Mercer County Informal Observation Checklist School Nurse

Transcription

1 Mercer County Informal Observation Checklist School Nurse Name: Date: Observer: Post-Observation Date: Domain 2 Domain 3 2a. Creating an environment of respect and 3a. Assessing student needs rapport 2b. Establishing a culture for health and 3b. Administering medications to students wellness 2c. Following health protocols and procedures 3c. Promoting wellness through classes or classroom presentations 2d. Supervising health associates 3d. Managing emergency situations 2e. Organizing physical space 3e. Demonstrating flexibility and responsiveness 3f. Collaborating with teachers to develop specialized educational programs and services for students with diverse medical needs Comments: By signing below, both parties awknowledge that a post-conference meeting was held (not that there is agreement with what is written). Teacher Evaluator

2 Name: Date: School Nurse Specialist Domain 1 Worksheet Directions: Describe your process for each of the Domain 1 Components. Attach additional sheets if necessary. Feel free to attach lesson plans and/or samples. Please submit to evaluator by February 1. 1a: Demonstrating medical knowledge and skill in nursing techniques How do you stay current in the skills of your area? How do you choose the content you implement? 1b: Demonstrating knowledge of child and adolescent development How do you go about learning about your students and their needs? 1c: Establishing goals for the nurses program How do you choose the outcomes you want in your program? What process do you use to determine small steps to get to your larger goal?

3 1d: Demonstrating Knowledge of Resources and Regulations What variety of resources do you use in your program? How do you keep current on regulations? 1e: Planning a Nursing Program, integrated with the regular school program How do you plan your program for the school year? How do you communicate that to the building (staff, students, parents) 1r: Evaluating the Nursing Program How do you evaluate your program?

4 Formal Observation Rubric - School Nurse Mercer County School District Nurse: Grade Level(s): School: Date: U = Unsatisfactory NI = Needs Improvement P = Proficient E = Excellent Domain 1: Planning and preparation U NI P E 1a: Demonstrating Medical Knowledge & Skill in Nursing Techniques 1b: Demonstrating Knowledge of Child & Adolescent Development 1c: Establishing Goals for Nursing Program Appropriate to Setting and Students 1d: Demonstrating Knowledge of Government, Community, & District Regulations 1e: Planning Nursing Program for Individuals/Groups Integrated in School Program 1f: Developing a Plan to Evaluate Nursing Program Strengths: Weaknesses: Domain 2: The Environment U NI P E 2a: Creating an Environment of Respect and Rapport 2b: Establishing a Culture for Health and Wellness 2c: Following Health Protocols and Procedures 2d: Supervising Health Associates 2e: Organizing Physical Space Strengths: Weaknesses:

5 Formal Observation Rubric - School Nurse Mercer County School District Domain 3: Delivery of Service U NI P E 3a: Assessing Student Needs 3b: Administering of Medications to Students 3c: Promoting Wellness Through Classes or Classroom Presentations 3d: Managing Emergency Situations 3e: Demonstrating Flexibility and Responsiveness 3f: Collaborating with Teachers to Develop Programs & Services to Meet Diverse Medical Needs Strengths: Weaknesses:

6 Formal Observation Rubric - School Nurse Mercer County School District Workplace Expectations Attendance and Punctuality: The employee has regular attendance at work and work activities and is punctual in meeting deadlines, attending meetings, following schedules and responding to communications. Personal Appearance: The employee is dressed and groomed in a neat, clean, appropriate and professional manner for the assignment and work setting. Met Needs Improvement Not Met - Requires Explanation Confidentiality: The employee maintains the integrity of confidential information relating to a student, family, colleague or district patron. The employee uses or relays personal information only in the course of performing assigned responsibilities and in the best interest of the individuals involved. Technology: Teacher uses new technology and regularly seeks new ways to appropriately integrate technology into his/her curriculum and uses technology to complete managerial/administrative tasks. Service: Teacher serves outside the classroom through participation in things such as school-sponosred activites, professional organizations, sponsorship of student clubs and activites, coaching, mentoring, tutoring and committee work. Following Policies and Directives: The employee follows all district or supervisor policies, rules, regulations, memos, bulletins, announcements, applicable job descriptions, and reasonable requests by proper authorities. Setting Appropriate Boundaries with Students: The employee maintains professional boundaries in his or her relationships with students, including use of appropriate language, appropriate physical contact, and in the use of technology such as , text messages, or social networking internet sites. Collaboration: The employee maintains relationships with other staff members that are characterized by mutual support, cooperation, and respect and that build a school culture of collaboration focused on student learning. By signing below, both parties awknowledge that a post-conference meeting was held (not that there is agreement with what is written). Nurse Evaluator

