R.

01
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
RUBRICS FOR GRADING THE JOURNAL READINGS

NAME ______________________________________ AREA _________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

3 2 1 0
SUMMARY All information/events were covered Most information/events were covered A number of information/events Copy pasted or no summary
missing
Key ideas and main learning points Some ideas and main learning points Just a simple list of activities within the Copy pasted content or no summary
IMPLICATIONS explained in a way that is easily explained but not very easily understood lessons
understood and all points covered or missing some key points
Saying how you think the lesson has Saying how you felt about the lesson Saying how you felt about the lesson Irrelevant or non-coherent with the
IMPACT ON benefited your learning referring to with some explanation about how it without saying why (e.g. It was a good topic discussed
PERSONAL past knowledge and next steps helped you lesson for me)
LEARNING
The writing is generally free of The writing has some errors such as The writing is mostly erroneous such as Writing is barely comprehensible due
ACCURACY OF grammar, spelling, and punctuation grammar, spelling, and missing grammar, spelling and missing to numerous grammatical errors
WRITING errors and makes very good sense punctuation. It generally makes sense. punctuation. It may also not make
sense in places.
All references used are important and Some of the references cited and listed Most of the references cited and listed No reference cited
current; are of good/scholarly quality. are important, some are of are not important and/or not of
REFERENCES References are correctly cited good/scholarly quality. Some are good/scholarly quality. References are
correctly cited and listed. not correctly cited and listed.
References are outdated.

COMMENTS: ____________________________________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: ________________________________

Updated/January 2022/BSN Faculty

 R.02
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION TOOL FOR ORAL PRESENTATION (CASE CONFERENCE)

NAME ____________________________________ AREA ______________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

3 2 1 0
Very clear and concise flow of ideas. Clear flow of idea. Most ideas flow but focus is lost at Hard to follow the flow of ideas.
times.
Demonstrates passionate interest in Demonstrates interest in topic and Lack of enthusiasm and interest.
DELIVERY AND the topic and engagement with the engagement with the class. Limited evidence of interest in and
ENTHUSIASM class. engagement with the topic. Nervous tension obvious
Quick recovery from minor mistakes.
Relaxed, self – confident Some tension or indifference apparent
and possible
Visuals augmented and extended Use of visuals related to the material. Limited use of visuals loosely related to No use of visuals.
VISUALS comprehension of the issues in unique the material.
ways.
INVOLVEMENT OF Excellent and salient discussion points Questions and discussion addressed Questions and discussion addressed Little or no attempt to engage the class
THE CLASS: out elucidated material to develop important information that developed surface features of the topic. in learning.
• Questions deep understanding. understanding.
• Generating Limited use of activities to clarify
discussion Appropriate activities used to clarify understanding.
• Activities understanding
Excellent response to student Good response to class questions and Satisfactory response to class Limited response to questions and
RESPONSE TO comments and discussion with discussion with some connection questions and discussion with limited discussion with no reference to
CLASS QUERIES appropriate content supported by made to theory/research reference to theory and research. theory/research.
theory/research.

COMMENTS____________________________________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: _________________________________

References: Rubrics for First and Biography by Stevens, Dannelle Ph.D. Sample Rubrics Packet

Updated/January 2022/BSN Faculty

 R.03

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION TOOL FOR GRADING THE MANUSCRIPT – REPORTING/HEALTH TEACHINGS/ CASE CONFERENCE

NAME _______________________________________ AREA ____________________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

3 2 1 0
Writing is totally free of grammar There are occasional grammar and There are more than occasional Grammar and spelling errors are
and spelling errors. spelling errors. grammar and spelling errors. frequent.
WRITING SKILLS
Clear and concise presentation of Clear presentation of ideas. Most ideas are presented clearly. Hard to follow the ideas.
ideas.
Makes realistic, appropriate, The discussion of the topic is Makes realistic or insightful The presented topic is not appropriate
CONTENTS substantial and insightful realistic and insightful but lacks in discussion of the topic. The nor realistic. Discussion is too short
explanation of the topic. substance. discussion is too short. and has no substance.

All references used are important Some of the references cited and Most of the references cited and All of the references cited and listed
and current; are of listed are important, some are of listed are not important and/or not are not important and/or not of
REFERENCES good/scholarly quality. good/scholarly quality. Some are of good/scholarly quality. good/scholarly quality. All references
References are correctly cited. correctly cited and listed. References are not correctly cited are not correctly cited and listed.
and listed.

COMMENTS: ______________________________________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE ______________________

References: Rubrics for First and Biography at www.servtech.com/public/germaine/rubric.html; Stevens, Dannelle Ph.D. Sample Rubrics Packet

Updated/January 2022/BSN Faculty

 R.04
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION TOOL FOR NURSING CARE PLANS (HOSPITAL)

NAME ________________________________________ AREA ________________________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

4 3 2 1
Lists at least 5 subjective or objective data that List 3 -4 subjective or objective data that List 1 - 2 subjective or objective data that should Unable to list subjective or objective data that
DATA COLLECTION should be collected when the diagnosis is present. should be collected when the diagnosis is be collected when the diagnosis is present. should be collected when the diagnosis is
Background of the problem was clearly and present. Background of the problem was not Background of the problem was incorrectly present. Background of the problem was not
correctly stated. well stated. stated. stated.
NURSING DIAGNOSIS Diagnoses written correctly per NANDA format Written incorrectly without sufficient data to
with proper etiology &sufficient data to support support diagnosis
diagnosis
Goal is measurable, realistic, related to the Goal is not measureable, not realistic, not
problem; related to the problem;
PLANNING/GOALS& Data supports if goal is met, not met with Data does not support if goal is met, not met
EVALUATION appropriate revisions with
inappropriate revisions
Identified dependent, independent, collaborative Identified most dependent, independent, Identifies dependent, independent, Interventions were inappropriate and are not
IMPLEMENTATION & interventions appropriately; Scientific rationale is collaborative interventions appropriately; collaborative interventions with teaching; categorized as dependent, independent or
RATIONALE supported textbook citation Scientific rationale is somewhat relevant & Scientific rationale is not relevant &not collaborative.
[Evidence Base Information] supported with citation supported from textbook
[Evidence Base Information]
[Evidence Base Information]
Writing is totally free of grammar and spelling There are occasional grammar and spelling Grammar and spelling errors are frequent.
WRITING SKILLS errors. errors.
Hard to follow the ideas.
Clear and concise presentation of ideas. Clear presentation of ideas.
All references used are important and current; are Most of the references cited and listed are not No references cited
REFERENCES of good/scholarly quality. References are correctly important and/or not of good/scholarly quality.
cited References are not correctly cited and listed.

NOTE: If the Nursing Diagnosis is incorrect, then only data collection & writing skills will be graded accordingly. Other criteria will be automatically garnering a grade of zero.

