PDRP Nurse Portfolio Assessment Rubric - Expert (Level 4)
NAME OF APPLICANT
NAME OF ASSESSOR
APC
APC
CLINICAL LEADER
NAME OF MODERATOR
Sufficient Evidence has been Provided the Portfolio is Successful
YES / NO
STANDARD PORTFOLIO REQUIREMENTS
PRESENT
Evidence page numbered, sectioned and indexed and presented in a
logical and professional manner.
YES / NO
Signed statement of integrity
YES / NO
Letter of support
YES / NO
Curriculum Vitae
YES / NO
Copy of Annual Practising Certificate with any conditions
(verified)
YES / NO
Practice Hours (minimum of 450 hours and verified)
YES / NO
Professional Development Record (60 hours over the last three
years and verified)
YES / NO
Three reflections of learning from attendance at professional
development sessions identified on template
YES / NO
PLUNKET PDRP EXPERT LEVEL 4 ASSESSMENT MARKING RUBRIC. JANUARY 2015
Insufficient Evidence was Provided and the Portfolio requires further evidence to
be provided.
YES / NO
COMMENT



One
Two
Three
1
Self Assessment against nursing council competencies that clearly
identifies a minimum of one example from everyday practice
demonstrating practice at the expert level.
YES / NO
Performance Appraisal against nursing council competencies
clearly describing how the nurses day to day practice meets each
competency at the expert level
YES / NO
The Self Assessment and Appraisal Form clearly identifies a
minimum of one piece of practice evidence that demonstrates
everyday practice at the expert level. A maximum of three
examples of evidence ONLY are sufficient for each competency.
SPECIFIC REQUIREMENTS - EXPERT (LEVEL 4) REQUIREMENTS
Evidence of Level 8 post graduate education relevant to your area
of current practice (a verified copy of the certificate or course
transcript are required). Post graduate Diploma and Masters Degree
meet this requirement. This can be included in the 60 hours of
professional development.
YES / NO
One piece of evidence demonstrating contribution to well child
specialty knowledge or innovation in well child practice and the
change process in quality improvement activities. This needs to be
inclusive of a post implementation evaluation.
YES / NO
One piece of evidence describing and reflecting on the learning
and/or development of colleagues.
YES / NO
PLUNKET PDRP EXPERT LEVEL 4 ASSESSMENT MARKING RUBRIC. JANUARY 2015
2
One piece of evidence demonstrating engagement and influence in
the wider Plunket service, well child related professional or Plunket
organisational activities. Advocacy for well child practice needs to
be included.
YES / NO
One piece of evidence demonstrating expert knowledge and
application of expert practice to the well child care of a complex
family/whānau/.fanau and clinical leadership in case management.
YES / NO
The Expert (Level 4) nurse
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Guides others to implement culturally safe practice to clients and apply the principles of Te Tiriti o Waitangi.
Contributes to specialty knowledge.
Acts as a role model and leader.
Demonstrates innovative practice.
Is responsible for clinical learning/development of colleagues.
Initiates and guides quality improvement activities.
Initiates and guides changes in the practice setting.
Is recognised as an expert in their area of practice.
Influences at a service, professional or organisational level.
Acts as an advocate in the promotion of well child nursing in the health care team.
Delivers quality care in unpredictable and challenging situations.
Is involved in resource decision making/strategic planning and acts as a leader for well child nursing.
**A teaching session must include learning objectives and evaluation of the session and should have been delivered to more than one person.
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3
DOMAIN 1 :
Demonstrate professional responsibility in nursing practice
MET
NOT
MET
EVIDENCE FOUND IN
ASSESSOR COMMENTS
1.1 Accepts responsibility for
ensuring that his/her practice and
conduct meet the standards of the
professional, ethical and relevant
legislated requirements
1.2 Demonstrates the ability to
apply the principles of the Treaty
of Waitangi/Te Tiriti o Waitangi
to nursing practice
1.3 Demonstrates accountability
for directing, monitoring and
evaluating nursing care that is
provided by nurse assistants,
enrolled nurses and others
1.4 Promotes an environment that
enables client safety,
independence, quality of life and
health
1.5 Practices nursing in a manner
that the client determines as being
culturally safe
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4
DOMAIN 2 Management
of nursing care
MET
NOT
MET
EVIDENCE FOUND IN
ASSESSOR COMMENTS
2.1 Provides planned nursing
care to achieve identified
outcomes
2.2 Undertakes a comprehensive
and accurate nursing
assessment
2.3 Ensures documentation is
accurate and maintains
confidentiality
2.4 Ensures the client receives
explanation of the effects,
consequences and
alternatives of proposed
treatment options
2.5 Acts appropriately to protect
self and others when faced
with unexpected client
responses, confrontation,
personal threat or other crisis
situations.
2.6 Evaluates clients progress
towards expected outcomes
in partnership with client
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2.7 Provides health education
appropriate to the needs of
the client within a nursing
framework
2.8 Reflects upon and evaluates
with peers and experienced
nurses the effectiveness of
nursing car
2.9 Maintains professional
development
PLUNKET PDRP EXPERT LEVEL 4 ASSESSMENT MARKING RUBRIC. JANUARY 2015
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DOMAIN 3 : Interpersonal
relationships
MET
NOT
MET
EVIDENCE FOUND IN
ASSESSOR COMMENTS
3.1 Establishes, maintains and
concludes therapeutic
interpersonal relationships
with clients
3.2 Practices nursing in a
negotiated partnership with
the client where and when
possible
3.3 Communicates effectively
with clients and members of
the health care team
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DOMAIN 4 : Inter
professional health care and quality improvement
EVIDENCE FOUND IN
ASSESSOR NOTES
4.1 Collaborate and participates
with colleagues and members
of the health care team to
facilitate and co ordinate care
4.2 Recognises and values the
roles and skills of all
members of the health care
team in the delivery of care
4.3 Participates in quality
improvement activities to
monitor and improve
standards of nursing.
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Assessor Comments:
___________________________
__________________________________
Name of Assessor
Signature of Assessor
_________________
Date
Moderator Comments:
___________________________
__________________________________
Name of Moderator
PLUNKET PDRP EXPERT LEVEL 4 ASSESSMENT MARKING RUBRIC. JANUARY 2015
Signature of Moderator
_________________
Date
9
Details of further evidence required:
___________________________
Name of Assessor
__________________________________
Signature of Assessor
PLUNKET PDRP EXPERT LEVEL 4 ASSESSMENT MARKING RUBRIC. JANUARY 2015
_________________
Date
10
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