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OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCA) RUBRIC
PEDIATRICNURSING
TECHNICAL INSTRUCTIONS/ANTHROPOMETRY MEASUREMENT RUBRIC
NO
SCORE
EXPLANATION
Pre-interaction Phase
1
0
If the student does not read cases
1
If the student does not read cases carefully and thoroughly
2
If the studentreads the case carefully and thoroughly
2
0
If the student does not prepare tools
1
If there is a tool that is lacking
2
If the student prepares the equipment completely
3
0
If the student does not maintain privacy, both doors/screens/curtains
1
If the studentmaintains privacy, but there are still some that have not yet closed
2
If the studentmaintains privacy perfectly
4
0
If the student does not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
Orientation Phase
5
0
If the studentdoes not greet and says the patient's name
1
If the student does not greet but says the client's name and vice versa
2
If the studentgreets and says the patient's name
6
0
If the student does not introduce themselves
1
If the studentintroduces themselves but does not use therapeutic communication techniques
2
If the studentintroduces themselves by using therapeutic communication techniques
7
0
If the student does not identify the patient
1
If a student identifies a patient but does not ask the patient to state his name and age or does not see the bracelet the patient is wearing
2
If a student identifies a patient by looking at the bracelet and asks the patient to state name and age
8
0
If the student does not explain the purpose of the action completely and thoroughly
1
If the student explains the purpose of the action but is incomplete
2
If the studentexplains the purpose of the action completely and thoroughly
9
0
If the studentdoes not explain the procedure of action fully and completely
1
If the student explains the procedure of action but is incomplete
2
If the studentexplains the procedure of action fully and completely
10
0
If the studentdoes not provide an opportunity for patients to ask
1
If studentprovide opportunities for patients to ask questions but does not use therapeutic communication techniques
2
If the student provides opportunities for patients to ask questions using therapeutic communication techniques
11
0
If the student does not ask for patient readiness
1
If a student asks for patient readiness but does not use therapeutic communication techniques
2
If the studentasks for patient readiness and uses therapeutic communication techniques
Working Phase
12
0
If the student does not position the child/baby on the measuring table/bed
1
If the student positions the child/baby on the side of the measuring table/bed
2
If the student positions the child/baby in the middle of the measuring table/bed
13
0
If the student does not measure the length/height of the child
1
If the student measures the length/height of the child but the knee is bent
2
If the student measures the length/height of the child with the knee position of the child does not bend
14
0
If the student does not measure the middle head circumference of the child/baby
1
If the student measures the circumference of the child's middle head but does not pass through the two upper ears and both eyebrows
2
If a student measures the circumference of the child's middle head and passes through both the upper ear and both eyebrows
15
0
If the student does not measure the circumference of the upper arm of a child/baby
1
If the student measures the circumference of the child's upper arm/baby but not in the middle between the base of the upper arm and the elbow
2
If the student measures the circumference of the child's upper arm/baby in the middle between the base of the upper arm and the elbow
16
0
If the student does not take off all baby/child clothing
1
If a student takes off some of baby/child clothing (only tops or bottom clothes)
2
If a student takes off all baby/child clothing (all worn by children/babies)
17
0
If the student does not measure the child's chest circumference
1
If the student measures the circumference of the baby/child's chest, but does not encircle the back and pass through the two nipples of the baby/child
2
If the student measures the circumference of the baby/child's chest by encircling the back and passing through both baby/child nipples
18
0
If the student does not weigh baby/child weight
1
If the student does not place the baby/child on the scale right in the middle of the scale
2
If the student places the baby/child on the scale right in the middle of the scale
19
0
If the studentdoes not put on the children's clothes
1
If the student puts on children's clothing but is not neat (both tops andbottom clothes)
2
If the student puts on the children's clothes neatly (tops andbottom clothes)
20
0
If the student does not convey the measurement results to the mother or parents
1
If a student conveys the measurement results to the mother/parents but is incomplete, including the measurement results of PB (body length)/TB (body height), LILA (upper arm circumference), LK (head circumference), LD (chest circumference), BB (bodyweight)
2
If the student conveys the measurement results to the mother/parents fully, including the measurement results of PB (body length)/TB (body height), LILA (upper arm circumference), LK (head circumference), LD (chest circumference), BB (bodyweight)
21
0
If the student does not provide conclusions related to the results of the examination
1
If the student gives a conclusion but does not provide guidance related to what the mother/ parents should do next
2
If the studentgives conclusions as well as giving directions related to what the mother/parents should do next
Termination Phase
22
0
If the student does not conduct an evaluation
1
If the student evaluates but does not observe the child's appearance
2
If studentevaluates and observes the child's appearance
23
0
If the student does not convey a follow-up plan
1
If a student conveys a follow-up plan, but it is not related to labor that has just been performed
2
If a student conveys a follow-up plan related to labor that has just been performed
24
0
If the student does not say goodbye to the patient/parents
1
If the studentsays goodbye but does not use therapeutic communication techniques
2
If the studentsays goodbye to patients/parents using therapeutic communication techniques
25
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
TECHNICAL INSTRUCTIONS/DENVER DEVELOPMENTAL SCREENING TEST (DDST)RUBRIC
NO
SCORE
EXPLANATION
Pre-interaction Phase
1
0
If the studentdoes not read cases
1
If the studentdoes not read cases carefully and thoroughly
2
If the studentreads the case carefully and thoroughly
2
0
If the studentdoes not prepare tools
1
If there is a tool that is lacking
2
If the studentprepares the equipment completely
3
0
If the studentdoes not maintain privacy, both doors/screens/curtains
1
If the studentmaintains privacy, but there are still some that have not yet closed
2
If the studentmaintains privacy perfectly
4
0
If the student does not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
Orientation Phase
5
0
If the student does not greet and says the patient's name
1
If the student does not greet but says the client's name and vice versa
2
If the studentgreets and says the patient's name
6
0
If the student does not introduce themselves
1
If the studentintroduces themselves but does not use therapeutic communication techniques
2
If the studentintroduces themselves by using therapeutic communication techniques
7
0
If the student does not identify the patient
1
If a student identifies a patient but does not ask the patient to state his name and age or does not see the bracelet the patient is wearing
2
If a student identifies a patient by looking at the bracelet and asks the patient to state name and age
8
0
If the student does not explain the purpose of the action completely and thoroughly
1
If the student explains the purpose of the action but is incomplete
2
If the studentexplains the purpose of the action completely and thoroughly
9
0
If the studentdoes not explain the procedure of action fully and completely
1
If the student explains the procedure of action but is incomplete
2
If the studentexplains the procedure of action fully and completely
10
0
If the studentdoes not provide an opportunity for patients to ask
1
If studentprovide opportunities for patients to ask questions but does not use therapeutic communication techniques
2
If the student provides opportunities for patients to ask questions using therapeutic communication techniques
11
0
If the student does not ask for patient readiness
1
If a student asks for patient readiness but does not use therapeutic communication techniques
2
If the studentasks for patient readiness and uses therapeutic communication techniques
Working Phase
12
0
If the student does not review the date of birth and calculate the age of the child
