Created: October 21, 2021 at 5:47 am
Updated: October 21, 2021 at 5:47 am
Draft Status: 0

Employee Information

Team Member: Lacy Cline

Employee ID: 17450
Email Address: lc4500519@augustahealth.com
Department Name: Medical
Department Phone Number: 540-332-4220
Current Employment Status: FT
Current Level of Participation: Clinician II
Intended Level of Participation: Clinician III
Supervisor: Brannelly Batman

Clinician Requirements Roadmap

Clinician II Requirements Completed:
Clinician III Requirements Completed: 30 Total Points (from at least 3 categories- 1 must be TL), 3 Years of RN Experience*, National Certification OR BSN, Leadership contact hours (8 hours), Behavioral Exemplar: Clinician III
Clinician IV Requirements Completed:

Transformational Leadership

Professional Nursing Organizations:

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: Member (2 pts)
System-Wide Committee: Members (2 pts)
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/preceptor-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/fall-subcomittee.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/unit-council-2.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/CAUTI-Task-Force-Kickoff-v2-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Cauti-documentation.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/transformational-leadership-2.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: Content Contributor (1 pt)
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: 1 addtional certification (1 pt)

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/teaching.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/acls.pdf

Exemplary Professional Practices

Professional Development

National Nursing Certification (3 pts) *Non-nationally recognized certification, see SE Activities through Nursing Education section

Recognition

Internal – Unit: 10 (10 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:

Presentations/Publications

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/recognition-4.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/medsurg-bc-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/exemplary-practice.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

Other Improvement & EPB Projects

Audits
Short Term (1 pt), Hand Hygiene Observer (1pt)

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Copy-of-My_Rounds.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/new-knowledge-2.pdf

Totals

Total TL: 11
Total SE: 2
Total EPP: 15
Total NKI: 2

Grand Total: 30