Employee Name
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First Name
Last Name
Last 4 Of Social Security Number
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You must inform the scheduler or supervisor of any appointment that may interfere with your scheduled duties at least 48 hours in advance of your appointment?
When reporting for your scheduled shift it is always appropriate to:
If you are going to be late for your assigned shift you should notify the scheduler or supervisor:
Caregivers may wear any color scrubs for their shift as long as they are:
Which of these items is considered inapropriate if worn during a scheduled shift:
It is ok to wear open toe shoes or flip flops while on duty?
Casual attire such as blue jeans, stretch/stirrup pants, sweatpants/sweatshirt, shorts; tight or form fitting/low cut attire, is acceptable while servicing a client?
Hair that is clean, neatly groomed/controlled, secured away from the face; faicial hair is kept neat/well trimmed, is acceptable while on duty?
Having an attitude of helpfulness or concern toward clients, fellow employees and supervisors is key to good work relations?
The use of personal phones while in a client serivce area is apropriate when.
When is it appropriate to check your personal text, email, apps on your phone when in a client service area?
When is it appropriate to wear headphones and listen to your favorite music?
Personal visits from a visitor while on duty is acceptable?
Employees using company supplied phones, tablets, computers, or internet should hold no expectation of privacy in the use of provided items?
Accepting or soliciting a tip / gratuity of any kind from a client is grounds for discipline, up to and including termination?
Smoking is prohibited at work exept in designated smoking areas outside the building. Under no circumstances should you smoke in a clients residence or service area. You should exercise extreme care care regarding fire hazards associated with smoking at all times.
You must report all significant changes in client condition or client emergencies to your supervisor or administrator?
You must utilize appropriate protective equipment when providing care. This may include gloves, masks, gaite belts, back brace, etc. You must make you supervisor or administrator aware of your need for such items immediately.
You should report any work related conflicts with clients, client family, or fellow employees with your immediate supervisor as soon as possible.
It is ok to accept verbal or physical abuse from a client, client family because they are just old or under stress.
You should report any inappropriate or abusive behavior from a client, client family, or fellow employee to your supervisor or administrator.
All client, client family complaints are to be reported to your supervisor as quickly as possible.
If you suspect a client is being abused, neglected, or exploited by a family member, friend, visitor you must notify your supervisor or administrator immediately.
Which of the following is considered Prohibited Employee Conduct. Check all that apply.
