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iRubric: Intramuscular Injection Administration Rubric

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Intramuscular Injection Administration Rubric 
Skills Exam Rubric
Rubric Code: Z24A647
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric IM Medication Administration
  Unsatisfactory

Remediate

(N/A)

Needs Development

Debrief- identify omissions

(N/A)

Satisfactory

Passes

(N/A)

Washes hands

Washes hands following CDC hand hygiene guidelines

Unsatisfactory

The learner requires prompting to wash hands.
Needs Development

The learner washes hands but does not adhere to the CDC guidelines.
Satisfactory

The learner washes hands in accordance to the CDC infection control guidelines.
Gathers equipment

1. Medication
2. MAR
3. IM Equipment- proper needle size and gauge selected.

Unsatisfactory

The learner requires prompting to gather any equipment.
Needs Development

The learner fails to gather all necessary and proper equipment.
Satisfactory

All necessary and proper equipment is gathered.
Checks and prepares medication

1. Medication checked three times prior to giving.

Unsatisfactory

There is no evidence of the medication being checked.
Needs Development

The learner checks the medication but less than 3 times prior to giving.
Satisfactory

The learner checks the medication three times prior to administration.
Therapeutic communication

1. The learner introduces self to patient and provides an explanation of the procedure. The learner discusses effects and adverse effects of the medication with the patient.

Unsatisfactory

There is no evidence of therapeutic communication wit the patient.
Needs Development

The learner attempts to communicate with the patient but requires prompting to introduce themselves, explain the procedure and/or, discuss the medication effects and adverse effects.
Satisfactory

The learner shows evidence of therapeutic communication, introducing themselves, explaining the procedure and discussing the effects and adverse effects of the medication.
All IM sites are identified

1. Deltoid
2. Vastus lateralis
3. Ventral gluteal

Unsatisfactory

IM sites are not identified.
Needs Development

1-2 sites are identified using correct anatomical language.
Satisfactory

All 3 sites are identified using correct anatomical language.
Meds are administered as ordered

1. Cleanse one chosen injection site.
2. Inject at a 90 degree angle.
3. Injects at 1 ml/second.
4. Wait 10 seconds.
5. Remove syringe.

Unsatisfactory

Medications administered but one or more mistakes occurs in the administration process.
Needs Development

More than one attempt must be made to administer medication.
Satisfactory

Medications are administered accurately in one attempt.
Safety precautions used

1. Gloves used to administer medication.
2. Needle not recapped.
3. Sharps disposal of used syringe

Unsatisfactory

The learner does not follow the indicated steps
Needs Development

The learner follows some, but not all of the steps
Satisfactory

The learner follows each step.
Documents relevant information

Documents correctly in the MAR following medication administration.

Unsatisfactory

Fails to document in MAR.
Needs Development

Documents in MAR but does so either before medication administration or documents incorrectly.
Satisfactory

Documents correctly in the MAR directly following the medication administration.





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