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iRubric: Cardiac Exam Final Exam rubric

iRubric: Cardiac Exam Final Exam rubric

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Cardiac Exam Final Exam 
Rubric Code: NXB8CA4
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

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  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.




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