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Self and Peer Assessment

Applicant Name: Proficient Registered Nurse: Full self and peer Assessment Details of nurse completing self - Assessment : Details of nurse completing peer Assessment Name: Name: APC number and expiry date: APC Number &. expiry date: Department and Directorate or workplace: Department: Employee number: Level on PDRP: Signature: Signature: Role title this Assessment relates to: Practice hours: minimum 450 hours /60 days in last three years MET / NOT MET. Education hours: minimum 60 hours in the last 3 years MET / NOT MET. Date and or review period Completion of this document meets the 3 yearly requirements to complete two forms of Assessment against the Nursing Council of New Zealand (NCNZ) competencies for an RN.

Self-Assessment Peer Assessment Domain One: Professional Responsibility 1.1 Accepts responsibility for ensuring that his/her nursing practice and conduct meet the standards of the professional, ethical and relevant legislated requirements. 1. Identify one professional, 2. …

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