Dear New Employee, Welcome to the Providence Health Care ...

Dear New Employee,
Welcome to the Providence Health Care Family. You have been invited to
join our team because, in the selection process, you presented skills
necessary for the quality work we do and displayed values consistent with
the Providence Mission.
We trust that you will be inspired regularly to do your best work in order
that we can continue providing the excellent patient care and services for
which we are known.
It is our hope that you take pride in carrying out our tradition of healing
alongside your team members. We hope your experience here is
rewarding and enjoyable!
Sincerely,
Elaine Couture, RN
Chief Executive Officer

New Employee Orientation
Providence Sacred Heart Medical Center &
Children’s Hospital
Providence Holy Family Hospital
Start:
End:
New Employee Orientation—Day 1 0800 1345/1630
Time
Topic
Pillar
Mission
People
Service
Quality
Finance
Growth
Expected Outcomes
0800 Welcome People • Meet and greet.
• Explain PH&S and our role within our larger
organization.
0835 Mission & Core Values Mission • Receive the Providence Commitment.
• Connect our history and legacy to our current work.
0920 Mission & Core Values
Small Groups
0940 Break
Mission • Identify individual actions and behaviors that reflect
our Mission and Key Values.
1000 Service Excellence Service • Explain how service excellence relates to our
Mission and Values.
• Identify the major principles of customer service.
• Give examples of each principle in daily work.
1045 Compliance & Integrity Quality • Describe the HIPAA Privacy Rule and why it is
important.
• Describe employee role in the Integrity Program and
patient privacy.
• Describe mechanisms for raising questions
/concerns.
1115 Infection Prevention Quality • Explain the importance of each person’s role in
infection control.
• Practice good hand hygiene.
1145 Lunch
1230 Safety & Security Quality • Identify emergency codes.
• Identify how to contact Security in an emergency.
• Explain your role related to campus safety.
• Explain your role in RACE and identify your primary
staging area.
• Identify who to contact if there are safety concerns.
• Describe your role in the emergency response plan.
• Explain SPILL.
• Identify location of MSDS sheets.
• Describe how electrical shock accidents occur
• Explain where radioactive materials are used
1345 Break Note: remainder of orientation is for staff that could
1400 Infection Prevention and
Bloodborne Pathogens
have potential contact with blood and body fluids.
Quality • Select appropriate transmission-based precautions
to use.
• Describe appropriate PPE for specific situations.
• Take necessary steps to prevent hospital-acquired
infections.
1500 BLS Quality Demonstrate BLS skills
Explain code response procedures
1630 Adjourn
G/EdServ/Orient/General Orient/General Orientation Schedule Day 1 July 2012
Presenter
Sr. Rosalie Locati
Sr. Annette
Seubert
Educators
Service
Excellence
Educators
Educators
Safety & Security
Epidemiology
Educators

New Employee Orientation
Providence Sacred Heart Medical Center &
Children’s Hospital
Providence Holy Family Hospital
New Employee Orientation—Day 2 0800 1100
Time
Topic
Pillar
Mission People
Service Quality
Finance Growth
Expected Outcomes
Start:
End:
Presenter
0800 Badging and Security Name Badges and vehicle registration Ed Ehrhart,
Security
0830 Human resources HR Paperwork Human Resources
0850 HR Policies
Topic Review and Evaluation
People • Explain how to access HR policies &
procedures.
• Identify resources for questions about
policies.
• Review key HR policies and standards.
Lourie Morse
Human Resources
representatives
0920 Payroll, Kronos Training • Review Kronos Timekeeping System and
payroll information.
0945 Break
1000 WSNA Meeting for RNs
People
UFCW meeting for Technical &
Service Workers
1030 Cultural Diversity/Civil Rights People Educational
Services
1100 Non-Nursing Personnel – Report to your department/unit for further instructions.
Payroll
representatives
Bargaining Unit
Representatives
Orientation continues for the remainder of Day 2 based upon your job category.
Non-nursing personnel report to their department for further instructions at 11AM.
Nursing personnel – please remain in the Notre Dame Room and plan to remain in orientation
until 1630. Schedules will be provided by the educator for your unit when they meet with you
for your needs assessment at 11:30.

