Rn Performance Evaluation printable pdf download

Rn Performance Evaluation

316 W. Millbrook, Ste. 209 Road Raleigh, NC 27609

Phone: (844) 898-4401 Fax (866) 831-4251

RN Performance Evaluation

Date: ______________________

Please take a few minutes and complete this evaluation. We at Right Choice Medical Staffing, Inc.

strive to maintain our highest quality nursing care. With your assistantce we can continue to provide

consistent, quality care.

Name: ____________________________________________________________________________

Facility: ___________________________________________________________________________

Position: _____________________________ Unit: ___________________ Shift: ________________

Period of Evaluation: _________________________________________________________________

Type of Evaluation: 30 day _____________ 90 day _________________ final ___________________

CRITERIA

Outstanding

Exceeds Unit

Meets Unit

Below Unit

Expectations

1. Possesses appropriate nursing

knowledge base for unit.

__________

2. Able to handle difficult situations.

__________

3. Assessment is skilled & relevant.

__________

4. Planning is demonstrated by

review of nursing care plan inform

actin from shift report/nursing staff __________

__________

5. Intervention is appropriate,

individualized for each patient,

meets standard of care and hospital

policy.

__________

6. Follows up on initial assessment

and reports consistently and

accurately.

__________

Rn Performance Evaluation