Be a chairperson/co-chairperson 2 Written verification from of a unit council with 75% Clinical Manager/Director of meeting attendance over a 12 status and length of time in role. month period (Form U) --OR— Be an active participant in a unit 1 council with 75% meeting attendance over a 12 month period Be a champion or superuser for 1 point Written verification from special projects with each. Clinical Manager/Director of demonstrated return of Maximum status and length of time in role. information to the unit staff for of 2 Written verification of activity at least 6 months and dissemination of information. (Form V) Developed an e-learning 1 each. Written verification from the module (LEARN module) Maximum administrator to include: which was published in the goals, title, distribution, date and of 2 LEARN system CEs if applicable. (Form W) Presentation of a case study or 1 each. Program flyer or attendance patient care conference (facility roster Maximum (Form X) level or above) of 2 points. Skill Element Points Acceptable Evidence to Check if Support the using this Element: Use appropriate criteria templates and submit for your requested validation portfolio Exemplary Professional Practice AHA certifications that are not 1 point Copy of certification wallet card a job requirement: ie, ACLS, each. or active certification credential PALS, NRP, Stroke Maximum with expiration date. (Form Y) of 2 points.
Be a chairperson/co-chairperson of a unit council with 75% meeting attendance over a 12 month period Be an active participant in a unit council with 75% meeting attendance over a 12 month period 2 --OR— 1 Written verification from Clinical Manager/Director of status and length of time in role. (Form U) Be a champion or superuser for special projects with demonstrated return of information to the unit staff for at least 6 months 1 point each. Maximum of 2 Written verification from Clinical Manager/Director of status and length of time in role. Written verification of activity and dissemination of information. (Form V) Developed an e-learning module (LEARN module) which was published in the LEARN system 1 each. Maximum of 2 Written verification from the administrator to include: goals, title, distribution, date and CEs if applicable. (Form W) Presentation of a case study or patient care conference (facility level or above) 1 each. Maximum of 2 points. Program flyer or attendance roster (Form X) Skill Element Points Acceptable Evidence to Support the Element: Use appropriate templates and submit requested validation Check if using this criteria for your portfolio Exemplary Professional Practice AHA certifications that are not a job requirement: ie, ACLS, PALS, NRP, Stroke 1 point each. Maximum of 2 points. Copy of certification wallet card or active certification credential with expiration date. (Form Y)
NPDPFinalCheckoff-5.docx