7 Domain 1 for School Nurses: Planning and Preparation 1a: Demonstrating medical knowledge and skill in nursing techniques Unsatisfactory Needs Improvement Proficient Excellent Nurse demonstrates little understanding of medical knowledge and nursing techniques. Nurse demonstrates basic understanding of medical knowledge and nursing techniques. Nurse demonstrates understanding of medical knowledge and nursing techniques. Nurse demonstrates deep and thorough understanding of medical knowledge and nursing techniques. 1b: Demonstrating knowledge of child and adolescent development Nurse displays little or no knowledge of child and adolescent development. Nurse displays partial knowledge of child and adolescent development. Nurse displays accurate understanding of the typical developmental characteristics of the age group, as well as exceptions to the general patterns. In addition to accurate knowledge of the typical developmental characteristics of the age group and exceptions to the general patterns, nurse displays knowledge of the extent to which individual students follow the general patterns. 1c: Establishing goals for the nursing program appropriate to the setting and the students served Nurse has no clear goals for the nursing program, or they are inappropriate to either the situation or the age of the students. Nurse's goals for the nursing program are rudimentary and are partially suitable to the situation and the age of the students. Nurse's goals for the nursing program are clear and appropriate to the situation in the school and to the age of the students. Nurse's goals for the nursing program are highly appropriate to the situation in the school and to the age of the students and have been developed following consultations with students, parents, and colleagues. 1d: Demonstrating knowledge of government, community, and district regulations and resources Nurse demonstrates little or no knowledge of Nurse displays awareness of governmental governmental regulations and resources for regulations and resources for students available students available through the school or district. through the school or district, but no knowledge of resources available more broadly. Nurse displays awareness of governmental regulations and resources for students available through the school or district and some familiarity with resources external to the school. Nurse's knowledge of governmental regulations and resources for students is extensive, including those available through the school or district and in the community. 1e: Planning the nursing program for both individuals and groups of students, integrated with the regular school program. Nursing program consists of a random collection of unrelated activities, lacking coherence or an overall structure. Nurse's plan has a guiding principle and includes a number of worthwhile activities, but some of them don't fit with the broader goals. Nurse has developed a plan that includes the important aspects of work in the setting. Nurse's plan is highly coherent and serves to support not only the students individually and in groups, but also the broader education program. 1f: Developing a plan to evaluate the nursing program. Nurse has no plan to evaluate the program or resists suggestions that such an evaluation is important. Nurse has a rudimentary plan to evaluate the nursing program. Nurse's plan to evaluate the program is organized around clear goals and the collection of evidence to indicate the degree to which the goals have been met. Nurse's evaluation plan is highly sophisticated, with imaginative sources of evidence and a clear path toward improving the program on an ongoing basis.

8 Self-Evaluation Form - School Nurse Mercer County School District Nurse: Grade Level(s): School: Date: U = Unsatisfactory NI = Needs Improvement P = Proficient E = Excellent Domain 1: Planning and preparation U NI P E 1a: Demonstrating Medical Knowledge & Skill in Nursing Techniques 1b: Demonstrating Knowledge of Child & Adolescent Development 1c: Establishing Goals for Nursing Program Appropriate to Setting and Students 1d: Demonstrating Knowledge of Government, Community, & District Regulations 1e: Planning Nursing Program for Individuals/Groups Integrated in School Program 1f: Developing a Plan to Evaluate Nursing Program Strengths: Weaknesses: Domain 2: The Environment U NI P E 2a: Creating an Environment of Respect and Rapport 2b: Establishing a Culture for Health and Wellness 2c: Following Health Protocols and Procedures 2d: Supervising Health Associates 2e: Organizing Physical Space Strengths: Weaknesses:

9 Self-Evaluation Form - School Nurse Mercer County School District Domain 3: Delivery of Service U NI P E 3a: Assessing Student Needs 3b: Administering of Medications to Students 3c: Promoting Wellness Through Classes or Classroom Presentations 3d: Managing Emergency Situations 3e: Demonstrating Flexibility and Responsiveness 3f: Collaborating with Teachers to Develop Programs & Services to Meet Diverse Medical Needs Strengths: Weaknesses: Domain 4: Professional Responsibilities U NI P E 4a: Reflecting on Practice 4b: Maintaing Health Records in Accordance to Policy & Reports are Timely 4c: Communicating with Families 4d: Participating in a Professional Community 4e: Engaging in Professional Development 4f: Showing Professionalism Strengths: Weaknesses:

10 Self-Evaluation Form - School Nurse Mercer County School District Workplace Expectations Attendance and Punctuality: The employee has regular attendance at work and work activities and is punctual in meeting deadlines, attending meetings, following schedules and responding to communications. Personal Appearance: The employee is dressed and groomed in a neat, clean, appropriate and professional manner for the assignment and work setting. Met Needs Improvement Not Met - Requires Explanation Confidentiality: The employee maintains the integrity of confidential information relating to a student, family, colleague or district patron. The employee uses or relays personal information only in the course of performing assigned responsibilities and in the best interest of the individuals involved. Technology: Teacher uses new technology and regularly seeks new ways to appropriately integrate technology into his/her curriculum and uses technology to complete managerial/administrative tasks. Service: Teacher serves outside the classroom through participation in things such as school-sponosred activites, professional organizations, sponsorship of student clubs and activites, coaching, mentoring, tutoring and committee work. Following Policies and Directives: The employee follows all district or supervisor policies, rules, regulations, memos, bulletins, announcements, applicable job descriptions, and reasonable requests by proper authorities. Setting Appropriate Boundaries with Students: The employee maintains professional boundaries in his or her relationships with students, including use of appropriate language, appropriate physical contact, and in the use of technology such as , text messages, or social networking internet sites. Collaboration: The employee maintains relationships with other staff members that are characterized by mutual support, cooperation, and respect and that build a school culture of collaboration focused on student learning.

