1. (revised 11-4-14) Facility Orientation Checklist (HSD 500) pg. 1 of 3
HSCEDM‐16‐R‐00002
FACILITY ORIENTATION CHECKLIST
HD 500
FACILITY:
NAME: DATE REPORTED TO FACILITY
POSITION
TOPICS
BY DATE INITIALS
COMPLETED
(SUPERVISOR/
PRECEPTORS)
AGENCY OVERVIEW
IHSC 101 (Mission/Vision/Values) HSA/COR/MSM
ICE AFOD / Facility Warden HSA/COR/MSM
Other ICE /Custody Staff HSA/COR/MSM
CHAIN OF COMMAND
Department of Homeland Security HSA/COR/MSM
Immigration & Customs Enforcement HSA/COR/MSM
Organizational charts (ICE/ERO, IHSC, Local facility) HSA/COR/MSM
*FACILITY INFORMATION (Site Specific)
Facility Tour (introductions to facility leadership) HSA/COR/MSM
Access to Facility & Parking HSA/COR/MSM
Computer Access Request (complete form) HSA/COR/MSM
Detainee/Resident rules and regulations HSA/COR/MSM
Hours of Operation HSA/COR/MSM
ID(s): Facility, PIV HSA/COR/MSM
Contraband HSA/COR/MSM
Security (procedures and regulations) HSA/COR/MSM
Supervision of Residents HSA/COR/MSM
*PERSONNEL (**provide copies for on-site file)
Awards (as applicable) HSA/COR/MSM
Professional Education (CME/CEU)** HSA/COR/MSM
Credentialing verification (certification, licensure,
degree)**
HSA/COR/MSM
Emergency Contact Information** HSA/COR/MSM
Employee Assistance Program (EAP) HSA/COR/MSM
Employee Health Record (vaccines, declination
statement)**
HSA/COR/MSM?
Employees' rights and responsibilities HSA/COR/MSM
Dress code/ wear of uniform (National Policy) HSA/COR/MSM
Grievance Process HSA/COR/MSM
Government travel card (as applicable) HSA/COR/MSM
Government Passport (as applicable) HSA/COR/MSM
Outside activity form HSA/COR/MSM
Official travel (Concur) HSA/COR/MSM
Leave Policy (Absence reporting Time & attendance
Scheduling)
HSACOR/MSM
Performance review (COER, PWP, contractor) HSA/COR/MSM
2. (revised 11-4-14) Facility Orientation Checklist (HSD 500) pg. 2 of 3
HSCEDM‐16‐R‐00002
TOPICS
BY DATE INITIALS
COMPLETED
(SUPERVISOR/
PRECEPTORS)
Personnel policy manual
x GS-link
x PHS-link
x Contract-see employer personnel manual
HSA/COR/MSM
PHS Officers information HSA/COR/MSM
Position Description** HSA/COR/MSM
Privileging ** HSA/COR/MSM
POLICIES AND PROCEDURES
Environment of Care Manual HSA/COR/MSM
Grievance process (National & local policy) HSA/COR/MSM
ICE policy HSA/COR/MSM
IHSC National Policy Manual HSA/COR/MSM
Local Operating Procedure Manual HSA/COR/MSM
Mandatory Report of Child Abuse and Neglect (Family
Residential Facilities)
HSA/COR/MSM
MedPar Process (Referral system) HSA/COR/MSM
Contact information for community resources used by
facility
HSA/COR/MSM
National Formulary Pharmacist
Nursing Guidelines Nurse Manager
Quality Management Manual / Program PI Coordinator
Clinical Practice Guidelines (providers only) CD/ staff physician
Protocols (vitals, blood sugars, etc) CD/ Staff physician
UpToDate (providers only) CD / Staff physican
ACCREDITATIONS (as applicable)
American Correctional Association HSA/COR/MSM
Family Residential Standards HSA/COR/MSM
National Commission on Correctional Health Care HSA/COR/MSM
Performance Based National Detention Standards HSA/COR/MSM
ADMINISTRATION
After Hours Responsibilities (on-call) HSA/COR/MSM
Collateral duty assignments HSA/COR/MSM
Contract staff (COR & technical monitor roles), Overtime HSA/COR/MSM
Daily Assignments HSA/COR/MSM
Legal Issues: What to do if you are being sued? HSA/COR/MSM
Health care services scope HSA/COR/MSM
Prohibition against providing legal advice or legal counsel HSA/COR/MSM
Meetings/ shift report: Staff/Job Specific HSA/COR/MSM
NHSC loan repayment HSA/COR/MSM
Patient Rights/Confidentiality of Patient Info HSA/COR/MSM
Privacy Act Exemption HSA/COR/MSM
Telephone Interpretation services HSA/COR/MSM
Telephone/Telephone Etiquette HSA/COR/MSM
3. (revised 11-4-14) Facility Orientation Checklist (HSD 500) pg. 3 of 3
HSCEDM‐16‐R‐00002
TOPICS
BY DATE INITIALS
COMPLETED
(SUPERVISOR/
PRECEPTORS)
Use of Office Equipment:
x FAX
x Copy Machines
x Printers
HSA/COR/MSM
INFORMATION TECHNOLOGY
Electronic Health Record Guides eCW SuperUser
Electronic Health Record support eCW Super User
E-Mail access, Internet, SharePoint, drives HSA/COR/MSM
e-mail group access (as applicable) HSA/COR/MSM
ICE Service desk-(on-line & phone) HSA/COR/MSM
HEALTH AND SAFETY (SAFETY PROCEDURES)
Adverse weather HSA/COR/MSM
Biohazardous Waste Management Plan (Site Specific) HSA/COR/MSM
Bomb Threats/ Disaster/ Facility Evacuation / Fire
Prevention/ Man Down Drills
H&S officer
Emergency Recall procedures (facility recall tree) HSA/COR/MSM
Eye wash station, Sharps Disposal, First Aid Kits, & Spill Kits H&S officer
Hazardous Materials / MSDS H&S officer
Incident Reporting PPT
Lock Down (water/electrical/oxygen shut-off) H&S officer
OSHA form 300 (awareness) Poster
Radiation/Dosimeter H&S officer
INFECTION CONTROL
Infection Control Manual and other official guidance
documents
ICO
Exposure Control Plan & Post Exposure Control Plan ICO
Hand Hygiene ICO
Managing Communicable Diseases and infestations:
TB/Varicella/Scabies/Lice
ICO
Respiratory Protection Program ICO
PRECEPTORS
Signature / initials Signature / initials
name name
Signature / initials Signature / initials
name name
HSA Signature Employee Signature
name name
