Created: September 21, 2021 at 2:12 pm
Updated: September 29, 2021 at 8:18 am
Draft Status: 0

Employee Information

Team Member: Tina Pitzer

Employee ID: 00201
Email Address: tpitzer@augustahealth.com
Department Name: Wound Healing Clinic
Department Phone Number: 540-245-7230
Current Employment Status: FT
Current Level of Participation: Clinician IV
Intended Level of Participation: Clinician IV
Supervisor: Tonya Meadows

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: 0
Preceptor Travel: 0
Secondary Preceptor: 0
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/3/2021-BNA-Membership.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-Shared-Governance.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:
Journal Club: Attend (1 pt), Presented 2 times (4 points, max)
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/3/2021-Volunteering-for-Nurses-Week.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-VCU-Conference-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-Journal-Club-Attendance-Roster-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-Journal-Club-Information-Revised-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-CWS-Certification-Card-2.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: 10 (10 pts)
Internal – System: 0
External – Health-Care Related: 0

Clinical Resource Roles

Shared Governance Council
Charge: 0
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/3/2021-EMU-Diploma-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-CHRN-Certification-Card-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/CHRN-Certificate-150×150.jpg, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-HBO-Cross-Train-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-Letters-of-Recognition-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-Charge-Nurse-2021.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Updated-MedE-Kast.pdf

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 3 (3 pts)
Continuing college credits: 0
Clinical Resource Roles

Performance Improvement

Other Improvement & EPB Projects

Audits
Short Term (1 pt)

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-Health-Stream-Topics-Presented.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-Policies-Reviewed.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2021-Chart-Audit.pdf

Totals

Total TL: 5
Total SE: 9
Total EPP: 23
Total NKI: 6

Grand Total: 43