Created: September 30, 2022 at 4:43 pm
Updated: September 30, 2022 at 4:43 pm
Draft Status: 0

Employee Information

Team Member: Carolynn Nesselrodt

Employee ID: 16024
Email Address: cnesselrodt@augustahealth.com
Department Name: Center for Cancer & Blood Disorders
Department Phone Number: 540-332-5960
Current Employment Status: FT
Current Level of Participation: Not active
Intended Level of Participation: Clinician III
Supervisor: Mary-Kate DePriest

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: 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: Chair (4 pts)
System-Wide Committee:
Shared Governance Council: Vice Chair (10 pts)

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ONS-Membership-150×150.png, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Copy-of-SGC-Attendance-2021-2022.xlsx, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/September-UC-Notes.docx, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Carolynn-Nesselrodts-letterYvetteBenson.docx, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Sheila-Morans-Clinical-Hour-sheet.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Amber-Glasser-Hours-Log.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Amber-Glasser-Preceptor-Attestation.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Transformational-leadership-log.pdf

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 6 hours of event volunteering (1 pt)
Other Volunteer AH Event: 0
Coordinate Nursing Event: Coordinate Nursing Event (4 pts), Unit Peer Vaccinator (2 pts)
Conferences:
Educational Leadership: Competency Validator (3 pts), Unit Inservice Education (2 Inservices/Yr) (2 pts)
Journal Club:
Activities Through Nursing Education
Present Formal Education: [105]
AHA Instructor:
Skills Fair Instructor: 6 sessions (2 pts)
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/Food-Pharmacy-Program-Note.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/May-Education-Huddle-EventReporting.docx, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Process-Job-Aid-Patient-Fall-Risk-Managment-2022-Final.docx, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ONSCongress22Certificate.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/PDNursingConference.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Structural-empowerment-log.pdf

Exemplary Professional Practices

Professional Development

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

Recognition

Internal – Unit: 5 (5 pts)
Internal – System: 1 (4 pt)
External – Health-Care Related: 1 (6 pt)

Clinical Resource Roles

Shared Governance Council
Charge: 0
Patient Experience Rounding Nurse/Super-User Technology:

Presentations/Publications

Article for Augusta Heartbeat Newsletter (2 pts), Abstract Submission 2 (pts), EBP Poster Presentation – External (4 pts)

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/NewsLeaderCaringForYouArticle-150×150.png, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/AugustaWayValuesNom2-2022.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/MABCrosstrainletter-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2022-EBP-Poster.CNesselrodt-1.pptx, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Taking-Care-of-Us-Article-1.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ShiningStarECard-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ShiningStarAwardBoard2-150×150.png, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Daisy-Award.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/BSN-3.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2022-Poster-Expo-Award.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Exemplary-professional-practice_.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
Ongoing (3 pts)

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/CEU-AUDIT-OncologyNursingCredentialsTemplateStd4.2-1.xlsx, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/New-knowledge-innovation-improvements.pdf

Totals

Total TL: 18
Total SE: 20
Total EPP: 30
Total NKI: 3

Grand Total: 71