Nurse Self Evaluation Sample



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Are you looking for a professional Nurse Self Evaluation Sample? If you've been feeling stuck or lack motivation, download this template now!

Do you have an idea of what you want to draft, but you cannot find the exact words yet to write it down or lack the inspiration how to make it? If you've been feeling stuck, this Nurse Self Evaluation Sample template can help you find inspiration and motivation. This Nurse Self Evaluation Sample covers the most important topics that you are looking for and will help you to structure and communicate in a professional manner with those involved. 

Name of School Division/District
School Nurse (Registered Nurse)
Self-Evaluation Form Employee
School Year: Position: School: Rating Scale
E= Exemplary 
P= Proficient
D=Developing 
U=Unacceptable Standard 
Assessment, Diagnosis, and Outcomes Identification 

School Nurse Administrator/Peer Reviewer (Registered Nurse) 
Comments: Site Administrator (Non-Nurse) 
Comments: 
Commendations: Areas Noted for Improvement: School Nurse Improvement Goals: Date School Nurse’s Name School Nurse Signature Date School Nurse Administrator/Peer Reviewer’s Name School Nurse Administrator/Peer Reviewer Signature Non-nurse Site Administrator’s Name Date Non-nurse Site Administrator Signature Copies to Human Resources/Personnel Non-nurse Site Administrator School Nurse 
School Nurse Institute
Partnership School Nurse Self-Evaluation Form Instructions 
School nursing is a specialized practice of professional nursing that advances the well-being, academic success, and life-long achievement and health of students.
To that end, school nurses facilitate positive student responses to normal development promote health and safety including a healthy environment intervene with actual and potential health problems provide case management services and actively collaborate with others to build student and family capacity for adaptation, self-management, self-advocacy, and learning”.

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