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NEW Nursing Instructor Orientation Requirements
____________________________/____________________________School:______________Unit:___________
Instructor Name
Email Address
The following outlines the required components for the Nursing Instructor’s Orientation and requirements at Gwinnett
Medical Center (GMC).
All completed documents need to be returned by scanning and emailing documents to lhorst@gwinnettmedicalcenter.org.
When attending any classes be sure to sign in and include your NetLearning Login (NL) on the sign in sheet – this will be
your initials and 4 numbers NL assigns to you – which will assure your attendance is recorded in you NL transcripts.
1. Communicate the following information to Learning Resources when contacting Linda Horst to inform her you
will be an instructor: (lhorst@gwinnettmedicalcenter.org ; 678-312-4239.)
Your name
Contact information (phone, email)
Name of college/university you are affiliated with.
Last 4 numbers of your SS# (used to apply for access within GMC systems)
2. The following documents need to be scanned and emailed where appropriate – please do not send separately
Current copy of RN License
Current copy of CPR
Drug and Background Screening through Advantage or PreCheck – release your results to GMC.
Complete the ID Badge Excel form and return to Linda Horst with a picture of yourself (head shot,
professional dress, and plain background)
Flu shot documentation (Nov. 1st through March 31st )
Faculty Agreement – either Board of Regents or Non-Board of Regents
a. Complete with their affiliated school.
Basic Nursing Skills and Acknowledgement– see pg. 2
b. Complete in conjunction with Learning Resources
Computer Based Learning (CBL) in NetLearning – “New Nursing Instructor Orientation & Annual CBLs”.
Use NL login to access CBL. It is desirable to complete the CBLs prior to attending Nursing Orientation.
Refer to attached central orientation schedule – see pg. 3. Then contact Linda Horst to:
Schedule and attend Nursing Orientation; and
Schedule and attend Computer Training.
Review Human Resource Policies – pg. 4 (these will be emailed to you)
Review Administrative Policies – pg. 4 (these will be emailed to you)
c. Complete in conjunction with unit you are assigned to
Any Unit CBLs as directed by unit preceptor/designee.
Deparmental Orientation for Nursing Instructors for (separate packet emailed to you):
i. Level 1 = Instructors who will have only Fundamental Student groups = do 4 hrs. shadowing on unit.
ii. Level 2 = all other student groups do = 4hrs. shadowing + work 1-2 shifts with a preceptor.
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Instructor
Name:
Date:
PLEASE PRINT
School:
NURSING INSTRUCTOR Basic Nursing Skills Validation
Acknowledgement Statements
Directions:
1. Complete this document including the Nursing Resource that supports the competency criteria used to
validate your competency on the skills below.
2. Print this document and obtain the signature from school faculty authorized to validate these competencies.
3. Sign at the bottom and then turn this signed document in to the student placement coordinator, Linda Horst
in Learning Resources. This form is to be completed once for each nursing instructor.
I acknowledge that I have met with the school faculty/designee named below and have been validated as
competent on the following basic nursing skills using the nursing resource named below:
a.
b.
c.
d.
e.
Complete head to toe physical assessment (including skin assessment)
Nursing Process and DAR Documentation
Vital Signs – HR, RR, BP, and temperature
Plan of Care principles
Medication Administration including 5 rights of administration, medication calculations, and safe
medication administration.
f. IV Starts
g. IV Management
h. Oxygen placement – nasal and oral suction
i. PEG and NG tube management
j. Wound care, dressing changes
*Fill in the blanks below with the Nursing Resource Used to validate competency and the competency criteria:
Title: _________________Publisher: ____________________Edition:____________________
Example: Title: Lippincott’s Nursing Procedures; Publisher: Lippincott Williams & Wilkins; Edition: 6th Edition.
School Faculty validating nursing instructor competencies as named below:
_________________________/_________________________/_________________
Faculty Signature
Print Name
Title
Nursing Instructor Nursing Instructor Signature:
________________________________/___________________________
Instructor Signature
Print Name
Date Signed: ____/____/____
Date Signed: ____/____/____
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GHS Orientation Dates 2015
*JAN
NURSING & SKILLS
INFORMATICS TRAINING
Location: Gwinnett Resource Center(Maple/Pine)
0800-1600
Location: 8 North Computer Lab
(Lawrenceville Hospital North Tower)
See Specific Times Below
TUESDAY
WEDNESDAY/THURSDAY*
1/7/2015
1/8/2015
1/28/2015
1/29/2015
2/11/2015
2/12/2015
2/25/2015
2/26/2015
3/11/2015
3/12/2015
3/25/2015
3/26/2015
4/15/2015
4/16/2015
4/29/2015
4/30/2015
5/13/2015
5/14/2015
5/20/2015
5/21/2015
6/10/2015
6/11/2015
6/24/2015
6/25/2015
7/15/2015
7/16/2015
7/29/2015
7/30/2015
8/12/2015
8/13/2013
8/26/2015
8/27/2015
9/16/2015
9/17/2015
9/30/2015
10/1/2015
10/14/2015
10/15/2015
10/28/2015
10/29/2015
11/11/2015
11/12/2015
11/18/2015
11/19/2015
12/16/2015
12/17/2015
1/6/2015
1/27/2015
FEB
2/10/2015
2/24/2015
MAR
3/10/2015
3/24/2015
APR
4/14/2015
4/28/2015
*MAY
5/12/2015
5/19/2015
JUN
6/9/2015
6/23/2015
JUL
7/14/2015
7/28/2015
AUG
8/11/2015
8/25/2015
SEP
9/15/2015
9/29/2104
OCT
10/13/2015
10/27/2015
*NOV
11/10/2015
11/17/2015
*DEC
12/15/2015
*Informatics Training - Wednesdays – All Nursing Instructors
(during Orientation Weeks)
HED 1100-1200
Admin RX- Nursing: 1300-1600
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Policies
Read the following policies. Sign your name in the right hand column after you have read them. When finished scan and
upload to this document to the placement center.
1.4 Human Resources Policies
 Dress & Appearance # 300-505 (Wear school uniform or lab coat.)
 Confidentiality of Health Information #800-03
 Use of Protected health Information for Research #100-110
 Family Violence #500-06
 Harassment #300-103
___________sign that you have read,
understand, and will comply with the
Human Resource Policies.
1.5 Administrative Policies
 Alternative Communication Services #100-76
 Interpretation and Translation #100-77
o Spanish in house/Language Line/Sign Language Interpreter
 Performance Improvement Policy: Policy # 100-30
o Patient surveys
o Response to comments and statistics collected
 Service Recovery: Policy # 100-31
 Tobacco Free Facilities # 900.01.04
___________sign that you have read,
understand, and will comply with the
Administrative Policies.
*NOTE: You are responsible to check your student/s required paperwork and then scan/email to
lhorst@gwinnettmedicalcenter.org 2 weeks before their start date – students may not start until we notify
you they have cleared our processes to start:
 Completed and signed “Student LOG for Documenting Placement Information and
Requirements”.
 Course Objectives
 Release of Records and Information– signed by the student and witnessed and signed by
another adult
 Student Applied Learning Agreement or Ed Program Training Agreement – signed by the
student and witnessed and signed by another adult
 Student Badge Form
 Student picture (headshot on plain background)