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SOAP note 
A summative assessment tool for clinical SOAP notes
Rubric Code: FXB88AW
Ready to use
Public Rubric
Subject: Communication  
Type: Assessment  
Grade Levels: Graduate

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  Poor

1 pts

Fair

2 pts

Good

3 pts

Professional Language

Poor

More than two grammatical or punctuation errors, informal terms, first person language, passive voice.
Fair

One or two grammatical or punctuation errors, informal terms, first person language, passive voice.
Good

No instances of grammatical or punctuation errors, informal terms, first person language, passive voice.
Completeness

Poor

More than one area of the following is insufficient: Subjective section contains only clinical observation or client/parent statements, all objective areas are addressed, assessment statement is comparative and is supported by the subjective and objective information presented prior, the plan reflects analysis of the data.
Fair

Any one area of the following is insufficient: Subjective section contains only clinical observation or client/parent statements, all objective areas are addressed, assessment statement is comparative and is supported by the subjective and objective information presented prior, the plan reflects analysis of the data.
Good

Subjective section contains only clinical observation or client/parent statements, all objective areas are addressed, assessment statement is comparative and is supported by the subjective and objective information presented prior, the plan reflects analysis of the data.
Clarity

Poor

Any of the following: Note is moderately unclear overall, requires re-reading to comprehend, points are not logically sequenced, unnecessary words or comments interrupt flow, meaning of assessment and plan are unclear.
Fair

Any of the following: note is mildly unclear overall, requires re-reading to comprehend, points are not logically sequenced, unnecessary words or comments interrupt flow, meaning of assessment and plan are unclear.
Good

Note is easy to read, does not require the reader to re-read in order to understand. Flow is logical from point to point and meaning of assessment and plan are evident.



Keywords:
  • Speech Pathology

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