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Suturing test out

Suturing competency

Rubric Code: Q2X6WC2

By tk1845

Ready to use

Public Rubric

Subject: Medical

Type: (Other)

Grade Levels: Graduate

Suturing Competency
	Remediation Needed 0 pts	Borderline Meets Expectations 1 pts	Meets Expectations Well 2 pts	Exceeds Expectations 3 pts
Instrument use	Remediation Needed Grabs needle with hands and not instruments	Borderline Meets Expectations Repeatedly makes awkward tentative or awkward moves with instruments	Meets Expectations Well Competent use of instruments, but occasionally awkward	Exceeds Expectations Fluid movements with instruments
Bite location	Remediation Needed Most or all bites were <3mm or >5mm from the wound edge	Borderline Meets Expectations Numerous bites were <3mm or >5mm from the edge	Meets Expectations Well 1-2 bites were <3 or >5mm from the wound edge or multiple attempts were needed to get an adequate bite	Exceeds Expectations Bites are consistently 3-5mm from the wound
Suture spacing	Remediation Needed Spacing between all sutures was <3mm or >5mm apart	Borderline Meets Expectations Spacing between sutures was left at <3mm or >5mm in some cases but not in others (inconsistent spacing) or student had to replace sutures multiple times to get to 3-5mm apart	Meets Expectations Well Distance between sutures was 3-5mm but only after the student corrected a simple spacing error	Exceeds Expectations Spacing was consistently 3-5mm the first time placed
Skin apposition	Remediation Needed Edges are not apposed; or suture is very tight, causing skin to bunch, evert, or overlap significantly	Borderline Meets Expectations Some issues with tension of final sutures, too tight or too loose but not extremely so	Meets Expectations Well Suture tension is appropriate but took >1 attempt	Exceeds Expectations Suture tension is appropriate on first attempt
Knot tying	Remediation Needed Knots come untied after suture is cut. Knots are so tight that they become buried in the wound	Borderline Meets Expectations Knots are too loose, or too tight. Knots start to loosen, or the knot is left over the wound and not pulled to the side	Meets Expectations Well Knots are tied properly but took >1 attempt	Exceeds Expectations Knots are tied properly with correct technique on first attempt
Overall Student Care	Remediation Needed Makes many unnecessary moves, awkward and unsure with poor knot tying and inability to maintain tension. Student excessively nervous	Borderline Meets Expectations Inefficient with time and motions, making numerous errors, or redos on suturing. Suturing is adequate and student is visibly nervous	Meets Expectations Well Efficient time and motion, but some unnecessary movements. Competent suturing and student exhibits good poise	Exceeds Expectations Clear economy of movement and maximum efficiency. Excellent suturing. The student exhibits confidence

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