Dear New Employee,
Welcome to Providence Health Care! We are excited to have you join our team as we work
together to fulfill our mission of providing “A Community of Healing”, “Commitment to
Excellence” and “Collaboration with Caregivers”. If you are interested in learning more about
Providence Health Care prior to your start date, please visit our website at:
www.providence.org.
We have enclosed information that we ask you to complete prior to orientation. Please
bring them to your appointment completed (which will save time). Please write down any
questions you have for orientation.
Acknowledgement of Receipt of Human Resources Policies (we will provide you a
Handbook at orientation)
I-9 Form Employment Eligibility
W-4 Form
Direct Deposit with a voided check
Employee Confidentiality and Nondisclosure Form
New Hire Self-Identification Form
Schedule Employee Health Appointment—
ONLY SCHEDULE IF YOU ARE EMPLOYED WITH SACRED HEART OR HOLY FAMILY
HOSPITALS. For example: if you are employed through the Providence Regional Office,
but you have a local work location, you do NOT need to complete this step. (All new hires
being paid by SHMC or HFH need to complete this).
As a reminder for orientation, please wear appropriate professional attire. (No jeans, no
shorts and no flip flops. Socks/ Stockings are required.)
Thank you again for choosing Providence and we look forward to seeing you at Orientation!

Employee#:
Acknowledgement of Receipt of polices
This is to acknowledge that I have received a copy or am able to access a copy of the Human
Resources policies and/or handbook either online through Employee Self Service (ESS) at
http://provcon.providence.org/lawson/portal/ or through the Human Resources Department.
I understand the Human Resources policies set forth the terms and conditions of my employment as
well as the duties, responsibilities, and obligations of Providence employment. I understand and
agree that it is my responsibility to read the policies and to abide by the rules, policies and standards
of Providence. If I have any questions and/or need clarification of any Human Resources policy, it is
my responsibility to contact my immediate supervisor or the Human Resources department to
discuss.
I acknowledge that the online Employee Self Service site includes the most up-to-date information.
None of the HR policies are intended to create an implied contract and may be updated at any time. It
is my responsibility to obtain the latest version of the Human Resources policies.
__________________________________________
(Employee Signature)
__________________________________________
(Print Name)
_______________
(Date)
03-Employee Acknowledgement Sheet

Employee#:
03-W4

Employee#:
Direct Deposit
Authorization Form
Direct Deposit is a mandatory requirement of employment. Please complete the following form and attach a voided
check for each account. If you have questions please call 1-888-687-3753 or extension 20753.
Authorizing Information
Type of Account:
Checking Account
Savings Account
Bank Name:
Routing Number:
Account Number:
Select One:
Fixed Amount $_______
Type of Account:
Checking Account
Savings Account
Fixed Percentage______% (100% goes if here if you want all of your paycheck in this one account)
Remainder
Bank Name:
Routing Number:
Account Number:
Select One:
Fixed Amount $_______
Fixed Percentage______% (100% goes if here if you want all of your paycheck in this one account)
Remainder
TAPE VOIDED CHECK HERE IF AVAILABLE
(please do not staple)
Authorization Signature
I herby authorize Providence Health & Services to make payroll deposits to my bank account indicated on the attached
VOIDED CHECK (deposit slip will only be accepted for a savings account). The effective date for the direct deposit will be
approximately one month from the receipt of this authorization.
You can update or change your direct deposit information via Employee Self Service (ESS) at anytime.
______________________________________ ______________________________________ _________
Employee Name (please print) Employee Signature Date
03-Direct Deposit

