Please fill out attachment of clinical judgement template with information provi

Please fill out attachment of clinical judgement template with information provided of patient in attachments. whatever is not provided, feel free to make up as long as it makes sense. also a list of medications that need to be researched and cited are provided in the picture on the folded sheet.
Rubric Below:
History of present illness (HPI) and comprehensive clinical examination/review of systems (ROS)
8 pts
Proficient
Explains HPI and ROS in detail with clear and accurate understanding of chief complaint. Evidence-based rationales clearly and accurately support the HPI and ROS.
This criterion is linked to a Learning OutcomePathophysiology of admitting diagnosis and past medical/surgical histories
8 pts
Proficient
Clearly and accurately explains the pathophysiology for each admitting diagnosis and past medical/surgical history. Clearly and accurately associates specific details related to the client’s history and signs/symptoms with evidence-based citations.
This criterion is linked to a Learning OutcomeSocioeconomic/psychosocial assessment
4 pts
Proficient
Clearly and accurately describes socioeconomic and psychosocial background in detail with evidence-based citations. Identifies at least 3 or more psychosocial concerns.
Teaching assessment & client education
4 pts
Proficient
Clearly and accurately identifies areas of instructional needs, learning preference, and learning barriers. Provided clear and concise client education that will aid in health promotion, health maintenance and self-care activities.
This criterion is linked to a Learning OutcomeInterprofessional consults and collaborative plan
4 pts
Proficient
Lists at least 3 appropriate collaborative issues/concerns. Evidence- based rationales demonstrate clear and accurate understanding of consults and interventions.
Multidisciplinary client outcome and discharge planning/referrals
4 pts
Proficient
Clearly and accurately describes issues/concerns related to multidisciplinary discharge planning with evidence-based rationales.
This criterion is linked to a Learning OutcomeLabs
4 pts
Proficient
Clearly and accurately identifies pertinent laboratory tests with applicable indications, addresses abnormal values, and recognizes trends related to a client’s disease process with evidence- based rationales.
This criterion is linked to a Learning OutcomeDiagnostics/procedures
4 pts
Proficient
Clearly and accurately describes the client’s diagnostic criteria and indications with evidence- based rationales that clearly support the chief complaint and presenting signs/symptoms.
This criterion is linked to a Learning OutcomeMedications
8 pts
Proficient
Clearly and accurately identifies all components of the medication list with evidence-based citations, including name, class, route, dose, frequency, mechanism of action, applicable indication(s), side and adverse effects, interactions, and nursing considerations relevant to the client.
Recognition of cues
8 pts
Proficient
Identifies at least 4 or more imperative assessment cues. All cues are relevant. Evidence-based citations clearly and accurately support the cues
This criterion is linked to a Learning OutcomeAnalysis of cues
8 pts
Proficient
The analysis of cues clearly and accurately supports the prioritized client needs and plan of care. Clearly and accurately links cues to a patient’s clinical presentation in establishing probable patient needs, concerns, or problems. All cues are analyzed with evidence- based citations.
This criterion is linked to a Learning OutcomePrioritization of hypotheses (clinical judgments)
8 pts
Proficient
Identifies at least 4 nursing clinical judgements that are clear, accurate, and prioritized with clear etiology and data to support rationale. The clinical decision is clear, accurate, and presents correlation from the recognized cues based on priority-setting frameworks.
This criterion is linked to a Learning OutcomeGeneration of solutions (S.M.A.R.T goals/outcomes)
8 pts
Proficient
Clearly and accurately establishes client’s goal/outcome criteria that can be achieved with nursing assistance. The goal/outcomes clearly and accurately support the clinical judgments and plan of care. All goals/outcomes are time-limited to the date/time of care and are specific, measurable, attainable, and relevant.
This criterion is linked to a Learning OutcomeImplementation of actions (interventions)
8 pts
Proficient
Clearly and accurately identifies at least 16 actions that are independent nursing interventions supported by scientific rationale and evidence-based practice. All interventions are individualized, prioritized, specific, and with timed frequencies. Nursing actions are always aimed at the client’s goals and directed at the stated health deviation based on the nursing assessment and Erikson’s stages of development
This criterion is linked to a Learning OutcomeEvaluation
8 pts
Proficient
Clearly and accurately identifies criteria for evaluation, effectiveness of interventions, and measurement of goal completion. Evaluation is clearly and accurately linked to the generated solutions and overall plan of care. Modifies, revises, and recommends alternative intervention(s) with evidence-based citations as applicable.
This criterion is linked to a Learning OutcomeGeneral Organization
4 pts
Proficient
Clear and accurate APA format. Concisely appropriate citations and references. No spelling or grammar errors