ANNUAL EVALUATION - PN System

← Back to document page

EVALUATIONYear: ______Sample 1-855-PNSystemSample 1-855-PNSystemEMPLOYEE EVALUATION SHEET - PROBATION PERIOD / ANNUAL * (circle)Name of Employee: ________________________________________ _______________________________________D ate of Employment: _________________ Position/Title: ________________________________________ ________Immediate Supervisor: ________________________________________ _____________________________________EVA LUATIONITEM DiscussedExceptional SatisfactoryNon-SatisfactoryImprovement NeededPersonal appearance/ Code of conduct/ BehaviorPunctuality/Visits Frequency complianceAttitude to work /Attitude to other workers and staff Acknowledgment/ Contract-Agreement reviewedAttitude-Communication with patients/familyResponsibility, JOB DESCRIPTION Discussion in details,follow Physician Plan of Care, Updates as guidelinesInitiative/Duties/Abilities/QA -QI-PI/Agency Evaluationprogram participation/learning experienceMorals/Ethics/Courtesy/Conflic t of interestAbility to record relevant notes, delivery on time,documentation guidelines complianceAbility to communicate in legible.

HAND HYGIENE KNOWLEDGE ASSESSMENT QUESTIONNAIRE (Use this questionnaire to annually survey clinical staff about their knowledge of key elements of hand hygiene)

  Annual, Evaluation, Hygiene, Annual evaluation