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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. Score from 0-100%.
Rubric Code: P74737
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

2.5 pts

Poor

5 pts

Fair

7.5 pts

Good

10 pts

Assessment

Includes subjective, objective and historical data that support actual or risk for nursing diagnosis.

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

Incomplete

Diagnoses 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 goal that is most appropriate for the patient/family and the nursing diagnosis. Goal should be measurable criteria and have a target date or time.

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 five nursing interventions and rationales that directly relate to the patient's goal and that are specific in action

Incomplete

Interventions/Rationale portion is incomplete.
Poor

Interventions/Rationale 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/Rationale 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/Rationale portion contains adequate number of interventions to help patient/family meet goal.
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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