NURSING RUBRIKS DOCUMENTS | Schemes and Mind Maps Nursing

OUR LADY OF FATIMA UNIVERSITY

College of Nursing – Valenzuela

PROGRAM Bachelor of Science in Nursing Student Name EGUILLOS, VINCENT GLEN V.

COURSE

NCMA 113

FUNDAMENTALS OF NURSING

SKILLS LABORATORY

Year and Section 1 YC – 25

Instructor MRS. SHARON CAJAYON

Date

PROCEDURE : ADMINISERING ENEMA

EXPECTED OUTCOME : The student should be able to administer enema correctly.

ASSESSMENT TASK : Return Demonstration

Assessment Dimension Exceptional

(3)

Good

(2)

Average

(1)

Poor

(0) SCORE

1. Verify the doctor’s

order

Verified the

doctor’s order

Verified the

doctor’s order with

minimal error

Verified the

doctor’s order

incorrectly

Failed to verify

the doctor’s order

2. Prepare materials and

solutions.

Gathered the

materials needed

completely

Gathered the

materials with little

time preparation

Gathered

materials with

more time

preparation

Failed to gathered

all the materials

needed

3. Do handwashing.

Identify client. Explain

procedure. Provide

privacy

Observed principle

of medical

handwashing.

Explained the

procedure to the

client and

significant others

clearly

Observed principle

of medical

handwashing with

minimal errors.

Explained the

procedure but

lacks details

Failed to

observed

principle of

medical hand

washing.

Explained the

procedure but in

an unclear

manner

Failed to perform

handwashing.

Failed to explain

the procedure

4. Place a water proof

pad under the client’s

buttocks. Position the

client in left Sim’s

position.

Performed the

procedure

accurately with

evident ease

without

supervision

Performed but

needs minimal

supervision

Performed with

slight difficulty,

needs

supervision most

of the time

Failed to perform

the procedure

5. Prepare irrigating can,

tubing and solutions.

Hang enema can on

the IV stand bout 18 –

24 inches above the

level of patient’s

rectum.

Performed the

procedure

accurately with

evident ease

without

supervision

Performed but

needs minimal

supervision

Performed with

slight difficulty,

needs

supervision most

of the time

Failed to perform

the procedure

6. Lubricate the rectal

tube. Allow small

amount of solution to

flow through the

tubing into the

bedpan.

Demonstrated the

procedures with

ease

Demonstrated the

procedure with

little errors

Demonstrated

the procedure

with some errors

Failed to perform

the procedure

7. Wear glove and lift the

upper buttocks of

patient.

Performed the

procedure

accurately with

evident ease

without

supervision

Performed but

needs minimal

supervision

Performed with

slight difficulty,

needs

supervision most

of the time

Failed to perform

the procedure

8. Insert the tube slowly

and smoothly around

1-4 inches into the

patient’s anus.

Performed the

procedure

accurately with

evident ease

without

supervision

Performed but

needs minimal

supervision

Performed with

slight difficulty,

needs

supervision most

of the time

Failed to perform

the procedure

9. Administer the

solution slowly. If

patient complains of

fullness or pain, use

the clamp to stop the

flow for 30 seconds,

and then restart the

flow at a lower rate.

Demonstrated the

procedures with

ease

Demonstrated the

procedure with

little errors

Demonstrated

the procedure

with some errors

Failed to perform

the procedure

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OUR LADY OF FATIMA UNIVERSITY

College of Nursing – Valenzuela

PROGRAM Bachelor of Science in Nursing Student Name EGUILLOS, VINCENT GLEN V. COURSE

NCMA 113

FUNDAMENTALS OF NURSING

SKILLS LABORATORY

Year and Section 1 YC – 25 Instructor MRS. SHARON CAJAYON Date

PROCEDURE : ADMINISERING ENEMA

EXPECTED OUTCOME : The student should be able to administer enema correctly.

ASSESSMENT TASK : Return Demonstration

Assessment Dimension Exceptional (3) Good (2) Average (1) Poor (0)

SCORE

Verify the doctor’s order Verified the doctor’s order Verified the doctor’s order with minimal error Verified the doctor’s order incorrectly Failed to verify the doctor’s order
Prepare materials and solutions. Gathered the materials needed completely Gathered the materials with little time preparation Gathered materials with more time preparation Failed to gathered all the materials needed
Do handwashing. Identify client. Explain procedure. Provide privacy Observed principle of medical handwashing. Explained the procedure to the client and significant others clearly Observed principle of medical handwashing with minimal errors. Explained the procedure but lacks details Failed to observed principle of medical hand washing. Explained the procedure but in an unclear manner Failed to perform handwashing. Failed to explain the procedure
Place a water proof pad under the client’s buttocks. Position the client in left Sim’s position. Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Prepare irrigating can, tubing and solutions. Hang enema can on the IV stand bout 18 – 24 inches above the level of patient’s rectum. Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Lubricate the rectal tube. Allow small amount of solution to flow through the tubing into the bedpan. Demonstrated the procedures with ease Demonstrated the procedure with little errors Demonstrated the procedure with some errors Failed to perform the procedure
Wear glove and lift the upper buttocks of patient. Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Insert the tube slowly and smoothly around 1-4 inches into the patient’s anus. Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Administer the solution slowly. If patient complains of fullness or pain, use the clamp to stop the flow for 30 seconds, and then restart the flow at a lower rate. Demonstrated the procedures with ease Demonstrated the procedure with little errors Demonstrated the procedure with some errors Failed to perform the procedure

Close the clamp after all the solutions has been administered or when the client cannot hold anymore and wants to defecate. Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Remove the rectal tube and place it in a disposable towel. Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Encourage patient to retain the enema solution. Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Assist the patient in defecation and necessary cleansing Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Make the patient comfortable. Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
After care of the unit and materials used Performed the procedure accurately with evident ease without supervision Performed but needs minimal supervision Performed with slight difficulty, needs supervision most of the time Failed to perform the procedure
Wash hands. Document procedure. Record the kind and amount of stool and solution used and character of the return flow. Washed hands and documented the information about the procedure properly and completely. Washed hands and some of the details of procedure were not documented. Washed hands but most of the details of the procedure were not documented Washed hands but documentation was not done. OVERALL SCORE: __________________

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OUR LADY OF FATIMA UNIVERSITY

College of Nursing – Valenzuela

NCMA 113

FUNDAMENTALS OF NURSING

SKILLS LABORATORY

PROCEDURE : ADMINISERING ENEMA

EXPECTED OUTCOME : The student should be able to administer enema correctly.

ASSESSMENT TASK : Return Demonstration

SCORE

Target raw score: 36 out of 48. If raw score is less than 36, repeat the demonstration.

____________________________________

FACULTY SIGNATURE OVER PRINTED NAME