COMMENTS: ____________________________________________________________________________________________________________________________________________________________________________

CI’S NAME & SIGNATURE ____________________________

Updated/January 2022/BSN Faculty

 R.05

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION TOOL FOR NURSING CARE PLANS (FAMILY)

NAME ________________________________________________ AREA _________________________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

4 3 2 1
Lists at least 5 subjective or objective data that List 3 -4 subjective or objective data that List 1 - 2 subjective or objective data that Unable to list subjective or objective data
DATA COLLECTION should be collected when the diagnosis is should be collected when the diagnosis is should be collected when the diagnosis is that should be collected when the
present. Background of the problem was clearly present. Background of the problem was present. Background of the problem was diagnosis is present. Background of the
and correctly stated. not well stated. incorrectly stated. problem was not stated.
NURSING Diagnoses written correctly per format with Written incorrectly without sufficient data
DIAGNOSIS proper etiology & sufficient data to support to support diagnosis
diagnosis
Goal is measureable, realistic, related to the Goal is not measureable, not realistic, not
problem; related to the problem;
PLANNING/GOALS& Data supports if goal is met, not met with Data does not support if goal is met, not
EVALUATION appropriate revisions met with
inappropriate revisions
Identified dependent, independent, Identified most dependent, independent, Identifies dependent, independent, Interventions were inappropriate and are
IMPLEMENTATION collaborative interventions appropriately; collaborative interventions appropriately; collaborative interventions with not categorized as dependent,
& RATIONALE Scientific rationale is supported textbook Scientific rationale is somewhat relevant teaching; Scientific rationale is not independent or collaborative.
citation & supported with citation relevant &not supported from textbook
[Evidence Base Information] [Evidence Base Information]
[Evidence Base Information]
Writing is totally free of grammar and spelling There are occasional grammar and spelling Grammar and spelling errors are frequent.
WRITING SKILLS errors. errors.
Hard to follow the ideas.
Clear and concise presentation of ideas. Clear presentation of ideas.
All references used are important and current; Most of the references cited and listed No references cited
REFERENCES are of good/scholarly quality. References are are not important and/or not of
correctly cited good/scholarly quality. References are
not correctly cited and listed.
NOTE: If the Nursing Diagnosis is incorrect, then only data collection & writing skills will be graded accordingly. Other criteria will automatically be graded as zero.

COMMENTS: ____________________________________________________________________
CI’S NAME & SIGNATURE ____________________________
Updated/January 2022/BSN Faculty
 R.06

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION TOOL FOR ASSESSMENT OF PATIENT (WRITTEN)

NAME ________________________________________________ AREA _________________________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

4 3 2 1
GORDON’S 11 All of the data are organized and Most of the data are organized and There are patterns that are inappropriately All of the patterns were inappropriately
FUNCTIONAL HEALTH described correctly. Past and present described correctly. Past and present history organized and described. Past and present described
CARE PATTERNS history of the patient’s illness are of the patient’s illness are described history are incompletely described.
described exhaustively. superficially.

PHYSICAL ASSESSMENT All of the body systems/parts are Most of the body systems/parts are Some of the body systems/parts are Assessment of the body systems/parts
correctly and thoroughly assessed and correctly and thoroughly assessed and correctly and thoroughly assessed and are incomplete and incorrectly described.
described following the correct method of described following the correct method of described following the correct method of
assessment. assessment. assessment.

PRIORITIZATION All of the problems are correctly prioritized Most of the problems are correctly prioritized Only a few of the problems are correctly Problems were incorrectly prioritized.
based on Maslow’s Hierarchy of needs or based on Maslow’s Hierarchy of needs or prioritized based on Maslow’s Hierarchy of
other methods of prioritization. other methods of prioritization. needs or other methods of prioritization.

Justification of the problems are all Most of the justification of the problem are Only a few were justified and are correctly Justification of the problem was based on
JUSTIFICATION correctly stated and are based on related correctly stated and are based on related stated. Justification is based on related personal opinion.
literature. literature. literature.

Writing is totally free of grammar and There are occasional grammar and spelling There are more than occasional grammar and Grammar and spelling errors are frequent.
WRITING SKILLS spelling errors. errors. spelling errors.
Clear and concise presentation of ideas. Clear presentation of ideas. Most ideas are presented clearly. Hard to follow the ideas.
All references used are important and Most of the references cited and listed are No references cited.
REFERENCES current; are of good/scholarly quality. not important and/or not of good/scholarly
References are correctly cited. quality. References are not correctly cited
and listed.

COMMENTS: ______________________________________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: _______________________

Updated/January 2022/BSN Faculty

 R.07

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

RUBRICS FOR GRADING THE RECORD OF DAILY EXPERIENCE/LEARNING LOG

NAME ____________________________________________________ AREA ______________________________ DATE ________________

EXCELLENT GOOD POOR

3 2 1
KEY POINTS OF THE All events covered Most events covered but some missing A number of events missing
DAY/SUMMARY
Key ideas and main learning points explained in a Some ideas and main learning points explained Just a simple list of activities within the
DEPTH OF COMMENT ON way that is easily understood and all points coveredbut not very easily understood or missing some lessons
LESSON/S key points
Saying how you think the lesson has benefited your Saying how you felt about the lesson with some Saying how you felt about the lesson
IMPACT ON PERSONAL learning referring to past knowledge and next steps explanation about how it helped you without saying why (e.g. It was a good
LEARNING lesson for me)
The writing is generally free of grammar, spelling, The writing has some unedited errors such as The writing is full of unedited errors such as
and punctuation errors and makes very good sense grammar, spelling, and missing punctuation. It grammar, spelling and missing punctuation.
ACCURACY OF WRITING generally makes sense. It may also not make sense in places

COMMENTS: _________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: ____________________________

Reference: Borromeo, Annabelle, RN, PhD, CNS

Updated/January 2022/BSN Faculty

 R.08
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION TOOL FOR DRUG ADMINISTRATION (ACTUAL)

NAME __________________________________________________ AREA ___________________________ DATE ________________

DRUG ADMINISTRATION 1 0

DRUG PREPARATION Verifies the facts on the ticket against the doctor’s order and checked the MAR, prepares the Prepared medicines without checking the chart or materials are
complete materials needed and washed hands incomplete or failed to wash hands
Verified patient by:
• allowing client to state his/her name or
RIGHT PATIENT • checking arm band and room number and Failed to identify patient
• verified between 2 clients with the same last name
Checked medicine ordered is complete and legible, and compared the medicine card/ticket with Failed to check the chart or failed to compare the medicine ticket
RIGHT DRUG drug label 3Xand calculate and checked drug dose accurately with the drug label or failed to calculate and check drug dosage
RIGHT DOSE correctly
Drug/s was/were administered on the specified time considering drugs that will be affected Drugs were not administered on the specified time or the expiration
RIGHT TIME with food or patients’ activities and diagnostic procedures or policy of the institution. Expiration of the medicine was not checked or given against the protocol of the
date of the medicine is checked. institution

