CriteriaRatingsPts
This criterion is linked to a Learning OutcomeSubjective Data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS)
PT105-CO2
| 5 pts Level 5 All elements of subjective data are adeptly documented and demonstrate consistent information across all aspects represented. |
4.5 pts Level 4 All elements of subjective data are appropriately documented and demonstrate consistent information across all aspects represented. |
4 pts Level 3 All elements of subjective data are satisfactorily documented but do not demonstrate consistent information across all aspects represented. |
3.5 pts Level 2 All elements of subjective data are either not satisfactorily documented or do not demonstrate consistent information across all aspects represented. |
3 pts Level 1 All elements of subjective data are not satisfactorily documented and do not demonstrate consistent information across all aspects represented. |
0 pts Level 0 No elements of subjective data are evidenced in the assignment. |
5 pts
This criterion is linked to a Learning OutcomeObjective Data (Relative to the information documented in the CC, HPI, PMH, and ROS)
PT105-CO2
| 5 pts Level 5 All elements of objective data are adeptly documented and demonstrate consistency. |
4.5 pts Level 4 All elements of objective data are appropriately documented and demonstrate consistency. |
4 pts Level 3 All elements of objective data are satisfactorily documented but do not demonstrate consistency. |
3.5 pts Level 2 All elements of objective data are either not satisfactorily documented or do not demonstrate consistency. |
3 pts Level 1 All elements of objective data are not satisfactorily documented and do not demonstrate consistency. |
0 pts Level 0 No elements of objective data are evidenced in the assignment. |
5 pts
This criterion is linked to a Learning OutcomeAssessment (Information documented in the CC, HPI, PMH, ROS and the objective data.)
PT105-CO2
| 5 pts Level 5 Assessment designations and other elements in this section are adeptly documented and demonstrate congruence. |
4.5 pts Level 4 Assessment designations and other elements in this section are appropriately documented and demonstrate congruence. |
4 pts Level 3 Assessment designations and other elements in this section are satisfactorily documented but do not demonstrate congruence. |
3.5 pts Level 2 Assessment designations and other elements in this section are either not satisfactorily documented or do not demonstrate congruence. |
3 pts Level 1 Assessment designations and other elements in this section are not satisfactorily documented and do not demonstrate congruence. |
0 pts Level 0 Assessment designations and other elements in this section are not evidenced in the assignment. |
5 pts
This criterion is linked to a Learning OutcomePlan (Demonstrate application of current clinical practices for the identified assessment designations, and demonstrates congruence of information across all aspects represented.)
PT105-CO2
| 5 pts Level 5 Elements of the plan are adeptly documented. |
4.5 pts Level 4 Elements of the plan are appropriately documented. |
4 pts Level 3 Elements of the plan are satisfactorily documented but either does not demonstrate assessment of current practices or are incongruent across aspects. |
3.5 pts Level 2 Elements of the plan are either not satisfactorily documented, or does not demonstrate assessment of current practices or are incongruent across aspects. |
3 pts Level 1 Elements of the plan are either not satisfactorily documented, does not demonstrate assessment of current practices and are incongruent across aspects. |
0 pts Level 0 Elements of a plan are not evidenced in the assignment. |
5 pts
This criterion is linked to a Learning OutcomeWriting
| 5 pts Level 5 The paper exhibits a superior command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling. |
4.5 pts Level 4 The paper exhibits a strong command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling that impair the flow of communication. |
4 pts Level 3 The paper exhibits a satisfactory command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication. |
3.5 pts Level 2 The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication. |
3 pts Level 1 The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning. |
0 pts Level 0 The paper does not demonstrate a command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning. |
5 pts
Total Points: 25
PT 105 Unit 7 SOAP Note Final