ANNUAL EVALUATION - PN System

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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 Physic

Evaluating Hand Hygiene Technique Observation Audit Tool Observation— form to be completed for everycontact with the patient/near patient environment for total visit duration Patient no._____ Visit date: _____ GRADE/RESULTS: __ Excellent

  Annual, Evaluation, Visit, Annual evaluation