Initial Hire Credentials
Complete before first patient assignment
| Credential |
Verified |
Date Verified |
Expiration |
Notes |
| Government-issued photo ID | | | | |
| SSN verification | | | | |
| I-9 / E-Verify | | | | |
| State license (LPN/RN/HHA/CNA) | | | | |
| CNA registry verification | | | | |
| CPR/BLS certification Every 2 yr | | | | |
| First Aid certification | | | | |
| Specialty certifications | | | | |
Background Screening
| Check |
Completed |
Date |
Result |
Notes |
| Criminal background (state + federal) | | | | |
| Sex offender registry | | | | |
| OIG/GSA exclusion list | | | | |
| State abuse registry | | | | |
| Motor vehicle record | | | | |
| Drug screening | | | | |
Health & Safety
| Requirement |
Status |
Date |
Expiration |
Notes |
| TB test (PPD/chest X-ray) Annual | | | | |
| Hepatitis B vaccination | | | | |
| Flu vaccination Annual | | | | |
| COVID-19 vaccination | | | | |
| Physical exam (fitness for duty) | | | | |
| Immunizations (MMR, Varicella, Tdap) | | | | |
Training & Competency
| Training |
Completed |
Date |
Next Due |
Notes |
| HIPAA privacy & security Annual | | | | |
| Infection control | | | | |
| Patient rights & abuse prevention | | | | |
| Emergency procedures | | | | |
| Agency policies & procedures | | | | |
| Competency assessment Annual | | | | |
| Continuing education | | | | |
Renewal Tracking (12-Month View)
Mark expiration dates and set reminders at 60, 30, and 7 days before each
| Credential |
Current Exp. |
60-Day Alert |
30-Day Alert |
Renewed? |
New Exp. |
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