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Discussion

Employee Eval Help

Hi folks,

I am helping a small home care get its feet on the ground and am looking for a good RN, LPN, PT, OT, HHA employee eval form. Anybody out there have a good one or know where I could lay my hands on one? Thanks all,

VNM

Featured Replies

Hi, I have a great one that I use. It's fairly thorough and leaves room for responses. If you want it, I can e-mail it to you.

  • Author

Thanks so much! Do I leave my e-mail here or is there a more secure way to get it to you?

VNM

  • Author

Vitalnursemom again! Noticed that you are in Virginia. I will be moving there soon! Can't wait to have four seasons again!

Hey vital nurse Mom,

Glad to have you come back to Virginia! We need lots of good nurses. You can PM me and send your e-mail address and I will send the form to you. It's on my computer so I can send it as an attachment. Sorry to be so late to reply, I didn't get back on the computer until now.

  • Experts

This is a rather simple one. I have a couple of others that I would have to look for. If I find them I will repost. Note this is not typed in the format of the actual form. The classification is for Licensed Practical/Vocational Nurse.

Performance Appraisal

Employee:

Classification:

Date of Hire: Date of Appraisal:

(Column) (Column) Col Col Col

Performance Standard Data Base Appraisal DNME ME EE

1. Provides skilled nrsg

in the home as ordered on

the plan of care & nrsg care

plan.

2. Ea shift reflects the pro-

vision of skilled nrsg care

IAW the physician order.

3. Problems, changes, and/or

resolution are ident and comm

to the RN.

4. Adheres to policies and

procedures.

5. Functions as team mbr

under the dir of the RN.

6. Clin notes are completed

& submitted as per respective

pol & proc.

7. Participates in other man-

dated act as req by RN or

agency Director.

8. Dem willingness to contrib

to agency growth, as well as,

personal growth is evident

through participation in educ

and committee work r/t pt care.

DNME=Does Not Meet Expectations ME=Meets Expectations EE=Exceeds Expectations

Page Two

Large Open area titled Overall Performance-room for handwritten comments w/

DNME ME and EE at bottom of paragraph

Large Open area titled Goals for Next Performance Period

Third Open area titled Employee Comments

Signatures and Dates for Employee and Director of Clinical Services at bottom

HTH

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