Rubrics For Health Assessment: Aint Louis University
Rubrics For Health Assessment: Aint Louis University
Rubrics For Health Assessment: Aint Louis University
SCHOOL OF NURSING
CRITERIA 0 1 2 3 4
Comprehensive data No data gathering of Gross deficiencies in History taking and physical Collects most of the Obtains complete and
collection ( based on pt. pertinent data collection of pertinent assessment is done with pertinent data ( 1 or 2 pertinent health data
data through history collection of some pertinent pertinent data missing) through comprehensive
condition and clinical taking and physical data ( 3 or 4 pertinent data through history taking and history taking and
setting) assessment (more than 4 missing) physical assessment physical assessment
a. History taking pertinent data missing)
b. Physical
assessment
0 1 2 3 4
Systematic performance Performance of Grossly disorganized Disorganized performance Performs assessment in Performs assessment of
of physical assessment physical assessment performance of physical of assessment in 3 most systems/areas all systems/areas
not systematically assessment in 4 systems/areas systematically except for 1- following the correct
based on clients done in more than 4 systems/areas 2 system/s interchanged order
condition systems/areas or skipped
(cephalocaudal,
proximo-distal or systems
assessment)
0 1 2 3 4
Proper performance of Incorrect Performs most Performs assessment with 3- With minor errors (1-2 Performs all assessment
assessment techniques performance of all assessment procedures 4 incorrect techniques incorrect technique/s )in techniques correctly
assessment incorrectly and with some extent of the performance of and efficiently
techniques inefficiently ( more than efficiency assessment; displays
4 incorrect techniques) efficiency in assessing
0 1 2 3 4
Accurate reporting of Does not report Fails to report more than Fails to report 3-4 pertinent Fails to report 1-2 Accurately and
assessment findings to the pertinent assessment 4 pertinent assessment assessment findings pertinent assessment comprehensively
findings findings accurately accurately finding/s accurately reports pertinent
CI assessment findings
0 1 2 3 4
Accurate recording of Does not record Recording of assessment Records assessment findings Records assessment Documents all findings
assessment findings in assessment findings data is very inaccurate ( with moderate inaccuracies findings with minimal concisely using
more than 6 errors) and inaccuracies (1-3 error/s)
the assessment tool
Saint Louis University
SCHOOL OF NURSING
reflects inappropriate ( 4-6 errors) and with some and uses appropriate appropriate
use of terminology appropriate terminology terminology terminology
0 1 2 3 4
Identifies correct nursing No correct nursing Identifies 3 or more Identifies 2 incorrect Identifies 1 incorrect Identifies all nursing
diagnosis in the correct diagnosis identified incorrect nursing nursing diagnosis or 2 nursing diagnosis or 1 diagnosis based on the
diagnosis or 3 or more missing nursing diagnosis missing nursing diagnosis analysis of health data
format ( 2-part or 3- missing nursing based on health data based on health data gathered correctly
part) diagnosis based on
health data
0 1 2 3 4
Utilize effective Uses inappropriate Uses inappropriate Uses inappropriate verbal Uses appropriate verbal Uses appropriate verbal
communication skills verbal and non- verbal and non-verbal and non-verbal and non-verbal and non-verbal
verbal communication communication techniques communication techniques communication
(facial expressions, communication techniques ( more than 4 (3-4 violations) to patient to patient and significant techniques to patient
gestures, touch, distance, techniques to patient violations) to patient and and significant others, others with 1 or 2 and significant others
tone of voice, eye contact, and significant others significant others, rapport is partially violation/s, rapport is all the time, rapport is
language, and greetings, all the time; rapport is rapport is not well established established well established
proper address and not established established
gratitude after
assessment)
0 1 2 3 4
Applies special Does not apply Minimally applies special Moderately applies special Applies special Consistently applies
considerations (cultural special considerations considerations in considerations in considerations in special considerations
in performing performing assessment performing assessment with performing assessment in performing
sensitivity, spiritual assessment. with more than 2 2 violations with 1 violation assessment
aspects, age and age violations
appropriate, privacy,
respect for dignity, safety,
consent taking,etc)