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iRubric: Vital Signs Performance Assessment rubric

iRubric: Vital Signs Performance Assessment rubric

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Vital Signs Performance Assessment 
Temperature, Pulse, Respiration, Blood Pressure Height and Weight
Rubric Code: X2X8W36
Ready to use
Public Rubric
Subject: Vocational  
Type: Exam  
Grade Levels: 9-12, Undergraduate

Powered by iRubric Vital Signs- T, P, R, BP, Ht/Wt
  Below Basic

(N/A)

Proficient

(N/A)

Advanced

(N/A)

SCORE

(N/A)

Explain procedure to client
5 pts

NA introduces self to client and explains what they are going to do

Below Basic

1.Nurse assistant doesn't wash hands or verbalize this
2. NA explained none of the procedure
3. NA did not allow client to ask questions
4. NA did not identify client
5. NA did not position client correctly
6. NA did not provide privacy for client
7. NA forgets to accurately and completely record vital signs
8.NA doesn't know which step comes first
9.NA needs constant prompting
Proficient

1.NA washes hands or verbalize this with prompting
2. NA identified patient
3. NA explained procedures to client
4. NA was able to perform procedures with prompting
4. NA did not position client correctly
5. NA did not provide privacy for client
6. NA accurately and completely records vital sign information with prompting
7.NA needs some prompting for which step comes next
Advanced

1.NA washes hands or verbalizes this without prompting
2. NA explained all procedures
3.NA allowed client to ask questions
3. Placed client in correct position
4. Identified patient
5. Provided privacy for client.
6. Accurately and completely records vital sign information without prompting
SCORE
Temperature
10 pts

NA uses electronic thermometer;
asked if client ate or drank anything in last 30 minutes or smoked

Below Basic

1. Did not have correct equipment - thermometer, alcohol wipes for probe, probe covers, and garbage can
2. Did not place correctly in mouth, client bit down on the thermometer
3. Was not able to report findings on 2 attempts.
4.NA was unable to identify abnormal readings even with prompting
5.NA failed to clean up equipment
6.NA was unable to record temperature reading in proper units with prompting
Proficient

1. Had correct equipment - thermometer, alcohol wipes for probe, probe covers, and garbage can
2. Did not place thermometer correctly in mouth
3. Required some cues from instructor but was able to report findings after 1st attempt.
4. NA was unable to identify abnormal readings without prompting
5.NA cleaned up work area with some prompting
6.NA was able to record temperature reading in proper units with prompting
Advanced

1. Had correct equipment - thermometer, alcohol wipes for probe, probe covers, and garbage can.
2. Placed thermometer correctly in client's mouth
3.Instructs client not to bite on thermometer but to hold under the tongue until measurement is over
3. NA was able to report findings on 1st attempt without instructor's help.
4.NA was able to identify abnormal readings
5.NA was able to record temperature reading in proper units
SCORE
Pulse (Radial)
20 pts

NA was able to locate accurately and provide accurate result within 2 bpm
NA should be able to take pulse for 60 seconds

Below Basic

1.NA was unable to locate radial pulse site in timely manner
2. NA was able to obtain correct finding after 2 attempts
3. Required many cues from instructor
4.NA was unable to identify abnormal readings
5.NA tells client they are measuring pulse or respiration
6.NA doesn't note pulse or respiration accurately with prompting
Proficient

1.NA able to locate the radial pulse site with prompting
2. NA was able to obtain correct finding after 1st attempt
3.NA required little instructor intervention
4.NA was able to identify abnormal readings
5.NA tells client they are measuring pulse or respiration
6.NA notes pulse or respiration accurately with prompting
Advanced

1. NA able to locate radial pulse site quickly
2. Pulse measurement was was correct to 2 bpm
3. NA required no help from instructor
4. NA was able to report findings on 1st attempt
5.NA doesn't tell client they are measuring pulse or respiration
6.NA was able to identify abnormal readings
7.NA notes pulse or respiration accurately
SCORE
Respirations
20 pts

NA should be able to assess inspiration/expiration accurately and provide accurate result within 2 breaths per minute
NA should be able to take for 60 seconds

Below Basic

1. NA was not able to count rate on 1st try
2. NA needed to repeat more than twice to get correct respiration rate
3. NA needed help from instructor
4.NA tells client they are measuring respiration or pulse
5.NA doesn't note pulse or respiration accurately with prompting
6. NA able to unable to state abnormal pulse and respiration values when prompted
7. NA forgets to record pulse or respiration after both are assessed on client when prompted
Proficient

1. NA was able to count respiration correctly on 1st attempt but required some cues from instructor
2.NA tells client they are measuring respiration or pulse
3.NA notes pulse or respiration accurately with prompting
4. NA able to state abnormal pulse and respiration values when prompted
5.NA records pulse or respiration after both are assessed on client when prompted
Advanced

