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iRubric: Subcutaneous Injection Administration Rubric

iRubric: Subcutaneous Injection Administration Rubric

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Subcutaneous Injection Administration Rubric 
A satisfactory score is required. If the student has four or less "needs improvement" he or she will have the opportunity to explain the corrective action in the post simulation debriefing. If greater than four "needs improvement" , the student will need to remediate. the skill in a scheduled lab appointment
Rubric Code: DXB6WAC
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric SQ Medication Administration
  Unsatisfactory

Remediate

(N/A)

Needs Development

Debrief- identify omissions

(N/A)

Satisfactory

Passes

(N/A)

Identifies pharmacologic conditions

1.Identifies why the patient is prescribed the medication. 2.Pharmacological class/action reason for medication
3.Adverse reactions
4.Nursing Implications

Unsatisfactory

The learner requires prompting to consider the indication. Identifies all pharmacologic considerations
Needs Development

The learner considers the indication but is unable to identify all pharmacologic considerations.
Satisfactory

The learner correctly identifies the indication for the medication and all pharmacologic considerations.
Washes hands

Washes hands following WHO hand hygiene guidelines

Unsatisfactory

The learner requires prompting to wash hands.
Needs Development

The learner washes hands but does not adhere to the CDC guidelines.
Satisfactory

The learner washes hands in accordance to the CDC infection control guidelines.
Gathers equipment

1. Medication
2. MAR
3. SQ Equipment- proper needle size and gauge selected.

Unsatisfactory

The learner requires prompting to gather any equipment.
Needs Development

The learner fails to gather all necessary and proper equipment.
Satisfactory

All necessary and proper equipment is gathered.
Checks and prepares medication

1. Medication checked three times prior to giving.

Unsatisfactory

There is no evidence of the medication being checked.
Needs Development

The learner checks the medication but less than 3 times prior to giving.
Satisfactory

The learner checks the medication three times prior to administration.
Therapeutic communication

1. The learner introduces self to patient and provides an explanation of the procedure. The learner discusses effects and adverse effects of the medication with the patient.

Unsatisfactory

There is no evidence of therapeutic communication with the patient.
Needs Development

The learner attempts to communicate with the patient but requires prompting to introduce themselves, explain the procedure and/or, discuss the medication effects and adverse effects.
Satisfactory

The learner shows evidence of therapeutic communication, introducing themselves, explaining the procedure and discussing the effects and adverse effects of the medication.
All SQ sites are identified

1. Abdomen
2. Upper arm
3. Thigh
4. Sub-scapular

Unsatisfactory

SQ sites are not identified.
Needs Development

1-2 sites are identified using correct anatomical language.
Satisfactory

All 4 sites are identified using correct anatomical language.
Meds are administered as ordered

1. Cleanse one chosen injection site.
2. Inject at a 45-90 degree angle.
3. Inject 1ml /Sec.
4. Wait 10 seconds.
5. Remove syringe.

Unsatisfactory

Medications administered but one or more mistakes occurs in the administration process.
Needs Development

More than one attempt must be made to administer medication.
Satisfactory

Medications are administered accurately in one attempt.
Safety precautions used

1. Gloves used to administer medication.
2. Needle not recapped.
3. Sharps disposal of used syringe

Unsatisfactory

The learner does not follow the indicated steps
Needs Development

The learner follows some, but not all of the steps
Satisfactory

The learner follows each step but makes several mistakes
Uses Six Rights

Right:
Patient
Drug
Dose
Route
Time
Documentation

Unsatisfactory

The learner requires prompting to consider the six rights of medication administration.
Needs Development

The learner is able to identify and adhere to some but not all of the six rights of medication administration.
Satisfactory

All six rights of medication administration are identified and followed.
Documents relevant information

Documents correctly in the MAR following medication administration.

Unsatisfactory

Fails to document in MAR.
Needs Development

Documents in MAR but does so either before medication administration or documents incorrectly.
Satisfactory

Documents correctly in the MAR directly following the medication administration.





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