Periodic Evaluation: Tracking Progression To Independent Practice

Evaluate the level of capability at specific intervals during the orientation and internship period. All ratings will be based on, and reflect PROGRESSION towards, the individual’s ability to INDEPENDENTLY MANAGE A FULL PATIENT ASSIGNMENT.

“Limited experience” ratings include any aspects of care that have NOT yet been observed and validated, along with any concerns that require further supervision.

Scores of 4, 5 or 6 show strong, effective, skills development and progression towards independent management of a full assignment.

A rating of 7 or higher indicates the ability to function and prioritize without supervision, assistance or direction.


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* 2. User ID (optional except for Nevada grant participants)

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* 3. Your role:

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* 7. Safety/Technical/Clinical Skills- in the Management of a FULL Patient Assignment

  1 - Limited Experience 2 3 4 5 6 7 8 9 10 - Completely Independent
Maintains universal precautions
Safety for self and patients - body mechanics, emergencies
Assessment and planning
General procedures and interventions
IV and medication management

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* 8. Communication - in the Management of a FULL Patient Assignment

  1 - Limited Experience 2 3 4 5 6 7 8 9 10 - Completely Independent
Documentation/Charting of work
Computer skills
Hand-off communications - both given and received
Interactions with patients, colleagues, etc.

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* 9. Critical Thinking - in the Management of a FULL Patient Assignment

  1 - Limited Experience 2 3 4 5 6 7 8 9 10 - Completely Independent
Knows own limits; Seeks help when needed
Demonstrates self confidence
Recognizes changes in patient conditions or equipment
Evaluates situation and plans appropriate interventions

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* 10. Leadership and Management Skills - in the Management of a FULL Patient Assignment

  1 - Limited Experience 2 3 4 5 6 7 8 9 10 - Completely Independent
Demonstrates organizational skills
Sets priorities during work experience
Works toward independence
Delegates effectively
Demonstrates accountability as a team member
Utilizes resources appropriately

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* 11. Human Caring and Relationship Skills - in the Management of a FULL Patient Assignment

  1 - Limited Experience 2 3 4 5 6 7 8 9 10 - Completely Independent
Interactions with patients/families
Interactions with team members anf other health care providers
Age/culture appropriate care
Demonstrates customer service behaviors
Maintains confidentiality

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* 12. Teaching Skills - in the Management of a FULL Patient Assignment

  1 - Limited Experience 2 3 4 5 6 7 8 9 10 - Completely Independent
Participation in orientation/preceptor program
Initiates own learning opportunities
Completes patient teaching
Engages in professional development

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* 13. Knowledge Integration and Unit Specific Skills - in the Management of a FULL Patient Assignment

  1 - Limited Experience 2 3 4 5 6 7 8 9 10
Management of specialty specific clients
Personal role development within specialty
Specialty specific procedures and equipment
Completion of unit-specific skills
Adheres to protocols consistently while delivering care

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