RN Case Manager RN Peer Input Tool for Annual Evaluation:
Facilitator of Learning and Professional Development
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: Facilitator of Learning and Professional Development: The competency in facilitating patient, family, and staff
learning. This includes supporting a learning environment characterized by safe discourse, mentoring, and team development.
Teaching, along with patient and family learning, is embedded in care.
Patient/Family
Identifies patient/family level
of understanding of their
disease process, and care
needs.
Incorporates preferred learning
style/way to learn in order to
maximize patient/family
education.
Evaluates responsiveness to
education, including
understanding and psychomotor
skills.
Identifies patient and family
ability and willingness to learn
and considers preferred way to
learn
Monitors progress toward goals
of educational plan and work
with appropriate team members
to modify as necessary.***
Mobilizes resources for learning
needs in order to address even
the most challenging situations
post discharge.***
Assures individualized
educational plan is in place.
Identifies inconsistencies in
education provided, and works to
clarify and resolve for
patient/family prior to
discharge.***
Serves as expert resource and
facilitates other staff in
improving patient education.
Ensures that education
regarding disease process and
care needs has been provided
by the appropriate members of
the health care team.***
Collaborates with other
disciplines to develop and/or
implement patient/family
educational materials and
teaching programs.
Nurse/Interprofessional Team
Provides basic information
regarding level of care,
resources, insurance, and
community resources.
Identifies gaps in knowledge of
team members that affects
their ability to provide effective
care to the patient/family.
Provides information to the
interprofessional team regarding
available resources and insurance
benefits for acute and post-acute
services.***
Conducts and provides inservices
and/or participates in orientation
of new staff members.
Able to share comprehensive,
in-depth perspective on level of
care, resources, insurance, and
community resources from preadmission to discharge,
including the most complex
patients.***
Able to provide “just in time”
teaching as needed for complex
cases and/or unanticipated
outcomes.
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Role Entry / Competent
Expert
Mastery
Peer Should Designate
Appropriate Level Below
Creates staff education tools.
Mentors and develops the
leadership qualities of others,
including advancement in the
Role Specific Advancement
Model.
Self
Maintains current knowledge
of case management,
utilization management, and
discharge planning, as specified
by federal, state, and private
insurance companies.
Identifies own learning needs
and sets goals for
knowledge/skill enhancement
within the practice setting.
Attends conferences and other
CE offerings in order to educate
self-regarding current practices
and trends.
Sets goals for knowledge/skill
enhancement within and beyond
the practice setting.
Holds department and/or
hospital wide committee
membership.
Attends inservices, department
continuing education, and staff
meetings.
Demonstrates evidence of
advancing professional identity
(at least one):
- Certification (e.g., CAN,
CCM, other specialty)
- Advancing Education (i.e.,
Master's Degree)
- Active participation in
professional organization (e.g.,
ACMA, MNA)
Participates in department
continuing education offerings.
- Active membership /
leadership role in institutional
groups related to nursing or
patient care
Completes all mandatory
programs.
- Speaking, media exposure,
publishing, policy making
Demonstrates awareness of
developmental needs of nurses
related to advocacy and moral
agency; role models this in
clinical arena
Certification in specialty (AACN,
ANCC Specialty Areas)
• Active participation in
professional organization – i.e.:
Clinical specialty organizations,
UMPNC, MNA, ANA, UAN
• Active membership / leadership
role in groups related to health
care (within and/or beyond
UMHS)
• Seeking advanced education
Advances career through
conferences, seminars, and
continuing education
Facilitates development of
nurse’s advocacy and moral
agency for patients through
teaching, coaching, role
modeling and/or mentoring
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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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