UAMS.EDU

_Testing – Outstanding Nurse of the Month Nomination

Page Disabled on 9/30/2016

1. Any Registered Nurse (RN) from an Integrated Clinical Enterprise department involved in direct patient care is eligible.

2. Anyone (staff, physician, family, patient, etc.) may initiate the nomination process:

  • Contact a representative from the Image Council via the Nurse Recruitment Office at 501-686-5691, ext.
  • Obtain the nomination form located in the Nurse Recruitment Office, 7th floor, Central Hospital, 7D01.
  • Contact the Clinical Service Manager (CSM), Charge Nurse or Clinic Manager.
  • Complete an online nomination located at http://nurses.uams.edu, select ‘Recognition‘ tab, Nurse of the Month Nomination.

3. Two nurse peers (Inpatient) and/or two nurse/professional peers (Outpatient) and/or one patient/family member can submit written supportive statement explaining why the nominee is deserving of the award (please provide a specific example).

4. The manager will be required to sign and complete the Manager Screening Tool noting specific nurse/patient experiences.

5. Both the supporting statements and Manager Screening Tool must be complete and returned to the Nurse Recruitment Office (Fax 686-5698) no later than the first Friday of each month. Nominations are considered by the Image Council for three months.

CARE: To Inspire Compassion, Positive Attitude, Respect and Excellence in the delivery of quality healthcare to our patients and families.

Nomination for Outstanding Nurse of the Month Online Form

Please complete correct section on the form below and click the Submit button at the bottom of this form.
  • MANAGER SCREENING TOOL (Direct supervisor or designee only):

  • SAFETY

  • AlwaysSometimesNever
    Complies with safety instructions
    Promotes input on safety issues
    Promotes a safe work environment
  • RESPECT

  • AlwaysSometimesNever
    Assists patients and visitors with information and/or solutions to problems
    Treats patients and visitors with care, compassion and dignity
    Advocates for patient rights regardless of cultural background/financial status
    Respects patient’s privacy and confidentiality
  • EXCELLENCE

  • AlwaysSometimesNever
    Adheres to UAMS Code of Conduct http://www.uams.edu/adminGuide/index.html
    Serves on UAMS committees
    Disseminates newly obtained knowledge to peers
    Maintains Annual Professional Development Record and CEUs in specialized area
    Documents involvement of patient/family in planning, teaching and goal setting
    Acts as a consultant or mentor to other nurses
  • IMAGE

  • AlwaysSometimesNever
    Demonstrates commitment by consistent attendance
    Promotes positive image of UAMS
    Adheres to UAMS Basis Code of Conduct Administrative Guide HR policy 4.4.01 http://hr.uams.edu/policies/
    Adheres to UAMS Dress Code Administrative Guide HR policy 4.4 http://hr.uams.edu/policies
    Provides name to patient/family
  • EFFICIENCY

  • AlwaysSometimesNever
    Cooperates with and is pleasant to co-workers and responds to their needs
    Communicates patient information appropriately to all members of the health care team
    Represents patients’ needs to multidisciplinary health team as evidenced by documentation
    Requests consultation from colleagues when questions or crisis about patient’s arise
    Documents coordination of overall nursing care
    Delegates specific aspects of care appropriately to unlicensed assistive personnel
  • Manager Comment Below:

    a) Obtain input from at least one patient the nominee has cared for in the past month AND b) Document one example of outstanding behavior and note any special accomplishments, i.e., certifications, participation in professional organizations, etc.
  • 1st Nominee:

    Two peers and/or one patient/family member can submit a written supportive statement explaining why the nominee is deserving of the award. (Please provide a specific example).
  • 2nd Nominee:

    Two peers and/or one patient/family member can submit a written supportive statement explaining why the nominee is deserving of the award. (Please provide a specific example).