Alison Kirkpatrick RN

So are there any scoring systems to meet criterion for discharge as you have with Aldrete or PAS in the PACU following surgery?

So you have to show you affected change within your department. Re-writing an SOP, doing an in-service for staff etc. When you get to ethics, pull up the ANA code of ethics and correlate your example to one of the standards. You can use one example for more than one dimension. If you go back on this thread I attached a generic copy of my eval when I was promoted. Best of luck

We were told the board would evals received on or before COB 1/24/2024. All other evals will fall under the new standards which have not been released yet. Additionally, everyones dates are changing to fiscal year end. We were told here if it wasn't reviewed before the board was sunset there would not be a 2023 review, but please confirm that with your manager. If that is the case I am sorry.

The boards were sunset effective Monday January 29th. The entire process is changing going forward. It is supposed to be more of a natural progression to a Nurse II going forward, and easier because it will be at the hands of your manager and HR. That was all the details given, more information should be forthcoming.

Here friends. I have removed any personal information, but this is my evaluation for promotion when I went from a Nurse 1 Level 3 to a 2. A few tips, pretend the people reading this are not nurses and have no clue what you do. Go into great, nauseating detail. The goal is to show you have affected change at the UNIT level. Precepting, re-writing a policy, being a super user for Cerner, any committees or doing a presentaion are all examples of that. Identify the problem, what you did and how it is sustainable as an outcome. When you get to Ethics, make sure you correlate your example to one of the ten ANA code of ethics. If you did research, site your examples like you are writing a school paper. You can re-write if you don't meet a dimension, but you do not have to re-write the entire thing only the ones you don't meet. If you need help, message me. Good luck! Performance Evaluation 2015 for example.docx

A multitude of reasons. The patient will be in an ultra-sling, so they will be limited and will have to use the non-operative side to do everything. If you have a patient with mobility issues every time they go to stand up, they will use that side to push out of the chair. We also do a fairly large population of ASA 3's that are on thinners. I don't have a problem as a skill set, I have cared for patients with them before, but never in a freestanding ASC. It would be different in a hospital setting. I understand the applicability I just personally think its overkill for the most part.

I work in a freestanding ASC for the VA. We have acquired a new orthopedic surgeon who will be doing shoulder arthroscopies with rotator cuff repairs, distal clavicle resections, and acromioplasties to be done in beach chair position. Our chief of anesthesia is insisting on placing arterial lines for these cases that will be done as outpatients and discharged home same day. Anyone else have any experience with this? I have worked Preop/PACU/OR both in the hospital and freestanding ASC's and have NEVER in over 25 years had a patient for an outpatient surgery that needed an arterial line let alone was discharged home same day after a surgery. His plan is to start them in preop, and have the nurses pull them in PACU. We don't even have a Phase I/II PACU, it's all in the same room. We have argued with management and lost, so it is going to happen whether we like it or not.

You can use 1 example for more than one dimension if applicable

Happy to help. You need to do something that affects change at your unit level. Re-write a policy, suggest a change that improves outcomes etc. One nurse simply identified that we didn't have an actual order set to access an infusaport for SDS. She collaborated with oncology, did her research, re-wrote the policy and wrote the order set. She then in-serviced all the staff. If you email me I will send you mine. What is your email I will send you mine? (I also am on the board). If you don't get it, please re-write it. When you get to ethics, make sure your correlate your example to the ANA code of ethics and one of the dimensions there. Hope this helps.

So if you are BSN prepared with greater than 2 years experience you should come in at a nurse 2. If you didn't make sure your VetPro information is accurate. Buzz words to use on your resume are charge nurse, preceptor, super user etc. Include any management experience, any committee's your were on for process improvement that you can show outcomes on, LPN year's of experience. All this equals more points which is more money. I know it breaks all the rules of resume writing. But its how it works. If they come in too low, you can always counter or refuse because of money.

Based on what you've stated here, you should have been brought in as a nurse 2. You must have a minimum of 2 years experience to do so, otherwise you would have come in at a nurse 1 level 3. I am sorry. I am not sure that anything can be done now except to write for your 2 and then solicit a board member for assistance, reminding them that you qualified for a 2 on hire with a BSN and 2+ years of experience. I am sorry this happened.

So writing for your appointment is a bit different. You want to include anything you've done outside of regular patient care. Precepting, charge nurse, assistant nurse manager, super user, fall champion/skin care champion, any committee's you participated in or policy's you wrote. You get points for all of that. If you have won any awards locally, state or national level include those as well. The more points, the higher you will appoint. If you have your BSN with 2 or more years experience, you will come in at a nurse 2. Less than 2 years or ADN you will come in at a Nurse 1 Level 2 or 3. It will be long and break all the rules of resume writing, but if you don't give specifics you won't make as much. I hope this helps.

LVN is a bit different because they are on the GS scale. I would give details of any extra things you did, like precept or projects.

Did you come in at a Nurse 1 or a 2 with a BSN?

So one of our veteran nurses has recently challenged the way we document in PACU. There is no current SOP for frequency of documentation, so I have always adhered to the 15 minute rule while in Phase I PACU (meaning I reassess every 15 minutes with the vitals after the initial assessment and vitals q5m x 3.) for recovering generals and minimum of 1 assessment for Phase II. If the patient is unstable of course I would assess more frequently. She also has challenged the way we do assignments, we used to assign a nurse to an OR but some felt it was unfair if some had 5 cataract vs a room full of general surgery, now we alternate according to what time your shift starts. I am not a fan of this because some people manipulate to get a lighter patient load. Sorry in advance for the lengthy post, thank you for any help.