MJR: Quality and Safety for Patient Care Essential Function 4 Consistently exceeds 3 Occasionally Exceeds 2 expectations 1 Does not meet expectations Quality and Safety: Provides safe, competent, and age specific care Consistently identifies, reports, and responds to situations that may lead to a change in patient condition that required immediate attention by the RN Occasionally identifies and implements changes in care delivery based on patient/family individual needs Identifies changes in clinical status and reports to the RN Identifies patient safety concerns, completes on line safety reports and makes needed corrections immediately. Communicates changes in patient status Meets patient safety requirements Performs hourly rounds on all patients Corrective action (probation or greater) related to patient care Quality and Safety: Performs all delegated tasks in a timely manner Independently identifies and initiates unassigned tasks within scope of practice without RN direction Occasionally identifies and initiates unassigned without RN direction Completes delegated tasks within assigned time as directed by RN Fails to complete delegated task delegated by RN Corrective action probation or greater Quality and Safety: Documents care provided, written or electronic, in an accurate, thorough, legible manner Assists PCM to audit NCT documentation Participates in projects to improve documentation Validator for unit specific /annual competency Occasionally documents aspects of care provided within one hour of patient interaction Documents care provided, written or electronic, in an accurate, thorough, legible manner Audits reveal documentation policy not followed consistently Corrective action due to incomplete/inaccurate documentation Quality and Safety: Responds to call lights with a sense of urgency Consistently responds to all call lights regardless of patient assignment Responds to call light in < 2 minutes Occasionally responds to call lights outside of their specific assignment Responds to call light within 2 minutes or timely manner Takes greater than 2 minutes to answer call light or within timely manner MJR: Patient Centeredness (Service)
Essential Function: 4 Exceeds Expectations 3 Occasionally Exceeds 2 Meet Expectations 1 Does Not Meet Expectations Patient Centeredness: Models behavioral expectations and demonstrates service excellence to all customers Promotes/encourages positive professional behavior from team members. Leader on the unit always goes above and beyond, engaged in service initiatives on the unit. Multiple positive feedback from patient/families. Finds ways for the unit/team to make good first impression Role models positive and professional behavior. Consistent positive feedback/compliments from patients/families. Prevents others from discussing frustrations in public Demonstrates positive and professional behavior. Consistent positive feedback/compliments from patients/families. Prevents others from discussing frustrations in public Fails to demonstrate respect and professionalism. Uses negative tone and facial expression. Substantiated patient/family/peer complaint and/or Manager’s observation of the behavior Patient Centeredness: Rounds for outcomes on patients per direction of Registered Nurse per organization standard Encourages colleagues to hourly round based on organizational standards. Teaches others to round with a purpose, anticipates matters before they occur. Role models the importance of hourly rounding with a purpose. Investigates what patient wants when they request nurse. Performs hourly rounding for colleagues when they are unable to do so (ex: code, decline, etc) Performs purposeful hourly rounding on patients per organization standards, sets expectation with patient and explains rounding at the beginning of the Not performing hourly rounding based on organization standard Patient Centeredness: Considers special needs of patients/families to promote comfort and well-being Always handles patient/family concerns or complaints immediately and seeks the appropriate resources for intervention (two or more examples). Per RN guidance: Follows up for patient/family with support services regarding when service can be expected (meds2bed, x-ray, dietary, ect.) Occasionally anticipates the special needs and/or circumstances of patients and families before they occur Welcomes patients to unit and orients to hospital, rooms, routines, meal times, call light, bathrooms, parking. Develops a therapeutic relationship with patient/family by listening. Brings needs to RN’s attention and takes direction and follows through. Ensures seating is available in rooms for visitors. Task oriented only: performs tasks without adequately accommodating individual patient needs. Does not follow through on concerns/complaints. Manager hears about them when she rounds. MJR Teamwork: Essential Function: 4 3 2 1
