VISIT ONLY - INSTRUCTOR
ORIENTATION AND ANNUAL REQUIREMENTS
Directions: once student placement is confirmed (i.e. Step 1) with the Learning Resources (LR) Student
Placement Coordinator, Visiting Instructors complete the Orientation Requirements as directed below.
To access these Orientation materials and other important information you need to know, go to our website:
www.gwinnettmedicalcenter.org, then click on:
1. Programs and Classes tab at the top of page; 2. Community Programs on the drop down menu;
3. Student Experiences (left side menu); and 4. On the Student Experience Website, click on the
links as directed below in each section.


Click on “Step 2: DRUG SCREEN AND BACKGROUND”
Select the method as directed by your school. If unsure, consult with the LR Coordinator.
Recommended Vendor: www.advantagestudents.com. (Drug screen/ background check must be
completed AND results reviewed by GMC LR Department PRIOR to visiting students at GMC)
Click on “Step 3: ORIENTATION (and ANNUAL) REQUIREMENTS”
1. Read the information under “Part I – Faculty Orientation Requirements”.
2. Email lhorst@gwinnettmedicalcenter.org your last 4 Social Security numbers. This will get you access, i.e. a
login, to do your required orientation online in our Learning Management System called MyNetLearning.
Allow a few days for system processing.
3. Once you have your login, go back to “Part I – Faculty Orientation Requirements” located at:
http://www.gwinnettmedicalcenter.org/programs-classes/GMCContentPage.aspx?nd=226
a)
Under this section, the second paragraph, click on the link to login to MyNetLearning.
b) Once you login, “Enroll in CBL” – Computer Based Learning – the lower right widget.
-In this widget click on the “Show/Hide filter” icon.
- Click “Curriculum” drop down menu to search for and enroll in “New Instructor (Visit Only)
CBLs” – the required CBLs will then populate on the lower portion of this widget.
c) Review CBLs/ take the test or acknowledgement – results are recorded into your myNetLearning transcripts.
d)
Annually complete the myNetlearning “Instructor Annual CBLs” bundle.
4. Only New Instructors sign/return, attached 3 forms to the GMC Student Placement Coordinator.
Sign and turn in the last 3 documents following this page to LR Student Placement Coordinator.
DRESS CODE:
In addition to wearing your school ID and the Gwinnett Medical Center “INSTRUCTOR” ID Badge, dress
business casual or wear your school uniform.
QUESTIONS: Students contact their instructor or GMC Learning Resources Department Student Placement
Coordinator with questions lhorst@gwinnettmedicalcenter.org.
Non-Associate Confidentiality Agreement
I understand Gwinnett Health System (GHS) has a legal and ethical responsibility to safeguard
the privacy of all patients and to protect the confidentiality of their health information.
As a condition of my affiliation with GHS, I agree to maintain the privacy and confidentiality of
any patient identifiable information that I may intentionally or unintentionally become aware of
as result of my affiliation with GHS.
Signature
Printed Name
Date
____________________________________
Organization Represented (school, company, etc.)
Receipt and Acknowledgement of
Gwinnett Hospital System, Inc. Code of Conduct
By signing below:
 I acknowledge that I have received my personal copy of the
Gwinnett Hospital System, Inc. (GHS) Code of Conduct.
 I understand that I am responsible for knowing and following the
Code of Conduct as a condition of my continued affiliation with
GHS.
 I also understand that I am responsible for reporting any actual or
perceived violations of the Code of Conduct, including any
departmental policies, and state or federal law to the appropriate
management representative:
Compliance Hotline 888-696-9881
Chief Compliance and Privacy Officer 678-312-4388
Associate Relations Director 678-312-2642
Risk Management Director 678-312-3264
Information Security Officer 678-312-4717
Printed Name: _________________________________________
Signature: ____________________________________________
Date: ________________________________________________
Your affiliation with GHS:
 Associate–Department: ___________________________
 Medical or Affiliate Staff – Practice Name:
_____________________________________________________
 Volunteer – Facility: ____________________________________
 Contractor or Agency – Company Name:____________________
 Other ________________________________________________
Revised January 2009
Magnetic Resonance Imaging (MRI) Form
All MRI suites maintain a safe environment by: restricting access to all MRI work areas; requiring modified GMC
identification badges for associates who may not safely enter the MRI area; and screening “all” associates, patients,
family members, and affiliates (i.e. students and faculty) prior to entering the MRI suite for pacemakers, aneurysm
clips, permanent tattoos, body piercing, hemostats, pagers, and more. Students or faculty who have experiences in
the MRI area need to be thoroughly screened and cleared to enter the area using the MRI Safety questions below.
Please circle your answers and then sign this form below.
MRI Safety Questions
1. Have you ever been hit in the face with a piece of metal (including metal shavings, slivers, rust, BB’s or bullets)?
YES
NO
2. Have you ever worked as a machinist or welder?
YES
NO
3. Have you ever had metal removed from you eye?
YES
NO
4. Do you have any metal in your body from an accident (including pencil points, shrapnel)?
YES
NO
5. Have you ever had eye surgery (other than LASIK surgery)?
YES
NO
6. Do you have any surgically implanted metal (including an intrauterine device, catheters, tubes, stints, or valves)?
YES
NO
7. Do you have or have you ever had a pacemaker, pacemaker wires, defibrillator or cardiac valve prosthesis?
YES
NO
8. Do you have a brain/aneurysm clip?
YES
NO
9. Do you have an eye/ear implant or hearing aid?
YES
NO
10. Do you have an electrical stimulator for nerves or bones?
YES
NO
My signature below validates I have answered the above questions candidly, and if I have answered “Yes” to any
of the above questions, I agree to notify MRI staff prior to entering any MRI Suite at GMC for my personal
safety.
_____________________
___________________________________________________
Date
Signature
STUDENT/Instructor ID CARD ACCESS CONTROL
Student/Instructor: Please complete this form and give it to your instructor along with a $5
refundable deposit to receive a GHS Student ID badge.
Instructor: Please submit the completed forms and deposits to the Public Safety Office at
Gwinnett Medical Center (extension 4057 or 4590). Student ID badges will then be issued.
When ID badges are returned to Public Safety, refunds will be issued.
Please print the following information:
Student’s Name:
__________________________________________________________________
Address:
_________________________________________________________________________
Phone #: _________________________ School: _____________________________________
Semester:
Start Date: ______________________End Date:__________________________
(To be filled out by the class instructor):
Instructor’s Name: _________________________________Phone: ____________________
Authorized Signature: ______________________________________
Parking Lot:
_____GMC _____GWP ____BOTH
Vehicle Information: Year ______
____________________________
Make (Ford, Chevy, Honda, etc.)
Model (Taurus, Malibu, Accord, etc.) ________________
License/Tag # _________________
$5 Deposit _____
Color _______________
State _____________
ID Card # ____