MN576 Assignment:This assignment will demonstrate your ability to provide age-appropriate anticipatory guidance while recognizing the need to refer patients that are outside of the scope
see attached.
I filled in the information obtained in the lab.
Need assessment and plan sections- i placed * next to things that need to be included.
This assignment will demonstrate your ability to provide age-appropriate anticipatory guidance while recognizing the need to refer patients that are outside of the scope of practice of the family nurse practitioner. This will be demonstrated by completing a SOAP note based on the patient Desiree Allen seen in Unit 2 in the VR platform.
Write-ups
The SOAP note serves several purposes:
1. It is an important reference document that provides concise information about a patient's history and exam findings at the time of patient visit.
2. It outlines a plan for addressing the issues which prompted the office visit. This information should be presented logically and prominently features all of the data that’s immediately relevant to the patient's condition.
3. It is a means of communicating information to all providers involved in the care of a particular patient.
4. It allows the NP student to demonstrate their ability to accumulate historical and examination-based information, use their medical knowledge, and derive a logical plan of care.
Knowing what to include and what to leave out will largely depend on experience and your understanding of illness and pathophysiology. If, for example, you were unaware that chest pain is commonly associated with coronary artery disease, you would be unlikely to mention other coronary risk factors when writing the history. As you gain experience, your write-ups will become increasingly focused. You can accelerate the process by actively seeking feedback about all the SOAP notes you create and reading those written by more experienced practitioners.
The core aspects of the SOAP note are described in detail below.
For ease of learning, a SOAP note template has been provided. This assignment requires proper citation and referencing because it is an academic paper.
S: Subjective information. Everything the patient tells you. This includes several areas, including the chief complaint (CC), the history of present illness (HPI), medical history, surgical history, family history, social history, medications, allergies, and other information gathered from the patient. A commonly used mnemonic to explore the core elements of the history of present illness (HPI) is OLD CARTS, which includes: Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments, and Severity.
O: Objective is what you see, hear, feel or smell. Your physical exam, including vital signs.
A: Assessment/your differentials
P: Plan of care including health promotion and disease prevention for the patient related to their age and gender.
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Rubric Title: Unit 2, 4, 6 Lab – Virtual Reality Rubric
***Students: It is IMPORTANT to remember to utilize both the “Guided Mode” and “Expert Mode” in the VR Lab Simulation case scenario experiences, as you practice the VR Lab scenario(s). The “Guided Mode” and “Expert Mode” allow you to have multiple tries/attempts to practice the case. THEN, when you feel you are ready, you will choose the VR Lab “Exam Mode” (that you can ONLY attempt once); the score you receive in “Exam Mode” will then be your final grade in the VR Lab. If you have any questions regarding this, please follow up with your course instructor.
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Assignment Criteria |
Level III |
Level II |
Level I |
Not Present |
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Criteria 1 |
Level III Points: 80 |
Level II Points: 64 |
Level I Points: 48 |
Not Present 0 Points |
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Total Score |
· Within Exam Mode, obtains 65 to 80 points of the required total components for virtual reality patient scenario |
· Within Exam Mode, obtains between 49 to 64.9 points of the required total components for virtual reality patient scenario |
· Within Exam Mode, obtains between 33 to 48.9 points of the required total components for virtual reality patient scenario |
· Does not attempt in Exam Mode · Does not meet the criteria |
Rubric Title: Unit 3, 5, 7 Journal Assignment Rubric
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Level III Max Points Points: 6 |
Level II Max Points Points: 4.8 |
Level I Max Points Points: 4.2 |
0 Points |
|
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Content Quality- Subjective Data |
Subjective data displays complete understanding of all critical concepts of virtual reality patient case including: · Name, age, gender · Chief complaint · History of present illness (HPI) that follows OLD CARTS pneumonic · Medications · Allergies · Past medical history · Past surgical history · Pertinent family history · Social history · Review of Systems |
· Subjective data displays understanding of critical concepts of chosen virtual reality patient case; there may be 1-2 critical concepts with errors/omissions or lack of details. |
· Subjective data displays understanding of critical concepts of chosen virtual reality patient case; there may be 3-4 critical concepts with errors/omissions or lack of details. |
· Does not meet the criteria |
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Criteria 2 |
Level III Max Points Points: 6 |
Level II Max Points Points: 4.8 |
Level I Max Points Points: 4.2 |
Not Present 0 Points |
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Content Quality- Objective Data |
Objective data displays complete understanding of all critical concepts of chosen virtual reality patient case including: · Vital signs · Body systems that are pertinent to specific case |
· Objective data displays understanding of critical concepts of chosen virtual reality patient case; there may be 1-2 critical concepts with errors/omissions or lack of details. |
· Objective data displays understanding of critical concepts of chosen virtual reality patient case; there may be 3-4 critical concepts with errors/omissions or lack of details |
· Does not meet the criteria |
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Criteria 3 |
Level III Max Points Points: 6 |
Level II Max Points Points: 4.8 |
Level I Max Points Points: 4.2 |
Not Present 0 Points |
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Content Quality- Assessment |
