n-~ k y fj~-j. .s.~~ ~o~:v~, ~ ~'1t- ~ ~ e,i>~ ~hcf-~. jkl fjl . -cv … · 2016-04-19 ·...

288

e Queensland Government Queensland Health

'-

Assessment Sheet

Applicant's Name : t4~ ~<.....fa/'~ *use of this form is not mandatory - it's purpose is to simply guide panels on how to assess applicants.

Interview Question Panel Member's Notes on Applicants response

3. Clinical Skills N-~ k y fJ~-J. - .s.~~ ~o~:v~,

Form 2 (b)

Working with Adult with complex mental ~ ~"'1t- ~ ~ e,i>~"" -- ~hcf-~. JkL health issues in a locked environment GL fJl . c.1.J. -cv-,P. VJ-j,JJr-.- c"1c: ~ '¥-· ~ cl ~ ,~ 1 can be challenging. I/ ~ ~ ~~~, ~Qf~ hec--J. P~~N ~·~or . ~f -"tr" ffe}A

/ Tell us about your professional assets (skills and qualifications) and experience that would equip you to be an effective part of the treatment team?

Does Not Meet (DNM) Almost Meets (AM) Meets Requirements (M) Slightly Above (SA) Outstanding (0) Does not meet Key Skill Almost meets Key Skill Requirements Meets Key Skill Requirements Slightly above Key Skill Requirements I Exceeds Key Skill Requirements Requirements I fails or I Partially I marginally meets Key Skill Marginally exceeds I superior

minimally satisfies Key Skill Requirements satisfaction of Key Skill Requirements Requirements

Desired Responses (NB - the "desired responses" a panel indicates hereunder is not meant to be an exhaustive or exclusive list, but is to guide the panel on what they are seeking from an ideal applicant.)

Panel member 17Jtt7;.-I Name: I f ff{)4.J/J-fl?;> I ~ I

\ Signature: I

March 2010 People & Culture Corporate

WMS.9000.0021.00308EXHIBIT 99

289


Applicant's Name : v~ ~ .,,,.,-,,l_ Assessment Sheet

*use of this form is not mandatory- it's purpose is to simply guide panels on how to assess applicants.


Form 2 (b)

4. Consumer Focussed

Contemporary adult mental health services use the term Recovery.

(d . ~s.. ~~ + {d""'J~~ ~oJ $1f~fv-V"". ~ t~- . v~ Jc_ (~/ ~ _ ~ ~· ~L:ld,":). R~r+~~-~fkiA-r:Ji r.~1 ~~/ s:~~ ~of& . /Y~ ~ ~~ - i=--~~

What does this term mean to you?

How have you framed your clinical interventions to promote this?

Does Not Meet (DNM) Almost Meets (AM) Does not meet Key Skill Almost meets Key Skill Requirements Requirements I fails or I Partially I marginally meets Key Skill

minimally satisfies Key Skill Requirements Requirements

Meets Requirements (M) Slightly Above (SA) Outstanding (0) Meets Key Skill Requirements Slightly above Key Skill Requirements I Exceeds Key Skill Requirements

Marginally exceeds I superior satisfaction of Key Skill Requirements


Panel member

I Name: I f ffo~~ I o~l r /I Lf- -1 I Signature: I


WMS.9000.0021.00309EXHIBIT 99

290

~ Queensland Government Queensland Health

Form 2 (b)

Assessment Sheet

Applicant's Name : W/'~ et._~ 'V-'Qt--tl. *use of this form is not mandatory- it's purpose is to simply guide panels on how to assess applicants


5.

You are on a medication round in a prison when you find yourself being yelled at by a client. Whilst the person is abusive, they are also refusing to take medication.

~ e.J\{, - k!'f:·V~ >~~Jc_.-·(~~ W1 ~ ~-z~~ . ~IA_ r-la~ r->tl , ~~{ .,Rx!_cp!r't/f_ A-C»~ W-~. ? airf13 ~ ~ JQ_q~~

Can you explain what your actions would be in this instance?






Panel member

I Name: I f !#J~ \ 0~fj rfLf \ I Signature: I


WMS.9000.0021.00310EXHIBIT 99

291

5. You are on a medication round in a prison when you find yourself being yelled at by a client. Whilst the person is abusive, they are also refusing to take medication. Can you explain what your actions would be in this instance.

Safety - Self Safety - Environment - ensure med cart can't be stolen

other prisoners safe officers and yourself safe

Safety - Client/what is the medication Teamapproach/ discuss/notify/ document/review/ Communication - de escalation/ ABM Report:

senior nurse - doctor

Does anyone else need to know external to QH: QCS safety and security Documentation - medical chart Documentation - medication chart Documentation - Handover

WMS.9000.0021.00311EXHIBIT 99

292

a Queensland Government ~\"' Queensland Health

Panel Member Interview Notes - Tips:

Form 2 (b}

• The purpose of taking notes when assessing applicants is to assist the panel member in discussing with the other panel members who they believe to be the successful applicant and why.

• These notes and subsequent discussion should be used to draft the summary statement on each shortlisted applicant within the selection report.

• The summary statement is a collective statement from all panel members on each applicant.

• As the legislative requirement for recruitment and selection is that the process "is able to be reviewed", the summary statement (or comparative statement where more than one applicant exists) must succinctly indicates the panel's assessment of the applicant against the role's key attributes,

• and whether the panel considers them meritorious, suitable or not suitable for an order of merit, and on what basis.

• Provided the reader of the summary statement is to be able to clearly differentiate one applicant from the other, and see the logic in the final outcome, this will meet the test of "able to be reviewed".

• Your summary statement must indicate that all available information has been considered (ie. combined information, eg. application, interview & referee report - not just interview alone).

• Documentation of a selection decision must clearly explain the decision-making process with reference to the basis for assessment contained in the role description. The final summary statement on each applicant that is recorded within the selection report successfully meets this requirement. Therefore, as panel member's notes will assist in drafting a final summary statement on each applicant, the notes will no longer be required thereafter.

• Do not discard individual panel member's notes unless you are certain that the final summary statement on each applicant is of a high standard.

• It is suggested that panel schedule enough time between interviews to draft the summary statement of each interviewed. If you do this when your whole panel is present, it is easier, quicker, and more valid and reliable than relying on your recall and interview notes several days later.

• It is not sufficient for the summary statement statement to consist of scores alone.

• "Scoring" is not required or recommended. This mathematical approach to recruitment and selection is time consuming and not effective. Consider why you have allocated a certain score, and instead of a documenting the number/score, document the rationale for the number/score. If a selection decision is challenged, the panel will be required to explain the scoring anyway - better to document the rationale (rather than the number/score) in the first instance while the applicant is still fresh in your mind.

March 2010 People & ~ulture Corporate

WMS.9000.0021.00312EXHIBIT 99

293

'O

\-'.>

t; ........

:;::;. 4-

...........

0 V\

WMS.9000.0021.00313EXHIBIT 99

294


Assessment Sheet Moira Mrl s=nn

Applicant's Name: Mire J..J~o_b *use of this form is not mandatory- it's purpose is to simply guide panels on how to assess applicants.


--; .gi-~ ~J uf. '2Dv1t~ ~ "'-4. I '~k.S ( 1. Team Work

Could you please tell us how you have involved yourself in the promotion and development of a safe and effective and cohesive clinical team that promotes recovery focused treatment for adults with complex and high risk mental health issues?

In your answer use examples of how you have achieved this in the past.

C6.w- CA ""',A.. •



Meets Requirements (M) Slightly Above (SA) Meets Key Skill Requirements Slightly above Key Skill Requirements I


Form 2 {b)

Outstanding (0) Exceeds Key Skill Requirements

Desired Responses (NB - the "desired responses" a pane.I indicates hereunder is not meant to be an exhaustive or exclusive list, but is to guide the panel on what they are seeking from an ideal applicant.)