consistently exceeds occasionally exceeds meets expectations does not meet expectations Collaborates with RN and communicates any changes observed in assigned patients Consistently provides RN with changes in patient condition, identifies a critical patient condition requiring immediate intervention by the health care team Occasionally exceeds expectations in providing updates on patient condition Collaborates with RN and gives updates on changes in patient condition 2 or more substantiated complaints of failure to follow through with health care team Exhibits teamwork by assisting fellow employees and working well with other departments and disciplines 5 or more positive comments from co-workers regarding teamwork 3 positive comment from a co-worker regarding team work No complaints from about lack of teamwork 1 or more substantiated complaints about lack of team work When asked to work/assist in another work area, does so in a manner that exhibits teamwork and respect 5 or more positive comments from work areas, works in other areas without complaining 3 positive comment from other work areas, works in other areas without complaining Works in other areas without complaining, no negative feedback from other work areas 1 or more complaints regarding work performance in another area Demonstrates support, respect, and professional behaviors for colleagues and is accountable for all interactions 5or more positive comments regarding interactions with others, manager observed interactions as well 3 positive comment regarding interactions with others, manager observed interactions as well Respectful interactions observed, does not blame others 1 or more substantiated complaints/observations of unprofessional behavior/attitude MJR: Efficiency
Essential Function: 4 Consistently exceeds 3 Occasionally exceeds 2 Meets expectations 1 Does not meet expectations Efficiency: Improves own work flow based on standard work Actively engaged in participating & teaching about new initiatives & products. (super-user & validators) Role models follow guidelines. (Cauti; fall; clabsi prevention) Goes above & beyond Improves own work flow based on standard work. Follows all guidelines.(cauti; clabsi; fall prevention) Does not incorporate changes into their workflow. Resistant to change. Efficiency: Work is completed within scheduled hours Serves as a unit resource assisting co-workers in completing their work timely & answers questions per protocol. Uses extra time to assist to get caught up & leave on-time. Work is completed within scheduled hours. Consistently works past scheduled time to leave. Efficiency: Resources as used appropriately i.e. supplies, equipment, and staff Self-directed & takes ownership of issues on unit. (places work orders on broken equipment; tags broken equipment or computers). Role models managing resources appropriately. Goes above & beyond to make sure the ncts & unit have supplies to work efficiently. (informing manager when stock levels need to be adjusted in supply &/or nourishment room). Uses resources appropriately i.e. supplies, equipment, and staff (follows the UHS equipment process, does not misuse resources such as cell phones, personal calls, and internet) Does not use resources appropriately (inappropriate cell phone use, inappropriate internet use, does not follow the UHS equipment process, etc.) Efficiency: Reports to work on time and as scheduled Works extra shifts throughout the year. (consistently adjusts & is flexible with schedule to accommodate the unit). Occasionally works an extra shift or adjusts schedule to accommodate unit. Reports to work on time and as scheduled. Probation &/or suspension in the corrective action process. (for absences, tardiness, no pays, and no clocks according to attendance policy) More than 1 written warning, probation, &/or suspension. MJR: Professional Development
Essential Function: 4 Consistently exceeds 3 Occasionally exceeds 2 Meets expectations 1 Does not meet expectations Professional Development and Competency: Successfully completes all annual and biannual competencies within policy deadlines. Maintains appropriate licensure and certification as required by position and according to policy. Attends staff meetings &/other meetings as required for position. Advances on the NCT Ladder &/or maintains status on the ladder. Actively participates in a unit &/or enterprise council/committee or task force. Successfully completes all annual and biannual competencies within policy deadlines. Maintains appropriate licensure and certification as required by position and according to policy. Attends staff meetings &/other meetings as required for position. Competencies not completed on time and/or according policy. Does not attend unit specific meetings; educational/informational sessions; or committee requirements per policy. Does not maintain appropriate licensure &/or certifications required by position. 4/27/15 Final PE Taskforce