Agency Staff New Hire

    AGENCY STAFF NEW HIRE ORIENTATION CURRICULUM FORM

    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:

    Staff Print: Date:

    Nurse Trainer Signature:

    Staff Print: Date:

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