Created: September 13, 2021 at 1:59 pm
Updated: September 13, 2021 at 1:59 pm
Draft Status: 0
Employee Information
Team Member: Eric Stajduhar
Employee ID: 12925
Email Address: estajduhar@augustahealth.com
Department Name: Cardiac Cath / Electrophysiology Lab
Department Phone Number: 540-332-5254
Current Employment Status: FT
Current Level of Participation: Clinician III
Intended Level of Participation: Clinician III
Supervisor: Daniel Grantham
Clinician Requirements Roadmap
Clinician II Requirements Completed:
Clinician III Requirements Completed: 30 Total Points (from at least 3 categories- 1 must be TL), Option 230 Total Points (from at least 3 categories- 1 must be TL), 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: 1 Orientee (3pts)
Preceptor Travel: 0
Secondary Preceptor: 4 shifts+/ team member (2 pt)
Preceptor Capstone Student: 0
Preceptor for Degree Completion:
Mentorship
LANTERN MENTOR:
AH NPDP: 0
Student Daily Shift Support: 100 hrs (1 pt)
Shared Decision Making
Unit Based Council/Committee/Taskforce: Vice Chair / Other Office (3 pts), Chair (4 pts)
System-Wide Committee:
Shared Governance Council:
Transformational Leadership Supporting/Validation Documents
https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/TL-portfolio-final.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: Competency Validator (3 pts), Content Contributor (1 pt), 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: 0
Structural Empowerment Supporting/Validation Documents
https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/SE-portfolio-final.pdf
Exemplary Professional Practices
Professional Development
PDO – 3, PDO – 3
Recognition
Internal – Unit: 7 (7 pts)
Internal – System: 0
External – Health-Care Related: 0
Clinical Resource Roles
Shared Governance Council
Charge: Greater than %50 (2 pts)
Patient Experience Rounding Nurse/Super-User Technology: Patient Experience Rounding Nurse (4 pts), Super-User Technology/Equip (3 pts) *Annual validation of skill(s)
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
Unit (2 pts)
Performance Improvement
PI Unit based education (4 pts)
Other Improvement & EPB Projects
PI Unit based education (4 pts)
Audits
Short Term (1 pt), Ongoing (3 pts), Short Term (1 pt)
Knew Knowledge Supporting/Validation Documents
Totals
Total TL: 15
Total SE: 6
Total EPP: 22
Total NKI: 11