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Director of Nursing

This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

  • 0 = Not Applicable
  • 1 = No Experience
  • 2 = Some Experience
  • 3 = Intermittent Experience
  • 4 = Experienced
  • 5 = Very Experienced
*Required
n/a
1
2
3
4
5

* Required

Age of Patients Cared For

Newborn/Neonate (birth to 30 days)*

Infant (1 month to 1 year)*

Toddler (1 year to 3 years)*

Preschooler (3 years to 5 years)*

School Age Child (5 years to 12 years)*

Adolescents (12 years to 18 years)*

Young Adults (18 years to 39 years)*

Middle Adults (39 years to 64 years)*

Older Adults (64 years to 79 years)*

Elderly Adults (over 79+ years)*

Leadership

Communicates effectively with residents, families, significant others, and other team members*

Communicates effectively with peers, physicians, and state agencies*

Coordinates resident care to the multidisciplinary team via meetings*

Provides updated resident information to physicians, resident, family, legal, consultants, and state agencies in accordance with regulations and/or standards*

Knowledgeable and able to execute human recourse policies as applicable to a variety of people issues*

Delegates as appropriate*

Actions demonstrate excellent customer service skills and builds relationships with families and associates*

Monitors the progress of others*

Enforces regulatory and employee law compliance*

Technical

Assesses and monitor staff compliance of infection control and safety programs*

Demonstrates excellent technical skills and judgement*

Assesses and monitors accuracy of Facility Scorecard and CMS quality indicator date and initiates corrective action as indicated*

Actively participates and contributes to facility meetings and process improvement activities*

Promotes survey preparedness at all times*

Demonstrates basic working knowledge of computer and modules and management reports*

Demonstrates basic understanding of quality event investigating and reporting process*

Maintains a current knowledge of LTC federal and state regulations including Medicare, Medicaid, and JCAHO as applicable*

Ensure that RAI functions are completed timely for all residents*

Provides and monitors the effectiveness of clinical orientation and ongoing training to all associates*

Problem Solving

Utilizes the nursing process to structure care to individual residents' needs*

Demonstrates the ability to assess and interpret data about the resident's status and ensure timely interventions are executed*

Collaborates with DNS/Consultants on identified areas of noncompliance and implements necessary corrective actions*

Effectively troubleshoots and ensures allocation of staffing resources to meet the needs of the residents*

Demonstrates understanding of census as it relates to HOL, expense control, and budgeted PPD*

Assesses and monitors discharge, rehospitalization patterns and implements corrective action as indicated*

Professional Knowledge and Skills

National Patient Safety Goals*

Age Specific Care*

Population Based Care*

Electronic Documentation*

Automated Med Dispensing System*

Application Agreement

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.