[Solved] nursing outcome

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**files (2)** – ## CaseStudyRubicAdvanced1.pdf – Cardiac_Arrest.pdf **## CaseStudyRubicAdvanced1.pdf** KeithRN.com Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved. Structure adapted from Lasater (2007), with permission. KRN CLINICAL JUDGMENT RUBRIC NOTICING Effective NOTI…

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**files (2)**

– ## CaseStudyRubicAdvanced1.pdf

– Cardiac_Arrest.pdf

**## CaseStudyRubicAdvanced1.pdf**

KeithRN.com

Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved.
Structure adapted from Lasater (2007), with permission.

KRN CLINICAL JUDGMENT RUBRIC

NOTICING
Effective NOTICING Involves: Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Focused Observation Recognizes majority (>90%) of
relevant clinical data

Recognizes most (75–90%) of
relevant clinical data

Recognizes some (50–74%) of
relevant clinical data

Recognizes minimal (<50%) of
relevant clinical data

Recognizing Deviations
from Expected Patterns

Recognizes majority (>90%) of
concerning clinical data trends

Recognizes most (75–90%) of
concerning clinical data trends

Recognizes some 50–74%) of
concerning clinical data trends

Recognizes minimal (<50%) of
concerning clinical data trends

INTERPRETING
Effective INTERPRETING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Prioritizing Data Demonstrates thorough
analysis (>90%) of clinical data
to formulate the most urgent
nursing priority

Demonstrates analysis of most
(75–90%) clinical data to
formulate a nursing priority that
is relevant but may not be the
most urgent

Demonstrates fundamental
analysis (50–74%) of clinical
data to formulate a nursing
priority that is not the most
urgent

Demonstrates lack of analysis
(<50%) of clinical data that
results in formulating incorrect
nursing priority

Making Sense of Data Identifies clinical significance of
the majority (>90%) of relevant
clinical data

Identifies clinical significance
of most (75–90%) relevant
clinical data

Identifies clinical significance
of some (50–74%) relevant
clinical data

Able to identify clinical
significance of minimal (<50%)
relevant clinical data

RESPONDING
Effective RESPONDING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Well-Planned
Intervention/Flexibility

Identifies majority (>90%) of
nursing interventions that are
relevant to this scenario

Recognizes most (75–90%)
nursing interventions that are
relevant to this scenario

Recognizes some relevant (50–
74%) nursing interventions that
are relevant to this scenario

Recognizes minimal relevant
(<50%) nursing interventions
that are relevant to this scenario

Being Skillful Complete consistency between
each step of the nursing process.
Nursing plan of care is thorough.

Is mostly consistent between
each step of the nursing
process. Nursing plan of care
is mostly thorough.

Little consistency between each
step of the nursing process.
Nursing plan of care has some
thoroughness.

No consistency between
each step of the nursing
process. Superficial and lack of
thoroughness in nursing plan
of care.

CONTINUED on next page

RESPONDING continued

Effective RESPONDING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Clear Communication

(Not able to be assessed with
SKINNY or NextGen Reasoning)

Communicates concisely and
effectively using SBAR by
summarizing majority (>90%)
of relevant clinical data and
correctly interpreting current
clinical status

Using SBAR, summarizes most
(75–90%) of clinical data that is
relevant, correctly interprets the
patient’s current status

Using SBAR, summarizes some
(50–74%) clinical data that is
relevant, correctly interprets the
patient’s current status

Using SBAR, unable to
summarize (<50%) relevant
clinical data, incorrectly
interprets the patient’s current
status.

Recognizing Patient
Problems
(Not able to be assessed with
SKINNY or NextGen Reasoning)

Identifies all most likely and
worst possible problems and
recognizes majority (>90%)
of expected early changes in
patient’s condition

Identifies most (75–90%)
potential problems and
recognizes most expected early
changes in patient’s condition

Identifies some (50–74%)
potential problems but not the
most important and recognizes
some expected early changes in
patient’s condition

Unable to identify (<50%)
potential problems or recognize
expected early changes in
patient’s condition

KRN CLINICAL JUDGMENT RUBRIC
KeithRN.com

REFLECTING
Effective REFLECTING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Evaluating Plan of Care Able to evaluate care by
adjusting the nursing priority by
recognizing majority (>90%) of
relevant evaluation data

