This criterion is linked to a Learning Outcome1. Pathopysiology for admitting diagnosis, S/S, Diagnostic test and proposed treatment |
10 pts
Proficient
Pathophysiology is explained in complete detail with accurate and in-depth understanding of Admitting diagnosis. and presenting signs/symptoms supported by diagnostic tests and proposed treatment plan; APA references. |
7.6 pts
Acceptable
Pathophysiology is explained in some detail with some understanding of Admitting diagnosis and presenting signs/symptoms somewhat supported by diagnostic test and understanding to proposed treatment plan; with references. |
6 pts
Needs Improvement
Pathophysiology is explained vaguely with marginal understanding Admitting diagnosis. and presenting signs/symptoms vaguely supported by diagnostic test and vague understanding to proposed treatment plan; no references cited. |
0 pts
Unsatisfactory
Pathophysiology details limited with poor understanding of chief complaint and presenting signs/symptoms does not support medical diagnosis, not supported by diagnostic tests and with no proposed treatment plan; no references cited. |
|
10 pts |
This criterion is linked to a Learning Outcome2. History of other health problems, hospitalizations, surgeries, and social issues |
10 pts
Proficient
Complete details given of other health problems (includes explanation of all relevant medical and surgical history) with full understanding as to its relation to the patient’s/ client’s present health problem(s). |
7.6 pts
Acceptable
Some details given of other health problems with partial explanation of all relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s). |
6 pts
Needs Improvement
Vague details given of other health problems with minimal explanation of relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s). |
0 pts
Unsatisfactory
No details given of other health problems, without explanation of relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s). |
|
10 pts |
This criterion is linked to a Learning Outcome3. Family, Culture and Ethnic background |
10 pts
Proficient
Complete information provided about patientclient family, provides cultural point of view in illness and wellness and connects Ethnicity to health problems/ Social Determinants of Health. (APA references) Clearly and accurately identifies client’s developmental stage with explanation based on the patient’s/ client’s developmental tasks. |
7.6 pts
Acceptable
Some information provided about patient/client family and cultural point of view in illness and wellness, somewhat connects Ethnicity to health problems, with references/Social Determinants of Health. (APA References) Adequately identifies patient’s/client’s developmental stage with explanation based on the patient’s/client’s developmental tasks. |
6 pts
Needs Improvement
Vague information provided about patient/client family and cultural point of view in illness and wellness, vaguely connects Ethnicity to health problems/ limited Social Determinants of Health described, no references cited. Vaguely identifies patient’s/client’s developmental stage without explanation based on the patient’s/ client’s developmental tasks. |
0 pts
Unsatisfactory
No information provided about patient/client family and cultural point of view in illness and wellness, establishes no connect to Ethnicity and the health problems. Limited to no Social Determinants of Health described, no references cited. Fails to identify patient’s/ client’s developmental stage and lacks any explanation based on the patient’s/client’s developmental tasks. |
|
10 pts |
This criterion is linked to a Learning Outcome4. Teaching Assessment and Patient/Client Education<br>& Transfer/ Discharge Planning<br>*Consider Interprofessional consults as needed |
10 pts
Proficient
Complete information provided about discharge planning |
7.6 pts
Acceptable
Some information provided about discharge planning. |
6 pts
Needs Improvement
Vague about the information on discharge planning. |
0 pts
Unsatisfactory
No information provided on discharge planning. |
|
10 pts |
This criterion is linked to a Learning Outcome5. Review of Systems (Detailed Head to Toe Assessment) |
15 pts
Proficient
Documents full Head-to-Toe physical assessment – relevant to the patient/client as performed by the student. Utilizes an organized format and appropriate terms to describe both normal and abnormal assessment findings. |
11.4 pts
Acceptable
Documents Head-to-Toe physical assessment – with approx. 75% + relevant to the patient/client as performed by the student. Utilizes an organized format and appropriate terms to describe both normal and abnormal assessment findings. |
9 pts
Needs Improvement
Documents full Head-to-Toe physical assessment – with approx. 50% -75% relevant to the patient/client as performed by the student. Format may be moderately disorganized with mostly appropriate terms to describe both normal and abnormal assessment findings. |
0 pts
Unsatisfactory
Documents full Head-to-Toe physical assessment – with approx. > 50% relevant to the patient/client missing information – as performed by the student. Format is mostly disorganized and may be lacking appropriate terms to describe both normal and abnormal assessment findings. |
|
15 pts |
This criterion is linked to a Learning Outcome6. Nursing Diagnoses: (2 Highest Priority)<br>and 1 At Risk <br>Nursing Diagnosis-<br><br> Format: <br>Nursing Diagnosis R/T medical diagnosis or condition, AEB pertinent S/S, diagnostics and supporting data |
7.5 pts
Proficient
All nursing diagnoses are accurate and prioritized per format with clear etiology and data to support the diagnosis. Nursing Diagnoses are consistent and present a correlation from the assessment data. |
