Contracted Nurse Clinical Orientation Log

Purpose:

To walk a new hire through nurses training in an order that make sense, instill confidence in case management, and ensure patient/employee satisfaction.

Regulation: G944-484.105(b)(1); G952-484.105(b)(1)(iv).

CHAP: HRM.2.D

Measurement:

100% of New nurses complete the training
This process is printed, initialed-off and included in the new employee's HR file,

Date of New Hire

	Name
New Hire
Executive Director
Clinical Manager
Preceptor/Trainer's

Process:

Clinician will use this Training log throughout there orientation period-hard copy will be kept in training folder and upon completion will be turned into branch leadership to file in employee record.
Branch Orientation Section will be with branch leadership starting on day 1, and then scheduled times to ensure completion with the end result, all areas are Initialed Acknowledging Completion.
Clinical Orientation Section has independent studies that can start on first day and continue throughout orientation with the end result, all areas are Initialed Acknowledging Completion. Focus to review majority of content in first 2 weeks to allow implementing during patient visits.
Branch Leadership/Trainer to work with New Hire to ensure that the recommended amount shadow visits and independent visits are completed to ensure knowledge of home care and case management.
1. Ensure FIT Testing and TB screening/testing is completed prior to any home visits .

Productivity Expectations

Week 1: 40-60% productive	Focus on Branch & Clinical Training log completion, Shadow if applicable
week 2: 100% productive	Work with Branch to ensure Productivity and and Q&A needed from orientation log

Branch Orientation

The items in this portion of the training log are to be overseen by Branch Leadership over the first week of orientation.

With Executive Director/Designee in Office	Branch Leadership Notes	Initials Acknowledging Completion
Welcome to Aveanna	watch video
Welcome Clinical Branch Guidance	Review Q&A
TB Monitoring	E.D or Clinical Manager Review TB requirements for any required testing
Review of Technology Teams overview-if applicable Share screen make calls HCHB PointCare - Uploading Photos to Teams Email-review how to contact and HIPPA precautions DUO Ring Central Point Care App log in Point Care Training App log in OLH learning/HCHB Training- (if needed) Translator App ( Insight) Knowledge Base Basics	Executive Director to review each item with the new hire to show the basics and how to maneuver the technology. Assigned by IT or E.D assigned by 5 digit User Name and AVEANNA is server code for Point Care. Training app- 5 digit code the same server code is AVEANNATRN2
HCHB PointCare Access and Review HCHB PointCare Daily Review HCHB Point Care Navigation of Medical Records Training Video - HCHB Pointcare Navigation	Review
Review entering Non-Visit activity for orientation AV Homecare Homebase Newsletter HH Non Visit Activity in PointCare.pdf	Ensure employee understand which to choose. Enter NVA for orientation time and meeting times to track productivity
Every Wednesday do a Selective Refresh in Point care Log into Point Care Click on three dots in upper right hand corner Choose Maintenance Choose Communications Choose Selective Refresh Select All	Guide in Point Care how to do this-explain importance that it pulls all updated content into the documentation
Update FDB (Medications) on PointCare by following this process: Log into PointCare Click on the three dots in the upper right corner. Choose Maintenance FDB Update Please ensure you are performing this action after the first Monday of each month to obtain the most current medication updates within Point Care.
New Hire Hotline: 904-900-7131 Tablet Support Hotline 877-597-0807	Review
With Clinical Manager in Office/or Designee	Branch Leadership Notes	Initials acknowledging completion
Aveanna Code of Conduct is available for your review.	Click on link to see Code of Conduct and is aware this is on the public domain for review at any time.
Clinician PPE Video	Employee to watch videos and then be checked off on New Hire Skills Tool in the Orientation folder
Fit testing OSHA Respirator Medical Evaluation Questionnaire FIT Testing Form 7.13.2022.pdf	Store in employee HR file Explain that Fit testing is done annually or if there is a change in employee medical/physical status
Bag Technique-Supply Review Bag Technique Video: https://360.articulate.com/review/content/4df1f475-f630-4304-8298-35ec77a21cb8/review	Review Bag technique and infection control with tablets Review of vehicle set up for infection control and HIPAA safety for PHI
Nurse Expectation Overview	Review article-Q&A
New Hire Competencies Skills Overview	Contracting company to provide proof of competency- if no competency provided by contracting agency, then use this tool
Intake Intake Basics For Clinician	Clinical Manager to review office specifics for referral process
Medication Reconciliation Training- Pill bottle workshop suggest to be done around week 1 of orientation	Clinical Manager will guide clinician through workshop discuss findings and process on how to reconcile medications-
Read Mantoux-if applicable Before 1st Visit	set up date for 2nd test if applicable

