Policy Manual sample

MDT Home Health Care Agency, Inc. IMPLEMENTATION Our Agency will provide the influenza vaccination annually at no cost to all employees, or indicate where the vaccination campaign occur at not cost to employee. The Live Attenuated Influenza Vaccine (LAIV) or the Trivalent Inactivated Influenza (TIV) will be administered to employees based on vaccine availability and published CDC guidelines. RESPONSIBILITIES Employees shall be responsible for: 1) Familiarizing themselves with this Administrative Policy and Procedure and signing and returning the Acknowledgement of Receipt form to the Office of Human Resources. 2) Annually, completing and signing the Influenza Vaccination Employee Statement, whether consenting to or declining vaccination by the established deadline. 3) Taking one of the above actions by December 1or, if hired during the annual influenza vaccination campaign, within 1 month of employment. 4) Annually, submitting the signed form to (office designated to receiving consents statements) (if consenting) or to (Office designated to receive declined statements) (if declining) by the established deadline. Supervisors shall be responsible for: 1) Allowing employees time to attend a vaccination clinic or vaccination place outside the Agency. 2) Assuring that employees comply with this Administrative Policy and Procedure. Office of Human Resources shall be responsible for: 1) Providing copies of this Administrative Policy and Procedure to employees and maintaining copies of the Acknowledgement of Receipt form in employees’ personnel files. 2) Providing each employee annually with a reminder of this policy and a copy of the Influenza Vaccination Employee Statement for that year’s influenza vaccine campaign. 3) Providing new employees with information about the annual influenza vaccine policy during orientation and where to obtain the vaccine if employment begins during the influenza campaign. 4) Notifying supervisors regarding those employees who are not in compliance with this policy. 5) Taking any appropriate personnel action. (Office designated to coordinate flu vaccination clinics) shall be responsible for: 1) Offering employees influenza vaccination at various locations and times (community base). 2) Providing influenza vaccine (LAIV, TIV) (type of locations) for employees. 3) Receiving a signed Influenza Vaccination Employee Statement from all employees. 4) Maintaining records of employees who have received or declined influenza vaccination. 5) Providing information to the Office of Human Resources regarding those employees who are not in compliance with this policy. 6) Reviewing annual employee influenza vaccination rates. 7) Developing and recommending strategies including revisions to this policy to enhance and improve influenza vaccination rates in the Department. Home Health Agency. - - Personnel/Operations Policies B-160

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