KEMH Performance Development Review (PDR)

Name:

Employee Number:

Position:

Registration number:

WWC expiry:

PDR Date:

health.wa.gov.au Version: Nov 2016

Enrolled Nurse

Section 1: PDR meeting questionsIn preparation for your annual PDR meeting consider the following questions in relation to your current role.

1. In the last 12 months how have you facilitated woman/patient centred care in our setting (provide examples)?

2. Briefly describe a QI activity you have undertaken or been involved in demonstrating evidenced based practice in the last 12 months. How has this information influenced your practice?

3. Choose one of the CPD activities that you have completed and reflected upon in the last 12 months. Explain how you will use this in your practice.

4. Describe your involvement with the facilitation of learning for your colleagues in the last 12 months?

5. Describe a situation in the last 12 months where you demonstrated leadership skills within the multidisciplinary team? (effective communication, motivating colleagues, role modelling, innovation, constructive feedback)

Section 2: National Competency Standards for the Enrolled NurseFor each competency standard place a tick in the table to demonstrate you meet the expectation of this competency. Reflecting on the National Competency Standards for the Enrolled Nurse will assist in the planning of ongoing CPD requirements.

Domain: Professional and collaborative practice

Competency Self-assessment

Reviewer assessment

CPD reference

1. Functions in accordance with the law, policies and procedures affecting EN practice.

2. Practises nursing in a way that ensures equal rights, confidentiality, dignity and respect of people are upheld.

3. Accepts accountability and responsibility for own actions.

Domain: Provision of care

CompetencySelf-

assessmentReviewer

assessmentCPD reference

4. Interprets information from a range of sources in order to contribute to planning appropriate care.

5. Collaborates with the RN, the person receiving care and the healthcare team when developing plans of care.

6. Provides skilled and timely care to people whilst promoting their independence and involvement in care decision–making.

7. Communicates and uses documentation to inform and report care.

Domain: Reflective and analytical practice

CompetencySelf-

assessmentReviewer

assessmentCPD

reference

8. Provides nursing care that is informed by research evidence.

9. Practises within safety and quality improvement guidelines and standards.

10. Engages in ongoing development of self as a professional

Section 3a: Enrolled Nursing CPD plan (linked to section 2)

Previous learning need review: Achieved ☐ Not Achieved ☐ Ongoing ☐

Comments/Barriers/Strategies to achieving learning needs:

No

Datecomplete

d

Learning need Learning plan Reflection on activity CPD hours

Section 3b: Enrolled Nursing CPD record No

Datecomplete

d

Learning need Learning plan Reflection on activity CPD hours

Section 4: Mandatory training (include a copy of mandatory training checklist)

Mandatory training requirements completed Yes ☐ No ☐ Signature:

Comments:

Breastfeeding education record (BFHI) BFHI group 1 ☐ 3 ☐

Initial education requirements Date Sign Evidence description

Provide evidence of recognition of prior learning (RPL)

Evidence of 3 hours supervised clinical experience (Group 1 only)

Breastfeeding policy study day (Group 1 only)

Continuing breastfeeding education (8 hours of education every 3 years)

Date Details/Title Type of activity Reflection on activity Evidence

description Hours

Section 5: PDR summary questions

1. Where do you see your career going and what help will you need to get there?

2. What do you think we can improve in the Clinical Care Unit? How can you be a part of that?

Declarations

Comment by PDR reviewer:PDR Meeting questions, Competencies, CPD, General comments

Employee additional comments (OPTIONAL)

Employee: Name: Signature: Date:

I have openly discussed my performance, outcomes and development plan and I agree with the information documented.

PDR reviewer: Name: Signature: Date:

The employee’s performance, outcomes and development plan have been openly discussed and all relevant information has been documented.

Director:Name: Signature: Date:

© Department of Health 2016

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