Department Specific Orientation Checklist (For CSM ...



1609725-34290000Department Specific Orientation Checklist (For CSM Associates, Temporary Workers, Students, Volunteers, Contracted Workers and Agency Staff)Name ______________________________________Start Date/Transfer Date________________________Associate ID______________________ Date of Day 1 – Passing Along the Passion_________________ Job Title___________________________ Due Date (30 days post-start/transfer date) __________________ New Associate/Exec Lunch or Nursing Regroup Meeting Date:______________ Note: If this date for lunch or regroup is not entered, this form is incomplete and will be returned to you. (Call 326-2639 to schedule/reschedule)The following outlines the various components required as part of all organization associates, temporary workers, students, and volunteers, department-specific orientation to our organization. Review each component, indicating the date reviewed. The Department Manager or defined department/area educator is responsible for discussing each of the items listed below. There is a manager guide to support you with the source to discuss most of these items. You must initial each section. If a topic is not applicable to your department/unit, please insert N/A and still initial the box. No lines or arrows down the page will be acceptable. GeneralDateInitialThe Ascension Health Experience: Coordinated, Efficient Processes: Administrative Efficiency; Comfortable, Convenient EnvironmentDiscuss the department organizational structure and its link within CSM organizationDiscuss the department purposeIntroductions to team membersTour of Department Tour of FacilityTransportation Between Campuses Department KRONOS Procedures (including clock, portal, time off requests)ScheduleCompetency/PerformancePersonal appearance guidelinesInformation SystemsFire Safety TrainingHazard Communication ProgramEmergency Preparedness Plan Back Safety/Ergonomic NeedsWaste ManagementThe Ascension Health Experience: Emotional & Spiritual Support: Responsiveness, Empowerment, Compassion & RespectService Area CommunicationService Excellence Procedures Human Resources Business and Ethical Practices Diversity Resources & Language ServicesStewardshipSafe, Effective Evidence: Clinical Reputation and Quality Risk ManagementPatient SafetyDoers System Bloodborne PathogensTuberculosis (TB) Exposure Control Plan Isolation ProceduresQuality of Care Department Revenue ProceduresReview EHR processes implemented on unitNational Patient Safety GoalsCommunication regarding Patient Hand-Offs ADDITIONAL DEPARTMENT CHECKLIST ITEMS (OPTIONAL)ReviewDateReviewed ByAssociate (Student, Agency Staff, Volunteer) Signature DateDateDirector/Manager/Coordinator DatePlease complete this form within 30 days and submit with orientation evaluation to Human Resources at the Office Center-Attention Education and Organizational Development Department. Please supply associate with a copy of this form. For Volunteers, please send the original to the campus Volunteer Services. Thank You. ................
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