An Extra Hand Home Care

Name *

First Last

Today's Date *//

1. I understand, I am REQUIRED to report client progress and problems to supervisory personnel immediately by calling the office at (404) 245-0497 upon receipt of information. *

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2 .I understand, I MUST call 911 for ALL medical emergencies. All employees are required to adhere to the care plan and follow Georgia State's legal documents provided by the client or third party i.e. advanced directives, Do Not Resuscitate (DNR). The office/supervisor/on call supervisor should be notified after conversing with the 911 operator. *

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3. I understand as an employee of An Extra Hand HomeCare I must adhere to the policy and procedure on the handling of complaints. *

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4. It is the employee's obligation to report known exposure to tuberculosis (TB) and hepatitis to the employer immediately after becoming aware. The employee or contractor must notify An Extra Hand HomeCare Administrator and or Registered Nurse via phone (404) 590-2710 to provide information. In addition, the reporting can be done in writing and mailed to the office at: 2221Peachtree Rd, Suite D 375, Atlanta, Ga 30309 *

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5. I understand and read the scope of my job duties and responsibilities. I also signed a job description identifying my duties etc. *

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6. I understand that the clients' have rights and responsibilities and they should be adhered to at all times. *

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7. I understand that the proper handling of complaints is extremely important and must be reported to the office immediately. *

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8. I understand all of the company's policies and procedures outlined on the General Staff Orientation document as well as the others discussed during the same orientation. I also acknowledge my signature on each of the policies and procedures discussed. *

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I understand, I MUST follow company policies and procedures regarding confidentiality and the clients' rights and responsibility documents. *

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Print Name / Title *

First Last / Job Title

Employee Signature *

Electronic Signature An Extra Hand Home Care

Linda Cooks / Owner

Overview

Electronic Signature An Extra Hand Home Care

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