Olive Chaney ihuman NURS-6512 Week 4: Assignment

Rubric

NURS_6512_Week 4_Assignment_Rubric
NURS_6512_Week 4_Assignment_Rubric
Criteria Ratings Pts
History: Complete an appropriate health history. (Scores are automatically calculated in the i-Human platform.)

20 pts

Excellent
Achieves a score of 90–100%

15 pts

Good
Achieves a score of 80–89%

10 pts

Fair
Achieves a score of 70–79%

5 pts

Poor
Achieves a score of 60–69%

0 pts

Unsatisfactory
Achieves a score of 59% or below
20 pts
Physical Exam: Complete an appropriate physical exam. (Scores are automatically calculated in the i-Human platform.)

20 pts

Excellent
Achieves a score of 90–100%

15 pts

Good
Achieves a score of 80–89%

10 pts

Fair
Achieves a score of 70–79%

5 pts

Poor
Achieves a score of 60–69%

0 pts

Unsatisfactory
Achieves a score of 59% or below
20 pts
EMR Documentation History of Present Illness: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only Olive Chaney ihuman NURS-6512 Week 4: Assignment

10 pts

Excellent
Complete HPI meeting all 5 criteria.

8 pts

Good
4 requirements are met.

6 pts

Fair
3 requirements are met.

4 pts

Poor
1–2 requirements are met.

0 pts

Unsatisfactory
No requirements are met.
10 pts
EMR Documentation Subjective Data Document Current Medications, Review of System: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only

10 pts

Excellent
Complete HPI meeting all 5 criteria.

8 pts

Good
4 requirements are met.

6 pts

Fair
3 requirements are met.

4 pts

Poor
1–2 requirements are met.

0 pts

Unsatisfactory
No requirements are met.
10 pts
EMR Documentation Objective Data Document Physical Exam Findings: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Objective findings only Olive Chaney ihuman NURS-6512 Week 4: Assignment

10 pts

Excellent
Complete HPI meeting all 5 criteria.

8 pts

Good
4 requirements are met.

6 pts

Fair
3 requirements are met.

4 pts

Poor
1–2 requirements are met.

0 pts

Unsatisfactory
No requirements are met.
10 pts
Key Findings: Organize the key findings with the most important first and least important last.

5 pts

Excellent
The key findings are complete and appropriately organized.

4 pts

Good
The key findings are complete but the organization is not correct.

3 pts

Fair
There are 1–2 key findings missing or organized inappropriately.

2 pts

Poor
There are 3 key findings missing and organization is incorrect.

0 pts

Unsatisfactory
There are more than 3 key findings missing and organization is incorrect.
5 pts
Problem Statement: Document a brief and accurate problem statement using professional language that includes the following: 1.) Name or initials, age; 2.) Chief complaint; 3.) Positive and negative subjective findings; 4.) Positive and negative objective findings.

5 pts

Excellent
All requirements are met.

4 pts

Good
3 requirements are met.

3 pts

Fair
2 requirements are met.

2 pts

Poor
1 requirement is met.

0 pts

Unsatisfactory
No requirements are met.
5 pts
Management Plan: Use the expert diagnosis provided to create a pertinent, comprehensive, evidenced-based management plan. Address the following criteria in the plan: 1.) Diagnostic tests; 2.) Medications (write out a complete order, even for OTC meds); 3.) Suggested consults/referrals; 4.) Patient education; 5.) Follow up, including time interval and specific symptoms to prompt a return visit sooner; 6.) Provide rationales for each intervention and include references to support your plan. Clinical practice guidelines should be utilized as applicable.

15 pts

Excellent
All requirements are met.

13 pts

Good
5 requirements are met.

10 pts

Fair
4 requirements are met.

7 pts

Poor
1-3 requirements are met.

0 pts

Unsatisfactory
No requirements are met.
15 pts
References and Format: Current APA citations for references in management plan. Use of clinical practice guidelines when applicable.

5 pts

Excellent
0–1 errors Clinical practice guidelines used when applicable.

4 pts

Good
2–3 errors Clinical practice guidelines used when applicable.

3 pts

Fair
4–5 errors Clinical practice guidelines not used when applicable.

2 pts

Poor
6–7 errors Clinical practice guidelines not used when applicable.

0 pts

Unsatisfactory
More than 7 errors; clinical practice guidelines not used when applicable.
5 pts
Total Points: 100 Olive Chaney ihuman NURS-6512 Week 4: Assignment