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Instructions

Identify three patients at clinicals to collect focus subjective and objective data.

Document the subjective and objective findings in a word document and submit to Canvas.  This will be evaluated by the clinical faculty. 

Estimated time to complete: 1 hour

Rubric

NU610 Unit 6 Assignment – Case Studies Rubric

NU610 Unit 6 Assignment – Case Studies Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeSubjective Data

20 pts

Highly Proficient

Elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are adeptly documented and demonstrate consistent information across all aspects represented

16 pts

Proficient

Elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are appropriately documented and demonstrate consistent information across all aspects represented

12 pts

Marginally Proficient

Elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are satisfactorily documented but do not demonstrate consistent information across all aspects represented

8 pts

Approaching Proficiency

Elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are either not satisfactorily documented or do not demonstrate consistent information across all aspects represented

4 pts

Not Proficient

Elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are not satisfactorily documented and do not demonstrate consistent information across all aspects represented

0 pts

Not Evident

There are elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) that are not provided in assignment.

20 pts

This criterion is linked to a Learning OutcomeObjective Data

20 pts

Highly Proficient

Elements of objective data are adeptly documented and demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS

16 pts

Proficient

Elements of objective data are appropriately documented and demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS

12 pts

Marginally Proficient

Elements of objective data are satisfactorily documented but do not demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS

8 pts

Approaching Proficiency

Elements of objective data are either not satisfactorily documented or do not demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS

4 pts

Not Proficient

Elements of objective data are not satisfactorily documented and do not demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS

0 pts

Not Evident

There are elements of objective data that are not provided in the assignment.

20 pts

Total Points: 40

 

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