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Page 1 of 10 Reviewed 2012 Hamad Medical Corporation Department of Nursing Job Description / Performance Evaluation ASSISTANT EXECUTIVE DIRECTOR OF NURSING Name: ________________________________________ _ Corp. No. : _____________________ Title : _________________________________ No. of Day(s) Sick : _____________________ Department : _________________________________ No. of Day(s) Absent: _____________________ Date of Last Evaluation : ___________________________ Date of this Evaluation : ___________________ Date of Appointment :_______________________________________ _______________________________ No. of Commendation Letter(s): _____________________ License: No. of Warning Letter(s): __________________________ Country: __________ Date Expires: ________ No. of Cautionary Letter(s): ________________________ (if lifelong, write on the above line) Purpose of Evaluation : First 3 Months Probationary Annual Other ________________ Contract Renewal Promotion ________________ SUPERVISION RECEIVED : Executive Director of Nursing SUPERVISION EXERCISED : Directors of Nursing Nursing House Supervisor Speciality Nurses as

Page 1 of 10 Reviewed 2012 Hamad Medical Corporation Department of Nursing Job Description / Performance Evaluation ASSISTANT EXECUTIVE DIRECTOR OF …

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