Maury Regional Medical Center


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:

The orientation confirmation below is for Volunteers ONLY. Students and staff, please proceed to the appropriate selection from the initial online orientation page.

Name:  *Dept / Unit / Area:  *Position / Role:  *Employment Type: Volunteer 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
• Personal Appearance
• Tobacco Free Campus
• Cultural Diversity
• Confidentiality
• Hand Hygiene
• Infection Prevention & Standard Precautions
• Barrier Protection
• PPE (Personal Protective Equipment)
• Multidrug Resistant Organisms (MDROs)
• Emergency Codes
• Fire Safety
• Patient Safety Reporting, Fall Risk & Patient Identification
• Patient-Centered Care 
After completing all required lessons, click the "Submit" button below. A record of your completion will be sent to the appropriate department(s).