Table 1 Knowledge and Behavior Assessment Rubric
Steps | Knowledge: Does the participant know to do the following and why? | Score Yes = 2 pt No = 0 pt | Behavior: Does the participant states doing the following or knows how? | Score Yes = 2 pt No = 0 pt |
|---|---|---|---|---|
Step 1: Identify Overdose | Signs to look for overdose Try to wake them up (sternum rub) | Yes / No | Looking for signs of an overdose Wakes patient up appropriately | Yes / No |
Step 2: Call 911 | Call 911 Good Samaritan Law | Yes / No | Calls 911 | Yes / No |
Step 3: Give Naloxone | Give Naloxone | Yes / No | Describes how to give naloxone: Nasal Spray, Auto-Injector, IM | Yes / No |
Step 4: Monitor Response | Re-administer every 3–5 min Place body in recovery position Stay with person until EMS arrives | Yes / No | Appropriately monitors response | Yes / No |
Step 5: Aftercare | Leave doses of naloxone with body or give to Emergency medicine when they arrive. Tips on if EMS was not called | Yes / No | Reports providing adequate after car | Yes / No |
Knowledge Assessment: No Knowledge = 0–2 Correct Minimal Knowledge = 2–4 Correct Basic Knowledge = 5–7 correct Adequate Knowledge = 8–9 correct Superior Knowledge = 10 correct | Behavior Assessment: Not Appropriate Behavior: 0- 2 Correct Rarely Appropriate Behavior = 2–4 Correct Inconsistently Appropriate Behavior = 5–7 correct Usually Appropriate Behavior = 8–9 correct Consistently Appropriate Behavior = 10 correct | |||