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5 – Exemplary Performer: Employee made exceptional contributions that were significantly greater than their goals and job
requirements; exemplifies role model behaviors. Employee is seen as an expert by others across the organization and as an
extraordinary contributor to the success of St. Luke’s.
4 – Consistently Exceeds Expectations: Employee consistently made significant contributions above and beyond their specified
goals and job requirements and consistently demonstrated role model behaviors. Seen by others as an expert in the areas within
their department as someone who consistently sets a positive example for coworkers.
3 – Meets Expectations: Employee made contributions that met most or all key specified goals and job requirements and regularly
demonstrated appropriate role model behaviors. Seen by others as skilled in all or most areas of their responsibility and as someone
who willingly engages to create a positive work environment. Employee met expectations.
2 – Not Consistently Meeting Expectations: Employee is still developing and striving to meet key goals and job requirements, or did
not consistently demonstrate effective behaviors or skills. Action is required to improve performance and achieve an acceptable level
of performance. Possesses the potential to attain sufficient skills and knowledge to perform the job and become a successful
performer.
1 – Not Meeting Performance Requirements: Employee failed to demonstrate most of the required job skills or behaviors.
Mid-Year Check-In Annual Review Employee Self Review Supervisor Requests Feedback
Department Title
1101.1302.MOTHER / BABY RN
Supervisor Information
Name Department
PADRON, SHANDRA R 1101.1302.MOTHER / BABY
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High and consistent ethical standards of self and others in regards to the St. Luke’s Code of Ethics/General Conduct. Practices professionalism
through truthful and confidential interactions.
Supervisor Rating
Employee Rating
Compassion 4 - Consistently Exceeds
3 - Successful Performer
Expectations
Genuine consideration and desire to help others by valuing individual differences and assuming the best intent.
Supervisor Rating
Employee Rating
Accountability 4 - Consistently Exceeds
3 - Successful Performer
Expectations
Accepts full responsibility for self and contributions as a team member of St. Luke’s.
Supervisor Rating
Employee Rating
Results 4 - Consistently Exceeds
3 - Successful Performer
Expectations
Demonstrates the ability to prioritize and efficiently complete the right work.
Supervisor Rating
Employee Rating
Job/Technical Knowledge 4 - Consistently Exceeds
3 - Successful Performer
Expectations
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Demonstrates knowledge in their skill set, position, and industry. Demonstrates proficient use of skills, equipment, resources, procedures, and
technical knowledge required to perform essential tasks as outlined by their job. Works to continue to develop additional knowledge.
MID-YEAR CHECK-IN
For the 2019 review year a mid-year check-in has been added to ensure there is alignment between you and your leader on a more
consistent basis. This is an additional opportunity to have conversations about your goals, performance, and overall development.
What achievements are you most proud of in the last several months?
Employee Comments
Supervisor Comments
Annually St. Luke’s places emphasis on establishing organizational, departmental, and personal career goals. Are you on track to
achieve these goals? Explain any hurdles you may have encountered.
Employee Comments
Supervisor Comments
St. Luke’s leaders are here to support, nurture, and develop our teams. How do you feel you are doing in your role? What do you
need from your leader to enhance your employee experience?
Employee Comments
Supervisor Comments
ACKNOWLEDGEMENTS
To sign off on the review task click the Sign button below. This will automatically populate your signature and the date.
Supervisor Comments
Supervisor
Sign Date
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Employee Sign Off Supervisor Sign Off
Employee Comments I completed a performance discussion with my direct report
My signature indicates that I have received a performance review and Supervisor Comments
does not necessarily imply my agreement or disagreement with the
review’s content. Melanie is a great employee who will be
Employee * going down in FTE to accommodate for
school. She also has concerns about
keeping competent in NICU with this drop.
She has agreed to look for a unit
Sign Date improvement related to safety this year.
Supervisor
PADRON, SHANDRA R
Sign Date
01/15/2020
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