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Nursing Assignment on Care Plan for Acute Renal injury patient

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Nursing Assignment on Care Plan for Acute Renal injury patient
   

WEEKLY CLINICAL PAPERWORK GRADING CRITERIA
STUDENT NAME ____________________________________ DATE _______________________
DATE OF CLINICAL EXPERIENCE____________________________ CARE PLAN #___________
Evaluation Criteria Possible
Points
Earned
Points
Comments
Subjective and Objective Data
Correctly documents patients’ health issues & condition (5), assessment (5)
and interprets labs (10)
20
Appropriately documents ROS (5) & required medication information (10) 15
Nursing Diagnoses
Identifies 3 appropriate NANDA nursing diagnoses and indicate
priority of each nursing diagnosis
9
Appropriately states nursing diagnoses, incorporating bio-psycho-social
patient data with logical problem-etiology statement
6
Goals & Expected Outcomes
Identifies appropriate short-term goal for nursing diagnosis with the highest
priority. Identifies expected outcomes that are short, measurable, attainable,
realistic and timely (SMART)
2
Nursing Interventions
Lists 5 patient-specific, appropriate, comprehensive, and safe nursing
interventions directly related to the nursing diagnosis and expected outcomes
10
States scientific rationale, including citation of reference source and page
number for each rationale
10
Includes teaching & discharge planning in nursing interventions for identified
nursing diagnosis
2
Evaluation
States whether goals met/partially met/unmet, giving supporting data 2
Evaluation reflects pre-stated goal criteria and specified bio-psycho-social
patient data
2
Revision of Plan
Revises goals, time frame, and nursing interventions 2
Teaching Plan
Identifies appropriate teaching need for identified patient problem 2
Assesses patient’s knowledge and readiness to learn 2
Writes specific, succinct teaching content (2); states teaching method and
aids to be used for teaching (2) & states whether learning has occurred,
including supportive data; includes teaching goal in measurable format (2)
6
Professionalism
Uses correct grammar, spelling, and medical terminology 2
Completes a reference page 2
Correctly uses 6th edition APA format for reference citations 2
Incorporates instructor feedback from previous paperwork 2
Submits in a timely fashion as instructed by clinical faculty 2
TOTAL 100
Faculty: __________________________________________ Date:___________________________
ADDITIONAL COMMENTS: ____________________________________________________________________________
________________________________________________________________________________

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