NURSING UNIT ORIENTATION CHECKLIST

OPERATING ROOM-POST ANESTHESIA CARE UNIT (OR-PACU)

Name: __________________________________ Employee Number: ______________________

Position: ________________________________ Date of Joining: _________________________
Department: _____________________________ Date Started: _______ Date Completed: ______

Conducted By Date
Agenda
(Name and Signature) Conducted
1 Introduction to Unit Staff
2 Orientation to Unit Scope of Service and to Unit Manual
3 Unit Organizational Chart and Reporting System
4 Unit Shift, Scheduling System and Working Arrangements
5 Absences, Vacations, Sick Leave and Change/ Request of Duty
6 Unit Telephone Protocol
7 Orientation to Unit Environment or Physical Facilities
 Stock Room
 Emergency Crash Cart/defibrillator
 Pantry or Lounge, Location of restrooms
 Treatment Room and Medication Preparation Room
 Portable oxygen tanks and suction
 HAM cabinet
 Fire Extinguishers, Fire Alarms and Emergency Exits
 Resident Physician Code Buttons
 Oxygen cut-off valves
 Patient Call Bell
 MSDS Binders and Hazardous Materials and Location
8 Orientation to Safe Operation of Medical Equipment and Tools
9 Orientation to Computer Operations
10 Unit Specific Policies (Scheduling of OR Cases, Dress Code)
Essential Processes
 Laboratory/ Radiology Exam Request
11
 Patient Admission and Discharge
 Referral to Senior Nurse or Physician
Orientation to Technical Concerns (Biomedical, Maintenance, IT
12
Housekeeping)
13 Orientation to Required Competencies
14 Others (specify):

ACKNOWLEDGEMENT

In signing this document, I agree that I have been oriented as documented above and I understood the
orientation rendered.

Name of Staff: __________________________________ Signature: ___________________________

Date: _________________