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Clinical Preparation Sheet Rubric

Med-Surgical Clinical Concept Map Rubric

Clinical Preparation Sheet for 299-Humanistic Nursing Care of Adults 1- Nursing Clinical. Student is to formulate a clinical preparation sheet for one patient they have cared for in clinical each week.

Rubric Code: AX76W23

By umeesrn

Ready to use

Public Rubric

Subject: Nursing

Type: Assignment

Grade Levels: Undergraduate

Concept Maps
	Excellent 4 pts	Good 3 pts	Fair 2 pts	Poor 1 pts	Unsatisfactory 0 pts	Points awarded and comment section (N/A)
Diagnosis/Co-morbidities Look them up. Be able to explain them. Do they inter-relate or complicate each other? Write 1-2 paragraphs to describe the diagnosis and the pathophysiology.	Excellent Medical Diagnoses clearly presented with explanation that demonstrates student understanding. Pathophysiology at cellular level shows understanding of medical diagnosis and comorbidities and identifies etiology based on the specific patient's condition.	Good Medical Diagnoses present with adequate explanation. Pathophysiology explained to organ level or doesn't take into account the comorbidities and does not give specific etiology for the patient's condition.	Fair Medical Diagnoses present with inadequate or unclear explanation. Pathophysiology and etiology presented but difficult to understand the connections to this patients condition.	Poor Medical Diagnoses present with minimal explanation. Pathophysiology information minimal with no correlation to patient condition. Only includes 1-2 sentences.	Unsatisfactory No medical diagnosis or correlation to patient condition given. Pathophysiology absent.	Points awarded and comment section
Nanda Nursing Diagnosis Must include all 3 parts of a nursing diagnosis.(Nursing Diagnosis)…..related to…….as evidenced by………. Must be appropriate for patient diagnosis.	Excellent Diagnosis is appropriate for patient and diagnosis is NANDA approved. Diagnosis also includes all parts and information is listed in correct part of diagnosis.	Good Diagnosis is appropriate for patient and diagnosis is NANDA approved, but does not include all parts or information is listed in wrong part of diagnosis	Fair Diagnosis is appropriate for patient. May also not be NANDA and may not include all parts.	Poor Diagnosis is not appropriate for patient. May also not be NANDA and may not include all parts.	Unsatisfactory Diagnosis portion is incomplete.	Points awarded and comment section
Key Assessments Prioritize/Organize. What are you looking for that indicates progress? What findings may be unique/classic with this diagnosis? Address what you are assessing and what you are going to monitor for your patient.	Excellent Describes what you are monitoring or assessing. Must list the normal values/assessments including the patient's values/ assessments thoroughly addressed	Good Key assessments has values listed , patient values are mostly addressed.	Fair Key assessments is missing some normal values and patients assessment	Poor Key assessments is incomplete	Unsatisfactory Key assessments is absent or includes no significant data.	Points awarded and comment section
Labs/ radiological tests What should you monitor? What are the normal levels? Need to document what the normal values are and what your patient's values are.	Excellent Lab results/ radiological tests documented and abnormals addressed and related to the patient's specific condition(s) with further discussion linking the abnormal results to pathophysiology.	Good Lab results/ radiological tests documented and abnormals addressed and related to the patient's condition.	Fair Lab results/ radiological tests incomplete. Abnormal labs addressed, but not complete. Minimal correlation included.	Poor Lab results / radiological tests given with no discussion of abnormals and no correlation included.	Unsatisfactory No lab values/ radiological tests presented.	Points awarded and comment section
Interventions What are you going to do to minimize complications, prevent potential problems, maximize health? What nursing interventions are you going to implement?	Excellent All appropriate nursing interventions for the diagnosis and the patients response to the interventions are complete.	Good Appropriate nursing interventions for the diagnosis and the patients response to the interventions are acceptable.	Fair Appropriate nursing interventions for the diagnosis and the patients response to the interventions are Less than the acceptable.	Poor Intervention limited.	Unsatisfactory No interventions included.	Points awarded and comment section
Medications Must address all aeas of medication class, action, therapeutic effect, side effects, and nursing implications.	Excellent Patient medication list including class, action, therapeutic effect, side effects, and nursing implications addressed is complete	Good Patient medication list including class, action, therapeutic effect, side effects, and nursing implications addressed- not completed	Fair Patient medication list including class, action, therapeutic effect, side effects, and nursing implications addressed- at least one area is not addressed	Poor Patient medication list including class, action, therapeutic effect, side effects, and nursing implications addressed- at least two areas are not addressed	Unsatisfactory Medication list missing	Points awarded and comment section
Creativity/Spelling/Grammar Proper grammar, spelling and writing techniques are performed.	Excellent Eloquent execution with demonstration of advanced terms and knowledge in writing style with no grammatical or spelling errors. Preparation sheet is well organized, logical, and neatly presented.	Good Inviting to look at with excellent organization. Correct spelling and no grammatical errors.	Fair Neat with minor spelling, and grammatical errors. Lacks organization and map is difficult to follow.	Poor Disorganized, several spelling or grammatical errors. Lacks logic and is very difficult to follow.	Unsatisfactory Not organized, spelling and grammar errors noted in every section. Lacks logic and map was unable to be followed.	Points awarded and comment section

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Clinical Preparation Sheet

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