NSG Process Tool

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Arellano University 3058 Jose Abad Santos Campus, Pasay City College of Nursing

EVALUATION TOOL NURSING PROCESS

Name:_______________________________________________ Evaluator _____________________________________________ DIRECTION: Rate the learner based on the competencies listed below. Key: 4 - COMPETENT 3 - ACCEPTABLE 2 - NEEDS IMPROVEMENT
1 - UNACCEPTABLE

Rating_________ Date __________

( Task was done thoroughly and precisely) (Task was done well enough ) ( Task was done with some difficulty)
(

Criterion
4 3 2 1

I. ASSESSMENT
A. History/POF/ P A data are: 1. Complete/comprehensive 2. Accurate 4. Analyses are relevant & comorehensive

B. Laboratory and Diagnostic Examinations:


1. Complete/comprehensive 2. Analysis is relevant to disease process

C. Drug Analysis:
1. Complete lists 2. Comprehensively analyzed D. Ecologic Model: 1. Correct model 2. Correct and complete identification of predisposing factors 3. Comprehensive analysis 4. Adequate thera[peautic recommendations

Criterion
II. Problem List 1. Analysis/ norms are appropriate to data collected 2. problems identified are correct & supported by relevant cues 3. priority problem is correctly identified based on jurisdiction. III. Nursing Care Plan

A. Diagnosis 1. Stated correctly 2. centered on the client 3. Supported by complete relevant cues according to IOM B. Analysis 1. Scientific analysis contains general cause of the problem 2. implications are arranged from minor to major a. Immediate cause b. Intermediate cause c. Primary cause C. Goal 1. Relates to the problem 2. Time bounded D. Objective 1. Relates to the cause of the problem 2. Specific 3. Measurable 4. Attainable/realistic 5. Timebounded E. Interventions 1. Relevant/ appropriate 2. Prioritized 3. Invove members of the family 4. Categorized as to Development, Supplemental, Supplemental, Facilitative F. Rationale 1. Scientific and Documented 2. Precisely explains the why/ how of the interventions G. Evaluation 1. Evaluates if objective was met based on criteria stated ( effectiveness, efficiency, appropriateness, adequacy, acceptability IV. Reference 1. All analysis are well documented 2. Correct format 3. Books used are recent & relevant to the subject matter

TOTAL
Rate the students from 1 - 4 where 4 = very satisfactory: exhibits competency independently 3 = satisfactory: exhibits competency with minimal supervision 2 = fair : exhibis competency fairly with close supervision. 1 = needs improvement : needs to develop competency 0 = no competency : not performed

Grading System: Raw Score/Perfect Score x 50+50

Perfect Score = 128


4x 3x 2x 1x = = = = ______________
______________________

Student's Signature

________________________________ Instructor's signature and date

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