Health & Safety Acknowledgement

I acknowledge that I have read the Health and Safety Education document and understand the following:

• Handwashing is the most important thing I can do to prevent the spread of infection.
• I understand that I need to wash my hands for 20 full seconds to be most effective.
• The first thing I should do if exposed to bodily fluids is to wash the area with soap and water.
• I am aware that germs are spread from person to object to person and from person to person. It is important that I wash my hands or use hand sanitizer before and after all visits.
• Before helping someone, who is bleeding, I need to put on a pair of gloves.
• If I am injured, I need to take care of myself by seeking medical attention first and then will notify HVHC of my injury.
• It is important to protect myself from bloodborne pathogens and understand the need to treat everyone as if they have a potential infectious disease/condition when helping them.
• I understand the need to keep my supervisor informed on any issues relating to my health and safety and the safety of the patient and/or family I am vising with.
• I understand the need to monitor any flu or COVID symptoms and will not visit with patients and/or families or come to the office until I am symptom free and in COVID cases, have a negative test result.
• I understand if I am injured or exposed to bodily fluids that I need to report that to HVHC within 3 business days.
Name(Required)
Type in full name