GRADING RUBRIC FOR PATIENT CARE WORKSHEET (1)
GRADING RUBRIC FOR PATIENT CARE WORKSHEET (1)
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeI. Patient InformationA. Chief complaint on admission
B. Admitting diagnosis and /or current diagnosis.
10 ptsExcellent
Thorough assessment of data. Explained in detail including an accurate and in-depth understanding of chief complaints and presenting signs/symptoms of the disease process
7.5 ptsGood
Data underdeveloped. Less accuracy in detail and understanding of chief complaints and presenting signs/symptoms
5 ptsAverage
Missing data. Minimal detail and limited understanding of chief complaints and presenting signs/ symptoms
2.5 ptsPoor
50% of data missing. Absence of detail and understanding of chief complaints and presenting signs/symptoms of the disease process.
10 pts
This criterion is linked to a Learning OutcomeII. History of present illnessHistory of present illness along with relevant medical history, any surgeries or medical procedures, and current physical assessment
10 ptsExcellent
Explained past medical history in detail, current physical assessment, and surgical/medical procedures.
7.5 ptsGood
Less detailed explanation of past medical history, current physical assessment, and surgical/medical procedures.
5 ptsAverage
Past medical history stated but with no explanation of current physical assessment, and or surgical/medical procedures.
2.5 ptsPoor
Past medical history not stated nor current physical assessment, and or surgical/medical procedures.
10 pts
This criterion is linked to a Learning OutcomeIII. PathophysiologyUse of Pathophysiology to explain disease and comorbidities.
10 ptsExcellent
Pathophysiology for each medical diagnosis and related comorbidity thoroughly discussed along with how it relates to the patient’s history and clinical manifestations.
7.5 ptsGood
Pathophysiology of two or more diagnosis and related comorbidities thoroughly discussed related to the patient’s history and clinical manifestations.
5 ptsAverage
Lack of discussion of pathophysiology of one or more diagnosis and related comorbidities related to the patient’s history and clinical manifestations.
2.5 ptsPoor
Absence of pathophysiology of diagnosis and related comorbidities. Discussion of diagnosis not related to the patient’s history and clinical manifestations.
10 pts
This criterion is linked to a Learning OutcomeLab and DiagnosticsIV. Abnormal lab and hemodynamic values are explained
10 ptsExcellent
Identified ordered /prescribed laboratory and diagnostic tests. Provide detail explanation of abnormal results.
7.5 ptsGood
Listed the majority of ordered and or prescribed laboratory and diagnostic tests, abnormalities explained
5 ptsAverage
Stated few ordered/ prescribed laboratory and diagnostic tests. Provides partial explanation of abnormal results.
2.5 ptsPoor
Ordered /prescribed laboratory and diagnostic tests are not explained. Failed to explain about abnormal results
10 pts
This criterion is linked to a Learning OutcomeV. NutritionV. Diet including NPO status, enteral feeding, or parenteral nutrition [TPN, PPN, and Intralipids]
10 ptsExcellent
Identified ordered and documented prescribed diet, identified/ prioritized risk or potential problems and teaching, nursing interventions discussed in depth
7.5 ptsGood
Stated ordered and /or prescribed diet; however, did not prioritize risk for or potential problems and less detail teaching and /or nursing interventions are discussed
5 ptsAverage
Stated ordered and or prescribed diet Did not identify or prioritize risk for or potential problems. Provided minimal teaching, and included few nursing interventions.
2.5 ptsNo Marks
Did not document ordered and or prescribed diet, failed to identify or prioritize risk or potential problems. Provided no teaching, stated few nursing interventions
10 pts
This criterion is linked to a Learning OutcomeVI. Physical AssessmenVI. Physical Assessment (respiratory care modalities)
10 ptsExcellent
Listed all body systems and identified the abnormalities that are relevant to patient’s diagnosis and nursing problem/diagnosis
7.5 ptsGood
Listed most of the body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis
5 ptsAverage
Listed 50% body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis
2.5 ptsNo Marks
Listed few body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis
10 pts
This criterion is linked to a Learning OutcomeVII. Medications
10 ptsExcellent
Listed all current medications citing rationale and relevance to patient’s diagnosis and nursing problem/diagnosis
7.5 ptsGood
Listed most of the medications on MAR and relevance to patient’s diagnosis and nursing problem/diagnosis
5 ptsAverage
Listed 50% of the medications on MAR and relevance to patient’s diagnosis and nursing problems/diagnosis
2.5 ptsPoor
Listed no medication related to patient’s medical condition
10 pts
This criterion is linked to a Learning OutcomeVIII. Expected collaborative interventionsVIII. Expected collaborative interventions (Evidence-based practice: EBP)
10 ptsExcellent
Discussed detailed nursing intervention, recommended treatments, and teaching based on EBP
7.5 ptsGood
Discussed less detailed nursing intervention, recommended treatments, and teaching. Minimally utilized EBP
5 ptsAverage
Lack of discussion on nursing intervention, recommended treatments, and teaching. Not based on EBP
2.5 ptsPoor
Failed to provide recommended treatment with teaching, with no nursing interventions discussed. Not based on EBP
10 pts
This criterion is linked to a Learning OutcomeIX. References
10 ptsExcellent
3 sources from multiple peer-review articles/journals in last 5 years
7.5 ptsGood
2 sources from multiple peer-review articles/journals in last 5 years
5 ptsAverage
1 source from peer review articles/journals in 10 years
2.5 ptsPoor
Failed to provide reference from single peer review article/journal
10 pts
This criterion is linked to a Learning OutcomeX. Overall quality of the paper- Coherent, Grammar, punctuation.
10 ptsExcellent
No errors
7.5 ptsGood
Few errors (