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iRubric: EMS Chart review rubric
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EMS Chart review
EMS Chart review
Patient care report QI review
Rubric Code:
CXW8X6X
By
tmartin39
Ready to use
Public Rubric
Subject:
Medical
Type:
Assessment
Grade Levels:
9-12
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Desktop Mode
Mobile Mode
Patient Care Report
Unacceptable
0 pts
Poor
1 pts
Fair
3 pts
Good
4 pts
Excellent
5 pts
Legibility
Unacceptable
Unable to read
Poor
Difficult to read
Fair
Hand-written with errors
Good
Typed with errors or hand-written and easy to read
Excellent
Typed and easy to read
Completeness
Unacceptable
Critical information is missing
Poor
Important information is missing
Fair
Some information is missing
Good
Information is complete
Excellent
Information is complete and well organized.
Response Infromation
Unacceptable
None documented
Poor
Documented poorly
Fair
Documented without explaination
Good
Documented and explained
Excellent
Documented and well- described with onset, time, and adequate descriptors
Assessment
Unacceptable
None documented
Poor
Documented poorly, leaving out key pertinent positives and negatives
Fair
Documented, but missing some pertinent information.
Good
Documented with all pertinent information.
Excellent
Documented with indications of extensive assessment including differential assessment. Also documents reassessment.
Impression
Unacceptable
None documented
Poor
Documented poorly, leaving out key pertinent positives and negatives
Fair
Documented, but missing some pertinent information.
Good
Documented with all pertinent information.
Excellent
Documented with indications of extensive assessment including differential assessment. Also documents reassessment.
Treatment
Unacceptable
None documented
Poor
Documentation indicates poor treatment modalities or treatment is documented poorly.
Fair
Documented but not followed by effects of treatment.
Good
Appropriately documented treatment.
Excellent
Documented well, indicating appropriate treatment and describes effects of treatment.
Transport
Unacceptable
None documented
Poor
Documented inappropriate transport decision.
Fair
Transport decision not appropriately documented.
Good
Appropriate transport decision documented.
Excellent
Appropriate transport decision documented with justification.
Subjects:
Medical
Types:
Exam
Assessment
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