Created: September 19, 2022 at 6:59 pm
Updated: September 19, 2022 at 7:00 pm
Draft Status: 0

Employee Information

Team Member: Eric Stajduhar

Employee ID: 12925
Email Address:
Department Name: Cardiac Cath and Electrophysiology
Department Phone Number: 540-332-5254
Current Employment Status: FT
Current Level of Participation: Clinician III
Intended Level of Participation: Clinician IV
Supervisor: G Sabine Dukes

Clinician Requirements Roadmap

Clinician II Requirements Completed:
Clinician III Requirements Completed:
Clinician IV Requirements Completed: 40 Total Points (from all 4 categories), BSN OR MSN, 4+ Years of RN Experience*, National Certification, Teach In-House or Community, Leadership contact hours (12 hours), Behavioral Exemplar: Clinician IV

Transformational Leadership

Professional Nursing Organizations: Members (2 pts)

Educational Roles

Precept AH Team Member: 1 Orientee (3pts)
Preceptor Travel: 0
Secondary Preceptor: 4 shifts+/ team member (2 pt)
Preceptor Capstone Student: 2 (2 pts)
Preceptor for Degree Completion:
AH NPDP: 2 (2 pts)
Student Daily Shift Support: 100 hrs (1 pt)

Shared Decision Making

Unit Based Council/Committee/Taskforce: Vice Chair / Other Office (3 pts), Chair (4 pts)
System-Wide Committee: Members (2 pts)
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 0
Other Volunteer AH Event: 0
Coordinate Nursing Event:
Conferences: Other Instructor (3 pts)
Educational Leadership: Competency Validator (3 pts), Unit Inservice Education (2 Inservices/Yr) (2 pts)
Journal Club:
Activities Through Nursing Education
Present Formal Education: [105]
AHA Instructor:
Skills Fair Instructor: 0
Other Instructor: Other Instructor (3 pts)
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), National Nursing Certification (3 pts) *Non-nationally recognized certification, see SE Activities through Nursing Education section


Internal – Unit: 8 (8 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: Patient Experience Rounding Nurse (4 pts), Super-User Technology/Equip (3 pts) *Annual validation of skill(s)


Structural Empowerment Supporting/Validation Documents

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 0
Clinical Resource Roles

Performance Improvement
PI Unit based education (4 pts)
Other Improvement & EPB Projects
PI Unit based education (4 pts)
Short Term (1 pt), Ongoing (3 pts), Hand Hygiene Observer (1pt)

Knew Knowledge Supporting/Validation Documents


Total TL: 21
Total SE: 10
Total EPP: 24
Total NKI: 13

Grand Total: 68