Careers

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Demonstrates Competency in the Following Areas:

Provides skilled nursing in the home as ordered on the plan of treatment and nursing care plan. *ExcellentCompetentAverageUnsatisfactory

Evaluates the significance of assessment findings and communicates any pertinent information about the patient’s clinical status and ongoing needs to others in a timely fashion. *ExcellentCompetentAverageUnsatisfactory

Ability to adequately assess and reassess pain. Utilisez appropriâtes pain management techniques. Educates the patient and family regarding pain management. *ExcellentCompetentAverageUnsatisfactory

Demonstrates knowledge of medications and their correct administration based on age of the patient and patient’s clinical position. *ExcellentCompetentAverageUnsatisfactory

Follows the five (5) medication rights and reduces the potential for medication errors. *ExcellentCompetentAverageUnsatisfactory

Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. *ExcellentCompetentAverageUnsatisfactory

Follows the five (5) medication rights and reduces the potential for medication errors. *ExcellentCompetentAverageUnsatisfactory

Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. *ExcellentCompetentAverageUnsatisfactory

Functions as a team member demonstrating collaboration with, and responsibility to, the patient, physician, and interdisciplinary team. *ExcellentCompetentAverageUnsatisfactory

Adheres to all Agency, payroll, billing, and documentation policies and procedures. *ExcellentCompetentAverageUnsatisfactory

Participates in the Agency’s other mandated activities, as requested by Clinical Supervisor or Director of Patient Care Services, including in-services and UR/PI committee. *ExcellentCompetentAverageUnsatisfactory

Performs patient care responsibilities considering the needs to the standard of care for the patient’s age. *ExcellentCompetentAverageUnsatisfactory

Addresses and supports cultural practices, as long as such practices do not harm others or interfere with the planned course of medical therapy. *ExcellentCompetentAverageUnsatisfactory

Promotes patient/family/caregiver education using various verbal and written communication techniques that take into account the patient’s/family’s cultural, ethnic, and/or personal needs or preferences. *ExcellentCompetentAverageUnsatisfactory

Completes and submits necessary documentation in accordance with Agency policy and applicable regulations. *ExcellentCompetentAverageUnsatisfactory

Submits verification of completed visits in accordance with Agency policy. *ExcellentCompetentAverageUnsatisfactory

Participates in interdisciplinary team conferences in accordance with Agency policy. *ExcellentCompetentAverageUnsatisfactory

Maintains current knowledge of community resources. Identifies and assesses appropriate external and internal resources to meet patient and/or family needs and to facilitate optimal patient outcomes while home care services are being provided, and for transfer and discharge processes. *ExcellentCompetentAverageUnsatisfactory

Professional Requirements:

Adheres to dress code, appearance is neat and clean. *ExcellentCompetentAverageUnsatisfactory

Adheres to legal practice standards, including applicable federal, state, and local regulations and standards. *ExcellentCompetentAverageUnsatisfactory

Completes annual education requirements. *ExcellentCompetentAverageUnsatisfactory

Maintains patient confidentiality at all times. *ExcellentCompetentAverageUnsatisfactory

Demonstrates effective time management and organizational skills; provides patient visits as scheduled, and completes patient care within the designated time. *ExcellentCompetentAverageUnsatisfactory

Wears identification while providing patient care. *ExcellentCompetentAverageUnsatisfactory

Attends annual review and in-services, as scheduled. *ExcellentCompetentAverageUnsatisfactory

Attends at least __ staff meetings annually, reads and returns all monthly staff meeting minutes. *ExcellentCompetentAverageUnsatisfactory

Articulates the Agency grievance/concerns procedure. *ExcellentCompetentAverageUnsatisfactory

Articulates Agency adverse event/incident reporting procedure. *ExcellentCompetentAverageUnsatisfactory

Articulates the organization’s emergency management plan. *ExcellentCompetentAverageUnsatisfactory

Maintains currency of professional knowledge by participating in continuing education offerings. *ExcellentCompetentAverageUnsatisfactory

Assures continued competency by maintaining and updating professional performance, knowledge, and skills. *ExcellentCompetentAverageUnsatisfactory

Actively participates in performance improvement and continuous quality improvement (CQI) activities. *ExcellentCompetentAverageUnsatisfactory

Practices in a manner consistent with the professional and Agency code of ethics. *ExcellentCompetentAverageUnsatisfactory

Represents the organization in a positive and professional manner. *ExcellentCompetentAverageUnsatisfactory

Complies with all organizational policies regarding ethical business practices. *ExcellentCompetentAverageUnsatisfactory

Communicates the mission, ethics, and goals of the organization. *ExcellentCompetentAverageUnsatisfactory

Manager’s Comments: *

Recommended Goals/Actions/Areas Needing Improvement: *

Staff Member Comments: *

Achieved Previously Established Goals? *

Staff Member Signature *

Department Manager Signature *

Administrative Signature *

LPN ANNUAL PROFESSIONAL PERFORMANCE AND COMPETENCY EVALUATION

As a member of the Agency’s personnel team, your comments and input are important to both the continuing development and quality provision of patient care and services of the institution. Your continued professional growth and job satisfaction are primary goals of the organization. The administrative team and your department supervisor are interested in your comments regarding the following:

How would you rate your current job satisfaction level? *

How would you rate your current job performance? *

How would you rate the organization’s provision of personnel benefits? *

How would you rate the organization’s provisions for personnel continuing education? *

How would you rate the organization’s physical working environment? *

List your professional goals: *

List any departmental goals that may differ from professional goals (include educational and performance goals): *

Is there anything the organization can do to help you achieve any of these goals? If so, please describe: *

Comments you feel may assist the organization with improving personnel satisfaction/Response to Evaluation *

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Signature *

Date *

First Care Home Services pledges to utilize information provided for the sole purpose of improving personnel satisfaction and assisting the author with achievement of advanced personal and/or professional growth

VA Central Registry Search Form

Background check form to search Virginia's Child Abuse & Neglect Registry. Requires personal details, address history, family info, and a $12 fee.

PDF · 3 pages · Form 032-02-0151-12-eng

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Kindly reach out if you need more information or have a contrary opinion or update. Thank you

Demonstrates Competency in the Following Areas:

Professional Requirements:

LPN ANNUAL PROFESSIONAL PERFORMANCE AND COMPETENCY EVALUATION

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