DIAPERING RUBRIC

Name _________________________________ Section _________ Date ______________Score_______________

CRITERIA EXCELLENT VERY SATISFACTORY POOR SCORE
4 SATISFACTORY 2 1
3
1. Demonstration of the following Demonstrated Demonstrated five of Demonstrated three
preliminary activities: all preliminary preliminary activities to four of Demonstrat
 Gather and select the type activities preliminary ed one to
of diaper with cleansing activities two of
materials. preliminary
To save time. activities
 Courtesy to significant
other.
Integrates value of
character development.
 Introduction of self to
significant other.
Client’s right to know who
is caring for her child.
 Client identification.
Prevents error.
 Establish rapport, explain
procedure, and identify its
purpose to significant
other.
Allays fear and anxiety thus
gaining significant other’s
cooperation.
 Determine infant’s
development.
To note for unusual
findings.

2. Observation of proper infection EXCELLENT VERY SATISFACTORY POOR

control and safety measures Observed all SATISFACTORY Observed two to Observed
 Handwashing (before and tasks for proper Observed four to five three of proper one or
after procedure) infection of proper infection infection control none of
To prevent the transmission control and control and safety and safety measures proper
of microorganism. safety measures measures infection
 Put on gloves. control and
To avoid contamination. safety
 Ensure cleanliness and measures
sanitation of materials that
will be used.
The material can be a
source of infection.
 Ensure that the room is
warm and draft-free .
To prevent cold stress.
 Place infant on back in safe,
clean position.
 To prevent any fall.
 Proper cleaning and
disposal of things used.
To prevent the transmission
of microorganism and for
environmental protection.

3. Accuracy and completeness in EXCELLENT VERY SATISFACTORY POOR

performing procedure Performed SATISFACTORY Performed entire Not able to
 Provide diversional toys if entire Performed entire procedure with perform
appropriate. procedure procedure with much inaccuracy entire
 Assess infant’s diaper for accurately and minimal accuracy but and incompleteness procedure
soiling. completely completely accurately
 Remove soiled diaper, and
wiping away any stool. completely
 Clean perineal area
thoroughly.
 Lift infant placing diaper
underneath.
 Pull diaper up between legs
and secure.
 Determine that infant is
safe.

4. Confidence EXCELLENT VERY SATISFACTORY POOR

Performed SATISFACTORY Performed entire Not able to
entire Performed entire procedure with little perform
procedure with procedure with confidence entire
great moderate confidence procedure
confidence with
confidence
5. Timing (at least 30 minutes) EXCELLENT VERY SATISFACTORY
Performed SATISFACTORY Performed entire POOR
entire Performed entire procedure with 10 Performed
procedure procedure with 5 minutes excess on the entire
within the minutes excess on the the allotted time procedure
allotted time allotted time with 15
minutes or
more
excess of
the allotted
time.
6. Documentation EXCELLENT VERY SATISFACTORY POOR
 Time of changing diaper All documented SATISFACTORY One to two of the Documenta
according to policy data were Three to four of the documented data tion
 Fit and comfort of diaper complete, documented data were complete, incomplete,
 Note for unusual changes accurate, and were complete, accurate, and inaccurate,
 Characteristic of the stool if concise accurate, and concise concise and not
concise
there is any
 Other significant findings
TOTAL
Perfect Score: 24 points

Range of Scores:
22 – 24 --------------------------------------- Excellent
18 - 21 --------------------------------------- Very Satisfactory
14 – 17 --------------------------------------- Satisfactory
10 – 13 --------------------------------------- Poor

Assessed by:

___________________________________
Name and Signature of RLE Instructor