COLLEGE OF NURSING

Km. 23 Sumulong Hi-way Brgy. Sta Cruz, Antipolo City

Rubrics for Skills Demonstration
Name of Student:__________________________________________________ Course Code: ______________________

Group No. _______________ Time: _______________ Academic Year:___________________

CRITERIA 0 10 15 20
1. ASSESSMENT Did not perform any Lacks assessment on Performs assessment Performs thorough
• On the need of the client assessment the client prior to the completely and assessment on the
procedure prior to the procedure procedure needing full hazardously on the client prior to the
• On the route/site of and did not observe assistance and client prior to the procedure without
the procedure safety precautions reminder on client procedure with any assistance at all
• On the safety minimal assistance and ensures safety
during the entire safety during the
and inconsistently during the entire
client interaction entire client
ensures client safety client interaction;
unless reminded; very interaction; manifests during the entire manifests self-
hesitant. some hesitation. client interaction; confidence.
manifests very
minimal hesitation.

REMARKS/COMMENTS

Rubrics for Skills Demonstration Page 1 of 6

 COLLEGE OF NURSING
Km. 23 Sumulong Hi-way Brgy. Sta Cruz, Antipolo City
Rubrics for Skills Demonstration

CRITERIA 0 10 15 20
2. PLANNING Did not prepare the Lacks the major Prepares the Prepares all the
• Completeness of equipment needed equipment needed for equipment needed but equipment needed
equipment before going to the the procedure before lacks 1-2 minor before going to the
• Purpose of the client’s bedside. Did going to the client’s supplies before going client’s bedside.
procedure not explain the bedside. to the client’s bedside. Communicates
• Client interaction purpose of the Inconsistent and needs Inconsistent in: effectively and
• Provision of privacy procedure and has no constant reminder in: communicating and explains correctly
eye contact. Did not communicating and explaining the purpose the purpose of the
provide any privacy. explaining the purpose of the procedure, eye procedure having
of the procedure, eye contact, and in good eye contact.
contact, and in providing privacy to
Provides utmost
providing privacy to the client during the
privacy during the
the client during the entire procedure.
entire procedure.
entire procedure

REMARKS/COMMENTS

Rubrics for Skills Demonstration Page 2 of 6

 COLLEGE OF NURSING
Km. 23 Sumulong Hi-way Brgy. Sta Cruz, Antipolo City
Rubrics for Skills Demonstration

CRITERIA 0 10 15 20
3. INTERVENTION Did not perform aseptic Performs aseptic Performs aseptic Performs appropriate
• Proper technique and infection technique and technique and aseptic technique and
positioning control measures implements infection implements infection implements infection
• Aseptic technique during the entire control measures control measures control measures
• Proper body procedure. Did not during the entire during the entire during the entire
mechanic place the client in procedure with full procedure with some procedure without
proper position and did supervision. Places the supervision. Places the supervision. Places the
• Appropriate
not observe proper client in the client in the client in appropriate
sequence of
body mechanics during appropriate position appropriate position position and observes
procedure
the entire. Very and observes proper and observes proper proper body mechanics
• Client interaction
hesitant in body mechanics with body mechanics with without supervision
• Provision of full assistance during during the entire.
accomplishing the minimal supervision
safety and privacy procedure and in the the entire. With some during the entire. With Accomplishes the
incorrect sequence. Did hesitation in very minimal hesitation procedure with ease
not interact to the accomplishing the in accomplishing the and confidence in the
client, provide any procedure in the procedure in the correct sequence.
privacy and safety. correct sequence and correct sequence and Provided privacy, safety
with assistance. with minimal and interaction to the
Requires constant assistance. Provided client without
reminder in interacting privacy, client safety reminder.
to the client, providing and interaction with
privacy and safety. minimal reminder.

REMARKS/COMMENTS

Rubrics for Skills Demonstration Page 3 of 6

 COLLEGE OF NURSING
Km. 23 Sumulong Hi-way Brgy. Sta Cruz, Antipolo City
Rubrics for Skills Demonstration

CRITERIA 0 10 15 20
4. EVALUATION Did not evaluate Evaluates the client Evaluates the client Evaluates client
• Client response client response to response to the response to the response to the
• Proper waste disposal the procedure and procedure and procedure and procedure and
• Aseptic technique intervention(s). Did intervention(s) with intervention(s) with intervention(s)
• Client interaction not dispose any of full supervision and some supervision without supervision.
• Accurate the soiled assistance. Needs and assistance. Disposes soiled
documentation equipment’s constant reminder on Needs some equipment’s in the
properly. Did not the proper disposal reminder on the appropriate bin and
perform hand of soiled equipment’s proper disposal of performs proper
hygiene at all and into the appropriate soiled equipment’s hand hygiene.
any bin and in performing into the appropriate Performs complete
documentation of proper hand hygiene. bin and in and accurate
the interventions Performs incorrect performing proper documentation of
and incomplete hand hygiene. the intervention(s).
documentation of Performs
the intervention(s). documentation of
the
intervention(s) with
minimal error.

REMARKS/COMMENTS

Rubrics for Skills Demonstration Page 4 of 6

 COLLEGE OF NURSING
Km. 23 Sumulong Hi-way Brgy. Sta Cruz, Antipolo City
Rubrics for Skills Demonstration

CRITERIA 0 10 15 20
5. KNOWLEDGE Not able to respond to Able to respond Able to respond Able to respond
• Correct response all clinical instructor, correct and correctly and correctly and
• Explains client or companion's appropriately to 1-2 appropriately to 3-4 appropriately to all
associated inquiries. Not able to inquiries of the clinical clinical instructor, clinical instructor,
complication explain correctly and instructor, clients or clients or companion clients or companions
appropriate the companion’s with full inquiries with very queries with no
associated problems or assistance. Able to minimal assistance. assistance. Able to
complications of the explain the associated Able to explain the explain the associated
intervention(s) or
problems or associated problems or problems or
disease/condition of
complications of the complications of the complications of the
the client.
intervention(s) or intervention(s) or intervention(s) or
disease/condition of disease/condition of disease/condition of
the client with full the client with limited the client with no
assistance. assistance. assistance.

REMARKS/COMMENTS:

Rubrics for Skills Demonstration Page 5 of 6

 COLLEGE OF NURSING
Km. 23 Sumulong Hi-way Brgy. Sta Cruz, Antipolo City
Rubrics for Skills Demonstration

No. PROCEDURE DATE SCORE CI. Signature Student Signature

GRADING:
To compute: Example:
• Criteria 1-5 = 100 Ballard- 75
• Add all points in each criteria and that will be the EINC- 80
score for the procedure PGC- 60
• For the total grade in skills lab, add all score and Enema- 50
divide it to the number of procedure, see example. Oxygenation- 100
Suctioning- 90
Total score= 455 /6 = 75.83

Skills Lab Final Grade = 75.83 or 76

Note:
• Students who are not in the prescribed BSN RLE uniform in the area of duty are not allowed to perform the procedure.
They will be required to complete their duty hours in the designated area given by the instructor.
• If a student violates this guideline and needs to perform the procedure, he/she must file for make-up duty to the
Practicum Coordinator, as endorsed by the Clinical Instructor.

Should be completed at the last day of laboratory rotation No. of Make-up Duty

Date(s) of Tardiness

Date(s) of Absences

Reviewed by: Approved by:

NORBERT LEWIN F. SOLIVEN, LPT, MAN, RN EVANGELINE M. TERUEL, MAN, RN

Practicum Coordinator Dean, College of Nursing
OLFU – Antipolo Campus OLFU – Antipolo Campus

Rubrics for Skills Demonstration Page 6 of 6