Critique of a Nurse Manager Performance Appraisal Tool

Critique a performance appraisal for the position of the Nurse Manager. This is not a summary of a Performance Appraisal but an evaluation of how well it meets standards. This paper should be no more than five pages long (excluding title page and references). Critique of a Nurse Manager Performance Appraisal Tool.

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Please use the following headings
1. Type of PA (essay, checklist, etc.)
2. Sources and Types of Standards and Measures
3. Work objectives/Developmental plans
4. Interview/Self-Appraisal/Employee Feedback

I have also attached the Performance Appraisal that is to be critiqued. Again, this is a critique, not a summary. Critique of a Nurse Manager Performance Appraisal Tool.

Critique of a Nurse Manager Performance Appraisal Tool

NURSE MANAGER JOB DESCRIPTION AND EVALUATION

Location: Date Initiated:

TITLE: Nurse Manager

DEPARTMENT: Nursing JOB CODE: 1X05AE

REPORTS TO: Chief Clinical Officer

FLSA STATUS: Exempt

POSITION SUMMARY: The Nurse Manager is responsible for the coordination and management of the Nursing Services in the medical unit. He/She consults with staff, physicians, and Chief Clinical Officer on nursing procedures and interpretation of hospital policies to ensure patient needs are met. The Nurse Manager supervises the provision of direct nursing care on a day to day basis and ensures adequate staffing for the nursing unit. The Nurse Manager must be able to manage department and the provision of nursing service according to the Standards of Nursing Practice consistent with facility philosophy of care and state and federal laws and regulations.

QUALIFICATIONS:

1. Must be a graduate of an accredited school of nursing

2. Must hold a current state license and must maintain license renewal in accordance with the standards of the State Board of Nursing

3. Bachelors Degree in Nursing preferred

4. Two years long term acute care and acute care experience is preferred

5. Critical care experience preferred

6. Minimum three years of progressive management experience

7. 5. Must be able to read, write, and speak English, as well as, possess excellent verbal and written communication skills

8. Advanced knowledge of Microsoft Office (Word, Excel, PowerPoint)

PHYSICAL AND MENTAL REQUIREMENTS:

Physical: Walking – up to 50% Standing – up to 25% Kneeling – up to 10%

Sitting – up to 50% Pushing – up to 10% Bending – up to 25%

Squatting – up to 10% Pulling – up to 10% Reaching – up to 35%

Lifting – up to 30 lbs Wrist/Finger Movement – up to 90%

Mental: Stress level: High

EXPOSURE RISK: Category I- Jobs in which required tasks routinely involve a potential for mucous membranes or skin contact with blood, body fluids, tissues or potential spills and splashes. Use of appropriate measures is required for every healthcare provider in these jobs.

EQUIPMENT, TOOLS, MATERIALS, MACHINES USED: Computer, Microsoft Office software applications, telephone, calculator, facsimile machine, copier, printers, miscellaneous medical equipment and DME

CERTIFICATIONS: BLS certification required, ACLS certification required, Specialty Certification recognized, PICC Line Insertion Certification recognized

RATING DEFINITION: (5) Far exceeds expectations (4) Exceeds some expectations (3) Meets all expectations (2) Meets some expectations (1) Does not meet expectations

EMPLOYEE NAME:

HIRE DATE:
EVALUATION PERIOD:

FROM: ___________________ TO: ______________________
EVALUATION CATEGORY

A. KEY SUCCESS FACTORS
Emp
Mgr

1. STANDARDS OF PERFORMANCE – adheres to the practices reflected in the SOP’s

2. ATTENDANCE/PUNCUALITY – Employee reports to work each regularly scheduled workday, is ready at precise starting time, and works until scheduled departure time. Returns on time and accurately records all work time including meal periods.

3. DIVERSITY AWARENESS – Displays sensitivity to an individual’s race, color, religion, sex, sexual orientation, national origin, age, disability or any characteristic protected by law. Respects and accepts spiritual and personal differences.

