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iRubric: FDARP Note rubric

iRubric: FDARP Note rubric

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FDARP Note 
FDARP Note
Focus Charting F DARP
Rubric Code: Y246B44
By Ms_Sigel_RN
Ready to use
Public Rubric
Subject: Health  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric F DARP Note Creation
  Proficient

4 pts

Basic

3 pts

Below Expectations

2 pts

Non-Performance

1 pts

F: Focus

Every entry in the progress note must have at least one focus word or phrase at the beginning of the note. Choosing must be patient specific /client centered, describing pt need, change in pt condition, an acute condition or significant event in the patient's care.
Proficient

The learner's focus of the scenario was accurate and appropriate, patient specific/patient centered or captured a significant event in the patient's care.
Basic

The learner's focus of the scenario was accurate and somewhat appropriate, patient specific/patient centered or captured a significant event in the patient's care.
Below Expectations

The learner's focus of the scenario was lacking in specificity, captured only chronic not acute issues of patient centered care.
Non-Performance

The learner's focus of the scenario was not accurate nor appropriate, was not patient specific/patient centered or captured a significant event in the patient's care.
D: Data

subjective and/or objective information which supports the stated focus or describes observations, sign and symptoms, significant investigations and /or other assessments at the time of significant treatment.
Proficient

The learner collected specific data which is subjective and/or objective information, supports the stated focus or describes observations, sign and symptoms, significant investigations and /or other assessments at the time of significant treatment.
Basic

The learner collected data which is subjective and/or objective information, but does not support the stated focus or describes observations, sign and symptoms, significant investigations and/or other assessments at the time of significant treatment.
Below Expectations

The learner collected specific data which is not subjective and/ nor objective information, data loosely supports the stated focus or describes observations, sign and symptoms not present, significant investigations and /or other assessments at the time of significant treatment.
Non-Performance

The learner did not collect specific data which is subjective and/or objective information, lack of support for the stated focus, does not describe observations, sign and symptoms, significant investigations and /or other assessments at the time of significant treatment.
A: Action

Intervention(s) /action(s) performed by the caregiver on an analysis of the information gathered through observation, investigation and assessment.
Proficient

Intervention(s) /action(s) performed by the caregiver on an analysis of the information gathered through observation, investigation and assessment.
Basic

Interventions/actions are clear, and accurate/applicable by the caregiver, missing some assessment components.
Below Expectations

Interventions/actions are somewhat unclear, and accurate/applicable by the caregiver, missing some assessment components.
Non-Performance

Intervention(s) /action(s) are lacking by the caregiver on an analysis of the information. No observation, investigation and assessment noted.
R: Response

A description of the patient's response to actions and interventions and/or the patient's progress toward goals; the impact of the intervention on the patient.
Proficient

A description of the patient's response to actions and interventions and/or the patient's progress toward goals; the impact of the intervention on the patient are complete.
Basic

The recording of the patient's response to actions and/or the patient's progress toward goals and in impact on the intervention is mostly complete, lacking some explanation.
Below Expectations

A description of the patient's response to actions and interventions and/or the patient's progress toward goals; the impact of the intervention on the patient is somewhat complete though unclear.
Non-Performance

A description of the patient's response to actions and interventions and/or the patient's progress toward goals; the impact of the intervention on the patient are not present or incomplete.
P: Plan

A description of the ongoing/resultant plan to manage the situation; this may be a change to the plan of care and will also need to be reflected in other care planning tools as appropriate.
Proficient

The FDARP note arrangement followed all of the compilation criteria taught in class.
Basic

The FDARP note arrangement followed some of the compilation criteria taught in class.
Below Expectations

The FDARP note arrangement followed few if any of the compilation criteria taught in class.
Non-Performance

The FDARP note arrangement followed none of the criteria rules taught in class.



Keywords:
  • SOAP EDU:358 tbarr



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