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iRubric: Nursing Care Plan Rubric

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Nursing Care Plan Rubric 
A rubric that provides an objective basis for creating and grading care plans.
Rubric Code: K9646C
Draft
Public Rubric
Subject: Nursing  
Type: Assignment  
Grade Levels: Undergraduate

Powered by iRubric Nursing Care Plan Rubric
A rubric that provides an objective basis for creating and grading care plans. Score from 0-100%.
  Needs improvement

1 pts

Meets expectation

2 pts

Exceeds expectations

3 pts

Comments

(N/A)

Data Collection

Needs improvement

Does not include pertinent and standard data. Does not include information necessary to safety manage care. Disorganized.
Meets expectation

Includes pertinent and standard data but may not be organized. Includes information necessary to safely manage care.
Exceeds expectations

Includes all pertinent and standard data in organized manner. Includes all information necessary to safely manage care.
Comments
Assessment

Includes comprehensive subjective, objective and historical data and analysis is individualized for patient.

Needs improvement

Assessment is incomplete, and does not included pertinent data. Analysis is undeveloped or inaccurate, or not individualized to patient.
Meets expectation

Assessment is mostly complete, and includes most pertinent data. Analysis is mostly accurate and individualized to patient.
Exceeds expectations

Assessment is complete, and includes all pertinent data. Analysis is well-developed and accurate, and individualized to patient.
Comments
Diagnostics

Needs improvement

Diagnostic tests are incomplete (with no explanation). Analysis may not reflect significance to disease or to patient.
Meets expectation

Diagnostic tests are mostly complete (with explanation). Analysis reflects significance to disease or to patient.
Exceeds expectations

Diagnostic tests are complete (with explanation of desired tests with rationale if test or test result unavailable). Analysis reflects significance to disease and to patient.
Comments
Medications

Needs improvement

Does not note proper indications for medications for individual patient. Does not select significant side effects, interactions, or nursing considerations.
Meets expectation

Mostly notes proper indications for medications for individual patient. Mostly selects significant side effects, interactions and nursing considerations.
Exceeds expectations

Notes all proper indications for all medications for individual patient. Selects significant side effects, interactions, and nursing considerations.
Comments
Nursing Diagnoses

Includes the highest priority and most appropriate diagnoses for patient that include all appropriate parts (stem, related to or R/T, and as evidenced by AEB) and is NANDA approved.

Needs improvement

Diagnoses are not prioritized and/or appropriate for patient. May not be NANDA or may not include all parts. May not be supported by evidence.
Meets expectation

Diagnoses are prioritized and appropriate for patient. NANDA approved. Includes all pertinent information or evidence but may be listed in wrong part of diagnosis. Education and discharge teaching may be generic.
Exceeds expectations

Diagnoses are highest priority and appropriate for patient, and NANDA approved. Diagnosis includes all parts, and all relevant evidence, and information is listed in correct part of diagnosis. Education and discharge teaching are individualized to patient.
Comments
Measurable Outcomes

Includes patient or family goals that are most appropriate for the patient/family and the nursing diagnosis. Goal should be measurable by at least two criteria and have a target date or time.

Needs improvement

Outcomes do not include measurable criteria or a target date or time. May not address evidence from nursing diagnosis.
Meets expectation

Outcomes include measurable criteria and a target date or time. May not address evidence from nursing diagnosis.
Exceeds expectations

Outcomes are appropriate for patient, and include measurable criteria and target date or time. Addresses evidence from nursing diagnosis.
Comments
Implementation (Interventions

Includes interventions or nursing actions that directly relate to the patient's goal, that are specific in action and frequency, and include a referenced rationale (with reference if applicable). Number of interventions should be appropriate to help patient or family meet their goal.

Needs improvement

Interventions inadequate to help patient meet goal. Interventions may also not be specific, appropriate, or listed with rationales. Rationales may be inaccurate or not specific to patient. No references.
Meets expectation

Interventions adequate and appropriate to help patient meet goal. Mostly specific and appropriate. Some rationales may be inaccurate or not specific to patient. Referenced properly from textbooks.
Exceeds expectations

Interventions help patient meet goal, and are specific in action and frequency, are listed with rationales. References demonstrate independent research.
Comments
Evaluation

Includes the objective patient-centered outcome to be evaluated.

Needs improvement

Evaluation criteria is not patient or goal-centered but is nursing or process- centered. Not appropriate for nursing diagnoses and specific to patient.
Meets expectation

Evaluation criteria are patient and goal centered but non-specific.
Mostly appropriate for nursing diagnoses and specific to patient.
Exceeds expectations

Evaluation criteria are patient and goal centered and individualized to patient. Appropriate for nursing diagnoses and specific to patient.
Comments



Keywords:
  • Nursing, Care Plan

Subjects:

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