Created: October 5, 2021 at 3:57 pm
Updated: October 5, 2021 at 3:57 pm
Draft Status: 0

Employee Information

Team Member: Ashley Brucia

Employee ID: 06893
Email Address: ab8930619@augustahealth.com
Department Name: Crossroads
Department Phone Number: 540-332-4060
Current Employment Status: FT
Current Level of Participation: Not active
Intended Level of Participation: Clinician III
Supervisor: April Simmons

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: 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: Chair (4 pts)
System-Wide Committee:
Shared Governance Council: Other Office (8 pts)

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Shared-Governance-Council.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Unit-Council.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Precepting.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ANA-member.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: 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/Skills-fair-instructor.pdf

Exemplary Professional Practices

Professional Development

BSN (4 pts)

Recognition

Internal – Unit: 3 (3 pts)
Internal – System: 1 (4 pt)
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/BSN.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Charge-nurse.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Unit-recognition.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Values-Leader.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

Knew Knowledge Supporting/Validation Documents

Totals

Total TL: 16
Total SE: 1
Total EPP: 14
Total NKI: 0

Grand Total: 31