Grady Health System & Grady Infectious Disease


Student Information

 

Visit http://www.gradyhealth.org/gradytrain/

            ID: grady

            Password: g3n3ral

 

1.      Complete all training modules

2.      Submit the forms listed below to Lillian Valdez in room 3004 or lvaldez2@kennesaw.edu

 

Forms:


Student Application Form ( Word Doc )

  • Fill out in its entirety, sign and date. 

  • Do not leave any area blank. 

 

General Orientation Training Record

  • Name: Print your name    
  • Phone Number: Your day time telephone number
  • Company Name:  Leave Blank 
  • School Name: Kennesaw State University
  • Area/Dept. Working in: Pick your assigned department (OB, Infectious Disease, Grady Neighborhood Center, HIV, Mental Health, Med Surg.)
  • Grady Contact Name: Linda O’Sullivan   Start & End Date: Leave Blank    Grady Contact Phone: 404-616-5394
  • Numbers 1-9 enter your name and completion date. 
  • Each box MUST be signed and dated, do not fax document
  • Print and sign your name and date

Customer Service Agreement for General Orientation

  • Signature: Sign your name
  • Print Name: Print your name
  • Company Name: Kennesaw State University
  • Supervisor Name: Leave Blank
  • Telephone #: Day time telephone #
  • Date: Todays Date

Confidentiality and Non-Disclosure Statement

  • Signature: Your signature  
  • Date: todays date
  • Name: Print your Name  
  • Department/Location: Put assigned department (OB, Infectious Disease, Grady Neighborhood Center, HIV, Mental Health, Med Surg.)

New Employee Orientation Standards of Conduct Acknowledgement

  • Print Name
  • Signature
  • Date: today’s date

Risk Management Department Fall Injury Prevention & Management Post Test

  • Submit Quiz Only to Lillian Valdez

Computer System Acceptable Use Agreement

  • Printed Name: Print Your Name
  • Signature: Your Signature
  • Last four digits of SSN: last four digits of your SS#
  • Title: Nursing Student
  • Todays Date: Todays Date
  • Affiliation: Check Other and write Nursing Student
  • Organization / Department Name:  Kennesaw State University
  • HR ID: Leave Blank

Health Clearance Requirements for Grady

 

Maternal Health 3318 STUDENTS ONLY:

Mental Health 3314 STUDENTS ONLY:  

  • Grady Internship Application:
    Complete the form in its entirety including the Driver’s License# and the last four digits of your SS#. 
    DO NOT SUBMIT THIS FORM WITHOUT THIS INFORMATION, IT WILL NOT BE ACCEPTED AND YOU WILL NOT BE CREDENTIALED. 
    Intern Hours Needed: 48
    Area of Study: Mental Health
    Affiliation Agreement with Grady? Yes

 

  

 

3. Log into your Advantage account and select Grady Health System to view your results

 

 

Document Checklist:

 

Intern-Student Application Form (1 page)

General Orientation Training Record (1 page)

New Employee Orientation Standards of Conduct Acknowledgement (1 page)

Customer Service Agreement for General Orientation (1 page)

Confidentiality and Non-Disclosure Statement (1 Page)

Risk Management Department Fall Injury Prevention & Management Post Test – Quiz Only (Answers are highlighted in yellow, circle the corresponding letter for answer) (1 page)

Computer System Acceptable Use Agreement(1 page)

Submit a copy of all medical documents requested with your clinical paperwork

Grady Internship Application (3314 students only) (2 pages)

Women/Infant Health Services Consent Form Addendum (3318 students only)  (1page)

GAPS (3318 Students only) (1 page)