Module 2
(Submit quiz by 2359 Saturday night.)
Submit BOTH Assignment A and Assignment B by 2359 Saturday of the week in which Module 2 is covered.
Overview: Subjective and Objective Data Collection
Use the interview guides and assessment forms for the topics we are covering and fill in the forms. See the module 1 assignment instructions to refresh your memory if you are not sure about saving or submitting the work. You don’t have to use the same person for the entire class—try to find assessment partners among people who actually have health problems so that you get experience assessing and documenting abnormal findings if possible. Because you are covering more assessment topics this week, they will be turned in as two assignments.
The Module 2 A assignment will cover these topics, as well as the SBAR for this week:
• Skin • Hair • Nails
• Head • Neck
On the Module 2 B assignment form, you will find the following items: • Eyes • Ears • Mouth
• Nose • Throat • Sinuses
Remember not to use terms like “good”, “normal” and “NA”. From this week forward, you may not use terms in describing skin such as “spot”, “bump” or “pimple”—you need to use professional language. We expect you to use “macule”, “papule” and “pustule” appropriately. Read the section in your book thoroughly which describes skin lesions—these will be on the quiz!
SBAR Overview
As a part of this module’s assignment, you will write an SBAR: A short concise statement of:
Situation
Background
Module 2 Assignments: Assignment A (skin, hair, nails, head and neck) with SBAR, and Assignment B (eyes, ears, mouth, throat and sinuses)
1
Assessment
Recommendation
If you need a review on how to write an SBAR, see the Module 1 Assignment Instructions and Kaiser examples.
Submitting your assignment
Save this document to your computer as a Word document.
Open the document from your desktop and type your information directly into the assignment areas provided on the template.
Save the completed document template as a Word document (not odt.).
Return to Blackboard and upload to the assignment portal.
Rubric for Assignment 2 A (the rubric for 2 B is below)
Excellent Good Needs Work Needs extensive work
Clearly incomplete
Use of specifically prohibited
terminology
10 Points Uses no vague
terms such as
good, normal,
N/A or not
applicable
7 Points 1 – 3 incorrect
terms are
used.
5 Points 4 – 5 incorrect
terms are used.
2 Points 6 – 8
incorrect
terms are
used.
0 Points 9 or more
incorrect
terms used.
Assessment descriptions
45 points All descriptions are appropriate & complete, describing findings as unilateral/bilateral, symmetrical or asymmetrical when appropriate. Uses correct units of measurement and documentation— such as mmHG, breaths/minute, etc.
40 points 1 – 5 descriptions that are not complete, or an area is missing/blank.
30 points 6 to 10 or more descriptions are incomplete or two areas are missing/blank.
20 points Several areas are incomplete, or more than 2-4 areas are missing information/bl ank.
0 points Most descriptions are incomplete or more than 4 areas of the assessment are blank.
Grammar 5 Points Short sentences
or phrases are
4 Points One to two
grammatical
3 Points three to five
grammatical
2 Points Six to eight
grammatical
0 Points Entire
document is
2
used, no
grammatical
errors.
errors errors errors ungrammatic
al, greater
than 8
grammatical
errors.
SBAR Situation
10 Points Situation or
current problem
–the reason why
this problem is
important, how
severe, when it
started.
7.5 Points Situation is
too wordy or
too brief, not
as clearly
identified as it
should be.
5 Points Vague, not
correctly done.
0 Points Missing
SBAR Background
20 Points Health history
relating to this
problem, what is
being done, and
what assessment
findings are
most important
now.
15 Points Background
too wordy or
too brief, but
captures
pertinent data.
10 Points Information
given is vague
or some
pertinent data
is missing,
some relevant
data present.
5 Points Few
relevant
data are
given or
format not
followed.
0 Points Missing
altogether or
poorly
executed so
that
background
cannot be
understood.
SBAR Assessment
5 Points Assessment
names the
trouble in a
word or phrase
that briefly
captures the
problem and
rates the
urgency.
3 Points This entry is
too wordy and
cites things
that belong in
situation or
background, in
addition to
capturing the
problem.
2 Points The problem is
stated too
briefly to be
clear.
1 Points Problem is
not
synthesized
correctly.
0 Points Missing or
incorrect.
SBAR Recommendation
5 Points What needs to
happen next?
Recommendatio
n is appropriate
for the situation.
3 Points Recommendat
ion has merit
but is not the
best choice for
this situation
or is not stated
well.
2 Points Recommendati
on has minimal
merit and is not
appropriately
stated.
1 Points Recommen
dation is
present but
is patently
incorrect.
0 Points Missing
Rubric for Assignment 2 B
3
Excellent Good Needs Work Needs extensive work
Clearly incomplete
Use of specifically prohibited
terminology
10 Points Uses no vague
terms such as
good, normal,
N/A or not
applicable
7 Points 1 – 3 incorrect
terms are
used.
5 Points 4 – 5 incorrect
terms are used.
2 Points 6 – 8
incorrect
terms are
used.
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