Ability of patient to swallow was checked before giving oral medicines and stayed with the client Failure to administer the medicine at the appropriate route
RIGHT ROUTE until the medicine is swallowed. Medicines were administered at appropriate route
RIGHT ASSESSMENT Baseline data of patient was taken before the medication Baseline data of patient was not taken before the medication
Immediately recorded the needed information (signature, dose, route & etc.) using correct Failed to document the administered medication.
RIGHT DOCUMENTATION symbols and abbreviations.
RIGHT EVALUATION Noted the client’s response to medication Failed to note client’s response to medication
RIGHT EDUCATION Explained to the patient why the medicine is given and what to expect after the medication. Gave the medication without educating the patient.
Determined, when possible, reason for refusal and facilitated patient’ s compliance to medication and explained risk Failed to determine, when possible, reason for refusal or failed to
for refusing meds & reinforced the reason for medication. CI was informed of the refusal and refusal was facilitate patient’ s compliance to medication or failed to explain risk
RIGHT TO REFUSE documented immediately for refusing meds or failed to reinforce the reason for medication or
CI was not informed of the refusal or refusal was not documented
immediately
UNDERSTANDING THE DRUG AND Strong connections are made between the drug and its effects on body systems. Key details are Little or no understanding of the drug and its effects on body systems.
ITS EFFECT explained thoroughly.

COMMENTS: ________________________________________________________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: _______________________

Updated/January 2022/BSN Faculty

 R.09
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION TOOL FOR DRUG STUDY (WRITTEN)

NAME_________________________________________________________ AREA _____________________________ DATE ________________

AREAS 0
Completely written all needed information Needed information about the drug is not Needed information about the drug is
CONTENT about the drug, data of patient is correct, all written, data of patient is not all correct, not all written, data of patient is
nursing responsibilities is related to the case nursing responsibilities is somewhat related incorrect, nursing responsibilities is not
and to the patient’s status. to the case and to the patient’s status. related to the case and to the patient’s
(4 points) status.
(7 Points) (0 point)
PRESENTATION OF PAPER Paper is neat, handwriting is legible Paper is neat, handwriting is not legible Paper is untidy, handwriting is not
legible
(3 Points) (1 point) (0 point)
COMMENTS: _______________________________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: _______________________

Updated/January 2022/BSN Faculty

 R.10

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION TOOL FOR FAMILY CASE STUDY - COMMUNITY

NAME: _________________________________________ AREA: _____________________________ DATE: __________________

AREAS EXCELLENT GOOD FAIR POOR

4 3 2 1
FAMILY All of the needed profile is complete and The profile is complete but not exhaustive. The profile is complete but is not correct. The profile is incomplete and is not
BACKGROUND exhaustive. correct.
Exhaustive presentation of subjective and Exhaustive presentation of subjective and Shallow presentation of subjective and Presentation of subjective and objective
FAMILY HEALTH objective cues related to each identified objective cues but are not all related to the objective cues and not all are related to each cues for each identified problem are all
PROBLEMS problem, correctly interpreted all problems, identified problems, correctly interpreted some identified problem, incorrectly interpreted erroneous, incorrectly interpreted all
all of the problems were correctly prioritized of the problems, not all of the problems were most of the problems, not all of the problems problems, failed to prioritize the
correctly prioritized were correctly prioritized problems.
Writing is totally free of grammar and spelling There are occasional grammar and spelling There are more than occasional grammar and Grammar and spelling errors are
WRITING SKILLS errors. Clear and concise presentation of errors. Clear presentation of ideas. spelling errors. Most ideas are presented frequent.
ideas. clearly. Hard to follow the ideas.
Presented all information in format outlined Presented most of the information in format Presented some of the information in format Not presented in format outlined in the
PRESENTATION in the directions outlined in the directions. outlined in the directions, but utilized other directions,
STYLE format
All references used are important and current; Some of the references cited and listed are Most of the references cited and listed are not The references cited and listed are not
REFERENCES are of good/scholarly quality. References are important, some are of good/scholarly quality. important and/or not of good/scholarly important, are not of good/scholarly
correctly cited. Some are correctly cited and listed. quality. References are not correctly cited and quality. Most are incorrectly cited and
listed. listed.
PUNCTUALITY Submission of the paper was on the agreed The paper was submitted after the
time. deadline. ZERO(0) POINTS

COMMENTS: ________________________________________________________________________________

CI’S NAME AND SIGNATURE: _______________________

Updated/January 2022/BSN Faculty

 R.11
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION TOOL FOR PHYSICAL ASSESSMENT – ACTUAL
NAME: _________________________________________________________ AREA: _______________________________ DATE: __________________

