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iRubric: Head -to - Toe Assessment rubric

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Head -to - Toe Assessment 
Head -to - Toe Assessment
Demonstrate the appropriate techniques for assessing a patient. Demonstrate the appropriate communication skills with patients while doing your assessment. Use of good body mechanic while performing a head-to -toe assessment. Assess the pertinent aspects of the patients condition.
Rubric Code: EX9W9CW
By gwlasowicz
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Patient Assessment
Prepares for patient contact by washing hands.
Introduces him/her to the patient.
Asks appropriate questions to patient while doing your assessment.
Assures patient privacy and dignity.
  Excellent

Independently performs all skills fluently and without difficulty.

4 pts

Good

Performs assessment with assistance of 1-2 times during clinical.

3 pts

Fair

Performs assessment with assistant of faculty 3-4 times during clinical.

2 pts

Poor

Performs assessment with assistant of faculty greater than 4 times during clinical.

1 pts

Performs Body Mechanic

Bed in correct height to perform assessment.
Side Rails are up while performing assessment.
Bed is locked for safety.
Excellent

Bed is in correct height while performing assessment without clues from faculty.
Side rails are up during assessment at all times.
Bed is locked for safety.
Good

Bed is in correct height while performing assessment, but needed clues for height.
Side rails are up during half of assessment.
Bed is locked for safety.
Fair

Bed is in correct height while performing assessment, but did not raise bed until assessment was half way completed.
One side rail was up during assessment.
Bed is locked for safety.
Poor

Bed is down during assessment.
Side rails were down on both sides of bed during assessment.
Bed moved while during assessment.
Vocabulary

Uses appropriate vocabulary for patient during your assessment.
Explain every steps of the assessment to patient.
Excellent

Independently performs without difficulty or reminders.
Used appropriate vocabulary during assessment.
Explained every step of the assessment to the patient.
Good

Independently performs without difficulty or reminders.
Stumbled with vocabulary during assessment.
Had minor difficulty explaining assessment to patient.
Fair

Performed assessment with the help of the faculty.
Used vocabulary that was not appropriate during assessment.
Was not able able to explained the steps to the patient without help of the faculty.
Poor

Performed assessment with the help of the faculty more than 1 time.
Was not able to remember the correct vocabulary during the assessment.
Was not able to explain the assessment to the patient.
Documentation

Correctly identifies documentation requirements.
Is able to document findings.
Excellent

Independently performs without difficulty or prompting.
Able to document findings with out assistants during clinical.
Good

Independently performs without difficulty or little prompting.
Able to document findings with little guidance during clinical.
Fair

Performs documentation with help of faculty 1-2 times.
Able to document findings with little guidance during clinical.
Poor

Performs documentation with help of faculty 3-4 times.
Was not able to document findings during clinical.




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