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CareplanRubric.pdf

9/26/21, 12:42 PM Rubric Assessment - NUR4641-03:Adult Health Nursing II (2021 Fall Term 1)-14133 - Resurrection University

https://oakpoint.brightspace.com/d2l/lms/competencies/rubric/rubrics_assessment_results.d2l?ou=16386&evalObjectId=30497&evalObjectType=1&us… 1/6

Care Plan Rubric Course: NUR4641-03:Adult Health Nursing II (2021 Fall Term 1)-14133

Criteria Good 4 points

Fair 3 points

Poor 2 points

Incomplete 0 points

Criterion Score

Patient

information

and health

assessment:

Complete

patient

demographics,

health

assessment

and

interventions

/ 4

Pertinent

Diagnostic

Data: Identify

abnormal

diagnostics,

state

significance for

this patient.

/ 4

All of the

demographic

section is

completed, all

areas of the

health

assessment is

completed

interventions are

identified for the

health

assessment data

that is identified.

Approximately

half to 2/3rds of

the demographic

section is

complete. The

health

assessment is at

least half

complete and is

accurately

identified

although minimal

interventions are

still noted based

on the health

assessment dated

gathered

Minimal

demographic

information is

provided in the

care plan, many

areas of the

health

assessment

section are

omitted,

interventions are

limited.

No Demographic

information is

noted in the care

plan, health

assessment and

interventions are

not identified

correctly.

Identified all of

the abnormal

diagnostics and

stated the

significance for

this patient.

Identified all of

the abnormal

diagnostics and

was able to state

SOME of the significance for

this patient.

Identified half of

the abnormal

diagnostics and

was able to state

SOME of the significance for

this patient.

No Diagnostics

were identified

for this patient.

9/26/21, 12:42 PM Rubric Assessment - NUR4641-03:Adult Health Nursing II (2021 Fall Term 1)-14133 - Resurrection University

https://oakpoint.brightspace.com/d2l/lms/competencies/rubric/rubrics_assessment_results.d2l?ou=16386&evalObjectId=30497&evalObjectType=1&us… 2/6

Criteria Good 4 points

Fair 3 points

Poor 2 points

Incomplete 0 points

Criterion Score

Number of

Nursing

Diagnoses:

Provided 5

correct nursing

diagnoses for

the patient

based on the

patient health

assessment,

history, labs,

and

pathophysiolog

y.

/ 4

Pathophysiolog

y: Disease

process

description

including

“Signs and

Symptoms” as

well as APA

references

cited

/ 4

Identified 5

nursing diagnoses

for the patient

that are correct

based on the

patient

assessment,

history and data

Identified 4

nursing diagnoses

for the patient

that are correct

based on the

patient

assessment,

history and data

Identified 3

nursing diagnoses

for the patient

that are correct

based on the

patient

assessment,

history and data

Identified 2

nursing diagnoses

for the patient

that are correct

based on the

patient

assessment,

history and data.

Explanation of

pathophysiology

chosen; given

with accurate

details related to

client’s symptoms

and current

illness. APA

references noted

No explanation of

pathophysiology

chosen; given

with accurate

details related to

client’s symptoms

and current

illness. APA

references noted

No explanation of

pathophysiology

chosen; given

with accurate

details related to

client’s symptoms

and current

illness. No APA

references noted

Not identified

correctly or

correctly

identified

although with

many omissions

noted. The

pathophysiology

is not integrated

into the plan of

care

9/26/21, 12:42 PM Rubric Assessment - NUR4641-03:Adult Health Nursing II (2021 Fall Term 1)-14133 - Resurrection University

https://oakpoint.brightspace.com/d2l/lms/competencies/rubric/rubrics_assessment_results.d2l?ou=16386&evalObjectId=30497&evalObjectType=1&us… 3/6

Criteria Good 4 points

Fair 3 points

Poor 2 points

Incomplete 0 points

Criterion Score

Pharmacology:

Complete and

accurate

description of

current

medication list

that includes

description of

medications,

side effects as

well as nursing

considerations

specific to the

patient

/ 4

Nursing

Diagnosis:

(Includes all 5

Dx) Reflects

the primary

diagnosis and

is appropriate

for patient

scenario as

well as priority

level.

Expressed in

acceptable

NANDA

format. Also

includes all

parts stem,

R/T, and AEB

/ 4

List all MAR

meds with

description, side

effects and

nursing

considerations

specific to

patient and why

patient is

receiving drug

Most of the MAR

meds with

description, side

effects and

nursing

considerations

specific to

patient and why

patient is

receiving drug

List some MAR

meds but does

not include

relevant side

effects and

nursing

considerations

specific to

patient

Only some of the

current meds are

written &

discussed in the

meds section.

Info is incomplete

with many

omissions noted.

The meds are not

integrated in the

plan of care

Diagnosis is

appropriate for

patient/priority

level. NANDA

approved.

Diagnosis also

includes all parts

and information

Diagnosis is

appropriate for

patient/priority

level. NANDA

approved. Does

not include all

parts or info is

listed in wrong

part of diagnosis

Diagnosis is not

appropriate for

patient and

priority level.

