Employee Development and Growth – Nursing

Do NOT complete this page if you are completing form on behalf of yourself.

Name: Pediatric People
Price range: $

CLINICAL PERFORMANCE & SKILLS*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
Overall clinical and technical skills
History taking skills
Diagnostic tests ordered, templates imported to the chart, results entered
Clinical judgment - is a patient in distress, testing needed, etc
Routine health care - working up patients, asking all the questions, all results documented
Medical knowledge base - when to notify the provider, testing that should be run
Application of knowledge
Procedural skills - assisting the provider, performing caths, INJ, finger/heel pokes
Monitor patient's condition and progress
Knowledge and use of community resources for patients and families
Knowledge of and referral to specialists
Knowledge of and use of medical resources
Use of resources and personnel in the practice
Relationship with peers and providers
Willingness to learn new techniques, skills, adhere to new policies and procedures
Continuing education and keeping up with license renewal

BUSINESS & RISK MANAGEMENT*

SERVICE*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
Rapport with patients and families
Understanding cross-cultural issues
Meets the needs of the patients and families
Communication with patients and families
Establishes trust with patients and families
Handles difficult situations and/or patients and families
Exceeds service expectations

TEAMWORK*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
Positive interaction with office staff
Team player, willingness to help others
Seeks, accepts and respects input and opinions from other staff and providers
Willing to teach and educate other employees
Response to supervision
Leadership

COMMUNICATION*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
All communications reflect the standards of the practice
Listens carefully and asks appropriate questions for clarification
Receptive to suggestions and solutions from others
Interacts in a clear and logical manner, verbally and in writing
Writing mechanics, grammar and punctuation are appropriate
Understanding of HIPAA and appropriate use of confidential information

DEPENDABILITY & FLEXIBILITY*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
Punctuality
Break and lunch schedules
Work hours
Unscheduled or unplanned absences
Availability
Flexibility with scheduling
Timely response to requests
Prompt response to email and messages
Completion of charts
Responsibility

QUALITY & ACCOUNTABILITY*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
Efficiency
Quality of work
Safety
Time management
Willing to accept feedback and to act upon it
Realizes strengths, weaknesses and limitations
Follows policies, procedures and protocols
Personal responsibility for actions, including errors
Careful and accurate
Prioritizes

PROBLEM SOLVING*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
Identifies problems and offers suggestions and alternative solutions
Resolves workplace issues and conflicts appropriately
Responds and acts appropriately in difficult situations

POSITIVE & PROFESSIONAL ATTITUDE*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
Courteous and friendly
Positive tone when speaking to others
Cooperation
Adaptable to changes
Professional demeanor and appearance (scrubs clean and not wrinkled)
Reacts well to stress
Ability to separate home and work

INITIATIVE*

	Unsatisfactory	Needs Improvement	Meets Requirements	Exceeds Requirements	Outstanding	N/A
Prompt implementation of changes in processes when given new information
Seeks additional assignments when other tasks are completed
Brings suggestions and ideas for improvement when discussing concerns with Supervisor
Acceptance of new responsibilities and response to challenges
Organization and maintenance of work space
Functions independently

Unsatisfactory

Needs Improvement

Meets Requirements

Exceeds Requirements

Outstanding

Promotes the financial success of the practice

Documentation is thorough with patient hx reviewed

Completion of other clinical and clerical duties

Knowledge of and support of the practice’s policies and procedures