11 Nurse Summative Evaluation Report Mercer County School District #404 - Nurse Evaluation Name: Tenure Status: Pre-Observation Meeting: Pre-Observation Meeting: Informal Observation: Formal Observation: Formal Observation: Informal Post-Observation Meeting: Post-Observation Meeting: Post-Observation Meeting: Summative Meeting: School Year: School: U = Unsatisfactory NI = Needs Improvement P = Proficient E = Excellent U* NI* P E Domain 1 - Planning and Preparation 1a: Demonstrating Medical Knowledge & Skill in Nursing Techniques 1b: Demonstrating Knowledge of Child & Adolescent Development 1c: Establish Goals for Nursing Program Appropriate to Setting/Students 1d: Demonstrate Knowledge of Government, Community, & District Regs 1e: Plan Nursing Program for Individuals/Groups in School Program 1f: Developing a Plan to Evaluate Nursing Program Final Domain Rating Comments: Domain 2 - The Environment 2a: Creating an Environment of Respect and Rapport 2b: Establishing a Culture for Health and Wellness 2c: Following Health Protocols and Procedures 2d: Supervising Health Associates 2e: Organizing Physical Space Final Domain Rating Comments: U* NI* P E Domain 3 - Delivery of Service 3a: Assessing Student Needs 3b: Administering of Medications to Students 3c: Promote Wellness Through Presentations 3d: Managing Emergency Situations 3e: Demonstrating Flexibility and Responsiveness 3f: Collaborating with Teachers to Develop Programs & Services Final Domain Rating Comments: U* NI* P E

12 Nurse Domain 4 - Professional Responsibilities 4a: Reflecting on Practice 4b: Maintain Records in Accordance to Policy-Reports are Timely 4c: Communicating with Families 4d: Participating in a Professional Community 4e: Engaging in Professional Development 4f: Showing Professionalism Final Domain Rating Comments: U* NI* P E *Explanation Required Comments: Workplace Expectations Attendance and Punctuality: The employee has regular attendance at work and work activities and is punctual in meeting deadlines, attending meetings, following schedules and responding to communications. Personal Appearance: The employee is dressed and groomed in a neat, clean, appropriate and professional manner for the assignment and work setting. Confidentiality: The employee maintains the integrity of confidential information relating to a student, family, colleague or district patron. The employee uses or relays personal information only in the course of performing assigned responsiblities and in the best interest of the individuals involved. Technology: Teacher uses new technology and regularly seeks new ways to appropriately integrate technology into his/her curriculum and uses technology to complete managerial/administrative tasks. Service: Teacher serves outside the classroom through particpation in things such as school-sponsored activities, professional organizations, sponsorship of student clubs and activities, coaching, mentoring, tutoring and committee work. Following Policies and Directives: The employee follows all district or supervisor policies, rules, regulations, memos, bulletins, announcements, applicable job descriptions, and reasonable requests by proper authorities. Setting Appropriate Boundaries with Students: The employee maintains professional boundaries in his or her relationships with students, including use of appropriate language, appropriate physical contact, and in the use of technology such as , text messages, or social networking internet sites. Collaboration: The employee maintains relationships with other staff members that are characterized by mutual support, cooperation, and respect and that build a school culture of collaboration focused on student learning. Needs Unsatisfactory Proficient Improvement Final Rating Met Excellent Needs Improve Not Met

13 Nurse Domain Ratings Excellent Proficient Needs Improvement Unsatisfactory Operating Principles Excellent ratings in at least half of the components of the domain, with the remaining components rated no lower than Proficient No more than one component rated Needs Improvement, with the remaining components rated at Proficient or higher More than one component rated Needs Improvement, with the remaining components rated as Proficient or higher Any component rated as Unsatisfactory Workplace Expectation Ratings Excellent Proficient Needs Improvement Unsatisfactory 8 Categories Met Expectaitons 6-7 Categories Met Expectations 4-5 Categories Met Expectations 0-3 Categories Met Expectations Summative Ratings Summative Ratings will be determined by a weighted average of the domains. Weights Domain 1 Domain 2 Domain 3 Domain 4 Workplace Exepctations Ranking Point Values 22.50% Excellent % Proficient 3 35% Needs Improvement 2 10% Unsatisfactory 1 10% Calculating the Summative Rating Domain Rating Weight Score Domain 1 Domain 2 Domain 3 Domain 4 Workplace Exceptations Overall Score:

14 Nurse Final Summative Rating: Unsatisfactory Needs Improvement Proficient Overall 2.5 or higher, but less Less than or higher, but less than 2.5 Score: than 3.5 Commendations: Excellent 3.5 or higher Areas for Growth: The teacher's response, if desired, may be attached to this evaluation. The signatures below certify that we have read and discussed the evaluation, not that they teacher agrees with what is stated in it. Teacher Date Evaluator Date