Family & Children’s Center
Family & Children’s Center
Domestic Abuse Project Orientation Checklist
|Employee Name: | |Hire Date: | |
|Mentor Name(s): | |
|Please check/ initial each item upon completion – due by the end of employee orientation period. |
|Supervisor Responsibilities |Date Completed |
|Contact Mike Senn with new employee’s name, role and start date, for equipment purposes. | |
|Contact Senior Human Resources Specialist with new employee business cards and name plate request. | |
|Contact EHR Project Manager with employee information to assign Procentive role | |
|Contact Facilities Manager for key request | |
1. Sign Up For Required Live Training
| |Date Registered For |
|CPR/First Aid-to include infant CPR (to be completed within 3-6 months of hire date) | |
|Mental Health First Aid –Adult or Youth Focus (to be completed within 3-6 months of hire) | |
|Behavior Management Skills Training (to be completed within 3 months of hire date) | |
2. Complete During First Program Shift
| |Date Completed & Trainer’s |
| |Initials |
|Position Description - send to Senior Human Resources Specialist | |
|Complete Payroll Change Form/Emergency Contact Information & send to Senior Human Resources Specialist | |
|Time-Sheet Guidelines | |
|Schedules & Requesting Time Off | |
|Assign Mentor and Discuss Mentor Program | |
|Staff Introductions | |
|Tour Building | |
|Keys & Badge use | |
|Dress Code | |
|Staff Space and Office Equipment | |
|Mileage and Check Reimbursement Forms | |
|Use of EHR | |
|Phone Use | |
|Computer | |
|Mailboxes | |
|Copy Machine | |
|Supplies | |
|Duty to Report | |
|Team Meetings | |
|Peer Consultation Meetings | |
3. Agency Vehicles
| |Date Completed & Trainer’s |
| |Initials |
|Agency Vehicles Process /Key Locations/Policies | |
|Explain filling gas procedure for agency vehicles & receipts | |
4. Emergency Procedures
| |Date Completed & Trainer’s |
| |Initials |
|Fire | |
|Severe Weather | |
|Evacuation Plan | |
|First Aid Kits/Personal Protective Equipment | |
|Dangerous Situations | |
|AED Location | |
|Emergency Phone Numbers | |
|Mobil Crisis/EMHS/ Helpline- Viroqua | |
|Documentation for Staff or Client Injury | |
5. Trauma Informed Care
| |Date Completed & |
| |Trainer’s Initials |
|Review Agency Trauma Informed Care Philosophy | |
|Trauma Informed Care Practices | |
|TIC/Self-Care resources on Depot | |
|Self-Care Plan | |
6. Training
| |Date Completed & |
| |Trainer’s Initials |
|Complete Introduction to Trauma Informed Care | |
|CMS Fraud, Waste and Abuse Compliance Training (FCC-CMS-FWA-COMP) – Relias | |
|Training covering preventing & responding to bullying & harassment in all forms | |
I acknowledge that I have completed the above checklist and have been given the opportunity to ask any questions for further clarification. I understand and agree to follow program/department Policies and Procedures. I also acknowledge that I have been given a copy of and/or have access to the program/department Manual.
Employee Signature Date
Supervisor Signature Date
|After Employee Orientation Review is completed-please send the completed checklist along with the review to HR, to be placed in employee’s personnel file. |
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