management plan

NRNP_6541_Week7_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeCOMPLETION of the iHuman: Students must complete the required sections: • PE • key findings • differential diagnoses • test summary.

10 to >6.0 ptsProficientStudent successfully completed all required sections in iHuman.

6 to >2.0 ptsCompetentStudent missed completing 1-2 of the required sections.

2 to >0 ptsNoviceStudent does not complete the iHuman required components.

10 pts

This criterion is linked to a Learning OutcomeSUBJECTIVE: Complete HPI including all 8 aspects and pertinent information related to chief complaint, including the pertinent positives & negatives

15 to >9.0 ptsProficient• Clearly written chief complaint • HPI well written including all aspects of OLDCARTS/LOCATES • Includes pertinent positives & negatives

9 to >3.0 ptsCompetent• Clearly written chief complaint • Misses 1-2 key components from the history • Missing pertinent positives and negatives

3 to >0 ptsNovice• Poorly written HPI • Student includes PE findings • Lacks basic history taking • Missing pertinent positives and negatives

15 pts

This criterion is linked to a Learning OutcomeOBJECTIVE: Physical exam includes appropriate areas based on the pertinent history (subjective).

15 to >9.0 ptsProficient• Thoroughly documents all pertinent examination components for type of note • Does not include unnecessary systems in the documentation • Utilizes the correct screening tools

9 to >3.0 ptsCompetent• Documents most pertinent examination components. • Misses 1-3 components • Does not include unnecessary systems in the documentation • Utilizes the correct screening tools

3 to >0 ptsNovice• Physical examination cursory • misses several pertinent components • Includes unnecessary systems in the documentation • Does not utilize the screening tools

15 pts

This criterion is linked to a Learning OutcomeASSESSMENT: Primary diagnosis and differential diagnoses are identified and supported by rationales; correct ICD codes provided, and appropriate diagnostic tests are ordered.

15 to >9.0 ptsProficient• Identifies the primary diagnosis with rationale and the correct ICD • 3 differential diagnoses with ICD codes are supported by findings and ruled out • Appropriate tests ordered and results documented • Rationale for differential diagnoses provided by scholarly resources

9 to >3.0 ptsCompetent• Identifies the primary diagnosis with rationale and the correct ICD • 3 differential diagnoses are identified but 1-2 are not supported by findings. ICD codes included • Missing <1-2 appropriate tests ordered, and results documented • Rationale for differential diagnoses provided by scholarly resources

3 to >0 ptsNovice• Incorrect primary does not provide a rationale and incorrect ICD code • <3 differential diagnoses identified, or differential diagnoses not supported by findings • Inappropriate tests ordered • Scholarly resources not provided or do not support differential diagnoses

15 pts

This criterion is linked to a Learning OutcomeMEDICATION: Ordered (including over the counter) are appropriate, evidenced based, written as a complete prescription.

10 to >6.0 ptsProficient• Student appropriately writes the correct medication as a prescription • Student appropriately calculates the correct doses and route

6 to >2.0 ptsCompetent• Student misses 1-2 components of medication order • Student appropriately calculates the correct doses and route

2 to >0 ptsNovice• Student identifies the incorrect medication • Student does not appropriately calculate the correct doses and route

10 pts

This criterion is linked to a Learning OutcomePLAN: Comprehensive plan to address the diagnosis should include the following: • Appropriate interventions & referrals (if needed) • Pt education • SDOH • Health promotion/anticipatory guidance

20 to >12.0 ptsProficient• Clearly written plan covering all critical components proper intervention, including referrals for the patient’s final diagnosis • Student addresses 6 components of SDOH • Student includes 4 health maintenance • Comprehensive patient education is included related to current health visit, must list 5. • Supported 3 by peer-reviewed literature

12 to >8.0 ptsCompetent• Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis • Some aspects of SDOH are addressed • Some aspects of Health Promotion/anticipatory guidance are addressed. • Patient education is present but missing 1 or 2 key pieces of information • Supported by only 2 peer reviewed literature

8 to >0 ptsNovice• Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis • There are missing aspects of SDOH • There are missing aspects health promotion anticipatory guidance • Patient education is missing many aspects related to current visit • Supported by less than 2 peer reviewed literature

20 pts

This criterion is linked to a Learning OutcomeFOLLOW-UP: Instructions

5 to >3.0 ptsProficientFollow up instructions are complete and include time to next visit and specific symptoms to prompt a return visit sooner.

3 to >1.0 ptsCompetent• Follow up instructions are generally complete but missing 1 or 2 aspects • Symptoms that would prompt a return visit sooner are included but some are missing

1 to >0 ptsNovice• Follow up instructions are missing important timing aspects • Symptoms prompting return visit sooner are incomplete or missing

5 pts

This criterion is linked to a Learning OutcomeOFFICE BILLING/VISIT CODE: CPT CODES

5 to >3.0 ptsProficient• Student identifies the correct office billing code • Student identifies the correct CPT codes

3 to >1.0 ptsCompetent• Student does not correctly identify the correct office billing code • Student does not correctly identify the correct CPT codes

1 to >0 ptsNoviceStudent does not address the billing and CPT codes.

5 pts

This criterion is linked to a Learning OutcomeClinical Guidelines

5 to >3.0 ptsProficientStudent identifies the clinical guidelines utilized and rationale.

3 to >1.0 ptsCompetentStudent identifies the clinical guidelines but does not provide a rationale.

1 to >0 ptsNoviceStudent does not address the clinical guidelines.

5 pts