1
If a student reviews the date of birth but is not right in calculating the age of the child
2
If a student reviews the date of birth and calculates the child's age correctly
13
0
If the studentdoes not make age lines according to age
1
If a student makes an age line, but the location is not right
2
If a studentmakes an age line with the right location
14
0
If the student does not conduct a personal social/fine motor examination
1
If a student does a personal social/fine motor examination but does not test all items (3 items to the left of the age line, items that are crossed by the age line, and items to the right of the age line)
2
If a student does a personal social/fine motor examination and tests all items (3 items to the left of the age line, items that are crossed by the age line, and items to the right of the age line)
15
0
If the student does not pay attention and implements the L mark and numbers in the box
1
If the student only implements one of the L marks or numbers in the box
2
If the student implements both the L mark and the number in each box
16
0
If the student does not do a gross language/motor examination
1
If a student does a gross language/motor examination but does not test all items (3 items to the left of the age line, items that are crossed by the age line, and items to the right of the age line)
2
If a student does a gross language/motor examination and tests all items (3 items to the left of the age line, items that are crossed by the age line, and items to the right of the age line)
17
0
If the student does not pay attention and implements the L mark and numbers in the box
1
If the student only implements one of the L marks or numbers in the box
2
If the student implements both the L mark and the number in each box
18
0
If the studentdoes not provide interpretation in each area
1
If the studentgives interpretation only in a part of the area (some areas are not interpreted)
2
If the studentprovides interpretation in all areas
19
0
If the studentdoes not provide conclusions in each area and explain to parents
1
If the studentonly provides conclusions without giving explanations to parents or vice versa
2
If the student gives conclusions and explains to parents
Termination Phase
20
0
If the student does not conduct an evaluation
1
If the student evaluates but does not observe the child's appearance
2
If studentevaluates and observes the child's appearance
21
0
If the student does not convey a follow-up plan
1
If a student conveys a follow-up plan, but it is not related to labor that has just been performed
2
If a student conveys a follow-up plan related to labor that has just been performed
22
0
If the student does not say goodbye to the patient/parents
1
If the studentsays goodbye but does not use therapeutic communication techniques
2
If the studentsays goodbye to patients/parents using therapeutic communication techniques
23
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
TECHNICAL INSTRUCTIONS/BABY MASSAGE RUBRIC
NO
SCORE
EXPLANATION
Pre-interaction Phase
1
0
If the student does not read cases
1
If the student does not read cases carefully and thoroughly
2
If the studentreads the case carefully and thoroughly
2
0
If the student does not prepare tools
1
If there is a tool that is lacking
2
If the student prepares the equipment completely
3
0
If the student does not maintain privacy, both doors/screens/curtains
1
If the studentmaintains privacy, but there are still some that have not yet closed
2
If the studentmaintains privacy perfectly
4
0
If the student does not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
Orientation Phase
5
0
If the student does not greet and says the patient's name
1
If the student does not greet but says the client's name and vice versa
2
If the studentgreets and says the patient's name
6
0
If the student does not introduce themselves
1
If the studentintroduces themselves but does not use therapeutic communication techniques
2
If the studentintroduces themselves by using therapeutic communication techniques
7
0
If the student does not identify the patient
1
If a student identifies a patient but does not ask the patient to state his name and age or does not see the bracelet the patient is wearing
2
If a student identifies a patient by looking at the bracelet and asks the patient to state name and age
8
0
If the student does not explain the purpose of the action completely and thoroughly
1
If the student explains the purpose of the action but is incomplete
2
If the studentexplains the purpose of the action completely and thoroughly
9
0
If the studentdoes not explain the procedure of action fully and completely
1
If the student explains the procedure of action but is incomplete
2
If the studentexplains the procedure of action fully and completely
10
0
If the studentdoes not provide an opportunity for patients to ask
1
If studentprovide opportunities for patients to ask questions but does not use therapeutic communication techniques
2
If the student provides opportunities for patients to ask questions using therapeutic communication techniques
11
0
If the student does not ask for patient readiness
1
If a student asks for patient readiness but does not use therapeutic communication techniques
2
If the studentasks for patient readiness and uses therapeutic communication techniques
Working Phase
12
0
If the student does not take off the jewelry, ensure the room is warm, the baby is not hungry and plays music
1
If a student takes off jewelry, ensures the room is warmbut does not ensure the baby is full and does not turn on the music or vice versa
2
If the studenttakes off jewelry, ensures the room is warm, the baby is not hungry, and plays music
13
0
If the student does not do foot massage and the final movement
1
If a student does a foot massage but does not perform the final move or vice versa
2
If the studentdoes foot massage and final movements
14
0
If the student does not do abdominal massage
1
If the student just brings the kidney trayclose but does not put it above the pad
2
If the studentputs the kidney trayabove the pad
15
0
If the student does not put the sponge bowlcontaining a monocatheter soaked in warm water on the pad
1
If the student only brings the sponge bowlcontaining the monocatheter soaked in warm water but does not place it on the pad
2
If the student puts a sponge bowl containing monocatheter soaked in warm water above the pad
0
If the student does not apply jelly to the end of the mono catheter
1
If the studentapplies jelly to all parts of the mono catheter
2
If the studentapplies jelly on the end of the mono catheter
16
0
If the student does not open the anus using the index finger and thumb of the left hand wrapped in cotton
1
If a student opens the anus with the index finger and thumb of the left hand, but the student's finger is not wrapped in cotton
2
If the studentopens the anus with the index finger and thumb of the left hand wrapped in cotton
17
0
If the student does not place the base of the catheter in a kidney trayfilled with water
1
If the student places the base of the catheter in a kidney traybut does not contain water
2
If studentplace the base of the catheter in a kidney traythat is filled with water
18
0
If the student does not insert the tip of the catheter slowly
1
If the student inserts the tip of the catheter, but there is no visible air bubble in the kidney tray
2
If the student inserts the tip of the catheter until the air bubbles can be seen in the kidney tray
19
0
If the student does not hold the catheter in the anus until the air bubble coming out of the catheter stops
1
If the student has taken off the catheter even though the air bubble has not stopped
2
If the studentholds the catheter in the anus until the air bubbles coming out of the catheter stop
20
0
If the student does not dry the anus and the surrounding area with a soft towel or cloth
1
If the studentonly dries the anal area without drying the surrounding area
2
If studentdries the anal area and surrounding area using a towel or soft cloth
21
0
If the student does not take off the gloves
1
If the student takes off the gloves but in an incorrect way
2
If the studenttakes off gloves but in the right way (dirty meets dirty)
Termination Phase
22
0
If the student does not conduct an evaluation
1
If the student evaluates but does not observe the child's appearance
2
If studentevaluates and observes the child's appearance
23
0
If the student does not convey a follow-up plan
1
If a student conveys a follow-up plan, but it is not related to labor that has just been performed
2
If a student conveys a follow-up plan related to labor that has just been performed
24
0
If the student does not say goodbye to the patient/parents
1
If the studentsays goodbye but does not use therapeutic communication techniques
2
If the studentsays goodbye to patients/parents using therapeutic communication techniques