Clinical Orientation To be completed over 2 weeks- focus to be in the first week completing below section to allow remainder of time spent in home with patients to allow productivity needs to be met.
The items in this portion of the training log are independent study. Please reach out to branch leadership or your preceptor/trainer with any questions on this content. General Home Care and Routine Visits	Preceptor or Trainer to review. Trainer Notes	Initials acknowledging completion
Home Care Basics	watch video
Orientation to Home Health Home Visits	watch video
Orientation to Home Health Staff Responsibilities	watch video
Procedure for Patient Complaints	Contact branch leadership with questions
Procedure for Patient Occurrence	Review article
Procedure on Infection Control HCHB Entering Client Infections	Review Bag technique and expectations
Procedure for Wound Care Note policy for measuring wounds weekly Buddy code assigned to remind HCHB PointCare - Uploading Photos to Teams Wounds must be labeled in photo with name/date/wound location Buddy code assigned to remind HCHB Adding a Wound to ICC HH Adding Wound Orders to ICC	Review articles. Wound orders must be specific and written as ordered. Ensure ICC templates are written to show what specific wound care was provided
Clinician Documentation Practices Aveanna Approved Abbreviations PointCare Physical Assessment: Nursing Assessment/Plan Skilled Documentation	Expectation that all skilled visit notes need to be signed and synced same day. Assessment time points need to be synced over within 1 day per timing guidelines.
HCHB Claim Codes for MDCR billing	Default is direct skill- if this applies to visit, just click save in Point Care.

HCHB - Medication Setup Mid-West- State requirement for Minnesota- MN clinicians mandatory	Review entire article with and assure that they completely understand how to chart in on printed tool and send in via photo submission process
HCHB- Documenting to a Pathway	Each intervention needs to be charted to at each visit, patient response and plan for next visit
HCHB-Service Addendum	Q&A- remind that Patient Instruction Sheet needs to be added to the home admission folder either when brought out to home or mailed to home. Check home folder during routine visits to ensure it is present
HCHB Ordering Supplies in Point Care	Q&A
Supervision of a HHAide Case	Skilled cases with aides must be supervised at least every 14 days (RN10 code). All non- skilled in home every 56-60 days. Annual in person must be documented on each aide.

Admission Tip Tool Admission Visit Preparation HCHB-Admission Visit RN Admission Therapy Only-Contracted	Q&A
Recertification Recert Tip Tool Resumption of Care Transfer to Inpatient Facility Transfer Tip Tool Discharge from Agency Discharge Tip Tool	Q&A
HCHB-Adding Calendar HCHB Pathways PRN Visits-Powerpoint Training Nature of PRN visits should be added to the narrative to allow back office to add to Plan of care.	Q&A

Call us First	Note Admission folder must be present in all homes due to important contact info and patient written instructions. Best practice to hand the call me first flyer on refrigerator or out in open for a reminder
Patient Booklet Admit Packet HH Patient BOOKLET Admission Booklet Video Review Aveanna Comm Emergency Guide	New Hire to read then Q&A
HCHB Patient Consent	Q&A- In back pocket of orientation folder there is a paper example to review what will be filled out and left with patient in home. Electronic and paper form must mirror each other.
Individual Emergency Plan	Remind that these need to be completed and sent to office via photo submissions process
Vulnerable Adult Individual Assessment Mid-west Specific MN only	If patient is assessed as vulnerable the safety measures on Plan of Care will need to address how patient will be safe
Zone Tools Educational Handouts Medication Handout Tools Safety Handout Tools	These are educational tools that can be given to patients to help educate them to a specific need. All education should be documented in the visit note and the patients response.
HCHB LPN Supervision	Q&A

IMPORTANT - Upon completion of the orientation, the contracting clinician needs to sign and date the attestation below. This will serve as an attestation of the completion of the Aveanna contracting clinician orientation. Contracting company will keep this signed contractor orientation document on file, retrievable upon request by your local Aveanna branch.

Clinician Attestation:

RN Signature:_______________________________________________ Date: ______________

Manager or Director Signature: ______________________________________________ Date:______________

From article: Contracted Nurse Clinical Orientation Log | Last Modified on 10/09/2023 11:56 am EDT

Contracted Nurse Clinical Orientation Log

Purpose:

Regulation: G944-484.105(b)(1); G952-484.105(b)(1)(iv).

CHAP: HRM.2.D

Measurement:

Process:

Productivity Expectations

Branch Orientation

The items in this portion of the training log are to be overseen by Branch Leadership over the first week of orientation.

suggest to be done around week 1 of orientation

Clinical Orientation

To be completed over 2 weeks- focus to be in the first week completing below section to allow remainder of time spent in home with patients to allow productivity needs to be met.

Mid-West- State requirement for Minnesota- MN clinicians mandatory

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