5.7 pts
Acceptable
All nursing diagnoses are adequate and prioritized per format with sufficient etiology and data to support the diagnosis. Nursing Diagnoses are consistent and present a correlation from the assessment data. |
4.5 pts
Needs Improvement
Any nursing diagnoses that may be vague and/or is not prioritized per format with vague etiology and unclear correlation from the data to support the diagnosis. Nursing Diagnosis are consistent and presents correlation from the assessment data. |
0 pts
Unsatisfactory
Nursing diagnoses are low priority and/or are not prioritized per format, with vague etiology and unclear correlation from the data to supports the diagnosis. Nursing Diagnoses are not consistent and do not correlation from the assessment data. |
|
7.5 pts |
This criterion is linked to a Learning Outcome7. Nursing Outcome/<br>Goal and Evaluation |
7.5 pts
Proficient
The goal clearly supports the nursing diagnosis and plan of care. The goals are specific, measurable, attainable, realistic and timed. Evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative interventions. |
5.7 pts
Acceptable
The goal somewhat supports the nursing diagnosis and plan of care. The goals are somewhat measurable and realistic, and timed. Evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative interventions. |
4.5 pts
Needs Improvement
The goals are inconsistent with the nursing diagnosis and plan of care. The goals are vaguely realistic, measure and timed. Evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative intervention. |
0 pts
Unsatisfactory
The goals lack support and nonspecific from gathered data, Outcome criteria are not specific, realistic, measurable, attainable, nor timed. Does not evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative intervention. |
|
7.5 pts |
This criterion is linked to a Learning Outcome8. Nursing Interventions |
7.5 pts
Proficient
Clearly and accurately Identifies nursing/ collaborative interventions. Interventions are always individualized, prioritized, organized, specific and realistic. Nursing actions are always aimed at the patient’s/client’s goals and directed at the stated health deviation. |
5.7 pts
Acceptable
Adequately Identifies nursing/collaborative interventions with adequate teaching. Interventions are adequate, individualized, organized, specific and realistic. Interventions can be implemented adequately that is focused on patient’s/client’s goal and health deviation |
4.5 pts
Needs Improvement
Vaguely Identifies nursing/ collaborative interventions with unclear teaching. Interventions are inconsistent, non-specific, disorganized, and not adequately focused on the patient’s/client’s goal. Interventions are difficult to implement and has weak relationship to nursing diagnosis |
0 pts
Unsatisfactory
Fails to identify nursing/ collaborative interventions and teaching. Interventions are non-specific, inappropriate, unrealistic, un-measurable and do not relate to nursing diagnosis. Interventions do not focus on patient/client goals and/or the stated health deviation based on nursing assessment |
|
7.5 pts |
This criterion is linked to a Learning Outcome9. Medications |
10 pts
Proficient
Lists all MAR medications (Routine and PRN) including name; ordered dose; route; MD ordered indication; mechanism of action; relevant side effects and nursing considerations relevant to the patient/client. |
7.6 pts
Acceptable
Lists all MAR medications (Routine and PRN) but does not adequately medication name; ordered dose; route; MD ordered indication; mechanism of action; relevant side effects and nursing considerations relevant to the patient/client. |
6 pts
Needs Improvement
Lists most MAR medications (Routine and PRN); excepts lacks medication name; ordered dose; route; MD ordered indication; mechanism of action; relevant side effects and nursing considerations relevant to the patient/client. |
0 pts
Unsatisfactory
Lists most MAR medications (Routine and PRN); but fails to include medication name; ordered dose; route; MD ordered indication; mechanism of action; relevant side effects and nursing considerations relevant to the patient/client. |
|
10 pts |
This criterion is linked to a Learning Outcome10. Pertinent Lab Tests and Diagnostic Tests/ Procedures |
7.5 pts
Proficient
Clearly and accurately identifies and explains abnormal findings for pertinent current laboratory and diagnostics test results related to patient’s/client’s disease process. |
5.7 pts
Acceptable
Adequately identifies and explains abnormal findings for pertinent current laboratory and diagnostics test results related to patient’s/client’s disease process. |
4.5 pts
Needs Improvement
Vaguely identifies and explains abnormal findings for pertinent current laboratory and diagnostics test results related to patient’s/client’s disease process. |
0 pts
Unsatisfactory
Fails to identify and explain abnormal findings for pertinent current laboratory and diagnostics test results related to patient’s/client’s disease process. |
|
7.5 pts |
This criterion is linked to a Learning Outcome11. General Organization |
5 pts
Proficient
Accurate APA format; Appropriate citations and references; No spelling or grammar errors. |
3.8 pts
Acceptable
Adequate APA format; Minimal citations and references are appropriate; Few spelling or grammar errors. |
3 pts
Needs Improvement
Numerous APA format errors; Inaccurate citations and references; Few spelling and grammar errors. |
0 pts
Unsatisfactory
Fails to utilize APA format; No citations or references included; Numerous spelling and grammar errors. |
|
5 pts |
Total Points: 100 |