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iRubric: SOAP Note rubric
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SOAP Note
Observation Report
This rubric aims to serve as a guideline to strengthen clinical writing skills across practica.
Rubric Code:
HX372X6
By
profspiveyslp
Ready to use
Public Rubric
Subject:
Communication
Type:
Writing
Grade Levels:
Undergraduate, Graduate
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Learning Outcomes
Unsatisfactory
0-2
(N/A)
Reasonable
3-7
(N/A)
Fit for approval
8-10
(N/A)
Subjective
Unsatisfactory
3+ mechanical errors (e.g. spelling, syntax, punctuation); Inconcise reporting; Irrelevant report of information that does not impact performance; Overuse of simplified language; Repetitive errors; redundant statements across 3+ consecutive SOAPs.
Reasonable
1-3 mechanical errors; Simple language distinctively tied to client/family reporting; Partial reporting integrated with performance discussion; redundant statements across 2 consecutive SOAPs.
Fit for approval
Brief and concise statements; All reports are distinctively related to performance; No mechanical errors; No redundant statements between SOAP submissions.
Objective
Unsatisfactory
Subjective language; objectives are not measurable; session STOs are not reported; Limited readability; 1+ Incomplete STOs; 1+ Inaccurate data; 3+ mechanical errors; Repetitive errors following peer review.
Reasonable
Missing one target objective; <2 STOs missing measurable and reliable target behaviors; 1+ inconsistent unit of measure between raw data and target criterion; Missing <2 components for complete target STOs; Missing 1-2 supports (if applicable); 1-3 mechanical errors.
Fit for approval
Target behaviors are measurable and reliable; Complete STOs; Consistent units of measure between raw data and target criterion; All targeted session STOs reported accurately; No mechanical errors.
Assessment
Unsatisfactory
Inconsistent and incohesive reporting from 'S' and 'O' statements; Minimal evidence of cohesive language (3+); Overuse of simplified language; 3+ missed opportunities for professional terminology; 2+ statements of materials used with limited to absent discussion of clinical implications; Irrelevant use of examples for 1+ target objective; 3+ mechanical errors; Repetitive errors following peer review.
Reasonable
Missing comparative data; 2-3 instances of improper use of professional terms; Moderate evidence of cohesive language; Discussion of clinical implications throughout 1/2+ of the reporting; Vague reporting of client response to intervention.
Fit for approval
Clinical implications discussed via conclusions and professional judgment; 1 instance of inappropriate use of professional language; Clear, analytical discussion of client response to intervention; Consistent reporting of comparative data across performance; Reported information follows a logical sequence; Concise reporting with ALL relevant qualitative and quantitative information; No new information reported.
Plan
Unsatisfactory
Restated LTGs/STOs; 3+ mechanical errors; Incohesive reporting from previous statements; Repetitive errors following peer review.
Reasonable
1-3 mechanical errors; 1+ statement re: activities; Reporting partially cohesive; Discussion doesn't restrict flexibility for the subsequent session.
Fit for approval
Cohesive report associated to session performance to facilitate subsequent session(s); No mechanical errors.
Subjects:
Communication
Types:
Writing
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