Acceptance Packet Additional Information...
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21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483 Orientation The Wellness Workdays Dietetic Internship mandatory orientation is scheduled for Monday, January 9, 2017 – Friday, January 13, 2017 at The Double Tree Rockland, MA. Hotel Information: 929 Hingham Street, Rockland, Massachusetts, 02370, USA TEL: +1-781-871-0545 A block of rooms will be reserved for you – more information to follow. To make your reservations, call 1-888-492-8847 and ask for the Wellness Workdays Block. Feel free to share rooms with other DI to decrease costs. Orientation Schedule: Monday-Thursday: *8:00am – 5:00pm Friday: 8:00am – 2:00pm* The hotel provides breakfast and Wellness Workdays will provide lunch for the duration of orientation. Dress is business casual. *To complete orientation successfully, you may not be late or leave early on any day during the orientation.
Transcript of Acceptance Packet Additional Information...
21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483
Orientation TheWellnessWorkdaysDieteticInternshipmandatoryorientationisscheduledforMonday,January9,2017–Friday,January13,2017atTheDoubleTreeRockland,MA.HotelInformation:929HinghamStreet,Rockland,Massachusetts,02370,USATEL:+1-781-871-0545Ablockofroomswillbereservedforyou–moreinformationtofollow.Tomakeyourreservations,call1-888-492-8847andaskfortheWellnessWorkdaysBlock.FeelfreetoshareroomswithotherDItodecreasecosts.OrientationSchedule:Monday-Thursday:*8:00am–5:00pmFriday:8:00am–2:00pm*ThehotelprovidesbreakfastandWellnessWorkdayswillprovidelunchforthedurationoforientation.Dressisbusinesscasual.*Tocompleteorientationsuccessfully,youmaynotbelateorleaveearlyonanydayduringtheorientation.
21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483
ProfessionalLiabilityInsurance–Student ProliabilityProfessionalLiabilityInsurance(MercerCorporation)istherecommendedliabilityinsuranceoftheAcademyofNutritionandDietetics.Pleasefollowtheinstructionsbelowtoobtainstudentliabilityinsurance.TheWellnessWorkdaysDieteticInternshiprequiresyoutocarryliabilityinsuranceintheamountofonemilliondollarsforthedurationoftheinternship.Onceyouhavecompletedtheapplicationprocessandpaidthefee,pleaseprintandsubmitthememorandumofinsurance(MOI)alongwithallotherrequireddocumentsonorbeforeDecember9,2016.Youmustuseadesktoporlaptopcomputertocompletethisprocess.Youcannotapplyusingasmartphone,iPadortablet.
1. www.http://www.proliability.com/2. Healthcareprofessionalsdropdownmenu3. Choose“student”4. Professionalorganizations:clickonAcademy5. Answertherequiredquestionsaboutyourcoverageneeds6. Reviewtheno-obligationquickquote7. Submitapplicationforunderwritingapproval8. YouwillreceiveaprompttoprintyourMOI9. PrintacopyoftheMOIandsubmitittoWellnessWorkdaysnolaterthanWednesday,
December9,2016.Keepacopyforyourrecords.Youwillreceivethestudentrateforthestateinwhichyoureside.Pricesmayvary.
21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483
RequiredProofofDrugTest WellnessWorkdaysmusthaveproofofafiveorseven-paneldrugscreenPRIORtoattendingorientationandbeginningyourdieteticinternship.Pleasefollowthedirectionsbelowtoobtainthisdrugtest.Laboratorylocationsandpricesmayvarydependingonyourgeographiclocation.
1. Contactyourprimarycarephysician,anoccupationalhealthfacility,urgentcareorsimilarmedicalfacilitytorequestanemployeedrugscreen
2. Requestaself-paychainofcustodydrugscreen(Doctor’svisitisnotrequired)3. SubmitresultsandproofofscreeningtoWellnessWorkdaysonorbeforeDecember9,
2016
*Pleasekeepinmindthatpricesandinsurancecoverageforthisscreenmayvaryonanindividualbasis.Thisdocumentationisrequiredtocompleteadieteticinternship.
21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483
WellnessWorkdaysDieteticInternshipImmunizationFactSheet
InordertocomplywiththeCentersforDiseaseControlandPrevention(CDC)guidelines,internsarerequiredtohaveup-to-dateimmunizationsincluding:
• TwodosesofMeasles,MumpsandRubella(MMR)vaccinesorpositiveMMRtiter.• BoosterdoesofTetanus,DiptheriaandPertussis(Tdap)withinthelast10years.• Varicella(chickenpox)titerindicatingimmunityortheVaricellavaccine.• HepatitisBvaccinationthree(3)injectionseriesordocumentationofatiterdemonstrating
immunity.• NegativePulmonaryTuberculosis(TB)orchestX-Rayifpositivewithinpastyear.• InfluenzaVaccine• CopyofHealthInsuranceCard
INTERNSAREFULLYSUBJECTTOTHEPOLICIESANDPROCEDURESATEACHPARTICULARSITE.Theinternwillbeprovidedwithanimmunizationformtobefilledoutbyhis/herphysician.TheinternwillberequiredtosubmitcopiesofimmunizationrecordsandproofofTBtestingtotheWellnessWorkdaysDieteticInternshipProgramDirectoraswellastheirchosenfacility.Internsshouldcoordinate,ASAP,withthepreceptortoseewhatadditionalimmunizationsthefacilityrequires.Anycostsincurredasaresultofneedinganyimmunizationsortestingaretheresponsibilityofthedieteticintern.PleasefillouttheattachedvaccineadministrationrecordasnecessaryandsubmitallotherproofofvaccinationstoWellnessWorkdaysnolaterthanWednesday,December9,2016.Copiesofvaccinationrecordspreviouslyusedforcollegeoremploymentareacceptable.
