| Resource Category | Performance Criteria | Method of Evaluation |
| Infection Control | 1. Attends & participates in 4 out of 6 monthly nursing | *Training Tracker record |
| Resource Nurse | infection control meetings | *Committee meeting minutes |
| 2. a). Facilitates infection control information into unit | *Signature roster of preceptors receiving information | |
| orientation material and updates preceptors with current | *Copy of materials presented to preceptors | |
| infection control information | *Copy of infection control information included in unit | |
| orientation materials | ||
| b). Review infection control competencies for area every | *Proof of update/revision of unit infection control | |
| 6 months | competencies | |
| 3. Provides staff education related to infection control topic | *Provides 2 inservices related to 2 different infection | |
| control topics ( 1 inservice can be poster presentation) | ||
| *90% of staff attendance at inservice | ||
| *Content of material presented | ||
| *Evaluation summary of inservice by staff | ||
| 4. Active participation in unit PI related to infection control & | *Collects and post unit specific infection control data | |
| surveillance of staff infection control practices | *Reports data to staff at staff meetings/staff minutes | |
| *Reports data to QI manager | ||
| *Develops action plan with Infection Control Nurse & | ||
| CSM to address identified unit infection control issues | ||
| 5. a). Maintains current infection control literature/resources | *Resource manual | |
| for unit | *Designated file cabinet with staff education material | |
| *Provide CSM with table of content of materials added | ||
| b). Presents current research/evidenced-based article on | *Copy of article posted | |
| infection control topic | *Staff sign in roster that reflects reading of information | |
| 6. Understands policies & procedures regarding infection | *Personal competency related to role evaluated & | |
| control & documentation and mentors peers to do the | validated annually by Infection Control Nurse | |
| same | *Monitor infection control practices on unit and provide | |
| documentation of findings & individual one-to-one peer | ||
| education | ||
| *Document staff variances to compliance with infection | ||
| control policy & procedure | ||
| *Peer evaluation | ||
| 7. Acts as a liaison to Infection Control Nurse | *Consult Infection Control Nurse as needed | |
| *Proof of communication between Infection Control | ||
| Nurse and Resource Nurse for unit specific infection | ||
| control issues | ||
| 8. Completes 2 hours of continuing education on infection contol topic | *Proof of CEUs | |
| Skin/Wound/Ostomy | 1. Attends & participates in 4 out of 6 monthly nursing | *Training Tracker record |
| Resource Nurse | skin/wound/ostomy meetings | *Committee meeting minutes |
| 2. a). Facilitates skin/wound/ostomy information into unit | *Signature roster of preceptors receiving information | |
| orientation material and updates preceptors with current | *Copy of materials presented to preceptors | |
| skin/wound/ostomy information | *Copy of skin/wound/ostomy information included in unit | |
| orientation materials | ||
| b). Review skin/wound/ostomy competencies for area every | *Proof of update/revision of unit skin/wound/ostomy | |
| 6 months | competencies | |
| 3. Provides staff education related to skin/wound/ostomy | *Provides 2 inservices related to 2 different skin/wound | |
| topic | ostomy topics ( 1 inservice can be poster presentation) | |
| *90% of staff attendance at inservice | ||
| *Content of material presented | ||
| *Evaluation summary of inservice by staff | ||
| 4. Active participation in unit PI related to skin/wound issues | *Collects and post unit specific skin/wound data | |
| on unit | *Reports data to staff at staff meetings/staff minutes | |
| *Reports data to QI manager | ||
| *Develops action plan with Enterstomal Therapy Nurse & | ||
| CSM to address identified unit skin/wound/ostomy issues | ||
| 5. a). Maintains current skin/wound/ostomy literature/resources | *Resource manual | |
| for unit | *Designated file cabinet with staff education material | |
| *Provide CSM with table of content of materials added | ||
| b). Presents current research/evidenced-based article on | *Copy of article posted | |
| skin/wound/ostomy topic | *Staff sign in roster that reflects reading of information | |
| 6. Understands policies, protocols & procedures regarding | *Personal competency related to role evaluated & | |
| skin/wound/ ostomy & documentation and mentors peers | validated annually by Enterstomal Therapy Nurse | |
| to do the same | *Monitor skin care practices on unit and provide | |
| documentation of findings & individual one-to-one peer education | ||
| *Document staff variances to compliance with skin, wound | ||
| & ostomy policy, protocol & procedure | ||
| *Peer evaluation | ||
| 7. Acts as a liaison to Enterstomal Therapy Nurse | *Consult Enterstomal Therapy Nurse as needed | |
| *Proof of communication between Enterstomal Therapy | ||
| Nurse and Resource Nurse for unit specific skin/wound/ | ||
| ostomy issues | ||
| *Evaluation by Enterstomal Therapy Nurse | ||
| *Participates in evaluation of skin/wound/ostomy products | ||
| 8. Completes 2 hours of continuing education on skin/wound/ | *Proof of CEUs | |
| ostomy topic | ||
| Diabetic Resource | 1. Attends & participates in 4 out of 6 monthly nursing | *Training Tracker record |
| Nurse | Diabetic Resource Meetings | *Committee meeting minutes |
| 2. a). Facilitates patient diabetes education information | *Signature roster of preceptors receiving information | |