4. GENERAL WORK HABITS – Readily accepts work assignments in a positive manner. Performs work that is accurate, timely, neat and consistent. Documentation is legible.

5. SAFETY- Keeps work area neat and maintains equipment in accordance with health and safety codes. Reports safety issues and equipment failures appropriately.

6. APPEARANCE – Projects a professional image, follows the hospital dress code policy and/or department requirements. Wears hospital ID badge at all times while on duty.

7. COMMUNICATION SKILLS – Demonstrates hospital telephone etiquette by answering the phones promptly, courteously and identifying department and self

8. POLICIES/PROCEDURES – Is aware of and follows all hospital and department policies and procedures. Currently is not on progressive discipline.

9. TEAM WORK – Promotes positive co-worker relationships through team work and cooperation. Shares information, work knowledge and experience with coworkers, physicians in a non-threatening manner. Offers assistance and promptly responds to requests.

10. PRODUCTIVITY – Maintains high productivity and performs efficiently regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions.

11. GROWTH – attends and participates in assigned meetings, increases LTACH knowledge and has a personal growth plan for future position/career success

12. CONFIDENTIALITY – Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception.

13. ANNUAL REQUIREMENTS – Completes annual requirements (code of conduct, PPD, health requirements, Annual Update, licensure and/or professional certification) on time.

EVALUATOR’S TOTAL SCORE:

(Add the Eval numbers and divide by the number of Skills)

REVIEWERS COMMENTS: _______________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

RATING DEFINITION: (5) Far exceeds expectations (4) Exceeds some expectations (3) Meets all expectations (2) Meets some expectations (1) Does not meet expectations

EVALUATION CATEGORY
B. JOB SPECIFIC SKILLS
Emp
Mgr
1. Ensures that all Nursing Services goals and objectives are met and that care on the

units maintains maximum standards of care

· Organizes reviews and administers nursing care functions for patients when needed.

· Responds to significant change in medical condition and reports them to Nurse Management in a timely manner.

· Work in coordination with Nurse Management to establish and maintain Nursing Standards of Care Practice.

· Ensures that all members of the nursing staff are competent and fulfill their assigned responsibilities.

· Oversees the admitting, transferring and discharging of patients on the units.

· Makes routine rounds daily. Makes comprehensive rounds when the charge nurse is unavailable or a relief charge nurse is scheduled.

· Assures that weights and VS are being monitored and recorded.

· Reviews and monitors skin care and breakdown in conjunction with the wound care nurse. Intervenes as appropriate to reduce or eliminate problems.

· Plans, develops, implements and evaluates a restraint reduction program.

· Reviews care plans during team conference and insure that they are revised appropriately by the nursing staff.

2. Maintains departmental goals regarding PI/Quality:

· Reviews completed nursing admission assessment

· Audits documentation for errors, inconsistencies and as per PI monitors. Intervenes with nursing staff appropriately.

· Monitors quality logs to ensure flow of information into performance improvement process.

· Reports accidents and incidents to Nurse Management in a timely manner.

· Turns in incident reports into Nurse Management and Director of Quality Management daily.

· Collects and maintains all statistical data as assigned for PI monitoring and turns in information by the 10th of each month to the Director of Quality Management.

· Develops, maintains and updates policies and procedures that govern the day-to-day functions of the nursing staff.

3. Demonstrates willingness to be efficient and cost effective via:

· Manages time to stay within budgetary limitations for all nursing staff.

· Ensures that adjustments in staff are made in relation to census and acuity fluctuations.

· Effectively delegates responsibility to staff members under his/her supervison.

· Coordinates nursing staff requirements for the units maintaining appropriate levels based upon acuity and census.

· Monitors procedure logs to ensure that concurrent coding captures all procedures done.

· Communicates with pharmacy and physicians regarding cost efficient use of medication.

