UW LEND Trainees must complete the registration requirements for the UW LEND Program.

In-Residence UW  LEND Trainee: complete Sections 1 and 2.  Finalize the registration

Community- Based UW LEND Trainee: complete Section 1 and 3. Finalize the registration

There may be some individual exceptions, if so the trainee will be informed by their mentor.

Section 1

• UW LEND Orientation
  Attend and participate in the UW LEND Orientation.
  
  
• Trainee Registration
  Complete the UCEDD Trainee Registration Form and submit online.
  
  
• Trainee Profile
  Complete the UW LEND Trainee Profile Worksheet and email or return a hardcopy to
  Nancy Saunders, rm CD 422.
  
  
• Trainee Photograph
  Make an appointment with Nancy Saunders (206.221.6525) to have your photograph taken. Your photo will be added to your UW LEND Trainee Profile.
  
  
• Release of Information
  Complete UW-CHDD Release of Information Form and email or return a hardcopy to
  Nancy Saunders, rm CD 422.
  
  
• Personal Contact
  Complete the Personal Contact Form and email or return a hardcopy to Nancy Saunders, rm CD 422. This information is confidential for emergency contact and for UW LEND tracking.
  
  
• UW NetID and Email
  Create a UW NetID and open an email account. You will need a UW NetID to connect to UW services, access your ePortfolio, and other electronic activities during your UW LEND training. If you are not eligible to create a UW NetID, please contact Nancy Saunders.
  
  
• UWMC ID Badge or Approved Nametag
  All trainees must wear either a UWMC ID badge or other approved nametag while engaged in CHDD clinic activities.
  1. Email Gretchen Glass your UW Student ID# , UW Employee ID#, or social security number. Gretchen will contact UWMC Security on your behalf to start the process for obtaining a UWMC ID badge.
  2. You may obtain your UWMC ID Badge within 24 hours of Gretchen’s email. The UWMC Security Office is located at UWMC room BB120 (Ph: 206.598.4907).
     **Bring piece of photo ID (driver’s license)**
     
     
• UWMC Professional Image Policy
  Read the UWMC Professional Image Policy

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Section 2 These requirements must be completed within the first 30 days of starting the UW LEND training program. These requirements assure that you have met University of Washington Medical Center and UW LEND compliance standards for participating in direct patient care and clinical service. Return documentation indicating completion of the following to to Nancy Saunders, rm CD 422.

• TB Test
  You must provide written proof of current TB test or complete a TB test each calendar year. You may obtain a TB test at UWMC Campus Health Clinic room NN256A. This is located across from Emergency on the 2nd floor. Drop in clinic hours: 7:30am – 12 noon and 1:00pm-4:00pm. (206.598.4848)
  
  
• Integrity at Work Brochure
  Obtain a copy from Nancy Saunders. Read the material, sign/date and tear off the final page.
  
  
• Data Security Form
  Read the material, print, complete/sign/date the Data Security Form.

• UWMC Annual Education Competencies
  Complete the UWMC Annual Competences. Follow these instructions:
  1. Click on the link to the annual competency readings and quizzes
       http://odt.uwmc.washington.edu/education/orientation/compliance.html
  2. Scroll down the page to Annual Education via Paper Version
  3. Read each of the competencies, complete and print the quiz.

• HIPAA
  Contact Nancy Saunders for a unique login/password. This takes approximately one to two weeks to obtain. Once you have the login/password, visit the website included in the instructions which are attached to the login/password document and complete both modules. Print the confirmation/certificate page. This must be done within 30 days of starting the UW LEND Training Program.
  

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Section 3

• UWMC Application and Agreement for Observational Activities
  UW Medicine Application and Agreement for Observational Activities
  You must include documentation of your immunizations, annual TB screening required. Return completed application to Sally Stuart (CD 426).

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Finalize the Registration

You have completed the registration requirements that apply to you. Now, complete the following final activities:

1. Print the Registration Checklist, check off completed sections, sign and date.
   
   
2. Gather all forms as requested in the registrations sections above.
   
   
3. Return all appropriate documents to:

   Nancy Saunders
   UW LEND Administrative Assistant
   Clinical Training Unit
   University of Washington
   CTU/CHDD, Box 357920
   Seattle, WA 98195-7920

   Phone: 206.221.6525
   Fax: 206.598.7815
   Office: Room CD 422

CONGRATULATIONS for completing the UW LEND Registration!