Created: September 12, 2022 at 11:38 am
Updated: September 12, 2022 at 11:38 am
Draft Status: 0

Employee Information

Team Member: Anna Mikolay

Employee ID: 14190
Email Address: amikolay@augustahealth.com
Department Name: emergency department
Department Phone Number: 540-332-4465
Current Employment Status: FT
Current Level of Participation: Clinician II
Intended Level of Participation: Clinician II
Supervisor: Kira Griffin

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

Precepting
Precept AH Team Member: 2 Orientees (6pts)
Preceptor Travel: 0
Secondary Preceptor: 2 shifts/ team member (1 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: Vice Chair / Other Office (3 pts)
System-Wide Committee:
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ENA-membership-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/transformational-leadership-1.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: Competency Validator (3 pts)
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: 1 addtional certification (1 pt)

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/TNCC-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Structural-empowerment.pdf

Exemplary Professional Practices

Professional Development

Recognition

Internal – Unit: 9 (9 pts)
Internal – System: 0
External – Health-Care Related: 0

Clinical Resource Roles

Shared Governance Council
Charge: Greater than %50 (2 pts)
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/Ecard-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ecard-2.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ecard-3.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ecard-4.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ecard-5.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ecard-6.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ecard-7.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ecard-8.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ecard-9.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: 4 Courses (8 pts)
Clinical Resource Roles

Performance Improvement
Key Participant in PI/RCI/Kaizen project (3 pts)
Other Improvement & EPB Projects
Key Participant in PI/RCI/Kaizen project (3 pts)
Audits

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Change-Project-IV.pptx, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Spring-Semester-classes.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/new-knowledge-innovations-and-improvements.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/NPDP-project-sheets.pdf

Totals

Total TL: 12
Total SE: 5
Total EPP: 14
Total NKI: 13

Grand Total: 44