Vital Signs Check-Off Rubric: Total Points = 50

1. Temperature: Points = 5 Points = 4-3 Points = 2-1 Points = 0 Total

Points
 Assessed patient to assure  Assessed pt prior.  Does not assess prior Does not assess
accurate temperature reading  Recorded temp to taking temp. temperature.
prior to taking. accurately.  Recorded temp
 Recorded temperature  Proper placement for accurately.
correctly (within 0.2 oral but does not  Improper placement
degrees) verbalize procedure or cannot verbalize
 Proper demonstration for for axilla/rectal. procedure or
oral placement. Verbalizes axilla/rectal temp.
proper procedure for axilla
or rectal temperature.
2. Pulse: Points = 15 Points = 10 Points = 5 Points = 0
 Recorded rate radial or  Recorded radial/apical  Radial/apical pulse is Does not assess
apical pulse correctly (within rate correctly. inaccurate. pulse.
6 beats).  Does not use proper  Does not use proper
 Uses fingertips and proper finger/stethoscope finger or stethoscope
placement; or uses placement. placement.
diaphragm of stethoscope
and in proper placement.
3. Respirations: Points = 15 Points = 10 Points = 5 Points = 0
 Assessed and recorded  Assessed correctly but  Improper technique Did not assess or
respiratory rate correctly rate is inaccurate. but rate is correct record
(within 2 respirations). respirations.
4. Blood Pressure: Points = Points = 10 Points = 5 Points = 0
15
 Assessed and determined  Did not  Did not Did not assess
size of cuff needed. assess/determine size assess/determine size blood pressure.
 Proper placement of cuff. of cuff needed. of cuff needed.
 Assessed and recorded blood  Proper placement of  Did not have cuff in
pressure correctly (within 6 cuff. proper placement.
mmHg, Systolic and  Assessed/recorded  Assessed/recorded
Diastolic). blood pressure blood pressure
correctly. correctly.
Comments: Total Points =