NPS (RCP III) in Mission, TX at Prime Healthcare

Date Posted: 1/13/2021

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    900 South Bryan Road
    Mission, TX
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    1/13/2021

Job Description

Overview JOB DESCRIPTION       EVALUATION FORM   
 

 

POSITION TITLE:   Respiratory Care Practitioner III – Neonatal Respiratory Therapist

 

DEPARTMENT:       Respiratory Therapy                     

 

REPORTS TO:         Neonatal Respiratory Care Director                                         

 

SUPERVISION GIVEN:      NONE

 

EMPLOYEE NAME:

 

EVALUATION PERIOD:     ________                  EVALUATION DUE:           ___________

 

The following statements are intended to describe the major elements and requirements of the position and should not be taken as an all-inclusive list of responsibilities, duties, and skills required of individuals assigned to this job.

 

JOB SUMMARY: The RCPIII- Neonatal Respiratory Care Practitioner performs acute clinical care to the neonate / newborn including a variety of technical procedures that require independent judgment, common sense and initiative to apply prescribed procedures, treatments and testing to the newborn and pediatric patient in a safe and professional manner.  The Neonatal RCP assumes responsibility for delivering all respiratory care in the Perinatal area (NICU, Nursery, Labor and Delivery and ER) as required. 

 

AGE-SPECIFIC COMPETENCIES

 

Employees working in this capacity must meet age-specific competencies related to the following categories: 

Χ   Neonate/Infant:  Birth – 12 months         Χ    Child / Pediatric:   1 – 12 years

Χ    Adolescent: 13-17 years             Χ        Adult:    18 – 64 years         Χ     Geriatric: 65 and over
 

In acute cases the NICU Respiratory Care Practitioner may be called upon to deliver respiratory care to infants and young pediatric patients admitted to the ER.

                                  

General age specific guidelines are:

 

Infant:

Ø    Involve parent(s) in procedure and education of therapy

Ø    Keep parents in infant’s line of vision-within safety specifications

Ø    Give a familiar object to the infant

Ø    Limit number of strangers

Ø    Cuddle and hug

Ø    Use of distraction

Ø    Provide for safe environment by removing any equipment used during the procedure and keeping rails up after procedures

Ø    If the infant requires restraint during the procedure, include the parent(s)

Ø    Ventilator management appropriate to standards for age.

Ø    02 delivery using appropriate size equipment

Ø    Safety in providing appropriate restraint during arterial sampling (radial/brachial)

 

Toddler

Ø    Always explain what you will do before you start

Ø    Play is important as a means of communication, include explanation and preparation of child

Ø    Involve parent(s) in procedure and education of procedures

Ø    Use of firm, direct approach

Ø    Give one direction at a time

Ø    Prepare child shortly before procedure

Ø    Allow choice when possible

Ø    Emphasize those aspects that require cooperation

Ø    Provide for safe environment by removing any equipment used used during the procedure, and keeping rails up after procedures

Ø    Offer frequent bathroom breaks (if able) if potty trained

Ø    02 delivery using appropriate size equipment

Ø    Safety in providing appropriate restraint during arterial sampling (radial/brachial)

 

Preschooler

Ø    Explains the procedure to child using language child can understand, include parents in teaching

Ø    Explain the equipment

Ø    Plan for longer teaching session

Ø    Children of this age enjoys games, rewards, and praise, include these in providing patient education during the procedure

Ø    Plan in advance for procedures to decrease waiting time

Ø    Allow child to have some control

Ø    Explain unfamiliar objects

Ø    Involve child whenever possible

Ø    Provide for a safe environment during and after the procedure, take equipment from the area

Ø    Plan procedures and care as identified by motor skills identified on assessments

Ø    Ventilator management appropriate to standards for age

Ø    02 delivery using appropriate size equipment

Ø    Safety in providing appropriate restraint during arterial blood sampling

 

School-Age

Ø    Explain the procedures to child using language child can understand include parent(s) in teaching

Ø    Explain the equipment and therapy

Ø    Plan for longer teaching session

Ø    Children of this age enjoys rewards and praise, include these in providing patient education and during the procedure

Ø    Plan in advance for procedures to decrease child’s waiting time

Ø    Allow to have child some control

Ø    Explain unfamiliar objects

Ø    Involve child whenever possible

Ø    Provide for privacy

Ø    Allow for frequent elimination need in planning care and procedures

Ø    Allow for mobility and functional needs as identified in assessment.

