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iRubric: VITAL SIGN CHECK-OFF rubric

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VITAL SIGN CHECK-OFF 
Temperature, Pulse, respiration, Blood Pressure
Rubric Code: VXACCA9
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Daily skills: VS
  Poor

(N/A)

Good

(N/A)

Excellent

(N/A)

Explain procedure to client
15 pts

Perform pre procedure

Poor

1. Explained part of the procedure
2. Did not allow pt to ask questions
3. Did not positioned pt correctly for 2 parts of obtaining vital signs
4. Did not provide privacy for pt.
5. Unable to complete all steps correctly on 2nd attempt
Good

1. Explained to pt and was able to perform procedures
2. Did not position pt correctly for 1 part of obtaining vital signs
3. Provided privacy for pt.
Excellent

1. Explained procedure and allowed pt to ask questions
2. Placed pt in correct position for each part of vital signs
3. Provided privacy for pt.
Temperature
10 pts

Demo Electric on Patient and verbalize a glass

Poor

1. Did not have correct equipment
2. Did not place correctly on pt
3. 3. Needed to repeat more than twice to complete correctly
4. Incorrect documentation
Good

1. Correct equipment
2. Place correctly
3. Second attempt to correctly record temperature
Excellent

1. Correct equipment.
2. Place correctly
3. Accurate recording of pulse rate on 1st attempt
Pulse (Radial and Apical)
20 pts

Poor

1. Did not have correct equipment
2. Did not place correctly in mouth
3. Needed to repeat more than twice to complete correctly
3. Incorrect documentation
Good

1. Correct apical or radial pulse finding/procedure n 2nd attempt.
2. Second attempt to correctly record pulse rate
Excellent

1. Found apical and radial pulse site quickly, findings were correct on first attempt.
2. Accurate recording of pulse rate on 1st attempt
Respirations
15 pts

Poor

1. Did not count rate correctly on 1st attempt
2. Needed to repeat more than twice to complete correctly
4. Incorrect documentation
Good

1. Able to count respiratory rate correctly on 2nd attempt
2. Second attempt to correctly record respiratory rate.
Excellent

1.Was able to count correctly on 1st attempt.
2. Recorded correctly 1st attempt
Blood Pressure
20 pts

using the 2 step method

Poor

1. Needs several tries to adjust BP cuff
2. Needs several attempts to get cuff inflated
3. Left the cuff inflated to long causing some pain to the pt.
4. Incorrect documentation
Good

1. Did some fumbling with the cuff, but got it on correctly
2. Got the cuff inflated correctly after 2nd attempt.
3. Recorded BP correctly
Excellent

1. Correct cuff size
2. Palpate pulse point
3. Apply cuff correctly (evenly and snuggly
4. Cuff was inflated/deflated correctly
5. Let the air out slowly but not painfully slow.
6. Recorded BP correctly
Safety
20 pts

Identified patient with 2 Identifiers
Professional Dress Present, Spoke Appropriately to Patient, Performed Hand Hygiene Before and After Procedure, Performed Safety Check of Room Before Leaving

Poor

Missed any item
Good

Missed one step by identified without prompting and corrected.
Excellent

All items done on first attempt



Keywords:
  • TPR, BP







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