Created: October 3, 2022 at 8:26 am
Updated: November 23, 2022 at 7:14 am
Draft Status: 0

Employee Information

Team Member: Carolyn Balkey

Employee ID: 18576
Email Address: CB5760820@augustahealth.com
Department Name: crossroads
Department Phone Number: 540-332-4060
Current Employment Status: FT
Current Level of Participation: Clinician II
Intended Level of Participation: Clinician II
Supervisor: Karen Eisenhauer

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: 4 shifts+/ team member (2 pt)
Secondary Preceptor: 0
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: Member (2 pts)
System-Wide Committee:
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ANA-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/transformational-leadership-documentation.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/PRE-AND-CHARGE.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: 0

Structural Empowerment Supporting/Validation Documents

Exemplary Professional Practices

Professional Development

BSN (4 pts)

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:

Presentations/Publications

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ODU-transcript.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Shining-stars-2022.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/exemplary-professional-practice-documentation.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/PRE-AND-CHARGE-1.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

Other Improvement & EPB Projects

Audits
Hand Hygiene Coach (2 pts), Hand Hygiene Observer (1pt)

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ODU-transcript-1.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/New-knowledge-innovation-improvements-documentaion.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/HH.pdf

Totals

Total TL: 12
Total SE: 0
Total EPP: 15
Total NKI: 11

Grand Total: 38