Created: September 28, 2022 at 10:30 am
Updated: September 28, 2022 at 10:30 am
Draft Status: 0

Employee Information

Team Member: Anne Liskey

Employee ID: 17000
Email Address: aliskey@augustahealth.com
Department Name: Progressive Care Unit
Department Phone Number: 540-332-4340
Current Employment Status: Part Time
Current Level of Participation: Clinician III
Intended Level of Participation: Clinician III
Supervisor: Brannelly Batman

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

Transformational Leadership Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/TL-Final-Combined-1.pdf

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)
Journal Club:
Activities Through Nursing Education
Present Formal Education: [105]
AHA Instructor:
Skills Fair Instructor: 6 sessions (2 pts)
Other Instructor: Other Instructor (3 pts)
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/SE-Final-combined-1.pdf

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: Less than %50 (1 pt)
Patient Experience Rounding Nurse/Super-User Technology:

Presentations/Publications

Structural Empowerment Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/EPP-final-combined-1.pdf

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 0
Clinical Resource Roles
Unit (2 pts)
Performance Improvement

Other Improvement & EPB Projects

Audits
Ongoing (3 pts), Hand Hygiene Observer (1pt)

Knew Knowledge Supporting/Validation Documents

https://nursing.augustahealth.com/wp-content/uploads/formidable/3/NKII-combined-final-2.pdf

Totals

Total TL: 10
Total SE: 8
Total EPP: 14
Total NKI: 6

Grand Total: 38