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Licensed Practical Nurse: Post-Core Orientation Milestones

                                                            Final                        Phase Two Milestones


        Employee Name __________________           DATE _____________                      BRANCH/TEAM ___________

                                      The following Milestones are to be completed by Week 18
                                                                                                   CFM         MET?
                                                                         Date         RN        Assessment
                                                                                 Self-assessment             Yes    No
                                                                                                 /Feedback
         1.  Documents within established guidelines for assessment
             data and findings, nursing interventions and responses to
             interventions.
         2.  Demonstrates ability to set priorities based on acuity of
             patients’ needs.  Gives rationale for actions or decisions
             based on one or more of the following:
                 a.  Scientific principles/logic
                 b.  Evidence based practice
                 c.  Clinical reasoning
                 d.  Standards of practice/protocols (Center of Excellence)
         3.  Demonstrates interpersonal communication skills with
             patients and Care Manager that is focused on achieving
             desirable outcomes and responses.
         4.  Able to consistently sign off on 80% of subsequent visit
             notes on the same day.
         5.  Demonstrates customer service behaviors and
             communication skills that achieves the patient perception of
             service excellence.
         6.  Complies with established personnel policies/organizational
             mandates

                                                              The above Milestones are expected to be achieved No Later
         Comments and Next Steps:
                                                              Than:
                                                              LPN Signature:                      Date:
                                                              CFM Signature:                      Date:


                                                              LPN Signature                       Date:
                                                              CFM Signature                       Date:












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