Preview Rubric 2.6 Assignment (30 points) Top of Form Print Rubric Criteria

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2.6 Assignment (30 points)

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Criteria

Level 1

Criterion Score

Chief Complaint

1 point

A 1-2 sentence Chief Complaint is included.

Score of Chief Complaint,

/ 1

HPI

2 points

HPI is included and uses OLDCARTS format.

Score of HPI,

/ 2

Past Medical History

2 points

Past Medical History is included and covers previous diagnoses, surgeries, and hospitalizations.

Score of Past Medical History,

/ 2

Social History

2 points

Social History is included and covers living situation, job, alcohol, drugs, tobacco.

Score of Social History,

/ 2

Medications

1 point

Medication list included (name of drug, dose, and frequency). Must include a minimum of two drugs patient is currently on.

Score of Medications,

/ 1

Review of Systems

5 points

Review of Systems is included and contains subjective data pertinent to the patient’s reason for visit and symptoms.

Score of Review of Systems,

/ 5

Vitals

1 point

Vital Signs included.

Score of Vitals,

/ 1

Physical Exam

5 points

Physical Exam included and contains objective data pertinent to the patient’s reason for visit and symptoms.

Score of Physical Exam,

/ 5

Assessment

5 points

A differential diagnosis list is Included. You will need to list 3 top potential diagnoses (in order from most likely to least likely) and provide a rationale for why you included it and why or why not it is the most likely diagnosis. Each potential diagnosis must be supported by an evidence-based resource.

Score of Assessment,

/ 5

Plan

5 points

Plan is included and is supported by at least 1 evidence-based resource.

Score of Plan,

/ 5

References

1 point

Reference list is included and written in APA format.

Score of References,

/ 1

Total

Score of 2.6 Assignment (30 points),

/ 30

Overall Score

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