1. NA was able to count rate correctly on 1st attempt without instructor's help
2. NA was able to state abnormal pulse and respiration values when prompted
3. NA notes respiration or pulse values accurately without telling client until procedure is over
4. NA records pulse or respiration after both are assessed on client
SCORE
Blood Pressure
20 pts

NA will be using the 1 step method and should obtain a systolic and diastolic result within 4mm Hg

Below Basic

1. NA selected incorrect cuff size
2. NA doesn't clean stethoscope with an alcohol wipe
3. NA needs several tries to adjust BP cuff
4. NA needs several attempts to get cuff inflated
5. NA left the cuff inflated too long causing some pain to the client
6. NA couldn't locate brachial artery
7. NA couldn't palpate brachial artery before placing stethoscope
8. NA deflated bulb too quickly/too slowly 9.NA was unable to state abnormal blood pressure values with prompting
Proficient

1. NA selected correct cuff size
2. NA cleans stethoscope with an alcohol wipe
3. NA did struggle with the cuff, but was able to apply it correctly
4. NA inflated the cuff correctly after 2nd attempt
5. NA had difficulty locating brachial or radial artery
6. NA didn't palpate brachial pulse before placing stethoscope
7. NA deflated bulb too quickly/too slowly
8. NA was able to state abnormal blood pressure values with prompting
9. NA records blood pressure accurately with prompting
Advanced

1. NA selected correct cuff size
2. NA cleans ear pieces, bell, and diaphragm of stethoscope with an alcohol wipe
3. NA palpates brachial pulse point
4. NA applied cuff correctly (evenly and tightly)
5. The cuff was placed 1 inch above the elbow
6. The cuff was inflated/deflated correctly
7. NA let the air out slowly but not too slow.
8.NA was able to state abnormal blood pressure values
9. NA records blood pressure accurately
SCORE
Professionalism
5 pts

NA spoke appropriately to client, performed hand hygiene before procedure, introduced self, explained what they were going to do, engaged patient in conversation, and allowed client to ask questions

Below Basic

1.Missed 3 items
Proficient

1. Missed 2 items even with prompting
Advanced

1. All items done - no prompting required for items that don't require a prompt
SCORE
Height Measurement
10 pts

Student able to accurately obtain height to 1/4 inch at the beginning or end of vital signs assessment

Below Basic

1. NA failed to tell client what they were going to do
2. NA failed to place paper towel on scale for client to stand on
3. NA gave no instruction to client
4. NA did not assist client up onto the scale and back off of it
5. NA did not instruct client to stand straight with hands at sides
6. NA needed cues from instructor with obtaining height measurement to 1/4 inch
7. NA didn't record height measurement accurately
Proficient

1. NA told client what they were going to do
2. NA placed paper towel on scale for client to stand on
3. NA gave instruction to client with prompting
4. NA assisted client up onto the scale and back off of it with prompting
5. NA instructed client to stand straight with hands at sides with prompting
6. NA needed no cues from instructor with obtaining height measurement to 1/4 inch
7. NA records height measurement accurately with prompting
Advanced

1. NA told client what they were going to do
2. NA placed paper towel on scale for client to stand on
3. NA gave instructions to client
4. NA assisted client up onto the scale and back off of it
5. NA instructed client to stand straight with hands at sides
6. NA needed no cues from instructor with obtaining height measurement to 1/4 inch
7. NA records height measurement accurately
SCORE
Weight Measurement
10 pts

Student able to accurately measure weight to 1/4 pound at the beginning or end of vital signs assessment

Below Basic

1. NA failed to tell client what they were going to do
2. NA failed to place paper towel on scale for client to stand on
3. NA gave no instruction to client
4. NA did not assist client up onto the scale and back off of it
5. NA did not instruct client to stand straight with hands at sides
6. NA needed cues from instructor with obtaining weight measurement to 1/4 pound
7. NA didn't record weight measurement accurately
Proficient

1. NA told client what they were going to do
2. NA placed paper towel on scale for client to stand on
3. NA gave instruction to client with prompting
4. NA assisted client up onto the scale and back off of it with prompting
5. NA instructed client to stand straight with hands at sides with prompting
6. NA needed no cues from instructor with obtaining weight measurement to 1/4 pound
7. NA records weight measurement accurately with prompting
Advanced

1. NA told client what they were going to do
2. NA placed paper towel on scale for client to stand on
3. NA gave instructions to client
4. NA assisted client up onto the scale and back off of it
5. NA instructed client to stand straight with hands at sides
6. NA needed no cues from instructor with obtaining weight measurement to 1/4 pound
7. NA records weight measurement accurately
SCORE



Keywords:
  • TPR, BP







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