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iRubric: Rubric for Pediatric Diabetic Patient

iRubric: Rubric for Pediatric Diabetic Patient

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Rubric for Pediatric Diabetic Patient 
Rubric for Pediatric Diabetic Patient
A 10 year old admitted to a hospital with N & V dehydration and BGL of 555. He has lost 10lbs. over the last month and exhibited increased in appetite, urination, and thirst. He was begun on an insulin drip of 4 units/hr and his blood sugar was decreased to 270. He was transferred to a Health Center. The insulin drip and IV of D5NS with 20meq of KCL running at 100cc/hr were maintained during transport. No previous hospitalizations, immunizations are up-to-date (Kansas Board of Nursing, n.d.).
Rubric Code: T22AB52
By sklimm
Ready to use
Public Rubric
Subject: Nursing  
Type: Assignment  
Grade Levels: Graduate

Powered by iRubric Learning Objective
Managing a newly diagnosed diabetic pediatric patient
  Excellent

Displays competence in managing a newly diagnosed diabetic pediatric patient.

20 pts

Good

Demonstrate some competence in managing a newly diagnosed diabetic pediatric patient.

8 pts

Satisfactory

Manages a newly diagnosed diabetic pediatric patient at bare minimum.

6 pts

Unsatisfactory

Does not display any skills in managing a newly diagnosed diabetic pediatric patient.

0 pts

Learning Objective
20 pts

Managing a pediatric patient on an insulin drip
Excellent

Performs an ongoing assessment on the patient while on the insulin drip. Monitors for any signs and symptoms of hypoglycemia and cognitive changes throughout the entire simulation.

20.00pts
Good

Performs an assessment periodically on the patient and is able to identify some changes in the patient's status.

8.00pts
Satisfactory

Rarely assess the patient for any signs and symptoms of hypoglycemia and is unable to identify the changes in the patient's cognitive status.

6.00pts
Unsatisfactory

Does not assess the patient while on the insulin drip. Doesn't monitor for any signs and symptoms of hypoglycemia and cognitive changes throughout the entire simulation.

0.00pts
Learning Objective
20 pts

Management of hypoglycemia
Excellent

Recognizes the signs and symptoms of hypoglycemia and immediately implements nursing interventions that are within the scope of nursing practice.

20.00pts
Good

Identifies hypoglycemia just in time to intervene with interventions that are within the scope of nursing practice.

8.00pts
Satisfactory

Recognizes hypoglycemic episode but is reluctant in implementing any nursing interventions in a timely manner.

6.00pts
Unsatisfactory

Does not recognize hypoglycemic symptoms in order to implement any nursing measures.

0.00pts
Learning Objective
20 pts

Administering Insulin
Excellent

Verifies the medication order with a second nurse, educates the patient and guardian on the signs and symptoms of hypoglycemia, and administers the insulin while using the five rights of medication administration.

20.00pts
Good

Verifies the medication order solely, educates the patient and guardian on the signs and symptoms of hypoglycemia, and administers the insulin while using four rights of medication administration.

8.00pts
Satisfactory

Presents with the medication, verbalizes medication teaching to the patient and guardian, and administers the insulin while using three rights of medication administration.

6.00pts
Unsatisfactory

Administers the medication without verifying the order and using the five rights of medication administration. Doesn't provide any patient teaching.

0.00pts
Learning Objective
20 pts

Providing education for newly diagnosed diabetic
Excellent

Communicates with the patient and guardian effectively; provides education as it relates to diabetes while using evidence-based knowledge. Provide reassurance, and assess for understanding.

20.00pts
Good

Demonstrates communication adequately, explains the diagnosis and preventive measures carefully, assess for understanding of teaching.

8.00pts
Satisfactory

Provides limited education when communicating with patient and guardian; displays caring attitude but needs improvement in building a relationship with the patient and guardian.
6.00pts
Unsatisfactory

Doesn't educate the patient or the guardian. Rarely communicates with the patient. More of a task nurse

0.00pts




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