ADVENTIST MEDICAL CENTER COLLEGE

San Miguel, Iligan City

SCHOOL OF NURSING
Related Learning Experience (Clinical)
First Semester, AY 2024 – 2025

FLOOR COMPETENCY EVALUATION RUBRIC

Name ________________________________________ Section____________Date_____________ Score _____/32

EXCELLENT VERY SATISFACTORY POOR

SATISFACTORY
I. ASSESSMENT
Demonstrated all Demonstrated 3 of the Demonstrated 2 of the Demonstrated
1. Identifies client’s priority (4) assessment assessment activities assessment activities 1 of the
problems and organizes work to activities assessment
activities
meet those priorities
2. Assesses client’s learning needs
as well as readiness for and
barriers to learning
3. Identifies own learning needs,
acknowledges limitations, and
responds positively to
recommendations for personal
improvements. Takes initiative
to obtain needed knowledge.
4. Identifies problems for research
purposes
II. IMPLEMENTATION
EXCELLENT VERY SATISFACTORY POOR
Performance Complete and SATISFACTORY Missed 4-5 steps of Missed 6 or more
1. Comes to clinical mentally and comprehensive Missed 1-3 steps of floor competency steps of floor
physically prepared to provide implementation of floor competency evaluation competencyevalua
floor competency evaluation tion
safe and effective care. evaluation
2. Gathers adequate, relevant
information for decision-making.
3. Uses correct techniques for
physical assessment. Assess
clients in a timely and efficient
manner. Reports abnormal data
and changes in client condition to
the instructor or appropriate
health care professional.
4. Develops good decision-making
skills and validates nursing
decisions with instructor or
health care professional.
5. Performs task with minimal
supervision.
6. Performs nursing skills
efficiently and competently.
7. Demonstrates caring,
compassionate behaviors towards
clients and family.
8. Ensures client’s ADLs are
completed.
9. Calculates medication dosages
and IV rates correctly. Follows
correct procedures in preparing
and administering medications.
Checks 12 rights and client
identifiers prior to medication
administration. Evaluates the
effects of medications
administered. Conducts drug
study prior to drug
administration. (*may give all
medications except IVTT and
cardiac meds)
 10. Maintains a safe environment for
the patient (side rails, call light
etc)
11. Protects clients, self and others
from injury, infection and harm.
(e.g. universal precaution)
12. Reports errors promptly and
responds appropriately.
13. Completes care in an organized
and timely manner.
14. Provides relevant, accurate health
care information.
15. Use appropriate teaching and
learning principles when
implementing the Health
education Plan and Discharge
Plan
Personal and Professional EXCELLENT VERY SATISFACTORY POOR
Demonstrated all 6 SATISFACTORY Demonstrated 3 POOR
Responsibilities personal and Demonstrated 4-5 personal and Demonstrated 0-2
1. Adapts priorities in response to professional personal and professional personal and
changing needs. responsibilities professional responsibilities professional
responsibilities responsibilities
2. Demonstrates flexibility in
adapting to challenging situations
3. Maintains a professional image.
Wears appropriate and clean
uniform and with appropriate
haircut.
4. Demonstrate appropriate
behaviors (attendance,
appearance, attitude, accepts
criticisms, honesty, punctuality,
etc.)
5. Accepts and acts on instructor’s
directions
6. Recommends solutions to
identified problems.
Legal, Ethico-Moral, and Spiritual
EXCELLENT VERY SATISFACTORY POOR
Responsibilities Demonstrated all 8 SATISFACTORY Demonstrated 3-5 Demonstrated 0-2
1. Complies with agency and school legal, ethico- Demonstrated 6-7 legal, ethico-moral, and legal, ethico-
policies, laws and regulations. moral, and legal, ethico-moral, and spiritual moral, and
2. Reports errors promptly and spiritual spiritual responsibilities spiritual
responsibilities responsibilities responsibilities
responds appropriately.
3. Demonstrates accountability for
actions.
4. Accepts responsibility for
assigned task (scrub nurse,
circulating nurse, PACU and
NICU nurse)
5. Treats all individuals with dignity
and respect.
6. Protects client’s rights (privacy,
autonomy, confidentiality)
7. Respects the religious belief of
the patient.
8. Prays with the patient when
appropriate. (Offers Spiritual
Care)
Communication Responsibilities EXCELLENT VERY SATISFACTORY POOR
Demonstrated all 8 SATISFACTORY Demonstrated 3-5 POOR
1. Establishes rapport to patients, communication Demonstrated 6-7 communication Demonstrated
family and members of the health responsibilities communication responsibilities 0-2
team. responsibilities Communication
responsibilities
2. Provides appropriate information
to clients and families.
3. Uses appropriate and respectful
words and tone in verbal
communications. Addresses
superiors appropriately (being
courteous)
 4. Adapts communication strategies
based on client’s age,
developmental level, disability,
and culture.
5. Uses appropriate channels of
communication
6. Conveys mutual respect, trust,
support and appreciation for
other members of the healthcare
team.
7. Anticipate needs of others in
meeting client and agency needs.
8. Contributes to projects,
discussions, and post-conferences
Aftercare and Documentation EXCELLENT VERY SATISFACTORY POOR
Demonstrated all 7 SATISFACTORY Demonstrated 4
1. Evaluates client’s attainment of aftercare and Demonstrated 5-6 aftercare and Demonstrated
learning outcomes. documentation aftercare and documentation 0-3 of
2. Evaluates client outcomes and activities documentation activities aftercare and
activities documentation
modifies client care based on activities
evaluation.
3. Documents complete, accurate,
pertinent information in a timely
manner (nurses’ notes)
4. Makes clean and tidy, error free
documentation. (No TBTs).
5. Uses appropriate terminology,
spelling and grammar in written
communications.
6. Maintains confidentiality
pertaining to patient’s record and
condition
7. Facilitates continuity of care
within and across health care
settings. Endorses to NOD and
SN complete data to ensure
continuity of care.
II. QUALITY OF EXCELLENT VERY SATISFACTORY POOR
Demonstrated all 4 SATISFACTORY Demonstrated two Demonstrated 1
PERFORMANCE qualities of Demonstrated 3 qualities of quality of
1. Spontaneity (spontaneous in performance qualities of performance performance
performance
communication)
2. Articulation: diction and
grammar
3. Mastery of the subject matter
4. Application of the principles of
safety

III. CONFIDENCE EXCELLENT VERY SATISFACTORY POOR

Performed entire SATISFACTORY Performed entire Not able to
procedure with Performed entire procedure with perform entire
great confidence procedure with minimal confidence procedure with
moderate confidence confidence

Perfect Score: 32 points

Range of Scores:
32-28 --------------------------------------- Excellent
27-23--------------------------------------- Very Satisfactory
22-18 --------------------------------------- Satisfactory
17 and below ------------------------------Poor

Assessed by:

___________________________________
Name and Signature of RLE Instructor