NM Training Attestation PDF

Summary

This document is a training attestation form for nursing students and clinical instructors. It outlines various training modules, including regulatory training, PPE training, and EPIC curriculum modules. The form allows individuals to indicate completion of these modules, either during a prior rotation or current employment. It includes fields for name, signature, school affiliation, and the date of attestation, suggesting a process for verifying the completion of training.

Full Transcript

NM Training Attestation I, (full name)____________________________, attest that I have comprehensively reviewed the required trainings provided for my learning experience at Northwestern Memorial Hospital and/or Northwestern Medical Group. I confirm my understanding of the training module topics and...

NM Training Attestation I, (full name)____________________________, attest that I have comprehensively reviewed the required trainings provided for my learning experience at Northwestern Memorial Hospital and/or Northwestern Medical Group. I confirm my understanding of the training module topics and attest that I have completed all of the review questions offered in this online education. Please mark the training modules that you completed in accordance with your student/instructor role: ☐ NM Annual Safety and Integrity Training for Staff/POIs (Regulatory Training) Protecting Our Information Protecting Our Integrity Protecting Our Patients and Staff Protecting Our Workplace OR ☐ The above regulatory training modules were completed during a prior clinical rotation (must have been completed during the same academic year) or during the course of my current employment at NM ☐ NM Donning and Doffing PPE Training (must be validated prior to start date) ☐ EPIC: Nursing Students and Clinical Instructors curriculum* CLNINP001 Overview of Hyperspace in an Inpatient Setting INP063 Nurse Writing Notes EPIC: Nurse Reviewing the Chart INP064 Nurse Charting Tools EPIC: Patient Education INP084 Overview of the Brain INP061 Documenting in Flowsheets INP085 Manage LDAs Using the LDA Avatar INP062 Administering Medications on the MAR OB001: L&D Grease board INP163 Validating Monitor Data OB002: L&D Manager OR ☐ The above Epic training modules were completed during a prior NM clinical rotation or during the course of my current employment at NM I hereby attest that I have completed the above identified modules. Submission of this attestation also serves as my approval to submit to randomized audits of the My Learning account to verify the accuracy of this attestation: Print Name: __________________________________________________________________________ Signature: ____________________________________________________________________________ School Affiliation: ________________________________ Date of Attestation:_____________________ *modules are subject to change, please complete all modules in the current curriculum available in My Learning

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