Rn Performance Evaluation Page 2

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7. Adjust readily to unfamiliar forms
and procedures.
__________
__________
__________
__________
CRITERIA
Outstanding
Exceeds Unit
Meets Unit
Below Unit
Expectations
Expectations
Expectations
8. Efficiently and effectively
documents events.
__________
__________
__________
__________
9. Utilizes available resource staff
and chain of command.
__________
__________
__________
__________
10. Communicates with all members
of health team, patients & families. __________
__________
__________
__________
11. Arrives promptly to receive report.
__________
__________
__________
__________
12. Dress is appropriate for unit.
__________
__________
__________
__________
13. Coordinates and prioritizes work to
complete assignments on time.
__________
__________
__________
__________
14. Notifies immediate supervisor if
unable to work.
__________
__________
__________
__________
COMMENTS – Please explain each entry rated “Below Unit Expectation”. Use extra paper if needed.
Would you welcome this traveler back? Yes ___________ NO ___________
Name/Title/Position (please print)
Signature

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