JD-PE-Admin &Support Pos
| |Job Description |
| |Performance Evaluation |
Clinical Support Positions
|Employee Name: |Department/Unit: |Current Title/Title Code: |Current Title Effective Date: |
| | |CLINICAL CARE PARTNER/Career 8883/Per Diem 8884 | |
|Supervisor Name: |Supervisor Title: |Approved Title/Title Code (for reclassifications only): |Compensation Approval: |
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|Methods of Measurement Include the Following: (PE Only) |AGES SERVED (JD and PE complete) |
| Direct Observation | Documentation | Neonates (< 30 days) | Adults (> = 18 years to < 65 years) |
| Feedback from staff or patients | PI Reports | Infants (> 30 days and < 1 year) | Geriatrics (> = 65 years) |
|Period Covered by this Evaluation: (PE Only) | Pediatrics (> = 1 year & < 13 years) | Not Applicable |
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| | Adolescents (> = 13 years & 18 years) | NPH ONLY: Adolescents (>=12 years to 18 years) |
|Place an “X” if over 20% of work is exposed to one or more of the following conditions: |
| Confined area | Noise Exposure | Extreme temperatures | Potential allergenic/irritant conditions |
| Exposed to weather | Vibrations | Atmospheric conditions | Other (specify) |
|SUMMARY STATEMENT: |
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|Clinical Care Partners deliver patient care under the direct supervision of registered nurses. Performs basic patient care skills, follows infection control practices, positions, transfers and transports patients, |
|takes vital signs, collects specimens, accurately observes, reports and charts, performs range of motion and assists with feedings, self-care activities and elimination needs. |
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|TYPE OF SUPERVISION RECEIVED: |
|Under the direction of the Unit Director/Clinical Nurse Manager and/or designee |
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|Amount |Duties and Tasks |Rating |Comments |
|Of Time | | | |
| | |D |M |N/A | |
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|30% |CUSTOMER RELATIONS | | | | |
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| |Demonstrate positive interpersonal skills and caring behaviors in working with patients, significant others, and | | | | |
| |members of patient care team | | | | |
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| |Demonstrate effective communication skills by smiling, making eye contact and responding positively when interacting | | | | |
| |with others. | | | | |
| |Maintain patient confidentiality and handle all patient data with discretion | | | | |
| |Accept responsibility for problem solving and follow through to ensure requests and/or needs are met | | | | |
| |Anticipate and promptly respond to patient, team member, and customer requests | | | | |
| |Facilitate a calm, orderly, professional and quiet environment | | | | |
| |Coordinate flows of communication between appropriate staff | | | | |
| |Answer telephones, giving a greeting, unit and name in a courteous and timely manner (timely defined as 3 rings) | | | | |
| |Answer patient call lights in a courteous and timely manner, as appropriate | | | | |
| |Respect customer/staff individuality | | | | |
| |Consistently model exceptional interpersonal skills and caring behavior in working with patients, significant others | | | | |
| |and members of patient care team | | | | |
| |Introduce self as Clinical Care Partner | | | | |
| |Effectively respond to the unique needs of neonatal, pediatric, adolescent, adult, and/or geriatric patients as needs| | | | |
| |arise | | | | |
| |Assist with directing flow of visitors to the Unit | | | | |
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| |PATIENT CARE DUTIES | | | | |
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| |Assist patients with admitting procedure: | | | | |
|60% |Set up room for admission and transfers in | | | | |
| |Orient patient to environment and routine of unit | | | | |
| |Take and record patient’s vital signs, weight & height as directed | | | | |
| |Care for patient’s personal property, label and store personal items | | | | |
| |Label door, urinals, bedpans, measuring devices, water pitchers, and all patient equipment | | | | |
| |Report observations and pertinent information to assigned RN regarding patient’s condition immediately | | | | |
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|Amount |Duties and Tasks |Rating |Comments |
|Of Time | | | |
| | |D |M |N/A | |
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| |Assist patients during transfer procedure/discharge: | | | | |
| |Prepare and assist with the collection and transfer of personal items and equipment | | | | |
| |Accompany patient during transport/discharge as needed | | | | |
| |Replace bed and bedside tables as needed | | | | |
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| |Provide for patients’ personal hygiene: | | | | |
