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Rubric Name: Care Plan Rubric

This table lists criteria and criteria group names in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method. You can give feedback on each criterion by tabbing to the add feedback buttons in the table.Criteria

Good

4 points

1. Patient information and health assessment: Complete patient demographics, health assessment and interventions

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.

2. Pertinent Diagnostic Data: Identify abnormal diagnostics, state significance for this patient.

Identified all of the abnormal diagnostics and stated the significance for this patient. 

3. Number of Nursing Diagnoses: Provided 5 correct nursing diagnoses for the patient based on the patient health assessment, history, labs, and pathophysiology.

Identified 5 nursing diagnoses for the patient that are correct based on the patient assessment, history and data

4. Pathophysiology: Disease process description including “Signs and Symptoms” as well as APA references cited

Explanation of pathophysiology chosen; given with accurate details related to client’s symptoms and current illness. APA references noted

5. 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

List all MAR meds with description, side effects and nursing considerations specific to patient and why patient is receiving drug

6. 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

Diagnosis is appropriate for patient/priority level. NANDA approved. Diagnosis also includes all parts and information

7. Assessment: Appropriate for chosen diagnosis. Includes objective & subjective historical data that support actual or risk for nursing diagnosis

Includes all pertinent data related to nursing Dx., and does not include data that is not related to Dx

8. 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

Outcomes statement is specific to pt. Dx. and contains all 4 measurable criteria

9. 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

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. 

10. 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

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.