Panel member (1.,, I Name: I /'~ tfownb I Date:

14/1/11. I

I Signature: I March 2010 " People & Culture Corporate

WMS.9000.0021.00314EXHIBIT 99

295

~ Queensland Government Queensland Health Assessment Sheet

Applicant's Name : fla r r ~ f1f((4_,_&)::....

*use of this form is not mandatory- it's purpose is to simply guide panels on how to assess applicants.

Interview Question

2. Risk Management and Leadership Working in the area of acute adult mental health you are often faced with challenging situations.

Panel Member's Notes on Applicants response

R..ui .~J- o~~->J-.o~ 0>:'" ~ c'G"€-V>:f,s - ~-111-...-e i"Y / ~""' 1 JvJ'· J~f~ v . 1~ ,

Form 2 (b)

The role of the RN requires a leadership role in the identification and management of risks, give us examples of how you have achieved this?

~J.<_ kip . Nof- cl~\\ .e"" ~W-11.

Cfi_t_ eh.er:_~"' ~, tfs., I CJvJeAJJ.. lf~V, ·~~ ffe) 4r;/u I 'f< &<,9. 7~ te>f-tJ. t)fk. ~~I\, 1 ~A hoN-, ~'cl_ ~~' /

Tell us about your recent experience and how you have managed your own positive mental health in this environment.

~. kJl(H_Q__ ~-- Ii~ I i\t [«e_ -r~~ . ~ef{'-.Vj;cc,~·c_ . I~ ;:-. ~·

Does Not Meet (DNM) Almost Meets (AM) Meets Requirements (M) Slightly Above (SA) Does not meet Key Skill Almost meets Key Skill Requirements Meets Key Skill Requirements Slightly above Key Skill Requirements I Requirements I fails or I Partially I marginally meets Key Skill Marginally exceeds I superior

minimally satisfies Key Skill Requirements satisfaction of Key Skill Requirements Reauirements



Panel member

\ Name: \ 0. ~1 ~A,,"'-- 1· taf /tu j r· AJV<N~ Date:

I Signature: I


WMS.9000.0021.00315EXHIBIT 99

296

e Queensland Government Queensland Health ~

Assessment Sheet

Applicant's Name : Ho i?-0 ~~

*use of this form is not mandatory - it's purpose is to simply guide panels on how to assess applicants


3. Clinical Skills Pf'J- i:.hf~-q_~ {. 14. >o.16 <'-1o· ~J "f ~.N1. tAlt-kai I HI! 4-/rz__,

Form 2 (b)

Working with Adult with complex mental health issues in a locked environment can be challenging.

~ ~CJ__ J- f)·s.is. -~ r-i·~k ~ or,se . f.fel-~ r:..d.. ch.c:,)'ld.6.-)h""'.

A~,/., uJ/V\ • ~fO~W No-J. Arc~ -7' ~- ~0d ~---'~ ~eu ffi .

Tell us about your professional assets (skills and qualifications) and experience that would equip you to be an effective part of the treatment team?

~-Q"-ctJ~ 1froCAl . ~ ~ H~~- WrJv- lD~:J7'e ~ji-0_,, -?f'l~~ 4i'&b JO ~ ~ .. w t~ - f,.s{(!.., rol/\Jv'- J.lr{J. /\ o.Jv .~ ~





WMS.9000.0021.00316EXHIBIT 99

297


Assessment Sheet

Applicant's Name: M.() 1 ;:-Cl\ ff}ldf..p~


Interview Question



What does this term mean to you?



~~h,o11 bJ .J Jr"f1S r~ Sub J iQM~. J.de ~:;;'ci~f) r)~ ~ (;-~. ~ Or\ J-V'l ~ • 'fk-f ~1(_s · te~J~ . ~o(J,, 4J;; ~vvJ. . ~\/' r~S,~ • Kl.A~"' o1. a kcJJ'V'Q..-'I -/\-0~ .r.Ue-.