Ø    Ventilator management appropriate for age

Ø    02 delivery using appropriate size equipment

Ø    Safety in providing appropriate restraint during arterial sampling (radial/brachial)

 

 

 

 

AGE SPECIFIC CRITERIA

 

1.     Demonstrates knowledge of growth and development in the newborn and infant.

2.     Demonstrates ability to assess age specific data.

3.     Demonstrates ability to interpret age specific data.

4.     Demonstrates skill/knowledge to perform treatments (i.e., medications, equipment).

5.     Demonstrates appropriate communications skills.

6.     Demonstrates knowledge of age specific community resources.

7.     Demonstrates involvement of family and/or significant other in plan of care.

 

EDUCATION, EXPERIENCE, TRAINING

 

MINIMUM JOB REQUIREMENTS:

 

EDUCATION:

1.     Must be a graduate of JRCTE approved program for Respiratory Therapy, two year program preferred.

2.      Associate Degree or Bachelor of Science degree required. If there is no Associate Degree or Bachelor of Science Degree, a high school diploma or equivalent is required

 

CREDENTIALS / CERTIFICATIONS

1.     Registered Respiratory Therapist (RRT) by the NBRC or be a CRT with a minimum of two (2) years previous NICU experience.

2.     May be CRT or RRT that has completed an NICU orientation at the facility NICU under the guidance of the NICU Coordinator. 

3.     Must be currently licensed by the State as a Respiratory Care Practitioner..

4.     Possess a Must have Perinatal /Pediatric Specialty Certificate from NBRC (preferred).

5.     Must have current certification in BCLS.

6.     Must have current certification in NRP.

7.     Must have PALS and ACLS certification upon hire.

8.     Additional credentials are preferred (CPFT, RPFT, ACCLS etc.).

 

EXPERIENCE / KNOWLEDGE

1.     Must have two (2) years general experience providing respiratory care in a acute care hospital under medical direction.

2.     Must have two (2) years clinical experience providing neonatal respiratory care in an autonomous / expanded role in a level II or level III NICU or have completed a training program at The facility NICU.

3.     Must be able to communicate in a knowledgeable and articulate manner with physicians and nurses regarding patient status and care.

4.     Must be able to work with other hospital personnel in a professional and tactful manner.

5.      Must be able to deal with the public (including the patient's visitors) in a professional manner as they relate to the questions or concerns regarding the patient’s condition or status of care. 

6.     Must be able to professionally complete all required paperwork (patient records, charting, policy/procedure, evaluations and billing etc.).

 

 

 

 

 

 

 

 

 

 

 

PERFORMANCE EVALUATION INSTRUCTIONS:  SCORE EACH CATEGORY BASED ON THE FOLLOWING CRITERIA:
3 MEETS AND EXCEEDS ALL STANDARDS
2 MEETS ALL STANDARDS
1 MEETS SOME STANDARDS -SOME IMPROVEMENT NEEDED
0 IMPROVEMENT NEEDED
***NOTE: Please refer to “Position Responsibilities and Evaluation Ratings” for more detailed information about the ratings.
METHOD:  (O) OBSERVATION  (D) DEMONSTRATION (V) VERBALIZED
 

SECTION I:   PERFORMANCE ACCOUNTABILITY

 

KNOWLEDGE OF WORK
 
 
RATING
1.
Basic computer knowledge.
 
2.
Operates Cardiopulmonary equipment.
 
3.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
 
4.
Ability to complete care plans and charting.
 
5.
Maintains current knowledge of NICU Policy and Procedure.
 
 

B.  DUTIES AND RESPONSIBILITIES

 
 
RATING
1.
Attends high risk deliveries (C/S, meconium, premature etc.) with and without a physician present and assumes responsibility for resuscitation and infant stabilization per AHA and AAP guidelines
 
2.
Performs cardiopulmonary resuscitation
 
3.
Performs endotracheal intubation per policy and procedure.
 
4.
Obtains, analyzes, and reports arterial blood gas results to the Physician, giving adequate and accurate interpretation as requested
 
5.
Monitors and assesses clinical status of patients committed to mechanical ventilation and makes reasonable and knowledgeable suggestions as indicated. Neonatal RCP adjusts equipment according to physicians orders or policy, procedures and protocols
 
6.
Administers artificial surfactant as ordered and per policy and procedure
 
7.
After completion of IV certification class, may insert IV
 
8.
Performs emergency needle aspiration of a pneumothorax in the absence of a physician
 
9.
Participates as a member of the infant transport team
 
10.
Practices sterile and aseptic techniques and prevents cross contamination
 
11.
Assists physician in special procedures as needed within scope of practice (line placement, chest tube placement
 
12
Administers aerosolized medications used in Respiratory Therapy as well as basic knowledge of pharmacology to include all medications administered via any route to the patient
 
