iRubric: CLIENT STATUS: VITAL SIGNS rubric

1.Introduced self to
client.
2. Performed hand
hygiene.
3. Identified client with
2 identifiers.
4. Explain procedure.
5. Donned gloves.
6. Documented all findings.
7. Used military time.

1. Introduced self to client.
2. Did not identify client with 2 identifiers.
3. Did not perform hand hygiene.
4. Did not explain all of the procedure.
5. Did not don gloves.
6. Some of the findings were documented.
7. Did not use military time.

1. Identified self, but did not identify client using 2 identifiers.
2. Explained part of the procedure.
3. Did not perform hand hygiene.
4. Did not explain the procedure.
5. Did not don gloves.
6. Did not document some of the findings and/or documenting findings incorrectly.
7. Did not use military time.

Found indicated pulse site quickly, findings were within 4 bpm of the simulator and required no help from instructor.

Found the indicated pulse site and had correct finding after 1st attempt. Required very little cues from instructor.

Did not indicate correct pulse site and did not count correct rate within 4 bpm and was not able to report findings on 1st attempt

1. Correct cuff size.
2. Palpate pulse point quickly.
3. Apply cuff correctly (evenly and snuggly)
4. Cuff was inflated/deflated correctly.
5. Release air from valve 2-3 mm Hg per second.
6. Systolic/Diastolic got both measurements within 4 mm Hg for each.

1. Did some fumbling with the cuff, but placed on correctly.
2. Got the cuff inflated correctly after 2nd attempt.
3. Fumbled with inflation and deflation of the cuff.
4. Fumbled with air release from valve, too slowly or too fast.
5. Systolic/Diastolic: got one measurement within 4 mm Hg.

1. Needs several tries to adjust BP cuff over the brachial artery.
2. Needs several attempts to get cuff inflated.
3. Left the cuff inflated too long.
4. Systolic/Diastolic: did not get either measurement within 4 mm Hg.