Mandatory Training for UH Employees
Below is a list of mandatory training requirements for UH Employees. Please use it as a tool/checklist to keep track of what courses you need to take.
Regulatory Agency Mandated
PARTICIPANTS: UH staff
• Instructions for UH Employees
FREQUENCY: Upon employment (within 30 days) And Annually
REQUIRED BY: Federal
METHODOLOGY: Access online at www.healthstream.com/hlc/uhnj UH ID and A# for Employees; and UH ID only for Guests
CONTACT: Office of Ethics & Compliance
PHONE: 973-972-3450
EMAIL: uhethics@uhnj.org
TOPIC: Healthy Heart Program
PARTICIPANTS: UH Staff & Volunteers
FREQUENCY: Upon employment (within 90 days) And Annually
REQUIRED BY: Center for Medicaid and Medicare Services
METHODOLOGY:This program is designed to increase awareness about the Healthy Heart Program. Training is online in Moodle. Click “yes” when asked to confirm if you want to enroll in the course.
CONTACT: Maya Joseph
PHONE: 973-972-5433
EMAIL: babyma@uhnj.org
TOPIC: Heart Failure
PARTICIPANTS: UH Staff & Volunteers
FREQUENCY: Upon employment (within 90 days) And Annually
REQUIRED BY: The Joint Commission
METHODOLOGY:This program is designed to enhance knowledge about heart failure and its implications on patient care. It is a web based training in Moodle. Click “yes” when asked to confirm if you want to enroll in the course.
CONTACT: Maya Joseph
PHONE: 973-972-5433
EMAIL: babyma@uhnj.org
TOPIC: EMTALA
PARTICIPANTS: UH staff/Guests/Select Vendors
• Instructions for UH Employees
• Instructions for Guests and Vendors
FREQUENCY: Upon employment (within 30 days) And Annually
REQUIRED BY: Federal
METHODOLOGY: Access online at www.healthstream.com/hlc/uhnj UH ID and A# for Employees; and UH ID only for Guests
CONTACT: Office of Ethics & Compliance
PHONE: 973-972-3450
EMAIL: uhethics@uhnj.org
TOPIC: HIPAA Compliance
PARTICIPANTS: UH staff/Guests/Select Vendors
• Instructions for UH Employees
• Instructions for Guests and Vendors
FREQUENCY: Upon employment (within 30 days) And Annually
REQUIRED BY: Federal
METHODOLOGY: Access online at www.healthstream.com/hlc/uhnj UH ID and A# for Employees; and UH ID only for Guests
CONTACT: Office of Ethics & Compliance
PHONE: 973-972-3450
EMAIL: uhethics@uhnj.org
TOPIC: Ethics
PARTICIPANTS: UH staff/Guests/Select Vendors
• Instructions for UH Employees
• Instructions for Guests and Vendors
FREQUENCY: Upon employment
REQUIRED BY: State of NJ
METHODOLOGY: Access online at www.healthstream.com/hlc/uhnj UH ID and A# for Employees; and UH ID only for Guests
CONTACT: Office of Ethics & Compliance
PHONE: 973-972-3450
EMAIL: uhethics@uhnj.org
TOPIC: Preventing Sexual Harassment
PARTICIPANTS: UH staff/Guests/Select Vendors
• Instructions for UH Employees
• Instructions for Guests and Vendors
FREQUENCY: 90 days after hire then every two years
REQUIRED BY: Federal
METHODOLOGY: Access online at www.healthstream.com/hlc/uhnj UH ID and A# for Employees; and UH ID only for Guests
CONTACT: Lorraine Little Bell
PHONE: 973-972-6757
EMAIL: lorrainb@uhnj.org
TOPIC: Infection Control: General Principles, Hand Hygiene, Bloodborne Pathogens, TB, Bioterrorism, Personal Protective Equipment, Sharps Safety, (Adult Vaccination Programs/ nursing orientation only)
PARTICIPANTS: UH staff Track A:
Direct Patient Care – extensive training module Track B:
Lab Techs – Intermediate training module Track C:
Office workers and staff not involved in direct patient care – short training module
FREQUENCY: Upon employment at UH Orientation And Annually (Web-based for Refresher)
REQUIRED BY: The Joint Commission (TJC)/SDOH SDOH 8:43G-14.7(b)
The infection control professional shall coordinate educational programs to address specific problems, as recommended by the Centers for Disease Control and Prevention, or at least annually for staff in all patient care areas and services. SDOH 8:43G-14.7 (c)
Orientation for all new employees shall include infection control practices related to blood and body fluid precaution (that is, personal protective equipment), isolation practices, tuberculosis education, and use of protective vaccines. Additional orientation shall be directed to the employee’s specific area of service. SDOH 8:43g-5.14 (c) The orientation shall occur before the employee is exposed or begins working with patients with hazardous bloodborne diseases.