| |Provide A.M. and P.M. care on a routine basis | | | | |
| |Provide oral hygiene and denture care | | | | |
| |Provide skin care as directed | | | | |
| |Provide hair care and shampoo as needed | | | | |
| |Provide perineal care/incontinent care | | | | |
| |Provide Indwelling catheter care | | | | |
| |Assist with shaving of male patients | | | | |
| |Check patient’s ID band every shift | | | | |
| |Report patient observations and pertinent information to assigned staff nurse | | | | |
| |Report problems or changes in patient’s condition immediately | | | | |
| |Assist ambulatory patients to bathroom; assist with bedpans, urinals and commodes | | | | |
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| |Assist patients with meals and nourishment: | | | | |
| |Assist and feed patients as needed | | | | |
| |Observe aspiration precautions for all patients | | | | |
| |Assist with completing menu and place in designated area as necessary | | | | |
| |Deliver and collect trays as necessary | | | | |
| |Document food intake for calorie count as ordered | | | | |
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| |Assist with respiratory care: | | | | |
| |Assemble suction equipment | | | | |
| |Fill humidifier bottles when not attached to patient | | | | |
| |Suction oral cavity as directed/needed | | | | |
| |Assist patient with incentive spirometer | | | | |
| |Perform CP (chest percussion) as directed | | | | |
| |Assist patients in coughing, deep breathing and position changes as directed | | | | |
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|Amount |Duties and Tasks |Rating |Comments |
|Of Time | | | |
| | |D |M |N/A | |
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| |Assist in providing patient safety and comfort measures: | | | | |
| |Follow standard precautions for all patients | | | | |
| |Maintain and reinforce isolation policy | | | | |
| |Implement and maintain heel protectors, special mattress/bed and other pressure reduction devices as directed | | | | |
| |Apply and monitor restraints as directed per hospital protocol | | | | |
| |Maintain individual patient safety, e.g., side rails up, brakes locked and call bells within reach, and initiate fall| | | | |
| |precautions as directed | | | | |
| |Respond to emergency situations per hospital protocol | | | | |
| |Tag/report malfunctioning equipment to appropriate personnel | | | | |
| |Respond to/report alarms immediately to RN | | | | |
| |Provide care to patients who are at risk of harming self and others per departmental/hospital policy | | | | |
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| |Maintain a clean and orderly environment: | | | | |
| |Change bed linen on a routine basis and as needed | | | | |
| |Assist in tidying patients’ rooms and personal effects | | | | |
| |Keep bedside supply trays stocked per unit protocol (except for NPH) | | | | |
| |Maintain cleanliness of patient’s special equipment | | | | |
| |Remove unused equipment and/or supplies from room and place in designated area for pick-up or storage | | | | |
| |Routinely check each patient’s bedside to ensure that call bell, light and room clock are accessible and functioning | | | | |
| |Assist in the identification of environmental (i.e. frayed cords, spills, wet floors, etc.) hazards and report to | | | | |
| |appropriate personnel | | | | |
| |Keep corridors uncluttered | | | | |
| |-Remove or arrange for removal of unnecessary equipment | | | | |
| |-Maintain neatness of linen rooms | | | | |
| |-Empty linen hampers as appropriate and keep all linen off the floor | | | | |
| |Maintain refrigerator logs as directed | | | | |
| |Perform/assist with ER cart and defibrillator checks as directed | | | | |
| |Maintain unit based equipment as directed | | | | |
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| |Perform and record vital patient information: | | | | |
| |Take and record height and weight, intake and output, temperature, pulse, respiration, blood pressure, pain and/or | | | | |
| |pulse oximetry as directed | | | | |
| |Complete required documentation on flow sheets per unit protocol | | | | |
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|Amount |Duties and Tasks |Rating |Comments |
|Of Time | | | |
| | |D |M |N/A | |
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| |Perform EKG as directed | | | | |
| |Perform the role of a Monitor Tech. as directed (except for NPH) | | | | |
| |Perform phlebotomy if applicable | | | | |
| |Set up and maintain monitoring equipment (except for NPH) | | | | |
| |Empty drainage bags (Indwelling, Jackson-Pratt, and Hemovac) | | | | |
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| |Assist with pre-operative/post-operative/special procedures as directed: | | | | |
| |Provide pre-op scrubs and preps as directed | | | | |
