Maury Regional Health

Physician / APC

Maury Regional Medical Center, Marshall Medical Center & Wayne Medical Center

Code of conduct & initial orientation confirmation

Acknowledgement of receipt and recognition of Maury Regional Health's Code of Conduct

I acknowledge my receipt of a copy of Maury Regional Health’s (MRH’s) Code of Conduct. I understand that the content contains important information on MRH’s Compliance Program; Confidentiality Policies and Procedures; the Fraud, Waste and Abuse Program, and the Conflict of Interest Policy. I recognize the Code of Conduct explains my obligations as a workforce member or business entity contracted with MRH.

I acknowledge that I am expected to read, understand and adhere to the Code of Conduct and MRH policies and procedures and will familiarize myself with their contents.

I understand that accessing my own information or the information of my family members, friends or others without a work-related need is a violation of this Code of Conduct and will be subject to employee accountability action.

I understand I have a legal, moral and ethical obligation to report potential privacy breaches as well as potential fraud, waste and abuse in compliance with state and federal laws, contractual requirements and MRH Policies and Procedures.

I understand that violation and/or non-compliance with the Code of Conduct requirements is ground for disciplinary action, up to and including termination of employment or contract.

Conditions of Medical Staff Appointment/Reappointment

Collaboration, communication and collegiality are essential for the provision of safe and competent patient care. As such, all Medical Staff Members and Specified Professional Personnel practicing in MRH must treat others with respect, courtesy and dignity and conduct themselves in a professional and cooperative manner. In dealing with all incidents of inappropriate conduct, the protection of patients, employees, physicians, volunteers and visitors and the orderly operation of the Medical Staff and MRH are paramount concerns. Complying with state and federal law and providing an environment free from sexual or any other type of harassment is also critical. In this respect, I understand that any and all acts considered unprofessional or disruptive to medical or hospital staff , patients or visitors potentially impact the care and safety of patients and will not be tolerated. Such acts will be investigated and evaluated by MRH and the Medical Staff.

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:  *Specialty:  *Hospital(s) 
By checking this box, I confirm that I have read and understand the Code of Conduct and the required orientation topics as listed below (confirmation is not complete until the "Submit" button is clicked and a "Thank You" message appears):
• Code of Conduct
• Mission/Vision/Values
• Confidentiality
• Cultural Diversity
• Tobacco Free Campus
• Personal Appearance
• Emergency Codes
• Fire Safety
• Patient Safety Reporting, Fall Risk & Patient Identification
• Infection Prevention and Control
• 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).