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iRubric: Comprehensive Physical Assessment rubric

iRubric: Comprehensive Physical Assessment rubric

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Comprehensive Physical Assessment 
Rubric Code: WXCB3X9
By hillenbe
Draft
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: (none)

Powered by iRubric Physical Assessment
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  Exemplary

25 pts

Mastery

20 pts

Developing

15 pts

Beginning

10 pts

Incomplete

5 pts

Collecting a health history

Students will demonstrate the skills needed to perform a complete health history exam using concise communication methods and will discriminate between subjective and objective data
Exemplary

Expertly collects health history information utilizing exemplary communication skills and is able to accurately document objective and subjective data
Mastery

Collects health history information utilizing good communication skills. Able to differentiate between objective and subjective data
Developing

Collects health history information, but communication skills are lacking. Unable to collect all information needed to document objective and subjective data
Beginning

Major omissions made in the collection of the health history. Unable to differentiate between subjective and objective data
Incomplete

No health history obtained
Physical assessment skills

Students will be able to correctly use assessment skills such as inspection, palpation, auscultation, and percussion to perform a comprehensive physical assessment. Students will be able to document what assessment finds are within normal limits and what are considered abnormal
Exemplary

Expertly performs a comprehensive physical assessment that covers all systems and utilizing inspection, auscultation, palpation and percussion in the correct order
Mastery

Performs a comprehensive physical assessment on the patient but may have missed one system or does not perform the steps of assessment in the correct order
Developing

Performs an efficient comprehensive physical assessment with omission of a few systems or is missing important assessment pieces of each system
Beginning

Performs insufficient comprehensive physical assessment with major omissions in technique
Incomplete

Inadequate comprehensive physical assessment performed
Critical thinking skills

Students will apply critical thinking skills to evaluate data collected from the health history and physical assessment and develop a nursing care plan that is patient specific and promotes and optimizes health
Exemplary

Expertly applies critical thinking skills to evaluate the data collected from the health history and physical assessment and develops an individualized nursing care plan
Mastery

Applies critical thinking skills when evaluating the data collected from the health history and physical assessment but nursing care plan lacks individualization
Developing

Able to apply some critical thinking skills when evaluating information gained from the physical assessment and health history. Nursing care plan is generic
Beginning

Lacking in critical thinking skills when evaluating information gained from physical assessment and health history. Nursing care plan is generic and not individualized
Incomplete

Does not apply critical thinking skills and does not create a nursing care plan
Integrate evidence-based practice

Students will determine how cultural, ethical, and social factors influence health assessment findings utilizing evidence-based practices.
Exemplary

Expertly utilizes evidence based practices and analyzes how a patient's cultural, ethical, and social factors influence their health
Mastery

Utilizes evidence based practices and assesses how some of the patient's cultural, social, or ethical factors influence their health
Developing

Utilizes evidence based practices to evaluate the patient's social, ethical and social factors but fails to connect them to patient's health status
Beginning

Utilizes evidence based practices sporadically throughout the assessment and does not evaluate the patient's social, cultural, or ethical factors
Incomplete

Fails to integrate evidence based practices into health assessment findings




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