RUTGERS UNIVERSITY BEHAVIORAL HEALTH CARE
STUDENT ORIENTATION CHECKLIST
DIRECTIONS:
1. The information listed below should be provided to all students prior to their clinical experience.
2. At the conclusion of the program orientation ask the student to review all items.
3. Should a student state they were not familiar with any part of the orientation, please provide the necessary clarification.
4. After the student and supervisor sign and date in the indicated area, the form is filed in the department.
STUDENT NAME ____________________________________________________________________________________
PROGRAM/DEPARTMENT NAME _____________________________________________________________________
UBHC ORIENTATION
(Provided by Student Coordinator/Designee)
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Mission, Vision, Values and Goals/Strategic Goals
Philosophy of Care (Person Centered Care)
Prohibited Abbreviations
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Blood Born Pathogens and Standard Precautions
Age Specific Competencies
Spiritual Assessment
Patient Safety Goals
Cultural Diversity
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Organizational Structure/Table of Organization
Confidentiality/HIPAA
Occupational Health & Safety; Environment of Care,
Right to Know
Patient Bill of Rights/Patient Advocate
Issues of Abuse
Access to Policies & Procedures
Organizational Ethics
Student Coordinator
DEPARTMENT ORIENTATION
(Provided by Supervisor/Designee)
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Population Specific Information
Tour of Department
Meals and Breaks
Location of Supplies
Telephone Etiquette/ Personal Use of Telephones
Performance Improvement Activities
Emergency Procedures
Smoking Policy
Keys
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Storage of Belongings
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Policies and Procedures
Introduction to Staff
Ethical Aspects of Care
Dress Code
Confidentiality
Communication
Location and Use of Computer
Identification Badges
Inclement weather information and who to call in case
student cannot show up for a scheduled clinical day
Rest Rooms
DEPARTMENT ENVIRONMENT OF CARE/SAFETY
(Provided by Supervisor/Designee)
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Procedure in Case of Accidents/Incidents
Fire Emergency Procedures, Including Employee’s Role
Location of Exits, Pull Boxes, Fire Extinguishers
Right to Know; Location of Chemicals and MSDS Sheets
(OVER)
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Safe Operation of Equipment
Evacuation Plan
Emergency Management Plan; Employee’s Role
General Safety (e.g., Electrical Appliance, Equipment not
permitted, storage, etc.)
DEPARTMENT INFECTION CONTROL
(Provided by Supervisor/Designee)
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Procedure in case of Blood/Body Fluid Spill
Medical Waste Disposal
Infectious Disease Procedure, Including Reporting of
Personal Illness, Exposure to Communicable Disease, and
Requirements for Annual TB Testing
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Personal Protective Equipment Review
Standard Precautions Training
Location of Posted Procedure in Case of Blood/Body
Fluid Exposure or Needle Stick
COMMENTS
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STUDENT SIGNATURE_________________________________
DATE_______________
SUPERVISOR SIGNATURE______________________________
DATE_______________