1 2 3 4 5 n/a Passive. No Actively seeks out Independently initiative. Lacks appropriate facilitates and awareness of resources and coordinates a appropriate team consults with comprehensive and community discharge plan, resources. resources. including Formulates a d/c Delegates plan. responsibility. Team meeting 1 2 3 4 5 n/a Consistently late Actively Independently or absent. participates and able to facilitate Behaviour contributes. and coordinate disruptive or Reliably performs meetings and to assigned follow-up. team process. Able to co-chair Actively moves or co-lead meeting forward. meetings. Builds consensus, resolves differences, and provides direction. Management of difference and conflict 1 2 3 4 5 n/a Argumentative. Identifies and Proactively assists Lacks awareness manages in subverting and of own personal differences resolving conflict contributions to constructively. with other difference or Listens to team/family conflict. Debates understand and members. feedback. Does for common Recognizes own not listen. ground. role in Demonstrates a contributing to willingness to act differences and upon feedback. acts to professionally resolve. Handover 1 2 3 4 5 n/a Disorganized or Provides needed Attentive in giving incomplete patient and receiving handover. Not information patient info. Uses attentive in giving Competent structured and receiving approach or use approach/tools
1 2 3 4 5 n/a Passive. No initiative. Lacks awareness of appropriate team and community resources. Actively seeks out appropriate resources and consults with resources. Formulates a d/c plan. Independently facilitates and coordinates a comprehensive discharge plan, including Delegates responsibility. Team meeting 1 2 3 4 5 n/a Consistently late or absent. Behaviour disruptive or to team process. Actively participates and contributes. Reliably performs assigned Able to co-chair or co-lead meetings. Independently able to facilitate and coordinate meetings and follow-up. Actively moves meeting forward. Builds consensus, resolves differences, and provides direction. Management of difference and conflict 1 2 3 4 5 n/a Argumentative. Lacks awareness of own personal contributions to difference or conflict. Debates feedback. Does not listen. Identifies and manages differences constructively. Listens to understand and for common ground. Demonstrates a willingness to act upon feedback. Proactively assists in subverting and resolving conflict with other team/family members. Recognizes own role in contributing to differences and acts to professionally resolve. Handover 1 2 3 4 5 n/a Disorganized or incomplete handover. Not attentive in giving and receiving Provides needed patient information Competent approach or use Attentive in giving and receiving patient info. Uses structured approach/tools
Collaborator_A2%20Encounter%20Form_Collaborator%20Role.docx