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NURS 461 Plan of Care Rubric
The Nursing Plan of Care is used to organize patient data which enables nursing personnel to deliver safe
and effective care for a client. Students need to complete one (1) care plan for the semester. A total
score of seventy-seven (77) per care plan constitutes a “PASS” grade. Anything below a seventy-seven
(77) constitutes a “FAIL” grade. Students must complete two “PASS” care plans. The instructor will use
the following rubric to assign points for the care plan. Graded care plan by the clinical instructor must be
uploaded into Moodle by the student at the designated due date.
Topic
Assessment Findings (data):
(including pertinent negative findings)
•
Clustered in order of priority
•
Related to nursing diagnosis
•
Documented source
Nursing Diagnosis:
•
Prioritizing (using the NANDA format)
•
Based on the data collected
•
One actual and one at risk diagnoses selected
Distribution of Points
25 points
8 points
Expected Outcome:
(attainable through nursing interventions)
•
Two short-term outcomes per nursing diagnosis (16 points)
•
Must be measurable with a realistic timeframe (4 points)
20 points
Interventions & rationale:
•
Three nursing specific interventions for each short-term goal
(not to include monitoring a patient)
•
Congruent with the nursing diagnosis
•
Demonstrate theoretical/scientific principles and integrate
research
•
Documented with supportive literature
Evaluation (rationale):
(outcome criteria met, partially met, or not met)
35 points
Medication table:
•
Completed for all medications assigned to the client
•
Dosage range appropriately completed
•
Indications for use specific to client
•
Inclusion of appropriate nursing considerations and side
effects
Formatting:
•
Grammar, spelling and terminology must be correct
•
Minimal use of standard abbreviations
•
References cited in APA format and within last 3-5 years
Total points:
5 points
LAST UPDATED: 12/28/2017 KD & SM, NURS 461 6/19/18
SS
Points Earned
2 points
5 points
100 possible points
1
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