LPN Performance Evaluation Form for Advanced Care
This form is designed for supervisors at healthcare facilities to evaluate the performance of Licensed Practical Nurses (LPNs). It includes sections on clinical processes, communication skills, leadership, and safety awareness. Use this form to provide structured feedback and set goals for professional development.
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How do I fill this out?
To fill out this evaluation form, begin by entering the necessary details such as the supervisor's name and the facility's name. Next, assess the performance of the LPN in various categories using the provided scale. Lastly, ensure that both the supervisor and the employee sign the form to confirm the evaluation discussions.
How to fill out the LPN Performance Evaluation Form for Advanced Care?
1
Enter the supervisor's name and facility information.
2
Evaluate the LPN's performance across different categories.
3
Provide remarks and suggestions for improvement.
4
Obtain signatures from both the supervisor and the LPN.
5
Submit the completed form as instructed.
Who needs the LPN Performance Evaluation Form for Advanced Care?
1
Healthcare Supervisors need this form to assess LPN performance.
2
Quality Assurance managers require this for compliance checks.
3
Human Resources departments utilize this form for employee evaluations.
4
Nursing coordinators need it for staff development tracking.
5
Accrediting bodies may request these evaluations for audits.
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What are the instructions for submitting this form?
To submit the completed LPN Performance Evaluation form, please email it to the nursing administration at nursing@advancedcarestaffing.com. Alternatively, you can fax it to 718-305-6824. If required, physical copies can be submitted to the HR department at 545 Broadway, 3rd Floor, Brooklyn, NY 11206.
What are the important dates for this form in 2024 and 2025?
Important dates for the LPN Performance Evaluation will vary based on your facility's schedule, typically aligned with annual performance reviews and training sessions. Ensure evaluations are completed before the scheduled review meetings to allow for constructive feedback and goal-setting discussions.
What is the purpose of this form?
The purpose of the LPN Performance Evaluation form is to provide a structured framework for assessing the performance and professional development of Licensed Practical Nurses. This evaluation form emphasizes critical areas such as clinical skills, communication, leadership, and safety awareness. By utilizing this form, healthcare facilities can enhance staff performance, address areas for improvement, and ensure the delivery of high-quality patient care.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The name of the employee being evaluated.
- 2. Date: The date when the evaluation is conducted.
- 3. Evaluator's Name: The name of the supervisor completing the evaluation.
- 4. Facility: The healthcare facility where the LPN works.
- 5. Performance Categories: Sections that evaluate various competencies of the LPN.
What happens if I fail to submit this form?
Failing to submit this form can result in incomplete performance records and hinder professional development for the LPN. Delays in evaluation can cause confusion regarding employee expectations and goals.
- Incomplete Evaluations: Without submission, performance assessments may remain unfinished or undocumented.
- Lack of Feedback: Employees may miss out on valuable feedback for growth and improvement.
- Regulatory Compliance Issues: Failure to submit can lead to potential compliance issues during audits by accrediting bodies.
How do I know when to use this form?
- 1. Annual Reviews: Use the form for comprehensive yearly evaluations.
- 2. Performance Improvement Plans: Implement this form for assessing progress in performance improvement initiatives.
- 3. New Employee Evaluations: Complete evaluations for newly hired LPNs at the end of their probation period.
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