EXCELLENT GOOD FAIR POOR

AREAS
3 2 1 0
Identified and greeted the patient, explained the Identified and greeted the patient, explained the Identified & greeted patient without proper Proceeded immediately to the conduct of
procedure and identified personal needs ensuring procedure and identified personal needs when explanation. Privacy of patient was not considered physical assessment. Privacy of patient was
PREPARATION PHASE
privacy, has complete set of needed materials. reminded by the CI. Privacy was provided and and materials are not complete. not considered and materials are not
materials are complete. complete.
Asked the right questions by using open ended Asked the right questions but used close ended Some of the questions asked were irrelevant, Most of the questions asked were irrelevant,
questions, identifies the chief complaints, explores questions, identified the chief complaints, current identified the chief complaints, current health identified the chief complaints, current health
current health status, notes the past and family history, health status, past and family history is not status, past and family history were taken but status, past and family history were taken but
HISTORY TAKING handles special challenges (e.g., language barrier, exhaustive, handles special challenges (e.g., language information is shallow, unable to handle special information is shallow, unable to handle
illiterate, confused, intoxicated, uncooperative, etc.) barrier, illiterate, confused, intoxicated, challenges (e.g., language barrier, illiterate, special challenges (e.g., language barrier,
uncooperative, etc.) confused, intoxicated, uncooperative, etc.) illiterate, confused, intoxicated,
uncooperative, etc.)
Inspected each body system/ part using vision, smell, and Inspected each body system/ part using vision, smell, Inspected each body system/ part using vision, Inspected some body systems/ parts using
hearing. Observed for color, size, location, movement, and hearing. Observed for color, size, location, smell, and hearing. Observed for color, size, vision, smell, and hearing. Minimally observed
INSPECTION texture, symmetry, odors, and sounds. All of the movement, texture, symmetry, odors, and sounds. location, movement, texture, symmetry, odors, for color, size, location, movement, texture,
procedures were done correctly. Minimal (20 - 30%) errors were committed during the and sounds. Most (more than 30%) of the steps symmetry, odors, and sounds. More than 40%
conduct of the procedure. were erroneously done. of the steps were erroneously done.
Touched patient utilizing different parts of the hands, Touched patient utilizing different parts of the hands, Touched patient utilizing different parts of the Touched patient utilizing limited parts of the
using varying degrees of pressure. Palpates areas using varying degrees of pressure. Palpates areas hands, using varying degrees of pressure. hands, using fewer varying degrees of
PALPATION appropriately. Procedures were done correctly. appropriately. Minimal (20 - 30%) errors were Palpates some areas inappropriately. Most pressure. Palpates most areas
committed during the conduct of the procedure. (more than 30%) of the steps were erroneously inappropriately. More than 40% of the steps
done. were erroneously done.
Tapped fingers or hands quickly and sharply against parts Tapped fingers or hands quickly and sharply against Tapped fingers or hands quickly and sharply Tapped fingers or hands inadequately against
of the patient’s body, determined if an organ is solid or parts of the patient’s body, determined if an organ is against parts of the patient’s body, determined if parts of the patient’s body, determined if an
filled with fluid or gas, considered organ’s condition solid or filled with fluid or gas, considered organ’s an organ is solid or filled with fluid or gas, organ is solid or filled with fluid or gas, did not
PERCUSSION
before initializing the procedure. Procedures were done condition before initializing the procedure. Minimal sometimes considered organ’s condition before consider organ’s condition before initializing
correctly. (20 - 30%) errors were committed during the conduct initializing the procedure. Most (more than 30%) the procedure. More than 40% of the steps
of the procedure. of the steps were erroneously done. were erroneously done.
Listened for various breath, heart and bowel sounds Listened for various breath, heart and bowel sounds Listened for various breath, heart and bowel Listened for various breath, heart and bowel
with stethoscope, provided quite environment. with stethoscope, provided quite environment. sounds with stethoscope, provided quite sounds with stethoscope, quite environment
AUSCULTATION
Procedures were done correctly. Minimal (20 - 30%) errors were committed during the environment. Most (more than 30%) of the steps was not considered. More than 40% of the
conduct of the procedure. were erroneously done. steps were erroneously done.

COMMENTS: ______________________________________________________________________________________________________________________

CI’s NAME & SIGNATURE: ________________________________________________________

Updated/January 2022/BSN Faculty

 R.12

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION TOOL FOR HEAD NURSE EVALUATION – FOR PRIMARY HEAD NURSING
NAME ______________________________________________ AREA ____________________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

4 3 2 1
RATING OF MEMBERS Rating is 90% parallel with CI’s Rating is 70% parallel with CI’s Rating is 50% parallel Rating is totally different from CI’s
evaluation of members. evaluation of members. with CI’s evaluation of members. evaluation of members.

DEPTH OF REMARKS All remarks are based on task of Most of the remarks are based Most of the remarks are based on Statements are based on personal
ON MEMBER’S members, tone of statements are on task of members, tone of task of members, tone of opinion, statements were
PERFORMANCE respectful and is objective, pointed
statements are respectful and is statements are respectful and is judgmental and comments are all
out the good evaluation before the objective, pointed out the good objective, pointed out the negative
negative evaluation evaluation before the negative negative evaluation
evaluation
ACCURACY OF Writing is totally free of grammar There are occasional grammar There are more than occasional Grammar and spelling errors are
WRITING and spelling errors. Clear and and spelling errors. Clear grammar and spelling errors. Most frequent. Hard to follow the ideas.
concise presentation of ideas. presentation of ideas. ideas are presented clearly.

COMMENTS: __________________________________________________________________________

CI’S NAME AND SIGNATURE: _______________________

Updated/January 2022/BSN Faculty

 R.13
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION TOOL FOR CASE CONFERENCE – TEAM NURSING
NAME _______________________________________________ AREA ___________________________________ DATE ________________

AREAS 4 3 2 1
Objectively checks the attendance, Objectively checks the attendance, Subjectively checks the attendance, Subjectively checks the
paraphernalia, uniform & grooming of paraphernalia, uniform & grooming of paraphernalia, uniform & grooming of attendance, paraphernalia,
all members, fairly gives patient selected members, fairly gives patient some members, gives patient uniform & grooming of all
CONDUCT OF assignment to all members, discusses assignment to selected members, assignment to selected members members, gives patient
PRE in detail the plan of activities focusing superficially discusses in detail the plan based on personal choice, superficially assignment to all members based
CONFERENCE on the objectives for the day of activities focusing on the objectives discusses the plan of activities on personal choice, failed to
for the day focusing on the personal interest discuss the plan of activities for
the day
Motivates the team to achieve their Lesser motivation is given to the team Least motivation is given to the team Pressures the team to achieve
goals, immediately calls the attention to achieve their goals, with minimal to achieve their goals, with much delay their goals, delayed at all times in
MANAGEMENT of the members if errors are committed delay in calling the attention of the in calling the attention of the members calling the attention of the
OF THE WARD or a new task is to be done, members if errors are committed or a if errors are committed or a new task is members if errors are committed
ACTIVITIES
communicates with team members new task is to be done, communicates to be done, communicates with team or a new task is to be done,
effectively, shows excellence in with team members less effectively, members ineffectively, manages the communicates with team
managing the time with some difficulty in managing the time poorly members non - therapeutically, no
time time management
Gathers feedback based on the set Gathers feedback based on personal Gathers feedback based on personal Feedback was not solicited, noisily
objectives and process the input of view and process the input of members. view and failed to process the input of allows members to share their
members. Democratically allow With some democracy allow members members. Noisily allow members to opinions to any issue, failed to
CONDUCT OF members to share their opinions to to share their opinions to improve share their opinions to improve discuss accomplishments and
POST improve teamwork. Praised teamwork. Praised accomplishments of teamwork. Failed to compliment failures for the day.
CONFERENCE accomplishment of members and give members but give negative comments accomplishments of members and give
constructive comments to failures to failures. negative comments to failures.
COMMENTS: ________________________________________________________________________________________________

CI’S NAME AND SIGNATURE _________________________________________________

Updated/January 2022/BSN Faculty

 R.14
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION TOOL FOR MINI/ GRAND CASE STUDY - HOSPITAL

NAME ____________________________________________________ AREA _____________________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