Form 2 (b)




Panel member

I Name: I I Date:

I Signature: I


WMS.9000.0021.00317EXHIBIT 99

298

e Queensland Government Queensland Health '-

Applicant's Name : M-0 1 Fe;.,. ~ 1JdJ "!:::>

Assessment Sheet

*use of this form is not mandatory - it's purpose is to simply guide panels on how to assess applicants.


Form 2 (b)

5. f4.. ~ ,~ q,.j ~ . »~ , tt ~ -acQUA:-1 . ,,.J~~ o.hi"' - SR_cV't~ ~ 0J.M.lr:--.c_0 ~ ~V\ f' die\~t ~tJµ . ('~ tf- ~/, ~tJf}IJ •. ~JI~ ~t- ~~~~ 'd- 1' Ja_-'\~ • r


~~ ~ N_,~ ~ ~ ~~~(~ '1zAffr~ f ~~, f)f/w- v--~/V\. ..,,-( ~ -~ k J/J lo ft'~ JJ- lo ~ ~.







Panel member

I Name: I f.(f/Dt<Jft-b--- I ll.f/i/ 't.f-· I ''V __,.,; Date:

I Signature: I March 2010 People & Culture Corporate

WMS.9000.0021.00318EXHIBIT 99

299




Safety - Client/what is the medication Teamapproach/ discuss /notify/ document/review/ Communication - de escalation/ ABM Report:



WMS.9000.0021.00319EXHIBIT 99

300

• . Queensland Government ~)"' Queensland Health


Form 2 (b)







• Your summary statement must indicate that gU available information has been considered (ie. combined information, eg. application, interview & referee report - not just interview alone).







WMS.9000.0021.00320EXHIBIT 99

301

WMS.9000.0021.00321EXHIBIT 99

302

,A, Queensland C ~\~ Queensland Health

Applicant's Name : _

*use of this form is not rr

Peta-Louise YORKE

Interview Question

Form 2 (b)

ent Sheet

;ess applicants.


1. Team Work


~-~.~f(A\~k~' (~ - ~Yi ck~ -~ ~ ~~ .f'C~V"'5 ~41t~-"·. ~f,M 1:,_ ~ r'--- (AU~. ~ fv{,S - ~J a~~ ~ ~i~--~ ~ ~~r. ~v

1

t ~---- ~ (v'o~-- Ac~v. ~J:12$. r0Q0-~~ ~>r ~ r4fc.,;J /- ~~'V~




Meets Requirements (M) Slightly Above (SA) Meets Key Skill Requirements Slightly above Key Skill Requirements I



Desired Responses (NB - the "desired responses" a panel indicates hereunder is not meant to be an exhaustive or exclusive list, but is to guide the panel on what they are seeking from an ideal applicant)


WMS.9000.0021.00322EXHIBIT 99

303

_A. Queensland Government ~)" Queensland Health Assessment Sheet

Applicant's Name : P--2.-.- /6<'<.~



Form 2 (b)


~s ~ fvl.j ~ . .J~. ~ ~ ~~ fv-JJ. ~~~, ~-~"'-~ls. ~v. ~I~ ~ J.~ ~~ ~ u.-,.J~A_ ~-~ dL t7\I\ ~ '° f.v-._~ ~~.-" ( ::;- • The role of the RN requires a leadership

role in the identification and management of risks, give us examples of how you have achieved this?

Tell us about your recent experience and how you have managed your own positive mental health in this environment.

~~b ~ ~Q_Q,t_r. c1. ~~'/1_, ~1r1r~. ~ ~ J- ~~ -~ ~ ~w /r'A.\~ -> ~ -LI I .... & ~~ , ~~~ ~c:J,:cf0





WMS.9000.0021.00323EXHIBIT 99

304

.A. · Queensland Government ~\"' Queensland Health

....... Form 2 (b)

Assessment Sheet

Applicant's Name : f. L - 'f&a.KX


Interview Question

3. Clinical Skills

Working with Adult with complex mental health issues in a locked environment can be challenging.

Tell us about your professional assets (skills and qualifications) and experience that would equip you to be an effective part of the treatment team?


