Created: October 4, 2021 at 5:22 pm
Updated: October 4, 2021 at 5:22 pm
Draft Status: 0

Employee Information

Team Member: ERIC MARQUEZ

Employee ID: 19268
Email Address: ECMARQUEZ13@YAHOO.COM
Department Name: EMERGENCY DEPARTMENT
Department Phone Number: 5403324465
Current Employment Status: FT
Current Level of Participation: Clinician II
Intended Level of Participation: Clinician III
Supervisor: Amanda Bennington

Clinician Requirements Roadmap

Clinician II Requirements Completed:
Clinician III Requirements Completed: 3 Years of RN Experience*, National Certification OR BSN
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:
System-Wide Committee:
Shared Governance Council:

Transformational Leadership Supporting/Validation Documents

https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/ENAPrintMembershipCardfromwebNew__nfena_dc900662-4c94-4b9c-83fd-98c1c963b74a992021-1.pdf

Structural Empowerment

Community Outreach/Events

Volunteer Event as RN or Medical Professional: 0
Other Volunteer AH Event: 0
Coordinate Nursing Event:
Conferences:
Educational Leadership:
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: 2 additional certifications (2 pt)

Structural Empowerment Supporting/Validation Documents

https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Student_eCard-2.pdfACLS.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Student_eCard-2.pdfPALS.pdf

Exemplary Professional Practices

Professional Development

BSN (4 pts), National Nursing Certification (3 pts) *Non-nationally recognized certification, see SE Activities through Nursing Education section

Recognition

Internal – Unit: 0
Internal – System: 0
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

https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/CertificatePreview.pdfcen.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/CertificatePreview.pdftcrn.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/CertificatePreview.pdfcpen.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/diploma.pdf

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 0
Clinical Resource Roles

Performance Improvement

Other Improvement & EPB Projects

Audits

Knew Knowledge Supporting/Validation Documents

Totals

Total TL: 2
Total SE: 2
Total EPP: 7
Total NKI: 0

Grand Total: 11