3 2 1 0
INTRODUCTION Related to the topic, backed up with Most data given is related to the topic, Some data given is related to the topic, Very limited data to introduce the topic
statistical data (International, National, backed up with statistical data backed up with statistical data and not backed up with statistical data
Local). Brief and concise. References are (International, National, Local). Brief and (International, National, Local). (International, National, Local).
properly cited. States the goal of choosing concise. Most references are properly Circumstantial. Some references are Circumstantial. No reference were cited.
the case. cited. States the goal of choosing the properly cited. Unable to state the goal Goal of choosing the case was not
case. of choosing the case. mentioned.
All of the body systems/parts are correctly Most of the body systems/parts are Some of the body systems/parts are Assessment of the body systems/parts
PHYSICAL and thoroughly assessed and described correctly and thoroughly assessed and correctly and thoroughly assessed and are incomplete and incorrectly described.
ASSESSMENT & following the correct method of described following the correct method described following the correct method Analysis is based on personal opinion.
GORDON’S assessment. Analysis is based on related of assessment. Analysis is based on of assessment. Analysis is based on Gordon’s category is disorganized ,
literature. All of the Gordon’s category is related literature. Most of the Gordon’s related literature. Some of the Gordon’s described incorrectly and incompletely.
organized and described correctly and category is organized and described category is organized and described
exhaustively. correctly and exhaustively. correctly and exhaustively.
PROFILE OF THE All of the needed profile is complete and Most of the needed profile is complete Some of the needed profile is complete. Needed profile is incomplete. History is
PATIENT & HISTORY exhaustive. History is chronologically and exhaustive. Most of the historical Some of the historical data is chronologically arranged.
arranged. data is chronologically arranged. chronologically arranged.
REVIEW OF ANATOMY All of the Anatomy & Physiology is discussed Most of the Anatomy & Physiology is Some of the Anatomy & Physiology is Anatomy & Physiology is not discussed
& PHYSIOLOGY/ & illustrated exhaustively. discussed & illustrated exhaustively. discussed & illustrated exhaustively. nor illustrated exhaustively. Unrelated to
PATHOPHYSIOLOGY the discussed case.
COURSE IN THE WARD Doctor’s orders were copied accurately and Most of the Doctor’s orders were copied Some of the Doctor’s were copied No data given for the Doctor’s orders. All
& DIAGNOSTIC TEST nursing responsibilities were cited correctly. accurately and most nursing accurately and some of the nursing carried out diagnostic tests were NOT
All carried out diagnostic tests were responsibilities were cited correctly. responsibilities were cited correctly. evaluated.
evaluated properly & justified correctly. Most of the carried out diagnostic tests Some of the carried out diagnostic tests
References were correctly cited. were evaluated properly & justified were evaluated properly & some have
correctly. References were correctly missing justifications or are incorrectly
cited. justified. References were correctly cited.
NURSING CARE PLAN Based on the prioritized problems. All Based on the prioritized problems. Most Based on the prioritized problems. Some Not based on the prioritized problems.
correctly justified, goal/ objectives are are correctly justified, goal/ objectives are are correctly justified, some goals/ Incorrectly justified, goal/ objectives are
SMART, all interventions are appropriate to SMART, most interventions are objectives are not SMART, some not SMART, interventions are
patient’s need supported by books/texts. interventions are appropriate to patient’s

Updated/January 2022/BSN Faculty

 appropriate to patient’s need supported needs some are supported by inappropriate to patient’s need and not
by books/texts. books/texts. supported by books/texts.

DRUG STUDY Completely written all needed information Needed information about the drug is not Needed information about the drug is not
about the drug, data of patient is correct, all written, data of patient is not all all written, data of patient is correct,
nursing responsibilities is related to the case correct, nursing responsibilities is nursing responsibilities is not related to
and to the patient’s status somewhat related to the case and to the the case and to patient’s status.
patient’s status.
Makes realistic, exhaustive, appropriate Most of recommendations are realistic, Some of the recommendations are Irrelevant discharge planning
DISCHARGE PLANNING and insightful recommendations clearly appropriate and insightful most are realistic, appropriate and insightful most
supported by the information presented. clearly supported by the information are clearly supported by the information
presented. presented.
Writing is totally free of grammar and There are occasional grammar and There are more than occasional grammar Grammar and spelling errors are frequent.
WRITING SKILLS spelling errors. spelling errors. and spelling errors.
Hard to follow the ideas.
Clear and concise presentation of ideas. Clear presentation of ideas. Most ideas are presented clearly.
Presented all information in format Presented most of the information in Presented some of the information in Not presented in format outlined in the
PRESENTATION STYLE outlined in the directions format outlined in the directions. format outlined in the directions, but directions and utilized other format.
utilized other format
All references used are important and Some of the references cited and listed Most of the references cited and listed are
REFERENCES current; are of good/scholarly quality. are important, some are of not important and/or not of
References are correctly cited. good/scholarly quality. Some are good/scholarly quality. References are not
correctly cited and listed. correctly cited and listed.

COMMENTS: ___________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: _______________________

Updated/January 2022/BSN Faculty

 R.15
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION FOR STRUCTURED ACTIVITY (COMMUNITY)

NAME: ______________________________________ AREA: ________________________________ DATE: __________________

AREAS 4 3 2 1 0
Management of time All parts of the assignment are 75% of the assignments are 50% of the assignments are 25% of the assignments are No part of the assignment is completed on
completed and turned in on time. completed and turned in on time completed and turned in on time. time
completed on time
Planning & preparation All students work well with the 75% of the students work well 50% of the students work well 25% of the students work well All of the students do not work well with
group, and the group shares the with the group and 75% of the with the group and the works with the group, and the workloads the group, and workloads were not shared
workload equally. group members share the were shared equally. were shared equally equally
workload equally
Involvement/ Participation of Audience (SN’s and clients) Clients participated well in the Less participation of clients Clients and SNs showed poor Clients and SNs did not participate in the
audience/ students participates fully and is always on activity but SNs showed less despite SNs full encouragement. participation to the activity activity
task in the activity. participation
Relevance of activity to theme Activity is perfectly related to the 75% of the activity is related to 50% of the activity is related to 25% of the activity is related to Activity is totally not related to the theme
theme the theme the theme the theme
Accuracy of documents Supporting documents for the There are minor errors in the Supporting documents for the Supporting documents for the All of the documents are erroneous and
(Programs, evaluation forms, activity are perfectly done and are supporting documents for the activity are complete but with activity have major errors and are not submitted on time
etc.) complete, it is submitted on time activity, documents are submitted major errors and is not submitted needed documents are not
on time and are complete. on time complete, it is not submitted on
time
Venue Decoration, arrangement of 75% of the decorations including 50% of the decorations, 25% of the decorations, Decoration, arrangement of furniture/
furniture/ fixtures is all relevant the arrangement of furniture/ arrangement of furniture/ fixtures arrangement of furniture/ fixtures fixtures is not relevant to activity, room/
appropriate to the activity, room/ fixtures are relevant to activity, is relevant to activity, 50% is relevant to activity, 25% of the place is not well lighted and is not
place is well lighted and is 75% of the room/place is well room/place is well lighted and is room/place is well lighted and is conducive for activity
conducive for activity. lighted but still conducive for conducive for activity conducive for activity
activity.
Invitations, Sound system, Equipment is all perfectly 75% of the equipment are 50% of the equipment are 25% of the equipment are All equipment is poorly functional and not
Equipment, Budget Allocation functional and are enough for the functional, budgetary functional, budgetary functional, budgetary enough for the activity, budgetary
activity, budgetary requirements requirements are within means requirements are not practical, requirements are irrelevant, requirements are irrelevant and above
are within means and is enough but not enough for the activity, invitations are relevant and is not invitations are erroneous and are means, invitations are distributed without
for the activity, invitations are invitations are relevant and were submitted on time late on submission being corrected
relevant and were distributed distributed before the deadline.
ahead of time.