Submit by Email
Print Form
Employee ID# :
Employee Confidentiality and Nondisclosure Statement
Name:
I understand that as an employee of Providence Health & Services, I will have access to information not generally
available or known to the public. I understand that such information is confidential information that belongs to
Providence Health & Services. Confidential information includes but is not limited to patient, customer, member,
provider, group, physician, employee, financial, and proprietary information, whether oral or recorded in any form
or medium. I understand that information developed by me, alone or with others, may also be considered
confidential information belonging to Providence Health & Services in accordance with Providence Health &
Services policies and procedures.
I will hold confidential information in strict confidence and will not disclose or use it except as authorized by
Providence Health & Services.
I will not access Confidential Information for which I have no legitimate need to know.
I understand it is my responsibility to become familiar with and abide by applicable laws, regulations, and
Providence Health & Services policies and protocols regarding the confidentiality and security of confidential
information.
I understand that e-mail is not a secure, confidential method of communication. I will not include confidential
patient information in e-mail communications outside of Providence Health & Services (i.e. from or to nonprovidence.org
e-mail addresses, without first contacting the Privacy Officer or the Information Security Officer for
current protection method information).
I understand that Providence Health & Services electronic communication technologies (Internet and e-mail) are
intended for job-related activities, however limited personal use is permitted. Personal use is determined as
incidental and occasional use of electronic communications technologies for personal activities that should
normally be conducted during personal time, such as break periods, or before and after scheduled working hours,
and is not in conflict with business requirements of the department. Internet usage is monitored and audited on a
regular basis by Providence Health & Services management. Providence Health & Services management also
reserves the right to monitor e-mail and telephone usage.
I understand that this Confidentiality and Nondisclosure Statement does not limit my right to use my own general
knowledge and experience, whether or not gained while employed by Providence Health & Services, or my right to
use information that becomes generally known to the public through no fault of my own.
I understand that if I breach the terms of this Confidentiality and Nondisclosure Statement, Providence Health &
Services may institute disciplinary action up to and including termination of my employment with Providence
Health & Services.
Signature of Employee:
Position:
Date:
Note: The signature field above requires a handwritten signature. After the form is populated, please print and sign manually as needed.
The use of electronic signatures is currently under review by Enterprise Security and may replace manual signatures in the near future.
03-Confidentiality and Nondisclosure

Employee
Employee#:
#:
NewHireSelfIdentificationForm
Providence Health & Services is an Equal Opportunity Employer. We are subject to certain governmental recordkeeping
and reporting requirements. In order to comply with these laws and regulations, we request employees to voluntarily
complete this New Hire Self-Identification form. This form will be kept separate from your official personnel file.
Please complete the following:
Name: _____________________________________________________ Hire Date: ___________________
Job Title: ___________________________________________________ Gender:
Male ____ Female ____
Section I: Ethnicity / Race for EEO-1 Reporting
In order to comply with relevant civil rights laws and regulations, we request employees to voluntarily self-identify their race and
ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The
information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and
regulations, including those that require information to be summarized and reported to the federal government for civil rights
enforcement.
Are you Hispanic or Latino?
Yes ___ No ___
If no, what race do you consider yourself to be (see reverse side for definitions)?
___ White (Not Hispanic or Latino) ___ Black or African American (Not Hispanic or Latino)
___ Asian (Not Hispanic or Latino) ___ American Indian or Alaska Native (Not Hispanic or Latino)
___
Native Hawaiian or Other Pacific Islander (Not
Hispanic or Latino)
___
Two or more races (Not Hispanic or Latino)
Section II: Disability and Veteran Status Reporting
Providence Health & Services is also subject to the Vietnam Era Veterans’ Readjustment Assistance Act, as amended, and Section 503
of the Rehabilitation Act, as amended. Our organization takes affirmative action to employ and advance in employment qualified
individuals with disabilities, qualified disabled veterans, recently separated veterans, other protected veterans, and Armed Forces
service medal veterans.
If you are a qualified individual with a disability, disabled veteran, recently separated veteran, other protected veteran, or Armed Forces
service medal veteran as defined below, we would like to include you in our affirmative action program. If you wish to be included,
please indicate your interest on this form. You may inform us of your interest to benefit under the program at this time or at any time in
the future. Submission of the information below is voluntary and refusal to provide information about a disability or your veteran status
will not subject you to adverse treatment. The information will be kept confidential and will only be used in accordance with the
provisions of applicable laws, executive orders, and regulations, including those that require information to be summarized and reported
to the federal government for civil rights enforcement.
I wish to self-identify as follows (please check all that apply):
A Disabled Veteran
A Recently Separated Veteran
An Armed Forces Service Medal Veteran
An Other Protected Veteran
A person with a physical or mental disability
Yes___ No___
Yes___ No___
Yes___ No___
Yes___ No___
Yes___ No___
See section 503 of the Rehabilitation Act, as amended, for the definition of a person with a physical or mental disability. If you answered
yes above and you require an accommodation to perform the essential functions of your position, you must discuss this request for
accommodation with your manager or human resources. (The information on this form is used for affirmative action and statistical
purposes only.)
03-EEO-1
03-EEO-1

