Hold office or committee 2 Written verification from Nursing chairmanship in a professional Organization outlining office or nursing organization (at a committee on which the applicant 12 month term): served. Include dates of service. Local/Regional/National (Form DD) Active committee member in a Written verification from Nursing 1 professional nursing Organization committee chairperson organization (at least a 12 outlining office or committee on month term): the applicant served. Include dates of Local/Regional/National service. (Form DD) Chairperson/Co-Chairperson 2 Written verification from Committee of a KentuckyOne Healthcare leadership sponsor confirming facility committee/council for membership & attendance. at 12 months with (Form EE) documented 75% attendance* *May not collect points for participation & chairmanship of the same committee Active member of a 1 point Written verification from Committee KentuckyOne Healthcare each, chairperson confirming membership & facility committee/council for maximum attendance. (Form EE) at least 12 months with of 2 points documented 75% attendance* Skill Element Points Acceptable Evidence to Check if using Support the Skill Element: this criteria Use appropriate templates & for your submit requested validation portfolio Activity to increase patient 1 point Written verification of activity to experience or nursing each, increase patient experience or nursing satisfaction—Cannot be satisfaction & metrics to support maximum duplicate of Research, EBP or of 2 points outcome goals signed by manager. QI initiative (Form FF) Preceptor for new employee or 1 point Each source of evidence must include student nurse* each, the name of the individual or student maximum & the hours of precepted time. 40 hours of preceptor time =1 Written verification from Education of 2 points point (Students) or unit leadership (new staff) verifying preceptee & hours of precepted time. (Form GG)
Hold office or committee chairmanship in a professional nursing organization (at a 12 month term): Local/Regional/National 2 Written verification from Nursing Organization outlining office or committee on which the applicant served. Include dates of service. (Form DD) Active committee member in a professional nursing organization (at least a 12 month term): Local/Regional/National 1 Written verification from Nursing Organization committee chairperson outlining office or committee on the applicant served. Include dates of service. (Form DD) Chairperson/Co-Chairperson of a KentuckyOne Healthcare facility committee/council for at 12 months with documented 75% attendance* *May not collect points for participation & chairmanship of the same committee 2 Written verification from Committee leadership sponsor confirming membership & attendance. (Form EE) Active member of a KentuckyOne Healthcare facility committee/council for at least 12 months with documented 75% attendance* 1 point each, maximum of 2 points Written verification from Committee chairperson confirming membership & attendance. (Form EE) Skill Element Points Acceptable Evidence to Support the Skill Element: Use appropriate templates & submit requested validation Check if using this criteria for your portfolio Activity to increase patient experience or nursing satisfaction—Cannot be duplicate of Research, EBP or QI initiative 1 point each, maximum of 2 points Written verification of activity to increase patient experience or nursing satisfaction & metrics to support outcome goals signed by manager. (Form FF) Preceptor for new employee or student nurse* 40 hours of preceptor time =1 point 1 point each, maximum of 2 points Each source of evidence must include the name of the individual or student & the hours of precepted time. Written verification from Education (Students) or unit leadership (new staff) verifying preceptee & hours of precepted time. (Form GG)
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