Category: Excellence in Clinical Service Criteria and Cut-Off Rubric Round 1

Please complete the following rubric and make any comments necessary. In the scale below, 1 means “Criteria Not Met”, 2 means “Criteria Somewhat Met”, 3 means “Criteria Mostly Met”, 4 means “Criteria Completely Met”, 5 means “Met Criteria Above and Beyond”. Please complete by January 24.
Name: 


  1. Name of Reviewer


  1. Name of Nominee:


  1. Criteria 1: Demonstrates compassionate, hands-on-care

    Scale: 1 means “Criteria Not Met”, 2 means “Criteria Somewhat Met”, 3 means “Criteria Mostly Met”, 4 means “Criteria Completely Met”, 5 means “Met Criteria Above and Beyond”.
     
      1 2 3 4 5  
    1: Criteria Not Met  5: Met Criteria Above and Beyond


  1. Criteria 2: Utilizes evidence-based care at the bedside

    Scale: 1 means “Criteria Not Met”, 2 means “Criteria Somewhat Met”, 3 means “Criteria Mostly Met”, 4 means “Criteria Completely Met”, 5 means “Met Criteria Above and Beyond”.
     
      1 2 3 4 5  
    1: Criteria Not Met  5: Met Criteria Above and Beyond


  1. Criteria 3: Demonstrates critical thinking and life-long learning

    Scale: 1 means “Criteria Not Met”, 2 means “Criteria Somewhat Met”, 3 means “Criteria Mostly Met”, 4 means “Criteria Completely Met”, 5 means “Met Criteria Above and Beyond”.
     
      1 2 3 4 5  
    1: Criteria Not Met  5: Met Criteria Above and Beyond


  1. Criteria 4: Exhibits exemplary partnerships with peers and people

    Scale: 1 means “Criteria Not Met”, 2 means “Criteria Somewhat Met”, 3 means “Criteria Mostly Met”, 4 means “Criteria Completely Met”, 5 means “Met Criteria Above and Beyond”.


     
      1 2 3 4 5  
    1: Criteria Not Met  5: Met Criteria Above and Beyond


  1. Criteria 5: Acts as an inspiration to peers, patients, and families

    Scale: 1 means “Criteria Not Met”, 2 means “Criteria Somewhat Met”, 3 means “Criteria Mostly Met”, 4 means “Criteria Completely Met”, 5 means “Met Criteria Above and Beyond”.
     
      1 2 3 4 5  
    1: Criteria Not Met  5: Met Criteria Above and Beyond


  1. Criteria 6: Promotes the importance of integrated competency to individualize care

    Scale: 1 means “Criteria Not Met”, 2 means “Criteria Somewhat Met”, 3 means “Criteria Mostly Met”, 4 means “Criteria Completely Met”, 5 means “Met Criteria Above and Beyond”.
     
      1 2 3 4 5  
    1: Criteria Not Met  5: Met Criteria Above and Beyond