COMMENTS: ________________________________________________________________________________________________________________________________
CI’S NAME AND SIGNATURE: _______________________
Updated/January 2022/BSN Faculty
 R.16

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION FOR STRUCTURED ACTIVITY (PSYCHIATRIC NURSING)

NAME: ______________________________________ AREA: ________________________________ DATE: __________________

AREAS 4 3 2 1 0
Management of time All parts of the assignment are 75% of the assignments are 50% of the assignments are 25% of the assignments are No part of the assignment is
completed and turned in on time. completed and turned in on time completed and turned in on time. completed on time
completed on time
Planning & preparation All students work well with the 75% of the students work well 50% of the students work well 25% of the students work well All of the students do not work
group, and the group shares the with the group and 75% of the with the group and the works with the group, and the workloads well with the group, and
workload equally. group members share the were shared equally. were shared equally workloads were not shared
workload equally equally
Involvement/ Audience (SN’s and clients) Clients participated well in the Less participation of clients Clients and SNs showed poor Clients and SNs did not participate
Participation of audience/ participates fully and is always on activity but SNs showed less despite SNs full encouragement. participation to the activity in the activity
students task in the activity. participation
Relevance of activity to Activity is perfectly related to the 75% of the activity is related to 50% of the activity is related to 25% of the activity is related to Activity is totally not related to the
theme theme the theme the theme the theme theme
Accuracy of documents Supporting documents for the There are minor errors in the Supporting documents for the Supporting documents for the All of the documents are
(Programs, evaluation activity are perfectly done and are supporting documents for the activity are complete but with activity have major errors and erroneous and are not submitted
forms, etc.) complete, it is submitted on time activity, documents are submitted major errors and is not submitted needed documents are not on time
on time and are complete. on time complete, it is not submitted on
time
Venue Decoration, arrangement of 75% of the decorations including 50% of the decorations, 25% of the decorations, Decoration, arrangement of
furniture/ fixtures is all relevant to the arrangement of furniture/ arrangement of furniture/ fixtures arrangement of furniture/ fixtures furniture/ fixtures is not relevant
activity, place is well lighted and is fixtures are relevant to activity, is relevant to activity, 50% place is relevant to activity, 25% place to activity, place is not well lighted
conducive for activity. 75% of the place is well lighted is well lighted and is conducive for is well lighted and is conducive for and is not conducive for activity
but still conducive for activity. activity activity
Invitations, Sound system, Equipment is all perfectly 75% of the equipment are 50% of the equipment are 25% of the equipment are All equipment is poorly functional
Equipment, Budget functional and are enough for the functional, budgetary functional, budgetary functional, budgetary and not enough for the activity,
Allocation activity, budgetary requirements requirements are within means requirements are not practical, requirements are irrelevant, budgetary requirements are
are within means and is enough but not enough for the activity, invitations are relevant and is not invitations are erroneous and are irrelevant and above means,
for the activity, invitations are invitations are relevant and were submitted on time late on submission invitations are distributed without
relevant and were distributed distributed before the deadline. being corrected
ahead of time.

COMMENTS: ________________________________________________________________________________

CI’S NAME AND SIGNATURE: ______________________

Updated/January 2022/BSN Faculty
 R.17

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION FOR STRUCTURED ACTIVITY (Integrated Seminar)

NAME: ______________________________________________ AREA: ________________________________ DATE: __________________

AREAS 4 3 2 1 0
Management of time All parts of the assignment are 75% of the assignments are 50% of the assignments are 25% of the assignments are No part of the assignment is completed
completed and turned in on time. completed and turned in on time completed and turned in on time. on time
completed on time
Planning & preparation All students work well with the 75% of the students work well 50% of the students work well 25% of the students work well All of the students do not work well
group, and the group shares the with the group and 75% of the with the group and the works with the group, and the workloads with the group, and workloads were
workload equally. group members share the were shared equally. were shared equally not shared equally
workload equally
Involvement/ Participation of Audience (SN’s and clients) Clients participated well in the Less participation of clients Clients and SNs showed poor Clients and SNs did not participate in
audience/ students participates fully and is always on activity but SNs showed less despite SNs full encouragement. participation to the activity the activity
task in the activity. participation
Relevance of activity to theme Activity is perfectly related to the 75% of the activity is related to 50% of the activity is related to 25% of the activity is related to Activity is totally not related to the
theme the theme the theme the theme theme
Accuracy of documents Supporting documents for the There are minor errors in the Supporting documents for the Supporting documents for the All of the documents are erroneous
(Programs, evaluation forms, activity are perfectly done and are supporting documents for the activity are complete but with activity have major errors and and are not submitted on time
etc.) complete, it is submitted on time activity, documents are submitted major errors and is not submitted needed documents are not
on time and are complete. on time complete, it is not submitted on
time
Venue Decoration, arrangement of 75% of the decorations including 50% of the decorations, 25% of the decorations, Decoration, arrangement of furniture/
furniture/ fixtures is relevant to the arrangement of furniture/ arrangement of furniture/ fixtures arrangement of furniture/ fixtures fixtures is not relevant to activity, place
activity, place is well lighted and is fixtures are relevant to activity, is relevant to activity, 50% place is relevant to activity, 25% place is not well lighted and is not conducive
conducive for activity. 75% of the place is well lighted is well lighted and is conducive for is well lighted and is conducive for for activity
but still conducive for activity. activity activity
Invitations, Sound system, Equipment is perfectly functional 75% of the equipment are 50% of the equipment are 25% of the equipment are All equipment is poorly functional and
Equipment, Budget Allocationand are enough for the activity, functional, budgetary functional, budgetary functional, budgetary not enough for the activity, budgetary
budgetary requirements are requirements are within means requirements are not practical, requirements are irrelevant, requirements are irrelevant and above
within means and is enough for but not enough for the activity, invitations are relevant and is not invitations are erroneous and are means, invitations are distributed
the activity, invitations are invitations are relevant and were submitted on time late on submission without being corrected
relevant and were distributed distributed before the deadline.
ahead of time.
COMMENTS: _____________________________________________________________________________________________________________

CI’s NAME & SIGNATURE: _____________________________________

Updated/January 2022/BSN Faculty

 R.18
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
RUBRICS FOR GRADING THE Integrated Seminar Written Output

