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
