the pathway to a brighter career a new hire journey · the scrs and your position does not require...

The Pathway to a Brighter Career

A New HireJourney

Welcome to Lexington Medical Center

As you begin your exploration down a path of limitless career

potential, it is the goal of the hospital to ensure that you start

your journey smoothly. This New Hire Packet was designed

to help you navigate successfully as a new employee within

the Lexington County Health Services District. Your journey

as a new hire will be guided through the Human Resources

department, Staff Development and your department

manager. With proper guidance, continued training and

dedication, we know that your contributions to our team will

continue in the tradition of excellence that propels Lexington

Medical Center as the best within our region and state.

So, let’s begin your journey!

The New Hire Journey Part I ~ On-Boarding

New Hire Journey ~ Part 1 [ 1 ]

Your first step in the new hire journey is with the Human Resources department. The purpose of this packet is to provide you with vital information that is needed prior to your first day of employment. It is also important for us to gather information from you. Enclosed you will find the following forms:

• New Employee Orientation Date Date and time of your orientation (Mini- and/or General Hospital Orientation). You will also find vital information

about orientation and answers to commonly asked questions.

• Employee Personal Data Form

The Employee Personal Data Form contains information that will be used to start your electronic personnel record. To help us maintain the integrity of the data collected, please ensure that you complete each line of this form (front and back).

• LMC Policies and Procedures Disclaimer Form

You will find two copies of this form in your packet. Please ensure that you sign the disclaimer form designated

as Human Resources Copy. The Employee Copy located in this booklet is for your personal records.

• Form I-9, Employment Eligibility Verification* Please complete Section 1 – Employee Information and Verification. This is an official government form. It is important that you complete this form accurately and do not have any lines, scratches, etc. Once completed,

please review, sign and date (within section one) only.

• Acknowledgment of Receipt of Notice of Privacy Practices

• Breach of Confidentiality

• Post-Offer Medical Questionnaire

• Orientation Map

*Please ensure that you also bring identification to complete the I-9 form, as well as the original form/card of credentials.

These forms need to be completed and returned to the HR Representative during your initial Pre-employment/Employee Health appointment. If you have any questions regarding your paperwork, please contact the Human Resources office at (803) 791-2960.

New Employee Orientation Checklist

Mini-orientationYou are scheduled for a Mini-Hospital (HR) Orientation on ______________________________________________

Human Resources office on Monday from 8:00 a.m. – 9:30 a.m.

Attendance is mandatory. During the mini-orientation you will review all introductory payroll and safety information needed to begin employment. Please remember to park in Lot K (Employee Parking), located at the back of the hospital. If Lot K is full, please park in Lexington Medical Park 2 on Level 4, 5 or 6. It is important that you bring a voided check or deposit slip to your scheduled mini-orientation. Direct deposit is a requirement for employment at Lexington Medical Center.

General Hospital OrientationYou are scheduled for General Hospital Orientation on _______________________________________

Lexington Medical Park I Auditorium from 7:30 a.m. – 5:00 p.m.

All employees are expected to attend orientation for the entire day (even if you have completed a mini-orientation). Lunch is provided and breaks are built into the schedule for your convenience. Please remember to park in Lot K (Employee Parking), which is located at the back of the hospital. If Lot K is full, please park in Lexington Medical Park 2 on Level 4, 5 or 6. If you have not already completed a mini-orientation, you must bring a voided check or deposit slip. Direct deposit is a requirement for employment at Lexington Medical Center. If you have already completed a mini-orientation, you must bring your employee ID badge and clock in under “orientation” in the system.

SC Retirement SystemYour position may require you to join the SC Retirement System. If you do not have an active account with the SCRS and your position does not require that you join, you may choose to waive. Please note, if you choose to waive SCRS, your election is irrevocable. Please be prepared to make your decision during your new hire orientation and provide the following information for your designated beneficiary(ies) as this will be collected during the benefits portion of orientation: name, date of birth and social security number. If your beneficiary is under 18 years of age, you must have a trustee designated in your will. Please refer to the enclosed SCRS Member Handbook for information about SCRS.

[ 2 ] Lexington Medical Center

During Orientation employees may dress “business casual.” Uniforms are not necessary. All clothing should be neat, clean and properly fitting with appropriate undergarments. In addition to wearing an identification badge at all times, Lexington Medical Center’s dress code policy states in part:

2.1 Appropriate female business attire includes: suits, dresses, skirts and split skirts no shorter than three

(3) inches above the knee, and slacks (not shorter than mid-calf).

2.2 Unacceptable female attire includes: shorts, all denim attire, see-through blouses, halter/sun dresses,

athletic attire (sweatshirts, sweatpants and jogging suits), tight clothing or leggings, imprinted t-shirts,

and any type of attire which is low cut or where the midriff is exposed. Extreme styles should be avoided.

