Created: October 5, 2021 at 5:22 pm
Updated: October 5, 2021 at 5:22 pm
Draft Status: 0
Employee Information
Team Member: Shannon Burke
Employee ID: 06988
Email Address: sburke@augustahealth.com
Department Name: OB/PEDS
Department Phone Number: 540-332-4360
Current Employment Status: FT
Current Level of Participation: Clinician III
Intended Level of Participation: Clinician IV
Supervisor: Roxanne Harris
Clinician Requirements Roadmap
Clinician II Requirements Completed:
Clinician III Requirements Completed: 30 Total Points (from at least 3 categories- 1 must be TL), 3 Years of RN Experience*, National Certification OR BSN, Leadership contact hours (8 hours), Behavioral Exemplar: Clinician III
Clinician IV Requirements Completed:
Transformational Leadership
Professional Nursing Organizations: Members (2 pts)
Educational Roles
Precepting
Precept AH Team Member: 0
Preceptor Travel: 0
Secondary Preceptor: 0
Preceptor Capstone Student: 0
Preceptor for Degree Completion:
Mentorship
LANTERN MENTOR:
AH NPDP: 0
Student Daily Shift Support: 0
Shared Decision Making
Unit Based Council/Committee/Taskforce: Chair (4 pts)
System-Wide Committee:
Shared Governance Council: Members (4 pts)
Transformational Leadership Supporting/Validation Documents
https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Burke-MembershipCard.pdf
Structural Empowerment
Community Outreach/Events
Volunteer Event as RN or Medical Professional: 0
Other Volunteer AH Event: 1 (1 pt)
Coordinate Nursing Event: Coordinate Nursing Event (4 pts)
Conferences:
Educational Leadership: Competency Validator (3 pts), Unit Inservice Education (2 Inservices/Yr) (2 pts)
Journal Club:
Activities Through Nursing Education
Present Formal Education: [105]
AHA Instructor:
Skills Fair Instructor: 0
Other Instructor:
Nurse Residency Instructor: 0
Hold Active Certification not required by job description: 1 addtional certification (1 pt)
Structural Empowerment Supporting/Validation Documents
Exemplary Professional Practices
Professional Development
BSN (4 pts), Cross-training to another department (3pts)
Recognition
Internal – Unit: 1 (1 pt)
Internal – System: 1 (4 pt)
External – Health-Care Related: 0
Clinical Resource Roles
Shared Governance Council
Charge: 0
Patient Experience Rounding Nurse/Super-User Technology:
Presentations/Publications
Structural Empowerment Supporting/Validation Documents
New Knowledge, Innovation, Improvements
New Knowledge & Innovations
Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 0
Clinical Resource Roles
Performance Improvement
PI Unit based education (4 pts), Key Participant in PI/RCI/Kaizen project (3 pts)
Other Improvement & EPB Projects
PI Unit based education (4 pts), Key Participant in PI/RCI/Kaizen project (3 pts)
Audits
Short Term (1 pt), Ongoing (3 pts), Hand Hygiene Coach (2 pts)
Knew Knowledge Supporting/Validation Documents
Totals
Total TL: 10
Total SE: 11
Total EPP: 12
Total NKI: 15