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iRubric: History and Physical Assessment rubric

iRubric: History and Physical Assessment rubric

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History and Physical Assessment 
History and Physical of patient in laboratory environment
Rubric Code: S43X94
Ready to use
Public Rubric
Subject: Health  
Type: (Other)  
Grade Levels: (none)

Powered by iRubric Health and Physical Assessment
  Failing

0 pts

Fair

70 pts

Good

90 pts

Very Good

100 pts

Essential Tasks
10 %

1. Introduces self
2. Identifies patient
3. Washes Hands
4. Determines existence of allergies

Failing

Students fails to perform 1 or more required tasks
Fair
Good
Very Good

Student performs all required tasks
Focused Assessment
30 %

1. Asks the appropriate questions related to the exam.
2. Performs Physical Exam
Using the appropriate techniques of
a. Inspection
b. Palpation
c. Percussion
d. Auscultation

Failing

Inadequate focused assessment performed
Fair

Student performs marginally effective focused assessment
Good

Student performs efficient focused assessment of assigned body system with minor omissions in technique, teaching, or performance.
Very Good

Student performs efficient focused assessment of assigned body system covering all gradable points with no omissions and is able to answer all questions posed by instructor or patient. Student also provides effective patient teaching during designated time limit.
Reporting
30 %

Report should have following components:
SUBJECTIVE
1. Biographical Sketch
2. Chief complaint or reason for visit
3. Patient Hx using initals and no identifying number
4. Previous illnesses and/or surgeries
5. Narrative Review of System
OBJECTIVE
1. Results of focused physical exam.
2. Any followup action

Failing

Students narrative is inadequate with gross deficiencies
Fair

Student fails to address all elements in detail or has significant grammatical and spelling errors
Good

Student addresses all key elements in narrative with minor grammatical errors, spelling, or fomatting errors.
Very Good

Student effectively correctly addresses every key element of the assessment in a narrative having the proper format with no grammatical or spelling errors.
Communication
30 %

Effective professional communication orally and in writing.

Failing

Failure to communicate .
Fair

Student does not explain assessment to patient or talks minimally to patient
Good

Student explains the assessment as they are completing each step.
Very Good

Student explains the assessment as they are completing each step and is able to answer with confidence all patient questions in a calm and efficient manner.




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