Created: October 3, 2022 at 3:11 pm
Updated: October 3, 2022 at 3:11 pm
Draft Status: 0

Employee Information

Team Member: Amy Dunlap

Employee ID: 8296
Email Address: adunlap@augustahealth.com
Department Name: OR
Department Phone Number: 4311
Current Employment Status: FT
Current Level of Participation: Not active
Intended Level of Participation: Clinician IV
Supervisor: Holly Guthrie

Clinician Requirements Roadmap

Clinician II Requirements Completed:
Clinician III Requirements Completed:
Clinician IV Requirements Completed: 40 Total Points (from all 4 categories), BSN OR MSN, 4+ Years of RN Experience*, National Certification, Teach In-House or Community, Leadership contact hours (12 hours), Behavioral Exemplar: Clinician IV

Transformational Leadership

Professional Nursing Organizations: Members (2 pts)

Educational Roles

Precepting
Precept AH Team Member: 1 Orientee (3pts)
Preceptor Travel: 4 shifts+/ team member (2 pt)
Secondary Preceptor: 4 shifts+/ team member (2 pt)
Preceptor Capstone Student: 0
Preceptor for Degree Completion:
Mentorship
LANTERN MENTOR:
AH NPDP: 0
Student Daily Shift Support: 0

Shared Decision Making

Unit Based Council/Committee/Taskforce: Chair (4 pts)
System-Wide Committee: Members (2 pts)
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/transformational.pdf

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 0
Other Volunteer AH Event: 1 (1 pt)
Coordinate Nursing Event:
Conferences:
Educational Leadership: Competency Validator (3 pts)
Journal Club:
Activities Through Nursing Education
Present Formal Education: [105]
AHA Instructor:
Skills Fair Instructor: 3 sessions (1 pt)
Other Instructor:
Nurse Residency Instructor: 0
Hold Active Certification not required by job description: 0

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Structural-Empowerment-5.pdf

Exemplary Professional Practices

Professional Development

BSN (4 pts), National Nursing Certification (3 pts) *Non-nationally recognized certification, see SE Activities through Nursing Education section, Cross-training to another department (3pts)

Recognition

Internal – Unit: 6 (6 pts)
Internal – System: 0
External – Health-Care Related: 0

Clinical Resource Roles

Shared Governance Council
Charge: Greater than %50 (2 pts)
Patient Experience Rounding Nurse/Super-User Technology: Super-User Technology/Equip (3 pts) *Annual validation of skill(s)

Presentations/Publications

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/exemplary.pdf

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 0
Clinical Resource Roles

Performance Improvement
PI Unit based education (4 pts)
Other Improvement & EPB Projects
PI Unit based education (4 pts)
Audits
Short Term (1 pt)

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/new-knowledge.pdf

Totals

Total TL: 15
Total SE: 5
Total EPP: 21
Total NKI: 5

Grand Total: 46