ADVENTIST MEDICAL CENTER COLLEGE

San Miguel, Iligan City

SCHOOL OF NURSING

HEALTH ASSESSMENT
Related Learning Experience (Skills Lab)
Second Semester, AY 2021 – 2022

ACTIVITY #4: REVIEW OF SYSTEMS RUBRIC

Name _____________________________________________________________________ Section ______________ Date _____________________ Score ________________

CRITERIA EXCELLENT (4) VERY SATISFACTORY (3) SATISFACTORY (2) POOR (1) SCORE

I. Introductory Phase Demonstrated all introductory Demonstrated five to six of Demonstrated three to four of Demonstrated one to two
1. Demonstration of the following introductory activities: (7) activities introductory activities introductory activities of introductory activities
 Courtesy
 Purpose of the interview
 Types of questions that will be asked
 Reason for taking notes
 Confidentiality of information
 Ensure comfort and privacy of client
 Trust and rapport using verbal and nonverbal skills
II. Working Phase
Documentation is complete and Documentation missed one to Documentation missed three Documentation missed
 Review of Systems comprehensive with no two data; with one to two to four data; with three to five or more data; with five
grammatical, spelling, and word grammatical, spelling, and four grammatical, spelling, or more grammatical,
usage (medical term) errors word usage (medical term) and word usage (medical spelling, and word usage
errors term) errors (medical term) errors
III. Summary and Closing Phase Demonstrated all (four) activities Demonstrated only three Demonstrated only two Demonstrated only one
2. Demonstration of the following closing activities: of the closing phase activities of the closing phase activities of the closing phase activity of the closing
 Summarized information obtained during the working phase
phase
 Validated problems and goals with the client
 Identified and discussed possible plans to resolve the
problem with the client
 Asked if anything else concerns the client and if there are
any further questions
3. Confidence
Performed entire procedure with Performed entire procedure Performed entire procedure Not able to perform entire
great confidence with moderate confidence with little confidence procedure with confidence
TOTAL SCORE
References:

1
Weber, J. & Kelley, J. (2018). Health Assessment in Nursing. 6th Edition. USA. Wolters Kluwer.

https://www.rcampus.com/rubricshowc.cfm?sp=yes&code=WX22633&

Perfect Score: 16 points

Range of Scores:
14 – 16 --------------- Excellent 10 – 13 ---------------- Very Satisfactory 6 – 9 --------------- Satisfactory 1 – 4 ----------------- Poor

Assessed by:

_________________________
Name and Signature of RLE Instructor
/rsp
3/7/21