LPN Performance Evaluations

4 - Exceeds Requirements 3 - Meets Requirements 2 - Needs Improvement 1 - Does Not Meet Requirements

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

The Licensed Practical/Vocational Nurse assumes responsibility for, but is not restricted to:

a. Providing services that are ordered by the physician as indicated in the plan of care(Required)

b. Patient, caregiver, and family counseling(Required)

c. Patient and caregiver education(Required)

d. Preparing clinical notes(Required)

e. Communication with the registered nurse and other health care practitioners (as appropriate) related to the current plan of care(Required)

f. Participation in the Agency’s QAPI program(Required)

g. Participation in agency-directed in-service training(Required)

Implements current nursing practice following the plan of care.(Required)

Provides accurate and timely documentation of patient services to reflect the plan of care.(Required)

Provide patient and family/caregiver education and information pertinent to diagnosis and plan of care.(Required)

Participates in coordination of Agency services, appropriately reporting the identified needs to the care team.(Required)

Uses and prepares equipment and supplies effectively, adhering to aseptic technique.(Required)

Provides appropriate pain/symptom management. Evaluates and documents patient’s response to treatments/medications.(Required)

Participates in personal, professional growth and development.(Required)

Performs other duties as assigned by the registered nurse/supervisor(Required)

Comments

Evaluation of past goals:

Establishment of new goals:

Employee Signature(Required)

Date(Required)

Supervisor Signature(Required)

Date(Required)