This free survey is powered by QUESTIONPRO.COM
  1. Surveys
  2. 2007
  3. November
  4. N
  5. Nurse Evaluation - Peggy Knight
0%
 

The RN evaluation for Peggy Knight is being conducted online this year and we are looking for your participation in this important process. We are asking for this evaluation to be completed no later than December 14th. Please review the following summary of progress towards Peggy's Goals & Objectives:



• Continue to read pain related articles

• Attend & participate in PMH Pain Team Meetings


• Continue to collect statistical data for Pain Service Patients


• Performed compliance chart audits with billing personnel for SMC, LTN, Sky, PMH, & RMSC


• Participated in orientation of new SDA physicians, HA & SO


• Regularly attend & participate in SDA staff meetings


• Actively participate on the Service Committee


• Oriented DU, JB, JE, & SO to the Pain Team


• Developed Patient Discharge Instructions for Regional Blocks


• Developed Patient Discharge Instructions for ON-Q pain pumps


• Developed Prescription Pain Agreement for patients requiring prescriptions written by SDA Pain Team


• Attended following Educational Workshops : Care of the Transplant Patient, ACLS, Women’s Health Issues


• Plan to attend CNI Workshop 11/30/07


• Observe Spine stimulator OR cases with Dr Barolot on 12/3/07


• Worked with MC and Tony Katlubeck to implement electronic pain log


• Continue to add information to Pain Team Web site


• Presented Educational Program on Epidural Analgesia to staff nurses
.



Thank you for your participation!
 
 
Leadership/Administrative: (25%)
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. Actively involved in decision-making for the pain service.
2. Collaborates with Pain Administrative Assistant & delegates as necessary.
3. Participates on Pain Management Team meetings at SMC and PMH
4. Orients new SDA physicians to the operation of the pain service; including peripheral nerve catheters, epidural/intrathecal opioid placement, review of appropriate order sets, and notification of pain mailbox.
5. Provides SDA physician follow-up pertaining to epidural infusion/intrathecal narcotics effectiveness, side effects, or complications.
6. Informs the Post Anesthesia Nurse of any potential medical or legal issues.
7. Interfaces with COPIC in pain injection patients who develop complications.
8. Provides orientation and written manual to SDA physicians joining the pain team.
9. Maintains accurate daily pain log and billing charges.
10. Interfaces with hospital/surgery center schedulers, pre-op and PACU personnel, and nursing staff and physicians for patient continuity of care.
11. Manages day-to-day operations of the Surgical Pain Service.
12. Rounds hospital patients daily with SPS physician or independently when necessary.
13. Fields calls for SPS from SDA office and hospitals
 
Clinical Skills/Knowledge (25%)
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. Demonstrates appropriate clinical assessment skills
2. Makes logical decisions and implements appropriate plan of action. Seeks assistance when necessary.
3. Calculates equianalgesic conversion equations competently.
4. Triages inpatient consults.
5. Receives pain injection patients from referring physicians with all pertinent MRI, x-ray reports, and physician notes.
6. Acquires current medication and allergy history from chronic pain patient, provides thorough explanation of procedure(s), pertinent instructions, and schedules patients (with appropriate scheduling department).
7. Coordinates with Pain Administrative Assistant for required insurance authorization.
8. Places follow-up phone calls 5-7 days post procedure to ascertain benefits and/or adverse reactions. Reschedules appointment as needed.
9. Adheres to HIPAA policies.
10. Remains current and proficient with pain theories and treatments.
 
Organizational Commitment: (25%)
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. Demonstrates high ethical standards and professionalism.
2. Actively participates as a member of the Service Committee.
3. Demonstrates effective conflict resolution skills.
4. Adapts to change and accepts challenges.
5. Adheres to SDA mission statement and core values.
6. Demonstrates initiative and willingness to assist others.
 
Goals/Objectives: (25%)

Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. Takes pro-active view and anticipates change and need for action.
2. Effectively blends personal goals and organizational objectives.
3. Establishes performance targets for both short range and long range.
4. Establishes specific and measurable goals.
 
 
Please insert any comments you have to add for the evaluation of Peggy Knight.
   
 
Please contact Rich Pochowicz if you have any questions regarding this survey.
Survey Software Powered by QuestionPro Survey Software