Duluth Care
I have received and comprehend the topics on each subject above on the following dates:
I Acknowledge to have completed orientation and have a clear comprehension and have received all the documents on all the below mentioned topics
Topics
Indicate Below Month/Date/Year
Staff Initials
Agency Values/Population of clients served
Review of agency policies and procedures
TB Exposure Reporting
Handling Emergencies
Client Rights/Handling of Complaints
Review of employees job responsibilities
Reporting client progress & problems to supervisors
Policies & Procedures on client rights and responsibilities
Additional training consisting of a minimum of eight clock hours of training or instruction shall be provided annually for each employee after this first year of employment. Such training or instructions shall be in subjects that relate to the employees assigned duties and responsibilities
Staff Signature:
Nurse Trainer Signature:
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