(j,._J_~~ ~ ck'f1 Par }J:i ~CT~ ~c:J-R~. 1

.S~(~~~. ~~ µg~ ~~· J> J/J - " \ 4>/-a 'r' 2..

~ ef ~J ~~.r~. ~I~.;_,__~~·~~ reo~. 0t't~ J- S~, ~ t- ~ ,~/\,g., M tf&lf ~ ! (<>~I prti~J~ . Tr-J~ ~~' ~v ~<ffs r~ Mf} - C~.~. ~f (4<~ a~~. ~~~-"' J~)( ~V~ - ~ k C{)'-Jq~~ p;J .l\S . koo( JJ-LJ of- ~viJ;o ~ / Mjf'1 _




Panel member

I Name: I f flD•.JIW;; I Dat&7} 1/I tf I


WMS.9000.0021.00324EXHIBIT 99

305

• · Queensland Government ~)'"' Queensland Health

Applicant's Name: {'I- '>1m,-t..Ct£

Assessment Sheet



Form 2 (b)



Cw,_,.-u- +;, 4A .f. C<JJ>\.+v~ IJe - Pe ~ IV-t--N r"I"'*. ~ o~ ~ f; , ~\I, ~-t:f?"u r. o[h,,,..J;'"'u, ~ {o ft~ ~NL ) (/VQAk 1J rJh """'- ) ~lr J~ofl~ 1-J/I. --~v if ~ ~f/1, -t'°lfl_ rJ~ {)A hJJ ft<D::J ~-~~ ~~ ~ M}. What does this term mean to you?


~ & \{re,W~ '}ft-z_ \ . fu'ooJ ~ , ~~5 <!)" ~/SL { b Jk1 r/A.


minimally satisfies Key Skill Requirements satisfaction of Key Skill Requirements Reauirements


Panel member

I Name: I f. ~JM> _ I Da~~/'f74-J I Signature: I .


WMS.9000.0021.00325EXHIBIT 99

306

,A. Queensland Government ~\"' Queensland Health

Applicant's Name: f- {_... ]1;-t(UL.

Assessment Sheet



Form 2 (b)

