Created: October 14, 2021 at 5:43 pm
Updated: October 24, 2021 at 12:54 pm
Draft Status: 0

Employee Information

Team Member: Gail Delaney

Employee ID: 17285
Email Address: gdelaney@augustahealth.com
Department Name: OR
Department Phone Number: (540)332-4311
Current Employment Status: FT
Current Level of Participation: Clinician III
Intended Level of Participation: Clinician III
Supervisor: Holly Guthrie

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: Members (2 pts)

Educational Roles

Precepting
Precept AH Team Member: 2 Orientees (6pts)
Preceptor Travel: 2 shifts/ team member (1 pt)
Secondary Preceptor: 0
Preceptor Capstone Student: 2 (2 pts)
Preceptor for Degree Completion:
Mentorship
LANTERN MENTOR:
AH NPDP: 0
Student Daily Shift Support: 0

Shared Decision Making

Unit Based Council/Committee/Taskforce:
System-Wide Committee:
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

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

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 48 hours of event volunteering (6 pt)
Other Volunteer AH Event: 0
Coordinate Nursing Event:
Conferences:
Educational Leadership: Unit Inservice Education (2 Inservices/Yr) (2 pts)
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

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

Exemplary Professional Practices

Professional Development

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: 1 (1 pt)
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:

Presentations/Publications

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Exemplary-Professional-Practice-1.pdf

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 0
Clinical Resource Roles
Unit (2 pts), Interdepartmental/Interprofessional (4 pts)
Performance Improvement

Other Improvement & EPB Projects

Audits

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/New-Knowledge-Innovation-Improvements.pdf

Totals

Total TL: 11
Total SE: 8
Total EPP: 8
Total NKI: 6

Grand Total: 33