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Hello:

You are invited to participate in a Peer Reveiw survey. It will take approximately 5-10 minutes to complete the questionnaire.

Your participation in this study is an insturmental part of helping the professionals in your area be the best they can be.

Your survey responses will be strictly confidential. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
Teamwork:
Below Expectations Successful Performer Excellent Performer
Setting Others up for Success
Promotes a positive and caring attitude in the work environment
Adjusts personal work load / assignment to assist co-workers and accomodate changes in overall unit activity
Demonstrates flexibility in scheduling and assignments
Contributes as a member of the multidisciplinary team
Supports team members through consistent and fair behavior
 
 
Clinical Competence:
Below Expectations Successful Performer Exceeds Expectations
Demonstrates technical competence in clinical skills
Completes assigned tasks with attention to detail and accuracy
Manages patient assignments safely
Demonstrates evidence-based practice by staying current with issues related to clincal field
Gives comprehensive report
Prioritizes and anticipates patients' needs
Recognizes change in patient status and responds appropriately
Accesses/utilizes available resources for clinical problem solving
 
 
Communication:
Below Expectations Successful Performer Exceeds Expectations
Communicates directly with team members in conflict situations
Avoids gossip
Promotes atmosphere of mutual trust, professionalism and respect among team members
Communicates with patients and families to enhance patient knowledge, overall satisfaction with care and compliance with treament plan
Communicates need for assistance with assignment
Documents patient care in a manner that effectively conveys necessary information to other helathcare team members
 
 
Productivity:
Below Expectations Successful Performer Exceeds Expectations
Completes assigned tasks in a timely fashion
Prioritizes work to enhance unit productivity
Enhances overall team productivity and performance through professional actions
Sees beyond own personal agenda and appreciates importance of "big picture" for the team
 
 
Professionalism:
Below Expectations Successful Performer Exceeds Expectations
Supports the CHS mission, vision and goals
Accepts responsibility and accountability for own actions
Recognizes and respects needs of team members and considers others' suggestions thoughtfully
Presents a professional image through demeanor and attire
Serves as a positive role model within the profession
Participates in continuing education activities and shares knowledge with others
 
 
Leadership:
Below Expectations Successful Performer Exceeds Expectations
Inspires and motivates team members
Mentors others; is a role model
Recognizes and promotes common goals for the team
Acts as a resource to others
Advocates for patient and team members
Acts as an effective change agent
Delegates as appropriate
 
 
 
* Please list 3 areas of Strength:
   
 
 
 
* Please list 3 Opportunites for Improvement: