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iRubric: IV Insertion (IV Cannula) rubric

iRubric: IV Insertion (IV Cannula) rubric

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IV Insertion (IV Cannula) 
Perform IV insertion in the clinical area. Students are to review the facility policy prior to performing competency.
Rubric Code: NXB998C
Draft
Public Rubric
Subject: Medical  
Type: Presentation  
Grade Levels: Undergraduate

Powered by iRubric IV insertion
  Good

5 pts

Fair

3 pts

Poor

0 pts

Comments

(N/A)

Verifies Order, Allergies & Explain

Student verifies order to insert a peripheral IV site. Verifies allergies to latex, tape and/or chlorhexidine prior to starting IV site. Explains procedure to patient.

Good

Verifies order to insert a peripheral IV site. Verifies patient allergies to latex, tape and/or chlorhexidine.
Explains procedure to patient.
Fair

Verifies order to insert a peripheral IV site. Verifies patient allergies to two of the three listed allergies. Explains procedure to patient with prompting by instructor.
Poor

Fails to verify order to insert a peripheral IV site. Verifies patient allergies to one or none of the three listed allergies. Unable to satisfactorily explain the procedure to patient even with prompting from instructor.
Comments
Pt Verification & Gather Supplies

Evaluation of student's ability to prepare for IV site insertion by correctly identifying patient and gathering supplies.

Good

Correctly identifies pt information by protocol. Selects and prepares all equipment and supplies needed prior to IV site insertion.
Fair

Identifes patient name or birthdate, but not both. Selects and prepares most of equipment and supplies needed prior to IV site insertion.
Poor

Demonstrates lack of knowledge of patient identifiers. Selects and prepares inadequate or inappropriate equipment prior to IV site insertion.
Comments
Handwashing and Gloving

Student washes hands and dons gloves prior to beginning procedure.

Good

Washes hands using and dons gloves prior to beginning procedure.
Fair

Washes hands prior to procedure but does not immediately don gloves prior to beginning procedure.
Poor

Does not washes hands or don gloves prior to beginning procedure.
Comments
IV sites

Verbalizes understanding of anatomy and possible IV site locations. Places tourniquet and palpates vein.

Good

Verbalizes understanding of anatomy of possible sites to place IV, identifies 7 of 7 upper extremity peripheral vein locations. Able to place tourniquet without difficulty and palpate vein.
Fair

Verbalizes understanding of anatomy of possible sites to place IV, identifies 5 of 7 upper extremity peripheral vein locations. Able to place tourniquet with minimal difficulty and palpates vein with prompting from instructor.
Poor

Verbalizes lack of understanding of anatomy of possible sites to place IV, identifies 3 of 7 upper extremity peripheral vein locations. Unable to place tourniquet without assistance and palpates vein with prompting from instructor.
Comments
Angiocath Selection

Student is able to determine an appropriate size angiocath for insertion based on size of vein. Identifies angiocath size needed for administration of blood products as per facility policy.

Good

Demonstrates the ability to determine an appropriate size angiocath for insertion based on size of vein. Identifies correct angiocath size needed for administration of blood products as per facility policy.
Fair

Able select an appropriate size angiocath for insertion based on size of vein with prompting from instructor. Identifies correct angiocath size needed for administration of blood products as per facility policy.
Poor

Unable select an appropriate size angiocath for insertion based on size of vein even with prompting from instructor. Unable to identify correct angiocath size needed for administration of blood products as per facility policy.
Comments
Technique

Student is able to sterilize and maintain a sterile field.

Good

Cleanses area according to facility policy without subsequent contamination, AND maintains sterile site throughout procedure.
Fair

Cleanses area according to facility policy, however student does not maintain sterile site throughout procedure.
Poor

Did not cleanse area according to facility policy.
Comments
Insertion

Student is able to provide the most appropriate access while demonstrating safe technique.

Good

Demonstrates safe insertion technique. Able to successfully perform venipuncture using angiocath.
Fair

Demonstrates safe insertion technique. Unable to successfully perform venipuncture using angiocath.
Poor

Does not demonstrate safe insertion technique. Unable to successfully perform venipuncture using angiocath.
Comments
Applies Dressing and Documentation

Student is able to demonstrate the ability to dress, tape/secure, and label IV according to facility policy. Correctly documents the IV insertion in the patient's EMR.

Good

Demonstrates ability to dress, tape/secure, and label IV. Correctly documents IV insertion in the EMR(electronic medical record).
Fair

Needs prompting to dress, tape/secure, and label IV.
Correctly documents IV insertion in the EMR(electronic medical record) with one exception.
Poor

Not able to successfully dress, tape/secure, and label IV even with prompts. Incorrectly documents IV insertion in the EMR(electronic medical record).
Comments










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