Maddie 2018

This nurse demonstrates honest, respectful, effective communication with co-workers, patients, and families.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to judge  

This nurse projects a professional image through their actions and words.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse is supportive and respectful of changes on the unit.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse is motivated by work related tasks, jobs, and flow of the unit.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse is a self motivated team player demonstrated by not having to be asked to: help care techs room patients when needed, review and assist with orders on patients other than their own.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse demonstrates the ability to handle their workload by prioritizing and completing order/tasks within a reasonable amount of time.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse is respectfull of others thoughts/ideas.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse accepts help from others to ensure good customer service.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse shares valuable information with other staff when appropriate to ensure that quality care is provided.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse values their job and embraces opportunities for professional growth (attends classes/meetings, seeks out opportunities to be involved on the unit, handles feedback professionally).

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse is able to manage conflict in a constructive way and have in the moment conversations with others when appropriate.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse responds to work communications (emails/phone messages/texts) in a timely manner.

Excellent  
Good  
Fair  
Needs Improvement  
Unable to Judge  

This nurse contributes to the overall vibe of the Urgent Care by: (choose all that apply)

having appropriate conversations  
is distracting to others  
provides positive interactions with fellow staff  
speaks respectfully to others  
modulates tone of voice to decrease distractions to others  
has a higher than expected amount of personal phone or internet usage  
does just enough to get by  
frequently complains about work  
willingly offers to help others  
brings others up  
brings others down  
encourages other staff  
is respectful of time limits for breaks  
is DISrepectful of break time limits  

* Please write 3 words that describe this nurse.

Additional comments.