25
0
If the student does not return the tool
1
If the student returns the tool,but there are still tools left
2
If the student returns all the tools that were just used
26
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
TECHNICAL INSTRUCTIONS/CHEST PHYSIOTHERAPYRUBRIC
NO
SCORE
EXPLANATION
Pre-interaction Phase
1
0
If the student does not read cases
1
If the studentdoes not read cases carefully and thoroughly
2
If the studentreads the case carefully and thoroughly
2
0
If the studentdoes not prepare tools
1
If there is a tool that is lacking
2
If the studentprepares the equipment completely
3
0
If the studentdoes not maintain privacy, both doors/screens/curtains
1
If the studentmaintains privacy, but there are still some that have not yet closed
2
If the studentmaintains privacy perfectly
4
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
Orientation Phase
5
0
If the student does not greet and says the patient's name
1
If the student does not greet but says the client's name and vice versa
2
If the studentgreets and says the patient's name
6
0
If the student does not introduce themselves
1
If the studentintroduces themselves but does not use therapeutic communication techniques
2
If the studentintroduces themselves by using therapeutic communication techniques
7
0
If the student does not identify the patient
1
If a student identifies a patient but does not ask the patient to state his name and age or does not see the bracelet the patient is wearing
2
If a student identifies a patient by looking at the bracelet and asks the patient to state name and age
8
0
If the studentdoes not explain the purpose of the action completely and thoroughly
1
If the student explains the purpose of the action but is incomplete
2
If the studentexplains the purpose of the action completely and thoroughly
9
0
If the studentdoes not explain the procedure of action fully and completely
1
If the student explains the procedure of action but is incomplete
2
If the studentexplains the procedure of action fully and completely
10
0
If the studentdoes not provide an opportunity for patients to ask
1
If studentprovide opportunities for patients to ask questions but does not use therapeutic communication techniques
2
If the studentprovides opportunities for patients to ask questions using therapeutic communication techniques
11
0
If the student does not ask for patient readiness
1
If a student asks for patient readiness but does not use therapeutic communication techniques
2
If the studentasks for patient readiness and uses therapeutic communication techniques
Working Phase
12
0
If the student does not adjust the position according to the area of pulmonary disorders
1
If a student adjusts the position but is not right
2
If the student adjusts the position of the pulmonary disorders correctly
13
0
If the student does not place the pad and bring the kidney tray close
1
If the student places the pad but does not bring the kidney tray closeor vice versa
2
If the student places the pad and brings the kidney tray close
14
0
If the studentdoes not do clapping
1
If a student does clapping but the palm is in an open position so that the patient feels pain
2
If a student does clapping with a closed palm, so it does not make the patient feel pain
15
0
If the student does not encourage patients to be inspired
1
If a student encourages a patient to inspire, but the student's hand is not on the patient's back
2
If the student encourages the patient to inspire and the student's hand is not on the patient's back
16
0
If the student does not ask the patient to do expiration
1
If a student asks a patient to do expiration but does not do vibration at the same time
2
If a student asks a patient to do expiration and vibration at the same time
17
0
If the student does not ask the patient to inspire, hold for a moment, and cough strongly
1
If the student asks the patient to inspire but does not ask the patient to cough strongly or vice versa
2
If the studentasks patients to inspire and ask patients to cough strongly
18
0
If the student does not collect the slime in a sputum pot
1
If the studentcollects the slime in a kidney tray
2
If a student collects the slime in a sputum pot
19
0
If the student does not auscultate the lungs
1
If a student does auscultation,but the lung area is not right
2
If the student does auscultation in the lung area appropriately
20
0
If the studentdoes not show a cautious attitude and does not pay attention to the patient's response
1
If the student is less careful in taking action but pays attention to the patient's response or vice versa
2
If the studentshows a cautious attitude and pays attention to the patient's response
Termination Phase
21
0
If the student does not conduct an evaluation
1
If the student evaluates but does not observe the child's appearance
2
If studentevaluates and observes the child's appearance
21
0
If the student does not convey a follow-up plan
1
If a student conveys a follow-up plan, but it is not related to labor that has just been performed
2
If a student conveys a follow-up plan related to labor that has just been performed
23
0
If the student does not say goodbye to the patient/parents
1
If the studentsays goodbye but does not use therapeutic communication techniques
2
If the studentsays goodbye to patients/parents using therapeutic communication techniques
24
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
TECHNICAL INSTRUCTIONS/ANUS TREATMENTRUBRIC
NO
SCORE
EXPLANATION
Pre-interaction Phase
1
0
If the studentdoes not read cases
1
If the studentdoes not read cases carefully and thoroughly
2
If the studentreads the case carefully and thoroughly
2
0
If the studentdoes not prepare tools
1
If there is a tool that is lacking
2
If the studentprepares the equipment completely
3
0
If the studentdoes not maintain privacy, both doors/screens/curtains
1
If the studentmaintains privacy, but there are still some that have not yet closed
2
If the studentmaintains privacy perfectly
4
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
Orientation Phase
5
0
If the student does not greet and says the patient's name
1
If the student does not greet but says the client's name and vice versa
2
If the studentgreets and says the patient's name
6
0
If the student does not introduce themselves
1
If the studentintroduces themselves but does not use therapeutic communication techniques
2
If the studentintroduces themselves by using therapeutic communication techniques
7
0
If the student does not identify the patient
1
If a student identifies a patient but does not ask the patient to state his name and age or does not see the bracelet the patient is wearing
2
If a student identifies a patient by looking at the bracelet and asks the patient to state name and age
8
0
If the studentdoes not explain the purpose of the action completely and thoroughly
1
If the student explains the purpose of the action but is incomplete
2
If the studentexplains the purpose of the action completely and thoroughly
9
0
If the studentdoes not explain the procedure of action fully and completely
1
If the student explains the procedure of action but is incomplete
2
If the studentexplains the procedure of action fully and completely
10
0
If the studentdoes not provide an opportunity for patients to ask
1
If studentprovide opportunities for patients to ask questions but does not use therapeutic communication techniques
2
If the studentprovides opportunities for patients to ask questions using therapeutic communication techniques
11
0
If the student does not ask for patient readiness
1
If a student asks for patient readiness but does not use therapeutic communication techniques
2
If the studentasks for patient readiness and uses therapeutic communication techniques
Working Phase
12
0
If the studentdoes not wear gloves
1
If the studentwears gloves but takes a long time
2
If the studentwears gloves properly
13
0
If the student does not put the pad under the patient's buttocks
1
If the student puts the pad but not under the patient's buttocks
2
If a student puts the pad under the patient's buttocks
14
0
If the student does not put a kidney tray above the pad
1
If the student just brings kidney trayclose but does not put it above the pad
2
If studentput a kidney tray above the pad
15
0
If the student does not put the sponge bowlcontaining cotton soaked in warm water on the pad
1
If the student just brings the sponge bowlcontaining cotton soaked in warm water but does not put it on the pad
2
If the student places the sponge bowlcontaining cotton soaked in warm water on the pad
16
0
If the student does not open the anus using the index finger and thumb of the left hand wrapped in cotton
1
If a student opens the anus with the index finger and thumb of the left hand, but the student's finger is not wrapped in cotton
2
If the studentopens the anus with the index finger and thumb of the left handwrapped in cotton
17
0
If the student does not clean the anus and the surrounding area with cotton in warm water
1
If the studentonly cleans the anus without cleaning the area around the anus
2
If a student cleans the anus and the surrounding area using cotton in warm water
18
0
If the student does not dry the anus and the surrounding area with a soft towel or cloth
1
If the studentonly dries the anal area without drying the surrounding area
2
If studentdries the anal area and surrounding area using a towel or soft cloth
19
0
If the student does not observe the anus and its surroundings
1
If the student only observes the anus without regard to the surrounding area or vice versa
2
If a student observes the anus and the surrounding area
20
0
If a student does not apply an ointment with a cotton swabwhen irritation occurs and applies baby oil with a cotton swabif irritation does not occur
1
If the studentapplies ointment/baby oil by hand (does not use cotton swabs)
2
If the studentapplies ointment with cotton swabs if irritation occurs and applies baby oil with cotton swabs if irritation does not occur
21
0
If the student does not take off the gloves
1
If the student takes off the gloves but in an incorrect way
2
If the studenttakes off gloves but in the right way (dirty meets dirty)
Termination Phase
22
0
If the student does not conduct an evaluation
1
If the student evaluates but does not observe the child's appearance
2
If studentevaluates and observes the child's appearance
23
0
If the student does not convey a follow-up plan
1
If a student conveys a follow-up plan, but it is not related to labor that has just been performed
2
If a student conveys a follow-up plan related to labor that has just been performed
24
0
If the student does not say goodbye to the patient/parents
1
If the studentsays goodbye but does not use therapeutic communication techniques
2
If the studentsays goodbye to patients/parents using therapeutic communication techniques
25
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
TECHNICAL INSTRUCTIONS/SKORSTIN(RECTAL TUBE) INSTALLATION RUBRIC
NO
SCORE
EXPLANATION
Pre-interaction Phase
1
0
If the student does not read cases
1
If the student does not read cases carefully and thoroughly
2
If the studentreads the case carefully and thoroughly
2
0
If the student does not prepare tools
1
If there is a tool that is lacking
2
If the student prepares the equipment completely
3
0
If the student does not maintain privacy, both doors/screens/curtains
1
If the studentmaintains privacy, but there are still some that have not yet closed
2
If the studentmaintains privacy perfectly
4
0
If the student does not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
Orientation Phase
5
0
If the student does not greet and says the patient's name
1
If the student does not greet but says the client's name and vice versa
2
If the studentgreets and says the patient's name
6
0
If the student does not introduce themselves
1
If the studentintroduces themselves but does not use therapeutic communication techniques
2
If the studentintroduces themselves by using therapeutic communication techniques
7
0
If the student does not identify the patient
1
If a student identifies a patient but does not ask the patient to state his name and age or does not see the bracelet the patient is wearing
2
If a student identifies a patient by looking at the bracelet and asks the patient to state name and age
8
0
If the student does not explain the purpose of the action completely and thoroughly
1
If the student explains the purpose of the action but is incomplete
2
If the studentexplains the purpose of the action completely and thoroughly
9
0
If the studentdoes not explain the procedure of action fully and completely
1
If the student explains the procedure of action but is incomplete
2
If the studentexplains the procedure of action fully and completely
10
0
If the studentdoes not provide an opportunity for patients to ask
1
If studentprovide opportunities for patients to ask questions but does not use therapeutic communication techniques
2
If the student provides opportunities for patients to ask questions using therapeutic communication techniques
11
0
If the student does not ask for patient readiness
1
If a student asks for patient readiness but does not use therapeutic communication techniques
2
If the studentasks for patient readiness and uses therapeutic communication techniques
Working Phase
12
0
If the student does not wear gloves
1
If the studentwears gloves but takes a long time
2
If the studentwears gloves properly
13
0
If the student does not put the pad under the patient's buttocks
1
If the student puts the pad but not under the patient's buttocks
2
If a student puts the pad under the patient's buttocks
14
0
If the student does not put a kidney tray above the pad
1
If the student just brings kidney trayclose but does not put it above the pad
2
If studentput a kidney tray above the pad
15
0
If the student does not put the sponge bowlcontaining cotton soaked in warm water on the pad
1
If the student just brings the sponge bowlcontaining cotton soaked in warm water but does not put it on the pad
2
If the student places the sponge bowlcontaining cotton soaked in warm water on the pad
0
If the student does not apply jelly to the end of the mono catheter
1
If the studentapplies jelly to all parts of the mono catheter
2
If the studentapplies jelly on the end of the mono catheter
16
0
If the student does not open the anus using the index finger and thumb of the left hand wrapped in cotton
1
If a student opens the anus with the index finger and thumb of the left hand, but the student's finger is not wrapped in cotton
2
If the studentopens the anus with the index finger and thumb of the left handwrapped in cotton
17
0
If the student does not place the base of the catheter in a kidney traythat is filled with water
1
If the student places the base of the catheter in a kidney traybut does not contain water
2
If studentplace the base of the catheter in a kidney traythat is filled with water
18
0
If the student does not insert the tip of the catheter slowly
1
If the student inserts the tip of the catheter, but there is no visible air bubble in the kidney tray
2
If the student inserts the tip of the catheter until the air bubbles can be seen in the kidney tray
19
0
If the student does not hold the catheter in the anus until the air bubble coming out of the catheter stops
1
If the student has taken off the catheter even though the air bubble has not stopped
2
If the studentholds the catheter in the anus until the air bubbles coming out of the catheter stop
20
0
If the student does not dry the anus and the surrounding area with a soft towel or cloth
1
If the studentonly dries the anal area without drying the surrounding area
2
If studentdries the anal area and surrounding area using a towel or soft cloth
21
0
If the student does not take off the gloves
1
If the student takes off the gloves but in an incorrect way
2
If the studenttakes off gloves but in the right way (dirty meets dirty)
Termination Phase
22
0
If the student does not conduct an evaluation
1
If the student evaluates but does not observe the child's appearance
2
If studentevaluates and observes the child's appearance
23
0
If the student does not convey a follow-up plan
1
If a student conveys a follow-up plan, but it is not related to labor that has just been performed
2
If a student conveys a follow-up plan related to labor that has just been performed
24
0
If the student does not say goodbye to the patient/parents
1
If the studentsays goodbye but does not use therapeutic communication techniques
2
If the studentsays goodbye to patients/parents using therapeutic communication techniques
25
0
If the student does not return the tool
1
If the student returns the tool,but there are still tools left
2
If the student returns all the tools that were just used
26
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
TECHNICAL INSTRUCTIONS/NEONATUS RESUSCITATION RUBRIC
NO
SCORE
EXPLANATION
Pre-interaction Phase
4
0
If the student does not identify the indication
1
If the studentdoes not identify indications carefully and thoroughly
2
If the studentidentifies indications carefully and thoroughly
Orientation Phase
5
0
If the studentdoes not prepare tools
1
If the studentdoes not prepare the tools completely
2
If a student prepares complete tools (gloves, 2 large towels, cloths for pads, stethoscopes, lender suction, neonates and lid resuscitation balloons, oxygen source, clock/stopwatch)
Working Phase
12
0
If the studentdoes not wash their hands with 6 steps correctly and does not wear gloves
1
If studentwashes their hands with 6 steps correctly but not in sequence and wears gloves or vice versa
2
If studentwashes their hands with 6 steps correctly and wears gloves
13
0
If the student does not take the first step of resuscitation
1
If the student does the first step of resuscitation but it is not according to the sequence
2
If the student does the first step of resuscitation correctly and in sequence (warms and dries the neonate, positions hyperextension with a cloth propped up, cleans the secret from the mouth and nose, stimulates breathing by flicking the soles of the feet/rubbing the back, repositioning)
14
0
If a student does not conduct a neonatal evaluation
1
If a student evaluates a neonate but is still incomplete
2
If the student performs a complete neonatal evaluation (checks the breathing, skin color, heart frequency for 6 seconds X 10)
15
0
If the studentdoes not provide positive pressure ventilation
1
If the studentprovides positive pressure ventilation, but it is still incomplete
2
If the student provides complete positive pressure ventilation (stands on the top of the baby's head, the mask position covers the mouth, nose, and tip of the chin, provide breathing by pumping a balloon with a count of one-off-off or a pump-off-off)
0
If a student does not assess the heart rate at the apex
1
If a student assesses the heart rate, but the position is not at the apex or does not assess the heart rate for 6 X 10 seconds
2
If a student assesses the heart rate at the apex for 6 X 10 seconds
16
0
If the student does not perform chest compression
1
If the student performs chest compressions but does not use the right method
2
If the student performs chest compressions correctly (standing in front of the neonate, the two thumbs side by side placed under 1/3 under the sternum/between the xiphoid and the imaginary line of the nipple and the fingers of the other hand encircling the chest and supporting from behind the chest)
17
0
If the studentdoes not perform compression
1
If the student performs compression but does not use the right way
2
If the student performs compression correctly (pressing the breastbone as deep as 1/3 of the superior anterior diameter, calculating one-two-three-pump compression and so on until the count of 15)
18
0
If the student does not observe the heart rate and breathing
1
If a student only observes the heart rate but does not observe neonatal breathing or vice versa
2
If a student observes heart rate and breathing
19
0
If the student does not stop resuscitation after neonatal heart rate> 100
1
If a student stops resuscitation but the baby's heart rate is still <100
2
If a student stops resuscitation if the neonate's heart rate is> 100 and the neonate starts breathing spontaneously
Termination Phase
22
0
If the student does not place the baby in a comfortable position, tidy up the tool, and put it back in place
1
If the student places the baby in a comfortable position but does not tidy up and return the tool or vice versa
2
If the student places the baby in a comfortable position, tidies up and returns the tool to its place
23
0
If the student does not document the action
1
If the student documents the action, but it is still incomplete
2
If the studentdocuments the complete action (date, time, neonatal response)
TECHNICAL INSTRUCTIONS/WATER TEPID SPONGERUBRIC
NO
SCORE
EXPLANATION
Pre-interaction Phase
1
0
If the student does not read cases
1
If the student does not read cases carefully and thoroughly
2
If the studentreads the case carefully and thoroughly
2
0
If the student does not prepare tools
1
If there is a tool that is lacking
2
If the student prepares the equipment completely
3
0
If the student does not maintain privacy, both doors/screens/curtains
1
If the studentmaintains privacy, but there are still some that have not yet closed
2
If the studentmaintains privacy perfectly
4
0
If the student does not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
Orientation Phase
5
0
If the student does not greet and says the patient's name
1
If the student does not greet but says the client's name and vice versa
2
If the studentgreets and says the patient's name
6
0
If the student does not introduce themselves
1
If the studentintroduces themselves but does not use therapeutic communication techniques
2
If the studentintroduces themselves by using therapeutic communication techniques
7
0
If the student does not identify the patient
1
If a student identifies a patient but does not ask the patient to state his name and age or does not see the bracelet the patient is wearing
2
If a student identifies a patient by looking at the bracelet and asks the patient to state name and age
8
0
If the student does not explain the purpose of the action completely and thoroughly
1
If the student explains the purpose of the action but is incomplete
2
If the studentexplains the purpose of the action completely and thoroughly
9
0
If the studentdoes not explain the procedure of action fully and completely
1
If the student explains the procedure of action but is incomplete
2
If the studentexplains the procedure of action fully and completely
10
0
If the studentdoes not provide an opportunity for patients to ask
1
If studentprovide opportunities for patients to ask questions but does not use therapeutic communication techniques
2
If the student provides opportunities for patients to ask questions using therapeutic communication techniques
11
0
If the student does not ask for patient readiness
1
If a student asks for patient readiness but does not use therapeutic communication techniques
2
If the studentasks for patient readiness and uses therapeutic communication techniques
Working Phase
12
0
If the student does not wear gloves
1
If the studentwears gloves but takes a long time
2
If the studentwears gloves properly
13
0
If the student does not place a pad under the baby's body
1
If a student places a pad, but only on the part of the baby's body
2
If a student places a pad under the baby's entire body
14
0
If the studentdoes not take off baby clothes
1
If a student only takes off some of the baby's clothes, only the top or bottom
2
If the studenttakes off all baby clothes
15
0
If the student does not put baby blankets
1
If a student puts a baby blanket only on the bottom or top of the baby
2
If a student puts a blanket on the baby
16
0
If the student does not dip the washcloth/towel into the basin and rubbed it on the whole body
1
If the student does not dip the washcloth or towel on the baby but rubs it on the baby's body or vice versa
2
If a student dips a washcloth or towel on the baby and rubs it on the baby's body
17
0
If a student does not take these actions several times
1
If a student repeats the activity but when the baby's skin is still not dry
2
If a student repeats the action several times after the baby's skin is dry
18
0
If the student does not examinebody temperature every 15-20 minutes
1
If a student examines body temperature less than 15 minutes or more than 20 minutes
2
If a student examines body temperature every 15-20 minutes
19
0
If the student does not stop the procedure if body temperature approaches normal
1
If a student stops the procedure before the body temperature approaches normal, or the student stops the procedure after the body temperature is below the normal limit
2
If a student stops the procedure after body temperature approaches normal
20
0
If the student does not dry the baby's body with a towel
1
If the student dries the baby's body but does not yet completely dry
2
If studentdries the baby's body until it is completely dry
21
0
If the student does not return the tools and take out the trash
1
If the studentreturns the tools but does not throw away the trash or vice versa
2
If the studentreturns the tools and disposes of trash in its place
Termination Phase
22
0
If the student does not conduct an evaluation
1
If the student evaluates but does not observe the child's appearance
2
If studentevaluates and observes the child's appearance
23
0
If the student does not convey a follow-up plan
1
If a student conveys a follow-up plan, but it is not related to labor that has just been performed
2
If a student conveys a follow-up plan related to labor that has just been performed
24
0
If the student does not say goodbye to the patient/parents
1
If the studentsays goodbye but does not use therapeutic communication techniques
2
If the studentsays goodbye to patients/parents using therapeutic communication techniques
25
0
If the studentdoes not wash their hands with 6 steps in the right order
1
If studentwashes their hands with 6 steps correctly but not in sequence
2
If studentwashes their hands with 6 steps in the right order
MEDICATION PROCEDURESWITH SYRINGE PUMP
NO
WITH SYRINGE PUMP
WEIGHTS
YES
NO
A
ORIENTATION PHASE
1
Say greetings
2
2
Introduce oneself
2
3
Explain the purpose
3
4
Explain the procedure
3
5
Asking patient and family readiness
3
B
WORKING PHASE
1
Washing hands
3
2
Wear gloves
3
3
Put the syringe pump on a tie pole with a safety strap positioned close to the location of the infusion installation.
