Week7paper.docx
Directions:
Throughout your career, you will often be asked to consult on patients and provide various letters. Some examples include a primary care provider who may ask you to see their patient who they feel is too young or too complex for them to manage. When they have referred this patient to you, it is a professional courtesy to write a letter thanking them for the referral, explaining your diagnosis and treatment plans (remember has to be a psychiatric diagnosis). Patients may ask you to write letters to the school or to their employer to excuse an absence or for school/ work accommodations. These are appropriate requests; however, you need to be aware that you must not violate HIPPA laws when writing these letters.
For your signature assignment, choose a patient that you have seen during your clinicals to write a professional letter. The letter can either be:
· a consultation letter that you would send back to a primary care provider who referred a patient to you to update them on the status of the patient or
· a school/ work for recommendations for a patient who needs special accommodations, FMLA, IEP, or 504.
Review the rubric for more information on how your assignment will be graded. Please follow rubric
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NURS 687L Signature Assignment Rubric
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Criteria
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Ratings
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Pts
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This criterion is linked to a Learning Outcome Identifies nature of letter
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30 pts
Proficient
Provides an opening statement in which the nature of the letter is identified- either giving individualized work or school physical limitations/ recommendations or thanking a referring provider.
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22.5 pts
Acceptable
The opening statement is vague in providing the reason for the letter.
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0 pts
Missing
The nature of the letter is not provided in a statement.
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30 pts
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This criterion is linked to a Learning Outcome Confirms authorization for release of information
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30 pts
Proficient
Provides a statement confirming the patient has provided a HIPAA release which authorizes release of information.
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0 pts
Missing
Does not provide a statement confirming the patient has provided a HIPAA release which authorizes release of information.
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30 pts
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This criterion is linked to a Learning Outcome Impression
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80 pts
Proficient
Provides a concise discussion of the of the diagnosis that is appropriate for the situation and recipient of the letter.
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60 pts
Acceptable
Provides a discussion of the of the diagnosis with some with some minor errors or that is not appropriate for the intended recipient.
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40 pts
Needs Improvement
The discussion of the diagnosis is vague, missing, or inappropriate for the intended recipient of the letter.
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20 pts
Unsatisfactory
More than one element is vague, missing, or inappropriate for the intended recipient of the letter.
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0 pts
Missing
No impression provided.
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80 pts
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This criterion is linked to a Learning Outcome Treatment Plan
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80 pts
Proficient
Describes a detailed plan for medications and laboratory orders that are clearly related to the primary diagnosis. The medications include all prescribing details. If labs are ordered, they are appropriate for the diagnosis and medication.
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60 pts
Acceptable
Describes a detailed plan for medications and laboratory orders (if indicated). Some details may be vague or not clearly relevant to the primary diagnosis.
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40 pts
Needs Improvement
Describes a general plan for medications and laboratory orders. There are several key missing details or items not relevant to the primary diagnosis.
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20 pts
Unsatisfactory
Describes a general plan for medications and laboratory orders that contains errors or is incorrect for the primary diagnosis.
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0 pts
Missing
No medications and laboratory orders provided.
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80 pts
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This criterion is linked to a Learning Outcome Organization/ Professionalism
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20 pts
Proficient
The note is well organized, succinct, and uses professional terms.
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15 pts
Acceptable
The letter is mostly organized and with 1-2 minor mistakes in grammar or placement of information.
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10 pts
Needs Improvement
Several mistakes in placement of information or word choice that impact the organization and clarity of the letter.
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5 pts
Unsatisfactory
Numerous mistakes in wording and placement of information. The letter is not well organized, unprofessional and is difficult to understand.
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0 pts
Missing
Information unreadable, multiple mistakes in organization of data, information is unclear.
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20 pts
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Total Points: 240
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