5.


~~~ 7 ! LN~~ ~ · &bGti" .~ -bv- ~ _-- u/.~. ~ vqj,-J1~. (4J.~4-( ~ "lr escJ~. ~~,~~ ~ .'Vlot 'f /\--Of-~~ . ~~ ~ ~.J ~ ~ o.ro~ 'tJ~tf. ~ ~ d.ct.'/i. '\- ;:fwAA. ~·




Meets Requirements (M) Meets Key Skill Requirements

Slightly Above (SA) Outstanding (0) Slightly above Key Skill Requirements I Exceeds Key Skill Requirements



Panel member

I Name: I r £4-0N~ i-- -r4fr //Lf- .J '";:.....-' Date: -·-- ----


WMS.9000.0021.00326EXHIBIT 99

307




Safety- Client/what is the medication Teamapproach/ discuss/notify/ document/review/ Communication - de escalation/ ABM Report:



WMS.9000.0021.00327EXHIBIT 99

308

A Queensland Government 'l,)., Queensland Health


'- Form 2 (b)







• Your summary statement must indicate that fill available information has been considered (ie. combined information, eg. application, interview & referee report - not just interview alone).







WMS.9000.0021.00328EXHIBIT 99

309

WMS.9000.0021.00329EXHIBIT 99

310

e Queensland ' Queensland Health

Applicant's Name :

1ent Sheet Rosangela RICHARDSON

*use of this form is not manaatory- 1rs purpose 1s to s1mp1y gu1aepane1s on now to assess applicants


Form 2 (b)

. 1. Team Work

c_ · c_ ~ ~c:Lo ( \L - L (A 1~ -5 /vf'JJ~.,v.._ Cvv 1'ceb fo ~ ·r.;.,¥ ~ ~JlJfts .Jc_ ~~ ~ --7 a&~ '<~(>' /\J..J-h.,<1. J rkl/v\ ~~~> f 6 1-1"1).Y-:-

~()\J .t ~M 0Jv~ ~pt-~~ wer--ef--. ~sk-- Jo 1~J efMbV /Vt_~ • ll~\~ --tJ afi-£. f~ (~r~~


v~ J-9~1~ ~




Meets Requirements (M) Meets Key Skill Requirements

Slightly Above (SA) Outstanding (0) Slightly above Key Skill Requirements I Exceeds Key Skill Requirements


Desired Responses (NB - the "desired responses" a panel indicates hereunder is not meant to be an exhaustive or exclusive list, but 1s to guide the panel on what they are seeking from an ideal applicant.)

Panel member

I Name: I P //o~ [ Daiz;/ ( /!q- [ [Signature: [


WMS.9000.0021.00330EXHIBIT 99

311


Form 2 (b)

Applicant's Name: fl._ /Z,' D n Assessment Sheet ~.S.-0 ./\




~~ J-- ~~ Lj~.eV'{,/.: ~~ bi ,~d ~~- ~ E~ ->~~ffe~s~- ~~~(/OJ',,~ p/s.-11~.-.Q9R 1--Y~f~~~· ~°'~ ~ o ~U. - ~f- r-~ .Jo e-0""'~{.i It_ Jo ~ ~ ~rtlLS - C-Ov>c.JJ.~ v-

~~ -~- i"''iT~oi. ~~. M ~M GAV.<) ~k P&ru~s.ofa<. .eh 0"'"'~ . ~ 0\' k l> c ,/'J. ·- .)-J-~ ~~-

The role of the RN requires a leadership role in the identification and management of risks, give us examples of how you have achieved this?

Tell us about your recent experience and how you have managed your own

~ j /./- ~ 1 (.{8, - $;J ~ ~A-\.<!,._~,-/ ~ k) e~ ).9ff ~fft'd-. 0e_ J-ft.r-~ P/"".

-~ ~~ &f- sf o;l,_.e_g - , .J!J JJ I _ ~ positive mental health in this -environment.

{ ~ (;, J..P..v- ~~. UL.. ol-G-O~~ J.s, M 0 ~f&lVJ kq fv{l tJY-K v.J WlY k' lldcvc aw-~ ~,;\/'\. w~k_. )?~-'f ev,(J{j_ 1 ·~,,._(.>J'I'~ •




Panel member

I Name: I t-{#Ja~ I Date'.lf} }If


WMS.9000.0021.00331EXHIBIT 99

312


Applicant's Name: A- fl(c~~Cer-1 Assessment Sheet



Form 2 (b)

3. Clinical Skills ~ f'\ o/J- Ji-vtif! f> oi_ Me~ ·Jf~~. ~,,,'.;- /a.{C.. Jµ,-,. ~~kv-e_. ~ ;'fl

~~ ~ &~;'I CAlA~rt'.A._(jJ_j. Working with Adult with complex mental O<J.dt:J-L~ fv C(5 · health issues in a locked environment ~f S ~f. ~ <Ii~, ~et,_ rlf ~ k k:> ~ can be challenging. jlrev1~ a...ch'vll~ O""- wo-d\ ~ ~~~s £,lJ ~ ~ ('t)f ~Gl<lJ 1Ji ,,.j- ~ (_,~S.#

Tell us about your professional assets G~~ J- ~v~~ ~f-. (skills and qualifications) and experience that would equip you to be an effective part of the treatment team?



Desired Responses (NB - the "desired responses" a panel indicates hereunder is not meant to be an extiaustive or exclusive list, but is to guide the panel on what they are seeking from an ideal applicant.)

Panel member

I Name: I r ~ I Date: 1c+/tj14 I

I Signature I


WMS.9000.0021.00332EXHIBIT 99

n-~ k y fj~-j. .s.~~ ~o~:v~, ~ ~'1t- ~ ~ e,i>~ ~hcf-~. jkl fjl . -cv … · 2016-04-19 ·...

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