Adheres to hospital Identifies and Unit expert and *** Advocates for policies related to intervenes when there resource on culture of safety medication safety: are concerns related to medications through knowledge, Order writing medication safety, applicable to their problem solving, and convention, correct providing feedback to unit/clinical setting. system changes administration staff members Facilitates others considerations, involved. related to patient and Double checks and Anticipates and staff safety; actively other established intervenes related to works toward policies and practices patient and staff prevention of Familiar with and safety. potential injury follows standards related to patient and staff safety Documentation Admission Consults Involved in ongoing *** Participates in assessment, flow documentation to quality monitoring of the development of sheets, MARs, and identify trends in documentation of documentation other applicable patient status and nursing care and standards, and/or documentation forms enhance continuity of patient outcome policy are completed in a assessment and timely manner ongoing nursing care. according to policy with minimal guidance. Please describe a time when you saw me at my very best. What qualities did I display in this domain? Please provide your regarding opportunities for my personal and/or professional growth I have completed the Peer Feedback as required by the UMPNC contract, paragraph 28E, for participation in the peer review process. Name: Date: Format Revised 4/2016
Adheres to hospital policies related to medication safety: Order writing convention, correct administration considerations, Double checks and other established policies and practices Familiar with and follows standards related to patient and staff safety Identifies and intervenes when there are concerns related to medication safety, providing feedback to staff members involved. Anticipates and intervenes related to patient and staff safety. Unit expert and resource on medications applicable to their unit/clinical setting. Facilitates others related to patient and staff safety; actively works toward prevention of potential injury *** Advocates for culture of safety through knowledge, problem solving, and system changes Documentation Admission assessment, flow sheets, MARs, and other applicable documentation forms are completed in a timely manner according to policy with minimal guidance. Consults documentation to identify trends in patient status and enhance continuity of assessment and ongoing nursing care. Involved in ongoing quality monitoring of documentation of nursing care and patient outcome *** Participates in the development of documentation standards, and/or policy Please describe a time when you saw me at my very best. What qualities did I display in this domain? Please provide your regarding opportunities for my personal and/or professional growth I have completed the Peer Feedback as required by the UMPNC contract, paragraph 28E, for participation in the peer review process. Name: Date: Format Revised 4/2016
rn_Framework_Peer_Feedback_Clinical_Skills_Knowledge.docx