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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: YX7A8WX By skidd9 Draft Public Rubric Subject: Nursing Type: Assignment Grade Levels: Undergraduate

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.	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.	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. Interventions are specific in action (exactly what the nurse will do) and frequency(how often the nurse will do the interventions). Each intervention is labeled "I" for independent, "C" for collaborative, or "D" for dependent. Number of interventions should be inclusive 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

Subjects:

Nursing

Types:

Assignment

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