* Required Information

EMPLOYEE ACKNOWLEDGEMENT OF HANDBOOK

I acknowledge receipt of KINDHEARTED HEALTHCARE Employee Handbook. In consideration of my employment, I agree to read and abide by the rules and the policies of this handbook. Since the information, policies, and benefits described in this booklet may be subject to change, l understand and agree that any such change can be made unilaterally by the company in its sole and absolute discretion, and that material changes will be made known to employees through the usual methods of communication within a reasonable period of time.

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UNIVERSAL PRECAUTIONS

(OSHA BLOOIJBORNE PATHOGENS. SECT/Ol'-1'19/0.J0J0OFTITLE29, CODE OF FEDERAL REGULATIONS)

I, am aware and understand that due to my occupation, I am at risk for exposure to blood or other potentially infectious materials. Therefore, I have been given proper instruction on OSHA regulation and requirements. I also understand and I am aware of Universal Precautions and know that as a requirement of my job description I will practice Universal Precautions as described in my job description.

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IN-SERVICE REQUIREMENT

It is the policy of Kindhearted Healthcare at each licensed employee or independent contractor attends a minimum of four in-service hours per year. This is best accomplished by doing one (3) hour in-service every three (3) months, for a total of 12 hours per year.

Kindhearted Healthcare offers a variety of in-services throughout the year. You will be notified of scheduled in-services by memo in your paycheck. OSHA, Infection Control, and Tuberculosis are required annually. These courses must be home care focused. Should you attend an in-service elsewhere (i.e. hospital, nursing home, and/or other agencies), we will gladly accept a copy of your attendance record/certificate and will credit you with that in­service requirement.

By signing below, you acknowledge and understand that you must comply with the above requirement to remain in an "Active Status" with Kindhearted Healthcare.

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HEPATITIS B VACCINE DECLINATION

I understand that due to my occupational exposure to blood or other potentially infectious materials, I may be at risk of acquiring Hepatitis B Virus (HBV) infection. It is strongly suggested that I be vaccinated for HBV. I understand that I may decline the vaccination, and I also understand that not being vaccinated; I continue to at risk for acquiring and remain susceptible to HBV, a serious disease.

If in the future I continue to have occupational exposure to blood or other potentially infectious materials and want to be vaccinated with the HBV vaccine, I can receive the vaccination series at no charge to me.

Kindhearted Healthcare has explained to me that I continue to be at risk for HBV until such time that I am immunized.

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DRUG AND ALCOHOL POLICY

Informed Consent and Release of Liability


I authorize KINDHEARTED HEALTHCARE or Client Company company to obtain a specimen of my urine for chemical analysis. l understand that this analysis is to determine or exclude the presence of alcohol, drugs or other substances, in accordance with the Substance Abuse and drug Testing Policy of Company. I. understand that decisions regarding my continued employment may be made as a result of this analysis. I understand that test results will be divulged only to authorized personnel. I hereby consent to this test and release Company from any liability for decisions resulting from this test.

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Policy and Procedure Agreement

ALL STAFF:

I, have read, understand and agree to abide by the policies and procedures set forth by KINDHEARTED HEALTHCARE. I also understand that I may view or copy any or all of KINDHEARTED HEALTHCARE's policy and procedure manual for review or retention. I also agree to -adhere to all local, state, and federal procedures regulated as precedent for the home health care industry for compliance in providing care to Agency clients as designated.

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EMPLOYMENT OFFER

Congratulations. We are pleased to inform you that you have been offered part-time full-time employment with Kindhearted Healthcare as a: Registered Nurse LPN CMT responsible to provide services to Kindhearted Healthcare.

Duties and Responsibilities: During the period of this, employment, employee/contractor shall perform His/her duties and responsibilities diligently and consistent with Kindhearted Healthcare Agency policies and procedures and practices in accordance with accepted professional practices. While providing services at clients work site-, employee/contractor shall work under the supervision of Agency Director of Nursing and or Client and shall be required to abide by all the client's needs.

Compensation: Employee/contractor shall be compensated at regular hourly rate of $- __ _ compensation shall be paid in by weekly remuneration and shall be in accordance with the company normal payroll cycle (biweekly).

Confidentiality: Except as authorized, employee/contractor shall not directly or indirectly publish or disclose any confidential information of the company neither shall employee abuse a client's information due to their privileged position.

General Conditions: This agreement may be terminated by either party upon written or verbal notice to other party. Upon termination, the employee/contractor shall prepare and submit final invoice for final services rendered.

In witness thereof, the parties hereto execute this agreement.

I consent to the collection, use, storage, and processing of my personal and, where applicable, health-related information, including any data I submit on behalf of others, for the purpose of evaluating or fulfilling my request made through this form. I understand this will be handled in accordance with the Privacy Notice.