Created: October 25, 2021 at 8:49 am
Updated: October 25, 2021 at 8:49 am
Draft Status: 0

Employee Information

Team Member: Anne Aycock

Employee ID: 16166
Email Address: aaycock@augustahealth.com
Department Name: Wound Healing Clinic
Department Phone Number: 7230
Current Employment Status: FT
Current Level of Participation: Clinician II
Intended Level of Participation: Clinician III
Supervisor: Tonya Meadows

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: 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: Chair (4 pts)
System-Wide Committee: Members (2 pts)
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/TL-Professional-Nursing-Organization.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/TL-System-Wide-Committee-member.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/TL-Unit-Council-Chair.pdf

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 0
Other Volunteer AH Event: 2 (2 pt)
Coordinate Nursing Event:
Conferences:
Educational Leadership: Unit Inservice Education (2 Inservices/Yr) (2 pts)
Journal Club: Attend (1 pt), Presented 1 time (2 pts)
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/SE-Journal-Club.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/SE-Other-Volunteer-AH-Event.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/SE-Unit-Inservice-Education.pdf

Exemplary Professional Practices

Professional Development

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

Recognition

Internal – Unit: 9 (9 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:

Presentations/Publications

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/EPP-BSN.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/EPP-Clinical-Resource-Role-charge.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/EPP-Cross-training-to-another-department.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/EPP-Letters-of-Recognition.pdf

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 2 Courses (4 pts)
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/NKII-Audits-short-term.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/NKII-Continuning-college-credits-for-advancing-nursing-degree.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/NKII-EB-Practice-Policy-Change.pdf

Totals

Total TL: 8
Total SE: 7
Total EPP: 17
Total NKI: 7

Grand Total: 39