13.
Performs calibration and quality control of Blood Gas machines as required.  Responds appropriately to 'Out-of-Control' values, and documents them accordingly
 
14.
Administers breathing treatments per Physicians prescription including, but not limited to hand-held nebulizers, aerosol therapy, postural drainage, chest physio-therapy, airway management and suctioning
 
15.
Delivers respiratory equipment where required and assures proper functionality before institution
 
16.
Prior to performing therapy, instructs and explains to the patient family (parents) in a manner understandable by them as to the need for therapy
 
17.
Has the knowledge and ability to troubleshoot equipment problems or failures, and modify such as they pertain to patient response
 
18.
Makes sure all documentation is completed on the patient's flow sheet per specific procedure protocol.  Neonatal RCP Supervisor checks documentation to insure that all patient care such as treatments, continuous therapy, patient instruction, cardiopulmonary resuscitation, equipment maintenance and changes are correct
 
19.
Checks chart appropriately, completes an updates physicians prescriptions and patient's flow sheet prior to the performance of any Respiratory Therapy or Diagnostic testing
 
20.
Consults with the Physician with regards to therapy with consideration to the patient status in a articulate, knowledgeable and tactful manner
 
21.
Responds accordingly to changes in the patient's condition and notifies patient's nurse and physician immediately
 
22.
Performs other duties as assigned or required.
 
 

C.  INITIATIVE AND JUDGMENT/ATTENDANCE AND RELIABILITY

 
 
RATING
1.
Independently recognizes and performs duties which need to be done without being directly assigned.  Establishes priorities; organizes work and time to meet them.
 
2.
Recognizes and responds to priorities, accepts changes and new ideas.  Has insight into problems and the ability to develop workable alternatives.
 
3.
Accepts constructive criticism in a positive manner.

 
 
4.
Adheres to attendance and punctuality requirements per hospital policy.  Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness.
 
5.
Uses time effectively and constructively. Does not abuse supplies, equipment, and service.

 
 
6.
Observes all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies).
 
 

SECTION II:  SERVICE EXCELLENCE             

 
 
RATING
1.
Patient-Centered: Respectful of and responds to patients preferences, values and needs
 
2.
Accountability & Customer Focused: Participates actively and positively affects the outcomes of customer service activities
 
3.
Teamwork & Communication: Is a team player and communicates effectively at all levels
 
4.
Privacy & Safety:  Follow and abide by all privacy (HIPAA) regulations regarding patient information
 
5.
Attitude & Respect:   Being sensitive to customer/co-worker emotions, thoughts, and feelings by being culturally aware of their preferences and cultural norms in a courteous and professional manner
 
 

 

SECTION III:  CONTINUOUS QUALITY IMPROVEMENT
 

A. CORPORATE INTEGRITY

 
RATING
1.
Understands and abides by all departmental policies and procedures and is knowledgeable and complies with federal, state, and local laws that govern business practices as well as all accreditation standards that apply to the position.
 
2.
Conducts business in an ethical and trustworthy manner at all times.
 
 

 

 

 

B.  EDUCATION AND ENVIRONMENT OF CARE

 
RATING
1.
Attends scheduled in-service and mandatory in-service. Communicates ideas to supervisor for a safer layout of equipment, tools, and/or processes.
 
2.
Follows standard precautions and transmission-based precautions.
 
3.
Adheres to procedure for proper disposal of medical sharps, pharmaceutical and medical waste per hospital policy.
 
4.
Is knowledgeable in the hospital safety program and takes necessary steps to maintain a safe environment.  Adheres to safe work practices to prevent injuries and illnesses.
 
5.
Is familiar with emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes
 
 

C.   CONTINUOUS QUALITY IMPROVEMENT

 
RATING
1.
Active participant in Continuous Quality Improvement program by assisting in finding new and better ways of performing duties and responsibilities.
 
2.
Understands performance improvement concepts and demonstrates understanding by:

a)    Defining performance improvement and verbalizing at least one major goal of the performance improvement program within the hospital setting.
 
 
b)    Able to verbalize at least one departmental or hospital wide improvement initiative that has occurred within the last 12 months.
 
 

 

 

 

 


 

POSITION TITLE:
Neonatal Respiratory Care Practitioner
DEPARTMENT:
Respiratory
Instructions: The frequency indicated reflects the requirements for normal working hours.  Please indicate (X) the essential physical requirements for this position.  Reasonable accommodations will be made as necessary.
 

