Account manager nurse evaluation form
Patient name:
Date:
Nurse Name:
Time:
Scale
Criteria
Comments
1
2
3
4
5
Nurses Arrive around time
-Report V&S and other pt.
health indicators as per
policy
Report pt. Complains and
or questions
-Communicate
professionally with all
health care providers in
care hub group
-Implementing medical
care plan according to
treating dr. orders
Total score
Percentage %
account manager name