Maury Regional Medical Center

Clinical students & Contract Staff

 

INITIAL ORIENTATION CONFIRMATION FORM

Your initial orientation is not complete until you have filled in this form and submitted it by clicking the "Submit" button below. The following information is required: 
Name:  *Dept / Unit / Area:  *Position / Role:  *By checking this box, I confirm that I have read and understand the required orientation topics as listed below (confirmation is not complete until the "Submit" button is clicked and a "Thank You" message appears):
• Mission/Vision/Values
• Confidentiality
• Cultural Diversity
• Tobacco Free Campus
• Personal Appearance
• Emergency Codes
• Fire Safety
• Patient Pain Management, Safety Reporting & Identification
• Infection Prevention & Control (MDRO, Central Line, Surgical Site)
• Fall Prevention
• Critical Assessment Team (CAT)
• Family Activated Care Team (FACT)
• Infectious Disease Acknowledgement
• Student Acknowledgement and Release of Liability (applicable to clinical students) After completing all required lessons, click the "Submit" button below. A record of your completion will be sent to the appropriate department(s).