UCLA HEALTH SYSTEM
AMBULATORY DEPARTMENT SPECIFIC ORIENTATION
_____________________ (Department or Clinic)
Please complete all sections prior to the employee’s first shift at the new location
EMPLOYEE NAME:
CLASSIFICATION:
SUPERVISOR:
DEPARTMENT/UNIT:
REVIEW DATE
N/A
1. GENERAL ITEMS & AREAS (REQUIRED ITEMS)
LOCATE/ KNOWLEDGE OF:
CLINIC ENTRY & EXIT, LOBBY, LAYOUT, RESTROOM
CLINIC RECEPTION, CLINIC NURSING STATION, CALL CENTER
CLINIC OPERATION HOURS
CONSULTATION ROOMS /HOTELING SPACE
ELEVATORS
EMERGENCY POWER ELECTRICAL OUTLETS (RED), POWER OUTLETS
EMERGENCY PHONE NUMBERS (UTILITY OUTAGES), CARE CONNECT DOWNTIME
COMPUTER
STAFF BREAK AREA, LOUNGE,
COMMUNICATION SYSTEM: INTERNET DIRECTORY, PAGING SYSTEM, WIRELESS
NETWORK, AND SECURITY
COMMUNICATION DEVICES; PHONES, VIDEO INTERPRETER SYSTEM
DEPARTMENT ADDRESS, PHONE DIRECTORY
CRITICAL TRAVEL PATHWAYS (TUNNEL)
VISITOR PARKING
II. ENVIRONMENT OF CARE/ EMERGENCY MANAGEMENT
LOCATE AND KNOWLEDGE OF:
1.
FIRE PREVENTION
REPORTING A FIRE
EVACUATION PLAN/ ROUTES/ STAFF ROLES
FIRE EXTINGUISHER LOCATION AND MONTHLY MAINTENANCE CHECK
SMOKE DECTECTORS/ SPRINKERS LOCATION
FIRE ALARM PULL STATIONS PROXIMAL TO THE CLINIC
MEDICAL GAS SHUT-OFF VALVES (ZONE VALVE)
UNIQUE FIRE HAZARDS (i.e. OXYGEN, CHEMICALS)
2.
EMERGENCY MANAGEMENT
COMMANDAWARE (applicable only to hospital-based clinics)
COMMUNICATIONS IN DISASTERS ( NOTIFICATION/ CALL TREE LOCATION )
1
Dept orientation.doc
Revised on:3/8/2016
UCLA HEALTH SYSTEM
AMBULATORY DEPARTMENT SPECIFIC ORIENTATION
_____________________ (Department or Clinic)
Please complete all sections prior to the employee’s first shift at the new location
REVIEW DATE
N/A
COMMAND CENTER LOCATION
DISASTER & EMERGENCY RESPONSE MANUAL W/DEPARTMENT DISASTER PLAN
DISASTER KIT ( EARTHQUAKE KIT)
MEDSLED EVACUATION DEVICES (AS APPLICABLE)
3.
HAZARDOUS MATERIALS MANAGEMENT
REPORTING A SPILL; SPILL KIT
SDS MANUAL- DEPARTMENTAL & INTERNET
4.
MEDICAL EQUIPMENT MANAGEMENT
MEDICAL EQUIPMENT CARE AND EQUIPMENT LOCATION
CLINICAL ENGINEER
5.
SECURITY MANAGEMENT
ALARM ACTIVATION & RESPONSE (I.E. DURESS AND INFANT ABDUCTION), PANIC
BUTTON,
CARD AND KEY ACCESS ( IF APPLICABLE ) – TEST SWIPE PROX CARD
KEYS AND ACCESS ( OVERNIGHT ENTERANCE AND EXITS )
COMBINATION LOCKS
6.
PATIENT SAFETY
NATIONAL PATIENT SAFETY GOALS
INFECTION CONTROL
INDENTIFICATION OF PATIENT
MEDICATION ERROR REDUCTION
UNIVERSAL PROTOCOL
EVENT REPORTING
CONFIDENTIAL BIN
FALL RISK SCREENING
DEPRESSION SCREENING
7.
UTILITY MANAGEMENT
SUPPORT SERVICES
FACILITY SERVICES REQUEST
2
Dept orientation.doc
Revised on:3/8/2016
UCLA HEALTH SYSTEM
AMBULATORY DEPARTMENT SPECIFIC ORIENTATION
_____________________ (Department or Clinic)
Please complete all sections prior to the employee’s first shift at the new location
REVIEW DATE
N/A
U NIT S P E CIF IC
A. DEPARTMENTAL POLICIES AND PROCEDURES
DEPARTMENTAL ORGANIZATION CHART
ATTENDANCE & REQUEST TIME OFF POLICY
DRESS AND APPEARANCE CODE
DEPARTMENTAL PERFORMANCE IMPROVEMENT PROJECT/S
B. NURSES STATION
DEFIBRILLATOR / PACER / AED
EMERGENCY CART
EKG /PULXOMETRY
PHYSIOLOGIC MONITORING CENTRAL STATION
OXYGEN TANKS/ OUTLETS
VITAL SIGN MACHINE/ ELECTRONIC THERMOMETER/ TEMP DOTS
C. CLEAN / SOLIED UTILITY ROOM
LINEN CART
MATERIAL MANAGEMENT - SUPPLY CART
NON STOCK SUPPLY REQUISITION/ EMPAC
D. INFECTION CONTROL
INSTRUMENT CLEANING / STERILIZATION PROCESSES
PERSONAL PROTECTIVE EQUIPMENT
TRANSPORT OF BIOHAZARD MATERIAL
BIOHAZARD WASTE CONTAINERS
E. MEDICATION ROOMS
CABINETS
PYXIS
PHARMACY REQUEST
PHARMACY CHARGES
MEDICATION REFRIGERATER TEMPERATURE LOG
SAMPLE DRUG LOG
PHARMACY ROUND
SHARP /MEDICATION DISPOSAL
3
Dept orientation.doc
Revised on:3/8/2016
UCLA HEALTH SYSTEM
AMBULATORY DEPARTMENT SPECIFIC ORIENTATION
_____________________ (Department or Clinic)
Please complete all sections prior to the employee’s first shift at the new location
REVIEW DATE
N/A
D. OTHER ITEMS
FORM PORTAL / LOCATION
ADMISSION REQUEST
EMPLOYEE SIGNATURE
DATE
PRECEPTOR/VALIDATOR SIGNATURE
DATE
PRECEPTOR/VALIDATOR SIGNATURE
DATE
PRECEPTOR/VALIDATOR SIGNATURE
DATE
4
Dept orientation.doc
Revised on:3/8/2016