ORIENTATION CHECKLIST - DOC

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					                                      Aurora Health Care
                              Waukesha and Jefferson Service Market

                             ORIENTATION CHECKLIST
                        CLINICAL INSTRUCTOR AND STUDENTS
All clinical nursing instructors from area schools of nursing will be expected to complete an orientation
checklist and documentation of student completion of orientation checklist. Documentation of student
orientation is required even though you as an instructor may have completed this orientation checklist
within the past semester. Orientation must be completed prior to patient care.

The checklist must be completed within 2 weeks of the start of the clinical experience. Your signature at
the bottom of the page signifies that you as well as the students have completed the orientation
checklist.

The completed checklist should be mailed or faxed to:
       Pat Volkert, RN, MSN, Academic Liaison
       Nursing Operations and Clinical Integration
       3000 W. Montana Street, Milwaukee, Wisconsin 53215
       FAX: (414) 647-6389

Please check off only those applicable to your clinical               INSTRUCTOR INITIALS /                 DATE
experience.                                                             STAFF SIGNATURE
Age Specific Care (see website)
Aurora Health Care Mission, Value and Vision (see website)
Cerner Training /Barcoding
Clinical Documentation/eMAR policies
Code Blue Policy
Stat Team Policy
Corporate Compliance/HIPPA training (see website)
Cultural Diversity and Sensitivity Review
Elements of a Magnet Organization (website)
Equipment Specific to the Unit
Hand Hygiene (see website)
Infection Control Policies, Specific to Department
IV Infusion Pump
Medication Administration Policies
National Patient Safety Goals (see website)
Nurse Call System
OSHA/Infection Control Education (see website)
Patient Rights & Responsibilities (see website)
Planetree Philosophy ( see website)
Restraint Policy
Safety Review (see website)
Student Nurse Policy (website)
Telephone System
Unit Specific

Clinical Instructor Signature: __________________________________ Date: _____________________

School: _______________________________________________________________________________




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