iRubric: I.P.7 Administer Parenteral (excluding IV) medications rubric

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I.P.7 Administer Parenteral (excluding IV) medications

Administer and document an intramuscular injection

Rubric Code: W2XW563

By ssesteban

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Subject: Medical

Type: Assessment

Grade Levels: Undergraduate

IM Medication Administration
	Non-performance (N/A)	Below Expectations (N/A)	Unsatisfactory (N/A)	Pass (N/A)
Prepare medication 1. Correctly identify medication 2. Check expiration date 3. Calculate correct dose 4. Draw into syringe	Non-performance Medication is not prepared	Below Expectations 1 step is completed	Unsatisfactory 2 steps are completed	Pass 4 steps are completed, in order with no self-correction
Identify the patient 1. Introduce yourself to the patient 2. Identify the pt using 2 identifiers 3. Ask about allergies 4. Explain the procedure	Non-performance Patient not identified	Below Expectations 1 step is completed	Unsatisfactory 2 steps are completed	Pass All steps are completed, in order, with no self correction
All IM sites are identified 1. Ventral gluteal 2. Dorso gluteal 3. Vastus lateralis 4. Deltoid	Non-performance IM sites are not identified	Below Expectations IM sites are referred to but not identified	Unsatisfactory 1-2 IM sites is correctly identified by location	Pass All 4 IM sites are correctly located. Student using correct anatomical language.
Meds are administered as ordered 1. Cleanse one chosen site 2. Inject 90 degree angle 3. Aspirate 4. Inject over 3 seconds 5. remove syringe	Non-performance Medications are not administered	Below Expectations Medications are administered but one or more mistakes occur in the administration process	Unsatisfactory More than one attempts must be made to administer medications accurately	Pass Medications are administered accurately in one attempt with zero mistakes or self-corrections
Safety precautions used 1. Proper handwashing 2. Proper PPE 3. No recapping after injection 4. Proper sharps disposal of used syringe	Non-performance Student skips handwashing	Below Expectations The learner follows some, but not all of the steps	Unsatisfactory The learner attempts to follow each step but makes several mistakes	Pass The learner follows each step exactly as described making zero mistakes or self-corrections
Position for IM injection 1. Supine for vastus laterals 2. Sitting for deltoid 3. Sims or standing for glute	Non-performance Student can't identify the correct position	Below Expectations Identifies the position but unable to position the patient properly	Unsatisfactory Mistakes made while positioning Patient positioned before the injection is ready	Pass Proper patient position selected by the student.
Document Completely 1. Date 2. Time 3. Procedure (medication, dose, site, method, pt. reaction) 4. Initials or signature	Non-performance No documentation or any omission of either date and/or time	Below Expectations 2 documentation steps completed	Unsatisfactory 3 documentation steps completed	Pass All 4 documentation steps completed and legible

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