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iRubric: Nursing Care Plan rubric

iRubric: Nursing Care Plan rubric

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Nursing Care Plan 
Nursing Care Plan
Rubric Code: Q948AW
By ramota
Ready to use
Public Rubric
Subject: Nursing  
Type: Assignment  
Grade Levels: Undergraduate

Powered by iRubric Nursing Care Plan
  A

10 pts

B

8.5 pts

C

7.5 pts

D

6.5 pts

F

5.5 pts

Total

(N/A)

History

A

Provided full history including past medical history, presenting signs and symptoms, and medications
B

Provided partial history, meds, and presenting signs and symptoms with no explanation of how patient came to be in the hospital
C

Information present but confusing and incomplete. No signs of critical thinking.
D

Information incomplete and confusing
F

Information missing or did not evaluate
Total
Physical assessment

A

Complete assessment charted using abbreviations appropiately. Includes charting, vital signs, and appropriate data to care for patient. Complete and all aspects of physical assessment completed
B

Full assessment present but aspects of assessment not present.
C

Information unclear and confusing. Aspects of physical assessment not completed or charted.
D

Missing information not completed. No signs of critical thinking present. Inappropriate use of abbreviations. Areas charted wrong.
F

Information missing or incomplete. Did not use correct form. Areas charted wrong.
Total
Critical thinking

A

All Labs, diagnostic tests, medications, disease processes explained, defined and applied to patient condition
B

Data present but not clearly defined and applied to patient condition.
C

Information unclear and incomplete.
D

Half of information present. No logical application of the collected data.
F

Data collected irrelevant, inappropriate, or poorly explained and not applied to patient condition.
Total
Nursing Diagnosis

A

Listed out five nursing diagnosis; selected two priority nursing diagnosis to develop; used NANDA approved nursing diagnosis that is well supported by data collected on client.
B

Listed out five nursing diagnosis; selected two priority nursing diagnosis to develop; used NANDA approved nursing diagnosis that is mostly supported by data indicated in the client history.
C

Listed out five nursing diagnosis; selected two priority nursing diagnosis to develop; used NANDA approved nursing diagnosis that is poorly supported by data indicated in client history.
D

Listed out five nursing diagnosis; selected two priority nursing diagnosis to develop; used nursing diagnosis that is not NANDA approved or is not supported by data indicated in the client history.
F

Listed out less than five nursing diagnosis; did not select two priority nursing diagnosis to develop; did not use the appropriate form for a nursing diagnosis.
Total
Appropriateness of Data Collection

A

All data collected is appropriate, relevant, and plausible.
B

Most of data collected on client appropriate, relevant, and plausible.
C

About half of data collected is appropriate, relevant, and plausible.
D

Most of data collected either not appropriate, not relevant, or not plausible.
F

No data collected on client is appropriate, relevant, or plausible.
Total
Goals/Expected Outcomes

A

Provided goals/outcomes that are specific, realistic, and measurable and are wrote in the correct form.
B

Provided goals/outcomes that are specific and measurable and are wrote in the correct form.
C

Provided goals/outcomes that are measurable but is not written in the correct form.
D

Provided goals/outcomes that is not measurable.
F

Did not provide a goal/outcome for each priority nursing diagnosis.
Total
Interventions

A

Provided six client-specific interventions that begin with an action verb and are appropriate for facilitating client to reach the expected outcome.
B

Provided six interventions that begin with an action verb and most of the interventions are appropriate for this client or expected outcome.
C

Provided six interventions that begin with an action verb but majority of interventions are not appropriate for this client or expected outcome.
D

Provided six interventions but some of them do not begin with an action verb and are not appropriate for this client or expected outcome.
F

Provided less than six interventions and some of them do not begin with an action verb and are not appropriate for this client or expected outcome.
Total
Rationales

A

Provided scientific rationales for each intervention that explain how or why the intervention should help the client reach the expected outcome. Each rationale is appropriately cited.
B

Provided scientific rationales for each intervention that explain how or why the intervention should help the client reach the expected outcome.
C

Provided rationales that are not scientific or that fail to explain how or why the intervention should help the client reach the expected outcome.
D

Provided rationales that are incomplete thoughts or incomplete sentences.
F

Did not provide rationales for all interventions.
Total
Evaluation

A

Provided evaluation on how goal/outcome met or unmet and how planned to re-evaluate unmet goals/outcomes
B

Provided evaluation on how goal/outcome met but did not include how planned to re-evaluation unmet goal/outcomes
C

Provided evaluation on how goal/outcome met or unmet but confusing and unclear
D

Provided evaluation that was incomplete or did not include how the goal/expected outcome was met or unmet
F

Did not evaluate expected outcome for effectiveness
Total
Grammar, punctuation, spelling

A

All words/sentences well structured and spelled and punctuated correctly.
Material referenced.
B

Less than 5 spelling, punctuation, or grammar errors present. Material referenced
C

Less than 10 spelling, punctuation, or grammar errors. Material referenced
D

Over 10 spelling,punctuation, or grammar errors and material is referenced not using APA format
F

Too many errors to count and material referenced not using APA or not referenced at all.
Total
Total

A
B
C
D
F
Total





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