Created: October 25, 2021 at 2:38 pm
Updated: October 25, 2021 at 2:38 pm
Draft Status: 0

Employee Information

Team Member: Ivan Napotnik

Employee ID: 17818
Email Address: IN8180919@augustahealth.com
Department Name: Cardiovascular Services
Department Phone Number: 5409324127
Current Employment Status: FT
Current Level of Participation: Not active
Intended Level of Participation: Clinician II
Supervisor: Daniel Grantham

Clinician Requirements Roadmap

Clinician II Requirements Completed: 25 Total Points (from at least 2 categories), 2 years of RN experience OR completion of the AH Nurse Residency Program*, Leadership contact hours (4 hours), Behavioral Exemplar: Clinician II
Clinician III Requirements Completed:
Clinician IV Requirements Completed:

Transformational Leadership

Professional Nursing Organizations:

Educational Roles

Precepting
Precept AH Team Member: 0
Preceptor Travel: 0
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: Vice Chair / Other Office (3 pts)
System-Wide Committee:
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2ndPreceptor.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/UnitCouncilVC.pdf

Structural Empowerment

Community Outreach/Events

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

Structural Empowerment Supporting/Validation Documents

Exemplary Professional Practices

Professional Development

BSN (4 pts), Cross-training to another department (3pts)

Recognition

Internal – Unit: 2 (2 pts)
Internal – System: 0
External – Health-Care Related: 0

Clinical Resource Roles

Shared Governance Council
Charge: Less than %50 (1 pt)
Patient Experience Rounding Nurse/Super-User Technology: Patient Experience Rounding Nurse (4 pts)

Presentations/Publications

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/BSN05082021.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ICUcrosstrain.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognitions.xlsx

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 4 Courses (8 pts)
Clinical Resource Roles

Performance Improvement

Other Improvement & EPB Projects

Audits

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Fall2020NUR.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Spring2021NUR.pdf

Totals

Total TL: 5
Total SE: 0
Total EPP: 14
Total NKI: 8

Grand Total: 27