Digital Clinical Experience (DCE): Health History Assessment

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RUBRICSASSIGNMENT.docx

Name: NURS_6512_Week_4_DCE_Assignment_2_Rubric

Description: Note: To complete the Shadow Health assignments it is helpful to use the text and follow along with each chapter correlating to the area of assessment to assist in covering all the subjective questions. Review the Advanced Health Assessment Nursing Documentation Tutorial located in the Week 4 Resources, the model documentation in Shadow Health, as well as sample documentation in the text to assist with narrative documentation of the assessments. Do not copy any sample documentation as this is plagiarism. Shadow Health exams may be added to or repeated as many times as necessary prior to the due date to assist in achieving the desired score. You must pass this assignment with a total cumulative score of 79.5% or greater in order to pass this course.

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Excellent

Good

Fair

Poor

Student DCE score (DCE percentages will be calculated automatically by Shadow Health after the assignment is completed.) Note: DCE Score - Do not round up on the DCE score.

56 (56%) - 60 (60%)

DCE score>93

51 (51%) - 55 (55%)

DCE Score 86-92

46 (46%) - 50 (50%)

DCE Score 80-85

0 (0%) - 45 (45%)

DCE Score <79 No DCE completed.

Subjective Documentation in Provider Notes Subjective narrative documentation in Provider Notes is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS) ROS: covers all body systems that may help you formulate a list of differential diagnoses. You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

36 (36%) - 40 (40%)

Documentation is detailed and organized with all pertinent information noted in professional language. Documentation includes all pertinent documentation to include Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).

31 (31%) - 35 (35%)

Documentation with sufficient details, some organization and some pertinent information noted in professional language. Documentation provides some of the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).

26 (26%) - 30 (30%)

Documentation with inadequate details and/or organization; and inadequate pertinent information noted in professional language. Limited or/minimum documentation provided to analyze students critical thinking abilities for the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).

0 (0%) - 25 (25%)

Documentation lacks any details and/or organization; and does not provide pertinent information noted in professional language. No information is provided for the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS). or No documentation provided.

Total Points: 100

Name: NURS_6512_Week_4_DCE_Assignment_2_Rubric

Description: Note: To complete the Shadow Health assignments it is helpful to use the text and follow along with each chapter correlating to the area of assessment to assist in covering all the subjective questions. Review the Advanced Health Assessment Nursing Documentation Tutorial located in the Week 4 Resources, the model documentation in Shadow Health, as well as sample documentation in the text to assist with narrative documentation of the assessments. Do not copy any sample documentation as this is plagiarism. Shadow Health exams may be added to or repeated as many times as necessary prior to the due date to assist in achieving the desired score. You must pass this assignment with a total cumulative score of 79.5% or greater in order to pass this course.

Exit

Name:

NURS_6512_Week_4_DCE_Assignment_2_Rubric

Description:

Note:

To

complete

the

Shadow

Health

assignments

it

is

helpful

to

use

the

text

and

follow

along

with

each

chapter

correlating

to

the

area

of

assessment

to

assist

in

covering

all

the

subjective

questions.

Review

the

Advanced

Health

Assessment

Nursing

Documentation

Tutorial

located

in

the

Week

4

Resources,

the

model

documentation

in

Shadow

Health,

as

well

as

sample

documentation

in

the

text

to

assist

with

narrative

documentation

of

the

assessment

s.

Do

not

copy

any

sample

documentation

as

this

is

plagiarism.

Shadow

Health

exams

may

be

added

to

or

repeated

as

many

times

as

necessary

prior

to

the

due

date

to

assist

in

achieving

the

desired

score.

You

must

pass

this

assignment

with

a

total

cumulative

score

of

79.5%

or

greater

in

order

to

pass

this

course.

Exit

·

Grid View

·

List View

Excellent

Good

Fair

Poor

Student DCE score

(DCE percentages will be

calculated automatically by

Shadow Health after the

assignment is completed.)

Note: DCE Score

-

Do not

round up on the DCE score.

56

(56%)

-

60

(60%)

DCE score>93

51

(51%)

-

55

(55%)

DCE Score 86

-

92

46

(46%)

-

50

(50%)

DCE Score 80

-

85

0

(0%)

-

45

(45%)

DCE Score <79

No DCE completed.