iRubric: OT Assessment and SOAP Note Rubric

All sections completed using sound medical terminology, abbreviations. Assessment results were consistent between the form and the SOAP note.

All elements present. Few points needed revisions.

Document missing some elements. Few points needed revisions.

Poor grammar and spelling.
Formatting is disjointed. Major revisions required.

Observations were excellent. Writing showed understanding of assessment results, and described session elements accurately.

Observations were very good. They met the expectations of the assignment.

Observations were difficult to understand and writing was disjointed.

Observations were not objective, major revision required.

Goals are clear, measurable, functional, have a time frame, and a performance criterion. Goals are logical and consistent with assessment results.

All elements present. Few points needed revisions.

Goals missing some elements. Few points needed revisions.

Goals are illogical, Major revisions required.

Note contained relevant information; was clear and concise; flowed logically; did not provide too much information (not needed in chart)

clarity and quality of thought meet the expectations of the assignment.

clarity and quality of thought show a lack of clarity of the OT process or topic at hand; , and/or do not demonstrate a connection with the subjective and objective content collected in the report.

Clarity and quality of thought are not evident.