Candidate Name: ___________________________
Position Applied For: _______________________
Evaluator / Interviewer: ___________________
Date: ________________
Evaluate the candidate on a 1–5 scale for each category:
1 – Needs Improvement | 2 – Below Expectations | 3 – Meets Expectations | 4 – Above Expectations | 5 – Excellent
Provide comments and examples where relevant to support the score.
| Competency | Description | Score (1–5) | Comments / Observations |
|---|---|---|---|
| Communication | Clarity, empathy, listening, and patient/family interaction | ||
| Teamwork & Collaboration | Works well with colleagues, supports team objectives | ||
| Adaptability | Responds effectively to changing situations or unexpected events | ||
| Critical Thinking | Makes sound decisions based on patient needs and clinical data | ||
| Stress Management | Maintains composure under high-pressure or emergency situations | ||
| Professionalism | Demonstrates ethical behavior, accountability, and respect | ||
| Patient Advocacy | Prioritizes patient rights, safety, and quality of care |
| Area | Description | Score (1–5) | Comments / Observations |
|---|---|---|---|
| Clinical Skills | Accuracy, efficiency, and proficiency in hands-on patient care | ||
| Procedure Competency | Performs required procedures (IV, medication, wound care, etc.) safely and correctly | ||
| Documentation | Maintains accurate, thorough, and timely patient records | ||
| Time Management | Prioritizes tasks, manages workload effectively | ||
| Safety Compliance | Adheres to infection control, protocols, and workplace safety | ||
| Specialty Skills | Demonstrates competence in role-specific or specialty procedures |
| Category | Score (1–5) | Comments / Recommendations |
|---|---|---|
| Behavioral Competencies | ||
| Performance Competencies | ||
| Overall Recommendation |
Evaluator Signature: _______________________
This evaluation sheet combines behavioral and technical performance, giving employers a clear, structured way to assess candidates for all nursing roles including RNs, LPNs, CNAs, and specialized areas like ICU, ER, and Pediatrics.