ADVENTIST MEDICAL CENTER COLLEGE

San Miguel, Iligan City

SCHOOL OF NURSING

Related Learning Experience (Skills Lab)

1st Semester, AY 2022 – 2023

NEBULIZATION RUBRIC

Name _____________________________________________________ Section _________ Date __________________ Score _______

I. ASSESSMENT Demonstrated Demonstrated 3 of Demonstrated 2 of Demonstrated 1

- Assess the patient’s vital signs, respiratory status and heart rate before the all (4) the assessment the assessment of the
treatment assessment activities activities assessment
- Check physician’s order activities activities
- Identify the client
- Reassess the lung sounds, oxygen saturation if ordered and respiration

EXCELLENT VERY SATISFACTORY POOR

II. IMPLEMENTATION Complete and SATISFACTORY Missed three to Missed five or
comprehensive Missed one to two four steps of more steps of
Performance implementatio steps of nebulization nebulization
n of nebulization
nebulization
- Wash hands
- Assemble the equipment
- Explain the procedure to the client
- Place the client in semi-fowler’s position
- Remove the nebulizer cup from the device and open it. Place the amount of
medication and dilution as ordered
- Screw the top portion of the nebulizer cup back in place and attach the cup
of the nebulizer. Attach one end of tubing to the stem of the bottom of the
nebulizer cuff and other end to the air compressor.
- Turn the air compressor or the oxygen. Check that a fine medication mist is
produced. Place mouthpiece into the patient’s mouth and instruct to grasp
securely with teeth and lips.
- Instruct the patient to inhale slowly through the mouth. Hold each breath
for 5-10 seconds or as long as possible before exhaling
- Continue this inhalation technique until all medication in the nebulizer cup
has been aerolized (usually about 15 min).
- If desired, the patient can gargle with tap water after using the nebulizer.
- Thoroughly clean the equipment in warm water and allow to air dry in a
clean towel. Perform hand hygiene.
- Document the patient respiratory rate, oxygen saturation and lung sounds

III. QUALITY OF PERFORMANCE EXCELLENT VERY SATISFACTORY POOR

Demonstrated SATISFACTORY Demonstrated two Demonstrated 1
- Spontaneity (spontaneous in communication) all (4) qualities Demonstrated three qualities of quality of
- Articulation: diction and grammar of performance qualities of performance performance
 - Mastery of the subject matter performance
- Application of the principles

IV. CONFIDENCE EXCELLENT VERY SATISFACTORY POOR

Performed SATISFACTORY Performed entire Not able to
entire Performed entire procedure with perform entire
procedure with procedure with minimal procedure with
great moderate confidence confidence
confidence confidence
V. TIMING (AT LEAST 15 MINUTES) EXCELLENT VERY SATISFACTORY POOR
Performed SATISFACTORY Performed entire Performed the
entire Performed entire procedure with 10 entire procedure
procedure procedure with 5 minutes excess on with 15 minutes
within the minutes excess on the allotted time or more excess
allotted time the allotted time of the allotted
time.

Perfect Score: 20 points

Range of Scores:
18 – 20 --------------------------------------- Excellent
16 – 17--------------------------------------- Very Satisfactory
14 – 15 --------------------------------------- Satisfactory
13 and below ------------------------------- Poor

Assessed by:

Name and Signature of RLE Instructor