Created: October 22, 2021 at 12:01 am
Updated: October 22, 2021 at 12:01 am
Draft Status: 0
Employee Information
Team Member: Mikahla Puffenbarger
Employee ID: 17540
Email Address: MP5400619@augustahealth.com
Department Name: Emergency Department
Department Phone Number: 540-332-4465
Current Employment Status: FT
Current Level of Participation: Not active
Intended Level of Participation: Clinician II
Supervisor: Amanda Bennington
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: 2 shifts/ team member (1 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/Supporting-Documentation-Log-2021.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/ENA-Membership.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/NRP-Certification.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/TNCC-Certification.pdf
Exemplary Professional Practices
Professional Development
BSN (4 pts)
Recognition
Internal – Unit: 10 (10 pts)
Internal – System: 0
External – Health-Care Related: 0
Clinical Resource Roles
Shared Governance Council
Charge: Less than %50 (1 pt)
Patient Experience Rounding Nurse/Super-User Technology:
Presentations/Publications
Structural Empowerment Supporting/Validation Documents
https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Recognition-2021.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Supporting-Documentation-Log2-2021.pdf, https://futureproviders.augustahealth.com/wp-content/uploads/formidable/3/Bachelors-Degree-150×150.jpg
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: 11
Total SE: 2
Total EPP: 15
Total NKI: 0