Public Health Nursing Practice Manual
PUBLIC HEALTH NURSE (PHN) STANDARDS OF PRACTICE INSTRUCTIONS FOR USING THE EVALUATION FORMS AND WORKSHEETS
PHN Standards of Practice Evaluation ND Summary of Staff Performance Worksheet (Attachment E)
ND uses this form to summarize the outcomes of the evaluated records for the assigned ANM’s staff.
Copy the percentages from the ANM Summary of Staff Performance Report (Attachment D) to Attachment E.
Calculations for “total average percentage” for each ANM, and the “Countywide compliance %” are automatic. Check that all category entries are correct. If one of the columns shows no records were evaluated under that category, enter N/A in the bottom shaded row.
Review and Discussion Session
The PHNS is to meet with each individual PHN no later than October 31 and April 30 to review and discuss the results of the PHN Standards of Practice Evaluation. Using the Evaluation of Practice Forms and the Individual PHN Evaluation of Practice Summary Worksheet (Attachment B).
Explain to the PHN why supervision determined that a standard was not met.
Review with the PHN how to meet the expected standard and discuss methods or strategies the PHN can utilize to achieve the desired outcome.
Acknowledge that a review and discussion session has taken place by both PHN and PHNS signing and dating Attachment B.
Provide copy of form to PHN and date and sign that copy was received.
File original Attachment B and related Evaluation Forms in the PHN’s local personnel file.
Using Information for Performance Evaluation (PE)
The PHN who has completed one year of service should have a minimum of 6 months of evaluation information. Thereafter, evaluation results for two 6-month periods will be available for use in the PE.
Evaluation information will be reflected in the PHN’s PE in the areas of quantity and quality of work taking into consideration other factors which contribute to the section rating.
Nurse managers should assure that PHNS’s conduct interrater reliability testing on a periodic basis and when a new PHNS is appointed.
© 2007 LAC DPH-Public Health Nursing