Created: September 30, 2022 at 8:47 pm
Updated: November 11, 2022 at 3:17 pm
Draft Status: 0

Employee Information

Team Member: Rebecca Rothrock

Employee ID: 19076
Email Address: rr0760321@augustahealth.com
Department Name: OB
Department Phone Number: 4360
Current Employment Status: Part Time
Current Level of Participation: Not active
Intended Level of Participation: Clinician II
Supervisor: Stephanie Brooks

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: 0
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:
System-Wide Committee:
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/ANAcard2022-150×150.jpg, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/TL-Preceptor-log.pdf

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 12 hours of event volunteering (2 pt)
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

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/Service-Log.xls, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/SE-Volunteer-Log.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: 0
External – Health-Care Related: 1 (6 pt)

Clinical Resource Roles

Shared Governance Council
Charge: 0
Patient Experience Rounding Nurse/Super-User Technology:

Presentations/Publications

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/EPP-Daisy.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/EPP-RNC.pdf, https://nursing.augustahealth.com/wp-content/uploads/formidable/3/EPP-Nurse-Leader-RoundingDaisy.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

Other Improvement & EPB Projects

Audits

Knew Knowledge Supporting/Validation Documents

Totals

Total TL: 3
Total SE: 2
Total EPP: 23
Total NKI: 0

Grand Total: 28