STAFF INDUCTION CHECKLIST

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It is mandatory that agency staff receive induction before commencing their first shift in a
department. This form must be completed and signed by the agency staff and countersigned by a
permanent member of staff

Full Name

Staff Type

Agency Staff

Permanent Staff

Clear selection

Grade

Start Date

YYYY

ITEM OF INDUCTION

Introduction to Work Area and Staff of The Same Shift

Yes

Clear selection

How to Access Support/Line Manager?

Yes

Clear selection

Professional / Duties Expectations for The Shift

Yes

Clear selection

Tour of Work Area – Fire Exits, Evacuation Procedure, Toilet and Refreshment Facilities

Yes

Clear selection

Equipment Likely to Be Required – Aprons, Gloves, Moving And Handling

Yes

Clear selection

Infection Control Issues – Isolation, Barrier Nursing, Cleaning Equipment

Yes

Clear selection

Safe Management of Linen and Waste Disposal

Yes

Clear selection

Handover of Patients and Their Key Requirements for The Shift

Yes

Clear selection

Client/Patient Documentation – Observation Files, Drug Charts, Drug Trolley, Drug Cupboards, Keys

Yes

Clear selection

Submit

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