Transcription of ANNUAL EVALUATION - PN System
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Example: dental hygienist
ANNUAL EVALUATION - PN System
EVALUATIONYear: _____Sample 1-855-PNSystemSample 1-855-PNSystemEMPLOYEE EVALUATION SHEET - PROBATION PERIOD / ANNUAL * (circle)Name of Employee: _____Date of Employment: _____ Position/Title: _____Immediate Supervisor: _____EVALUATIONITEM 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, professional manner.
EMPLOYEE RESPONSE INPUT (Self Evaluation) (To improve our services to our patients we need your input and concern, please fil out the following form, and
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