NAME ______________________________________________ AREA _________________ DATE ________________

EXCELLENT GOOD POOR

3 2 1
Key ideas and main learning points Some ideas and main learning points explained Just a simple list of activities within the lessons.
explained in a way that is easily understood but not very easily understood or missing some
and all points covered. key points. Saying how you felt about the lesson without saying why (e.g. It
COMPREHENSIVENESS OF was a good lesson for me)
SYNTHESIS Saying how you think the lesson has Saying how you felt about the seminar with
benefited your learning referring to past some explanation about how it helped you
knowledge and next steps & how it helped personally & professionally.
you personally & professionally.
KEY POINTS OF THE All areas of evaluation were covered and Most areas of evaluation were covered and A lot of areas of evaluation was not appraised properly &
Summarized Participant’s accurately summarized. most of the summary were accurately accurately
Evaluation summarized.
All key pictures were posted with accurate Most key pictures were posted and mostly with A lot of pictures were unnecessary and was not described
COMPLETENESS & RELEVANCE
labels and descriptions accurate labels and descriptions accurately.
OF PICTURES
The writing is generally free of grammar, The writing has some unedited errors such as The writing is full of unedited errors such as grammar, spelling
spelling, and punctuation errors and makes grammar, spelling, and missing punctuation. It and missing punctuation. It may also not make sense in places
ACCURACY OF WRITING very good sense generally makes sense.

COMMENTS: _________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: ____________________________

Updated/January 2022/BSN Faculty

 R.19

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION TOOL FOR KARDEX/ Carrying out of Orders

NAME ___________________________________________ AREA ____________________________ DATE ________________

EXCELLENT GOOD POOR

Completely written all needed information Some of the needed information about the Most needed information about the patient is not
about the patient, data of patient is correct, patient is written, some of patient’s data is written, most of patient’s data is incorrect, doctor’s
COMPREHENSIVENESS/
doctor’s orders were carried out accurately, correct, some of the doctor’s orders were not orders were not updated accordingly.
COMPLETENESS
updated Kardex accordingly. updated accordingly. (1 point)
(5 points) (3 points)
Paper is neat, handwriting is legible Paper is neat, handwriting is not legible Paper is untidy, handwriting is not legible
PRESENTATION OF PAPER (5 points) (3 points) (1 point)

Endorses clearly and comprehensively Endorsement is somewhat confusing and

ENDORSEMENT (5 points) incomplete
(1 point)

COMMENTS: ________________________________________________________________________________________________

CI’S NAME AND SIGNATURE _________________________________________________

Updated/January 2022/BSN Faculty

 R.20

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

EVALUATION TOOL FOR STAFFING

NAME ________________________________________________ AREA __________________________ DATE ________________

EXCELLENT GOOD POOR

Implemented fairly equal rotation on Implemented an unequal rotation on some Implemented an unequal rotation on most roles for most of the
each role for all the members roles for some of the members members
ACCURACY
(5 points) (3 points) (1 point)

Managed the team competently during Managed the team somehow during Managed the team during absence of a member with great
absence of a member, tasks were absence of a member but with difficulty, difficulty, some of the tasks were not completed on time.
ADAPTABILITY
completed on time most of the tasks were completed on time (1 point)
(5 points) (3 points)

COMMENTS: ________________________________________________________________________________________________

CI’S NAME AND SIGNATURE _________________________________________________

Updated/January 2022/BSN Faculty

 R.21

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

RUBRICS FOR GRADING PORTFOLIO

NAME ____________________________________________ AREA __________________________ DATE ________________

EXCELLENT GOOD POOR

3 2 1
Key ideas and main learning points Some ideas and main learning points explained Just a simple list of activities within the lessons.
explained in a way that is easily understood but not very easily understood or missing some
and all points covered. key points. Saying how you felt about the lesson without saying why (e.g.
COMPREHENSIVENESS OF It was a good lesson for me)
SYNTHESIS Saying how you think the lesson has Saying how you felt about the seminar with
benefited your learning referring to past some explanation about how it helped you
knowledge and next steps & how it helped personally & professionally.
you personally & professionally.
KEY POINTS OF THE All areas of evaluation were covered and Most areas of evaluation were covered and A lot of areas of evaluation was not appraised properly &
Summarized Evaluation accurately summarized. most of the summary were accurately accurately
summarized.
The writing is generally free of grammar, The writing has some unedited errors such as The writing is full of unedited errors such as grammar, spelling
spelling, and punctuation errors and makes grammar, spelling, and missing punctuation. It and missing punctuation. It may also not make sense in places
ACCURACY OF WRITING very good sense generally makes sense.

COMMENTS: ________________________________________________________________________________________________

CI’S NAME AND SIGNATURE _________________________________________________

Updated/January 2022/BSN Faculty

 R.22

GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.

RUBRICS FOR GRADING THE PPT/VIDEO PRESENTATION

GROUP NUMBER ______________________________________ SUBJECT _________________ DATE ________________

MEMBERS: ______________________________________________________________________________________________________________________

AREAS EXCELLENT GOOD FAIR POOR

20 15 10 5
CONTENT & All information and significant events Most information/events were covered. A number of significant Information and events do not depict the topic.
QUALITY regarding the topic assigned were information/events were missing.
covered.
Key ideas and main learning points Some ideas and main learning points explained Stated only minimal health teachings Health teachings related to the topic are missed out.
RELEVANCE explained in a way that is easily but not very easily understood and some key related to the topic.
understood and all points covered. points relevant to health are missing.

Choice of words are decent and Some words are not appropriate to the A lot of inappropriate words were Non-coherent with the topic discussed.
CLARITY OF appropriate to the intended intended audience. Some words were not observed. There are some
COMMUNICATION audience. Words were clearly clearly spoken. Pacing is somewhat hard to mispronounced words/dialects. Pacing is
enunciated, and pacing can be follow. hard to follow.
followed.
Designs, graphics, lay-out, and choice Designs, graphics, lay-out, and choice of A lot of designs, graphics, lay-out, and Overall designs, graphics, lay-out, and choice of
SENSEFUL CREATIVITY of background music harmonizes background music somewhat harmonizes with choice of background music does not background music does not harmonize with the topic
with the topic presented. Voice-over the topic presented. Voice-over is drowned by harmonize with the topic presented. presented. Voice-over is garbled and not clear.
is clear and well-modulated. the background music. Voice-over is lousy and cannot hold the
attention of the audience.
All references used are important and current; Some of the references cited and listed Most of the references cited and listed are not
are of good/scholarly quality. References are are important, some are of important and/or not of good/scholarly quality.
REFERENCES correctly cited good/scholarly quality. Some are References are not correctly cited and listed.
correctly cited and listed. References are outdated

COMMENTS: ______________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: ________________________________

Updated/January 2022/BSN Faculty

 R.23
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
PEER EVALUATION TOOL

Name of Evaluator: ________________________ Year level: _________________ Group: __________

Legend: 5 - Outstanding 4 - Very Good 3 - Good 2 - Fair 1 - Poor

Names of Group mates

AREAS OF
EVALUATION

1. ATTENDANCE:
Punctual; consistently attends to group meetings and
group work.
2. PRODUCTIVITY:
Accomplishes assigned task promptly.

