Created: September 6, 2022 at 9:25 am
Updated: September 6, 2022 at 9:25 am
Draft Status: 0

Employee Information

Team Member: Dylan May

Employee ID: 10715
Email Address: dmay@augustahealth.com
Department Name: Emergency Department
Department Phone Number: 5403324465
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: Members (2 pts)

Educational Roles

Precepting
Precept AH Team Member: 1 Orientee (3pts)
Preceptor Travel: 0
Secondary Preceptor: 4 shifts+/ team member (2 pt)
Preceptor Capstone Student: 0
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:
System-Wide Committee:
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ENA-Membership-Card-09052022.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2022-AH-NPDP-Supporting-Documentation-Log-TL-DM-signed.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2022-AH-NPDP-Supporting-Documentation-Log-TL-DM-signed-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:
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: 1 addtional certification (1 pt)

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/CEN-Certificate-Clinical-Ladder-2022-Copy.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2022-AH-NPDP-Supporting-Documentation-Log-SE-DM-signed.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: 10 (10 pts)
Internal – System: 1 (4 pt)
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/Recognition-1-20-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-2-20-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-3-15-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-3-17-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-3-23-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-6-3-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-6-8-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-7-28-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-8-9-22.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-12-9-2021.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-12-10-2021-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Recognition-12-10-2021.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Values-Celebration-Nominee.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/NRP-2022.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2022-AH-NPDP-Supporting-Documentation-Log-EPP-DM-signed.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

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2022-AH-NPDP-Project-Submission-Form-DM-signed.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/2022-AH-NPDP-Supporting-Documentation-Log-NKII-DM-signed.pdf

Totals

Total TL: 8
Total SE: 1
Total EPP: 25
Total NKI: 3

Grand Total: 37