Created: October 3, 2022 at 3:27 am
Updated: October 3, 2022 at 3:27 am
Draft Status: 0

Employee Information

Team Member: Anna Ott-Young

Employee ID: 17063
Email Address:
Department Name: Medical
Department Phone Number: 540-332-4220
Current Employment Status: FT
Current Level of Participation: Not active
Intended Level of Participation: Clinician II
Supervisor: Bethany Mohler

Clinician Requirements Roadmap

Clinician II Requirements Completed: 25 Total Points (from at least 2 categories), 2 years of RN experience OR completion of the AH Nurse Residency Program*, Leadership contact hours (4 hours), Behavioral Exemplar: Clinician II
Clinician III Requirements Completed:
Clinician IV Requirements Completed:

Transformational Leadership

Professional Nursing Organizations: Members (2 pts)

Educational Roles

Precept AH Team Member: 0
Preceptor Travel: 4 shifts+/ team member (2 pt)
Secondary Preceptor: 4 shifts+/ team member (2 pt)
Preceptor Capstone Student: 0
Preceptor for Degree Completion:
Student Daily Shift Support: 0

Shared Decision Making

Unit Based Council/Committee/Taskforce: Member (2 pts)
System-Wide Committee:
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents,

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 0
Other Volunteer AH Event: 0
Coordinate Nursing Event:
Educational Leadership: Competency Validator (3 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,

Exemplary Professional Practices

Professional Development


Internal – Unit: 2 (2 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:


EBP Poster Presentation – External (4 pts), EBP Oral Presentation – Internal (2 pts)

Structural Empowerment Supporting/Validation Documents,,

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 3 Courses (6 pts)
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)

Knew Knowledge Supporting/Validation Documents,


Total TL: 8
Total SE: 7
Total EPP: 9
Total NKI: 14

Grand Total: 38