Assignment Prompt & Instructions
**files (3)**
– ## InstructionssforCaseStudy.docx
– ## CaseStudyRubicAdvanced.pdf
– 2-25REV-TEMPLATE-Unfolding_Cardiac_Arrest.pdf
**## InstructionssforCaseStudy.docx**
**What You Will Do During This Case Study**
This case study is designed to help you practice the
**clinical judgment skills** outlined in the KRNCJR. Here’s what you’ll be expected to
_do_ as you work through it:
**STEP 1 — NOTICING: Identify What Clinical Data Matters Most**
As you review the case information, your first task is to identify the clinical cues that are the most important or concerning.
You will do this by:
**✓ Focused Observation**
· Paying close attention to the patient’s assessment findings, vital signs, lab results, medications, and history.
· Distinguishing relevant information from background details.
**✓ Recognizing Deviations from Expected Patterns**
· Identifying what is
_different_ from what you would expect for this patient.
· Noting abnormal findings or trends that may indicate a change in condition.
· Asking yourself:
**“What here is concerning, and why does it matter for this patient right now?”**
This step sets the foundation for your clinical reasoning.
**STEP 2 — INTERPRETING: Make Sense of the Clinical Data**
After you identify the key cues, your next task is to
**interpret** what these findings mean.
You will do this by:
**✓ Prioritizing Data**
· Deciding which findings require immediate attention.
· Ranking clinical cues by urgency or risk.
**✓ Making Sense of Data**
· Connecting clinical cues to potential problems or complications.
· Considering how the patient’s condition is changing.
· Asking yourself:
**“What is this data telling me? What could be happening physiologically?”**
This step helps you determine whether a problem is present and what the priority is.
**STEP 3 — REFLECTING: Analyze Your Thinking and Decisions**
At the end of the case study, you will reflect on your clinical judgment process.
You will do this by:
**✓ Evaluating the Plan of Care**
· Considering whether the nursing actions you identified were effective.
· Determining how the patient responded.
**✓ Evaluation/SelfAnalysis**
· Reflecting on the decisions you made and the reasoning behind them.
· Identifying what you did well and what you would improve.
**⭐ In short, during this case study you will:**
1.
**Notice** the most important clinical cues.
2.
**Interpret** what they mean and decide whether a problem exists.
3.
**Reflect** on your reasoning and plan for improvement.
**## CaseStudyRubicAdvanced.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.
**2-25REV-TEMPLATE-Unfolding_Cardiac_Arrest.pdf**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/2-25rev-template-unfolding-cardiac-arrest-pdf)
**2-25REV-TEMPLATE-Unfolding_Cardiac_Arrest.pdf**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/2-25rev-template-unfolding-cardiac-arrest-pdf)
**## InstructionssforCaseStudy.docx**
**What You Will Do During This Case Study**
This case study is designed to help you practice the
**clinical judgment skills** outlined in the KRNCJR. Here’s what you’ll be expected to
_do_ as you work through it:
**STEP 1 — NOTICING: Identify What Clinical Data Matters Most**
As you review the case information, your first task is to identify the clinical cues that are the most important or concerning.
You will do this by:
**✓ Focused Observation**
· Paying close attention to the patient’s assessment findings, vital signs, lab results, medications, and history.
· Distinguishing relevant information from background details.
**✓ Recognizing Deviations from Expected Patterns**
· Identifying what is
_different_ from what you would expect for this patient.
· Noting abnormal findings or trends that may indicate a change in condition.
· Asking yourself:
**“What here is concerning, and why does it matter for this patient right now?”**
This step sets the foundation for your clinical reasoning.
**STEP 2 — INTERPRETING: Make Sense of the Clinical Data**
After you identify the key cues, your next task is to
**interpret** what these findings mean.
You will do this by:
**✓ Prioritizing Data**
· Deciding which findings require immediate attention.
· Ranking clinical cues by urgency or risk.
**✓ Making Sense of Data**
· Connecting clinical cues to potential problems or complications.
· Considering how the patient’s condition is changing.
· Asking yourself:
**“What is this data telling me? What could be happening physiologically?”**
This step helps you determine whether a problem is present and what the priority is.
**STEP 3 — REFLECTING: Analyze Your Thinking and Decisions**
At the end of the case study, you will reflect on your clinical judgment process.
You will do this by:
**✓ Evaluating the Plan of Care**
· Considering whether the nursing actions you identified were effective.
· Determining how the patient responded.
**✓ Evaluation/SelfAnalysis**
· Reflecting on the decisions you made and the reasoning behind them.
· Identifying what you did well and what you would improve.
**⭐ In short, during this case study you will:**
1.
**Notice** the most important clinical cues.
2.
**Interpret** what they mean and decide whether a problem exists.
3.
**Reflect** on your reasoning and plan for improvement.
**## CaseStudyRubicAdvanced.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.
**2-25REV-TEMPLATE-Unfolding_Cardiac_Arrest.pdf**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/2-25rev-template-unfolding-cardiac-arrest-pdf)
**## InstructionssforCaseStudy.docx**
**What You Will Do During This Case Study**
This case study is designed to help you practice the
**clinical judgment skills** outlined in the KRNCJR. Here’s what you’ll be expected to
_do_ as you work through it:
**STEP 1 — NOTICING: Identify What Clinical Data Matters Most**
As you review the case information, your first task is to identify the clinical cues that are the most important or concerning.
You will do this by:
**✓ Focused Observation**
· Paying close attention to the patient’s assessment findings, vital signs, lab results, medications, and history.
· Distinguishing relevant information from background details.
**✓ Recognizing Deviations from Expected Patterns**
· Identifying what is
_different_ from what you would expect for this patient.
· Noting abnormal findings or trends that may indicate a change in condition.
· Asking yourself:
**“What here is concerning, and why does it matter for this patient right now?”**
This step sets the foundation for your clinical reasoning.
**STEP 2 — INTERPRETING: Make Sense of the Clinical Data**
After you identify the key cues, your next task is to
**interpret** what these findings mean.
You will do this by:
**✓ Prioritizing Data**
· Deciding which findings require immediate attention.
· Ranking clinical cues by urgency or risk.
**✓ Making Sense of Data**
· Connecting clinical cues to potential problems or complications.
· Considering how the patient’s condition is changing.
· Asking yourself:
**“What is this data telling me? What could be happening physiologically?”**
This step helps you determine whether a problem is present and what the priority is.
**STEP 3 — REFLECTING: Analyze Your Thinking and Decisions**
At the end of the case study, you will reflect on your clinical judgment process.
You will do this by:
**✓ Evaluating the Plan of Care**
· Considering whether the nursing actions you identified were effective.
· Determining how the patient responded.
**✓ Evaluation/SelfAnalysis**
· Reflecting on the decisions you made and the reasoning behind them.
· Identifying what you did well and what you would improve.
**⭐ In short, during this case study you will:**
1.
**Notice** the most important clinical cues.
2.
**Interpret** what they mean and decide whether a problem exists.
3.
**Reflect** on your reasoning and plan for improvement.
**## CaseStudyRubicAdvanced.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.
**2-25REV-TEMPLATE-Unfolding_Cardiac_Arrest.pdf**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/2-25rev-template-unfolding-cardiac-arrest-pdf)