ࡱ> _a^[@ bjbj44 +VViVi''''4'-(((((((( -------$x/R13--)(())3-((`-***) (( -*) -*(*++(z( LU'*"+Y+v-0-+f2'*f2+f2+<(>(,*($)(((3-3-VD * VSHERMAN INDEPENDENT SCHOOL DISTRICT NURSE PERFORMANCE APPRAISAL 75 NURSE PERFORMANCE APPRAISAL Name______________________ Evaluation period _____________________ Position____________________ Department/campus ___________________ Evaluator___________________ Title_________________________________ Rating scale: E Exceeds expectations Performance exceeds expectations P Proficient Performance meets expectations I Needs improvement Performance does not meet expectations N/A Not applicable Performance is not expected Directions: Use the above descriptors to rate each performance area. Determine the overall job performance by reviewing all ratings. Supporting comments must be given for a rating of (E) exceeds expectations or (I) needs improvement. RatingGeneral responsibilities and skills ________ Performance area: School and community relations Participates in school and community activities Works cooperatively with others Demonstrates knowledge of district policies and procedures Participates in meetings, training, and special events Follows appropriate lines of authority Comments:  ________ Performance area: Planning and organization Sets goals with supervisor Completes tasks in a timely and accurate manner Keeps records organized, up-to-date, and accurate Disseminates information on a timely and periodic basis Comments:  ________ Performance area: Communication Communicates in a clear, effective, and informative manner Writes and speaks in an understandable and organized manner Communicates role and program related to the districts mission and goals Promotes positive interactions with the community Comments:  NURSE PERFORMANCE APPRAISAL ________ Performance area: Job knowledge and skills Demonstrates knowledge of job requirements Bases recommendations and decisions on data, knowledge, and experience Provides leadership and direction for improvement in areas of responsibility Evaluates and analyzes results to determine effectiveness Uses innovations and current developments in areas of responsibility Comments:  ________ Performance area: Professional growth and development Participates in self-evaluation Cooperatively sets goals that reflect feedback from evaluation process Seeks self-improvement ideas Comments: Specialized responsibilities and skills ________ Performance area: Prepares a safe and appropriate health-care program to identify needs for each campus assigned Assesses health promotion, protection, and care needs of each campus Systematically collects, compiles, and analyzes pertinent student health data Formulates goals for campus health services program based on district priorities and campus needs Prepares a plan for both problem intervention and prevention Confers regularly with campus administration to review and revise plan Comments:  ________ Performance area: Demonstrates ability in implementing campus health-care program to support district mission and goals Maintains a safe, clean, and orderly work area Develops an effective system for the acquisition, maintenance, and use of supplies and equipment for the school health facility Provides a private and comfortable environment for emergency health care and health-care counseling Effectively performs emergency first aid to meet student and staff needs Authorizes appropriate exclusion and readmission of students according to district policy Manages school health facility through effective management of students Comments:  NURSE PERFORMANCE APPRAISAL ________ Performance area: Demonstrates proficiency in nursing skills Organizes campus health facility to provide for efficient ongoing school health care Clearly communicates health assessments, screening results, and medical or specialist consultation reports to parents and appropriate school personnel Demonstrates skill in collecting data using a variety of appropriate methods: interviewing, screening, observing, and reviewing records Demonstrates appropriate use of crisis intervention procedures Establishes safe systems of medication administration and communicable disease containment Comments:  _______ Performance area: Demonstrates health teaching skills and provides services to the school community Implements self-care concept into plan of campus activities Provides appropriate assistance to teachers of health education Makes health information accessible to staff, students, and parents Identifies candidates for referral to special programs Comments:  ________ Performance area: Performance goals General comments Employee comments Overall performance rating (check one) ۉ Exceeds expectations ۉ Proficient ۉ Needs improvement This evaluation has been discussed with me by my supervisor. 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