Professional Documents
Culture Documents
ASN Program
Contents:
Observation Report 8
Observation Article 9
Postpartum Meds 10
Postpartum Article 12
Postpartum Teaching 16
Newborn Assessment 21
Newborn Meds 22
Newborn Article 23
Newborn Teaching 24
1
Labor and Delivery
Medication Sheet
Cytotec
Pregnancy Classification _____/1pt
Drug Classification identified _____/1 pt
All routes identified (there should be 3 here) _____/3 pts
Specific L/D usage (with dose range and route) cited
Induction use
PP Hemorrhage use
IUFD use _____/9 pts
Side Effects _____/2 pts
Evaluation _____/4 pts
Magnesium Sulfate
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified (looking for 2 here) _____/ 2 pts
Correct dosage for each use
Identification of PTL usage and dose _____/3 pts
Identification of PIH usage and dose _____/3 pts
Written out _____/2 pts
Side Effects _____/2 pts
Evaluation _____/4 pts
Oxytocin
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
All routes identified (should be 2) _____/2 pts
Specific use and dosage for L/D
Induction
Post delivery _____/6 pts
Side Effects _____/2 pts
Evaluation _____/4 pts
2
Methergine
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
All routes identified (should be 2) _____/2 pts
Specific usage and dosage for L/D cited _____/6 pts
Side Effects _____/2 pts
Evaluation _____/4 pts
Hemabate
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
All routes identified _____/1 pt
Specific usage and dosage for L/D cited _____/3 pt
Side Effects _____/2 pts
Evaluation _____/4 pts
_____
Additional Deductions for spelling errors,
leading or trailing zeroes, etc.
(0.5pt each up to 10 points) _____
Graded by______________________________________
Date ______________________________
3
L/D Questionnaire
Grading Guide
Labor
True Labor _____/3
False Labor _____/3
Tests for ROM _____/3
Wt gain _____/3
Excessive wt gain _____/3
Too little wt gain _____/3
Fluid
Blood stained _____/2
Green _____/2
Stages of Labor
1st _____/4
2nd _____/4
3rd _____/4
G _____/3
T _____/3
P _____/3
A _____/3
L _____/3
EDC _____/2
LMP _____/2
EGA _____/2
Graded by ____________________________________________
Date ___________________________________________
4
Labor and Delivery Article Grading Rubric
Student Name__________________________________________
Article 5 3 0
Selection Appropriate for Appropriate for Not related to
patient care clinical setting clinical setting
provided but not for care or care provided
provided
Nursing 5 0
Reference Article from a Article from a
nursing journal non-nursing
journal
Time frame 5 0
Within Article not
designated within
time-frame designated time
(2004-2009) frame (before
2004)
Reference 5 3 0
Referenced and Referenced but No reference
using APA not with APA
format format
Article 20 15 8 0
Summary Concise Accurate Article not well no summary
summary of summary of summarized;
article article, but reader has poor
demonstrating scattered understanding
clear thoughts and of article
understanding difficult to content
of content; well follow
written and easy
to follow
Thoughts 10 5 0
Good thoughts Random or No summary of
with opinion generic thoughts given
given and thoughts with
rationale no real opinion
given of article
content or style
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________
5
Fetal Monitoring
Grading Guide
Early Decelerations
Description _____/5
Cause _____/10
Treatment _____/10
Variable Decelerations
Description _____/5
Cause _____/10
Treatment _____/10
Late Decelerations
Description _____/5
Cause _____/10
Treatment _____/10
Other definitions
Absent variability _____/5
Minimal variability _____/5
Moderate variability _____/5
Marked variability _____/5
Total _____/100
Graded by _______________________________________
Date _____________________________________
6
Labor and Delivery Assessment
Grading Guide
Medications _____/2
Problems
Past _____/2
Current _____/2
Total _____/50
Graded by ______________________________________
Date _______________________________________
7
Observation Report Grading Rubric
Student Name__________________________________________
Article Summary 20 10 5 0
Concise summary Concise summary Accurate no summary
of day giving of day giving summary of day’s
details of details of events, but
experience AND experience AND scattered
this section is 51- this section thoughts and
100 words. contains only 25- difficult to follow
50 words. OR this section
contains less than
25 words.
Thoughts 10 5 3 0
No summary of
Excellent and Excellent and No evidence of thoughts given
thoughtful thoughtful personal
reflection of day’s reflection of day’s reflection on the
events and events and day’s events OR
evaluation of evaluation of this section is less
them AND this them AND this than 25 words.
section is 51-100 section is 25-50
words. words.
