Framework RN Peer Input Tool for Annual Evaluation: Clinical Skills and Knowledge Peer feedback for (RN name): Directions: Evaluatee to send behavior portions to peers who you would like feedback from Clinical Skills and Knowledge is to be completed by another RN Peers should indicate within the last column the level they feel is appropriate for the Evaluatee on each row Peers are encouraged to support their views with concrete examples Peers should complete the peer review within 7 Days and return electronically to the Manager/Designee and Evaluatee DOMAIN: Clinical Skills & Knowledge A C D E Peer should designate appropriate level below NURSING PROCESS Assessment Performs assessment & identifies appropriate nursing diagnosis and/or patient care standard with assistance. Independently and completely performs focused assessment to provide most effective patient care for a given patient population. Recognizes specialty data Independently and consistently performs goal-focused and individualized assessment when caring for all patients, including those with complex pathophysiological and psychosocial needs. Exhibits highly developed assessment abilities that exemplify a comprehensive understanding of the total patient/family situation. Diagnosis Recognizes data and identifies obvious nursing diagnoses. Prioritizes key nursing diagnoses to address physical and psychosocial/emotional Individualizes nursing diagnoses based on assessment data. Individualizes nursing diagnoses based on assessment data and integrates that with the diagnoses & priorities of other disciplines in order to provide holistic care. Planning/Implementation/Evaluation Practice is guided primarily by policies, procedures, and standards Identifies expected outcomes and nursing interventions to meet identified diagnoses and maintain standards of clinical practice. Practice is driven by theory and experience. Independently develops, implements, and evaluates plan of care that recognizes subtle changes in patient’s condition and adapts plan as needed. Practice relies on previous experience for focused analysis of problems and solutions with individual patient modification in order to meet outcomes. Accommodates unplanned events and evaluates/ responds appropriately with Practice is driven by an intuitive base and is self-directed, flexible, and innovative. Is consistently effective in providing holistic care that ensures positive change even in the most challenging
Evaluates patients on basic standards. speed, efficiency, flexibility, and confidence patient care situations Technology Utilizes standard unit technology and with assistance uses advanced technology as appropriate. Utilizes computer correctly for basic functions, including: Outlook, MiChart: Labs &Radiology results reporting, Omnicell, Mandatory Program / Competencies, Policies and procedures Utilizes standard unit technology and uses advanced technology as appropriate. Utilizes computer for basic functions as well as reference on patient conditions and treatment Becomes expert and resource for use of standard unit technology and advanced technology as appropriate Becomes resource for use of computer Takes a leadership role in evaluating technology and its potential for use Able to conduct literature search through library functions— CINAHL, Cochrane, Medline, PubMed Patient & Family Education With assistance, identifies basic patient/family learning needs. Initiates teaching patient teaching protocols, patient care standards and critical paths Utilizes patient education resources on the unit Accurately assesses patient/family’s readiness to learn, organizes and executes individualized teaching plan, evaluates patient’s understanding and modifies approach as necessary. Seeks out additional patient education resources beyond unit Identifies learning needs of designated populations Works collaboratively to develop strategies to meet these learning needs Seeks out challenging patient/family education opportunities Revises and develops patient education materials Anticipates patient/family learning needs and utilizes a variety of teaching strategies appropriate to the patient’s needs. Serves as expert resource and facilitates other staff in improving patient education. Collaborates with disciplines to develop and/or implement patient/family teaching programs. Policy/Procedure/Protocols Identifies location of and utilizes hospital policies and unit procedures and protocols. Demonstrates ease in application of hospital policies and unit procedures and protocols. Teaches and functions as a resource in the application of hospital policies, and unit procedures and protocols. *** Researches, revises, and develops hospital policies and unit procedures and protocols utilizing appropriate channels and resources. Promoting Culture of Safety
Adheres to hospital policies related to medication safety: Order writing convention, correct administration considerations, Double checks and other established policies and practices Familiar with and follows standards related to patient and staff safety Identifies and intervenes when there are concerns related to medication safety, providing feedback to staff members involved. Anticipates and intervenes related to patient and staff safety. Unit expert and resource on medications applicable to their unit/clinical setting. Facilitates others related to patient and staff safety; actively works toward prevention of potential injury *** Advocates for culture of safety through knowledge, problem solving, and system changes Documentation Admission assessment, flow sheets, MARs, and other applicable documentation forms are completed in a timely manner according to policy with minimal guidance. Consults documentation to identify trends in patient status and enhance continuity of assessment and ongoing nursing care. Involved in ongoing quality monitoring of documentation of nursing care and patient outcome *** Participates in the development of documentation standards, and/or policy Please describe a time when you saw me at my very best. What qualities did I display in this domain? Please provide your regarding opportunities for my personal and/or professional growth I have completed the Peer Feedback as required by the UMPNC contract, paragraph 28E, for participation in the peer review process. Name: Date: Format Revised 4/2016