Weekly Orientation Progress Worksheet

• Site conducted

  Select

• Employee

• EID #

• Facility

  Broadway

  SMCF

  South University

• Date

  Date

Week 1

• Date

  Date

• We Are Sanford Orientation videos

  ✔

  ✖

• Review Safety: discuss codes (Red, Blue, Code Exit, etc.)

  ✔

  ✖

• Best practice of cleaning rooms / hands on training

  ✔

  ✖

• Department specific handling of bio-hazard waste, garbage, and linen

  ✔

  ✖

• DAZO and other auditing methods

  ✔

  ✖

• Chemical safety

  ✔

  ✖

• Isolation practices

  ✔

  ✖

• Department Education expectations

  ✔

  ✖

• Customer Service (ISIT)

  ✔

  ✖

• Hand Hygiene

  ✔

  ✖

• Computer modules, Facility Service Requests, One Chart, Injury Report

  ✔

  ✖

• Beeper use

  ✔

  ✖

• Payroll, OT, absence, PTO/PTOU, tobacco use, cell phone use, and dress code policies

  ✔

  ✖

• Short meeting with Reviewer to discuss questions, and get schedule

  ✔

  ✖

• Preceptor E-signature

Week 2 - Employee begins assigned schedule. Preceptor meets with new staff a minimum of 30 minutes for DAYS 1-3

• Date

  Date

• Schedule

  ✔

  ✖

• Locker/key peg assignment

  ✔

  ✖

• PTO slips/process

  ✔

  ✖

• Computer/One Chart

  ✔

  ✖

• Bulletin Boards

  ✔

  ✖

• Daily Assignment Sheet

  ✔

  ✖

• PTOU call in process

  ✔

  ✖

• Hand hygiene requirements/initiative

  ✔

  ✖

• ISIT initiative

  ✔

  ✖

Week 2 - Days 4 & 5

• One Chart questions

  ✔

  ✖

• Access questions

  ✔

  ✖

• Equipment/Chemical issues

  ✔

  ✖

• Beeper/paging/response

  ✔

  ✖

• Hand hygiene

  ✔

  ✖

• ISIT

  ✔

  ✖

• Assignments/job description questions

  ✔

  ✖

Week 3 - The preceptor will check in with the EVS technician a minimum of 3 times to discuss any questions the new employee may have and complete the applicable skill validations

• Check in 1

  Date

• Check in 2

  Date

• Check in 3

  Date

• Check in 4

  Date

• Check in 5

  Date

Week 4 - The preceptor will check in with the EVS technician a minimum of 3 times to discuss any questions the new employee may have and complete the applicable skill validations

• Check in 1

  Date

• Check in 2

  Date

• Check in 3

  Date

• Check in 4

  Date

• Check in 5

  Date

Week 5-6 - The preceptor will check in with the EVS technician a minimum of 1 time to discuss any questions the new employee may have and complete the applicable skill validations. Completed validations are reviewed by assigned Manager. The Preceptor gives the EVS technician a copy of the Preceptor

• Check in 1

  Date

• Check in 2

  Date

• Check in 3

  Date

• Check in 4

  Date

• Check in 5

  Date

I verify this employee has met the ongoing competencies identified for their position this year.

• Employee E-Signature

• Manager/Reviewer E-Signature