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| Phone: 801.892.8300 Toll-free: 888.297.0570 Fax: 801.892.8399 |
| New Hire Checklist |
1. License and Certifications:
a. Valid and current Professional License/Certification for the state of your assignment (valid for at least the
whole duration of your assignment)
b. CPR/BLS/BCLS (Required for all healthcare professionals. Must be issued by American Heart
Association. Must include the front and the back of the card. The card must be signed by you. Must be
basic life support for healthcare providers or equivalent)
c. ACLS (Required for Critical Care, L&D, ER and Telemetry/Step Down units. Must be issued by
American Heart Association. Must include the front and the back of the card. The card must be signed by
you.)
d. PALS (Required for Pediatrics, PICU, and ER units. Must be issued by American Heart Association.
Must include the front and the back of the card. The card must be signed by you.)
e. NRP/NALS (Required for L&D, Nursery, and NICU units. Must include the front and the back of the card.
The card must be signed by you.)
f. Fetal Monitoring Certificate (required for L&D)
g. TNCC (May be required for ER units)
2. Health Documentation:
a. Physical or Physician’s Statement (Must be performed within the last 12 months.
Physical must state that you can work without restrictions and are free of communicable diseases.)
b. PPD or Negative Chest X-Ray
c. Mumps Titer (some facilities may accept vaccination records in lieu of titer)
d. Rubeola (Measles) Titer (some facilities may accept vaccination records in lieu of titer)
e. Rubella Titer (some facilities may accept vaccination records in lieu of titer)
f. Varicella Titer Lab Slips (some facilities may accept vaccination records in lieu of titer)
g. Hep B Form (some facilities may require a titer or signed declination)
h. TB Mask Fit Test (if required by facility)
3. Other Important Documents:
a. Drug Test (Required prior to the start of your assignment)
b. Employee Handbook Manual-Signed Receipt
c. Job Description Acknowledgement
d. OSHA and HIPPA Training-Completed
e. Annual Skills Checklist
f. Medication Test: Required of all LVNs and RNs (80% score is required)
g. Competency exam (80% score required)
h. Release Authorization for Background Check/Education Verification
i. Any Other documents that may be required by the Healthcare Facility
a. Valid and current Professional License/Certification for the state of your assignment (valid for at least the
whole duration of your assignment)
b. CPR/BLS/BCLS (Required for all healthcare professionals. Must be issued by American Heart
Association. Must include the front and the back of the card. The card must be signed by you. Must be
basic life support for healthcare providers or equivalent)
c. ACLS (Required for Critical Care, L&D, ER and Telemetry/Step Down units. Must be issued by
American Heart Association. Must include the front and the back of the card. The card must be signed by
you.)
d. PALS (Required for Pediatrics, PICU, and ER units. Must be issued by American Heart Association.
Must include the front and the back of the card. The card must be signed by you.)
e. NRP/NALS (Required for L&D, Nursery, and NICU units. Must include the front and the back of the card.
The card must be signed by you.)
f. Fetal Monitoring Certificate (required for L&D)
g. TNCC (May be required for ER units)
2. Health Documentation:
a. Physical or Physician’s Statement (Must be performed within the last 12 months.
Physical must state that you can work without restrictions and are free of communicable diseases.)
b. PPD or Negative Chest X-Ray
c. Mumps Titer (some facilities may accept vaccination records in lieu of titer)
d. Rubeola (Measles) Titer (some facilities may accept vaccination records in lieu of titer)
e. Rubella Titer (some facilities may accept vaccination records in lieu of titer)
f. Varicella Titer Lab Slips (some facilities may accept vaccination records in lieu of titer)
g. Hep B Form (some facilities may require a titer or signed declination)
h. TB Mask Fit Test (if required by facility)
3. Other Important Documents:
a. Drug Test (Required prior to the start of your assignment)
b. Employee Handbook Manual-Signed Receipt
c. Job Description Acknowledgement
d. OSHA and HIPPA Training-Completed
e. Annual Skills Checklist
f. Medication Test: Required of all LVNs and RNs (80% score is required)
g. Competency exam (80% score required)
h. Release Authorization for Background Check/Education Verification
i. Any Other documents that may be required by the Healthcare Facility