3
4
Take medicine put in a 20 cc / 50 cc syringe as needed and dilute with 0.9% NaCl according to the dose.
7
5
Connect with perfusion hose, one at the end of the infusion pinhole that has a tree way stop chock attached, and the other end at the syringe
7
6
Place the syringe (10 ccs, 20 ccs, 30, cc, or 50 ccs) in its place.
7
7
Adjust the position of the tree way door in a flowing state.
7
8
Set the dose by pressing hundreds/tens of decimal units.
7
9
If there are air bubbles at a glance, remove or press with the (reset & purge) button until the bubbles have been removed.
7
10
Press the start button
3
11
Say Alhamdulillaah
3
12
Tidy up the tools and get rid of the trash
3
13
Take off the gloves
3
14
Tidy up the client
3
15
Ask about patient comfort
3
C
TERMINATION PHASE
1
Evaluating
3
2
Convey a follow-up plan
3
3
Say goodbye
3
D
APPEARANCE DURING ACTION
1
Calmness
2
2
Conduct therapeutic communication
3
3
Maintain patient safety
2
4
Maintain nurse safety
2
SCORE: Total: 3.6
MEDICATION PROCEDURESRUBRIC
WITH SYRINGE PUMP
NO
RATED ASPECT
CONDUCTED
YES
NO
A
ORIENTATION PHASE
1
Say greetings
Say good morning/assalamulaikum
Does not say good morning/assalamualaikum
2
Introduce oneself
Mention the name of the nurse and serve in the hours ... until...
Just mentions the name
3
Explain the purpose
Explain the objectives in a concise manner
Does not explainthe purpose
4
Explain the procedure
Explain the procedure concisely and clearly
Doesnot explain the procedure
5
Asking patient and family readiness
Asking if patient and family are ready and willing to take action
Just asking for willingness
B
WORKING PHASE
1
Washing hands
Wash hands with 6 steps correctly
Does not wash hands with 6 steps
2
Wear gloves
Wear gloves
Does not wear gloves
3
Put the syringe pump on a tie pole with a safety strap positioned close to the location of the infusion installation.
Put the syringe pump appropriately on the standard infusion with a position above the safety position
Put the syringe pump, not on the standard infusion with a position above the safety position
4
Take medicine put in a 20 cc / 50 cc syringe as needed and dilute with 0.9% NaCl according to the dose.
Take medicine and dilute according to the dosage given
The medicine is not diluted
5
Connect with perfusion hose, one at the end of the infusion pinhole that has a tree way stop chock attached, and the other end at the syringe
Connect the syringe with perfusion hose, and a three-way stop cock and lock it properly
Does not connect the perfusion hose with the syringe.
6
Place the syringe (10 ccs, 20 ccs, 30, cc, or 50 ccs) in its place.
The syringe is mounted in place, the position of the syringe is properly attached, there is no red color on the indicator of the syringe pump
The syringe is not put in place
7
Adjust the position of the tree way door in a flowing state.
The position of the connector in the open state leads to the patient's vein, and the position has locked the cover of three-way stop cock
Three-way stop cock connector isnot opened (forgot to set the three-way connector)
8
Set the dose by pressing hundreds/tens of decimal units.
If there are air bubbles at a glance, remove or press with the (reset & purge) button until the bubbles have been removed.
Adjust the position by pressing the button according to the numbers of hundreds/dozens with the appropriate dose and throw bubbles if there are air bubbles in the hose
Does not adjust the position by pressing the button in accordance with the number ofhundreds/ dozens with the appropriate dose correctly, and does not throw air bubbles
9
Press the start button
Press the start button
Does not press the start button
10
Say Alhamdulillaah
Say hamdalah
Not saying hamdalah
11
Tidy up the tools and get rid of the trash
Tidy up the tools that have been used and take out the trash
The tool is not tidied, and the trash is not thrown away
12
Take off the gloves
Remove the gloves by pulling out and the opposite hand grasping and rolling the gloves, immediately thrown into the trash
Gloves are not removed
13
Tidy up the client
Position as before
Not position
14
Ask about patient comfort
15
Washing hands
Wash hands with 6 steps correctly
Does not wash hands with 6 steps
C
TERMINATION PHASE
1
Evaluating
Ask the family how the response after being given an action
Not asking for the response after being given an action
2
Convey a follow-up plan
Conveying the next action plan and time contract
Only a time contract
3
Say goodbye
Say greetings
Does not say hello
D
APPEARANCE DURING ACTION
1
Calmness
The studentdoes it in a relaxed and serious way
The student is not concentrated, often repeat themselves
2
Conduct therapeutic communication
Conduct therapeutic communication well
Conduct therapeutic communication properly
3
Maintain patient safety
Put the side trail back in the locked position
The side trail is not installed and locked.
4
Maintain nurse safety
Wash hands after the action
Does not wash hands after action
TOTAL
INSTRUMENT FOR THE ASSESSMENT OF THERAPEUTIC PLAY SKILLS
No
Rated Aspect
Weights
Score
Explanation
Yes
No
A.
PRE-INTERACTION PHASE
1
Patient identification according to characteristics
6
2
Prepare a tool or media play.
5
B.
ORIENTATION PHASE
1
Therapeutic interactions: greetings and introducing oneself and introducing fellow participants
6
2
Explain the purpose of the play
6
4
Make a time contract
6
5
Explain the game procedure
6
6
Give examples of how to play
6
C.
WORKING PHASE
1
Involve children and family
6
2
Explain the purpose of the play
6
3
Explain play instructions
6
4
Demonstrating the play correctly
6
5
Encourage active participants to play
6
6
Observe children's emotions, interpersonal and psychomotor relationships
6
D.
TERMINATION PHASE
1
Evaluating children
6
2
Give appreciations to children
5
3
Motivate children and parents
6
4
Say goodbye, say hello, and tidy up the tools
5
TOTAL
100
THERAPEUTIC PLAY SKILLSRUBRIC
No
Rated Aspect
SCORE
Yes
No
A.
PRE-INTERACTION PHASE
1
Patient identification according to characteristics
Grouping the age of the child according to the type of play that will be given
Does not group the child's age
2
Prepare a tool or media play.
Prepare all equipment that will be used for play therapy according to the number of participants
Tools or media play are less or not according to the number of participants
B.
ORIENTATION PHASE
1
Therapeutic interactions: greetings and introducing oneself and introducing fellow participants
The leader greets and introduces himself to the participants, then the facilitator introduces himself to the participants, followed by the participants getting to know each other.
The leader says greetings to the participants, and the facilitator does not introducehimself to the participants, then the participants get to know each other.
2
Explain the purpose of the play
Explain the specific purpose of the play
Does not explain the purpose of the play
4
Make a time contract
Convey the time needed to play
Does not convey the time needed to play
5
Explain the game procedure
Briefly explain the play procedure
Does not explain the procedure of the play briefly
6
Give examples of how to play
Give examples of how to play toward play therapy participants
Does not give examples of how to play toward play therapy participants
C.