2.3 Appropriate male business attire includes: slacks and a collared shirt. A tie and jacket may be required.

2.4 Unacceptable male attire includes: jeans, imprinted t-shirts, shorts and athletic attire (sweatshirts,

sweatpants and jogging suits).

4.1 All employees are required to wear dress shoes, dress sandals, athletic shoes or work shoes.

Closed toe shoes are required for patient care areas. All shoes must be kept clean and polished.

4.2 No “flip flops” or cowboy boots may be worn to work.

6.1 Makeup should be used in moderation. No perfume or cologne should be used. Many individuals and

especially patients may be sensitive or become nauseous when in contact with various fragrances.

6.3 Jewelry should be tastefully minimized and appropriate for all business and professional attire. Earrings

are acceptable if they are conservative. Limit two per ear. Other visible body piercing is not allowed

(includes but not limited to tongue, nose and eyebrow). Excessive jewelry should not be worn. Long

necklaces, bracelets, long earrings, etc. are not acceptable in a patient care area as they present a

safety hazard.

6.4 If an existing tattoo could be considered offensive by any person, it must be covered.

New Employee Orientation


Employee Personal Data

Employee ID:_________________________________ Date of Hire:________________________________________________________

Name: (must match name on Social Security Card) ___________________________________________________________________________

Preferred Name:____________________________________ Social Security Number:__________________________________________

Address:__________________________________________________________________________________________________________

City:__________________________________________________ State:______ ZIP: ________________ County:___________________

MAIN TELEPHONE ALTERNATE TELEPHONE

Cellular Home Other: ( _______ ) ________________ Cellular Home Other: ( _______ ) ________________

DATE OF BIRTH (MM/DD/YYYY) REFERRAL SOURCE (Please select, if referred please list employee name)

TV Internet LMC Website SCHA Job Listing Monster Other:____________________________________________

Employee Referral:_________________________________________________________________________________________________

DRIVER’S LICENSE INFORMATION Driver License Number:_____________________________________________________________

State Issued By:________________________ Expiration Date:_______________________ Type of License:________________________

EMERGENCY CONTACT PRIMARY Name:________________________________________________________________________________________________

Address same as above Address: _________________________________________________________________________________


Telephone: Cellular Home Other: ( _______ ) ________________

SECONDARY Name:_____________________________________________________________________________________________



Telephone: Cellular Home Other: ( _______ ) ________________

Smoker: Yes NoMarital Status: Single Married Divorced Separated

Highest Level of Education: HS Diploma/GED Associate Degree

Bachelor’s Degree Master’s Degree PhD _____________

Full time Student: Yes No

Sex: Male Female

Military Status: N/A Active Reserve

Inactive Reserve Retired Vietnam Veteran

Non-Vietnam VeteranLanguage: (other than English)________________________

Speaking level: High Medium Low

Writing level: High Medium Low

Ethnic Identification (optional): Please identify your ethnic

status for demographic purposes by circling below. You may

indicate up to three selections. If you select more than one option,

please place the percentage amount in the space provided.

American Indian:______% Asian:______% Black:______%

Hispanic:______% Pacific Island:______% White:______%

Choose Not to Specify

Please note: This information will be placed in your personnel file. If you are unsure about any section, contact your HR Representative.

New Employees forms.indd 1

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Employee Personal Data Form

The Employee Personal Data Form contains information that will be used to start your electronic personnel record. To help us maintain the integrity of the data collected, please ensure that you complete each line of this form (front and back).

SAMPLE


ALL EMPLOYEES OF THE LEXINGTON MEDICAL CENTER (LMC) ARE EMPLOYED AT-WILL AND MAY QUIT

OR BE TERMINATED WITHOUT NOTICE AND/OR WITHOUT A REASON AT ANY TIME AND FOR ANY REASON.

NOTHING IN ANY OF LMC RULES, POLICIES, HANDBOOKS, PROCEDURES OR OTHER DOCUMENTS RELATING

TO EMPLOYMENT CREATES ANY EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT. NO PAST PRACTICES

OR PROCEDURES, WHETHER ORAL OR WRITTEN, FORM ANY EXPRESS OR IMPLIED AGREEMENT TO

CONTINUE SUCH PRACTICES OR PROCEDURES. NO PROMISES OR ASSURANCES, WHETHER WRITTEN

OR ORAL, CREATE ANY CONTRACT OF EMPLOYMENT UNLESS: 1) THE TERMS ARE PUT IN WRITING; 2)

THE DOCUMENT IS LABELED A CONTRACT OR AN AGREEMENT; 3) THE DOCUMENT STATES THE TERM OF

EMPLOYMENT; AND 4) THE DOCUMENT IS SIGNED BY LMC’S CHIEF EXECUTIVE OFFICER.

