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Clinical Core IV assessment 
Clinical Core IV assessment
Core IV
Rubric Code: V6442A
By mhovda
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: (none)

Powered by iRubric Lab Skill
  Excellent

4 pts

Good

3 pts

Fair

2 pts

Poor

1 pts

Preparation

Excellent

Performs all preparation steps without prompting that are required for PIV insertion
Good

Performs more than
three initial steps required for PIV insertion
Fair

Performs less than two initial steps for PIV insertion
Poor

Does not perform any of the initial steps required for PIV insertion
Pain Relief

Excellent

Recognizes, verbalizes, and demonstrates all critical steps for pain relief for PIV insertion without prompting
Good

Recognizes, verbalizes, and demonstrates all critical steps for pain relief for PIV insertion with prompting
Fair

Recognizes, verbalizes, and demonstrates most critical steps for pain relief for PIV insertion with prompting
Poor

Recognizes, verbalizes, and demonstrates no critical steps for pain relief for PIV insertion with prompting
Patient Preparation

Excellent

Verbalizes relevant information relating to the skill being checked off on.
Answers instructor's questions regarding the skill and its importance plus the impact to the client
without difficulty.
Good

Able to verbalize relevant information relating to the designatedt
skill that is being checked off on.
Able to answer more than four questions regarding the skill and its importance re
garding the skill and its importance
plus the impact to the
client.
Fair

Limited ability to verbalize relevant information relating to the designated
skill that is being checked off on.
Able to answer less than three questions regarding the skill and its importance plus the impact to the client.
Poor

Fails to verbalize relevant information relating to the skill being checked off on.
Unable to answer instructor's questions regarding the skill and its importance and/or impact to the client.
IV insertion

Excellent

Able to do all of the following:
a.verbalize final steps.
b. mention documentation of skill.
c. mention client response to skill performed.
d.clean up after the skill is performed.
Bed is returned to the lowest position.
Mentions call bell is placed within reach.
Maintains privacy.
Respectful to the mannequin.
Good

One of the following occurs:
Fails to:
a. verbalize final steps.
b. mention documentation of skill.
c.mention client response to skill performed.
d.clean up after the skill is performed.
Bed is left in high position.
Does not mention call bell is placed within reach.
Privacy is not maintained.
Disrespectful to the mannequin.
Fair

Two or more of the following occurs:
Fails to:
a.verbalize final steps.
b.mention documentation of skill.
c. mention client response to skill performed.
d. clean up after skill is performed.
Bed is left in high position.
Does not mention call bell is placed within reach.
Privacy is not maintained for mannequin.
Disrespectful to the mannequin.
Poor

Three or more of the following occurs:
Fails to:
a.verbalize final steps.
b.mention documentation of skill.
c.mention client response to skill performed.
d.clean up after
skill is performed.
Bed is left in high position.
Does not mention call bell is placed wthin reach.
Privacy not maintained for mannequin
Disrespectful to the mannequin.




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