Forms and Templates

​​​​​​PDRP Application Guidelines (for all PDRP applications, CDHB & partners)

These guidelines intergrate the newly updated national framework and evidential requirements that were released in April 2017.

You will need to read and complete the necessary requiements within these workbooks for the appropiate level you  are applying for.

You will need the Guidelines and the organisational Performance Apprasial to begin your Portfolio.

(Note: to download your own copy right click on the form > select 'save target as' > save document to your PC)

RN Expert Guidelines 2018

EN Accomplished Guidelines 2018

RN Proficient Guidelines 2018

EN Proficient Guidelines 2018

RN Competent Guidelines 2018

EN Competent Guidelines 2018
Designated Senior Nurse Guidelines 2018

 

PDRP level indicators and levels of practice definitions

(Note: to download your own copy, right click on the form > select 'save target as' > save document to your PC)

PDRP Level Indicators for RN's

PDRP level indicators for EN's 

PDRP levels of Practice Definitions RN and EN Nurses 2018 (previously national indicators)

 

Performance Review/Appraisal for CDHB staff only

(Also includes Interim Performance Review/Appraisal)

Performance review forms provide the core evidence within a portfolio. The CDHB Performance Appraisal document is below and for CDHB staff only.  For all External organisations, please contact your PDRP Coordinator for relevant forms.

CDHB STAFF ONLY

For CDHB Performance Review/Appraisal forms please see link below 

Performance Review/Appraisal CDHB Only

 

EXTERNAL ORGANISATIONS

Please contact your PDRP Coordinator within your own organisation for relevant Performance Appraisal documents. 

 

Peer Review Forms 

Applicants from External Organisations should contact their PDRP Coordinator for their specific documents.

The CDHB nurse performance apprasial/reviews which are aligned to Nursing Council competencies are sufficient for submission to the PDRP without an additional peer review necessary.

The only time peer reviews might be necessary is if there is insufficient evidence within the performance appraisal and you believe the peer could provide extra information.

If you do not have a nursing line manager then a peer review by another nurse is necessary along with your self assessment to meet Nursing Council's requirements. The performance appraisal by your manager will be required as well. 

Please note that peer reviews are only valid for a year after completion to ensure currency of practice is assessed.

 

(Note: to download your own copy right click on the form > select 'save target as' > save document to your PC)

Peer Review RN Proficient 2018

Peer Review RN Expert 2018

Peer Review EN Competent 2018

Peer Review EN Proficient 2018

Peer Review EN Accomplished 2018

Peer Review RN Competent 2018

 

 

Evidence of Professional Development 

Nursing Council of New Zealand requires that your portfolio include an explanation of what you have learnt from three key learning activities OR a short reflection for each course/activity attended.

(Note: to download your own copy right click on the form > select 'save target as' > save document to your PC)

 

Continuing Education Reflection 2018

Journal Article Review 2018

Practice Reflection Guidelines 2018

Reflection on professional development 2018

 

Contribution to Clinical Practice (Including Quality Forms) 

In health a quality activity is a systematic evaluation of an aspect of service or care against measurable quality indicators which has resulted in improvement. This improvement may be related to clinical practice or a service process and may be done as either a group or individual project.

Examples of quality improvement activity are audits, incident reports, data analysis, surveys, etc.

(Note: to download your own copy right click on the form > select 'save target as' > save document to your PC)

 

Clinical Specialty Resource Role 2018

Membership of Professional Organisations 2018

Quality Improvement Change of Practice Initiative 2018

Quality Policy Protocol and Procedure Guidelines 2018

Role Overview 2018

Work Projects 2018

 

Evidence of Teaching/Preceptoring or Supporting Skill Development of Colleagues

Nurses contribute to education, preceptorship, buddying and skill development in a variety of ways within the clinical setting. These forms help articulate the different ways in which education occurs.

Preceptorship is a formal role undertaken by the RN. You should include areflection on the role and feedback from the preceptee.

Buddying is a more informal process that is used to buddy a nurse who is working on a temporary basis in the area.

Teaching is a planned teaching session to a number of staff, using a teaching plan, set venue, available resources and an evaluation procedure.

Informal teaching is an unplanned opportunity to teach one or more staff in an informal environment e.g. a procedure at the bedside, equipment set up, etc.

Below you find the forms required for any of the above sessions. 

(Note: to download your own copy right click on the form > select 'save target as' > save document to your PC)

Case Study Presentation Feedback Form 2018

Case Study Presentation Guidelines 2018

Evaluation of Preceptee by Preceptor 2018

Evaluation of Preceptor by Preceptee 2018

Personal Record of Presented Education 2018

Record of Buddying 2018

Teaching Evaluation - Formal 2018

Teaching Evalution - Informal 2018

Teaching Plan 2018

 

PDRP Transfer Application Forms

(Note: to download your own copy right click on the form > select 'save target as' > save document to your PC)

Parterning Organisations Transfer Application Package 2018

Regional PDRP Transfer Application Package 2018

 

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Page last reviewed: 12 October 2018
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