Skip to main content
iRubric: Clinical Medical Assisting rubric

iRubric: Clinical Medical Assisting rubric

find rubric

edit   print   share   Copy to my rubrics   Bookmark   test run   assess...   delete   Do more...
Clinical Medical Assisting 
Practical exam of the skills needed to assist patients in the medical office setting
Rubric Code: Y22BW5B
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Certified Medical Assistant
  EXPLEMPLARY

Performs metric, at highest level, adhering to policies and procedures.

50 pts

ACCOMPLISHED

Level of expected performance.

25 pts

DEVELOPING

Almost there, as completed the metric several times

15 pts

BEGINNING

Novice, first time do identified metric.

10 pts

Documentation

EXPLEMPLARY

Performs Skill with high level of proficiency.

Made needed corrections. checked allergies, Documented histories findings, medications, and procedures with completeness and accuracy.
ACCOMPLISHED

Review demographic sheets for completeness and make needed corrections, complete history form accurately(check for allergies/medications, sign and date Hx form, visits,sign and date
DEVELOPING

Review demographic sheets and place in the chart, complete Hx form, and place in chart sign and date, make a note of all follow-up visits(not with SOAP)
BEGINNING

Placed demographic sheets in chart, complete Hx form, make note of return visits (lack of signatures/dates/ times)
Front Desk Check In

EXPLEMPLARY

Asked for patient by name, greeted with smile and introduction, reviwed demographic info with patient in quiet voice, obtained insurance, indentification, collected copay/balances,
gave reciept.
Explained processes and wait times.
ACCOMPLISHED

Summoned patient by name, greeted with smile and introduction, observered HIPPA compliance, gave demographic info sheets, obtained insurance, indentification, collected copay/balances,
gave reciept.
DEVELOPING

Called patient's name, greeted and gave demographic info, performed interview in a soft tone obtained insurance, identification, collected copays and balance.
BEGINNING

Called patients name, gave demographic info sheets, requested insurance card and identification, as patient approached check-in window, conducted the interview in a loud tone, -no regard to HIPPA
Infection Control

EXPLEMPLARY

Consistently Performs Skill observing the policies and procedures.
Check all common surfaces upon arrival, perform 2 minute hand wash before seeing 1st patient-, use of proper PPE in potential biohazards, disinfect allsurfaces and proper disposal of all contaminated materials and wash hands 1minute after patient exam
ACCOMPLISHED

Check all common surfaces upon arrival, perform 2 minute hand wash before seeing 1st patient-, use of proper PPE in potential biohazards, disinfect allsurfaces and proper disposal of all contaminated materials and exam
DEVELOPING

Perform 2-minute hand wash before 1st patient, patients, use of gloves in potential biohazards, clean all surfaces and dispose of contaminated materials, wash hands 1 minute after patient exam
BEGINNING

Wash hands <2minutes before 1st patient, clear all surfaces of contaminated materials, place contaminated material in the waste can
Back Office Check In

EXPLEMPLARY

Ask for the patient by name, greeted with smile and introduction, escorted to the exam room, reviewed hx in a quiet secluded area/patient room. Explained procedures and wait times.
ACCOMPLISHED

Asked for patient by name, greeted with smile and introduction,escorted to exam room, performed review in quiet secluded area/ or patient room.
DEVELOPING

Called patient's name, greeted and performed interview in soft tone in open environment
BEGINNING

Called patients name, walked patient to care area.
TRIAGE- VITAL SIGNS

EXPLEMPLARY

Informed patient of process/ procedures, performed vitals accurately and promptly, documenting on progress note and time-stamped with note entry in EHR.
ACCOMPLISHED

Informed patient of process, performed vitals in a timely manner, with accuracy. (Temp, BP, HR, RR, 02 sat, etc.)
DEVELOPING

Performed vitals, metrics took longer than indicated, findings/ measures were accurate.
(Temp, BP, HR, RR, 02 sat, etc)
BEGINNING

peformed vitals, with marked difference in findings.
(BP, RR, etc)
INJECTIONS - 3 injections observed

EXPLEMPLARY

Completed all steps,

1. (5) RIGHTS: Patient, Drug, Dose, Route & Time

2) Allergies

3) Injection Types

4) Performed DrugCalculations Accurately

5) Knows the parts of a syringe.

6) Applicable sites. (IM, SQ, ID)

7) Identified patient and obtained permission, explained the process.

