Grading: 100

I_______/32
II._____ /18
III._____/12
IV._____/32
V._____ /6
Total: _____

Nursing Care Plan Evaluation Guide

Student__________________ Date________________ Instructor_________________ Score_______
Nursing Process
Nursing
Comments
Diagnosis
I. Data Collection
#1 #2 #3
a. Medical diagnosis and definition
b. Subjective data
c. Objective data
Relevant health history
Pathophysiology/functional changes
Therapeutic regimen/Treatments
Lab/diagnostic test results
Medications
Cultural/psychosocial factors addressed
Total:
II. Planning
a. Appropriate NANDA nursing diagnosis
b. Nursing diagnosis prioritzed
c. R/T (etiology/factor)
d. AEB ( defining characteristics)
Total:
III. Goals/Short Term
a. Relevant to Diagnosis
b. Measurable outcomes
c. Evaluation of outcomes
Total:
IV. Implementation
a. Prioritized interventions
b. Medication intervention
c. Teaching intervention
d. Safety intervention
e. Rationales
Total:
V. Presentation
b. Care Plan Data Collection
c. Spelling/grammar/font
d. References
Total:
Pass: 78% or greater
Fail: less than 78%
Comments:

STC-04/04/2016