· Monitors all ordered treatments and test are performed as ordered and charges are captured.

· Ensures accurate submission of daily patient charges.

· Meets with nursing personnel to assist in identifying and correcting problems and / or improvement of services.

4. Plans for and assists in the orientation of all new Nursing employees

5. Promotes efficient use of departmental supplies and equipment via:

· Follow through on reported equipment problems to ensure appropriate action is taken.

· Monitors the use of all rental items to ensure appropriate need and timely return of items.

· Assists in the assessment and selection of nursing equipment and supplies.

· Insures that supplies and materials are utilized in a cost-effective manner.

· Reviews and recommends all capital purchases to Nurse Management.

· Reviews all Nursing related purchases and submits to Nurse Management for approval.

· Ensure that emergency equipment are appropriately maintained and monitored.

6. Fosters an environment that nurtures collaboration, teamwork and mutual respect through effective communication, and demonstrates positive communication skills evidenced by effective working relationships.

· Effectively handles all physician’s issues and problems and reports them to the CCO.

· Reviews, monitors and reports complaints to the CCO made by patients, families and visitors.

7. Demonstrates competence in performance of procedures and utilization of

equipment for medical management according to hospital policy and procedures (i.e. blood administration, IV care management, use of glucometer, feeding pumps, PCA etc)

8. Demonstrates competence in critical care and medical surgical setting; manage emergency situations, Code Blue, Wound Care, Cardiac Monitoring, Hemodynamic Monitoring and restoration techniques for patient care management (i.e. Hygiene, Range of Motion, Transfers, Bowel and Bladder, Skin Care Management, Cognitive Retraining, and Social Re-orientation)

9. Promotes infection control principles as identified in Hospital policy and procedure

Acts as a role model in all setting using standard precautions
Monitors all disciplines for compliance with infection control procedures
Provides education regarding infection control aspects to patient, family and staff
Utilizes universal precautions and other appropriate infection control practices with all activities

10. Manages human resources to ensure quality services and promote positive employee relations.

· Maintains effective and appropriate staffing by collaborating on recruitment and selection of qualified candidates, monitoring employee turnover, overtime, and absenteeism.

· Consistently and fairly implements human resources policies.

· Employee appraisals are completed thoroughly and submitted on time.

· Develops performance goals/objectives with each staff member to promote maximum productivity, proficiency and professional growth, as evidenced by written goals on performance appraisals.

Follows human resources policies in progressive discipline, when necessary.
Responsible for accuracy of department payroll; including approval via KRONOS

EVALUATOR’S TOTAL SCORE:

(Add the Eval numbers and divide by the number of Skills)

REVIEWERS COMMENTS:________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________
SUMMARY
Average the score for each Category. Enter the average scores below, multiply each average by the weight and sum:
CATEGORY
AVERAGE SCORE x WEIGHT =

KEY SUCCESS FACTORS
__________ x .30 = __________

JOB SPECIFIC SKILLS
__________ x .70 = __________

TOTAL SCORE = __________

SCORE KEY:

4-4.99

3-3.99

2-2.99

1-1.99
o (FE) Far Exceeds Expectations

o (ES) Exceeds Some Expectations

o (MA) Meets All Expectations

o (MS) Meets Some Expectations

o (DNM) Does Not Meet Expectations
SUMMARY OF OVERALL PERFORMANCE:

GOALS FOR NEXT PERIOD:

______________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
EMPLOYEE COMMENTS:

____________________________________________________________________________________________________________________________________________________________________________

I acknowledge that my performance evaluation has been completed and reviewed with me by my supervisor.

EMPLOYEE SIGNATURE: DATE:

SUPERVISOR SIGNATURE: DATE:

HUMAN RESOURCES SIGNATURE:__________________________________ DATE: _______

I have read and understand the responsibilities as outlined in my Job Description and I will perform my job in accordance with these responsibilities.

EMPLOYEE SIGNATURE: DATE: