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Insulin pen injections 
Teaching patients how to give insulin pen injections
Evaluate students ability to teach a patient how to give insulin injections using insulin pen
Rubric Code: WX9846X
By krambaran
Ready to use
Public Rubric
Subject: Pharmacy  
Type: Presentation  
Grade Levels: Graduate

Powered by iRubric Insulin Pen Technique
Teaches a patient how to properly give an insulin injection using a pre-filled insulin pen
  Excellent

Information complete and correct

2 pts

Fair

Information given is partially correct or incomplete.

1 pts

Unacceptable

Information given is incorrect or incomplete

0 pts

COMMENTS

(N/A)

Before injection

• Washes hands
•pull off pen cap and wipe rubber stopper with alcohol <BR>
• screw needle onto syringe<BR>
• use new needle each time
• remove outer and inner caps
Excellent

Shows the patient how to do all of the following:
• Washes hands
•pull off pen cap and wipe rubber stopper with alcohol
• screw needle onto syringe
• use new needle each time
• remove outer and inner caps
AND All information is correct and complete
Fair

Shows the patient how to do all of the following:
• Washes hands
•pull off pen cap and wipe rubber stopper with alcohol
• screw needle onto syringe
• use new needle each time
• remove outer and inner caps
BUT Information given is partially correct or incomplete.
Unacceptable

Does NOT show the patient how to do all of the following:
• Washes hands
•pull off pen cap and wipe rubber stopper with alcohol
• screw needle onto syringe
• use new needle each time
• remove outer and inner caps
OR information given is incorrect
COMMENTS
Airshot before injection

• turn dial 2 units
• with needle up, tap reservoir
• press push button as far as it will go until drop of insulin appears
• if not, repeat until drop of insulin appears (if not drop after 6 trys contact manufacturer)
Excellent

Shows the patient how to do all of the following:
• turn dial 2 units
• with needle up, tap reservoir
• press push button as far as it will go until drop of insulin appears
• if not, repeat until drop of insulin appears (if not drop after 6 trys contact manufacturer)
And All information is correct and complete.
Fair

Shows the patient how to do all of the following:
• turn dial 2 units
• with needle up, tap reservoir
• press push button as far as it will go until drop of insulin appears
• if not, repeat until drop of insulin appears (if not drop after 6 trys contact manufacturer)
BUT Information given is partially correct or incomplete.
Unacceptable

Does NOT show the patient how to do all of the following:
• turn dial 2 units
• with needle up, tap reservoir
• press push button as far as it will go until drop of insulin appears
• if not, repeat until drop of insulin appears (if not drop after 6 trys contact manufacturer)
OR information given is incorrect
COMMENTS
Setting the dose

• check dose selector is at 0<BR>
• dial number of units<BR>
• DO NOT set dose by number of clicks you hear<BR>
• dose can be corrected by turning dial in either direction<BR>
• will not dispense more insulin than is available
Excellent

Shows the patient how to do all of the following:<BR>
• check dose selector is at 0<BR>
• dial number of units<BR>
• DO NOT set dose by number of clicks you hear<BR>
• dose can be corrected by turning dial in either direction<BR>
• will not dispense more insulin than is available<BR>
AND All information is correct and complete
Fair

Shows the patient how to do all of the following:<BR>
• check dose selector is at 0<BR>
• dial number of units<BR>
• DO NOT set dose by number of clicks you hear<BR>
• dose can be corrected by turning dial in either direction<BR>
• will not dispense more insulin than is available BUT Information given is partially correct or incomplete.
Unacceptable

Does NOT show the patient how to do all of the following:<BR>
• check dose selector is at 0<BR>
• dial number of units<BR>
• DO NOT set dose by number of clicks you hear<BR>
• dose can be corrected by turning dial in either direction<BR>
• will not dispense more insulin than is available<BR>
OR information given is incorrect
COMMENTS
Choose an injection site

• teach possible site locations
• teach to rotate sites
• clean injection site with alcohol
• pinch skin and insert needle at 90 degree angle
• hold syringe at mid or back of barrel like a pencil
•if anxious, can numb site with ice cube
Excellent