Benefit 10 5 3 0
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________
8
Observation Article Grading Rubric
Student Name__________________________________________
Article 5 3 0
Selection Appropriate for Appropriate for Not related to
patient care clinical setting clinical setting
provided for not for care or care provided
provided
Nursing 5 0
Reference Article from a Article from a
nursing journal non-nursing
journal
Time frame 5 0
Within Article not
designated within
time-frame designated time
(2004-2009) frame (before
2004)
Reference 5 3 0
Referenced and Referenced but No reference
using APA not with APA
format format
Article 20 15 8 0
Summary Concise Accurate Article not well no summary
summary of summary of summarized;
article article, but reader has poor
demonstrating scattered understanding
clear thoughts and of article
understanding difficult to content
of content; well follow
written and easy
to follow
Thoughts 10 5 0
Good thoughts Random or No summary of
with opinion generic thoughts given
given and thoughts with
rationale no real opinion
given of article
content or style
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________
9
Postpartum
Medication Sheet
Percocet
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified _____/1 pt
Correct range and frequency of dosage _____/2 pts
Indication for use _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts
Motrin
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified _____/1 pt
Indication for use _____/2 pts
Correct range and frequency of dosage _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts
Colace
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified _____/1 pt
Indication for use _____/2 pts
Correct range and frequency of dosage _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts
Rhogam
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified _____/1 pt
Correct range and frequency of dosage _____/2 pts
Indication for use _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts
Toradol
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Correct route identified (should be 2) _____/2 pts
Correct range and frequency of dosage _____/2 pts
Indication for use _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts
10
Ampicillin
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Correct route identified (should be 2) _____/2 pts
Correct range and frequency of dosage _____/2 pts
Indication for use _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/2 pts
Evaluation _____/4 pts
_____
Additional Deductions for spelling errors,
leading or trailing zeroes, etc.
(0.5pt each up to 10 points) _____
Date _________________________
11
Postpartum Article Grading Rubric
Student Name__________________________________________
Article 5 3 0
Selection Appropriate for Appropriate for Not related to
patient care clinical setting clinical setting
provided for not for care or care provided
provided
Nursing 5 0
Reference Article from a Article from a
nursing journal non-nursing
journal
Time frame 5 0
Within Article not
designated within
time-frame designated time
(2004-2009) frame (before
2004)
Reference 5 3 0
Referenced and Referenced but No reference
using APA not with APA
format format
Article 20 15 8 0
Summary Concise Accurate Article not well no summary
summary of summary of summarized;
article article, but reader has poor
demonstrating scattered understanding
clear thoughts and of article
understanding difficult to content
of content; well follow
written and easy
to follow
Thoughts 10 5 0
Good thoughts Random or No summary of
with opinion generic thoughts given
given and thoughts with
rationale no real opinion
given of article
content or style
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________
12
Postpartum Care Plan Grading Rubric
Student Name____________________________
Patient 10
Thorough
7
A few
5
3-6 missing
3
> 6 missing
0
no patient
History history of pt missing elements elements history
labor/ infant elements of included
status pt history
(<3)
Diagnosis 10
Appropriate
5
Appropriate
0
Not a good
#1 and highest Diagnosis but diagnoses
priority not choice for
accurately this patient
prioritized
Goals 15 10 7 0
Specific and Specific, but Too general Not specific
measurable not or
measurable measurable
Interventions 30 25 20 15 10
Excellent list Good Need for > 3 Many Good
of interventions, additional appropriate interventions
interventions, but not interventions interventions listed, but
considering considering omitted (>5) >50% not
specific individual or 25-50% performed
needs of needs of interventions
individual pt. patient listed are
not done
Rationale 15 10 7 5 0
Good 25% of 50% of 75% of no rationale
explanation interventions interventions interventions
of need for without without without
specific rationale rationale rationale
intervention
Evaluation 10 7 5 0
Good Evaluation Interventions No evaluation
evaluation of accurate, but not evaluated
goals with without in
measurable measurable relationship
information information to GOALS
13
Postpartum Care Plan Grading Rubric, p. 2
Student Name____________________________
Diagnosis 10
Appropriate
5
Appropriate
0
Not a good
#2 and highest Diagnosis but diagnoses
priority not choice for
accurately this patient
prioritized
Goals 15 10 7 0
Specific and Specific, but Too general Not specific
measurable not or
measurable measurable
Interventions 30 25 20 15 10
Excellent list Good Need for > 3 Many Good
of interventions, additional appropriate interventions
interventions, but not interventions interventions listed, but
considering considering omitted (>5) >50% not
specific individual or 25-50% performed
needs of need of interventions
individual pt. patient listed are
not done
Rationale 15 10 7 5 0
Good 25% of 50% of 75% of no rationale
explanation interventions interventions interventions
of need for without without without
specific rationale rationale rationale
intervention
Evaluation 10 7 5 0
Good Evaluation Interventions No evaluation
evaluation of accurate, but not evaluated
goals with without in
measurable measurable relationship
information information to GOALS
Comments:
14
Postpartum Care Plan Grading Rubric, p. 3
Student Name____________________________
Diagnosis 10
Appropriate
5
Appropriate
0
Not a good
#2 and highest Diagnosis but diagnoses
priority not choice for
accurately this patient
prioritized
Goals 15 10 7 0
Specific and Specific, but Too general Not specific
measurable not or
measurable measurable
Interventions 30 25 20 15 10
Excellent list Good Need for > 3 Many Good
of interventions, additional appropriate interventions
interventions, but not interventions interventions listed, but
considering considering omitted (>5) >50% not
specific individual or 25-50% performed
needs of need of interventions
individual pt. patient listed are
not done
Rationale 15 10 7 5 0
Good 25% of 50% of 75% of no rationale
explanation interventions interventions interventions
of need for without without without
specific rationale rationale rationale
intervention
Evaluation 10 7 5 0
Good Evaluation Interventions No evaluation
evaluation of accurate, but not evaluated
goals with without in
measurable measurable relationship
information information to GOALS
Comments:
Total Score____________
Graded by_______________________________________________
Date__________________
15
Postpartum Teaching Grading Rubric
Student Name
Pain
Management
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation given A good amount of A good amount of Mostly read and/or Not prepared for
with little reading. reading or little reading and/or lots lots of presentation on
No information information added of information information added day assigned.
