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iRubric: Teaching patients how to give insulin pen injections rubric

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Teaching patients how to give insulin pen injections Teaching patients how to give insulin injections Evaluate students ability to teach a patient how to give insulin injections using insulin pen Rubric Code: R28X3C By earles Ready to use Public Rubric Subject: Medical Type: Presentation Grade Levels: Graduate

Teaching Insulin Injection Techniqu Teaches a patient how to properly give an insulin injection using a pre-filled insulin pen
	Unacceptable Information given is incorrect or incomplete 0 pts	Fair Information given is partially correct or incomplete. 0.5 pts	Good Information complete and correct 1 pts	COMMENTS (N/A)
Before injection • Washes hands •pull off pen cap and wipe rubber stopper with alcohol • screw needle onto syringe • use new needle each time • remove outer and inner caps	Unacceptable Does NOT show the patient how to do all of the following: • Washes hands •pull off pen cap and wipe rubber stopper with alcohol • screw needle onto syringe • use new needle each time • remove outer and inner caps OR information given is incorrect	Fair Shows the patient how to do all of the following: • Washes hands •pull off pen cap and wipe rubber stopper with alcohol • screw needle onto syringe • use new needle each time • remove outer and inner caps BUT Information given is partially correct or incomplete.	Good Shows the patient how to do all of the following: • Washes hands •pull off pen cap and wipe rubber stopper with alcohol • screw needle onto syringe • use new needle each time • remove outer and inner caps AND All information is correct and complete	COMMENTS
Airshot before injection • turn dial 2 units • with needle up, tap reservoir • press push button as far as it will go until drop of insulin appears • if not, repeat until drop of insulin appears (if not drop after 6 trys contact manufacturer)	Unacceptable Does NOT show the patient how to do all of the following: • turn dial 2 units • with needle up, tap reservoir • press push button as far as it will go until drop of insulin appears • if not, repeat until drop of insulin appears (if not drop after 6 trys contact manufacturer) OR information given is incorrect	Fair Shows the patient how to do all of the following: • turn dial 2 units • with needle up, tap reservoir • press push button as far as it will go until drop of insulin appears • if not, repeat until drop of insulin appears (if not drop after 6 trys contact manufacturer) BUT Information given is partially correct or incomplete.	Good Shows the patient how to do all of the following: • turn dial 2 units • with needle up, tap reservoir • press push button as far as it will go until drop of insulin appears • if not, repeat until drop of insulin appears (if not drop after 6 trys contact manufacturer) And All information is correct and complete.	COMMENTS
setting the dose • check dose selector is at 0 • dial number of units • DO NOT set dose by number of clicks you hear • dose can be corrected by turning dial in either direction • will not dispense more insulin than is available	Unacceptable Does NOT show the patient how to do all of the following: • check dose selector is at 0 • dial number of units • DO NOT set dose by number of clicks you hear • dose can be corrected by turning dial in either direction • will not dispense more insulin than is available OR information given is incorrect	Fair Shows the patient how to do all of the following: • check dose selector is at 0 • dial number of units • DO NOT set dose by number of clicks you hear • dose can be corrected by turning dial in either direction • will not dispense more insulin than is available BUT Information given is partially correct or incomplete.	Good Shows the patient how to do all of the following: • check dose selector is at 0 • dial number of units • DO NOT set dose by number of clicks you hear • dose can be corrected by turning dial in either direction • will not dispense more insulin than is available AND All information is correct and complete	COMMENTS
