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Clinical Simulation-Virtual Case Study 
Evaluation of the following objectives 1. Demonstrate appropriate communication skills with the patient and other health care professionals 2. Assess the pertinent asspects of the patients condition 3. Plan an appropriate ventilation strategy for the patient
Rubric Code: Y2X72X2
Ready to use
Public Rubric
Subject: Health  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Clinical Simulation- Allied Health
  Above Average- little supervision

1 pts

Average-Immediate supervision

0.5 pts

Below Average- further development

0 pts

Pass

Pass
3 PTS. AND ABOVE

(N/A)

Fail

Fail
3 PTS. AND BELOW

(N/A)

Score

(N/A)

Initial Steps

Prepares for patient contact; observes and monitors a
wide variety of objective
and subjective data
to uncover any useful
information; Introduces him/herself to the patient including credentials and reason for visit

Above Average- little supervision

Above Average- little or no supervision
Average-Immediate supervision

Average-Immediate supervision
Below Average- further development

Needs further development
Pass

Pass

* Works to the best of their ability

*Stays on task with 3 or less prompts

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

Fail

* Limited ability to verbalize relevant information relating to the designated
skill that is being checked off.
Score

Initial Steps:________
1 pts

Comments:
Patient History Assessment

1. Obtain information regarding patients history; seeks
information to plan
intervention; collects useful subjective data from observing
and interacting with the
patient and family

Above Average- little supervision

Above Average- little or no supervision
Average-Immediate supervision

Average-Immediate supervision
Below Average- further development

Needs further development
Pass

*Verbalizes relevant information relating to the skill being checked off on.

*Answers instructor's questions regarding the skill and its importance plus the impact to the dyad
without difficulty.

*Completes clinical skill according to guidelines outlined in syllabus.

*Makes necessary adjustment with in one week of receiving feedback
Fail

*Limited ability to verbalize relevant information relating to the designated
skill that is being checked off.
Score

Patient History Assessments:________
1 pts

Comments:
Communication and education

Communicates effectively; explains
interventions using language appropriate to the patient; Provide documentation as necessary; Reference all necessary safety precautions; Answer questions as necessary; Educate patient regarding what to expect; explains given directions and checks for
understanding

Above Average- little supervision

Above Average- little or no supervision
Average-Immediate supervision

Average-Immediate supervision
Below Average- further development

Needs further development
Pass

*Verbalizes relevant information relating to the skill being checked off on.

*Answers instructor's questions regarding the skill and its importance plus the impact to the dyad
without difficulty.

*Completes clinical skill according to guidelines outlined in syllabus.

*Makes necessary adjustment with in one week of receiving feedback
Fail

*Limited ability to verbalize relevant information relating to the designated
skill that is being checked off.
Score

Communication and education:________
1 pts

Comments:
Maternal/Infant/Breastfeeding Assessment

Collaborate with other healthcare professionals .
Initiate trial only when the patient has met prerequisites.
Provide patient coaching on techniques to improve trial outcome.
Provide encouragement and feedback, validate patient concerns during trial.
Record data throughout the procedure.
Use appropriate techniques and protocols (e.g. placement of valve is done according to best practice from protocols).
Completes protocol and returns patient to baseline stat

Above Average- little supervision

Above Average- little or no supervision
Average-Immediate supervision

Average-Immediate supervision
Below Average- further development

Needs further development
Pass

*Verbalizes relevant information relating to the skill being checked off on.

*Answers instructor's questions regarding the skill and its importance plus the impact to the dyad
without difficulty.

*Completes clinical skill according to guidelines outlined in syllabus.

*Makes necessary adjustment with in one week of receiving feedback
Fail

*Limited ability to verbalize relevant information relating to the designated
skill that is being checked off.
Score

Maternal/Infant/Breastfeeding Assessment:________
1 pts

Comments:
Critical thinking/decision making

Interventions are
tailored to individual
patient; make adjustments according to patient needs and situation variables and makes recommendations for continued care. Student is able to
(a) note and make sense
of patterns in the dyad's
data, (b) compare these
with known patterns in breastfeeding knowledge
base, research, and intuition),
and (c) develop plans for
interventions that can be
justified in terms of their
likelihood of bre

Above Average- little supervision

Above Average- little or no supervision
Average-Immediate supervision

Average-Immediate supervision
Below Average- further development

Needs further development
Pass

*Demonstrates clinical skills related to the needs of the dyad.

*All components of indirect and critical steps are met.

*Able to distiguish relevant data or important findings.
Fail

*Limited ability to verbalize relevant information relating to the designated
skill that is being checked off.
Score

Critical thinking/decision making:________
1 pts

Comments:
Attendance and Mannerism

Is on time to sim lab.
Prepared with necessary materials and roles.
Exhibits professionalism in all interactions. Does not treat the situation casually.
Is calm, confident, respectful, and without frustration with the client throughout the procedure.
Completes all documentation and any other assigned duties.
Body language and mannerisms are appropriate to the situation.

Above Average- little supervision

Above Average- little or no supervision
Average-Immediate supervision

Average-Immediate supervision
Below Average- further development

Needs further development
Pass

*Attends all clinical in a timely manner

*All components of clinical and professionalism in place in with clinical standards.
Fail

No call/ No Show to clinical more than one time.

Absent from clinical more then two times.

Is late for clinical more than two times
Score

Attendance and Mannerism:________
1 pts

Comments:










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