Assessment displays complete understanding of all critical concepts of chosen virtual reality patient case including: · Primary diagnosis · Pathophysiology of primary diagnosis · Three differential diagnoses · Rationales for differential diagnoses |
· Assessment displays understanding of critical concepts of chosen virtual reality patient case; there may be onecritical concept with errors/omissions or lack of details. |
· Assessment displays understanding of critical concepts of chosen virtual reality patient case; there may be two critical concepts with errors/omissions or lack of details. |
· Does not meet the criteria |
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Criteria 4 |
Level III Max Points Points: 6 |
Level II Max Points Points: 4.8 |
Level I Max Points Points: 4.2 |
Not Present 0 Points |
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Content Quality- Plan of Care |
Plan displays complete understanding of all critical concepts of chosen virtual reality patient case including: · Medications · Non-pharmacological recommendations · Diagnostic tests · Patient education · Cultural considerations · Health promotion · Referrals · Follow-Up |
· Plan displays understanding of critical concepts of chosen virtual reality patient case; there may be one critical concept with errors/omissions or lack of details. |
· Plan displays understanding of critical concepts of chosen virtual reality patient case; there may be 3-4 critical concepts with errors/omissions or lack of details. |
· Does not meet the criteria |
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Criteria 5 |
Level III Max Points Points: 6 |
Level II Max Points Points: 4.8 |
Level I Max Points Points: 4.2 |
Not Present 0 Points |
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Collegiate-level academic writing |
· Includes no more than three grammatical, spelling, or punctuation errors that do not interfere with the readability. · Supports all opinions and ideas with relevant and credible reference sources of information. · Provides three or more peer-reviewed or evidence-based practice scholarly references sources. · All reference sources are within the past five years. |
· Includes no more than four grammatical, spelling, or punctuation errors that do not interfere with the readability. · Supports many opinions and ideas with relevant and credible sources of information. · Provides two peer-reviewed or evidence-based practice scholarly references sources. · All reference sources are within the past five years. |
· Includes five or more grammatical, spelling, and punctuation errors that makes understanding parts of assignment difficult, but does not interfere with readability. · Not all references utilized are relevant and/or credible sources of information. · Provides one peer-reviewed or evidence-based practice scholarly references source. · Reference sources are within the past five years. |
· Does not the meet criteria |
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Criteria 6 |
Level III Max Points Points: 5 |
Level II Max Points Points: 4 |
Level I Max Points Points: 3 |
0 Points |
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Citations and Formatting |
● The overall order of information is clear and contributes to the meaning of the assignment. ● There may be 1-2 sentences, or one paragraph that is out of order, or other minor organization issues. ● Strong attempt at APA formatting and correctly citing all reference sources. One or two formatting, in-text, or reference citation errors may occur. ● Quotation marks and citations make authorship clear. |
● The overall order of information is confusing in places due to 3-4 sentences, or two paragraphs that may be out of order, or other organization issues that interfere with the meaning or intent of the paper. ● Overall attempt at APA formatting and correctly citing all reference sources. 3-4 formatting, in-text, or reference citation errors may occur. ● Quotation marks and citations generally, make authorship clear. |
● The overall order of information is confusing in places due to 5-6 sentences or three paragraphs that may be out of place, or other organization issues that interfere with the meaning or intent of the paper. ● Attempts to use APA formatting and citing. 5-6 formatting, in-text, or reference citation errors may occur. ● Quotation marks and citations may be missing or incorrect. ● Authorship may be unclear in areas. |
· Does not meet the criteria |
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Maximum Total Points |
35 |
28 |
24 |
0 |
|
Minimum Total Points |
29 |
25 |
1 |
Rubric Title: Unit 8 Journal Rubric
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Criteria 1 |
Level III Max Points Points: 15 |
Level II Max Points Points: 12 |
Level I Max Points Points:9 |
0 Points |
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Content Quality- Subjective Data |
Presentation of subjective data displays complete understanding of all critical concepts of chosen virtual reality patient case including: · Name, age, gender · Chief complaint · History of present illness (HPI) that follows OLD CARTS pneumonic · Medications · Allergies · Past medical history · Past surgical history · Pertinent family history · Social history · Review of Systems |
· Presentation of subjective data displays understanding of all critical concepts of chosen virtual reality patient case; there may be 1-2 critical concepts with errors/omissions or lack of details. |
· Presentation of subjective data displays understanding of all critical concepts of chosen virtual reality patient case; there may be 3-4 critical concepts with errors/omissions or lack of details. |
· Does not meet the criteria |
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Criteria 2 |
Level III Max Points Points: 15 |
Level II Max Points Points: 12 |
Level I Max Points Points:9 |
0 Points |
|
Content Quality- Objective Data |
Presentation of objective data displays complete understanding of all critical concepts of chosen virtual reality patient case including: · Vital signs · Body systems that are pertinent to specific case |
· Presentation of objective data displays understanding of all critical concepts of chosen virtual reality patient case; there may be 1-2 critical concepts with errors/omissions or lack of details. |
· Presentation of objective data displays understanding of all critical concepts of chosen virtual reality patient case; there may be 3-4 critical concepts with errors/omissions or lack of details. |
· Does not meet the criteria |
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Criteria 3 |
Level III Max Points Points: 15 |
Level II Max Points Points: 12 |
Level I Max Points Points:9 |
0 Points |