Choose an injection site • teach possible site locations • teach to rotate sites • clean injection site with alcohol • pinch skin and insert needle at 90 degree angle • hold syringe at mid or back of barrel like a pencil •if anxious, can numb site with ice cube	Unacceptable Does NOT show the patient how to do all of the following: • teach possible site locations • teach to rotate sites • clean injection site with alcohol • pinch skin and insert needle at 90 degree angle • hold syringe at mid or back of barrel like a pencil •if anxious, can numb site with ice cube OR information given is incorrect	Fair Shows the patient how to do all of the following: • teach possible site locations • teach to rotate sites • clean injection site with alcohol • pinch skin and insert needle at 90 degree angle • hold syringe at mid or back of barrel like a pencil •if anxious, can numb site with ice cube BUT Information is incomplete or not totally correct.	Good Shows the patient how to do all of the following: • teach possible site locations • teach to rotate sites • clean injection site with alcohol • pinch skin and insert needle at 90 degree angle • hold syringe at mid or back of barrel like a pencil •if anxious, can numb site with ice cube AND All information is correct and complete	COMMENTS
Complete injection • slowly push the button all the way in • press in center of button, keep your finger away from window • with button pressed leave needle in skin for 6 sec • pull needle straight out • gently press on spot for several seconds. Do not rub	Unacceptable Does NOT show the patient how to do all of the following: • slowly push the button all the way in • press in center of button, keep your finger away from window • with button pressed leave needle in skin for 6 sec • pull needle straight out • gently press on spot for several seconds. Do not rub OR information given is incorrect	Fair Shows the patient how to do all of the following: • slowly push the button all the way in • press in center of button, keep your finger away from window • with button pressed leave needle in skin for 6 sec • pull needle straight out • gently press on spot for several seconds. Do not rub BUT Information is not completely correct OR incomplete.	Good Shows the patient how to do all of the following: • slowly push the button all the way in • press in center of button, keep your finger away from window • with button pressed leave needle in skin for 6 sec • pull needle straight out • gently press on spot for several seconds. Do not rub AND All information is correct and complete	COMMENTS
Discard materials • Do not recap needle • Place cap on on pen • show how to discard needle • DO NOT store pen in fridge • DO NOT store with needle; can be used for 42 days	Unacceptable Does NOT show the patient how to do all of the following: • Do not recap needle • Place cap on on pen • show how to discard needle • DO NOT store pen in fridge • DO NOT store with needle; can be used for 42 days OR information given is incorrect	Fair Shows the patient how to do all of the following: • Do not recap needle • Place cap on on pen • show how to discard needle • DO NOT store pen in fridge • DO NOT store with needle; can be used for 42 days BUT Information is not completely correct OR incomplete.	Good Shows the patient how to do all of the following: • Do not recap needle • Place cap on on pen • show how to discard needle • DO NOT store pen in fridge • DO NOT store with needle; can be used for 42 days AND All information is correct and complete	COMMENTS
Review to ensure understanding Ensures that patient understands teaching. Follows up with written materials or other teaching materials if needed	Unacceptable Does not ensure that the patient understands.	Fair Ensures that patient understands teaching by asking them	Good Ensures that patient understands teaching by asking them to repeat the instructions or by some other appropriate means. Follows up with written materials or other teaching materials if needed.	COMMENTS
Reviews hypoglycemia Reviews how to recognize, avoid and treat hypoglycemia	Unacceptable Hypoglycemia not reviewed	Fair S/S of hypoglycemia are reviewed. What to do to avoid and treat are reviewed. Information is incomplete or not completely correct.	Good S/S of hypoglycemia are reviewed. What to do to avoid and treat are reviewed. Information is complete and correct.	COMMENTS
Ability to answer questions Answers all questions appropriately	Unacceptable Unable to answer questions correctly	Fair Able to answer questions but are not able to give complete answers	Good Able to answer questions correctly, completely and confidently.	COMMENTS
Attitude	Unacceptable Lack of confidence, caring attitude OR approachability AND NOT a good listener	Fair Lack of confidence, caring attitude OR approachability. OR not a good listener.	Good Confident, caring and approachable. Listens carefully to patients questions and concerns.	COMMENTS

Keywords:

diabetes, teaching, insulin, injections

Subjects:

Medical

Types:

Presentation

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