Able to evaluate care by adjusting
the nursing priority by consistent-
ly recognizing most (75–90%)
relevant evaluation data

Able to evaluate care by
recognizing some (50–74%)
relevant evaluation data

Unable to evaluate care by
adjusting the nursing priority by
recognizing minimal (<50%)
relevant evaluation data

Evaluation/Self-Analysis Evaluates performance on case
by thoroughly reflecting and
identifying personal strengths
and weaknesses

Evaluates performance on case
by reflecting with some
thoroughness, identifying
personal strengths and
weaknesses

Evaluates performance on case
by reflecting with some insight,
identifying personal strengths
and weaknesses

Demonstrates lack of insight on
performance on case. Does not
address personal strengths and
weaknesses

Commitment to
Improvement

Demonstrates commitment to
ongoing improvement with
detailed and specific plans to
improve current weaknesses
(identified in reflection) and
apply what was learned to care
for future patients

Demonstrates commitment to
ongoing improvement with
some clear plans to eliminate
weaknesses (identified in
reflection) and apply what was
learned to care for future
patients

Demonstrates commitment to
ongoing improvement with
vague plans to eliminate
weaknesses (identified in
reflection) and apply what was
learned to care for future
patients

Demonstrates lack of
commitment to ongoing
improvement with no clear
plan to eliminate weaknesses
(identified in reflection) and
apply what was learned to care
for future patients

Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved.
Structure adapted from Lasater (2007), with permission.

**Cardiac_Arrest.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cardiac-arrest-pdf-10519299)

**Cardiac_Arrest.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cardiac-arrest-pdf-10519299)

**## CaseStudyRubicAdvanced1.pdf**

KeithRN.com

Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved.
Structure adapted from Lasater (2007), with permission.

KRN CLINICAL JUDGMENT RUBRIC

NOTICING
Effective NOTICING Involves: Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Focused Observation Recognizes majority (>90%) of
relevant clinical data

Recognizes most (75–90%) of
relevant clinical data

Recognizes some (50–74%) of
relevant clinical data

Recognizes minimal (<50%) of
relevant clinical data

Recognizing Deviations
from Expected Patterns

Recognizes majority (>90%) of
concerning clinical data trends

Recognizes most (75–90%) of
concerning clinical data trends

Recognizes some 50–74%) of
concerning clinical data trends

Recognizes minimal (<50%) of
concerning clinical data trends

INTERPRETING
Effective INTERPRETING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Prioritizing Data Demonstrates thorough
analysis (>90%) of clinical data
to formulate the most urgent
nursing priority

Demonstrates analysis of most
(75–90%) clinical data to
formulate a nursing priority that
is relevant but may not be the
most urgent

Demonstrates fundamental
analysis (50–74%) of clinical
data to formulate a nursing
priority that is not the most
urgent

Demonstrates lack of analysis
(<50%) of clinical data that
results in formulating incorrect
nursing priority

Making Sense of Data Identifies clinical significance of
the majority (>90%) of relevant
clinical data

Identifies clinical significance
of most (75–90%) relevant
clinical data

Identifies clinical significance
of some (50–74%) relevant
clinical data

Able to identify clinical
significance of minimal (<50%)
relevant clinical data

RESPONDING
Effective RESPONDING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Well-Planned
Intervention/Flexibility

Identifies majority (>90%) of
nursing interventions that are
relevant to this scenario

Recognizes most (75–90%)
nursing interventions that are
relevant to this scenario

Recognizes some relevant (50–
74%) nursing interventions that
are relevant to this scenario

Recognizes minimal relevant
(<50%) nursing interventions
that are relevant to this scenario

Being Skillful Complete consistency between
each step of the nursing process.
Nursing plan of care is thorough.

Is mostly consistent between
each step of the nursing
process. Nursing plan of care
is mostly thorough.

Little consistency between each
step of the nursing process.
Nursing plan of care has some
thoroughness.

No consistency between
each step of the nursing
process. Superficial and lack of
thoroughness in nursing plan
of care.

