TUSKEGEE UNIVERSITY
DEPARTMENT OF NURSING
NURSING CARE PLAN
Student Name____________________________ Facility: ___________Unit/Area: __________ Instructor: __________________Course: __________ Dates of Care: __________
Assessment (25pts)
Nursing Diagnosis (15pts)
Planning (25pts)
Interventions(20 pts)
Collects accurate, appropriate, and
sufficient data utilizing TUDON
“Comprehensive Client Health
Assessment Data Base”. (10)
Provides adequate data to assess
functional health patterns. (10)
Correctly clusters data from health
history and physical assessment
utilizing “Functional Health
Patterns” (see attached) (5)
Identifies data as Subjective,
Objective, Adaptive, Ineffective.
Identifies diagnosis appropriate
to the corresponding assessment
data. (3)
Utilized NANDA statements.
(3)
Appropriately identifies the
related etiology (3)
Appropriately identifies the
supporting data/signs and
symptoms (AEB) (3)
Assigns priority appropriately
(Utilizing Maslow’s hierarchy
of needs) (3)
Identifies at least one (1)
outcome for each
diagnosis.(5)
Written in terms of client
response.(5)
Realistic and
individualized.(10)
Includes Action verb, time,
condition, and content. (5)
Are individualized and
appropriate for client.(5)
States who, what, when, how
included in each action.(5)
Identifies interventions utilizing
the following categories (PPreventive, T-Therapeutic,
M-Monitoring,
I- Teaching) for each outcome.
(10)
Rationale (5)
Identify scientific reason for
implementation for this patient.
(3)
Document source, including page
and author. (must include a
reference page in APA format)(2)
Evaluation (10 pts)
Identifies client response related to
outcome criteria for each outcome.
(4)
Gives supporting data.(2)
States goal attainment and need for
continued plan of care.(4)
Grading - Nursing Care Plan
Student_________________________________
Dates of Care ______________________________
Facility _________________________
Instructor__________________________________
Area
Points
Possible
Assessment
25
Nursing Diagnosis
15
Planning
25
Interventions
20
Rationale
5
Evaluation
10
Total
100
Points
Achieved
Comments