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Personnel Records

Lists what the Agency keeps in each personnel record for employees, volunteers and contracted staff, how criminal history information is kept confidential, where records are kept, who may see them, and how long they are kept.

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About this policy
Policy number
PA-HSP-HR-04
Version
1.0
Main rule
42 CFR §418.100(g)(3)
Library
Pennsylvania hospice · 60 policies
Category
Human resources
Sections
15

In short

  • The Agency keeps a personnel file for every employee and volunteer, showing licenses, background checks, training and skills checks.
  • Criminal history and health information are kept in a separate, locked part of the file.
  • Give human resources copies of any new license, certificate or training right away.
  • You may ask to review your own file.

What's inside

15 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §418.100(g)(3))
  • 5. Contents of the Personnel Record
  • 6. Contracted and Staffing-Agency Staff
  • 7. Confidentiality, Access and Location
  • 8. Retention
  • 9. Responsibilities
  • 10. Records and Compliance Monitoring
  • 11. References
  • 12. Related Policies and Forms
  • 13. Approval
  • 14. Revision History

An inspector may ask

  • Show me the personnel record for this nurse: license verification, criminal history report, orientation, competency.
  • Where do you keep criminal history reports, and who can see them?

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