| |Assist in removing or taping of jewelry, removal of dentures or other articles (wigs, glasses, etc.) | | | | |
| |Label patient’s belongings with patient’s name and ID, secure and store all belongings | | | | |
| |Prepare beds for post-operative/procedural patients | | | | |
| |Assist with non-sterile dressing changes and wound care | | | | |
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| |Assist patients with activity and mobility: | | | | |
| |Assist patient in position changes, dangling and ambulation | | | | |
| |Assist patient in and out of bed | | | | |
| |Assist in the application and removal of anti-embolic and pulsatile stockings, as directed | | | | |
| |Assist with PT/OT Care such as: | | | | |
| |-Range of motion | | | | |
| |-Transfers | | | | |
| |-Endurance activities | | | | |
| |-Application of splints, prosthetics and orthotic support devices | | | | |
| |-Feeding for dysphagia patients | | | | |
| |-ADL practice/training for home care | | | | |
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| |Perform special procedures as directed: | | | | |
| |Sitz bath | | | | |
| |Breast care | | | | |
| |Perineal care | | | | |
| |Provide Seizure precautions as directed | | | | |
| |Provide patient observation as assigned | | | | |
| |Collect all specimens as directed | | | | |
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|Amount |Duties and Tasks |Rating |Comments |
|Of Time | | | |
| | |D |M |N/A | |
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| |Assist with post-mortem care: | | | | |
| |Assist with care and labeling of body according to policy | | | | |
| |Assist with packing, labeling and transferring of belongings | | | | |
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|5% |MISCELLANEOUS DUTIES | | | | |
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| |Assist with duties as assigned by the charge nurse/shift coordinator: | | | | |
| |Assist with checking and stocking cart supplies and assist with charging of patient charge items | | | | |
| |Assist in tracking and inventory of equipment | | | | |
| |Participate in Nursing Department committees or projects and communicate outcomes to staff and Unit Director/Clinical| | | | |
| |Nurse Manager | | | | |
| |Pick up and deliver supplies as directed | | | | |
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| |TRAINING | | | | |
| |Demonstrate a willingness to assist other members of the team while maintaining performance of individual duties | | | | |
|5% | | | | | |
| |Assist in orienting new personnel | | | | |
| |Participate in work-related continuing education and communication activities | | | | |
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|Amount |Duties and Tasks |Rating |Comments |
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| | |D |M |NA | |
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| |V. PROFESSIONAL AND INSTITUTIONAL STANDARDS | | | | |
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| |Comply with Title 22, JCAHO and institutional standards and operating systems | | | | |
| |Identify needs and make recommendations for changes regarding standards and operating procedures | | | | |
| |Complete health and safety requirements per hospital policy | | | | |
| |Maintain professional appearance and behavior | | | | |
| |Observe institutional/unit standards and requirements regarding work schedule commitments | | | | |
| |Report to charge nurse/shift coordinator, giving destination when leaving unit for any period of time | | | | |
| |Give report to the oncoming personnel at shift’s end as directed | | | | |
| |Adhere to Unit Interpersonal Standards as applicable | | | | |
| |Adhere to department Attendance Standards including hours of work | | | | |
| |Support that telephone and computer usage is for patient care business only | | | | |
| |Seek and accept guidance from Unit Director/Clinical Nurse Manager or appropriate person to accomplish job duties | | | | |
| |Participate in work-related meetings and /or represent unit on task forces/committees/projects as requested | | | | |
| |Accept delegated duties from Unit Director /Clinical Nurse Manager and/or appropriate personnel as requested | | | | |
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|UCLA C-I-CARE/Patient Experience Practices: MY COMMITMENT TO CARE |
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|Observe and practice all the Service Standards listed in the “World Class Practices” (which I have read and signed) |
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|Practice C-I-CARE when interacting with patients, their families, visitors, or internal customers |
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|Connect with the patient and family members by addressing them as Mr./Ms., or by the name that they prefer |
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|Introduce yourself and your role |