I ACKNOWLEDGE THAT LMC’S POLICIES AND PROCEDURES INCLUDING THOSE ON THE INTRANET ARE NOT

A CONTRACT OF EMPLOYMENT.

____________________________________________________________ _______________________________ Signature Date

____________________________________________________________ Printed Name

____________________________________________________________ Social Security Number

Employee CopyPlease maintain this copy for your personal records.

Lexington Medical Center Policies and Procedures


Lexington Medical Center is committed to the protection of your health information as it is used in the maintenance and administration of the hospital’s group medical benefit plan. Enclosed with your new hire paperwork you will find LMC’s Notice of Privacy Practices. The Notice of Privacy Practices informs you how your protected health information is used and disclosed when health insurance claims are filed. Other than reviewing the notice, no action is needed on your part, and this does not change your current level of benefits or the way in which you submit health care claims. The Notice of Privacy Practices will be available upon request at any time and is located in the Human Resources department. Please share this information with your spouse or any adult children who are covered by our health plan. If you should have any questions, please feel free to contact our Privacy Officer at (803) 936-8235.

Notice of Privacy Practices

Notice ofPrivacy PracticesNotificación de Prácticas Privadas

Special Note: The I-9, Employment Eligibility Verification Form is an important

government document that certifies your eligibility to work within the United States. Please ensure

that you carefully read the directions below prior to completing this form. In the event that you

do make an error on this form, please contact your Lexington Medical Center Human Resources

Representative immediately to get a clean form.

Please complete Section 1 – Employee Information and Verification. This is an official

government form. It is important that you complete this form accurately and do not have any lines,

scratch-outs, etc. Once completed, please review, sign and date (within section one) only.

• This form must be filled out in black or blue ink.

• Ensure that you completed each line in Section 1.

• Remember to sign and date on the same line that says “Employee’s Signature.” Do not sign above this line.

• The back of the I-9 Form lists acceptable documents that can be used for Human Resources to complete this form. Please remember that all documents must be unexpired.

I-9 Employment Eligibility Verification Form



TO: All Employees

FROM: Tod Augsburger, President/CEO

SUBJECT: Breach of Confidentiality

Please read and be aware of the penalties for breach of confidentiality.

Lexington Medical Center (“LMC”) is committed to maintaining the confidentiality of all LMC information [and this requirement is further described in our compliance program and privacy policies]. The purpose of this Memorandum is to affirm your understanding of LMC’s expectation that you will maintain the confidentiality of all LMC information, including patient and employee information (“LMC Information”), and the possible penalties for breach of confidentiality of such information. Please read the statements below and indicate your understanding by signing at the bottom of this form.

I agree to hold in strict confidence LMC Information obtained during the course of my employment, including but not limited to information related to patients and employees. I understand that confidential treatment of all communication and records pertaining to a patient’s care are described in LMC’s patient’s bill of rights.

I acknowledge that breach of confidentiality of LMC Information is grounds for immediate termination of my employment, internship or other relationship with LMC, and that I may be held liable for damages in the event that the interests of LMC, a patient, or an employee are harmed because of a breach of confidentiality on my part.

I also understand that under 42 U.S.C. Section 1320d-6 of the Health Insurance Portability and Accountability Act, improper use or disclosure of individually identifiable health information by an employee or other individual could result in penalties up to $50,000 and one year in prison per offense, up to $100,000 and five years in prison per offense if committed under false pretenses, and up to $250,000 and ten years in prison per offense if committed with intent to sell, transfer, or use the information for commercial advantage, personal gain, or malicious harm. A person (including an employee or other individual) is considered to have obtained or disclosed individually identifiable health information in violation 42 U.S.C. Section 1320d-6 if the information is maintained by LMC and the individual obtained or disclosed such information without written authorization or under other permissible circumstances.

In addition, I acknowledge that the findings of any patient medical record reviews are for the sole use of Lexington Medical Center pursuant to the quality assurance program within the hospital and subject to the confidentiality provision of Section 40-71-20 of the Code of Laws of South Carolina.

I hereby acknowledge that I have read and understood the breach and confidentiality provisions described above, and will abide by the terms of these provisions. If there is any provision that I do not understand, I acknowledge that it is my responsibility to obtain clarification prior to signing below. I further understand and agree to promptly report any suspected breaches of confidentiality to the LMC Privacy Officer (803-936-8235).

