Quality Assurance Nurse Performance Evaluation Template

Efficiently evaluate a nurse's performance using our comprehensive template, checking on skills, compliance, punctuality, and improvement potential.

Identify the nurse to be evaluated Gather recent performance records and reports of the nurse Assess nurse clinical knowledge and skills Observe the interaction of the nurse with patients Check if the nurse maintains privacy and confidentiality Investigate any patient complaints against the nurse Evaluate use of resources and time management by the nurse Assess nurse's teamwork and interpersonal skills Review the nurse's adherence to hospital policies and procedures Evaluate nurse's clinical documentation abilities Assess nurse's punctuality and attendance records

Check if the nurse is up-to-date with accredited nursing certifications/community service/continuing education

Approval: Director of Nursing for preliminary evaluation Provide feedback and areas for improvement to the nurse Discuss future goals and development plan with the nurse Record the final evaluation ratings Approval: Human Resources for final evaluation File the performance evaluation in the nurse's HR file Communicate final performance evaluation to the nurse Monitor nurse progress following evaluation

Identify the nurse to be evaluated

This task is crucial for initiating the performance evaluation process. It involves identifying the nurse who will be evaluated, ensuring that the correct individual is selected. The nurse's full name, employee ID, and department should be included in the form fields.

Nurse's Full Name Employee ID Department Emergency Room Intensive Care Unit Pediatrics Labor and Delivery

Gather recent performance records and reports of the nurse

This task involves collecting the nurse's recent performance records and reports. It is important to have access to all relevant information in order to conduct a comprehensive evaluation. Provide a file upload field for attaching the documents.

Performance Records and Reports File will be uploaded here

Assess nurse clinical knowledge and skills

In order to evaluate the nurse's clinical knowledge and skills, it is important to assess their competency in various areas. Use a multi-choice field to capture their proficiency in different skills and knowledge areas.

Clinical Knowledge and Skills Medication Administration Patient Assessment Wound Care Infection Control Critical Thinking

Observe the interaction of the nurse with patients

Direct observation of the nurse's interaction with patients provides valuable insight into their communication and interpersonal skills. Use a subtasks field to create a checklist of observable behaviors.

Observable Behaviors Active listening Clear communication Patient education Respectful demeanor

Check if the nurse maintains privacy and confidentiality

Maintaining patient privacy and confidentiality is a crucial aspect of nursing practice. Use a dropdown field to assess the nurse's adherence to privacy and confidentiality policies.

Privacy and Confidentiality Compliance Most of the time

Investigate any patient complaints against the nurse

It is important to address and investigate any patient complaints against the nurse to ensure quality care. Use a long text field to provide details about the complaint and any relevant actions taken.

Patient Complaint Details

Evaluate use of resources and time management by the nurse

Efficient use of resources and effective time management are essential for optimal nursing practice. Use a dropdown field to assess the nurse's resource utilization and time management skills.

Resource Utilization and Time Management Below average

Assess nurse's teamwork and interpersonal skills

Teamwork and interpersonal skills are important for collaboration and maintaining a positive work environment. Use a multi-choice field to evaluate the nurse's teamwork and interpersonal skills.

Teamwork and Interpersonal Skills Collaboration Conflict resolution Communication Leadership Adaptability

Review the nurse's adherence to hospital policies and procedures

Adherence to hospital policies and procedures ensures patient safety and quality care. Use a subtasks field to create a checklist for reviewing the nurse's compliance with policies and procedures.

Compliance Checklist Hand hygiene Documentation Infection control Medication administration Emergency procedures

Evaluate nurse's clinical documentation abilities

Accurate and thorough clinical documentation is essential for patient care and legal purposes. Use a dropdown field to assess the nurse's clinical documentation abilities.

Clinical Documentation Abilities Below average

Assess nurse's punctuality and attendance records

Punctuality and consistent attendance are important for maintaining a reliable workforce. Use a dropdown field to evaluate the nurse's punctuality and attendance records.

Punctuality and Attendance Most of the time

Check if the nurse is up-to-date with accredited nursing certifications/community service/continuing education

Staying current with nursing certifications, community service, and continuing education demonstrates a commitment to professional growth. Use a subtasks field to create a checklist for assessing the nurse's engagement in these activities.

Engagement Checklist Accredited nursing certifications Community service Continuing education Professional conferences Research or publication

Approval: Director of Nursing for preliminary evaluation

Will be submitted for approval: Identify the nurse to be evaluated Will be submitted Gather recent performance records and reports of the nurse Will be submitted Assess nurse clinical knowledge and skills Will be submitted Observe the interaction of the nurse with patients Will be submitted Check if the nurse maintains privacy and confidentiality Will be submitted Investigate any patient complaints against the nurse Will be submitted Evaluate use of resources and time management by the nurse Will be submitted Assess nurse's teamwork and interpersonal skills Will be submitted Review the nurse's adherence to hospital policies and procedures Will be submitted Evaluate nurse's clinical documentation abilities Will be submitted Assess nurse's punctuality and attendance records Will be submitted

Check if the nurse is up-to-date with accredited nursing certifications/community service/continuing education

Will be submitted

Provide feedback and areas for improvement to the nurse

Constructive feedback is important for fostering professional growth and development. Use a long text field to provide feedback and suggest areas for improvement.

Feedback and Areas for Improvement

Discuss future goals and development plan with the nurse

Engaging in a discussion about future goals and development plans with the nurse helps create a roadmap for their professional growth. Use a long text field to record the goals and development plan discussed.

Future Goals and Development Plan

Record the final evaluation ratings

Capturing the final evaluation ratings is important for record-keeping and tracking progress. Use a numbers field to record the ratings provided.

Final Evaluation Ratings

Approval: Human Resources for final evaluation

Will be submitted for approval: Provide feedback and areas for improvement to the nurse Will be submitted Discuss future goals and development plan with the nurse Will be submitted Record the final evaluation ratings Will be submitted

File the performance evaluation in the nurse's HR file

Filing the performance evaluation in the nurse's HR file ensures that it is securely stored and easily accessible. Use an email field to specify the HR contact responsible for filing the evaluation.

HR Contact Email

Communicate final performance evaluation to the nurse

Communicating the final performance evaluation to the nurse is crucial for transparency and providing them with an opportunity to discuss the evaluation. Use an email field to specify the nurse's email address and a long text field for composing the email communication.

Nurse's Email Address Email Communication

Monitor nurse progress following evaluation

Monitoring the nurse's progress following the evaluation helps track improvements and identify further areas for development. Use a subtasks field to create a checklist for monitoring the nurse's progress.