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iRubric: Nursing Care Plan Rubric

iRubric: Nursing Care Plan Rubric

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Nursing Care Plan Rubric 
Nursing Care Plan Rubric
Choose a patient that you had in clinical. Prepare a care plan based on relevant objective and subjective assessment data. The care plan will include nursing diagnosis, written in proper format and listed in order of priority for care, planning and goal statements which must be attainable and measureable, nursing interventions with researched rationales (reference sources), expectations for evaluation including what would constitute the goals being met, partially met, or unmet.
Rubric Code: NX54866
By ranwar
Ready to use
Public Rubric
Subject: Nursing  
Type: Assignment  
Grade Levels: Undergraduate

Powered by iRubric Nursing Care Plan Rubric
  Excellent

4 pts

Good

3 pts

Fair

2 pts

Re-do

1 pts

Assessment

Excellent

Utilizes multiple sources for data. Correctly identifies subjective and objective data which is clear, specific, and relevant. All data is clustered in a coherent manner and is related to a nursing diagnosis.
Good

Identifies some significant, acurate and relevant data from more than one source. Does not consistently identify subjective and objective data correctly. Most assessment data supports nursing diagnosis.
Fair

Assessment data is not well organized. Subjective and objective data are not identified. Assessment data is irrelevant or does not support nursing diagnosis.
Re-do

Assessment portion is incomplete or inacurate.
Diagnosis

Excellent

Three or more diagnosis are identified and are clearly supported by assessment data, and reflect accurate clinical judgement. They are appropriate for patient, well prioritized, NANDA approved, and written in correct format.
Good

One or two diagnosis are identified that are appropriate for patient and are NANDA approved and clearly supported by assessment data. May not be listed in order of priority, or lack the proper format.
Fair

Diagnosis are not NANDA approved, appropriate for patient or not prioritized. Diagnosis not clearly supported by assessment data.
Re-do

Diagnosis portion is incomplete or irrelevant.
Planning (Goal Setting)

Excellent

Short and long term goals are identified that clearly relate to the nursing diagnosis, are written in a patient focused manner, and are realistic. Each goal contains clear criteria for measurement and a time frame for evaluation.
Good

Goal statements are identified that relate to the nursing diagnosis, and are patient focused. Criteria for measurement included but may not be clear or contain realistic time frame for evaluation.
Fair

Goal statement are not relevant to nursing diagnosisis. Outcomes are consistently not client centered, measurable or have achievable target dates.
Re-do

Goal portion is incomplete or completely unrelated to nursing diagnoses.
Implementation

Excellent

Identifies at least 4-5 specific interventions for each outcome criteria in order to help the patient/family reach the desired goal. Interventions are specific in action and frequency.

Rationales which are researched and clearly referenced with very reliable sources.
Good

Identifies 3- 4 interventions for each goal that relate to the etiology of the nursing diagnosis. Not all interventions may be specific.

Rationales included but may be weak, or references are incomplete or from sources that may not be reliable.
Fair

Identifies less than 3 interventions.Interventions are unclear or do not clearly focus on the etiology of the nursing diagnosis or relate to patient goal outcomes.

Rationales provided do not demonstrate an understanding of the purpose of the interventions or no references are provided.
Re-do

Interventions portion is incomplete, not relevant to patient. Rationales not provided.
Evaluation

Excellent

Evaluation portion contains data that is listed as criteria in goal statement and lists expectations for meeting the goal. Clear explanation of the criteria for goals being met, partially met, or not met. Includes plan for continuation or revision, clearly referenced rationale for revisions from reliable sources, and a new evaluation date/time.
Good

Clearly states how each outcome would be evaluated. Able to correctly identify criteria for goal being met, partially met, or unmet. Identifies revisions for careplan but may not include acurate rationale for revision or references may be from sources that may not be reliable, or a new date is not provided for reevaluation.
Fair

Evaluation portion does not consistently contain data that is listed as criteria in goal statement. May also not describe goal as met, partially met, or not met. May also not include revision or new evaluation date/time.
Re-do

Evaluations portion is incomplete or does not relate to diagnosis, goal statement or interventions.
Patient Teaching

Excellent

Teaching related to patients knowledge deficit, gender, and age
Good

Teaching related to patient's illness,but missing some important information
Fair

Teaching not related to patients illness
Re-do

Patient teaching is missing



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  • Nursing, Care Plan

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