Created: October 22, 2021 at 1:36 am
Updated: October 22, 2021 at 1:36 am
Draft Status: 0

Employee Information

Team Member: Anna Mikolay

Employee ID: 14190
Email Address: amikolay@augustahealth.com
Department Name: Emergency Department
Department Phone Number: 540-332-4655
Current Employment Status: FT
Current Level of Participation: Not active
Intended Level of Participation: Clinician II
Supervisor: Kira Griffin

Clinician Requirements Roadmap

Clinician II Requirements Completed: 25 Total Points (from at least 2 categories), 2 years of RN experience OR completion of the AH Nurse Residency Program*, Leadership contact hours (4 hours), Behavioral Exemplar: Clinician II
Clinician III Requirements Completed:
Clinician IV Requirements Completed:

Transformational Leadership

Professional Nursing Organizations: Members (2 pts)

Educational Roles

Precepting
Precept AH Team Member: 2 Orientees (6pts)
Preceptor Travel: 0
Secondary Preceptor: 4 shifts+/ team member (2 pt)
Preceptor Capstone Student: 2 (2 pts)
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/ENA-membership.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Capstone-papers.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Capstone.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Precepting-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: 3 sessions (1 pt)
Other Instructor:
Nurse Residency Instructor: 0
Hold Active Certification not required by job description: 1 addtional certification (1 pt)

Structural Empowerment Supporting/Validation Documents

https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/TNCC.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Skills-day.pdf

Exemplary Professional Practices

Professional Development

Recognition

Internal – Unit: 5 (5 pts)
Internal – System: 0
External – Health-Care Related: 2 (12 pt)

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/Recognition.pdf

New Knowledge, Innovation, Improvements

New Knowledge & Innovations

Complete 1 CEU & Present topic to unit: 0
Continuing college credits: 4 Courses (8 pts)
Clinical Resource Roles

Performance Improvement

Other Improvement & EPB Projects

Audits

Knew Knowledge Supporting/Validation Documents

https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/CIWA-implementation-in-the-Emergency-Department.doc, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/process-of-CIWA-implementation-in-the-Emergency-Department.doc, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/School.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/CIWA-signed-approval.pdf

Totals

Total TL: 12
Total SE: 2
Total EPP: 17
Total NKI: 12

Grand Total: 43