21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483
WellnessWorkdaysRequiredImmunizationSubmissionForm PleaseprovidearecordofyourimmunizationsandcompleteandreturntheimmunizationchartonorbeforeDecember9,2016.WellnessWorkdaysandtheAcademyofNutritionandDietetics(AND)requiresacompleteimmunizationrecordforallinternspriortoattendingorientationorbeginninganysupervisedpracticerotations.Acceptablerecordsofyourimmunizations:
• Personalshotrecordsthatareverifiedbyadoctor’sstamporcontainahealthprovider’ssignature
• Personalshotrecordswithaclinicorhealthdepartmentstamp• MilitaryrecordsorWorldHealthOrganization(WHO)documents• Previouscollegeoruniversityrecordsthatareverified.(Notethatyoumustrequesta
copyoftheserecordsfromyourcollegeoruniversity.Pleaseleaveampletimetocompletethisrequest.)
• PositivelaboratorytestasconfirmationofimmunityBecertainthatyourfullname,asprovidedtoWellnessWorkdays,appearsoneachsheetandthatallformsaresubmittedtogether.Completetheseformsinblackink.Thedatesofvaccinationadministrationmustincludethemonth,dateandyear.AllrecordsmustbeinEnglish.Pleasekeepacopyforyourownrecords.
21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483
Pleasefilloutthechartbelow,ensuringthatalldocumentsareincludedasattachmentsandsubmittedtoWellnessWorkdays,onorbefore,December9,2016.
Vaccination Checkifincluded InternInitials
MMR(Measles,Mumps,Rubella)Twodosesrequiredforallinternsbornafter1956.ApositiveMMRtiterresultmaybesubmittedinlieuofvaccinationhistory(attachcopytiterresult)
Dose1givenat12monthsofageorlater
Dose2givenatleastonemonthafterfirstdose
Tdap(Tetanus,diphtheriaandacellularpertussis)Singledoserequiredforallinternsundertheageof65.
TuberculosisScreening
HepatitisB:Seriesof3vaccines,orpositivetitier(attachcopyoftiterresults).MaybecombinedwithHepatitisA
Varicella:Seriesoftwodoses,givenatleastonemonthapart;Documentedclinicalhistoryofchickenpox;orapositivevaricellatiter(attachcopyoftiterresults)
InfluenzaVaccine(Weunderstandthatthefluvaccineisseasonalandmaynotbeavailableatthistime.Youwillberequiredtosubmitproofofvaccinationatalaterdateifnecessary.)
(Intern’sPrintedname)
21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483
RequiredProjects:
Rotation RequiredProjectsClinical Casestudypresentationandevaluation
JournalarticlereviewwithpresentationandevaluationPESstatementworksheetTPNworksheet
Long-TermCare NorequiredprojectsCommunity Prenatalworksheetsandprojectwith
evaluationGroupnutritioneducationprojectwithevaluation
FoodService FoodserviceauditIn-servicepresentationwithevaluationCafeteriaMealProjectwithevaluation
WorksiteWellness WellnessProjectwithevaluationElective Norequiredprojects
21 Fottler Road, Hingham, MA 02043 www.wellnessworkdays.com 781-741-5483
Required Background Check
TheWellnessWorkdaysDieteticInternshiprequiresyoutocompleteabackgroundcheckpriortoattendingorientation.CastleBranch(www.castlebranch.com)istherequiredcompanyforobtainingyourbackgroundcheckandiscompliantwithallrulesandregulationsgoverningbackgroundscreeningprocessesandstudentrecordmanagement.Castlebranch.comprovidesthehealthcare-specificbackgroundscreeningsearchesrequiredbyTheJointCommissionandthisdieteticinternship.
Pleasefollowtheinstructionsbelow.Aone-timefeecoversthefollowingrequiredsearches:
• UnlimitedCountyCriminal–IncludesAlias/Maidens
• NationwideFederalCriminal
• NationwideHealthcareFraud&AbuseScan-FACISLevel3
• NationwideDatabase–IncludesSexOffender
• ResidencyHistory
• SocialSecurityAlertInstructions:
1. Gotowww.castlebranch.comandenterpackagecodeWD43
2. YouwillbedirectedtosetupyourCertifiedProfileaccount
3. InadditiontoyourfullnameandDOB,youwillbeaskedforyourSocialSecurityNumber,currentaddress,phonenumberandemailaddress
4. AttheendoftheonlineorderprocessyouwillbepromptedtoenteryourVisaorMastercard.Moneyordersarealsoacceptedbutwillresultina$10feeandadditionalturn-around-time.
Pleasedirectanyquestionsabouttherequiredbackgroundcheckto:
DebraWein,MS,RD,LDN,CWPDPresident,WellnessWorkdaysProgramDirector,WellnessWorkdaysDieteticInternship21FottlerRoadHingham,MA02043781-741-5483
