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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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