Skip to main content

iRubric: Clinical Assessment rubric

find rubric

edit   print   share   Copy to my rubrics   Bookmark   test run   assess...   delete   Do more...
Clinical Assessment 
Evaluation of Clinical Perfomance
Rubric Code: RXC733
Ready to use
Public Rubric
Subject: Health  
Type: Project  
Grade Levels: Undergraduate, Graduate

Powered by iRubric Evaluation
  Detail

(N/A)

Poor

50 pts

Fair

80 pts

Good

90 pts

Very Good

100 pts

Core Map
15 %

Criteria 1

Detail

Elements of the Core Map
Poor

Incomplete. data outdated and/or inaccurate
Fair

Subj. & obj. data included on Core Map.
Good

Key assess. reflects reason for hospitalization
Very Good

Correct, relevant & updated data (head to toe assess, lab & test data) in squares. > = 3 nsg dx & related factors noted
Care Plan (CP)
10 %

Criteria 2
Assessment data
Use of pathology and history to lead your assessment

Detail

Elements of the Care Plan. Include Objective and Subjective Data
Poor

Data not applicable to diagnosis.
& / or < 50% from Core Map
Fair

Minimal information listed. 50% to 75% data from Core Map
Good

Data correctly identified as objective or subjective. 75% data from Core Map
Very Good

Both objective and subjective data incorporated. Data is relevant to pt’s condition & nsg dx. All from Core Map.
Medication/Labs/Diagnostics
15 %

Criteria 3
Use of pathology and history to lead your assessment

Detail

Applicability of each to patient
Poor

Not listed or grossly incomplete
Fair

Listed by general use or by name
Good

Item applies to the assessment data only
Very Good

Linked to a nursing intervention and supported by drug cards for client teaching
Nursing Diagnosis
15 %

Criteria 4
Use of NANDA Diagnoses

Detail

Proper use of NANDA Dx
Poor

Not NANDA dx or None listed
Fair

NANDA Dx does not apply to pt data
Good

NANDA Dx could apply to pt, but not the obvious choice
Very Good

NANDA Dx applies to pt’s assessment data
Related Factors (R/T)
10 %

Criteria 5

Detail

Cause and effect relationship
Poor

Related factors don’t indicate the CAUSE of the nsg dx
Fair

Related factors partially support dx
Good

Cites correct
patho/physio-logical factors OR medical dx
Very Good

Cites correct patho/physiological factors & what they’re secondary to
Data Clustering (AEB)
10 %

Criteria 6

Detail

Additonal support of diagnosis. NOT TO BE USED FOR RISK DX
Poor

Data not listed or is inadequate.
Fair

Data is listed but does not PROVE the nursing dx exists.
Good

Data supports dx. with specific characteristics noted
Very Good

Critical thinking and understanding of pathophysiology applied. Reason for dx selection clear.
No AEB for risk dx.
Expected outcomes
5 %

Criteia 7
Pt will ___
by_______
AEB ____

Detail

Anlysis of outcomes
Emphasize short term goals this semester.
Poor

Goals not measurable and/or goals not pt centered, or not r/t dx
Fair

Measurable, but incomplete time frame and/or no AEB noted
Good

Measurable, pt-centered, time frame stated. Each outcome listed individually
Very Good

Measurable, realistic, observable, pt-centered, time frame stated. Each outcome listed individually as
LTG_________

STG_________
Interventions
5 %

Criteria 8

Detail

Specific to nursing
Poor

Incomplete, not listed and/or not relevant to goal listed.
Fair

Nurse centered, 2 interventions appropriate to meet outcome are listed.
Good

Nurse centered, appropriate for dx & outcomes. Time frame stated. 3 interventions per outcome listed.
Very Good

>=4 interventions listed per outcome, or includes all obvious nursing interventions for pt outcomes. Cites references for interventions.
Rationale
5 %

Criteria 9

Detail

Application of critical thinking
Poor

Doesn’t apply to achievement of patient’s situation/goal
Fair

Provides correct rationale for most interventions
Good

Correct rationale given for all interventions.
Very Good

PLUS, demonstrates critical thinking in applying reasoning
Evaluation
5 %

Criteria 10

Detail

To analyze if plan is working as intended
Poor

Incorrect evaluation or none listed
Fair

States whether goal met + time frame or AEB
Good

States goal met, not met, or partially met + time frame + correct AEB.
Very Good

PLUS includes an appropriate modification of plan.
Prioitization of Nursing Diagnoses
5 %

Criteria 11

Detail

Correct use of prioritization
Poor

All incorrect or not liste
Fair

1 correct
Good

2 correct
Very Good

3 correct




Subjects:

Types:





Do more with this rubric:

Preview

Preview this rubric.

Edit

Modify this rubric.

Copy

Make a copy of this rubric and begin editing the copy.


Print

Show a printable version of this rubric.

Categorize

Add this rubric to multiple categories.

Bookmark

Bookmark this rubric for future reference.
Assess

Test run

Test this rubric or perform an ad-hoc assessment.

Grade

Build a gradebook to assess students.

Collaborate

Apply this rubric to any object and invite others to assess.
Share

Publish

Link, embed, and showcase your rubrics on your website.

Email

Email this rubric to a friend.

Discuss

Discuss this rubric with other members.
 

Do more with rubrics than ever imagined possible.

Only with iRubrictm.

n243