METHODOLOGY: Lecture in UH Orientation This training is in Moodle. Click “yes” when asked to confirm if you want to enroll in the course.
CONTACT: BeverlyAnn Collins
EMAIL: collinb4@uhnj.org
TOPIC: Influenza
PARTICIPANTS: All UH employees
FREQUENCY: Upon employment at UH orientation And Annually during Infection Control Refresher.
REQUIRED BY: SDOH 8:43G-14.7(b)
The infection control professional shall coordinate educational programs to address specific problems, as recommended by the Centers for Disease Control and Prevention, or at least annually for staff in all patient care areas and services. SDOH 8:43G-14.7 (c) Orientation for all new employees shall include infection control practices related to blood and body fluid precaution (i.e., personal protective equipment, isolation practices, tuberculosis education, and use of protective vaccines).
Additional orientation shall be directed to the employee’s specific area of service”. SDOH 8:43g-5.14 (c)
The orientation shall occur before the employee is exposed or begins working with patients with hazardous bloodborne diseases. TJC Infection Control Standard IC 4.15, which requires education for all staff on influenza (effective 1/1/07)
METHODOLOGY: Lecture in UH Orientation. Influenza – New module Entitled “Infection Control Seasonal Influenza Education” Self-study module inclusive of post test.
CONTACT: BeverlyAnn Collins
EMAIL: collinb4@uhnj.org
TOPIC: Environment of Care (EOC) Includes 8 Modules:
1. General Safety
2. Emergency Preparedness
3. Medical Equipment
4. Security
5. Utilities Management
6. Hazardous Materials & Waste
7. Life (Fire) Safety
8. Violence Prevention
PARTICIPANTS: UH staff
FREQUENCY: Orientation for new UH staff, volunteers & House staff
Annually. Web-based training is required of all UH staff and house staff.
REQUIRED BY: EOC/Safety Committee, SDOH, TJC
METHODOLOGY: Web-based Lecture in UH Orientation Web-based. This training is in Moodle. Click “yes” when asked to confirm if you want to enroll in the course.
CONTACT: Jasmine Ip
EMAIL: ipsj@uhnj.org
TOPIC: Patient Safety Training
PARTICIPANTS: UH Staff & Volunteers
FREQUENCY: Upon employment (90 days) And Annually
REQUIRED BY: UH TJC
METHODOLOGY:The program is designed to reduce preventable medical errors and eliminate/minimize various risks related to patient safety. Lecture in UH Orientation Web-based
This training is in Moodle. Click “yes” when asked to confirm if you want to enroll in the course.
CONTACT: JoEllen Harris
EMAIL: harrisj9@uhnj.org
TOPIC: HAZCOM REFRESHER FOR HEALTH CARE WORKERS
PARTICIPANTS: All Nursing, Clinical, and Technical staff working with hazardous chemicals or having potential exposure to hazardous materials in the workplace
FREQUENCY: Upon employment (Orientation) and every two years (refresher)
REQUIRED BY: PEOSH HAZCOM
METHODOLOGY: Lecture for initial training. Online for refresher training. Other UH staff in specific Departments will have classroom training, EVS, Physical Plant, F&N (Cleaning Group), Clinical Engineering, Receiving, Fleet Operations Center (FOC).
