Approved Credentials

The following credentials were verified for Donald Simon

Membership Expiration: 4//8/15
Any Document preceded by * is needed

X-TECHS
Consent of use (print, sign and upload)

MEDICAL
TB Exp 9/18/15
Hep B
MMR
Seasonal Flu Declined, Exp 10/24/15
Proof of Drug Screen

LEGAL
Criminal Background
Liability Exp 10/15/15
OIG
GSA Exclusion Check
Code of Conduct
Compliance plan
Hippa
Workers Compensation Exp 1/30/15
Vendors Confidentiality statement ( print, sign and upload)
Customer Service Agreement (print, sign and upload)

TRAINING
Certified Qualified training
Aseptic Techniques training
Blood Borne Pathogen training
Fire & Electrical Training
Product Service Training

HOSPITAL POLICIES
Hand Hygiene
Communicable Disease Work Restrictions
Life Safety
Safety with Oxygen Enriched Environment
Fire Safety in the Preoperative Area
Confidentiality of Patient Information
Social Media Management
Blood and Body Fluid Exposure
Vendors in the Operating Room
Surgical Attire
Traffic Patterns in the Preoperative Arena
Sign then upload this form stating you’ve read the hospital Policies and Procedures listed above.