St. David's HealthCareFaculty Orientation Manual Attestation Form
Please refer to these websites to complete clinical requirements:
Please review the
USP 800 - Safe Medication Handling Information
All faculty and students should complete Modules 1-4 and keep complettion certificates for audit purposes.
Bridging the Gap Clinical Education Modules for Clinical Care
School of Nursing Resources Page with Meditech Training Modules for Students & Faculty
The website is ONLY available at a St. David's Healthcare Facility or at the Institute for Learning
HCA Medicitech Training Modules
Page 3
Basic Information
Last Name
First Name
Middle Initial
ACC email
ACC ID (eg. a2222222)
Faculty/Instructor Name
Page 1
This document is verification that the faculty member/instructor has completed all St. David’s HealthCare requirements prior to the beginning of the clinical rotation.
Please check that you have met each of the following requirements and school will keep on file:
I have attended an SDH Orientation Session or have viewed the SDH Orientation WebEx recording.
I have reviewed all sections of the Faculty Orientation Manual.
I have reviewed and signed the Confidentiality and Security Agreement.
I have reviewed and signed the Statement of Responsibility From.
I have completed the ICARE Values Agreement.
I have completed the Substance Use in the Workplace Policy Acknowledgement.
I have signed the COVID-19 Self Screening Attestation Form.
I have reviewed the PowerPoint Education on Safe Medication Handling – USP 800.
I have reviewed the “Bridging the Gap Modules” for student Pre-Clinical information.
I verify the information provided in this form is accurate:
I agree
Contact Information