RN Case Manager RN Peer Input Tool for Annual Evaluation:
Clinical Thinking and Judgment
Peer feedback for (RN name):
Directions:
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Evaluatee to send domain portions to peers who evaluatee would like feedback from
Clinical Thinking and Judgment domain is to be completed by another RN
Peers should indicate within the last column the level they feel is appropriate for the Evaluatee on each row
Peers are encouraged to support their views with concrete examples
Peers should complete the peer review within 7 Days and return electronically to the Manager/Designee and Evaluatee
Role Entry / Competent
Expert
Mastery
Peer Should Designate
Appropriate Level Below
DOMAIN: Clinical Thinking and Judgment: Ability of nurses to use their clinical knowledge to affect patient outcome. It
incorporates clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled
with nursing skills acquired through a process of integrating formal and experiential knowledge.
Clinical Assessment and Analysis
Practice is guided by policies,
Practice relies on previous
Practice is driven by an intuitive
procedures, and standards and experience for focused analysis of base and is self-directed,
is driven by theory and
problems and solutions with
flexible, and innovative.
experience.
individual patient modification in
Exhibits highly developed
order to meet outcomes.
Within department guidelines,
assessment abilities that
assesses multi-dimensional
exemplify a comprehensive
Independently and consistently
factors (physiological,
understanding of the
performs goal-focused and
psychological, social, economic, individualized assessment when
patient/family situation and
and spiritual) of the
discharge needs.
planning for discharge, including
patient/family for anticipated
those with complex
Able to readily identify
needs post point of service.
pathophysiological and
discharge needs of even most
psychosocial needs.
Identifies and recognizes actual
complex/catastrophic patients.
and potential needs for care
Incorporates population-specific
transitions.
needs related to care transitions. Based on depth of knowledge
with system and patient
Identifies and assures that the
populations, utilizes processes
patient meets criteria for
Proactively responds to the need to secure needed changes in
current patient classification
patient classification
for reclassification (I.e.,
observation to inpatient status)
and appropriateness of level of
care.
Development of Discharge Plan
Identifies expected outcomes
Accommodates unplanned
Is consistently effective in
and interventions needed to
events and evaluates /responds
creating a holistic discharge
meet identified discharge
appropriately with speed,
planning that ensures quality
needs and maintain standards
efficiency, flexibility and
outcomes even in the most
of practice.
confidence.
challenging discharge situation.
Demonstrates basic recognition
of barriers to effective and
timely discharge
Recognizes barriers to effective
discharge and proactively
addresses them.
Anticipates and prevents
potential barriers.
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Role Entry / Competent
Develops, coordinates, and
evaluates a safe and effective
plan of care with resources
available.
Utilizes interprofessional
rounds to facilitate discharge
plan.
Expert
Mastery
Peer Should Designate
Appropriate Level Below
Facilitation/Implementation/Evaluation of Discharge Plan
Proactively monitors progress
Refers facets of the care plan
toward the goals of the plan and
beyond the control or influence
makes revisions in response to
of the team to the appropriate
changes in patient needs and
level of authority.
condition.
Utilizes Health System resources
to resolve conflict or challenges
Facilitates and coordinates case
regarding treatment decisions, if
conferences to manage
challenges with discharge plan of they occur.
care.
Please describe a time when you saw me at my very best. What qualities did I display in this domain?
Please provide your input regarding opportunities for my personal and/or professional growth
I have completed the Peer Feedback Class as required by the UMPNC contract, paragraph 28E, for participation in the
peer review process.
Name:
Date:
Revised 7/2015 Professional Development Framework RSAM Steering Committee/JIT Approved.
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