Case Study 8
gengri
mn557_soapnote_casestudygradingrubric_1.docKAPLAN SCHOOL OF NURSING
SOAP NOTE/CASE STUDY GRADING RUBRIC
[100 Points Total]
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A. Project Content 80 points possible
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0 |
1-5 |
6-10 |
11-15 |
16-20 |
Score |
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Presentation of Case, subjective and |
No paper submitted |
Needs improvement |
Partially addressed case and/or Subjective Data. Only 4-6 components addressed. |
Partially addressed Case and/or Subjective Data. Only 7-9 components addressed.
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Clearly and thoroughly presents Case and Subjective Data. All 10 components addressed |
20 |
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Objective Data |
No Paper submitted |
Omitted 5 or more components of the objective data |
Omitted 3-4 components of the objective data |
Omitted 1-2 components of the objective data |
Clearly and thoroughly presents Objective Data. All of the relevant systems addressed based on the CC and HPI |
20 |
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Assessment |
No Paper submitted |
Failed to address the diagnosis and/or differential diagnosis |
Diagnosis incorrect but completed a thorough exam and lab work in order to rule in diagnosis |
Diagnosis correct but failed to rule in diagnosis with exams or lab work or other testing in detail. |
Correct Differential and Medical diagnosis |
20 |
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Plan |
None of the components were addressed |
1 to 2 of the components addressed |
Three to 5 components addressed |
Correct plan of care. Only 6-7 components addressed |
Correct plan of care. Thoroughly addressed (diagnostic studies, meds, education, health promotion, Developmental stages, Ethical and cultural considerations, follow up, referrals). All 8 components addressed |
20 |
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Total Points |
___/80 |
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A. Project Content Points) |
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B. Organization and Formatting 11points possible |
0 |
0 |
1-8 |
9-14 |
15-20 |
Score |
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Organization |
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Organizes project and writes well. States ideas clearly and logically.
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No SOAP note/ plan of care submitted.. |
SOAP note/plan of care was somewhat organized and overall writing left room for improvement. Some ideas were stated clearly and logically. |
SOAP note/ plan of care was well-organized, but overall writing left room for improvement. Most ideas were stated clearly and logically. |
SOAP note/plan of care was thoroughly organized and well-written. All ideas were stated clearly and logically. |
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Writes relevant content. |
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Project was off topic and not relevant. |
Some portions of project were on topic and relevant. |
Project was mostly on topic and relevant. |
Project was thoroughly on topic and relevant. |
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Formatting
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Uses Course Policies formatting guidelines. Avoids spelling and grammatical errors |
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No formatting guidelines followed. Greater than 6 spelling or grammatical errors. |
Some formatting guidelines followed. 4 to 6 spelling or grammatical errors.. |
Most guidelines were followed. 1 to 3 spelling or grammatical errors.. |
All formatting guidelines were followed and the template was used. No spelling or grammatical errors. |
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Total Points |
20 |
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Total Points: (A +B)= 100 |
___/100 |
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