___________________________________________________________ ______________________________ Printed Name Employee ID Number

___________________________________________________________ ______________________________ Employee Signature Date

Employee Copy

Breach of Confidentiality

Post Offer Medical Questionnaire

The purpose of this evaluation is to screen you for communicable diseases and to determine whether you have any physical, mental, or emotional

condition that could affect your ability to perform the job you have been offered. Whenever such condition is identified, we will evaluate, with your

input and consideration, reasonable accommodations that may allow you to perform the essential functions of your job safely. This interview is not

a comprehensive medical examination to identify hidden disease or to offer medical treatment. Once you have begun your job, we encourage you

to establish a relationship with a medical provider in accordance with your specific needs.

Name: __________________________________________________________________________________________________________

Address:__________________________________________________________________________________________________________


MAIN TELEPHONE

ALTERNATE TELEPHONE

Cellular Home Other: ( _______ ) ________________ Cellular Home Other: ( _______ ) ________________

DATE OF BIRTH (MM/DD/YYYY) ___________________ AGE __________ SEX Male Female

Name:________________________________________________________________ Relationship:________________________________


City:__________________________________________ State:______ ZIP: ______________ Telephone: ( _______ ) ________________

Name:_______________________________________________________________________ Telephone:( _______ ) ________________

Title of job you have been offered:_____________________________________________________________________________________

Department Manager:______________________________________________________________________________________________

Anticipated Start Date:________________________ Human Resources Recruiter:______________________________________________

The purpose of this evaluation is to screen you for communicable diseases and to determine whether you have any physical, mental or emotional

condition that could affect your ability to perform the job you have been offered. Whenever such condition is identified, we will evaluate, with your

input and consideration, reasonable accommodations that may allow you to perform the essential functions of your job safely. This interview is not a

comprehensive medical examination to identify hidden disease or to offer medical treatment. Once you have begun your job, we encourage

you to establish a relationship with a medical provider in accordance with your specific needs.

Title II of the Genetic Information Nondiscrimination Act (GINA) prohibits employers from asking questions pertaining to genetic testing or

family medical history. Please do not disclose any health condition or potential health condition based on genetic testing or family history.

Applicant Consent

I understand my offer of employment is contingent upon the successful completion of the Lexington Medical Center’s pre-placement process. I understand

that drug testing is a part of the pre-placement process. If the results of my drug test are positive I understand the Human Resources Department will

be notified and my application for employment will be withdrawn. An exception will be made for the use of legally prescribed medication, taken under

and consistent with the direction of a physician, which I have listed on this form.

I certify that the following information is true to the best of my knowledge. I understand this information will become a part of my confidential medical

records in the office of Employee Health Services. I understand and agree that any false statement, omission or misrepresentation on the following

questionnaire will be cause for dismissal.

__________________________________________________________________________________ __________________________________

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Congratulations! You have made it through the first half of pre-employment paperwork. You are headed in the right direction!

The next step on your journey includes your Employee Health screening which will include a tuberculin skin test and a drug screen urinalysis. The next form should be completed and given to the Employee Health Team:

• Post-Offer Medical QuestionnaireThe information from the questionnaire will be used to start your employee health file within the hospital. All information is confidential. Please complete the entire questionnaire to the best of your ability. Don’t forget to sign and date both the first and last pages.

Post-Offer Medical Questionnaire


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103 .............. Administration Annex

107 .............. Marketing

109 .............. Sleep Solutions

112 .............. Data Center

115 .............. Community Relations

120 West ..... Lexington Heart

120 East ...... Lexington Medical Associates

123 .............. Rehabilitation and Sports Medicine

130 .............. Audit & Fiscal Services

134 North .... Epic Center

Main Campus

Lexington Medical OfficeBuilding

EmployeeParking

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North Entrance

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PARKING GARAGE 1Level A & B – VisitorLevel C, D & E – Employee

PARKING GARAGE 2Level 1, 2 & 3 – VisitorLevel 4, 5 & 6 – Employee

103 .............. Administration Annex

107 .............. Marketing

109 .............. Sleep Solutions

112 .............. Data Center

115 .............. Community Relations

120 West ..... Lexington Heart

120 East ...... Lexington Medical Associates

123 .............. Rehabilitation and Sports Medicine

130 .............. Audit & Fiscal Services

134 North .... Epic Center

Main Campus

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PARKING GARAGE 1Level A & B – VisitorLevel C, D & E – Employee

PARKING GARAGE 2Level 1, 2 & 3 – VisitorLevel 4, 5 & 6 – Employee

8371-078-C (10/15)

Employee parking is assigned by Public Safety. Please contact your department director for your designated parking assignment.

6-2015/200/LMC

the pathway to a brighter career a new hire journey · the scrs and your position does not require...

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