| into unit orientation material and updates | *Copy of materials presented to preceptors | |
| preceptors with current patient diabetic information | *Copy of patient diabetes information included in unit orientation materials | |
| b). Presents current research/evidenced-based article on | *Copy of article posted | |
| diabetes topic | *Staff sign in roster that reflects reading of information | |
| 3. Provides staff education related to diabetes topic | *Provides 2 inservices related to 2 different diabetes topics (1 inservice can be poster presentation | |
| *Assists wi/staff glucose waive testing competency check-offs | ||
| *90% of staff attendance at inservice | ||
| *Content of material presented | ||
| *Evaluation summary of inservice by staff | ||
| *Serves as a unit and hospital resource for diabetes information and patient education | ||
| 4. Active participation in unit PI related to diabetes & | *Collects and post unit specific diabetic PI data | |
| Glucose Waive Testing | *Reports data to staff at staff meetings/staff minutes | |
| *Reports data to QI manager & Waive Testing Coordinator Clinical Lab | ||
| *Develops action plan with Waive Testing Coordinator & CSM to address identified unit glucose waive testing issues | ||
| *Assists with JCAHO Readiness Surveys/Activities | ||
| 5. a). Maintains current patient diabetes education | *Resource manual | |
| literature/resources for unit | *Designated file cabinet with staff education material | |
| *Provide CSM with table of content of materials added | ||
| b). Presents current research/evidenced-based article on | *Copy of article posted | |
| diabetes topic | *Staff sign in roster that reflects reading of information | |
| 6. Understands policies, protocols & procedures regarding | *Personal competency related to role evaluated & validated annually by Waive Testing Coordinator & Diabetes Education Nurse | |
| glucose waive testing procedures, diabetes education & | *Monitor patient diabetes education & glucose waive testing practice on unit and provide documentation | |
| practice & documentation and mentors peers to do | of findings & individual one-to-one peer education | |
| the same | *Document staff variances to compliance with glucsoe waive testing policy & procedure | |
| *Peer evaluation | ||
| 7. Acts as a liaison to Diabetes Educator & Clinical Waive | *Consult Diabetes Educator Nurse as needed | |
| Testing Coordinator | *Consult Clinical Lab Waive Testing Coordinator as needed | |
| *Proof of communication between Diabetes Educator Nurse & Resource Nurse for unit specific diabetes issues | ||
| *Proof of communication between Waive Testing Coordinator & Resource Nurse for unit specific glucose testing issues | ||
| *Evaluation by Diabetes Educator Nurse | ||
| *Participates in evaluation of diabetes/glucose waive testing products | ||
| 8.Completes 2 hrs of continuing education on diabetes q 6mos | *Proof of CEUs | |
| Pain Resource | 1. Attends & participates in 4 out of 6 monthly Pain | *Training Tracker record |
| Nurse | Resource Nurse Meetings | *Committee meeting minutes |
| 2. a). Facilitates pain management information into unit | ||
| orientation material & updates preceptors with | *Signature roster of preceptors receiving information | |
| current pain management information | *Copy of materials presented to preceptors | |
| *Copy of pain management information included in unit | ||
| b). Review pain management competencies for area every | orientation materials | |
| 6 months | *Proof of update/revision of unit pain management | |
| competencies | ||
| 3. Provides staff education related to pain management topic | *Provides 2 inservices related to 2 different pain management | |
| service topics (1 inservice can be poster presentation) | ||
| *Assists with staff pain management competency | ||
| check-offs | ||
| *90% of staff attendance at inservice | ||
| *Content of material presented | ||
| *Evaluation summary of inservice by staff | ||
| *Serves as a unit and hospital resource for pain management | ||
| 4. Active participation in unit PI related to pain management | *Collects and post unit specific pain management PI data | |
| *Reports data to staff at staff meetings/staff minutes | ||
| *Provides feedback to staff re: pain management practices | ||
| 5. a). Maintains current pain management education | *Resource manual | |
| literature/resources for unit | *Designated file cabinet with staff education material | |
| *Provide CSM with table of content of materials added | ||
| b). Presents current research/evidenced-based article on | *Copy of article posted | |
| pain management topic | *Staff sign in roster that reflects reading of information | |
| 6. Understands policies & procedures regarding | *Personal competency related to role evaluated & | |
| pain management & mentors peers to do the | validated annually by Pain Liaison | |
| same | *Monitors staff practice of pain management on the unit & | |
| provides documentation of findings & individual one-to one | ||
| peer education | ||
| *Document staff variances to compliance with pain | ||
| management protocols/policies/guidelines | ||
| 7. Acts as a liaison to Diane Seager for | *Consult Pain Liaison as needed | |
| pain management data/activities | *Proof of communication between Pain Liaison | |
| and Resource Nurse for unit specific patient satisfaction | ||
| issues | ||
| *Evaluation by Pain Liaison | ||
| *Participates in evaluation of pain management activities | ||
| *Role models expert pain management practices through | ||
| pain assessments, interventions, and patient outcomes | ||
| 8. Completes 2 hours of continuing education on | *Proof of CEUs | |
| pain management every 6 months |