Award from a Professional Nursing Organization Local/Regional = 1 point National = 2 points 1 point each, maximum of 2 points Copy of professional award (Form O) Participation in a community service activity* Participation minimum 2 hours. 1 point each, maximum of 2 points Written verification of participation from project coordinator/facilitator (Form P) Development/management of a community service activity* *The same community activity cannot be used for both participation & management points 1 point each, maximum of 2 points Written verification of development/management of activity from project coordinator/facilitator. (Form Q) Participate as a credentialed medical interpreter 1 Must have evidence of class or training attendance as well as validation medical interpreter role (Form R) Assist with teaching a class/classes sponsored by the Nursing Education Department 1 point each, maximum of 2 points Written verification from Nursing Education Department to include class name, hours of instruction, date & times of class & CEs, if applicable (Form S) Skill Element Points Acceptable Evidence to Support the Skill Element: Use appropriate templates & submit requested validation Check if using this criteria for your portfolio Presentation of a case study or patient care conference 1 each, maximum of 2 points Program flyer or attendance roster (Form X) Exemplary Professional Practice Skill Certifications (Non job requirement) ie, ACLS, PALS, NRP, Stroke, Non-Violent Crisis, TNCC 1 point each, maximum of 2 points Copy of certification wallet card or active certification credential with expiration date. (Form Y)
Having instructor status & fulfilling minimum instructor obligations in courses utilized by the Nursing Department(if not part of the job role): ie, BLS, ACLS, PALS, NVCI 1 point each, maximum of 2 points Copy of certification wallet card or active certification credential with expiration date. (Form Z) Develop & deliver a clinical education program offering CEUs or contact hours 1 point each, maximum of 2 points Program with identifying information, attendance roster & summative evaluation (Form AA) Competency/skills validator Each 4 hours of competency or skills validation = 1 point 1 point each, maximum of 2 points Written verification from Nursing Education Department verifying level of participation (Form T) Develop & deliver a patient education presentation 1 point each, maximum of 2 points Written verification of presentation with date, time, roster, objectives & evaluations (Form BB) Be a champion or super user for special projects with demonstrated return of information to the unit staff for at least 6 months 1 point each, maximum of 2 points Written verification from Clinical Manager/Director of status & length of time in role. Written verification of activity & dissemination of information. (Form V) Receive a KentuckyOne Health Nursing Award that is presented 4 times a year or less. 1 Copy of Certificate (Form CC) Skill Element Points Acceptable Evidence to Support the Skill Element: Use appropriate templates & submit requested validation Check if using this criteria for your portfolio Transformational Leadership Chairperson/co-chairperson of a unit council with 75% meeting attendance over a 12 month period Active member of a unit council with 75% meeting attendance over a 12 month period 2 -OR- 1 each maximum 2 points Written verification from Clinical Manager/Director of status & length of time in role. (Form U)
Hold office or committee chairmanship in a professional nursing organization (at a 12 month term): Local/Regional/National 2 Written verification from Nursing Organization outlining office or committee on which the applicant served. Include dates of service. (Form DD) Active committee member in a professional nursing organization (at least a 12 month term): Local/Regional/National 1 Written verification from Nursing Organization committee chairperson outlining office or committee on the applicant served. Include dates of service. (Form DD) Chairperson/Co-Chairperson of a KentuckyOne Healthcare facility committee/council for at 12 months with documented 75% attendance* *May not collect points for participation & chairmanship of the same committee 2 Written verification from Committee leadership sponsor confirming membership & attendance. (Form EE) Active member of a KentuckyOne Healthcare facility committee/council for at least 12 months with documented 75% attendance* 1 point each, maximum of 2 points Written verification from Committee chairperson confirming membership & attendance. (Form EE) Skill Element Points Acceptable Evidence to Support the Skill Element: Use appropriate templates & submit requested validation Check if using this criteria for your portfolio Activity to increase patient experience or nursing satisfaction—Cannot be duplicate of Research, EBP or QI initiative 1 point each, maximum of 2 points Written verification of activity to increase patient experience or nursing satisfaction & metrics to support outcome goals signed by manager. (Form FF) Preceptor for new employee or student nurse* 40 hours of preceptor time =1 point 1 point each, maximum of 2 points Each source of evidence must include the name of the individual or student & the hours of precepted time. Written verification from Education (Students) or unit leadership (new staff) verifying preceptee & hours of precepted time. (Form GG)