INITIAL ORIENTATION & TRAINING CHECKLIST AMR Air Hawaii LifeTeam 30 159 Kalanikoa St, Suite 101 Hilo, HI 96720 Tel : 808.313.1319 Fax : 808.315.7856 Providing critical care, emergency, non-emergency air transport service to four counties and seven islands...
More
INITIAL ORIENTATION & TRAINING CHECKLIST AMR Air Hawaii LifeTeam 30 159 Kalanikoa St, Suite 101 Hilo, HI 96720 Tel : 808.313.1319 Fax : 808.315.7856 Providing critical care, emergency, non-emergency air transport service to four counties and seven islands in the state of Hawai’i Crewmember: Flight Nurse Medic Date of Hire: Preceptor: Please initial and write date of verification/completion or review. Print name and sign below Base: Date Verified/ Completed/ Reviewed Crewmember Initials Preceptor Initials PRE-ORIENTATION DOCUMENTS (Signed originals/copies) Professional License #_____________________ Driver’s License Social Security Card Passport Pre-hire Physical by MD (Fit to Fly) Lift Test Form Drug screen Health Screening Form Immunization and Vaccination Records Certifications: ☐BLS ☐ACLS ☐PALS ☐ITLS ☐TNCC ☐ENPC ☐NRP ☐PHTLS Advanced Certifications: ☐ATLS ☐TNATC ☐OTHER _________________________ Specialty Certifications: ☐ CEN ☐CCRN ☐FPC ☐ CFRN ☐CCP ☐CCEMT-P ☐ TCRN Emergency Conta
Less
