Wednesday, 7 October 2015

Example rubric




Short Case A



Dispatch details
Called to an unknown situation at a beach (located adjacent to tropical  waters)
Time of Day
1530 hours
Time to scene
35 mins
Time to hospital
1 hour
Partner
Single Officer
Scene
Pt located under a tree in the park beside the beach
General appearance
Conscious, alert, in obvious pain, nauseated and vomiting.
Presenting history
**please note student has to ask specific questions to attain this information.
Patient had been swimming and felt something brush against their lower leg when in the water.  Initially felt itchy.  Within 30 minutes began to experience pain to lower back, and abdomen, diaphoretic, nauseated, vomited multiple times.
Primary Survey
Danger - Nil
Response – Alert
Airway – Clear
Breathing  - adequate to sustain life
Circulation – adequate to sustain life
Observations
Temperature
37.1

Pulse
130

Respirations
32

Blood Pressure
180/110

SpO2
99% room air

BSL
8.0 mmol

Chest auscultation
Coarse Crackles basal lung fields

End tidal CO2
33 mmHg

GCS
Eyes open
Verbal orientated
Motor reluctantly obeys commands

Pupils
PEARL size 2

Skin
Colour – pale but flushed face
Temperature - warm
Moisture – diaphoretic

ECG
Sinus tachycardia occasional VEB
Assessment Task

1.      Complete a primary survey.
2.      Gather a history which will enable you to make a provisional diagnosis.
3.      Complete a head to toe assessment which will assist you to make a provisional diagnosis.
4.      Provide a single specific provisional diagnosis for this patient.


PMSC 13006 Short Case A Marking rubric

Student Name


Student Number


Assessor Name


Student Mark and Feedback
Total

                                 /
Comments/Feedback for Students
**Assessors please note feedback should note what segments the student performed well and any points for improvement.  Any feedback should be delivered in as supportive manner as possible.

















Assessment Item
Completed
Not completed
1.    Primary Survey



Verbalises assessing danger or actions indicate student has assessed danger to satisfaction of assessor



Checks patient response or verbalises patient is alert because of patient presentation



Checks patient’s airway is clear or verbalises clear because of patient presentation



Checks patient’s breathing is adequate to sustain life or verbalises same because of patient presentation



Checks patient’s circulation is adequate to sustain life or verbalises same because of pulse check or patient presentation






Undertake Assessment required to make a provisional diagnosis
If required student may be prompted to go straight from primary survey to assessing the head to toe

2.    Head to Toe Assessment
Completed
Not completed
Assesses head and neck – visual examination only is acceptable.



Assesses chest – auscultation of chest and visual examination only is acceptable.



Assesses abdomen – palpation of abdomen and visual examination only is acceptable.



Assesses pelvis – either visual examination or gentle palpation is acceptable



Investigates Lower Limbs for sting pattern – reddened area by moulage.



Checks arms for further sting patterns



Checks back for further sting patterns







3.    History taking to assist with making a Provisional Diagnosis



S -Investigates Signs and Symptoms including Pain Assessment (OPQRST)



A -Asks if patient has any Allergies AND investigates what reaction they suffer



M -Asks if patient is taking any Medication



P -Asks patient or bystander/family member if patient has any past medical history



L – List of lasts including Last ate and last drank, last menses if female patient, last seen Dr.


E -Investigates events leading up to patient/bystanders calling an ambulance



4.    Provides a provisional diagnosis



Provisional diagnosis of Irrukandji syndrome should be formed for this patient



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