Shows the patient how to do all of the following:
• teach possible site locations
• teach to rotate sites
• clean injection site with alcohol
• pinch skin and insert needle at 90 degree angle
• hold syringe at mid or back of barrel like a pencil
•if anxious, can numb site with ice cube
AND All information is correct and complete
Fair

Shows the patient how to do all of the following:
• teach possible site locations
• teach to rotate sites
• clean injection site with alcohol
• pinch skin and insert needle at 90 degree angle
• hold syringe at mid or back of barrel like a pencil
•if anxious, can numb site with ice cube
BUT Information is incomplete or not totally correct.
Unacceptable

Does NOT show the patient how to do all of the following:
• teach possible site locations
• teach to rotate sites
• clean injection site with alcohol
• pinch skin and insert needle at 90 degree angle
• hold syringe at mid or back of barrel like a pencil
•if anxious, can numb site with ice cube
OR information given is incorrect
COMMENTS
Complete injection

• slowly push the button all the way in<
• press in center of button, keep your finger away from window
• with button pressed leave needle in skin for 6 sec
• pull needle straight out
• gently press on spot for several seconds. Do not rub
Excellent

Shows the patient how to do all of the following:
• slowly push the button all the way in
• press in center of button, keep your finger away from window
• with button pressed leave needle in skin for 6 sec
• pull needle straight out
• gently press on spot for several seconds. Do not rub
AND All information is correct and complete
Fair

Shows the patient how to do all of the following:
• slowly push the button all the way in
• press in center of button, keep your finger away from window
• with button pressed leave needle in skin for 6 sec
• pull needle straight out
• gently press on spot for several seconds. Do not rub
BUT Information is not completely correct OR incomplete.
Unacceptable

Does NOT show the patient how to do all of the following:
• slowly push the button all the way in
• press in center of button, keep your finger away from window
• with button pressed leave needle in skin for 6 sec
• pull needle straight out
• gently press on spot for several seconds. Do not rub
OR information given is incorrect
COMMENTS
Discard materials

• Do not recap needle
• Place cap on on pen
• show how to discard needle
• DO NOT store pen in fridge
• DO NOT store with needle
Excellent

Shows the patient how to do all of the following:
• Do not recap needle
• Place cap on on pen
• show how to discard needle
• DO NOT store pen in fridge
• DO NOT store with needle; can be used for 42 days
AND All information is correct and complete
Fair

Shows the patient how to do all of the following:
• Do not recap needle
• Place cap on on pen
• show how to discard needle
• DO NOT store pen in fridge
• DO NOT store with needle; can be used for 42 days
BUT Information is not completely correct OR incomplete.
Unacceptable

Does NOT show the patient how to do all of the following:
• Do not recap needle
• Place cap on on pen
• show how to discard needle
• DO NOT store pen in fridge
• DO NOT store with needle; can be used for 42 days
OR information given is incorrect
COMMENTS
Review to ensure understanding

Ensures that patient understands teaching. Follows up with written materials or other teaching materials if needed
Excellent

Ensures that patient understands teaching by asking them to repeat the instructions or by some other appropriate means. Follows up with written materials or other teaching materials if needed.
Fair

Ensures that patient understands teaching by asking them
Unacceptable

Does not ensure that the patient understands.
COMMENTS
Reviews hypoglycemia

Reviews how to recognize, avoid and treat hypoglycemia
Excellent

S/S of hypoglycemia are reviewed. What to do to avoid and treat are reviewed. Information is complete and correct.
Fair

S/S of hypoglycemia are reviewed. What to do to avoid and treat are reviewed. Information is incomplete or not completely correct.
Unacceptable

Hypoglycemia not reviewed
COMMENTS
Ability to answer questions

Answers all questions appropriately
Excellent

Able to answer questions correctly, completely and confidently.
Fair

Able to answer questions but are not able to give complete answers
Unacceptable

Unable to answer questions correctly
COMMENTS



Keywords:
  • diabetes, teaching, insulin, injections



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