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Doctors Hospital D rtment In-Service Sign In S et ADM/N <br /> ufMantecaAli fi ,ds must be filled in — PLEAS INT <br /> CLASS TITLE Hazardous Waste Management <br /> DATE M aV 1St - 10th. 1-0VII <br /> CIRCLE ONE Mandatory Non-mandatory <br /> START TIME <br /> TOTAL HOURS <br /> C.E.U. APPROVED HOURS <br /> LOCATION Unit Rounding <br /> INSTRUCTORS Department Directors, Clinical Managers, Shift Managers <br /> TARGET AUDIENCE All clinical staff <br /> TEACHING METHODS: Lecture Self study Discussion DenW <br /> gnstad Video <br /> Circle all that apply Resource Binder <br /> DEPARTMENTS ICU, MS, MSS, Perinatal, OR, ED 1 <br /> LEARNING OBJECTIVES 1. Proper identification of hazardous waste <br /> 2 Proper identification of waste disposal cont in <br /> (clearly state) 3. Verbal+ze-�+ndersta din of laws and regu'. rtaining to waste di <br /> 4. Discussion of improper c of containers and cost r o map ropriate use <br /> REASON: Circle all at Individual staff needs Patient populatio /Age specific <br /> apply Equip ment Technolo New/Revised Policy Procedure <br /> PARTICIPANT tte-st_____---Ret emo Competency Re-monitor <br /> EVALUATION METHOD QI Change in clinical practice OTHER <br /> on <br /> PRINT NAME First & Last DEPT EMP NontEmt/ ADMIN <br /> 2 i�o <br /> 3 ' VA-1 W_ M- <br /> �Y) <br /> . � <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> LL <br /> 9 Gt A R_ <br /> 10 ��t <br /> 11 � ., • <br /> 12 rT_ <br /> 13 <br /> s� s �e ` <br /> HAin Service Sign-in sheets.doc 'i <br />