Saskatchewan Nurses Foundation Employer Reference

Saskatchewan Nurses Foundation Employer Reference

Please submit this form directly to the Saskatchewan Nurses Foundation by clicking the submit button at the end. The reference must be received by September 30 of the year of applications. Applications for which references are not received by September 30 will not be considered. Please comment on the listed professional qualities, using the scale provided. Additional comments are helpful.
Applicant Name

First Name Last Name
Your name

First Name Last Name
Employing Organization
Your position within this organization
How long have you known this applicant?

Type a question

	Exceeds expectations	Satisfactory	Other
Demonstrates tact
Demonstrates maturity
Demonstrates an ability to co-operate with clients, families and others

	Exceeds Expectations	Satisfactory	Other
Demonstrates a sound knowledge base
Performs a total client assessment
Correctly interprets client assessment
Demonstrates appropriate application of nursing principles in client care
Accurately reports observations
Reviews nursing care, based on an evalaution of client care

	Exceeds Expectations	Satisfactory	Other
Organizes work for sel/others
Appropriately delegates assignments
Supervises auxiliary personnel
Accepts responsibility for own actions
Works to enhance group performance
utilizes resources well

	Exceeds Expectations	Satisfactory	Other
Recognizes learning needs of clients and families
Recognizes learning needs of co-workers
Plans and implements appropriate learning strategies
Evaluates learning outcomes
Demonstrates creativity

	Exceeds expectations	Satisfactory	Other
Demonstrates potential for professional growth and development
Utilizes reference materials and resource persons appropriately
Attends available in-service programs
Demonstrates an ability to collaborate with co-workers
Recognizes the need for change
Adapts to change
Recognizes the need for and accepts guidance

Nursing Ability