8) Infection Control

9) Aspirated

10) Observed patient for allergic reaction protocols.
ACCOMPLISHED

Competent in giving injections, most steps followed.
(circle the missed steps)
1. (5) RIGHTS: Patient, Drug, Dose, Route & Time

2) Allergies

3) Injection Types

4) Metrics (cc / ml)

5) Knows the parts of a syringe.

6) Applicable muscles - sites.

7) Identified patient/permission obtained, explained the process.

8) Infection Control

9) Aspirated

10) Observed patient
DEVELOPING

Somewhat competent steps:
(circle the missed steps)

1. (5) RIGHTS: Patient, Drug, Dose, Route & Time

2) Allergies

3) Injection Types

4) Metrics (cc / ml)

5) Knows the parts of a syringe.

6) Applicable muscles - sites.

7) Identified patient/permission obtained, explained the process.

8) Infection Control

9) Aspirated

10) Observed patient allergic reaction
BEGINNING

Missed many steps - remediation required.
(circle the missed steps)

1. (5) RIGHTS: Patient, Drug, Dose, Route & Time

2) Allergies

3) Injection Types

4) Metrics (cc / ml)

5) Knows the parts of a syringe.

6) Applicable muscles - sites.

7) Identified patient/permission obtained, explained the process.

8) Infection Control

11) Aspirated

12) Observed patient
EMERGENCIES

EXPLEMPLARY

Understands and showed competence. Related to emergencies.

CPR

EPI Pen

Eyewash

Blood/ Chemical Spills
ACCOMPLISHED

Understands but lacks knowledge related to emergencies.

CPR

EPI Pen

Eyewash

Blood/ Chemical Spills
DEVELOPING

Understands but lacks knowledge of emergency procedures.

CPR

EPI Pen

Eyewash

Blood/ Chemical Spills
BEGINNING

Little to no knowledge of emergency procedures.
WOUND CARE

EXPLEMPLARY

Performs skills with a high level of proficiency.

Infection control procedures were followed.

Performed dressing change as directed by provider.

Wound Cleaning and Care

Suture Removal

Staple Removal

Competent with dressing types

Wet to dry

Telfa Non-adherent

Semi-permeable

Hydrocolloid
ACCOMPLISHED

Performs Skill moderate level of proficiency.

Infection control procedures were followed.

Performed dressing change as directed by provider.

Competent with dressing types

Wet to dry

Non-adherent

Semipermeable

Hydrocolloid

Hydrogels
DEVELOPING

Performs Skill intermidiate level of proficiency.

Infection control prodecure followed.

Peformed dressing change as directed by provider.

Competent with dressing types

Wet to dry

Low - Non-adherent

Semipermerable

Hydrocolloid

Hydrogels
BEGINNING

Skill not performed little to no knowledge, noted.


Infection control prodecure followed.

Peformed dressing change as directed by provider.

Competent with dressing types

Wet to dry

Low - Non-adherent

Semipermerable

Hydrocolloid

Hydrogels
EKG

EXPLEMPLARY

Performed EKG with a high level of proficiency.

Explained procedure to the patient.

Provided for Privacy, provided drapes/gown

Shaved patient if indicated.

Cleaned skin if indicated

Applied leads correctly

Performed procedure without difficulty.

Identify abnormal rhythms, heart rate,

Performed rhythm strip.
ACCOMPLISHED

Performed EKG with moderate level of profiency.

Explained procedure to patient.

Shaved patient if indicated.

Cleaned skin if indicated

Applied leads correctly

Performed without difficulty.

Identify abnormal rythyms, heart rate,

Performed rythym strip.
DEVELOPING

Performed EKG with intermediate level of profiency.

Explained procedure to patient.

Shaved patient if indicated.

Cleaned skin if indicated

Applied leads correctly

Performed without difficulty.

Identify abnormal rythyms, heart rate,

Performed rythym strip.
BEGINNING

Novice at performimg EKG.

Explained procedure to patient.

Shaved patient if indicated.

Cleaned skin if indicated

Applied leads correctly

Performed without difficulty.

Identify abnormal rythyms, heart rate,

Performed rythym strip.
CONSENTS & QM

EXPLEMPLARY

Advance Knowledge of forms.

