Form must be signed and placed in the personnel file.

DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA

DEPARTMENT SPECIFIC / JOB SPECIFIC ORIENTATION

Employee Name: Hire Date:

Job Classification: Supervisor:

Administrative Office:

Please complete all sections no later than the first thirty days of employment.

/ HR
(covered during New Hires ession) / Manager or Designee

I. JOB SPECIFIC ORIENTATION

/ (please Initial)
Shaded sections covered by HR

  Job Description Review

  Establish clear expectations

  Performance Expectations and Evaluation Process Review

  C-ICARE Practices

  Introduction to key colleagues

  Work Area Tour

  Staff Communication

  Chain of Command

  Organizational Chart

  Special Procedures

  Tour of commonly visited areas

  Other

II. ENVIRONMENT OF CARE / EMERGENCY MANAGEMENT / SECURITY

1.  Safety Management

  Review Office Safety Standards

  Body Mechanics and Ergonomic Evaluation (www.ergonomics.ucla.edu)

2.  Security Management

  How to report a crime

  Keys, Security Alarm, Panic Buttons

  Emergency Telephone Number List

3.  Hazardous Materials Management

  How to report a spill
  MSDS-Material Safety Data sheet

4.  Fire Prevention

  Fire Drills and Schedule of Fire Drills

  Steps to take in an event of a fire

  How to reporting a fire

  Fire Exits, Location of Fire Extinguishers and R.A.C.E.

5.  Utilities Management

  Procedures in the event of a malfunction of computer equipment and office equipment

6.  Medical Equipment Management (if applicable)

  Introduction for Office/Department Equipment
  Procedures for malfunction

7.  Emergency Management

  Location of Disaster Plan

  Location of Emergency Supplies/First Aid Kit

  Evacuation Procedures

III. PATIENT SAFETY & ERROR REDUCTION (if applicable)

  Patient Safety Plan

  National Patient Safety Goals

  Restraints Policy

  Medication Errors

  Event Reporting

  Infection Control

  Pain Management

IV. DEPARTMENTAL POLICIES AND PROCEDURES

  Personnel Contracts/Policies – Useful Websited

  Payroll System (OTR) ,Rules & Deadlines

  Communication Channels

  Organizational Chart
V. REQUIRED TRAINING
§  Complete HIPAA Education and Training on-line module
§  Review how HIPAA regulations apply to the position
§  Complete Code of Conduct Training and Quiz on-line module
§  Learning Management System (LMS) Training requiring UCLA Log-On ID
§  Compliance Briefing: UC Ethical Values and Conduct
§  Sexual Harassment Prevention Training for Supervisors (for Faculty, Supervisors, MSP and equivalent)
VI. OTHER

Employee Signature Date

Reviewer Signature Date

Human Resources Representative Signature Date

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