3. QUALITY OF WORK: Organizes work; works with

accuracy; thoroughness; creative; resourceful.

4. RELIABILITY: Can be relied upon to perform work

with minimal supervision; dependable; dedicated.

5. ATTITUDE: Pleasant;
honest; tactful; calm; confident.

TOTAL

Updated/January 2022/BSN Faculty

 R.24
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
ESSAY EVALUATION TOOL

Name of Evaluator: ________________________ Year level: _________________ Group: __________

Exemplary Very Good Good Needs improvement

Criteria
(4 points) (3 points) (2 points) (1 point)

Interesting, concrete and descriptive Examples and details relate to

Supporting Sufficient number of examples and details
examples and details with explanations that the topic and some explanation Insufficient, vague, or undeveloped examples.
Details that relate to the topic.
relate to the topic. is included.

Thoughtful, logical progression of supporting Details are arranged in a logical

Organization and Acceptable arrangement of examples; No discernible pattern of organization;
examples; Mature transitions between progression; appropriate
Transitions transitions may be weak. Unrelated details; no transitions.
ideas. transitions.

Appropriate tone, distinctive voice; pleasing Appropriate tone; Clear Acceptable tone; some variety in sentence Inconsistent or Inappropriate tone; Awkward,
Style variety in sentence structure; Vivid diction, sentences with varied structures; Adequate diction and word unclear, or incomplete sentences; Bland
precise word choices. structures; Effective diction. choices. diction, poor word choice.

Some errors, but none major, in

Consistent standard English usage, spelling, A few errors in usage, spelling, or Distracting errors in usage, spelling, or
Mechanics usage, spelling, or punctuation.
and punctuation. No errors. punctuation (3-4) punctuation
(1-2)
Answers are comprehensive and complete.
Answers are accurate and Answers are not comprehensive or Answer as incomplete/partial. No keypoints
Key ideas are clearly stated, explained and
Content complete. Key points are stated completely stated. Key points are not given. Question not adequately answered
well supported.
and supported. addressed, but not well supported.

COMMENTS: ______________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: ________________________________

Updated/January 2022/BSN Faculty

 R.25
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
RUBRICS FOR GRADING THE REFLECTION PAPER
NAME ______________________________________ AREA _________________ DATE ________________

AREAS OF ORGANIZATION EXCELLENT GOOD FAIR POOR

3 2 1 0
Clearly organized: All information/events were Most information/events were covered A number of information/events Copy pasted or no summary
introduction, body, & covered missing
conclusion.
Key ideas and main learning points Some ideas and main learning points Just a simple list of activities within Copy pasted content or no summary
Addresses the prompt or explained in a way that is easily explained but not very easily understood the lessons/few thoughts on journals
the topic given? understood and all points covered or missing some key points and videos.
Paragraph Organization Saying how you think the Saying how you felt about the Saying how you felt about the Irrelevant or non-coherent with the
and Writing Style: Ideas are lesson/journal and/or video has lesson/journal and/or video with some lesson/ journal and/or video without topic/journal/or video discussed, read,
original and sequential and benefited your learning referring to explanation about how it helped you as a saying why (e.g., It was a good lesson or watched.
has evident nursing past knowledge and next steps as nursing student or as a future nurse. for me)
implication. you work on being a nurse.
The output show evidence The writing is generally free of The writing has some errors such as The writing is mostly erroneous such Writing is barely comprehensible due
of deep thought about grammar, spelling, and grammar, spelling, and missing as grammar, spelling and missing to numerous grammatical errors
being connected and make punctuation errors and makes very punctuation. It generally makes sense. punctuation. It may also not make
sense. good sense sense in places.
Correct references and All references used are important Some of the references cited and listed Most of the references cited and No reference cited
citations. and current; are of good/scholarly are important, some are of listed are not important and/or not
quality. References are correctly good/scholarly quality. Some are of good/scholarly quality. References
cited correctly cited and listed. are not correctly cited and listed.
References are outdated.

Comments: ______________________________________________________________________________________________________________________.

Clinical Instructor’s Signature/Date: _____________________/_________

Updated/January 2022/BSN Faculty

 R.26
GENERAL SANTOS DOCTORS’ MEDICAL SCHOOL FOUNDATION, INC.
EVALUATION TOOL FOR ACTUAL HEALTH TEACHING/EDUCATION
NAME ____________________________________ AREA ______________________ DATE ________________

AREAS EXCELLENT GOOD FAIR POOR

3 2 1 0
SMART Learning Objectives Learning Objectives are somewhat Some of the learning objectives are NO learning objectives
measurable. unclear.
Very clear and concise flow of ideas. Hard to follow the flow of ideas.
DELIVERY AND Clear flow of idea. Most ideas flow but focus is lost at
ENTHUSIASM Demonstrates passionate interest in the times. Lack of enthusiasm and interest.
topic and engagement with the class. Demonstrates interest in topic and
engagement with the class. Limited evidence of interest in and Nervous tension obvious
Relaxed, self – confident engagement with the topic.
Quick recovery from minor mistakes.
Learning objectives are evaluated Some tension or indifference apparent
Most of learning objectives are and possible
Culturally-congruent evaluated
Learning objectives are mentioned but
not evaluated.
Visuals augmented and extended Use of visuals related to the material. Limited use of visuals loosely related to No use of visuals.
VISUALS comprehension of the issues in unique the material.
ways.
INVOLVEMENT OF Excellent and salient discussion points out Questions and discussion addressed Questions and discussion addressed Little or no attempt to engage the class in
THE elucidated material to develop deep important information that developed surface features of the topic. learning.
PARTICIPANTS: understanding. understanding.
• Questions Limited use of activities to clarify
• Generating Appropriate activities used to clarify understanding.
discussion understanding
• Activities
Excellent response to patient/client’s Good response to patient/client’s Satisfactory response to patient/client’s Limited response to questions and
RESPONSE TO comments and discussion with questions and discussion with some questions and discussion with limited discussion with no reference to
CLASS QUERIES appropriate content supported by connection made to theory/research reference to theory and research. theory/research.
theory/research.
COMMENTS____________________________________________________________________________________________________________________________________________

CI’S NAME AND SIGNATURE: _________________________________

Updated/January 2022/BSN Faculty
References: Rubrics for First and Biography by Stevens, Dannelle Ph.D. Sample Rubrics Packet

Updated/January 2022/BSN Faculty