WORKING PHASE
1
Involve children and family
Involving children and involving family
Does not involve the family
2
Explain the purpose of the play
Explain the purpose of the play
Does not explain the purpose of the play
3
Explain play instructions
Explain the play instructions
Does not explain the play instructions
4
Demonstrating the play correctly
Demonstrating how to play correctly
Does not demonstrate the play
5
Encourage active participants to play
Motivate children to be active in the play.
Does not invite children actively in the play
6
Observe children's emotions, interpersonal and psychomotor relationships
Observe children's expressions, relationships with participants, and child psychomotor
Does not observe the child's expression, relationships between participants, and child psychomotor
D.
TERMINATION PHASE
1
Evaluating children
Asking the child's feelings after following play therapy
Does not askthe child's feelings after taking play therapy
2
Give appreciations to children
Give appreciations to children who can follow the play until the end
Does not give appreciations to children who could follow the play until the end
3
Motivate children and parents
Provide the motivation to families to always invite children to play during treatment
Does not provide motivation to families to always invite children to play during treatment
4
Say goodbye, say hello, and tidy up the tools
Say goodbye to children by greeting and cleaning the tools
Just saying goodbye to the child
TOTAL
INSTRUMENTS FOR ASSESSMENT OF BCG IMMUNIZATION PROCEDURES
NO
RATED ASPECTS
WEIGHTS
CONDUCTED
YES
NO
A
ORIENTATION PHASE
1
Say greetings
2
2
Introduce oneself
2
3
Explain the purpose
2
4
Explain the procedure
2
5
Asking patient and family readiness
2
B
WORKING PHASE
1
Washing hands
3
2
Inspire the BCG vaccine, exactly 0.05 ml
12
3
Adjust the patient's position according to the puncture site
5
4
Place the pad and pedestal
3
5
Free the area to be injected
3
6
Clean the skin with a damp cotton cloth (looped in and out)
10
7
Place the dominant finger on the patient's skin flat in the deltoid area of the upper arm of the right hand at an angle of less than 15 °
15
8
Inject the medicine slowly
5
9
Syringe fangs with the same angle do not massage the injection site.
15
10
Throw the syringe into a kidney tray
3
11
Washing hands
3
C
TERMINATION PHASE
1
Convey side effects
3
2
Conveying RTL (Follow-up Plan): verbally conveyed to parents when a fever occurs. The child is given a warm compress, and if the liquid comes out of the injection, left it.
8
3
Documentation
2
TOTAL
100
RUBRIC ASSESSMENT OF BCG IMMUNIZATION PROCEDURES
NO
RATED ASPECTS
CONDUCTED
YES
NO
A
ORIENTATION PHASE
1
Say greetings
Say good morning/assalamulaikum
Does not say good morning/assalamulaikum
2
Introduce oneself
Mention the name of the nurse and serve in the hours ... until...
Just mention the name
3
Explain the purpose
Briefly explain the purpose (provide immunity against TB)
Does not explain the purpose
4
Explain the procedure
Explain the procedure concisely and clearly, and the child will be injected into the upper right arm at a dose of 0.05 cc
Does not explain the procedure
5
Asking patient and family readiness
Asking if patient and family are ready and willing to take action
Just asking for willingness
B
WORKING PHASE
1
Washing hands
Wash hands with 6 steps correctly
Does not wash hands with 6 steps
2
Inspire the BCG vaccine, exactly 0.05 ml
BCG vaccine entered the syringe exactly 0.05 cc without air
The BCG vaccine entered the syringe at exactly 0.05 cc
3
Adjust the patient's position according to the puncture site
Position the baby lying on the bed or the parent's lap with the arm over the right hand towards the health worker.
Just positioning the baby in bed or on the lap
4
Place the pad and pedestal
Place the pad and pedestal
Does not place the pad and pedestal
5
Free the area to be injected
Pull the skin over the injection site, press, and stretch the skin with the thumb and index finger with the non-dominant hand to ease the piercing and reduce discomfort.
Pulling the skin over the injection site, press, and stretch the skin with the thumb and index finger with the hand
6
Clean the skin with a damp cotton cloth (looped in and out)
Placing alcohol cotton on the third and fourth fingers of the non-dominant handto support the skin around the prick and pull the needle. Clean the injection area with a warm cotton swab circularly from the inside outand let it dry.
Clean the skin with damp cotton (not curled in and out)
7
Place the dominant finger on the patient's skin flat in the deltoid area of the upper arm of the right hand at an angle of less than 15 °
The injection site is about 3 fingers (2.5-5 cm) below the acromion.
Just inject the syringe at an angle of 15 degrees
8
Inject the medicine slowly
Place the dominant finger flat on the patient's skin flat in the deltoid area of the upper arm of the right hand at an angle of fewer than 15 degrees.
Insert medicine inadvertently
9
Syringe fangs with the same angle do not massage the injection site.
Inject the needle into the skin until 1/3 or ½ the length of the needle, then push the plunger with a non-dominant hand slowly (the epidermal layer will protrude tightly).
Does not pull the syringe slowly, attaching the injection site
10
Throw the syringe into a kidney tray
Pull the syringe slowly without attaching the injection site
Does not throw the syringe into a kidney tray/safety box
11
Washing hands
Throw the syringe into a kidney tray/safety box
Does not wash hands with 6 steps
C
TERMINATION PHASE
1
Convey side effects
Conveying side effects after immunization
Does not convey the side effects after immunization
2
Conveying RTL (Follow-up Plan): verbally conveyed to parents when a fever occurs. The child is given a warm compress, and if the liquid comes out of the injection, left it.
Conveyingthe RTL: verbally conveyed to parents if there is a fever, the child is given a warm compress, and if the liquid comes out of the injection, left it.
Not conveying the RTL
3
Documentation
Documenting the date, name, and dosage of the medicine as well as the patient's response and the signature and full name of the nurse who conductsit.
Not documented in nursing records
TOTAL
INSTRUMENT FOR ASSESSMENT OF PENTABIO IMMUNIZATION PROCEDURE
NO
RATED ASPECTS
WEIGHTS
CONDUCTED
YES
NO
A
ORIENTATION PHASE
1
Say greetings
2
2
Introduce oneself
2
3
Explain the purpose
2
4
Explain the procedure
2
5
Asking patient and family readiness
2
B
WORKING PHASE
1
Washing hands
3
2
Inspire the Pentabio vaccine (a combination of DPT, Hepatitis B, and Hib/Hemophilus Influenza B), exactly 0,5 cc
12
3
Adjust the patient's position according to the puncture site
5
4
Place the pad and pedestal
3
5
Free the area to be injected
3
6
Clean the skin with damp cotton (circular from inside out)
10
7
Hold the syringe like an arrow between thumb and fingers. Quickly, inject the needle at an angle of 90 ° degrees
15
8
Insert the medicine slowly
5
9
Pull the syringe quickly to reduce pain. Do not massage the injection site to avoid irritation and tissue damage. Pressure may be needed on the puncture site if bleeding occurs
15
10
Throw the syringe into a kidney tray
3
11
Washing hands
3
C
TERMINATION PHASE
1
Convey side effects
3
2
Conveying RTL (Follow-up Plan): verbally conveyed to parents when a fever occurs. The child is given a warm compress, and if the liquid comes out of the injection, left it.
