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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


2


TECHNICAL INSTRUCTIONS/DENVER DEVELOPMENTAL SCREENING TEST (DDST)RUBRIC

NO

SCORE

EXPLANATION


1

0

If the studentdoes not read cases

1

If the studentdoes not read cases carefully and thoroughly

2


2

0

If the studentdoes not prepare tools

1


2

If the studentprepares the equipment completely

3

0

If the studentdoes not maintain privacy, both doors/screens/curtains

1


2


4

0


1


2


Orientation Phase

5

0

If the student does not greet and says the patient's name

1


2


6

0


1


2


7

0


1


2


8

0


1


2


9

0


1


2


10

0


1


2


11

0


1


2


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


1


2


21

0


1


2


22

0


1


2


23

0


1


2


TECHNICAL INSTRUCTIONS/BABY MASSAGE RUBRIC

NO

SCORE

EXPLANATION


1

0


1


2


2

0


1


2


3

0


1


2


4

0


1


2


Orientation Phase

5

0


1


2


6

0


1


2


7

0


1


2


8

0


1


2


9

0


1


2


10

0


1


2


11

0


1


2


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


1


2


23

0


1


2


24

0


1


2


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


1


2


TECHNICAL INSTRUCTIONS/CHEST PHYSIOTHERAPYRUBRIC

NO

SCORE

EXPLANATION


1

0


1


2


2

0


1


2


3

0


1


2


4

0


1


2


Orientation Phase

5

0


1


2


6

0


1


2


7

0


1


2


8

0

If the studentdoes not explain the purpose of the action completely and thoroughly

1


2


9

0


1


2


10

0


1


2

If the studentprovides opportunities for patients to ask questions using therapeutic communication techniques

11

0


1


2


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


1


2


21

0


1


2


23

0


1


2


24

0


1


2


TECHNICAL INSTRUCTIONS/ANUS TREATMENTRUBRIC

NO

SCORE

EXPLANATION


1

0

If the studentdoes not read cases

1


2


2

0


1


2


3

0


1


2


4

0


1


2


Orientation Phase

5

0


1


2


6

0


1


2


7

0


1


2


8

0

If the studentdoes not explain the purpose of the action completely and thoroughly

1


2


9

0


1


2


10

0


1


2

If the studentprovides opportunities for patients to ask questions using therapeutic communication techniques

11

0


1


2


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


1


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


1


2


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


1


2


Termination Phase

22

0


1


2


23

0


1


2


24

0


1


2


25

0


1


2


TECHNICAL INSTRUCTIONS/SKORSTIN(RECTAL TUBE) INSTALLATION RUBRIC

NO

SCORE

EXPLANATION


1

0


1


2


2

0


1


2


3

0


1


2


4

0


1


2


Orientation Phase

5

0


1


2


6

0


1


2


7

0


1


2


8

0


1


2


9

0


1


2


10

0


1


2


11

0


1


2


Working Phase

12

0

If the student does not wear gloves

1


2


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


1


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


1


2


21

0


1


2


Termination Phase

22

0


1


2


23

0


1


2


24

0


1


2


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


1


2


TECHNICAL INSTRUCTIONS/NEONATUS RESUSCITATION RUBRIC

NO

SCORE

EXPLANATION


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


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


1

0


1


2


2

0


1


2


3

0


1


2


4

0


1


2


Orientation Phase

5

0


1


2


6

0


1


2


7

0


1


2


8

0


1


2


9

0


1


2


10

0


1


2


11

0


1


2


Working Phase

12

0

If the student does not wear gloves

1


2


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


1


2


23

0


1


2


24

0


1


2


25

0


1


2


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 concisely and clearly

Doesnot explain the procedure

5


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



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



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


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 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



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


2

5


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


Does not say good morning/assalamulaikum

2

Introduce oneself


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 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 if patient and family are ready and willing to take action


B

WORKING PHASE

1

Washing hands



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


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



Does not place the pad and pedestal

5


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


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


C

TERMINATION PHASE

1

Convey side effects

Conveying side effects after immunization

Does not convey the side effects after immunization

2


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


2

5


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


5

4


3

5


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


3

11

Washing hands

3

C

TERMINATION PHASE

1

Convey side effects

3

2


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


Does not say good morning/assalamualaikum

2

Introduce oneself



3

Explain the purpose

Briefly explain the purpose (to provide immunity to diphtheria, pertussis, and tetanus, recombinant Hepatitis B and type B influenza Hemophilus)


4


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


5


Asking if the patient and family are ready and willing to take action


B

WORKING PHASE

1

Washing hands



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


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



Does not place the pad and pedestal

5


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


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


C

TERMINATION PHASE

1

Convey side effects

Conveying side effects after immunization

Does not convey the side effects after immunization

2


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.


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


2

5


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


Does not say good morning/ assalamualaikum

2

Introduce oneself



3

Explain the purpose

Briefly explain the purpose (provide immunity against poliomyelitis)


4


Explainthe procedure's actions that the child will be given 2 drops of the vaccine in the baby's mouth


5


Asking if the patient and family are ready and willing to take action


B

WORKING PHASE

1

Washing hands



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



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 more than two drops or less

5

Washing hands



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.


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