Advanced Beneficiary Notice of coverage (ABN)

Informed Consent for Invasive Procedure

Consent to treat

Influenza Consent

Transact Rx

Meaningful Use requirements

Quality Measures and forms

Flow Sheets
ACCOMPLISHED

Moderate Knowledge
of forms

ABN

Consent for Invasive Procedure


Consent to treat

Influenza Consent

Transact Rx

Meaningful Use

Quality Measures

Flow Sheets
DEVELOPING

Intermediate Knowledge

ABN

Consent for Invasive Procedure


Consent to treat

Influenza Consent

Transact Rx

Meaningful Use

Quality Measures

Flow Sheets
BEGINNING

Novice

ABN

Consent for Invasive Procedure


Consent to treat

Influenza Consent

Transact Rx

Meaningful Use

Quality Measures

Flow Sheets
PROCEDURES

EXPLEMPLARY

Performs skills with a high level of proficiency.

Phlebotomy

Sample processing

Fingersticks

Throat Culture

Strep Testing

Pregnancy Testing

Urine Testing

Ear Lavage

Eye washing

Splinting / Casting
ACCOMPLISHED

Performs Skill moderately level of proficiency.

Phlebotomy

Sample processing

Fingersticks

Throat Swabs

Strep Testing

Pregnancy Testing

Urine Testing

Ear Lavage

Eye washing

Splinting / Casting
DEVELOPING

Performs Skill intermediate level of proficiency.

Phlebotomy

Sample processing

Fingersticks

Throat Swabs

Strept Testing

Pregnancy Testing

Urine Testing

PT INR

Ear Lavage

Eye washing

Splinting / Casting
BEGINNING

Missed many steps - remediation required.
(circle the missed steps)

Phlebotomy

Sample processing

Fingersticks

Throat Swabs

Strept Testing

Pregnancy Testing

Urine Testing

PT INR

Ear Lavage

Eye washing

Splinting / Casting
PHLEBOTOMY

EXPLEMPLARY

Identifies patient

Receives Requisition and correctly identifies test ordered.

Performs Hand Hygiene

Applies gloves (correct type for test order)

Gather correct supplies

Executes procedure without missing steps

Evacuated tube blood samples, the correct amount

Correctly processes, centrifuge, slide smear, ESR, Culture, stain

Dispose of sharps, gloves, supplies

Wash hands

Practices proper technique
ACCOMPLISHED

Identifies patient

Receives Requisition and correctly identifies test ordered.

Performs Hand Hygiene

Applies gloves (correct type for test order)

Gather correct supplies

Executes procedure with few missing steps

Evacuated tube blood samples, the correct amount

Correctly processes, centrifuge, slide smear, ESR, Culture, stain

Dispose of sharps, gloves, supplies

Wash hands

Practices proper technique
DEVELOPING

Identifies patient

Receives Requisition and correctly identifies test ordered.

Performs Hand Hygiene

Applies gloves (correct type for test order)

Gather correct supplies

Evacuated tube blood samples, the correct amount

Correctly processes, centrifuge, slide smear, ESR, Culture, stain

Dispose of sharps, gloves, supplies

Wash hands

Practices proper technique
BEGINNING

Missed many steps/ unsuccessful attempts

Identifies patient

Receives Requisition and correctly identifies test ordered.

Performs Hand Hygiene

Applies gloves (correct type for test order)

Gather correct supplies

Evacuated tube blood samples, the correct amount

Correctly processes, centrifuge, slide smear, ESR, Culture, stain.

Dispose of sharps, gloves, supplies

Wash hands

Practices proper technique



Keywords:
  • Infection control, documentation, SOAP, PPE, confidentiality

Subjects:






Do more with this rubric:

Preview

Preview this rubric.

Edit

Modify this rubric.

Copy

Make a copy of this rubric and begin editing the copy.


Print

Show a printable version of this rubric.

Categorize

Add this rubric to multiple categories.

Bookmark

Bookmark this rubric for future reference.
Assess

Test run

Test this rubric or perform an ad-hoc assessment.

Grade

Build a gradebook to assess students.

Collaborate

Apply this rubric to any object and invite others to assess.
Share

Publish

Link, embed, and showcase your rubrics on your website.

Email

Email this rubric to a friend.

Discuss

Discuss this rubric with other members.
 

Do more with rubrics than ever imagined possible.

Only with iRubrictm.



Copyright © 2024 Reazon Systems, Inc.  All rights reserved.
n16