PTSF Site Survey Education and Credentialing Report This report must cover a 12-month period. Start date: ___________________End date: ______________________ Educational hours may be prorated based on employee start date. NURSING UNIT in in in with hours ACLS hours ACLS RNs RNs RNs RNs RNs meeting year with annual annual of years years RNs of meeting of of of PTNCC PTNCC con-ed con-ed with 1 with % 2 3 of of # # # Completed # # Completed with Advanced Advanced of > > % > department department # department % Certification Certification # % # required required Emergency Department Intensive Care Unit Intensive Care Step-Down Unit Medical/Surgical Floor Other Unit Other Unit Operating Room PACU Social Work Case Management Comments Total # of RN’s with ACLS/PALS/Advanced Certification may include the true total number and not just those with more than 2 or 3 years in the departments.
PTSF Site Survey Education and Credentialing Report This report must cover a 12-month period. Start date: ___________________End date: ______________________ Educational hours may be prorated based on employee start date. NURSING UNIT # of RNs # of RNs > 1 year in department # Completed PTNCC % Completed PTNCC # meeting required hours of annual con-ed % with meeting required hours of annual con-ed # of RNs > 2 years in department # with ACLS % with ACLS # of RNs > 3 years in department # of RNs with Advanced Certification % of RNs with Advanced Certification Emergency Department Intensive Care Unit Intensive Care Step-Down Unit Medical/Surgical Floor Other Unit Other Unit Operating Room PACU Social Work Case Management Comments Total # of RN’s with ACLS/PALS/Advanced Certification may include the true total number and not just those with more than 2 or 3 years in the departments.
PTSF_Site_Survey_Education_and_Credentialing_Report.docx