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iRubric: Trauma Scenario #1 rubric
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Trauma Scenario #1
Orientee will be given a scenario and be asked to care for the patient (mannequin). Student must follow TNCC outline.
Rubric Code:
W2358A9
By
azilnicki
Ready to use
Public Rubric
Subject:
Nursing
Type:
Assessment
Grade Levels:
Graduate
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Trauma Scenario #1
Poor
0 pts
Fair
1 pts
Good
2 pts
Excellent
3 pts
Preparation and Triage
Poor
No preparation done, does not reprioritize circulation for uncontrolled bleeding
Fair
Only 1 of the following criteria completed:
-Universal precautions in place and PPE on
-Consider possible hazards
-Ensure resuscitation equipment is available
-Reprioritized circulation for uncontrolled bleeding
Good
Only 2 of the following criteria completed:
-Universal precautions in place and PPE on
-Consider possible hazards
-Ensure resuscitation equipment is available
-Reprioritize circulation for uncontrolled bleeding
Excellent
All 3 of the following criteria completed:
-Universal precautions in place and PPE on
-Consider possible hazards
-Ensure resuscitation equipment is available
-Reprioritized circulation for uncontrolled bleeding
Airway
Poor
-Does not perform AVPU
-Does not assess for C-Spine stabilization
-Does not use jaw thrust to open airway
-Does not listen for obstructive airway sounds (snoring, gurgling)
-Does not feel for subcutaneous emphysema
-Does not assess for definitive airway device
-Does not assess for suctioning
Fair
Completes 1-3 of the following
-Perform AVPU
-Assess for C-Spine stabilization
-Use jaw thrust to open airway
-Listen for obstructive airway sounds (snoring, gurgling)
-Feel for subcutaneous emphysema
-Assess for definitive airway device
-Assess for suctioning
Good
Completes 4-6 of the following
-Perform AVPU
-Assess for C-Spine stabilization
-Use jaw thrust to open airway
-Listen for obstructive airway sounds (snoring, gurgling)
-Feel for subcutaneous emphysema
-Assess for definitive airway device
-Assess for suctioning
Excellent
Completes all of the following
-Perform AVPU
-Assess for C-Spine stabilization
-Use jaw thrust to open airway
-Listen for obstructive airway sounds (snoring, gurgling)
-Feel for subcutaneous emphysema
-Assess for definitive airway device
-Assess for suctioning
Breathing
Poor
Completes 0-3 of the following:
-Assess are they breathing?
-Assess how well they are breathing?
-Assess can breathing be sustained?
-Assess skin color
-Listen for lung sounds
-Palpate chest
-Open airway and place adjunct if needed
-Assess depth, rate, and pattern
-Assess for spontaneous breathing
-Assess for symmetrical rise and fall
Fair
Completes 4-6 of the following:
-Assess are they breathing?
-Assess how well they are breathing?
-Assess can breathing be sustained?
-Assess skin color
-Listen for lung sounds
-Palpate chest
-Open airway and place adjunct if needed
-Assess depth, rate, and pattern
-Assess for spontaneous breathing
-Assess for symmetrical rise and fall
Good
Completes 7-9 of the following:
-Assess are they breathing?
-Assess how well they are breathing?
-Assess can breathing be sustained?
-Assess skin color
-Listen for lung sounds
-Palpate chest
-Open airway and place adjunct if needed
-Assess depth, rate, and pattern
-Assess for spontaneous breathing
-Assess for symmetrical rise and fall
Excellent
Completes all of the following:
-Assess are they breathing?
-Assess how well they are breathing?
-Assess can breathing be sustained?
-Assess skin color
-Listen for lung sounds
-Palpate chest
-Open airway and place adjunct if needed
-Assess depth, rate, and pattern
-Assess for spontaneous breathing
-Assess for symmetrical rise and fall
Circulation
Poor
Completes 0-2 of the following:
-Assess for any signs of uncontrolled external bleeding?
-Assess for need for tourniquet
-Assess skin color, temperature, and moisture
-Listen for heart and lung sounds
-Palpate central pulses for rate, rhythm, and strength
-Place 2 large bore IVs
-Consider Warmed Fluids
-Consider Crystalloid Fluids or Blood products
-Consider Rapid Transfusion
Fair
Completes 3-5 of the following:
-Assess for any signs of uncontrolled external bleeding?
-Assess for need for tourniquet
-Assess skin color, temperature, and moisture
-Listen for heart and lung sounds
-Palpate central pulses for rate, rhythm, and strength
-Place 2 large bore IVs
-Consider Warmed Fluids
-Consider Crystalloid Fluids or Blood products
-Consider Rapid Transfusion
Good
Completes 6-8 of the following:
-Assess for any signs of uncontrolled external bleeding?
-Assess for need for tourniquet
-Assess skin color, temperature, and moisture
-Listen for heart and lung sounds
-Palpate central pulses for rate, rhythm, and strength
-Place 2 large bore IVs
-Consider Warmed Fluids
-Consider Crystalloid Fluids or Blood products
-Consider Rapid Transfusion
Excellent
Completes all 9 of the following:
-Assess for any signs of uncontrolled external bleeding?
-Assess for need for tourniquet
-Assess skin color, temperature, and moisture
-Listen for heart and lung sounds
-Palpate central pulses for rate, rhythm, and strength
-Place 2 large bore IVs
-Consider Warmed Fluids
-Consider Crystalloid Fluids or Blood products
-Consider Rapid Transfusion
Subjects:
Nursing
Types:
Assessment
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