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|Communicate what you are going to do, how long it is going to take, and how it will impact the patient. |
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|Ask and anticipate patient and/or family needs, questions or concerns |
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|Respond to patient and/or family questions and requests with immediac |
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|Exit courteously and/or with an explanation of what will come next (or when you will be back to check on them |
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|Practice C-I-CARE phone etiquette during all phone interaction |
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|Always exercise courtesy whenever patients, family members, visitors and co-workers are present |
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|Respect privacy and dignity of our patients, family members, visitors and co-workers |
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|Maintain professionalism in the presence of patients, their families, visitors and co-workers |
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|Observe departmental Patient Experience plan, competencies and practices |
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|Act as a role model, verbally and behaviorally demonstrating skill, enthusiasm, positive problem solving, commitment and loyalty to the profession and the organization |
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|Participate in positive problem solving by providing suggestions and possible solutions to identified concerns/problems in the work place |
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|Comply with Health System Workplace Conduct Policy |
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|Engaging in disruptive behaviors that interfere with or prevent normal work functions or compromise patient safety, including passive or active behaviors will not be tolerated as stated in the HS Workplace Conduct |
|Policy |
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|Comply with Health System Dress Code Policy and practices |
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|Amount of Time |Duties and Tasks |Rating |Comments |
| | |D |M |NA | |
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| |CLINICAL CARE PARTNER: PSYCHIATRIC ADDENDUM | | | | |
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| |Patient Care Duties: | | | | |
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| |Perform systematic inventory of patient’s belongings in the patient’s presence: | | | | |
| |1.1 Remove sharps, mirrors, glass, weapons, and medications, secures them and inform the admitting RN | | | | |
| |1.2 Identify valuables and inform admitting RN | | | | |
| |1.3 Complete personal belongings form, sign and give to admitting RN | | | | |
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| |When patient's behavior becomes disruptive, provide initial interventions and inform RN | | | | |
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| |Assist patients with meals and nourishment: | | | | |
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| |Conduct patient rounds per shift/unit procedure and ensure patient safety | | | | |
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| |Assist with management of the milieu to ensure a therapeutic environment | | | | |
| |Utilize therapeutic communication techniques according to age specific/unit protocols. | | | | |
| |Individualize specific verbal/non-verbal interactions to patient and situation. | | | | |
| |Monitor patient behavior and reports changes to RN. | | | | |
| |Manage physically and verbally aggressive patient using least restrictive measures. | | | | |
| |Ensure patient status is maintained per departmental policy and procedure, e.g. Suicidal Observation, Constant | | | | |
| |Observation, Constant Eyesight | | | | |
| |Participate in meaningful activities with patients to meet their diversionary needs | | | | |
| |Observe and report to RN the patient’s response following individual and group activities | | | | |
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|Amount of Time|Duties and Tasks |Rating |Comments |
| | |D |M |NA | |
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| |Function as group activity leader as directed by RN | | | | |
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| |Provide one to one care as directed by RN for patient safety and/or therapeutic intervention | | | | |
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| |Accompany and remain with patient for clinic appointments, clinical laboratory, radiology tests and school | | | | |
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| |Assist with Pre and Post ECT patient care as directed by the RN | | | | |
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| |Qualifications: | | | | |
