UAMS Nursing Recognition Program

Applicant – Peer 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) = Unacceptable

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

 

 

 

 

Signature/Title                                                                                     Date