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iRubric: Positioning the Patient Skills Assessment rubric

iRubric: Positioning the Patient Skills Assessment rubric

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Positioning the Patient Skills Assessment 
Positioning the Patient
Student will demonstrate how to position the patient in the Sims, Fowlers,Prone, and Supine Positions
Rubric Code: T222CC6
By tanagrace
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate, Graduate

Powered by iRubric Positioning the Patient Skills Assessment
  Poor

1 pts

Fair

3 pts

Good

5 pts

Pre-Procedure

Confirms positioning for procedure, checks room for proper positioning supplies, correct bed, consider patient history for positioning complications
Poor

Needs prompt to state purpose of the position. Missing more than one of the pre-procedure checks.
Fair

Needs prompt to state procedure and coordinating position. Missing one of the pre-procedure checks (supplies, history, bed).
Good

Able to safely perform without assist from instructor. Work well as a team, verbalizes safety checks and rationales, performs hand hygiene.
Supine Position

(AKA: Dorsal Recumbent)
back-lying position
bed is flat, head and shoulders are supported with a pillow, arms and hands at side and supported with pillow and palms down. Pad bony prominences and secure limbs. bed locked, safety strap applied.
Poor

Unable to complete without more than 2 assists from instructor and does not know the purpose of the position. Has to be reminded more than once to protect bony prominences and/or use correct body mechanics, does not complete hand hygiene.
Fair

Requires 1 assist from instructor. Has to be reminded to pad bony prominences, or elevate bed to waist or use correct body mechanics. Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor. Work well as a team, verbalizes rationale when appropriate. Elevates bed to waist level. Remove gloves and performs hand hygiene.
Prone Position

lies on the abdomen with head turned to one side, bed is flat, small pillows are placed under the head, abdomen and lower legs, gel pads under knees, arms are flexed at the elbows with the hands near the head. no pillow needed under feet., bed locked and safety strap applied.
Poor

Unable to complete without more than 2 assists from instructor and does not know the purpose of the position. Has to be reminded more than once to protect bony prominences and/or use correct body mechanics, does not complete hand hygiene.
Fair

Requires 1 assist from instructor. Has to be reminded to pad bony prominences, or elevate bed to waist or use correct body mechanics. Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor. Work well as a team, verbalizes rationale when appropriate. Elevates bed to waist level. Remove gloves and performs hand hygiene.
Lateral position

(Semi-prone) left side lying position. Dependent/lower leg flexed at knee, upper leg is positioned so it is not on the lower leg. pillow between knees, heel protectors and bony prominences padded. the lower arm is extended in front of patient with axillary roll in place, upper arm supported in neutral, head and neck aligned and neutral with support, bed is flat and locked, safety strap applied.
Poor

Unable to complete without more than 2 assists from instructor and does not know the purpose of the position. Has to be reminded more than once to protect bony prominences and/or use correct body mechanics, does not complete hand hygiene.
Fair

Requires 1 assist from instructor. Has to be reminded to pad bony prominences, or elevate bed to waist or use correct body mechanics. Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor. Work well as a team, verbalizes rationale when appropriate. Elevates bed to waist level. Remove gloves and performs hand hygiene.
Fowlers

Spine is straight, hips aligned, head supported in neutral, arms are flexed and supported, knees flexed and supported, bony prominences padded, bed locked, safety strap applied.
Poor

Unable to complete without more than 2 assists from instructor and does not know the purpose of the position. Has to be reminded more than once to protect bony prominences and/or use correct body mechanics, does not complete hand hygiene.
Fair

Requires 1 assist from instructor. Has to be reminded to pad bony prominences, or elevate bed to waist or use correct body mechanics. Needs prompt to state purpose of the position.
Good

Able to safely perform without assist from instructor. Work well as a team, verbalizes rationale when appropriate. Elevates bed to waist level. Remove gloves and performs hand hygiene.
Communication

Students work together communicating clearly and collaborating to position patient appropriately and safely. Students maintain correct body mechanics while positioning.
Poor

No introductions, communication gaps, collaboration not apparent in actions.
Fair

Missing some areas of communication, collaboration, and/or introductions.
Good

Introduce each other, clear, effective communication and collaboration as a team.
Debrief

Students clearly identified one area of strength and one area of improvement with rationales.
Poor

No clear definition of strength or area of improvement, no rationale.
Fair

One ore more clear area of strength or improvement with basic rationale.
Good

Clear identification of strengths and areas of improvement with clear rationale.




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