8
3
Documentation
2
TOTAL
100
RUBRICASSESSMENT OF PENTABIO IMMUNIZATION PROCEDURE(DPT, Hep B, Hib Combination)
NO
RATED ASPECTS
CONDUCTED
YES
NO
A
ORIENTATION PHASE
1
Say greetings
Say good morning/assalamulaikum
Does not say good morning/assalamualaikum
2
Introduce oneself
Mention the name of the nurse and serve in the hours ... until...
Just mention the name
3
Explain the purpose
Briefly explain the purpose (to provide immunity to diphtheria, pertussis, and tetanus, recombinant Hepatitis B and type B influenza Hemophilus)
Does not explain the purpose
4
Explain the procedure
Explain the procedure concisely and clearly, and the baby will be injected on the outside of the thigh with a dose of 0.5 cc
Does not explain the procedure
5
Asking patient and family readiness
Asking if the patient and family are ready and willing to take action
Just asking for willingness
B
WORKING PHASE
1
Washing hands
Wash hands with 6 steps correctly
Does not wash hands with 6 steps
2
Inspire the Pentabio vaccine (a combination of DPT, Hepatitis B, and Hib/Hemophilus Influenza B), exactly 0,5 cc
Pentabio vaccine entered into the syringe exactly 0.5 cc without air
Pentabio vaccine entered into the syringe exactly 0.5 cc
3
Adjust the patient's position according to the puncture site
Positioning the patient comfortably (lying on the bed or the parent's lap with the upper leg exposed by the nurse).
Just positioning the baby in bed or on the lap
4
Place the pad and pedestal
Place the pad and pedestal
Does not place the pad and pedestal
5
Free the area to be injected
Pull the skin over the injection site, press, and stretch the skin with the thumb and index finger with the non-dominant hand to ease the injection and reduce discomfort.
Pulling the skin over the injection site, press, and stretch the skin with the thumb and index finger with the hand
6
Clean the skin with damp cotton (circular from inside out)
Placing alcohol cotton on the third and fourth fingers of the non-dominant handto support the skin around the injection and pull the needle. Clean the injection area with a warm cotton swab circularly from the inside outand let it dry.
Clean the skin with damp cotton (not curled in and out)
7
Hold the syringe like an arrow between thumb and fingers. Quickly, inject the needle at an angle of 90 ° degrees
Open the child's thigh and determine the area of injection: vastus lateralis
Just inject the syringe at an angle of fewer than 90 degrees
8
Insert the medicine slowly
Place the dominant finger on the patient's skin at an angle of 90 degrees.
Insert medicine inadvertently
9
Pull the syringe quickly to reduce pain. Do not massage the injection site to avoid irritation and tissue damage. Pressure may be needed on the puncture site if bleeding occurs
Inject the needle into the skin until 1/3 or ½ the length of the needle, then push the plunger with a non-dominant hand slowly
Does not pull the syringe slowly, attaching the injection site
10
Throw the syringe into a kidney tray
Pull the syringe slowly without attaching the injection site
Does not throw the syringe into a kidney tray/safety box
11
Washing hands
Throw the syringe into a kidney tray/safety box
Does not wash hands with 6 steps
C
TERMINATION PHASE
1
Convey side effects
Conveying side effects after immunization
Does not convey the side effects after immunization
2
Conveying RTL (Follow-up Plan): verbally conveyed to parents when a fever occurs. The child is given a warm compress, and if the liquid comes out of the injection, left it.
Conveying the RTL: verbally conveyed to parents if there is a fever, the child is given a warm compress
Does not conveying the RTL that if the child gota fever, he is given a warm compress
3
Documentation
Documenting the date, name, and dosage of the drug and patient response.
Not documented in nursing records
TOTAL
INSTRUMENTS FOR ASSESSMENT OF PROCEDURES FOR GIVING POLIO IMMUNIZATION
NO
RATED ASPECTS
WEIGHTS
CONDUCTED
YES
NO
A
ORIENTATION PHASE
1
Say greetings
2
2
Introduce oneself
2
3
Explain the purpose
2
4
Explain the procedure
2
5
Asking patient and family readiness
2
B
WORKING PHASE
1
Washing hands
5
2
Position the patient comfortably lying in bed or on the mother's lap.
10
3
Open the baby's mouth by pressing the thumb and index finger on the right and left sides of the baby's mouth using the left hand.
30
4
Drop two drops of vaccine with the right hand from the upper lip to the baby's mouth
30
5
Washing hands
5
C
TERMINATION PHASE
1
Convey side effects
5
2
Delivering RTL(Follow-up Plan): verbally conveyed to parents: mother does not breastfeed her baby until 15-30 minutes
5
TOTAL
100
INSTRUMENTS FOR ASSESSMENT OF PROCEDURES FOR GIVING POLIO IMMUNIZATION
NO
RATED ASPECTS
WEIGHT
CONDUCTED
YES
NO
A
ORIENTATION PHASE
1
Say greetings
Say good morning/assalamulaikum
Does not say good morning/ assalamualaikum
2
Introduce oneself
Mention the name of the nurse and serve in the hours ... until...
Just mention the name
3
Explain the purpose
Briefly explain the purpose (provide immunity against poliomyelitis)
Does not explain the purpose
4
Explain the procedure
Explainthe procedure's actions that the child will be given 2 drops of the vaccine in the baby's mouth
Does not explain the procedure
5
Asking patient and family readiness
Asking if the patient and family are ready and willing to take action
Just asking for willingness
B
WORKING PHASE
1
Washing hands
Wash hands with 6 steps correctly
Does not wash hands with 6 steps
2
Position the patient comfortably lying in bed or on the mother's lap.
Position the baby comfortably lying in bed or on mother's lap
The baby's position is uncomfortable, and the child is fussy
3
Open the baby's mouth by pressing the thumb and index finger on the right and left sides of the baby's mouth using the left hand.
Open the baby's mouth by pressing the thumb and index finger on the right and left sides of the baby's mouth using the left hand.
Does not open the baby's mouth by pressing the thumb and index finger on the right and left sides of the baby's mouth using the left hand.
4
Drop two drops of vaccine with the right hand from the upper lip to the baby's mouth
Drop two drops of vaccine with the right hand from the upper lip to the baby's mouth
Drop more than two drops or less
5
Washing hands
Wash hands with 6 steps correctly
Does not wash hands with 6 steps
C
FASE TERMINASI
1
Convey side effects
Explain side effects (reactions that occur are usually absent)
Does not explain side effects
2
Delivering RTL(Follow-up Plan): verbally conveyed to parents: mother does not breastfeed her baby until 15-30 minutes
Verbally, convey the mother does not breastfeed her baby 15-30 minutes after the vaccine
Does not conveyadvice to mothers that they should not breastfeed the baby until 15-30 minutes after the vaccine
3
Documentation
Documenting the date, name, and dosage of the drug as well as the patient's response and the signature and full name of the nurse who did it.
Not documented in nursing records