Special Orientation Plan
This plan must be developed in consultation with the Orientation
Manager in the Staff and Patient Education Department prior to the employee starting to work.
The
Manager will assure that the employee does not work independently until he/she meets the
minimum requirements to perform the job safely, including attending all mandatory
orientation classes.
1. |
Which of the following orientation requirements are mandatory
for the employee’s position check all that apply: __Safety/Infection
Control __CPR
__Bloodborne Pathogens __Code Blue
__TB |
| 2. |
If the employee is missing mandatory classes, how
will you meet the orientation requirements? Specify the action plan for each
mandatory class. |
| 2a. |
Safety/IC (If the unit/department Trainer is training the new
employee, this must be done within 1 week of hire): |
| |
Who Will do what By when |
| 2b. |
Bloodborne pathogens (The employee CANNOT work if
this is not met): |
| |
Who Will do what By when |
| 2c. |
TB (The employee CANNOT work if this is not met): |
| |
Who Will do what By when |
| 2d. |
CPR (If the unit/department Instructor is certifying the new
employee, this must be completed within 1 week of hire): |
| |
Who Will do what By when |
| 2e. |
Code Blue (If the unit/department Trainer is training the new
employee, this must be completed within 1 week of hire): |
| |
Who Will do what By when |
| 3. |
If the employee is missing non-mandatory (although
essential) orientation classes, including IDX, how will you arrange for the content to be
covered? |
| |
Who Will do what By when |
Documentation that this employee’s orientation requirements were
met must be sent to the Staff and Patient Education Department and Human Resources no later than 6
weeks after the employee’s start date. The employee must be scheduled for the next
HCO.
Dates of next HCO: ____________________________
Signatures:
_________________________________________________
Manager Requesting Exception Date
_________________________________________________
Department Head / Date
_________________________________________________
Administrative Officer / Date
Send or fax a signed copy to the Orientation Manager, Staff and
Patient Education (Mail Code 2214, Fax 1491) and the Human Resources Recruiters
(Mail Code 4035, Fax 4115).
|
