Nursing Home Orientation Checklist Form
Nursing Home Orientation Checklist Form
Please complete this checklist to ensure all necessary steps for orientation are covered.
Resident Information
Name
Room Number
Date of Orientation
Orientation Checklist
|
Task |
Yes |
No |
|---|---|---|
|
Welcome and Introduction to Staff |
|
|
|
Tour of Facility and Common Areas |
|
|
|
Review of Daily Schedule |
|
|
|
Explanation of Resident Rights |
|
|
|
Overview of Safety and Emergency Procedures |
|
|
|
Medication and Health Services Overview |
|
|
|
Introduction to Social and Recreational Activities |
|
|
|
Dining and Meal Service Orientation |
|
|
|
Review of Housekeeping and Laundry Services |
|
|
|
Review of Policies on Visitors and Communication |
|
|
Additional Notes
Please note any additional instructions or information provided
Signature
Name:
Date:
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