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Doctors Hospital apartment In -Service Sign Ir&eet ADMIN <br />Of Manteca <br />.•...�d•� All fields must be filled in — PLEASE PRINT <br />CLASS TITLE <br />DATE — <br />- <br />Hazardous Waste Management <br />May 1 St — 10th y_ 2019 <br />Mandatory Non -mandatory <br />CIRCLE ONE <br />START TIME <br />TOTAL HOURS__---- <br />C.E.U. APPROVED HOURS <br />LOCATION <br />Unit Rounding—� — <br />Department Directors, Clinical Managers, Shift Managers <br />INSTRUCTORS <br />TARGET AUDIENCE <br />All clinical staff _ v <br />Lecture Self study Discussion Demonstration Video <br />Resource Binde <br />TEACHING METHODS: <br />Circle all that apply <br />DEPARTMENTS <br />_ <br />ICU, MS, MSS,erinata OR, ED <br />1 Proper identifip azardous waste <br />2 Proper identification of waste disposal containers <br />3 Verbalize understanding of laws and regulations pertaining to waste disposal <br />4. Discussion of improper changing of containers and cost related to inappropriate use <br />LEARNING OBJECTIVES <br />(clearly State � <br />REASON: Circle all that <br />apply <br />Individual staff needs Patient population/Age specific ' <br />Equipment Technolo New/Revised Policy Procedure <br />PARTICIPANT <br />EVALUATION METHOD <br />Post test Return demo Competency Re -monitor <br />QI Change in clinical practice OTHER <br />HAIn Service Sign -In Oegs doc <br />PRINT NAME First & Last) <br />DEPT <br />EMP <br />Non-Emp <br />ADMIN <br />1 <br />r <br />b <br />2 <br />3 <br />4 <br />Moricj tua qa <br />6 <br />7 <br />CafVkjCkj <br />� u 1 U <br />✓` <br />9 <br />10 <br />(D <br />�- <br />12 <br />—_ <br />2i�1U <br />( U <br />- <br />----- -- — - <br />13 <br />C) <br />HAIn Service Sign -In Oegs doc <br />