Dress Code Policy!

Employee Name: ________________________________

Khoi Doan Position: _______________________
RPN

Value Statement:
This policy reflects our Core Values of Reverence and Excellence and demonstrates that our
decisions are made with the intention of avoiding all conflicts of interest and the exercising of good
judgment and discretion as we seek to shape and strengthen relationships with our Clients, and with
each other.
Purpose:
Our Dress Code Policy is intended to promote a professional image that conveys a sense of confidence, and
competence as we interact with the Community, our Clients and with each other. It is also designed with
attention to:
 Control infection
 Associate
 Patient safety

CLOTHING:
It is the environment requirements of the professional. This policy defines the expectations for Source
Momentum HealthCare’s Professional way of Dressing, and it applies to all Source Momentum HealthCare
staff Registered and Non-Registered and Independent Contractors while on duty, unless otherwise requested
by the client and approved by SMH, you will be informed.

All staff must dress professionally, in good attire and company colours. Acceptable clothing includes Nursing
Uniforms, or Scrubs, PURPLE / CEILBLUE or ROYAL BLUE.
The Director will address non-compliance with the dress code by discussion first, sending the staff member
home (without pay) to change, or other disciplinary action as deemed appropriate.

SHOES MANDATORY:
o Enclosed non-skid shoes (for Safety)
o Second pair of shoes for in-home private care
o Shoes MUST be worn in the Client’s home at all times

PHOTO ID:
ASSOCIATE GROOMING AND ATTIRE MUST PRESENT A PROFESSIONAL APPEARANCE AT ALL TIMES WITH
POSITIONS AND INCLUDES:
Official Photo Identification Badge provided by Source Momentum HealthCare is to be worn above the waist
and readily visible for easy identification. Professional pins may be worn on the name badge wrap. SMH
Name Badge is not to be altered in any way. It is the sole property of Source Momentum HealthCare
Solutions. The Identification Badge must be worn at all times when on Assignment.
If you lose or misplaced your ID, call the Office for a replacement. (There will be a replacement cost)

ASSOCIATE GROOMING AND ATTIRE MUST PRESENT A PROFESSIONAL APPEARANCE AT ALL TIMES WITH
POSITIONS AND INCLUDES:
Name Badge provided by Source Momentum HealthCare Solutions is to be worn above the waist and readily
visible for easy identification. Professional pins may be worn on the name badge wrap. Source Momentum
HealthCare’s Name Badge is not to be altered in any way. It is the sole property of the Company.

Source Momentum HealthCare Solutions. 1

PROFESSIONAL APPEARANCE
- Clothing is to be clean, wrinkle free and not appear worn, fits appropriately and not to restrict
movement or create safety concerns.
- Pant hems should not be higher than the top of the ankle bone and not touching the floor
- Undergarments must be worn at all times and must not be visible through clothing
- Socks or hosiery which coordinates with the clothing must be worn
- Shoes appropriate for the position, not worn out in appearance, and the sole must be non-skid.
- In some cases a second pair of shoes to change into when going into a client’s house on a private
assignment
- Hair is to be clean and neatly combed presenting a natural color and style. Extreme hairstyles such
as out-cuts, stripes or unnatural colors are not acceptable. Hair must be pulled back and off the collar
for those caring for patients
- Fragrance is not permitted. Many people are allergic or sensitive to perfume or powder and will not
appreciate something that you favor. Good personal hygiene must be maintained, as well.
- Beards, mustaches and side burns must be neatly trimmed and groomed
- Fingernails must be clean with length appropriate for your profession. Artificial nails of any kind (e.g.
acrylics, tips, tapes, extensions, overlays, fills, wraps or appliqués other than those made of nail
polish) are not permitted in areas that provide direct patient care or medications
- Jewelry in a moderate and professional manner (e.g. wedding band or wrist watch) can be worn.
Flashy or large jewelry pieces are not appropriate and are strictly prohibited. No visible body piercing
other then the ears with no more than 2 earrings per ear
- Tattoos or brand anywhere on the head, face and neck that are not covered by the collar are
prohibited. Tattoos that are extremist, indecent, sexist or racist are prohibited. Due to placement or
number of tattoos associates may be required to cover them

INAPPROPRIATE DRESS INCLUDES

 Denim in any color or style
 T-shirts and novelty clothing with writing or graphic messages
 Exercise wear (sweat shirts/pants, fleece) or any sports or spandex pants
 Any sleeveless wear without a jacket
 Evening attire (Formal wear)
 Hats, Sunglasses, capri, tights, crop or stirrup pants
 Shorts, culottes, skirts more than 4” above the knee
 See through clothing or clothing that reveals cleavage, midriff or back or underwear
 Slippers, shoes that are ostentatious or would distract from focus on the face, shoe with open toe that
does not have a heel strap or enclosed heel. Shoes with heels higher than 1” that may be hazardous
on certain floor surfaces.
Source Momentum HealthCare’s uniforms reflect a team look that readily identifies professionalism, as well
as appearance. All staff is encouraged to wear Source Momentum HealthCare’s uniforms which portray a
team look.
I have read, understand, and support the Source Momentum HealthCare Solutions’ Dress Code
Policy. I will make every effort to ensure that I follow these standards.

Signature: ______________________
Khoi Doan Designation: _________
RPN 3/23/2020
Date:_________________

Source Momentum HealthCare Solutions. 2