Getting To Sacred Heart Medical Center:
– New Employee Orientation is held in the Providence Auditorium –
Next door to the Mother Gamelin Center (20 W 9 th )
A Map of the Sacred Heart Campus is included below the directions
From Westbound I-90:
1. Take exit number 281
2. Turn LEFT onto 2 nd Ave
3. Turn LEFT onto Browne Street and merge to right lanes
4. Continue up Browne Street, moving to left lane (Browne will become McClellan St)
5. Turn LEFT onto Rockwood Blvd and park in TOP level of parking garage and walk across the street to Mother
Gamelin Center.
From Eastbound I-90:
1. Take exit number 281
2. Turn RIGHT at the light on Division St
3. Turn LEFT on 8 th
4. Turn RIGHT on Cowley
5. Turn RIGHT onto Rockwood Blvd until you reach the top level of the employee parking garage. Park and
walk across the street to the Mother Gamelin Center.
From the North (Highway 2 or 395):
1. US-395 and Hwy 2 merges into Division St
2. After crossing the Spokane River, turn LEFT onto Browne St and merge to right lanes.
3. Continue up Browne St, moving to the left lane (Browne will become McClellan)
4. Turn LEFT onto Rockwood Blvd and follow up to top level of employee parking garage. Park and walk across
the street to the Mother Gamelin Center.
.

Employee Health Service (PSHMC and PHFH)
MEMO
To:
New Employees of Sacred Heart Medical Center and Holy Family Hospitals
Note: all other Providence employees please disregard this memo.
From: SHMC and HFH Employee Health Service
Re:
New Employee (PSHMC/PHFH) Health Screening Requirements
Welcome! In conjunction with the orientation and hiring process for the two facilities listed above, you are required to
immediately schedule an appointment for a New Employee Health Evaluation. This will be done only at PSHMC
Employee Health Service. Please call (509) 474‐3378 to schedule your appointment.
During your appointment, you will be asked to complete a brief questionnaire, undergo TB skin testing and may have
blood drawn. Additionally, some employees may be required to participate in job specific testing and/or vaccinations
such as: Hepatitis B vaccine, titers, respirator fit testing, etc. IMPORTANT: Please bring all of your immunization and TB
skin testing records with you to your initial appointment. Some requirements must be met within ten days of hire. Not
meeting employment health requirements in a timely manner may result in your inability to work.
Regarding Tuberculosis Skin Testing:
All new SHMC and HFH employees must have two TB skin tests completed within 30 days of hire. For SHMC employees
only, annual TB skin testing occurs during your birth month in selected departments. Holy Family employees do not
need follow‐up annual TB testing at this time.
A confidential health record will be maintained for you in Employee Health Service. Additionally, you will receive results
of tests performed in conjunction with your health screening. You are encouraged to keep these records for future
reference and to forward a copy to your private physician.
We look forward to meeting you. If you have any questions, please feel free to contact us via the numbers listed below.
Sacred Heart Medical Center and Children’s Hospital
Location: Sacred Heart Doctor’s Building
Suite #170 Main Floor – East Tower
105 W 8 th Ave, Spokane WA 99220
Hours: Monday – Friday 7:30am ‐3:45pm
Phone: (509) 474‐3378 (internal x43378)
Fax: (509) 474‐2247
Holy Family Hospital
Location: Medical Building North
Suite #150 (in annex to left of Main Entrance)
5633 N Lidgerwood, Spokane WA 99208
Hours: Tuesdays, 7:30am ‐12:00pm
Thursdays, 1:00pm – 3:45pm
Phone: (509) 474‐2595 (internal x22595)
Fax: (509) 482‐2178
12/2013