Professional Practice - Level I
Professional Practice I
ASSIGNMENT: Care Plan
COMPLETION DATE:
MARK _____/50
% OF SEMESTER GRADE: 20%
Understanding the nursing process is crucial when you are providing care for your
patients. The nursing process involves collecting data from your client, identifying actual
or potential client problems, developing a plan to resolve the problems, putting your plan
in to action, and evaluating your client and/or plan for effectiveness.
The purpose of this assignment is to demonstrate an understanding of the nursing process
by developing a simple care plan for a fictional client/patient or students may also base
their care plan upon actual experiences. The student may chose from the following list of
common problems:








Seasonal allergies (hay fever)
Headaches
Back pain
Yeast Infections
Gastrointestinal Flu
Insomnia
Depression
Constipation






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Ear Infection
Heartburn
Morning Sickness
Sunburn
Skin Abrasion
Tooth ache
Sprain
Nose Bleed
The care plan must contain a minimum of two entries in all steps of the nursing process
which includes the following:
 Assessment
 Diagnosis
 Planning and Implementation
 Evaluation
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Professional Practice - Level I
Format:
The care plan must be typed with a 12 font.
Include a title page
The data can be organized in a table format as shown below or in a word document using
these same headings.
Nursing
Assessment
Data
Nursing
Diagnosis
Preliminary
Planning
Implementation
of Plan
<Rev. 05/13><HHSALL/PRNU(R)/Curriculum/105/Assignment – Care Plan>
Evaluation of
Plan
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Professional Practice - Level I
Professional Practice I
Care Plan Marking Rubric
Level of Achievement
Criteria
Exemplary
10
Proficient
9
8
7
Unsatisfactory
6
5
4
3
2
Mark
1
Assessment
Correctly identifies
subjective and objective
assessment data which is
clear and specific. All data
is related to the nursing
diagnosis.
Identifies some significant,
accurate and relevant data.
Most assessment data
supports nursing diagnosis.
Assessment portion is
incomplete or inaccurate. Data is
not well organized and
subjective and objective data are
not identified.
Nursing Diagnosis
Two or more nursing
diagnosis are identified and
written in correct format
which includes stating the
problem using “risk of” for
a potential problem or
stating the actual problem,
followed by “related to”.
One or two diagnosis are
identified that are
appropriate for the patient.
May lack some of the
proper formatting.
Diagnosis portion is incomplete
or irrelevant. Diagnosis are not
clearly supported by assessment
data. May lack proper
formatting.
Implementation and
Planning
Identifies 2 or more specific
interventions for the patient.
Interventions focus
specifically on the etiology
of the nursing diagnosis.
Interventions clearly reflect
what the nurse will do to
help the client meet the
outcomes.
Identifies 1-2 specific
nursing interventions for
each outcome.
Interventions are
individualized to the client.
Interventions focus
appropriately on the
etiology of the nursing
diagnosis and reflect how
the nurse will assist the
client in meeting the
outcomes.
Does not identify at least 1-2
interventions for each outcome.
Interventions are unclear and/or
do not clearly focus on the
etiology of the nursing diagnosis
or convey how the nurse will
help the client meet outcomes.
Evaluation of Plan
Identifies ways to modify
the plan based upon
findings. Clear
identification if the goal has
been met, not met or
partially met.
Able to identify if the goal
is met, partially or not met.
Identifies revisions for care
plan.
Evaluation portion is incomplete
or does not relate to the
diagnosis or interventions. May
also not describe the goal as met
or not met. May also not include
revision or new evaluation
date/time.
Format/ Appearance
Care plan is typed and easy
to follow.
Care plan is typed and is
easy to follow.
Care plan may or may not be
typed and difficult to follow.
Student shows very good
use of standard syntax,
usage, grammar and
mechanics. Writing shows
few, if any errors.
Student is able to
adequately use standard
syntax usage, grammar and
mechanics.
Student is unable or can
minimally use standard syntax,
usage, grammar and mechanics.
The writing has enough errors to
detract from the quality of the
paper.
(Interventions)
Grammar
TOTAL
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