Professional Documents
Culture Documents
Participant name
Assessors name & Date
Work area
Designation
Assessors Signature in provided area
Performance level
L1
L2
L3
L4
L5
Not
observed
of
safe
standard
but
needed
many
improvements
L4 - safe only with guidance
L5 - unsafe if left unsupervised
1. Professional practice
a. Practices in accordance with legislation affecting
nursing practice and health care
b. Practices within an ethical nursing framework
2. Critical thinking and analysis
a. Practices within an evidence based framework
b. Practice ongoing development of self & others
3. Provision and Coordination of Care
a. Conducts comprehensive nursing assessment
b Plans nursing care in consultation with individuals
and interdisciplinary health care team
Performance Level
L1
L2
L3
L4
L5
Not
Observed
progress
towards
expected
Participants Signature
Date
Assessors Signature
Date