VUMC Annual Requirements for Staff
Updated February, 2016
You may need other training that is not listed here, and you must complete requirements before your annual performance review. All safety training must be completed before beginning work where exposure to hazards and/or injury to staff or patients could occur. Ask your supervisor if you are not sure which requirements you need to complete. Online training is provided through the Learning Exchange, unless otherwise indicated.
|Required For||Topic||When Required*||How Provided**|
|All Staff||Conflict of Interest VUMC||Initial and annual||Conflicts Disclosure System|
|Standards of Conduct Training VUMC and Confidentiality Agreement||Initial and annual training||Online|
|Privacy and Security (HIPAA)||Initial and annual training||Online|
|Annual Influenza Vaccine and TB Skin Test (if required for your department)||Initial and annual||Provided by Occupational Health Clinic at their clinic and also at Hands On Clinical Safety (HOCS) and Competency Assessment & Validation Expo (CAVE).|
|VUMC Staff Response to Emergencies (National Incident Management System - NIMS)||Initial training only||Online|
|2016 Annual VUMC Safety Requirements
*The Hazard Communication Standard also requires initial & annual department-specific training, described on this page.
|Initial and annual training||
Initial Training for Fire Safety, Emergency Preparedness, Ergonomics, Accident and Injury Prevention and Hazard Communication are included in the assignments made to VUMC new staff in online orientation training assignments.
Annual training provided online.
|Staff with Patient or Blood & Body Fluid Contact and staff who work in clinical and clinical support areas||2016 Infection Prevention and Bloodborne Pathogens
|Initial and annual training||
Initial Training for these topics is included in the assignments made to VUMC new staff in online orientation training assignments. Staff must complete training for these three topics prior to beginning work in clinical areas.
Annual training provided online.
|Staff with Patient Contact, even if it an individual is not working in a clinical role||Recognition of Patient Abuse and Neglect||Initial training only||Online. To enroll, click here or search for title.|
|Staff who handle hazardous waste (blood, body fluids, drugs, etc.)||VUMC Clinical Waste Management
VUMC Clinical Waste Management Off-Campus (for staff who do not work on the main VUMC campus)
|Initial training only||Online.
To enroll in "VUMC Clinical Waste Management" click here or search for title.
To enroll in "VUMC Clinical Waste Management Off-Campus" click here or search for title.
|Staff who Provide Direct Patient Care||Health Care Worker Fatigue and Patient Safety
(Click here or search to enroll.)
|IInitial training only||Online. To enroll, click here or search for title.|
|Staff who are exposed endemic airborne diseases or work with hazardous drugs||Annual N-95 Respirator Fit-Testing & Training||Initial and annual fit-test||Dates and times that fit-testing is available are listed on the VEHS N-95 Respirator Fit-testing program page.|
|Staff who provide Point of Care Testing||Point of Care Proficiency Testing||Initial and annual training||Provided by the Point of Care Testing department during 1st Tuesday of each month|
|Staff who provide Clinical Emergency Response||RRT, Mock Code, Advanced Airway, Defibrillation (requirements)||every two years|
|Staff who initiate, monitor and/or remove a restraint OR any staff providing direct care for a patient in a restraint.||Restraint Competency (requirements)||every two years||Hands On Clinical Safety (HOCS)|
|Staff who work in in-patient units, ambulatory surgical centers and/or clinics where there are medical gas zone valve or alarm panels||Medical Gas Safety & Emergency Response for System Failures||Initial training only||Online. To enroll, click here or search for title.|
|Staff who care for patients who receive Magnetic Resonance Imaging (MRI) scans, transport patients to an MRI scanner, order MRI scans, or who work near MRI machines||Magnetic Resonance Imaging (MRI) Safety
Both training and the online MRI Screening Questionnaire must be completed annually.
|Initial and annual training||Online. To enroll, click here or search for title.|
|Staff who perform high level disinfection with glutaraldehyde-containing products such as Cidex, Wavicide or Rapicide||High Level Disinfection (Cidex, Wavicide or Rapicide - products that contain glutaraldehyde)||Initial and annual training||Online. To enroll, click here or search for title.|
|Staff who perform high level disinfection with Cidex OPA||High Level Disinfection (Cidex OPA)||Initial and annual training||Online. To enroll, click here or search for title.|
|Staff who insert, access, help maintain, and/or remove a patient's Central Venous Catheter (CVC)||Central Venous Access Devices - CVAD||Initial and annual training||Online. To enroll, click here or search for title.|
|Staff who perform or assist with clinical procedures that use lasers||Laser Safety in Clinical Settings||Initial and annual training||Online. To enroll, click here or search for title.|
|Staff who use, purchase, inventory or provide maintenance on powered Medical Equipment||Medical Equipment Management & Safety||Initial and annual training||Online. To enroll, click here or search for title.|
|Staff who use and/or help maintain the Pneumatic Tube System on the main VUMC campus||Pneumatic Tube System Safety||Initial training only||Online. To enroll, click here or search for title.|
|Staff who move, lift, transfer, reposition or transport patients||Safe Patient Handling Program January 2015 - June 2016||Initial and annual training||Online. To enroll, click here or search for title.|
|Staff who are present in the room with an x-ray machine while it is on, but do not operate the machine||Clinical X-Ray Safety (non-operators)||Initial and annual training||
|Staff who operate x-ray machines||Clinical X-Ray Safety (for operators)||Initial and annual training||
This course is not available for self-enrollment. Contact Radiation Safety with questions.
|Staff who provide care to patients undergoing treatment with radioactive material||Caring for Radioactive Therapy Patients||Initial and annual training||Online. To enroll, click here or search.|
|Nuclear Medicine Technologists, Radiopharmacists and/or Lab personnel who work with radioactive material.||Annual Radioactive Material Safety Training||Initial and annual training||Initial training requirements are described here . Annual training is provided online. To enroll in annual training, click here or search.|
|Staff who operate the LINAC accelerators in Radiation Oncology||Radiation Oncology Annual Accelerator Operator Safety Review for Therapists||Initial and annual training||Online. To enroll, click here or search.|
|Staff at Vanderbilt affiliated off-site clinics who will need to prepare hazardous waste for shipment or sign a waste manifest.||Preparing Waste for Shippers of Regulated Medical & Pharmaceutical Waste||initial and subsequently once every three years||Online. To enroll, click here or search.|
Staff who work in clinical, research or teaching laboratories
||Laboratory Safety Curricula included courses:
||Initial and annual training||Online. To enroll, click here or search.|
*Some items are required only once, some is required every year, and some is required at other intervals, such as once every other year or once every three years.
**You can self-enroll in most of the online courses listed here by logging in to Learning Exchange and searching for the title of the course(s) you need; where possible, direct links are also provided.