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iRubric: Cardiac Exam Final Exam rubric
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Cardiac Exam Final Exam
Cardiac Exam
Rubric Code:
NXB8CA4
By
jazlady
Ready to use
Public Rubric
Subject:
Medical
Type:
Assessment
Grade Levels:
Graduate
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Element
Excellent
3.3 pts
Good
2.9 pts
Needs Improvement
2 pts
Unacceptable
1 pts
HEALTH & SAFETY
Excellent
Asked permission and sanitized hands prior to beginning exam
Good
Sanitized hands but did not ask permission prior to beginning exam.
Needs Improvement
N/A
Unacceptable
Did not sanitize hands prior to beginning exam
INQUIRY
Excellent
Asked if patient Hx of:
1. Heart disease
2. Heart attack
3. Heart surgery/procedures
4. Chest pain
5. Heart medications
Good
asked 3 or 4 of 5 elements
Needs Improvement
asked up to 2 of 5 elements
Unacceptable
Did not inquire about history.
INSPECTION Neck
Excellent
1. Inspected correct area
2. patient at 45°
3. head rotated slightly to opposite side,
4. verbalized what is normal (flat internal jugular v.)
Good
Inspected correct neck area from correct side, patient at 45°, head rotated properly
BUT
unable to verbalize what is normal
Needs Improvement
Inspected correct side of neck,
BUT
?? correct neck area
OR
Patient was not at 45°
OR
head not rotated
Unacceptable
Did not inspect neck
OR
Inspected wrong side
PALPATION Neck
Excellent
1. Palpated carotid pulses at St 9
2. Checked BOTH arteries, one at a time
3. Verbalized what is normal
Good
Palpated neck using correct location and technique, but was unable to verbalize what is normal
Needs Improvement
Palpated neck, used correct technique
BUT
did not use correct location
Unacceptable
Did not palpate neck
OR
palpated bilaterally simultaneously
AUSCULTATION Neck
Excellent
Auscultated
1. bilaterally
2. after having patient inhale, then exhale
3. used bell
4. used proper placement
5. was able to verbalize what constitutes normal and abnormal findings.
Good
Auscultated:
bilaterally
after having patient inhale, then exhale
used proper placement
used bell
Needs Improvement
Auscultated 1 side only, using bell properly placed
Unacceptable
Did not auscultate the neck
OR
Did not use bell
OR
Stethoscope placement incorrect
AUSCULTATION Precordium
Excellent
Auscultated:
1.*All 4 listening posts using correct placement for each: L and R 2nd ICS (K 25); L 5th ICS (Ki22); 5th ICS, MCL (St18)
2. Used bell and diaphragm.
3. Able to describe sounds that would constitute possible pathological findings (murmurs, clicks, gallops, rubs) "whoosh"
*may auscultate after having patient inhale, then exhale and hold.
Good
Auscultated 4 listening posts using correct placement for each. Used both bell and diaphragm.
Unable to describe sounds that would constitute possible pathological findings.
Needs Improvement
Listened at fewer than 4 listening posts
OR
Used incorrect placement for 1 or more listening post
OR
Did not listen with bell AND diaphragm
Unacceptable
Did not auscultate precordium.
Subjects:
Medical
Types:
Assessment
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