13.07.2015 Views

GENERAL ONGOING PROFESSIONAL PRACTICE EVALUATION ...

GENERAL ONGOING PROFESSIONAL PRACTICE EVALUATION ...

GENERAL ONGOING PROFESSIONAL PRACTICE EVALUATION ...

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<strong>GENERAL</strong> <strong>ONGOING</strong> <strong>PROFESSIONAL</strong> <strong>PRACTICE</strong> <strong>EVALUATION</strong>Name: ____________________________________AcceptableNeedsImprovementUnacceptableNot Observed/Not ApplicableTREND5. Appropriate use of Laboratory andImaging ServicesComments:Recommendations:INTERPERSONAL ANDCOMMUNICATION SKILLS:1. Relationship with Medical Staff andHospital Staff2. Clarity of Records3. Histories and Physical ExamDocumentation Complete and Timely4. Progress Notes Documentation Completeand Timely5. Collaborates with SBAR Method6. Uses Approved Standardized Orders(When Appropriate)7. Signs Orders in a Timely FashionComments:Recommendations:<strong>PROFESSIONAL</strong>ISM:1. Respectful of Others2. Collegial, Courteous, Pleasant, Positivewith all Staff, Patients, and Families3. Compassionate4. Accountable for Personal Behavior andActions5. Maintains Patient Confidentiality6. Maintains Confidentiality in all PeerReview Processes7. Follows Ethical Principles at all Times8. Adheres to the Medical Staff By-Laws,Rules and Regulations, and Policies.2

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