CONTINUED on next page

RESPONDING continued

Effective RESPONDING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Clear Communication

(Not able to be assessed with
SKINNY or NextGen Reasoning)

Communicates concisely and
effectively using SBAR by
summarizing majority (>90%)
of relevant clinical data and
correctly interpreting current
clinical status

Using SBAR, summarizes most
(75–90%) of clinical data that is
relevant, correctly interprets the
patient’s current status

Using SBAR, summarizes some
(50–74%) clinical data that is
relevant, correctly interprets the
patient’s current status

Using SBAR, unable to
summarize (<50%) relevant
clinical data, incorrectly
interprets the patient’s current
status.

Recognizing Patient
Problems
(Not able to be assessed with
SKINNY or NextGen Reasoning)

Identifies all most likely and
worst possible problems and
recognizes majority (>90%)
of expected early changes in
patient’s condition

Identifies most (75–90%)
potential problems and
recognizes most expected early
changes in patient’s condition

Identifies some (50–74%)
potential problems but not the
most important and recognizes
some expected early changes in
patient’s condition

Unable to identify (<50%)
potential problems or recognize
expected early changes in
patient’s condition

KRN CLINICAL JUDGMENT RUBRIC
KeithRN.com

REFLECTING
Effective REFLECTING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Evaluating Plan of Care Able to evaluate care by
adjusting the nursing priority by
recognizing majority (>90%) of
relevant evaluation data

Able to evaluate care by adjusting
the nursing priority by consistent-
ly recognizing most (75–90%)
relevant evaluation data

Able to evaluate care by
recognizing some (50–74%)
relevant evaluation data

Unable to evaluate care by
adjusting the nursing priority by
recognizing minimal (<50%)
relevant evaluation data

Evaluation/Self-Analysis Evaluates performance on case
by thoroughly reflecting and
identifying personal strengths
and weaknesses

Evaluates performance on case
by reflecting with some
thoroughness, identifying
personal strengths and
weaknesses

Evaluates performance on case
by reflecting with some insight,
identifying personal strengths
and weaknesses

Demonstrates lack of insight on
performance on case. Does not
address personal strengths and
weaknesses

Commitment to
Improvement

Demonstrates commitment to
ongoing improvement with
detailed and specific plans to
improve current weaknesses
(identified in reflection) and
apply what was learned to care
for future patients

Demonstrates commitment to
ongoing improvement with
some clear plans to eliminate
weaknesses (identified in
reflection) and apply what was
learned to care for future
patients

Demonstrates commitment to
ongoing improvement with
vague plans to eliminate
weaknesses (identified in
reflection) and apply what was
learned to care for future
patients

Demonstrates lack of
commitment to ongoing
improvement with no clear
plan to eliminate weaknesses
(identified in reflection) and
apply what was learned to care
for future patients

Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved.
Structure adapted from Lasater (2007), with permission.

**Cardiac_Arrest.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cardiac-arrest-pdf-10519299)

**## CaseStudyRubicAdvanced1.pdf**

KeithRN.com

Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved.
Structure adapted from Lasater (2007), with permission.

KRN CLINICAL JUDGMENT RUBRIC

NOTICING
Effective NOTICING Involves: Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Focused Observation Recognizes majority (>90%) of
relevant clinical data

Recognizes most (75–90%) of
relevant clinical data

Recognizes some (50–74%) of
relevant clinical data

Recognizes minimal (<50%) of
relevant clinical data

Recognizing Deviations
from Expected Patterns

Recognizes majority (>90%) of
concerning clinical data trends

Recognizes most (75–90%) of
concerning clinical data trends

Recognizes some 50–74%) of
concerning clinical data trends

Recognizes minimal (<50%) of
concerning clinical data trends

INTERPRETING
Effective INTERPRETING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Prioritizing Data Demonstrates thorough
analysis (>90%) of clinical data
to formulate the most urgent
nursing priority

Demonstrates analysis of most
(75–90%) clinical data to
formulate a nursing priority that
is relevant but may not be the
most urgent

Demonstrates fundamental
analysis (50–74%) of clinical
data to formulate a nursing
priority that is not the most
urgent

Demonstrates lack of analysis
(<50%) of clinical data that
results in formulating incorrect
nursing priority