May also not be

NANDA

approved and

may not include

all parts

Diagnosis

selected reflects

that no effort to

interpret info was

applied resulting

in a flawed plan

of care. NANDA

format is not

complete or used

correctly

9/26/21, 12:42 PM Rubric Assessment - NUR4641-03:Adult Health Nursing II (2021 Fall Term 1)-14133 - Resurrection University

https://oakpoint.brightspace.com/d2l/lms/competencies/rubric/rubrics_assessment_results.d2l?ou=16386&evalObjectId=30497&evalObjectType=1&us… 4/6

Criteria Good 4 points

Fair 3 points

Poor 2 points

Incomplete 0 points

Criterion Score

Assessment:

Appropriate for

chosen

diagnosis.

Includes

objective &

subjective

historical data

that support

actual or risk

for nursing

diagnosis

/ 4

Patient

Outcomes

Outcomes

should be

specific to the

patient Dx.,

The outcome

statement

should also

contain the

following 4

criteria:

measurable,

attainable,

realistic, and

timed. All

criteria should

be present to

be a specific

patient

expected

outcome

/ 4

Includes all

pertinent data

related to nursing

Dx., and does not

include data that

is not related to

Dx

Includes all

pertinent data

related to nursing

Dx., but also

includes data not

relate to Dx

Doesn’t include

all pertinent

related data to

nursing Dx. May

include data not

relating to Dx

Not all relevant

subjective &

objective data is

collected. There

is an absence of

the use of inquiry

to collect info

relevant to the

individual's

disease &

circumstances.

Outcomes

statement is

specific to pt. Dx.

and contains all 4

measurable

criteria

Outcomes

statement is

specific to pt.

Dx., but also

includes data not

related to Dx.

Doesn't include

all pertinent

related data to

the nursing Dx.

May also include

data not relating

to the patient Dx.

It only contains

two of the 4

measurable

criteria.

Doesn't include

many of the

needed

measurable

criteria. Outcome

is not specific to

the patient.

9/26/21, 12:42 PM Rubric Assessment - NUR4641-03:Adult Health Nursing II (2021 Fall Term 1)-14133 - Resurrection University

https://oakpoint.brightspace.com/d2l/lms/competencies/rubric/rubrics_assessment_results.d2l?ou=16386&evalObjectId=30497&evalObjectType=1&us… 5/6

Criteria Good 4 points

Fair 3 points

Poor 2 points

Incomplete 0 points

Criterion Score

Interventions:

Include

interventions

or nursing

actions that

directly relate

to the patient's

goal; are

specific in

action,

frequency and

contain

rationale. The

number of

interventions

should be

appropriate to

help

patient/family

meet their goal

/ 4 Intervention

portion contains

an adequate

number of

interventions to

help the

patient/family

meet their goal.

The interventions

are specific in

action and

frequency, and

are also listed

with rationales.

Intervention

portion contains

an adequate

number of

interventions to

help the

patient/family

meet their goal.

The interventions

may not be

specific in action

and frequency,

and may not be

labeled with

or listed with

rationales.

Intervention

portion doesn't

include an

adequate number

of interventions

to help the

patient/family

meet their goal.

May also not be

specific, labeled

or listed with

rationales.

Inappropriate

interventions are

included in the

plan of care,

interventions are

not realistic &

appropriate to

the patient's

current status.

9/26/21, 12:42 PM Rubric Assessment - NUR4641-03:Adult Health Nursing II (2021 Fall Term 1)-14133 - Resurrection University

https://oakpoint.brightspace.com/d2l/lms/competencies/rubric/rubrics_assessment_results.d2l?ou=16386&evalObjectId=30497&evalObjectType=1&us… 6/6

Total / 40

Overall Score

Criteria Good 4 points

Fair 3 points

Poor 2 points

Incomplete 0 points

Criterion Score

Evaluation:

Includes all

data that is

listed as

criteria in

outcome

statement.

Based on this

data, outcome

is determined

to be met,

partially met,

or not met. If is

not met or

partially met,

plan of care is

revised or

continued and

a new

evaluation date

/ 4 Evaluation

portion does

contain data that

is listed as criteria

within the goal

statement. Does

describe the

outcome as met,

partially met, or

not met, includes

revision of plan

of care, or new

evaluation

date/time.

Evaluation

portion does

contain data that

is listed as criteria

within the

outcome

statement,

but does not

describe the goal

as met, partially

met, or not met.

May not include a

revision of plan

of care, or new

evaluation

date/time.

Evaluation

portion does not

contain data that

is listed as criteria

in the outcome

statement. May

also not describe

goal as met,

partially met, not

met. May also not

include revision

or new evaluation

date/time.

Does not clearly

evaluate if the

outcome is met;

evaluation is

purely based on if

interventions are

applied to

patients care.

Level 4 11 points minimum

Level 3 8 points minimum

Level 2 5 points minimum

Level 1 0 points minimum