BROKENSHIRECOLLEGE SOCSKSARGEN, INC.

GENERAL SANTOS CITY

Fides et Servitum
Tel # (083) 887-3472
Student Name: ___________________________________ Year/Section/Group: _____________________
NURSING CARE PLAN RUBRICS
Criteria RATING
Incomplete Poor Fair Good
5 pts 10 pts 15 pts 20 pts
Assessment
Includes Does not include all pertinent data related I Includes all pertinent data related to Includes all pertinent data related to
subjective, to nursing diagnosis. May also include data that nursing Nursing diagnosis and does not
objective and Assessment portion is incomplete. does not relate to nursing diagnosis. diagnosis, but also includes data not related include
historical data that to nursing diagnosis. data that is not related to n nursing
support actual or diagnosis.
risk for nursing
diagnosis.
Diagnosis Incomplete Poor Fair Good
Includes the most
appropriate diagnosis Diagnosis portion is incomplete. Diagnosis is not appropriate for patient and ordinal Diagnosis is appropriate for patient and Diagnosis is appropriate for patient
for patient and ordinal level (first diagnosis, second diagnosis, etc.). May ordinal level, and diagnosis is NANDA and ordinal level, and diagnosis is
number that includes all also not be NANDA and may not include all parts. approved, but does not include all parts or NANDA approved. Diagnosis also
appropriate parts (stem, information is listed in wrong part of includes all parts and information is
related to or R/T, and as diagnosis. listed in correct part of diagnosis.
evidenced by AEB for
actual diagnosis) and is
NANDA approved.
Planning Incomplete Poor Fair Good
Includes a patient or
family goal that is most Goal portion is incomplete. Goal statement is not patient or family oriented Goal statement is patient or family oriented, Goal statement is patient or family
appropriate for the and may not have measurable criteria or a target and contains at least one measurable criteria oriented, and contains two measurable
patient/family and the date or time. or a target date/time. criteria and a target date or time.
nursing diagnosis. Goal
should be measurable
by at least two criteria
and have a target date
or time.
 Implementation Incomplete Poor Fair Good
Includes interventions
or nursing actions that Interventions portion is incomplete. Interventions portion does not include adequate Interventions portion contains adequate Interventions portion contains
directly relate to the number of interventions to help patient/family number of interventions to help adequate number of interventions to
patient's goal, that are meet goal. Interventions may also not be specific, patient/family meet goal, but interventions help patient/family meet goal, and
specific in action and labeled or listed with rationales. may not be specific, labeled or listed with interventions are specific in action and
frequency, are labeled rationales. frequency, labeled with "I" or "C" and
"I" for independent and are listed with referenced rationales.
"C" for collaborative,
and include a
referenced rationale
with page number (if
applicable). Number of
interventions should be
appropriate to help
patient or family meet
their goal.
Evaluation Incomplete Poor Fair Good
Includes data that is
listed as criteria in goal Evaluations portion is incomplete. Evaluation portion does not contain data that is Evaluation portion does contain data that is Evaluation portion does contain data
statement. Based on this listed as criteria in goal statement. May also not listed as criteria in goal statement, but does that is listed as criteria in goal
data, goal is determined describe goal as met, partially met, or not met. not describe goal as met, partially met, or statement. Does describe goal as met,
to be met, partially met, May also not include revision or new evaluation not met. May also not include revision or partially met, or not met. If goal was
or not met. If goal was date/time. new evaluation date/time. partially met or not met, includes
not met or partially met, revision and/or new evaluation
plan of care is revised date/time.
or continued and a new
evaluation date/time is
set.
PUNCTUALITY Punctual (5 pts) Late/Not submitted (0 pt.)

____________________________________
Name and Signature of Clinical Instructor