19-RFP-1155459716-HMM-JJ Temp Nursing - Attachment Monthly_Evaluation_Agency.doc
DOC document 41 KB Posted
- Attached to
- JJ Temporary Nursing Services New Event
- Solicitation number
- Doc1220113687
- Issued by
- Cabarrus County, Chatham County, Durham County, Sea Breeze CDP, North Carolina
About this file
This document is a Monthly Evaluation form for agency staff provided by the North Carolina Department of Public Safety - Division of Juvenile Justice and Delinquency Prevention. The evaluation covers various performance criteria such as attendance, communication skills, conduct, documentation, efficiency, initiative, quality of work, safety, and team skills. It also includes sections for positive feedback from supervisors and facility nurses.
The related state and local contract opportunity is for Temporary Nursing Services to provide healthcare staff (RNs, LPNs, Med Techs, CNAs) to service Youth Development Centers and Juvenile Detention Centers under the direction of the Director of Juvenile Health Services. The contract is open to providers across the state of North Carolina, with specific jurisdictions listed as Durham County and Sea Breeze CDP.
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Text version
NC Department of Public Safety- Division of Juvenile Justice and Delinquency Prevention Monthly Evaluation for Agency Staff
Agency Staff: ________________________________________ Dates of Employment: From __________To ___Present Agency: _______________________________________________________________________________________________ Date Completed
Attendance/Dependability
Communication Skills
Conduct & Behavior in Workplace
Documentation Skills/legible/complete/accurate/timely
Efficiency/Time Management
Initiative/ Motivation
Quality of Work/Overall Clinical Performance
Safety and Security- adheres to policy
Team Player
Working Knowledge
Understand and able to teach/share information specific to COVID19
Positive Feedback:
Director –
Health Services Staff –
Direct Care Staff -
Signature: Agency Staff:
Signature: Facility Nurse:
BE- Below Expectations
ME- Met Expectations
EE- Exceeded Expectations
Effective 6/06/2020
File details come from the government source that posted it. Updated .