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iRubric: Nursing Care Plan Rubric
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Nursing Care Plan Rubric
Nursing Care Plan Rubric
Choose a patient that you had in clinical. Prepare a care plan based on relevant objective and subjective assessment data. The care plan will include nursing diagnosis, written in proper format and listed in order of priority for care, planning and goal statements which must be attainable and measureable, nursing interventions with researched rationales (reference sources), expectations for evaluation including what would constitute the goals being met, partially met, or unmet.
Rubric Code:
UX4W5W5
By
ranwar
Ready to use
Public Rubric
Subject:
Nursing
Type:
Assignment
Grade Levels:
Undergraduate
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Nursing Care Plan Rubric
Excellent
4 pts
Good
3 pts
Fair
2 pts
Unsatisfactory
1 pts
Assessment
Excellent
Utilizes multiple sources for data. Correctly identifies subjective and objective data which is clear, specific, and relevant. All data is clustered in a coherent manner and is related to a nursing diagnosis.
Good
Identifies some significant, acurate and relevant data from more than one source. Does not consistently identify subjective and objective data correctly. Most assessment data supports nursing diagnosis.
Fair
Assessment data is not well organized. Subjective and objective data are not identified. Assessment data is irrelevant or does not support nursing diagnosis.
Unsatisfactory
Assessment portion is incomplete or inacurate.
Diagnosis
Excellent
Three or more diagnosis are identified and are clearly supported by assessment data, and reflect accurate clinical judgement. They are appropriate for patient, well prioritized, NANDA approved, and written in correct format.
Good
One or two diagnosis are identified that are appropriate for patient and are NANDA approved and clearly supported by assessment data. May not be listed in order of priority, or lack the proper format.
Fair
Diagnosis are not NANDA approved, appropriate for patient or not prioritized. Diagnosis not clearly supported by assessment data.
Unsatisfactory
Diagnosis portion is incomplete or irrelevant.
Planning (Goal Setting)
Excellent
Short and long term goals are identified that clearly relate to the nursing diagnosis, are written in a patient focused manner, and are realistic. Each goal contains clear criteria for measurement and a time frame for evaluation.
Good
Goal statements are identified that relate to the nursing diagnosis, and are patient focused. Criteria for measurement included but may not be clear or contain realistic time frame for evaluation.
Fair
Goal statement are not relevant to nursing diagnosisis. Outcomes are consistently not client centered, measurable or have achievable target dates.
Unsatisfactory
Goal portion is incomplete or completely unrelated to nursing diagnoses.
Implementation
Excellent
Identifies at least 4-5 specific interventions for each outcome criteria in order to help the patient/family reach the desired goal. Interventions are specific in action and frequency.
Rationales which are researched and clearly referenced with very reliable sources.
Good
Identifies 3- 4 interventions for each goal that relate to the etiology of the nursing diagnosis. Not all interventions may be specific.
Rationales included but may be weak, or references are incomplete or from sources that may not be reliable.
Fair
Identifies less than 3 interventions.Interventions are unclear or do not clearly focus on the etiology of the nursing diagnosis or relate to patient goal outcomes.
Rationales provided do not demonstrate an understanding of the purpose of the interventions or no references are provided.
Unsatisfactory
Interventions portion is incomplete, not relevant to patient. Rationales not provided.
Evaluation
Excellent
Evaluation portion contains data that is listed as criteria in goal statement and lists expectations for meeting the goal. Clear explanation of the criteria for goals being met, partially met, or not met. Includes plan for continuation or revision, clearly referenced rationale for revisions from reliable sources, and a new evaluation date/time.
Good
Clearly states how each outcome would be evaluated. Able to correctly identify criteria for goal being met, partially met, or unmet. Identifies revisions for careplan but may not include acurate rationale for revision or references may be from sources that may not be reliable, or a new date is not provided for reevaluation.
Fair
Evaluation portion does not consistently 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.
Unsatisfactory
Evaluations portion is incomplete or does not relate to diagnosis, goal statement or interventions.
Patient Teaching
Excellent
Teaching related to patients knowledge deficit, gender, and age
Good
Teaching related to patient's illness,but missing some important information
Fair
Teaching not related to patients illness
Unsatisfactory
Patient teaching is missing
Drug Cards
Excellent
Drug cards related to care plan 5 routine drug cards and 2 prn
MUST be in your own words
Good
Drug cards related to care plan less than 5 routine drug cards and less than 2 prn
MUST be in your own words
Fair
Drug cards related to care plan 5 routine drug cards and 2 prn
Copied and paste
Unsatisfactory
Drug cards not related to care plan less than 5 routine drug cards and less than 2 prn
Copied and Paste
Keywords:
Nursing, Care Plan
Subjects:
Nursing
Types:
Assignment
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