Making Sense of Data Identifies clinical significance of
the majority (>90%) of relevant
clinical data

Identifies clinical significance
of most (75–90%) relevant
clinical data

Identifies clinical significance
of some (50–74%) relevant
clinical data

Able to identify clinical
significance of minimal (<50%)
relevant clinical data

RESPONDING
Effective RESPONDING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Well-Planned
Intervention/Flexibility

Identifies majority (>90%) of
nursing interventions that are
relevant to this scenario

Recognizes most (75–90%)
nursing interventions that are
relevant to this scenario

Recognizes some relevant (50–
74%) nursing interventions that
are relevant to this scenario

Recognizes minimal relevant
(<50%) nursing interventions
that are relevant to this scenario

Being Skillful Complete consistency between
each step of the nursing process.
Nursing plan of care is thorough.

Is mostly consistent between
each step of the nursing
process. Nursing plan of care
is mostly thorough.

Little consistency between each
step of the nursing process.
Nursing plan of care has some
thoroughness.

No consistency between
each step of the nursing
process. Superficial and lack of
thoroughness in nursing plan
of care.

CONTINUED on next page

RESPONDING continued

Effective RESPONDING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Clear Communication

(Not able to be assessed with
SKINNY or NextGen Reasoning)

Communicates concisely and
effectively using SBAR by
summarizing majority (>90%)
of relevant clinical data and
correctly interpreting current
clinical status

Using SBAR, summarizes most
(75–90%) of clinical data that is
relevant, correctly interprets the
patient’s current status

Using SBAR, summarizes some
(50–74%) clinical data that is
relevant, correctly interprets the
patient’s current status

Using SBAR, unable to
summarize (<50%) relevant
clinical data, incorrectly
interprets the patient’s current
status.

Recognizing Patient
Problems
(Not able to be assessed with
SKINNY or NextGen Reasoning)

Identifies all most likely and
worst possible problems and
recognizes majority (>90%)
of expected early changes in
patient’s condition

Identifies most (75–90%)
potential problems and
recognizes most expected early
changes in patient’s condition

Identifies some (50–74%)
potential problems but not the
most important and recognizes
some expected early changes in
patient’s condition

Unable to identify (<50%)
potential problems or recognize
expected early changes in
patient’s condition

KRN CLINICAL JUDGMENT RUBRIC
KeithRN.com

REFLECTING
Effective REFLECTING
Involves:

Exemplary = 4 Accomplished = 3 Developing = 2 Beginning = 1

Evaluating Plan of Care Able to evaluate care by
adjusting the nursing priority by
recognizing majority (>90%) of
relevant evaluation data

Able to evaluate care by adjusting
the nursing priority by consistent-
ly recognizing most (75–90%)
relevant evaluation data

Able to evaluate care by
recognizing some (50–74%)
relevant evaluation data

Unable to evaluate care by
adjusting the nursing priority by
recognizing minimal (<50%)
relevant evaluation data

Evaluation/Self-Analysis Evaluates performance on case
by thoroughly reflecting and
identifying personal strengths
and weaknesses

Evaluates performance on case
by reflecting with some
thoroughness, identifying
personal strengths and
weaknesses

Evaluates performance on case
by reflecting with some insight,
identifying personal strengths
and weaknesses

Demonstrates lack of insight on
performance on case. Does not
address personal strengths and
weaknesses

Commitment to
Improvement

Demonstrates commitment to
ongoing improvement with
detailed and specific plans to
improve current weaknesses
(identified in reflection) and
apply what was learned to care
for future patients

Demonstrates commitment to
ongoing improvement with
some clear plans to eliminate
weaknesses (identified in
reflection) and apply what was
learned to care for future
patients

Demonstrates commitment to
ongoing improvement with
vague plans to eliminate
weaknesses (identified in
reflection) and apply what was
learned to care for future
patients

Demonstrates lack of
commitment to ongoing
improvement with no clear
plan to eliminate weaknesses
(identified in reflection) and
apply what was learned to care
for future patients

Copyright © 2023 KeithRN, LLC, Andover, Minnesota USA. All rights reserved.
Structure adapted from Lasater (2007), with permission.

**Cardiac_Arrest.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/cardiac-arrest-pdf-10519299)

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