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iRubric: NG tube insetion and care rubric

iRubric: NG tube insetion and care rubric

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NG tube insetion and care 
NG tube insetion and care
Rubric Code: UX33X29
By pamwilsonrn
Ready to use
Public Rubric
Subject: Health  
Type: Exam  
Grade Levels: Undergraduate

Powered by iRubric Administration and Therapy
  Excellent

10 pts

Good

5 pts

Needs Improvement

1 pts

Patient identification/preparation

Excellent

Correctly identifies pt information by protocol. Selects and prepares all equipment and supplies needed.
Good

Identifies patient name or birthday, but not both. Selects and prepares most of equipment and supplies.
Needs Improvement

Does not know pt identifiers. Does not select any equipment .
Position

Excellent

Correctly places patient in correct position (High Fowler's) and verifies placement of the tube in stomach omitting no steps/with no prompting.
Good

Leaves 1 step or more out/requires prompting. Can not measure NG tube properly for placement. Correctly identifies one step to verify placement.
Needs Improvement

Does not correctly measure for placement, follow correct steps for placement or identify correct ways to confirmed tube placement.
Check Gastric Residual

If aspirate is less than amount of fluid or enteral formula given via tube in past 2 hrs return it to the stomach and adminster meds, if more return to stomach, withhold meds and notify MD.
Excellent

Demonstrates correct procedure of checking residual and has correct knowledge of what to do if aspirate is less than or greater than amount of fluid given over then past 2 hours.
Good

Leaves 1 -2 steps out when checking residual; misses 1-2 items are forgot in what to do if aspirate is less than or greater than amount of fluid given over then past 2 hours.
Needs Improvement

Unable to demonstate what to do when checking residual or what to do if aspirate is less than or greater than amount of fluid given over then past 2 hours.
Meds Can/Cannot Give

Liquids, tablets, liquid-filled gel caps (puncture and squeeze), enteric coated and time released tablet -request another form; time release capsule some may be opened and added to feeding or H2O, check with Phar/MD
Excellent

Lists meds can give and cannot give or would need to verify with pharmacist or call MD to request another form be prescribed correctly.
Good

Misses 1-2 meds that could or could not be given or would need to be verified by pharmacist or call MD to request another form be prescribed.
Needs Improvement

Unable to list meds to administer or contact providers about.
Med Admin/Pat placement

Excellent

Flushes NG tube with 10-30 ml fluid between each med and 30-60ml after all meds given.
Correctly Instructs patient HOB will remain elevated x 1 hr
Good

Omits 1-2 steps in:
Flushes NG tube with 10-30 ml fluid between each med and 30-60ml after all meds given.
Correctly Instructs patient HOB will remain elevated x 1 hr
Needs Improvement

Does not Flush NG tube with 10-30 ml fluid between each med and 30-60ml after all meds given.
Correctly Instruct patient HOB will remain elevated x 1 hr






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