"Employee Orientation Check List" - Alaska

Employee Orientation Check List is a legal document that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska.

Form Details:

  • Released on December 14, 2017;
  • The latest edition currently provided by the Alaska Department of Health and Social Services;
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Employee Orientation Check List
Employees Name:
Hire Date:
Start Date:
Employee Orientation
Pursuant to 7 AAC 75.240 (b) an administrator shall ensure and document that each care
provider, within the first 14 days of employment has been oriented to the following;
Topic
Staff
Administrators
Date
Initials
/Trainers
Complete
Initials
Policies and Procedures
Emergency Procedures
Fire Safety
Resident Rights
Prohibition against abuse, neglect, exploitation,
and mistreatment of residents
Recognition of abuse, neglect, exploitation, and
mistreatment of residents
Reporting requirements
Universal precautions for infection control and
biohazards
State regulations and statutes
Resident interaction
and care
House Rules
Sanitation
Duties and Responsibilities
Medication Management/Security
Physical Plant Layout
(If employee was oriented to other items/topics please attach)
Employee Orientation
12/14/2017
Employee Orientation Check List
Employees Name:
Hire Date:
Start Date:
Employee Orientation
Pursuant to 7 AAC 75.240 (b) an administrator shall ensure and document that each care
provider, within the first 14 days of employment has been oriented to the following;
Topic
Staff
Administrators
Date
Initials
/Trainers
Complete
Initials
Policies and Procedures
Emergency Procedures
Fire Safety
Resident Rights
Prohibition against abuse, neglect, exploitation,
and mistreatment of residents
Recognition of abuse, neglect, exploitation, and
mistreatment of residents
Reporting requirements
Universal precautions for infection control and
biohazards
State regulations and statutes
Resident interaction
and care
House Rules
Sanitation
Duties and Responsibilities
Medication Management/Security
Physical Plant Layout
(If employee was oriented to other items/topics please attach)
Employee Orientation
12/14/2017
Employee Experience
Before caring for a resident without direct supervision, a care provider shall receive the
orientation required in 7 AAC 75.240 (b) and, unless the care provider has sufficient documented
experience working with the population of residents to be served, shall work under the direct
supervision of the administrator or an experienced care provider who is at least 21 years of age
for not less than three complete work days .
Direct supervision must be documented in the personnel file of the supervised care provider.
Does the employee have documented experience working with the population of resident’s served?
No/Yes Describe:
Days working under Direct Supervision
Date
Number of Hours
Employee Initials
Supervisors Initials
Resident’s Care Needs
Pursuant to 7 AAC 75.210 (c) each caregiver must have adequate training to implement the Home’s
general staffing plan and meet the specific resident needs as defined in their residential service
contracts and assisted living plans.
Has this employee been trained on resident’s specific care needs? No/Yes – Summary:
Does this employee have access to information regarding the resident specific care needs? No/Yes
Summary:
When was this completed?
Employee Signature:
Date:
Administrator Signature
Date:
Employee Orientation
12/14/2017
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