PHYSICAL REQUIREMENTS
A.
SITTING:
I.
WRIST DEVIATION (SIDE TO SIDE):
 
1.  Never (0 hours)

 
 
1.
Never (0 hours)

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
B.
STANDING:
 
J.
HAND/WRIST REPETITIONS (UP AND DOWN):
 
1.  Never (0 hours)

 
 
1.
Never (0 hours)

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
C.
WALKING:
 
 
K.
REACHING:
 
1.  Never (0 hours )

 
 
1.
Never (0 hours)

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
D.
LIFTS AND CARRIES WITH ASSISTANCE:
FREQUENCY:
 
2.  11 to 24 pounds

Never

Occasionally

Frequently

Constantly
 
3.  25 to 34 pounds

Never

Occasionally

Frequently

Constantly
 
4.  35 to 50 pounds

Never

Occasionally

Frequently

Constantly
 
5.  51 to 74 pounds

Never

Occasionally

Frequently

Constantly
 
6.  75 to 100 pounds

Never

Occasionally

Frequently

Constantly
 
7.  Over 100 pounds

Never

Occasionally

Frequently

Constantly
E.
LIFTS OVERHEAD WITH ASSISTANCE:
FREQUENCY:
 
1.  < 10 pounds

Never

Occasionally

Frequently

Constantly
 
2.  11 to 24 pounds

Never

Occasionally

Frequently

Constantly
 
3.  25 to 34 pounds

Never

Occasionally

Frequently

Constantly
 
4.  35 to 50 pounds

Never

Occasionally

Frequently

Constantly
 
5.  51 to 74 pounds

Never

Occasionally

Frequently

Constantly
 
6.  75 to 100 pounds

Never

Occasionally

Frequently

Constantly
 
7.  Over 100 pounds

Never

Occasionally

Frequently

Constantly
F.
TWISTING:
L.
GRASPING:
 
1.  Never (0 hours )

 
 
1.
Never (0 hours )

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
G.
BENDING:
M.
PULLING:
 
1.  Never (0 hours )

 
 
1.
Never (0 hours )

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
H.
SQUATTING/KNEELING/CRAWLING/CLIMBING:
N.
PUSHING:
 
1.  Never (0 hours )

 
 
1.
Never (0 hours )

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

PHYSICAL REQUIREMENTS cont.
O.
GROSS MOTOR MOVEMENTS:
Q.
FINE MOTOR MOVEMENTS:
 
1.  Never (0 hours)

 
 
1.
Never (0 hours)

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
VISUAL REQUIREMENTS
HEARING
P.
VISUAL REQUIREMENTS:
 
R.
HEARING REQUIREMENTS:
 
1.  Close eye work (small figures)

 
 
1.
Special requirements (please

 
 
2.  Color discrimination

 
 
 
specify)
 
 
 
     - Minimal color discrimination

 
 
 
 
 
 
 
     - Normal color discrimination

 
 
 
 
 
 
 
3.  Other

 
 
 
 
 
 
WORKING CONDITIONS
S.
TEMPERATURE:
 
 
X.
NON-IONIZING RADIATION (WELDING FLASH MICROWAVES, SUN, ETC.):
 
1.  < 15 Degrees Fahrenheit

 
 
1.
Never (0 hours)

 
 
2.  Between 16 and 95 degrees

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  > 95 degrees

 
 
3.
Frequently (3-6 hours daily)

 
 
 
4.
Constantly (> 6-8 hours daily)

 
T.
ELEVATIONS:
Y.
IONIZING RADIATION (X-RAY, RADIOACTIVE ISOTOPES):
 
1.  Work < 5        feet above ground

 
 
1.
Never (0 hours )

 
 
2.  Work 5 – 9     feet above ground

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Work 10 – 15 feet above ground

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Work > 15      feet above ground

 
 
4.
Constantly (> 6-8 hours daily)

 
U.
CRAWL SPACE/CRAMPED POSITION:
Z.
NOISE (LOUD/REPETITIVE, <85 DECIBELS PER OSHA STANDARD):
 
1.  Never (0 hours )

 
 
1.
Never (0 hours )

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
V.
HAZARDOUS EXPOSURE (CHEMICAL {E.G. LATEX} & INFECTIONS):
Z1.
PERSONAL PROTECTIVE EQUIPMENT (E.G. RESPIRATORY MASK, ETC.):
 
1.  Never (0 hours )

 
 
1.
Never (0 hours )

 
 
2.  Occasionally (< 3 hours daily)

 
 