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: BIENNIAL LAB SAFETY TRAINING
PARTICIPANTS: All Pathology & Laboratory Medicine (P&LM) staff
FREQUENCY: Upon employment (Orientation) and every two years (refresher)
REQUIRED BY: PEOSH Lab Safety Standard
METHODOLOGY: Lecture for initial training. Online for refresher training.
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: WORKPLACE VIOLENCE PREVENTION TRAINING
PARTICIPANTS: All University Hospital health care employees should take this training
FREQUENCY: Every Year
REQUIRED BY: PEOSH
METHODOLOGY: Online training and refrehser training annually
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: ANNUAL HAZARDOUS WASTE MGT TRAINING
PARTICIPANTS: Persons who coordinate the hazardous chemical waste program for their laboratory must complete waste management training annually
FREQUENCY: Every Year
REQUIRED BY: USEPA / NJDEP
METHODOLOGY: Internal Departmental training; Online refresher training thereafter
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: Managing @ (UH) University Hospital
PARTICIPANTS: All newly-hired, newly promoted directors, managers, & supervisors, grades S,V,N,M,E
FREQUENCY: Within the first 90 days of hire/promotion.
REQUIRED BY: Board of Trustees
METHODOLOGY : Two day program that covers university policies, requirements/expectations of managers.
CONTACT: Lorraine Little Bell
PHONE: 973-972-6757
EMAIL: lorrainb@uhnj.org
TOPIC: Frontline Supervision
PARTICIPANTS: All newly-hired and newly-promoted supervisors who have completed the Managing @ UH Course.
FREQUENCY: Within the first 180 days of hire/promotion.
REQUIRED BY: Board of Trustees
METHODOLOGY : Four day program that covers Core skills for Front-line Supervisors.
CONTACT: Lorraine Little Bell
PHONE: 973-972-6757
EMAIL: lorrainb@uhnj.org
TOPIC: ANNUAL RMW MGT TRAINING
PARTICIPANTS: Persons who are required to manage Regulated Medical Waste and Sharps in their workplace in a clinical or laboratory setting
FREQUENCY: Every Year
REQUIRED BY: NJDEP
METHODOLOGY: Internal Departmental training; Online refresher training thereafter
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: ANNUAL PHARMACEUTICAL WASTE MGT REFRESHER
PARTICIPANTS: Persons who work with pharmaceuticals or administer them to patients in a clinical or laboratory setting must complete pharmaceutical waste management training annually
FREQUENCY: Upon employment (Orientation) and every two years (refresher)
REQUIRED BY: NJDEP
METHODOLOGY: Lecture for initial training. Online for refresher training.
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: FORMALIN MEDICAL COURIER
PARTICIPANTS: Persons who may transport specimen in formalin from clinical areas to the Pathology lab must complete this training annually
FREQUENCY: Every Year
REQUIRED BY: PEOSH
METHODOLOGY: Internal Departmental training; Online refresher training thereafter
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: PACKING AND SHIPPING HAZARDOUS MATERIALS
PARTICIPANTS: Persons who may ship infectious materials from UH to other locations must complete this training annually.
FREQUENCY: Every Two Years
REQUIRED BY: NJDOT
METHODOLOGY: Internal Departmental training; Online refresher training thereafter
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: PREVENTING OCCUPATIONAL EXPOSURES TO CHEMO
PARTICIPANTS: Persons who work with chemmotherapeutic agents, including preparation, administration and disposal of these materiasl/wastes
FREQUENCY: Every Year
REQUIRED BY: PEOSH
METHODOLOGY: Internal Departmental training; Online refresher training thereafter
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org
TOPIC: ENVIRONMENTAL MGT SYSTEM (EMS)
PARTICIPANTS: All University Hospital should take this training, depending on whether their job title requires them to work in the specific areas of the EMS: e.g., air and water compliance, hazardous materials and waste management, asbestos, pest control, or underground storage tank compliance, emergency spill response
FREQUENCY: Initially and upon changes to the program
REQUIRED BY: Consent Agreement with NJDEP
METHODOLOGY: Internal Departmental training; Online refresher training thereafter
CONTACT: Kyle D. San Giovanni
PHONE: 973-972-3411
EMAIL: sangiova@uhnj.org