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iRubric: Nursing Care Plan Rubric

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Nursing Care Plan Rubric 
Nursing Care Plan Rubric
A rubric that provides an objective basis for creating and grading care plans. Score from 0-100%.
Rubric Code: LX63374
By hballestas
Ready to use
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%.
  Incomplete

5 pts

Poor

10 pts

Fair

15 pts

Good

20 pts

Assessment

Includes subjective, objective and historical data that support actual or risk for nursing diagnosis with a focus on disease process.
Incomplete

Assessment portion is incomplete.
Poor

Does not include all pertinent data related to nursing diagnosis. May also include data that does not relate to nursing diagnosis.
Fair

Includes all pertinent data related to nursing diagnosis, but also includes data not related to nursing diagnosis.
Good

Includes all pertinent data related to nursing diagnosis and does not include data that is not related to nursing diagnosis.
Diagnosis

Includes the most appropriate diagnosis for patient and ordinal number that includes all appropriate parts (stem, related to or R/T, and as evidenced by AEB for actual diagnosis) and is NANDA approved.
Incomplete

Diagnosis portion is incomplete.
Poor

Diagnosis is not appropriate for patient and ordinal level (first diagnosis, second diagnosis, etc). May also not be NANDA and may not include all parts.
Fair

Diagnosis is appropriate for patient and ordinal level, and diagnosis is NANDA approved, but does not include all parts or information is listed in wrong part of diagnosis.
Good

Diagnosis is appropriate for patient and ordinal level, and diagnosis is NANDA approved. Diagnosis also includes all parts and information is listed in correct part of diagnosis.
Planning (Goal Setting)

Includes a patient or family goal that is 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.
Consults with RD for specific dietary guidance.
Incomplete

Goal portion is incomplete.
Poor

Goal statement is not patient or family oriented and may not have measurable criteria or a target date or time.
Fair

Goal statement is patient or family oriented, and contains at least one measurable criteria or a target date/time.
Good

Goal statement is patient or family oriented, and contains two measurable criteria and a target date or time.
Implementation (Interventions

Includes interventions or nursing actions that directly relate to the patient's goal, that are specific in action and frequency, are labeled "I" for independent and "C" for collaborative, and include a referenced rationale with page number (if applicable). Number of interventions should be appropriate to help patient or family meet their goal.
Incomplete

Interventions portion is incomplete.
Poor

Interventions portion does not include adequate number of interventions to help patient/family meet goal. Interventions may also not be specific, labeled or listed with rationales.
Fair

Interventions portion contains adequate number of interventions to help patient/family meet goal, but interventions may not be specific, labeled or listed with rationales.
Good

Interventions portion contains adequate number of interventions to help patient/family meet goal, and interventions are specific in action and frequency, labeled with "I" or "C" and are listed with referenced rationales.
Evaluation

Includes data that is listed as criteria in goal statement. Based on this data, goal is determined to be met, partially met, or not met. If goal was not met or partially met, plan of care is revised or continued and a new evaluation date/time is set.
Incomplete

Evaluations portion is incomplete.
Poor

Evaluation portion does not contain data that is listed as criteria in goal statement. May also not describe goal as met, partially met, or not met. May also not include revision or new evaluation date/time.
Fair

Evaluation portion does contain data that is listed as criteria in goal statement, but does not describe goal as met, partially met, or not met. May also not include revision or new evaluation date/time.
Good

Evaluation portion does contain data that is listed as criteria in goal statement. Does describe goal as met, partially met, or not met. If goal was partially met or not met, includes revision and/or new evaluation date/time.



Keywords:
  • Nursing, Care Plan

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