added by by instructor added by by instructor
instructor during during teaching instructor during during teaching
presentation session. session session.
Comments:
Vaginal
Discharge
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:
16
Pericare/Hygiene/Bathing
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy scattered and scattered and
to read and not well not well
follow. organized. organized.
Rationale 1 0
Thorough and No rationale
good rationale given
Sources 1 0
Sources listed Sources not
listed
Presentation 4 3 2 1 0
Presentation A good amount A good amount Mostly read Not prepared
given with of reading or of reading and/or lots of for presentation
little reading. little and/or lots of information on day assigned.
No information information information added by
added by added by added by instructor during
instructor instructor instructor during teaching session.
during during teaching session
presentation session.
Comments:
Elimination
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:
17
Diet/Exercise
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information lots of information information added day assigned.
information added by added by by instructor
added by instructor during instructor during during teaching
instructor during teaching session. session session.
presentation
Comments:
Breast Care
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:
18
Emotional
Changes
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:
Sexuality/Family
Planning
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information lots of information added day assigned.
information added by information added by instructor
added by instructor during by instructor during teaching
instructor during teaching session. during session session.
presentation
Comments:
19
C/S Incision
Care
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments: (*Note to Clinical Instructor: If student is teaching a Vaginal Delivery patient, please give full 4 points here for presntation)
When to call
doctor
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.
Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:
Additional deductions for spelling and grammatical errors (0.5pts each up to 10 pts) ____________
Date_________________
20
NEWBORN ASSESSMENT
Grading Guide
Deductions will be 0.5 pt for each identified piece of missing information or lack of specificity in information
Deductions will be 1 pt for each identified piece of missing information or lack of specificity in information
Deductions will be 0.5pt for each identified piece of missing information or lack of specificity in information
Total _____/250
Date_________________________________________________________
Graded by_____________________________________________________
21
Newborn Nursery
Medication Sheet
Vitamin K
Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts
Hepatitis B
Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts
Sucrose
Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts
EMLA Cream
Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts
_____
Graded by __________________________________________
Date ______________________________________
22
Nursery Article Grading Rubric
Student Name__________________________________________
Article 5 3 0
Selection Appropriate for Appropriate for Not related to
patient care clinical setting clinical setting
provided for not for care or care provided
provided
Nursing 5 0
Reference Article from a Article from a
nursing journal nonnursing
journal
Time frame 5 0
Within Article not
designated within
time-frame designated time
(2004-2009) frame (before
2004)
Reference 5 3 0
Referenced and Referenced but No reference
using APA not with APA
format format
Article 20 15 8 0
Summary Concise Accurate Article not well no summary
summary of summary of summarized;
article article, but reader has poor
demonstrating scattered understanding
clear thoughts and of article
understanding difficult to content
of content; well follow
written and easy
to follow
Thoughts 10 5 0
Good thoughts Random or No summary of
with opinion generic thoughts given
given and thoughts with
rationale no real opinion
given of article
content or style
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________
23
Newborn Teaching Grading Rubric
Student Name
Bulb Syringe
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
Positioning
Baby
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
24
Bottle Feeding
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
Breast
Feeding
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
25
Elimination
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
Bathing/Skin
Care
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
26
Cord Care
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
Circumcision
Care
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
27
Thermometer
Use
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
Jaundice
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
28
When to Call
MD
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good Good information Weak on amount Weak on amount
Information information information given but of information of information
presented mostly read to given and information presented to presented to
without client; no need presented mostly read to client with little client and mostly
reading; No for instructor without client; little reading; read to client.
need for to add reading; information Instructor added
instructor to additional Necessary for added by a good amount of
add additional information instructor to instructor additional
information add little information
information
Rationale 1 0
Thorough and No rationale
good rationale given
Sources 1 0
Sources listed Sources not
listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:
Graded by_________________________________
Date______________
29