SELF-REPORTING TOOL: Inpatient Areas

Transcription

1 Inpatient Self Report Page 1 of 7 SELF-REPORTING TOOL: Inpatient Areas Subject s Name: Evaluator s Name: Requires Evaluati Descriptors (Quality & ) for reference PLANNING & MANAGING CARE 1. Addresses patient safety needs (ex: i.d. of correct patient, positiing, skin care, functiing mitor alarms, siderails, lab processing). 2. Applies age-specific/cultural csideratis to care of patient. 3. Adjusts resources and/or decreases costs of patients care. 4. Ensures or improves cost effectiveness (or cost/case) in your area (beyd what is expected of everye). 5. Moves patients from e phase of care to another pathway or care plan. 6. Applies evidence based learning to current clinical practice. RN Manages complex clinical situatis. RN 2-4 It is required to describe specific example(s) for each Key Functi. Please enter specific example(s) below: CONTINUUM OF CARE PLANNING Planning for discharge and/or transfer to the next level of care, i.e. beyd current unit: (ICU floor) 1. Identifies discharge/transfer needs and initiates plan for movement to next level of care.

2 Inpatient Self Report Page 2 of 7 2. Uses internal and external referrals and resources that support patients/families through ctinuum of care. 3. Acts to resolve systems breakdowns, knowledge and/or behavior issues that impact ctinuum of care needs. It is required to describe specific example(s) for each Key Functi. Please enter specific example(s) below: PATIENT / FAMILY EDUCATION 1. Incorporates a variety of resources to teach and support patient and family learning (ex: EZTV, pt ed materials, web sources, drawings, etc). 2. Individualizes patient/family educati for complex patients/families (ex: resistant, n-compliant, significant barriers to learning). 3. Led in development/revisi/use of teaching tools/aids for specific populati within the last year. RN 1-4 It is required to describe specific example(s) for each Key Functi. Please enter specific example(s) below: PROBLEM SOLVING 1. Identifies and takes acti to resolve pt safety related problems and other clinical issues.

3 Inpatient Self Report Page 3 of 7 2. Identifies and takes acti to resolve systems (operatial/workarounds) problems. 3. Actively participates in team/group problem solving. 4. Uses interdisciplinary approach to lead others in problem solving projects and evaluates outcomes using data. 5. Positively supports change. It is required to describe specific example(s) for each Key Functi. Please enter specific example(s) below: COMMUNICATION & COLLABORATION 1. Persal behavior positively influences envirment and others (may include attendance, tardiness, team support). 2. Reviews patient record as part of overall assessment. 3. Participates in rounds with HCT to form plan of care/meet patient s needs. 4. ively communicates and collaborates with patients and families. 5. ively communicates and collaborates with staff and other HCT members. 6. Communicates positively and cstructively in stressful situatis. RN Participates directly in and/or supports orientati of new staff. RN Models and leads others in cflict resoluti.

4 Inpatient Self Report Page 4 of 7 It is required to describe specific example(s) for each Key Functi. Please enter specific example(s) below: CONTINUOUS LEARNING RN 1 0hrs. = 1; <5 hrs = 2; 5-9 hrs. = 3; hrs = 4; >15 hrs = 5 RN 2 1. Provide to manager evidence of selfeducatial activities within timeframe designated by manager. *Total # of ctact hours, courses taken, articles read/hours spent in self educati. 0hrs. = 1; <10 hrs = 2; hrs. = 3; hrs = 4; >20 hrs = 5 RN hrs. = 1; 8 14 hrs = 2; hrs. = 3; hrs = 4; >25 hrs = hrs. = 1; hrs = 2; hrs. = 3; hrs = 4; >30 hrs = 5 2. Participates in quality improvement initiatives. RN Leads quality improvement projects. 4. Participates in developing and/or revising evidence based practice guidelines.

5 Inpatient Self Report Page 5 of 7 5. Leads in the development and/or revisi of evidence based practice guidelines. 6. Participated in scholarly/professial activities in the past year. Examples: formal presentatis, publicatis, public policy issues, acti, professial org. activities. *You must provide the requested informati for EACH of the level-appropriate criteria above. Reminder: Review your professial goals from last year and report your assessment of their achievement. Prepare your professial goals for next year and bring to the evaluati cference with your manager.

6 Inpatient Self Report Page 6 of 7 Evaluati Scoring Descriptors ive May 2006 For each criteri, evaluator csiders 2 dimensis and chooses ly 1 descriptor for each: How well the subject performs this behavior, the quality or degree of expertise The subject s effect of the team when performing this behavior Quality / team a Does not perform a Unaware or ignores standards and/or directi b Performs incsistently or not to standard b Requires much directi c Csistently competent = performing to standard csistently c Requires some support = what would be expected of a new nurse within their first year d Csistently proficient = model performance exceeding standard with big picture view d Performs independently e Csistently an expert = exceptial, masterful performance, specialist e Role model & resource to others (beyd precepting) = a positive example for others to try to meet; demstrates knowledge & expertise that others recognize and go to (outside the preceptor relatiship), persal behavior demstrates interest in sharing knowledge/expertise with others Benner s definitis for above descriptors: Competent = uses experience-based practical knowledge to apply this criteria appropriately and efficiently while mindful of goals Proficient = has achieved a global big picture perspective, attends to total situati, proactive Expert = highly skilled performance intuitively knowing what to do and expected results Instructis ctinued next/back page f g h Initiates informal coaching 1:1 with others (beyd precepting) = Takes opportunities to share expertise with the intenti of facilitating other s professial development Isn t waiting until asked (resource), sees a situati and sptaneously coaches Not telling how, but uses questis, etc. to prompt critical thinking Random, and perss and topics vary Facilitates improved group practice = beyd 1:1 individual coaching, does something to improve the practice group s performance: In-service Poster, posting, group Develop or update a standard, protocol, etc. Debrief a critical incident for the benefit of the group present Formally mentors individuals &/or groups by mutual agreement = Individual Active, persal relatiship by mutual agreement focused specific persal &/or professial goals Group Commits to perform an operatial or clinical activity or service for a group or practice area, e.g. chart rounds, competency training, review of policies, pathways, area super-user, etc.

7 Inpatient Self Report Page 7 of 7 As the evaluator read each criteria- even above level criteria choose the 1 descriptor for each of the 2 dimensis that fits best with the subject s performance of that specific criteria If above level criteria is not applicable, skip it, do not select any descriptors The selected descriptors eventually are tallied from all evaluati tools into overall key functi scores related to the subject s RN level One specific example is required for each key functi: Planning & Managing Care, Patient/Family Ed, etc. For advancement evaluatis ly: One specific example is required for each level criteria in additi to key functi examples If e example will cover > 1 criteria or key functi, you can refer to it rather than add another