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iRubric: Clinical Simulation Rubric

iRubric: Clinical Simulation Rubric

 
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Clinical Simulation Rubric 
Evaluation of the following objectives 1. Demonstrate appropriate communication skills with the patient and other healthcare professionals 2. Assess the pertinent aspects of the patient's condition 3. Plan appropriate strategies during CHF exacerbation 4. Connect the clinical problem presentation with the classroom theory and enhance critical skills and assessments.
Rubric Code: WX94658
Draft
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Undergraduate


Powered by iRubric Clinical Simulation Evaluation Tool
  Advanced

4 pts

Proficient

3 pts

Basic

2 pts

Below Basic

1 pts

Initial Steps

1. Prepares for patient contact ppe/handwashing
2. Introduces him/herself to the patient.
3 identifies his/herself to bedside nurse/doctor

Advanced

Performs all initial steps without difficulty that are required in the skill listed.
Proficient

Performs more than<BR>
three initial steps required in the skill llisted.
Basic

Performs less than two initial steps required in the skill listed.
Below Basic

Does not perform any of the initial steps required in the skill listed
Patient Assessment

1. Obtain information regarding patients history/ entrance complaint
2. Observe the patients vital signs displayed on the monitor.
3. check position of the patient
4. Chest auscultation
5. Checking urine output

Advanced

Recognizes, verbalizes, and demonstrates all assessment steps in a logical manner consistently without difficulty.
Proficient

Recognizes, verbalizes, and demonstrates the assessment steps in a logical manner 85% of the time during this check off.<
Basic

Able to recognize, verbalize, and demonstrate the assessment steps in a logical manner 75% of the time during this check off.<
Below Basic

Fails to recognize, verbalize, and/or demonstrate the assessment steps in a logical manner less than 50% of the time during this check off.
Prioritization

1. Prioritizing actions.
2. ABC & LOC Assess patient airway, breathing and circulation, and level of consciousness .
3. Focus assessment of systems based on patient's presentation, s/s.

Advanced

Recognize and implement ABC prioritization.
Able to perform focused assessment for CHF .
Discuss finding and presentation expected during CHF exacerbation. <BR>
Proficient

Able to recognize and implement ABC prioritization. Able to perform focused assessment for CHF
Missing some findings and presentation of CHF
Basic

Recognize and implement ABC prioritization.
Able to perform focused assessment for CHF .
Hard time with identifying findings most common in CHF
Below Basic

Fails to recognize prioritization , not able to verbalize / demonstrate less than 50% of knowledge r/t CHF
Identifying problems

Identify actual and /or possible medical problems or nursing problems that presenting with all assessment performed
Discuss finding with lead nurse/charge nurse or /and instructor .

Advanced

Able to recognize cause of CHF and recommend the PCP necessary action
Able to establish 2 nursing diagnosis that will address the finding.
Connect the problems with Marjorie Gordon Pattern.
Proficient

Able to recognize cause of CHF and recommend the PCP necessary action <BR>
Able to establish 1 nursing diagnosis that will address the finding.
Connect the problems with Marjorie Gordon Pattern.
Basic

Able to recognize cause of CHF but have hard time to communicate the finding
Able to establish 2 nursing diagnosis that will address the finding.
Connect the problems with Marjorie Gordon Pattern.
Below Basic

Not able to recognize cause of CHF and recommend the PCP necessary action <BR>
Able to establish 2 nursing diagnosis that will address the finding.
Connect the problems with Marjorie Gordon Pattern.
Priority Intervention

Initiate the priority interventions , transcribe and incorporate providers orders , question orders that are not clear.
Delegate tasks to supportive personnel.
Communicate with the provider in the timely manner.

Advanced

Uses SBAR effectively
Able to communicate concerns.
Delegate tasks to supportive personnel ( lab staff) .
Incorporate actions and reevaluate actions.
Proficient

Uses SBAR effectively
Able to communicate concerns.
Delegate tasks to supportive personnel ( lab staff) .
Incorporate actions and reevaluate actions.
Basic

Uses SBAR effectively <BR>
Able to communicate<BR> concerns.
Delegate tasks to supportive personnel ( lab staff) .
Incorporate actions and reevaluate actions.
Below Basic

Uses SBAR but not comfortable with it.
Frustration noted.
Body language and mannerisms are inappropriate for most of the scenario.





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