructs patient appropriately (hold breath to prevent possible aspiration)	Poor Fails to verify patient Fails to instruct patient to hold breath	Fair Requires minimal prompting from written checklist and/or self corrects x 1	Good Demonstrates appropriate education and able to remove tube independently	Evaluator Comments
Documentation Procedure, pt toleration of procedure, & assessment pre and post procedure	Poor ** Fails to verbalize acceptable documentation for placement and/or removal	Fair Needs prompting or self-corrects for acceptable documentation	Good Verbalizes appropriate documentation	Evaluator Comments

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