Page 1 of 4 New Nursing Instructor Orientation Requirements Instructor Name: ____________________________ Last 4 SS#________________________ Name of School: _____________________________ NL login: ________________________ Instructor Phone: ______________________Instructor Email: ________________________ *(Return a completed copy of this sheet and ID Badge Form to the Student Placement Coordinator.) Requirement To Do To Complete List Get the following information to the Student Placement Coordinator as soon as possible: 1. Your contact information. 2. Drug Screen/Background Check – release access to GMC to view your account online. 3. Copy of RN Licensure. 4. Copy of current CPR Certification card. 5. Send the last 4 numbers of your SS# for Gwinnett system access codes COMPLETE: Computer Based Learning (CBL) Requirements are completed in myNetLearning (NL). You will be assigned a NL login ID. This will be sent to you after you receive GMC system access. The CBLs are accessed on www.gwinnettmedicalcenter.org. Click on: 1. “Programs and Classes”, 2. Student Experiences – see the side menu “Step 3: Orientation” on this page. Read over this page. The Web link/directions for NL are also found here. 3. Proceed to complete the required CBLs in myNetLearning the group of CBLS titled “New Nursing Instructor Orientation CBLs”. FYI: Annually thereafter, to remain current, you will complete: “Nursing Instructor Annual CBLs”; and Update yourself on your unit as appropriate and sign the Annual Unit Skills and Processes Update Acknowledgement Statements*. Annually thereafter signing, completing, and returning to the student placement coordinator.. COMPLETE: New Instructors attend Nursing Orientation (NO) (see schedule page 3): Complete computer based learning (CBL) modules in myNetLearning prior to attending. Inform student placement coordinator of which NO you will attend. Note: New Instructors: Demonstrate Glucose Meter competency again at 6-months and may be done on the unit. COMPLETE: Admin RX Training. These are held the same week as Nursing Orientation on Thursdays. (see schedule page 3) Inform student placement coordinator of which NO and Admin RX Training you plan to attend prior to attending. COMPLETE: Four (4) hours of Precepted Time on the Unit with manager/designee – some units may require you to spend more time. Contact Information Drug Screen Background Check RN License CPR* last 4 SS# CBL’s initially. NOTE; Do annually thereafter and turn in signed Annual Unit Skills and Processes Update Acknowledgment Statements. Policy & Equipment Review You will need to get the facilitator of NO to sign and date here: Signature____________ DATE___________ Date attended;__________ Preceptor – sign here_____________ ________________ Page 2 of 4 Requirement To Complete To Do List ID/Parking Badge Dress Code BADGES & Process to Obtain ID from the school REQUIRED at all times. GMC INSTRUCTOR ID/PARKING ACCESS Badge REQUIRED at all times. 1. Complete the ID/Badge form attached to this document. 2. You will need a current picture of yourself saved as a “jpeg”. If you do not have such a picture, you will need to arrange to have your picture taken by our Security team.* 3. Send the above form and picture to Linda Horst, lhorst@gwinnettmedicalcenter.org who will sign the ID Form and send all to Security to be processed. (If you do not have a picture saved as a “jpeg” Linda will let Security know you will arrange a time to have your picture taken with them*.) 4. You will be responsible to pick up your badge at Security. Your school may also assign this responsibility to you for your students’ badges 5. The badge will give you access to parking and the units. There will be no charge for Instructor badges, however if they are lost there is a $25 replacement fee. Security asks that you park only in Employee Parking. 6. Once you have your badge, your school informs L. Horst if you may send your students Parking Form and their picture to Security which will allow you to pick up the student badges from Security. (Students pay $10 for the badge and when returned at the end of the experience $5 is returned.) *ID Badges can be obtained from the Security office MondayThursday, 7:30am-4:00pm, Friday, 7:30-1:00pm. Before coming to have a badge made or to pick a badge up, please call 678-312-4057 or email Matt Shafer, mshafer@gwinnettmedicalcenter.org , and let him know what time you will be coming. Wear school uniform. Your department will direct you to follow the GMC Dress and Appearance Policy 300-505. Continued On Next Page Page 3 of 4 Nursing Orientation/Informatics Training Monday 2013 January February March April May 3rd Wk 5th Wk 2nd Wk 3rd Wk June July August September October November December 2nd Wk 3rd Wk Nursing Orientation Tuesday Informatics Training Wednesday Thursday Friday Same week of Orientation Resource Center Maple/Pine 8:30am- 5pm 1/15/2013 8 North GMC-L Computer Lab 8:30am- 4:30pm AdminRx 830- 1430 1/29/2013 AdminRx 830- 1430 2/12/2013 AdminRx 830- 1430 2/26/2013 AdminRx 830- 1430 3/12/2013 AdminRx 830- 1430 3/26/2013 AdminRx 830- 1430 4/16/2013 AdminRx 830- 1430 4/30/2013 AdminRx 830- 1430 5/14/2013 AdminRx 830- 1430 5/21/2013 AdminRx 830- 1430 6/11/2013 AdminRx 830- 1430 6/25/20113 AdminRx 830- 1430 7/9/2013 AdminRx 830- 1430 7/23/2013 AdminRx 830- 1430 8/13/2013 AdminRx 830- 1430 8/27/2013 AdminRx 830- 1430 9/10/2013 AdminRx 830- 1430 9/24/2013 AdminRx 830- 1430 10/15/2013 AdminRx 830- 1430 10/29/2013 AdminRx 830- 1430 11/12/2013 AdminRx 830- 1430 11/19/2013 AdminRx 830- 1430 12/10/2013 AdminRx 830- 1430 nd th Orientation weeks are typically the 2 and 4 of the month. Note in 2013 there are some months that vary from this pattern. See next badge for important GMC Picture ID Badge information Page 4 of 4 INSTRUCTOR/STUDENT Picture ID CARD ACCESS CONTROL Student Directions: Complete this form and give it to your instructor along with a $10 deposit and an electronic picture* of yourself to submit for a GMC Student Picture ID badge. ($5 is refunded upon return of your badge.) If your instructor is not coming on campus follow #1below for instructor badges. Instructor: 1. For your Instructor badge: submit this completed form and an electronic picture* of yourself to the Student Placement Coordinator in Learning Resources (LR), lhorst@gwinnettmedicalcenter.org . These documents will then be forwarded by LR to the Public Safety Office and you can arrange a time to pick up your badge at the Safety Office. Instructor Badges are free. 2. For your Student Badges: Once you have been authorized by LR to pick up student badges, please submit the student completed forms and electronic pictures* (JPEG format is preferable) to the Public Safety Office at Gwinnett Medical Center mshafer@gwinnettmedicalcenter.org; and let them know when you would like to pick up the badge/s. Be sure to bring a $10 cash deposit for each student badge. (When you return the student badges to the Public Safety Office they will refund you $5 for each student badge returned.) *If an instructor or student needs a picture made, call 678-312-4057 to arrange a time for the picture to be taken. If any badge is lost there is a $25 replacement fee. All badges are issued by the Public Safety Office. Hours for pickup are: Monday-Thursday, 7:30am-4:00pm, Friday, 7:30-1:00pm. Before coming to have a badge made or to pick a badge up, please call 678-312-4057 or email Matt Shafer, mshafer@gwinnettmedicalcenter.org , and let him know what time you will be coming. Please print the following information: Instructor/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.) ________________ Color _______________ License/Tag # _________________ State _____________ $10 Deposit _____ ID Card # ___