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iRubric: Peripheral Vascular Exam rubric

iRubric: Peripheral Vascular Exam rubric

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Peripheral Vascular Exam 
Cardiac Exam
Exam includes Inquiry (Hx), followed by Inspection and Palpation of upper and lower extremities
Rubric Code: PXAX7A3
By jazlady
Draft
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

Powered by iRubric Element
  Excellent

(N/A)

Good

(N/A)

Needs Improvement

(N/A)

Unacceptable

(N/A)

HEALTH & SAFETY

Asks permission to conduct exam.
Sanitizes hands prior to beginning exam.
Excellent

Asked permission and sanitized hands prior to beginning exam
Good

N/A
Needs Improvement

N/A
Unacceptable

Did not sanitize hands prior to beginning exam
OR
Did not ask permission
INQUIRY

Asks relevant cardiac history questions in lay language (any Hx varicose veins, leg/thigh pain on ambulation, problems with blood vessels?)
Excellent

Asked in lay terms if Hx:
1. Varicose veins
2. Leg/thigh pain on ambulation
3. Problems with blood vessels
Good

asked 2 of 3 elements
Needs Improvement

asked 1 of 3 elements
Unacceptable

Did not inquire about history.
INSPECTION UEs

Assesses and verbalizes assessment of UEs from shoulders to fingertips bilaterally including color, temperature, skin integrity, clubbing, capillary refill
Excellent

Assessed and verbalized assessment of UEs bilaterally, shoulders to fingertips, for
1. color (ethnicity)
2. temperature (backs of hands)
3. skin integrity (ck proper healing prn)
4. clubbing (profile <160°)
5. capillary refill (< 2-3 sec.)
Good

Verbalized and inspected bilaterally
BUT
missed 1 of 5 elements
Needs Improvement

Verbalized and inspected bilaterally
BUT
missed >1 of 5 elements
Unacceptable

Did not inspect UEs

OR

Did not inspect bilaterally, shoulders to fingertips
PALPATION UEs

Checks radial and brachial pulses bilaterally and simultaneously, using proper positions, cks strength, rhythm, rate and symmetry. Reports findings appropriately.
Excellent

Checked radial and brachial pulses bilaterally and simultaneously.
1.Used proper positions (Lu 9; PC 3)
2. Checked strength, rhythm, rate AND symmetry
3. Reported findings appropriately (nl rhythm-reg; nl strength - 2+).
Good

Inspected bilaterally simultaneously, used proper positions
BUT
missed #2 or #3
Needs Improvement

Inspected bilaterally simultaneously
AND
Used proper positions
BUT
missed #2 & #3
Unacceptable

Did not palpate pulses
OR
Did not palpate bilaterally simultaneously
OR
Used improper positions
INSPECTION LEs

Assesses and verbalizes assessment of LEs bilaterally from knees to toenails including backs of legs for color, temperature, skin integrity, temperature, hair growth, checks toes for color, capillary refill
Excellent

Assessed and verbalized assessment of LEs bilaterally, knees to toenails, for
1. color
2. temperature (using backs of hands)
3. skin integrity (ck proper healing prn)
4. included backs of legs
5. hair growth
6. toe/nailbed color
7. capillary refill
Good

Verbalized and inspected bilaterally
BUT
missed up to 2 of 7 elements
Needs Improvement

Verbalized and inspected bilaterally
BUT
missed >2 of 7 elements
Unacceptable

Did not inspect LEs

OR

Did not inspect bilaterally, knees to toenails
PALPATION LEs

Checks pedal pulses (dorsalis pedis and posterior tibialis) bilaterally and simultaneously, for strength, rhythm, rate and symmetry. Reports findings appropriately.
Excellent

Checked pedal pulses (dorsalis pedis and posterior tibialis) bilaterally and simultaneously:
1. Used proper positions (St 42; Ki 3).
2. Checked strength, rhythm, rate AND symmetry
3. Reported findings appropriately (nl rhythm=reg; nl strength =2+)
Good

Inspected bilaterally simultaneously, used proper positions
BUT
missed #2 or #3
Needs Improvement

Inspected bilaterally simultaneously, used proper positions
BUT
missed #2 & #3
Unacceptable

Did not palpate pulses
OR
Did not palpate bilaterally simultaneously
OR
Used improper position




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