Title Page

  • Conducted on

  • Prepared by

  • Location

HR File Review

  • Application for employment.

  • Job description.

  • Criminal background screen.

  • Exclusion from Federal Healthcare Programs (OIG / GSA / EPLS)

  • Primary source verification of licensure or registration.

  • Primary source verification of certification.

  • Education and experience

  • Health screen.

  • Drug Screen.

  • TB Screen

  • Vaccinations including influenza.

  • TB Fit Mask.

  • Hospital and discipline specific competencies:

  • Initial competence assessment at start of job.

  • Periodic competence assessment (at least every 3 years).

  • Annual education requirements (safety, risk, EOC, blood borne pathogens, EMTALA for ED, etc.).

  • Annual competence assessments (POC testing, discipline specific skills)

  • Basic Life Support

  • Advanced Cardiac Life Support; PALS; NALS, etc.

  • Comments:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.