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iRubric: H&P Practical - General Survey and VS rubric
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H&P Practical - General Survey and VS
H&P Practical - General Survey and VS
Rubric Code:
B9993W
By
kaykluttz
Ready to use
Public Rubric
Subject:
Medical
Type:
Assessment
Grade Levels:
Undergraduate
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Desktop Mode
Mobile Mode
Element
Attempted Satisfactorily
3 pts
Attempted - Needs Improvement
2 pts
Attempted - Unacceptable
1 pts
Did Not Attempt
(N/A)
Score
(N/A)
General Survey
Attempted Satisfactorily
Verbalized observation of patient appearance:
1. Apparent state of health
2. Chief Complaint identified
3. Signs of distress
4. Hygiene
5. Height/Weight
Attempted - Needs Improvement
Verbalized observation of 4-5 areas of patient apperance
Attempted - Unacceptable
Verbalized observation of 1-3 areas of patient apperance
Did Not Attempt
Did not verbalize observation of patient appearance
Score
Pulse
Attempted Satisfactorily
1. Checked pulse over the radial artery
2. Used pad of index and middle fingers
3. Counted for at least 60 seconds
4. Documented findings
Attempted - Needs Improvement
Incorrectly performed 1 of the steps in checking the pulse
Attempted - Unacceptable
Incorrectly performed 2-3 of the steps in checking the pulse
Did Not Attempt
Did not check the pulse or incorrectly performed all of the steps in checking a pulse
Score
Respiratory Rate
Attempted Satisfactorily
1. With fingerpads still on radial pulse
2. Watched the chest rise and fall
3. Counted the RR for 60 sec
4. Documented findings
Attempted - Needs Improvement
Incorrectly performed 1 of the steps in checking the RR
Attempted - Unacceptable
Incorrectly performed 2-3 of the steps in checking the RR
Did Not Attempt
Did not check the RR, or incorrectly performed all of the steps in checking the RR
Score
Blood Pressure
Attempted Satisfactorily
1. Arm free of clothing
2. Arm at heart level
3. Arm supported
4. Palpated the brachial artery
5. Placed cuff on arm appropriately
6. Placed stethoscope over brachial artery
7. Inflated cuff and deflated at an approximate rate of 2-3 mmHg/sec.
8. Documented findings
Attempted - Needs Improvement
Incorrectly performed 1 of the steps in checking the BP
Attempted - Unacceptable
Incorrectly performed 2-3 of the steps in checking the BP
Did Not Attempt
Did not check the BP, or incorrectly performed >3 steps in checking the BP
Score
H&P form
Attempted Satisfactorily
1. All demographic information is complete.
2. All lines or questions were addressed, no blanks
3. Allergies were complete
4. All medications listed with dosages and times
Attempted - Needs Improvement
Attempted - Unacceptable
Did Not Attempt
Score
Subjects:
Medical
Types:
Assessment
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