Created: August 31, 2022 at 10:41 am
Updated: August 31, 2022 at 10:41 am
Draft Status: 0

Employee Information

Team Member: Samantha Lipscomb

Employee ID: 07571
Email Address: slipscomb@augustahealth.com
Department Name: ED
Department Phone Number: 540-332-4465
Current Employment Status: FT
Current Level of Participation: Clinician III
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:

Educational Roles

Precepting
Precept AH Team Member: 2 Orientees (6pts)
Preceptor Travel: 0
Secondary Preceptor: 2 shifts/ team member (1 pt)
Preceptor Capstone Student: 2 (2 pts)
Preceptor for Degree Completion: Preceptor for degree completion (1pt)
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: Members (4 pts)

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Transformational-Leadership-AH-NPDP-Supporting-Documentation-Log.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Transformational-Leadership-signature-page.pdf

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 48 hours of event volunteering (6 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: 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/NRP-certification.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Structural-Empowerment-AH-NPDP-Supporting-Documentation-Log.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Structural-Empowerment-signature-page.pdf

Exemplary Professional Practices

Professional Development

BSN (4 pts)

Recognition

Internal – Unit: 3 (3 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: 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/E-card-Email-recognition.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Exemplar-PP-AH-NPDP-Supporting-Documentation-Log.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Exemplary-Professional-Practice-signature-page.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Huron-Make-a-Difference-recognition.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
Key Participant in PI/RCI/Kaizen project (3 pts)
Other Improvement & EPB Projects
Key Participant in PI/RCI/Kaizen project (3 pts)
Audits
Hand Hygiene Observer (1pt)

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/New-Knowledge-AH-NPDP-Supporting-Documentation-Log.doc, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/New-Knowledge-signature-page.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Project-form-2022.pdf

Totals

Total TL: 17
Total SE: 11
Total EPP: 12
Total NKI: 4

Grand Total: 44