NU650 Documentation of Normal Findings Rubric

NU650 Documentation of Normal Findings Rubric – 100 Points
Criteria	Exemplary Exceeds Expectations	Advanced Meets Expectations	Intermediate Needs Improvement	Novice Inadequate	Total Points
Subjective History: The NP student demonstrates understanding of normal subjective findings for the focus system.	Documents subjective ROS for focus system with appropriate detail for normal findings for identified age group. 25 points	Subjective ROS for focus system missing 1 area of detail 22 points	Subjective ROS for focus system missing 2 areas of detail 20 points	Subjective ROS for focus system(s) missing ≥3 areas of detail 17 points	25
Objective Findings Pediatric Patient Objective exam findings are comprehensive and include specialty maneuvers and techniques.	Documents comprehensive objective findings in appropriate detail including expected examination components, specialty maneuvers and techniques. 20 points	Objective findings missing 1 area of detail 18 points	Objective findings missing 2–3 areas of detail 16 points	Objective findings missing >4 areas of detail 14 points	20
Objective Findings The NP student demonstrates understanding of normal findings for objective examination of the focus system. Adult Patient Objective exam findings are comprehensive and include specialty maneuvers and techniques.	Documents comprehensive objective findings in appropriate detail including expected examination components, specialty maneuvers and techniques 20 points	Objective findings missing 1 area of detail 18 points	Objective findings missing 2–3 areas of detail 16 points	Objective findings missing >4 areas of detail 14 points	20
Objective Findings The NP student demonstrates understanding of normal findings for objective examination of the focus system. Geriatric Patient Objective exam findings are comprehensive and include specialty maneuvers and techniques	Documents comprehensive objective findings in appropriate detail including expected examination components, specialty maneuvers and techniques 20 points	Objective findings missing 1 area of detail 18 points	Objective findings missing 2–3 areas of detail 16 points	Objective findings missing >4 areas of detail 14 points	20
Documentation The NP student demonstrates understanding of appropriate documentation format. Documentation is organized, correct terminology is used, and spelling and grammar are correct.	Logical and systematic organization of data Appropriate terminology, correct spelling, and grammar 15 points	Logical and systematic organization of data Terminology, spelling, or grammar errors (1–2) 14 points	Minor errors in organization of data Terminology, spelling, or grammar errors (3–4) 12 points	Disorganized flow of data Terminology, spelling, or grammar errors (≥5) 10 points	15
Total Points					100