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iRubric: Hypoglycemia Protocol rubric

iRubric: Hypoglycemia Protocol rubric

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Hypoglycemia Protocol 
Identfies patient is hypoglycemic and follows the evidence-based protocol to manage treatement of the patient
Rubric Code: TAXWCX
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Graduate

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  Novice

The Novice or beginner has no experience in the situations in which they are expected to perform. The Novice lacks confidence to demonstrate safe practice and requires continual verbal and physical cues.

1 pts

Advanced Beginner

Advanced Beginners demonstrate marginally acceptable performance because the nurse has had prior experience in actual situations. He/she is efficient and skilful in parts of the practice area, requiring occasional supportive cues.

2 pts

Competent

The nurse is able to demonstrate efficiency, is coordinated and has confidence in his/her actions. For the Competent nurse, a plan establishes a perspective, and the plan is based on considerable conscious, abstract, analytic contemplation of the problem. Care is completed within a suitable time frame without supporting cues.

3 pts

Proficient

Proficient nurses understand a situation as a whole because they perceive its meaning in terms of long-term goals. The Proficient nurse learns from experience what typical events to expect in a given situation and how plans need to be modified in response to these events.

4 pts

Expert

The Expert nurse has an intuitive grasp of each situation and zeroes in on the accurate region of the problem without wasteful consideration of a large range of unfruitful, alternative diagnoses and solutions. His/her performance becomes fluid and flexible and highly proficient.

5 pts

Algorithm

Selects appropriate algorithm to follow

Novice

Requires assistance recognizing hypoglycemia. Seeks help from team members to treat patient
Advanced Beginner

Recognizes hypoglycemia. Needs guidance to select appropriate algorithm for treatment
Competent

Recognizes patient is hypoglycemic and has a BSG < 50, and patient is alert.
Proficient

Recognizes patient is hypoglycemic and has a BSG < 50, and patient is alert.
Expert

Recognizes patient is hypoglycemic and has a BSG < 50, Assess patients LOC and patient is alert. Locates algorithm on back of blood glucose flow sheet and select correct algorithm
Administration of treatment

selects and administers appropriate treatment

Novice

Does not treat patient until directed by team member. Does not seek help to select and treat patient.
Advanced Beginner

Seeks help from team member to determine appropriate part of the algorithm to follow. May not select appropriate oral treatment without assisstance
Competent

Administers treatment to patient but is slower in treating. Does not seek assistance in treating patient, functions independently
Proficient

Selects appropriate oral treatment for patient from the algorithm for patient with BSG < 50 who is alert. Functions independently.
Expert

Selects appropriate oral treatment for patient from the algorithm for patient with BSG < 50 who is alert. Directs other members of the team in caring for patient. Agressively manages patients care.
Documentation

Select appropriate documentation of a hypoglycemic event

Novice

Does not document.
Advanced Beginner

Documents in treatment and procedure, or on the BSG flowsheet.
Competent

Documents in Treatment and procedure note, and includes all information. Puts in orders for treatment
Proficient

Documents using the hypoglycemia note, but does not know it will create the orders.
Expert

Documents in CareVue using the hypoglycemic note, recognizing that when you document in the hypoglycemic note it then creates the appropriate order




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