Department of Microbiology Quality Manual / Policy QPEMI00000.10 / Page 1 of 3
Section: Personnel / Subject Title: Personnel Policy

Policy:

The UHN/MSH Microbiology Department collaborates with the Human Resources Department at MSH to obtain and retain personnel who are best prepared for the position and provide highest quality services.

Purpose:

The UHN/MSH Microbiology Department provides direction for selecting, training, evaluating and providing opportunities for professional growth of laboratory personnel.

Responsibility:

The department’s management collaborates with the Human Resources Department at MSH to recruit, hire, train, manage and assess personnel. Laboratory personnel are responsible for maintaining individual competence, documenting required continuing education and maintaining their license as required.

Key Elements:

The department maintains processes and procedures for:

Job Qualification

The UHN/MSH microbiology department establishes qualifications for education, experience and skills for each position in the laboratory in accordance with any regulatory and accreditation requirements.

Job Description

The UHN/MSH microbiology department establishes and maintains the job descriptions for each position in the laboratory including job qualifications and job tasks.

Employee File

The UHN/MSH microbiology department will maintain an active departmental file on each employee.

Orientation

The Mount SinaiHospitalprovides a hospital orientation program for new employees. The UHN/MSH microbiology department provides a laboratory orientation program for new employees.

Training

The UHN/MSH microbiology department provides training of new employees and to affected employees for new or changed processes and procedures

Competency Assessment

The UHN/MSH microbiology department maintains a process for competence assessment after initial training and periodically thereafter.

Continuing Education

The UHN/MSH microbiology department provides opportunities for continuing education and encourages employees to seek their own learning.

Performance Management

The UHN/MSH microbiology department participates in the Mount Sinai Hospital Performance Management process for its employees.

In conjunction with the Human Resources Department at MSH, the UHN/MSH microbiology department maintains processes and procedures for:

Codeof Conduct

Conflict ofInterest Policy

Retention

Salary administration

Workplace diversity

Conflict resolution

Grievance management

Termination

Related Documents:

Document Title / Document Number
Personnel Management Process / QPEMI01000
Hiring Process / QPEMI02000
Orientation Process / QPEMI03000
Staff Training Process / QPEMI04000
Performance Management Process / QPEMI05000

Record of Edited Revisions

Manual Section Name: Personnel Policy

Page Number / Item / Date of Revision / Signature of Approval
Annual Review / December 31, 2003 / Dr. T. Mazzulli
Annual Review / February 8, 2005 / Dr. T. Mazzulli
Annual Review / July 23, 2006 / Dr. T. Mazzulli
Annual Review / August 9, 2007 / Dr. T. Mazzulli
Annual Review / June 16, 2008 / Dr. T. Mazzulli
Annual Review / June 16, 2009 / Dr. T. Mazzulli
Annual Review / June 16, 2010 / Dr. T. Mazzulli
Annual Review / May 31, 2011 / Dr. T. Mazzulli
Annual Review / May 31, 2012 / Dr. T. Mazzulli
Annual Review / May 31, 2013 / Dr. T. Mazzulli
Annual Review / May 9, 2014 / Dr. T. Mazzulli

UNIVERSITY HEALTH NETWORK /MOUNT SINAIHOSPITAL, DEPARTMENT OF MICROBIOLOGY

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