Engage Fundamentals Vital Signs

Rubric Details

• Recognize Cues (Assessment) Identify all relevant subjective (0-10 points) and objective assessment information related to the client’s condition (0-10 points)
  20 possible points (20%)
• Analyze Cues (Analysis)– Form hypotheses Based upon assessment information, identify, and prioritize the top 3 client problems. In other words, which 3 assessment findings are of immediate concern? (0-9 points) Below each client problem, determine and enter 2 relevant assessment information that supports the identified client problem. (0-9 points)
  18 possible points (18%)
• Prioritize Hypotheses (Analysis) Identify with rationale the assessment findings that the nurse should address first (0-6 points) State priority framework used for the identification (0-3) and rationale for choice (0-3 points)
  12 possible points (12%)
• Generate Solutions (Planning) What is the desirable client outcome(s)? State 2 outcomes (0-4 points) Identify 3 possible nursing interventions that can be done for the prioritized problem. (0-9 points) State rationale for each intervention (0-3 points) SMART criteria met for outcomes and interventions (0-4 points)
  20 possible points (20%)
• Take Action (Implementation) Prioritize with rationales the 3 actions the nurse should take to address the priority assessment finding? (0-9 points) What 2 client factors must you consider when making this decision? (0-4 points) How should the intervention(s) be accomplished (performed, requested, administered, communicated, taught, documented, etc.)? (0-5 points)
  18 possible points (18%)
• Evaluate Outcomes (Evaluation) What signs point to: - improving status? (0-3 points) -declining status? (0-3 points) -unchanged status? (0-3 points) What additional interventions or assessments should the nurse implement if expected outcome(s) are not met? (0-3 points)
  12 possible points (12%)