| |Inpatient psychiatric experience preferred. | | | | |
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| |7/02; 7/09; 2/11 | | | | |
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|Skills, Knowledge and Abilities |
|(Disregard this section for performance evaluations) |
|REQUIREMENTS: | |
| |List any equipment (machines, tools, office appliances or motor vehicles) required to do the job, with or without a reasonable accommodation. Indicate |
| |whether use is seldom, occasional, frequent or constant. |
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| |CPR: |Current BCLS | |
| |License: |___________________ | |
| |Certifications: |CNA or other as listed under | |
| | |SKA #1 | |
| |Degree: |High School diploma or GED | |
| | |required for phlebotomy | |
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| |Experience: |___________________ | |
|Skills, Knowledge and Abilities |Importance | | |
| |(Required or Preferred) | | |
|Current California Certification of Nursing Assistant OR current enrollment in a state approved nursing school program, with a minimum of one completed med/surg rotation |Required | | |
|Foreign trained RN considered. CNA certification would be required within 6 months | | | |
|Current BCLS certification |Required | | |
|High School Diploma/GED certificate (required for phlebotomy) |Required | | |
|Knowledge of basic computer fundamentals preferred |Preferred | | |
|Ability to speak clearly and distinctly using appropriate English vocabulary and grammar |Required | | |
|Ability to understand oral and written directives |Required | | |
|Ability to read and write Standard English text |Required | | |
|Ability to perform basic arithmetic computations (add, subtract, multiply, and divide) |Required | | |
|Demonstrates an understanding of basic medical terminology and abbreviations |Required | | |
|Ability to organize and prioritize work to complete assignments in a timely manner |Required | | |
|Current CPR (BLS) from AHA – Healthcare Provider or American Red Cross – Professional Rescuer |Required | | |
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|For Neuropsychiatric Hospital, refer to Psychiatric Addendum | | | |
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|If overall rating is “Does Not Meet Expectations”, please complete Future Plans and Actions Section. |
|According to the Employee Performance Evaluation Policy, an overall rating of “Does Not Meet Expectations” requires an action plan and a follow-up performance evaluation in either a three-month or six-month period |
|depending on the time needed to demonstrate improved performance. Action plan steps must be objective and measurable with a defined time frame. The date of the follow-up performance evaluation will reset the |
|performance evaluation due date. |
|Does Not Meet Expectations |Meets Expectations |Exceeds Expectations |
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|Comments: |
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|Future Plans and Actions: |
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|Employee Comments: |
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|Employee Signature | |Date |
|I have reviewed this Job Description and/or Performance Evaluation | | |
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|Evaluator Signature | |Date |
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|Department Head or Designee Signature | |Date |
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|NPH PERFORMANCE EVALUATION ADDENDUM |
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|COMPETENCIES ANNUAL UPDATE (If either or both of the following, you are required to complete a “new” competency and attach it to the performance evaluation): |
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|( Changes in job description ( Performance issues (1’s and 2’s in previous competency). |
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|Skills Competency: ( Competent/No Change Equipment Competency: ( Competent/No Change |
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Scoring:
Having a DNM on 5 CRITICAL (Statements in bold) elements automatically qualifies as a DNM Evaluation
Having 10 DNM (Non-critical=Non bolded) overall qualifies as DNM Evaluation
Having 10 exceeds and no more than 1 DNM (Non-critical=Non-bolded) qualifies as Exceeds Expectations Evaluation
Having 1 DNM on any bolded statement disqualifies for exceeds expectations evaluation
Scoring for NPH Only:
Having a DNM on 6 CRITICAL (Statements in bold) elements automatically qualifies as a DNM Evaluation
Having 12 DNM (Non-critical=Non bolded) overall qualifies as DNM Evaluation
Having 12 exceeds and no more than 1 DNM (Non-critical=Non-bolded) qualifies as Exceeds Expectations Evaluation
Having 1 DNM on any bolded statement disqualifies for exceeds expectations evaluation
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