2.
Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
3.
Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
4.
Constantly (> 6-8 hours daily)

 
W.
SQUATTING/KNEELING/CRAWLING/CLIMBING:
 
 
1.  Never (0 hours )

 
 
2.  Occasionally (< 3 hours daily)

 
 
3.  Frequently (3-6 hours daily)

 
 
4.  Constantly (> 6-8 hours daily)

 
 
 
 
 
 
 
 
 
 
 
 

 
 


EQUIPMENT THAT MAY BE USED TO PERFORM JOB:

 
 
 
 
Telephones
Calculator
Telephones
Copy Machine
Payroll System
FAX Machines
Computer/Laptop
 Pager System
Other: Specify
 
 
 
 

OSHA BLOODBORNE PATHOGENS CATEGORY CLASSIFICATION
 

I ________________________________________ understand that the duties that are required of me in my job position places me in a Category:  

 

 Priority A (Frequent Exposure)          

 Priority B (Occasional Exposure)

 Priority C (No Anticipated Exposure)

 
 

SIGNATURE ACKNOWLEDGES RECEIPT AND UNDERSTANDING OF THE JOB DESCRIPTION.  UNDERSTANDS THE JOB REQUIREMENTS AND CAN PERFORM THE MINIMUM REQUIREMENTS AND ESSENTIAL FUNTIONS OF THIS POSITION. I have received education and training relative to this OSHA category classification and understand the requirements that will be expected of me in order to complete the above-mentioned duties.

 

Employee's Signature:
Date:

 
Supervisor's Signature:

 
Date:
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


POSITION RESPONSIBILITIES AND EVALUATION RATINGS

 

 
Indicators of Performance Level
3
Exceptional – Meets and Exceeds All Standards
Performance of this caliber is extremely rare.  It is a rating that should be reserved for those who clearly and consistently demonstrate extraordinary and exceptional accomplishments in all major areas of responsibility.  Employees who perform at this level are easily recognized by their peers as well as others outside their own group and as well as those in related areas.  It is a level of performance that is seldom equaled by others who hold positions of comparable scope and responsibility.
2
Meets All Standards
This rating should be assigned to those whose demonstrated performance clearly meets all the requirements of the position in terms of quality and quantity of output.  It is performance normally expected of those who have the necessary education, training and relevant experience to enable them to effectively perform in a consistently reliable and professional manner.  Although minor deviations may occasionally occur, the overall level of performance meets or may slightly exceed major job duties
1
Meets Some Standards – Needs Improvement
This is a performance level that does not fully meet job requirements in all areas of major responsibilities.  The individual may demonstrate the ability to complete most assignments; however, the need for further development and improvement is clearly recognized.  This individual need coaching and counseling to fully meet the requirements of the position.  The employee is approaching meeting the expectations but may be a new employee and not fully expected to meet all job requirements at this time.
0
Immediate Improvement Needed
This is a performance level that does not meet job requirements in all areas of major responsibilities.  The individual may demonstrate the ability to complete some assignments; however, the need for immediate development and improvement is clearly recognized.  This individual need constant coaching and counseling to fully meet the requirements of the position.  This category describes a level of performance, which should significantly improve within a reasonable period if the individual is to remain in the position.

PERFORMANCE EVALUATION SUMMARY REPORT

 

 

 

CATEGORY
 

NUMBER OF COMPONENTS

 
 

CATEGORY TOTAL SCORE
 

RESULTS

(Score: by # of Components)

 
 

COMMENTS
 

SECTION I – Performance Accountability
A.  Knowledge of Work
 
 
 
 
B.  Duties and Responsibilities
 
 
 
 
C.  Initiative and Judgment/ Attendance and Reliability
 
 
 
 
 

SECTION II – Service Excellence

 
Service Excellence
 
 
 
 

SECTION III – Continuous Quality Improvement

 
A.  Corporate Integrity
 
 
 
 
B.  Education and Environment of Care
 
 
 
 
C.  Continuous Quality Improvement
 
 
 
 
FINAL RESULTS
Total Comp

 
Total Score

 
Final Results in %

 
 
GOALS:

 

 

 

EMPLOYEE’S COMMENTS:

 

 

 
SUPERVISOR’S COMMENTS: (Summarize strengths and areas needing improvement.  Indicate development plans for improving performance during the next appraisal period)
 

 

 

 

 

1
                                                                                                 

Employee’s Signature

 
Date:
Department Manager’s Signature

 
Date:
Human Resources  Department Acknowledgment

 
Date:
 

 

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf