UAMS Nursing Recognition Program

Applicant – CDF/Charge Nurse  Review

Employee Information

 

Name of Applicant Being Reviewed:

 

Your Name :

 

 

Date:

 

Time known applicant:

 

 

 

Review Guidelines

Complete this peer review, using the following scale:     

 NA = Not Applicable  1 = Unacceptable   2 = Needs Improvement   3 = Meets Expectations   4 = Exceeds Expectations

  5 = Outstanding

 

 

*Please provide written comments for scores of “1”, “4”, or “5”

Evaluation

 

 

*(5) = Outstanding

*(4) = Exceeds Expectations

(3) = Meets Expectations

(2) = Needs

Improvement

*(1) = Unsatisfactory

Demonstrates Required Job Skills And Knowledge

                                          

 

Has The Ability To Learn And Use New Skills

                                   

 

Uses Resources Available In An Effective Manner

                              

 

Responds Effectively To Assigned Responsibilities

                             

 

Meets Attendance Requirements

                              

 

Listens To Direction From Management

                              

 

Takes Responsibility For Actions

                              

 

Honors Commitments

                              

 

Demonstrates Problem Solving Skills

                              

 

Offers Constructive Suggestions For Improvement

                              

 

Generates Creative Ideas And Solutions

                              

 

Meets Challenges Head On

                              

 

Demonstrates Innovative Thinking

                              

 

 

 

 

 

 

 

 

Additional Comments for scores of “1”, “4” and/or “5”:
           

 

 

 

 

 

 

 

 

 

 

_______I would recommend for Resource Nurse

 

 

_______I would not recommend for Resource Nurse

 

 

 

 

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