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Nursing Assessment Simulation 
Rubric Code: UA6WW3
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Initial Nursing Assessment Simulati
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  Unacceptable

Unacceptable performance, failing. Student should seek full review and reassessment.

1 pts

Marginal

Marginal performance, student does not meet expectations. Student should seek review and reassessment.

2 pts

Satisfactory

Satisfactory performance, meets expectations. Student is passing, but could improve performance.

3 pts

Outstanding

Student demonstrates outstanding performance, exceeds expectations.

4 pts

Uses Universal Precautions

The nursing student employs universal precautions throughout patient interaction. (APPLY)

Unacceptable

Uses no element of universal precautions throughout patient interaction.
Marginal

Uses most elements of universal precautions throughout most of patient interaction.
Satisfactory

Uses all elements of universal precautions throughout all patient interaction.
Outstanding

Uses all elements of universal precautions throughout patient interaction and explains elements to patient in terms he/she understands.
Identify Patient

The nursing student appropriately identifies patient. (APPLY)

Unacceptable

Does not identify patient.
Marginal

Identifies patient without using all patient identifiers (patient states name and date of birth, name bracelet). No clarification of incongruence sought.
Satisfactory

Identifies patient using using all patient identifiers (patient states name/date of birth), name bracelet verified). Seeks clarification if incongruent.
Outstanding

Identifies patient using all identifiers (patient states name, date of birth, name bracelet verified), seeks clarification if incongruent, and student refers to patient using patient-stated preferred name.
Pain Assessed

The nursing student explains and assesses pain using numeric scale. (EVALUATE)

Unacceptable

Does not address pain assessment.
Marginal

Assesses pain without appropriately utilizing pain scale.
Satisfactory

Assesses pain using pain scale by fully explaining scale and meaning.
Outstanding

Assesses pain by first introducing the pain scale concept using terms the patient understands. Listens carefully to patient's response and clarifies question if patient response indicates knowledge deficit.
Breath Sounds Assessed

The nursing student assesses breath sounds appropriately. (EVALUATE)

Unacceptable

Does not listen to breath sounds.
Marginal

Assesses breath sounds incompletely. (For example does not provide instructions to patient, does not assess all lung fields, does not reposition patient if needed)
Satisfactory

Assesses breath sounds completely (provides patient instructions, assesses all lung fields, repositions patient if indicated,)
Outstanding

Assesses breath sounds completely, interacts with patient to put him/her as ease (for example, explains each step and provides feedback regarding assessment results in terms patient understands).
Cognitive Orientation Assessed

The nursing student establishes cognitive orientation status. (EVALUATE)

Unacceptable

Does not assesses cognitive orientation.
Marginal

Assesses cognitive orientation incompletely, or late.
Satisfactory

Assesses cognitive orientation appropriately as part of initial assessment.
Outstanding

Assesses cognitive orientation appropriately as part of initial assessment and reassesses as patient status/comments indicate.
Recognizes Changes in Condition

The nursing student recognizes changes in patient status which require immediate intervention. (EVALUATE)

Unacceptable

Does not recognize need for intervention.
Marginal

Recognizes some status changes, but interventions are inappropriate or incomplete.
Satisfactory

Recognizes all status changes and intervenes appropriately, reassesses.
Outstanding

Recognizes all status changes, intervenes appropriately and reassesses; assesses related patient attributes
Utilizes Technology - IV Pump

The nursing student verifies settings and proper functioning of IV Pump. (EVALUATE)

Unacceptable

Does not assess IV pump or does not acknowledge alarms.
Marginal

Attempts assessment, incomplete assessment of IV pump, acknowledges alarms but does not troubleshoot.
Satisfactory

Completes assessment of IV pump including settings verification and reassessment as indicated. Attempts troubleshooting, seeks assistance.
Outstanding

Completes assessment of IV pump and effectively troubleshoots without assistance.



Keywords:
  • nursing, assessment, simulation

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