Training Confirmation Form
Training Confirmation Form
First Name
Last Name
Email
Facility's Name
To all the providers, please carefully review each point and check each box. All boxes must be checked and this document signed before you can be placed on the schedule.
I was Provided with an overview of the EMR system, including its purpose and key features.
I was Explained the user interface, including navigation and common functions:
viewing results
ordering tests
charting
I am able to securely log in and out of the system.
I have been shown how to document notes as applicable (initial evals, follow ups and discharges. and place orders.
I am able to access and review patient information, including medical history and current medications.
I understand the importance of data accuracy and completeness, and review any relevant policies and procedures.
I am able to properly document and sign off on entries, and how to correct or modify information if necessary.
I have been provided with information on whom to contact for support and training opportunities to ensure continued proficiency and understanding of the system.
I acknowledge that any patient linked within 15 minutes of the previous shift will be transferred to my care. Similarly, if a patient is linked to me within the last 15 minutes of my shift, they will be transferred to the next provider on duty.
Confirmation
I hereby confirm that I am ready to be placed on the schedule.
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