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Clinical Paperwork Rubric Clinical Paperwork Rubric CriteriaRatingsPts This crit

Clinical Paperwork Rubric

Clinical Paperwork Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeSBAR

20 pts

Exemplary

Provides a comprehensive and well-organized SBAR report. Communicates relevant information clearly and concisely.

15 pts

Proficient

Demonstrates clear understanding and organization of SBAR components. Communicates relevant information effectively.

10 pts

Emerging

Provides some elements of SBAR but lacks clarity or organization. Inconsistently communicates relevant information.

0 pts

Unsatisfactory

Does not provide clear Situation, Background, Assessment, or Recommendation. Fails to effectively communicate relevant information.

20 pts

This criterion is linked to a Learning OutcomeHead-to-Toe Assessment

20 pts

Exemplary

Performs and documents an exceptional head-to-toe assessment. Demonstrates exceptional attention to detail and thoroughness.

15 pts

Proficient

Performs and documents a thorough head-to-toe assessment. Includes all key assessment points.

10 pts

Emerging

Partially performs or documents a head-to-toe assessment. Inconsistently includes key assessment points.

0 pts

Unsatisfactory

Fails to perform or document a head-to-toe assessment. Misses key assessment points.

20 pts

This criterion is linked to a Learning OutcomeMedication Sheet

20 pts

Exemplary

Accurately documents medications with no errors. Demonstrates exceptional understanding of medication administration principles.

15 pts

Proficient

Accurately documents medications with minimal errors. Demonstrates understanding of medication administration principles.

10 pts

Emerging

Inaccurately documents some medications. Demonstrates limited understanding of medication administration principles.

0 pts

Unsatisfactory

Fails to accurately document medications. Lacks understanding of medication administration principles.

20 pts

This criterion is linked to a Learning OutcomeLab Sheet

20 pts

Exemplary

Accurately documents laboratory results with no errors. Demonstrates exceptional understanding of significance of lab values.

15 pts

Proficient

Accurately documents laboratory results with minimal errors. Demonstrates understanding of significance of lab values.

10 pts

Emerging

Inaccurately documents some laboratory results. Demonstrates limited understanding of significance of lab values.

0 pts

Unsatisfactory

Fails to accurately document laboratory results. Lacks understanding of significance of lab values.

20 pts

This criterion is linked to a Learning OutcomeConcept Map

20 pts

Exemplary

Creates an exceptional concept map with comprehensive connections between concepts. Connections between concepts are insightful and demonstrate deep understanding.

15 pts

Proficient

Creates a concept map with clear connections between concepts. Connections between concepts are logical and well-established.

10 pts

Emerging

Creates a concept map with limited connections between concepts. Connections between concepts are unclear or incomplete.

0 pts

Unsatisfactory

Fails to create a concept map or demonstrates minimal effort. Fails to connect concepts effectively.

20 pts

Total Points: 100

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