Created: September 28, 2022 at 5:00 pm
Updated: September 30, 2022 at 3:34 pm
Draft Status: 0

Employee Information

Team Member: Eric Marquez

Employee ID: 19268
Email Address: ecmarquez13@yahoo.com
Department Name: Emergency Department
Department Phone Number: 5403324465
Current Employment Status: FT
Current Level of Participation: Clinician II
Intended Level of Participation: Clinician III
Supervisor: Amanda Bennington

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: 0
Secondary Preceptor: 4 shifts+/ team member (2 pt)
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: 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/ENAPrintMembershipCardfromwebNew__nfena_a681e4e7-85e1-463b-b967-40b584f6a5176232022.PDF2022-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/UnitCouncilMemberAugust-2022-agenda-1.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/UnitcouncilmeetingPhoto-38.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/PathwaytoexcellencePhoto-39.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/4.6.22-Meeting-Minutes-Professional-Development-Standards-Committee-1.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/PreceptorPhoto-41.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/5.10.22-Meeting-Minutes-Professional-Development-Standards-Committee-1.doc

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 24 hours of event volunteering (4 pt)
Other Volunteer AH Event: 0
Coordinate Nursing Event:
Conferences:
Educational Leadership: Competency Validator (3 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/3/4D37FC28-CA5D-4B27-B30D-483674A9CD64-150×150.png, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/VolunteerPhoto-42.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

Recognition

Internal – Unit: 3 (3 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/CertificatePreview-1.pdfCEN2026-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/CertificatePreview-1.pdfcpen-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/CertificatePreview-1.pdftcrn-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/diploma-2.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ShiningStarfromGleniece-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ShiningStarfromKira-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/SuperuserPhoto-40-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ShiningstarEcardPhoto-43.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
Lead PDCA/PI/Rapid Cycle Improvement unit project (8 pts)
Other Improvement & EPB Projects
Lead PDCA/PI/Rapid Cycle Improvement unit project (8 pts)
Audits
Short Term (1 pt), Hand Hygiene Coach (2 pts)

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/NPDPProjectFormPhoto-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/BedsidehandoffPhoto-44.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Handhygienecoachdocu-1.pdf

Totals

Total TL: 16
Total SE: 11
Total EPP: 14
Total NKI: 11

Grand Total: 52