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iRubric: NG tube insetion and care rubric

iRubric: NG tube insetion and care rubric

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NG tube insetion and care 
NG tube insetion and care
A satisfactory score is required. If the student has four or less on "needs improvement", he or she will have the opportunity to explain the corrective action in post simulation debriefing. If greater than four "needs improvement", the student will need to remediate the skill with a scheduled lab appointment.
Rubric Code: XXBW24A
By Annhahnb
Draft
Public Rubric
Subject: Health  
Type: Exam  
Grade Levels: Undergraduate

Powered by iRubric Administration and Therapy
  Satisfactory

(N/A)

Needs Improvement

(N/A)

Unsatisfactory

(N/A)

Comments

(N/A)

Patient identification

ID patient
ID care provider
Explain procedure
Satisfactory

Correctly identifies pt information by protocol. Selects and prepares all equipment and supplies needed. Checks physician order.
Needs Improvement

Identifies patient name or birthday, but not both. Selects and prepares most of equipment and supplies.
Unsatisfactory

Does not know pt identifiers. Selects and prepares inadequate or inappropriate equipment. Missed 2 or more of the criteria.
Comments
Pre procedure performence

Performs hand hygiene per WHO guidelines.
Provides for patient privacy.
Satisfactory

Performs hand hygiene.
Provides for patient privacy.
Needs Improvement

Missed one of the below:

Performs hand hygiene
Provides for patient privacy
Unsatisfactory

Missed both performance procedures.
Comments
Patient Preparatin

Assist patient to high-Fowlers position, unless contraindicated.
Apply pulse oximeter
Measure vital signs
Satisfactory

Patient positioned in High-Fowlers.
Pulse Ox applied.
Vital signs measured.
Needs Improvement

Missed one of the prep steps
Unsatisfactory

Missed 2 or 3 prep steps
Comments
NG Insertion

Gather supplies
Determine length of tube to be inserted and mark
Lubricate tube and gently insert to back of throat, patient neck extends back, once tube has passed nasopharynx flex patient head forward and advance tube as patient swallows.
Satisfactory

All supplies gathered.
Tube measured correctly.
Tube lubricated.
Tube inserted correctly.
Needs Improvement

Missed one of the steps
Unsatisfactory

Tube not inserted correctly.
Comments
Check Placement

Tube secured
Verify placement by pH check- (pH 0-5)
if fluid administered radio graphic placement check is necessary.
Satisfactory

Tube secured
Placement verified
Needs Improvement

Tube not secured, but placement verified.
Unsatisfactory

Placement not verified
Comments
Irrigation/Residual/Suctioning

Check GRV- draw 30 ml of air in 60 ml syringe, connect to end of tube. Inject air and pull back slowly and aspirate total amount.
Irrigate- flush tube with 30 ml water
Suction- hook up tube to low/intermittent suction.
Satisfactory

Demonstrates correct way to irrigate and check residuals. Able to state the difference between the 3 concepts and importance of checking residuals.
Needs Improvement

Able to demonstrate how to irrigate or check residuals with minimal mistakes. Able to state the importance of checking residuals or the difference between residuals and irrigation, and suctioning .
Unsatisfactory

Unable to demonstrate the correct way to irrigate or check residuals. Unable to differenitate between the 3 concepts or identify the importance of checking residuals.
Comments
Post Procedure

Dispose of supplies
Preform hand hygiene
return patient to comfortable position
Provide patient safety
Leave room tidy
Satisfactory

Able to preform all steps
Needs Improvement

Missed 1 step
Unsatisfactory

Missed 2 or more steps
Comments
Documentation

Document the procedure
tube size
How patient tolerated
Bile color, amount and character
Satisfactory

Documents all required componenbts
Needs Improvement

Documents part of required components
Unsatisfactory

Documentation is missing
Comments






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