VUMC Annual Requirements for Staff | Office of Clinical and Research Safety

Updated October, 2023

You may need other training that is not listed here, and you must complete requirements before your annual performance review. All safety training must be completed before beginning work where exposure to hazards and/or injury to staff or patients could occur. Ask your supervisor if you are not sure which requirements you need to complete. Online training is provided through the VUMC Learning Exchange, unless otherwise indicated.

If you need help with the Learning Exchange, send a message to learningexchange@vumc.org. If you have questions about safety training, send a message to safety@vumc.org.

Required For	Topic	When Required	How Provided
All Staff	Conflict of Interest VUMC	Initial and annual	Conflicts Disclosure System
All Staff	Refer to the Compliance Portal for initial and annual training assignments required for all VUMC staff.	Initial and annual training	Initial training is included in the assignments made to VUMC new staff in online orientation training assignments. Both initial and annual training are provided online in the Learning Exchange.
Staff with Patient or Blood & Body Fluid Contact and staff who work in clinical and clinical support areas	Bloodborne Pathogens and Infection Prevention	Initial and annual training	Initial Training for these topics is included in the assignments made to VUMC new staff in online orientation training assignments. Staff must complete this training prior to beginning work in clinical areas. Initial and annual training provided online in the Learning Exchange.
Staff who handle hazardous waste (blood, body fluids, drugs, etc.)	VUMC Clinical Waste Management or VUMC Clinical Waste Management Off-Campus (for staff who do not work on the main VUMC campus)	Initial training only	Online. To enroll, login to the VUMC Learning Exchange and search for the course title you need.
Staff who Provide Direct Patient Care	Health Care Worker Fatigue and Patient Safety	Initial training only	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who are exposed endemic airborne diseases or work with hazardous drugs	Annual N-95 Respirator Fit-Testing & Training or Annual PAPR Training	Initial and annual fit-test	Dates and times that fit-testing is available are listed on the OCRS N-95 Respirator Fit-testing program page. PAPR training information is available here.
Staff who provide Point of Care Testing	Point of Care Proficiency Testing	Initial and annual training	Provided by the Point of Care Testing department
Staff who provide Clinical Emergency Response	RRT, Mock Code, Advanced Airway, Defibrillation	every two years	Vanderbilt Resuscitation Program
Staff who work in in-patient units, ambulatory surgical centers and/or clinics where there are medical gas zone valve or alarm panels	Medical Gas Safety & Emergency Response for System Failures	Initial training only	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who care for patients who receive Magnetic Resonance Imaging (MRI) scans, transport patients to an MRI scanner, order MRI scans, or who work near MRI machines	Magnetic Resonance Imaging (MRI) Safety Both training and the online MRI Screening Questionnaire must be completed annually.	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who perform high level disinfection with Cidex OPA	High Level Disinfection (Cidex OPA)	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who perform high level disinfection with Revital-Ox RESERT	High Level Disinfection (Revital-Ox RESERT)	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who perform or assist with clinical procedures that use lasers	Laser Safety in Clinical Settings	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who work with cryogenic liquids used for cold storage	Cryogen Safety	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who use, purchase, inventory or provide maintenance on powered Medical Equipment	Medical Equipment Management & Safety	Initial training only	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who use and/or help maintain the Pneumatic Tube System on the main VUMC campus	Pneumatic Tube System Safety	Initial training only	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who move, lift, transfer, reposition or transport patients	Safe Patient Handling Program	Initial training only	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who are present in the room while an x-ray machine is on, and Staff who operate x-ray machines	Clinical X-Ray Safety	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who operate fluoroscopic x-ray machines	Radiation Safety During Fluoroscopy	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title. Notice: Clinical X-Ray Safety (for operators) is a prerequisite for this course.
Staff who provide care to patients undergoing treatment with radioactive material	Caring for Radioactive Therapy Patients	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Nuclear Medicine Technologists, Radiopharmacists and/or Lab personnel who work with radioactive material.	Annual Radioactive Material Safety Training	Initial and annual training	Initial training requirements are described here . Annual training is provided online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who operate the LINAC accelerators in Radiation Oncology	Radiation Oncology Annual Accelerator Operator Safety Review for Therapists	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff at Vanderbilt affiliated off-site clinics who will need to prepare hazardous waste for shipment or sign a waste manifest.	Preparing Waste for Shippers of Regulated Medical & Pharmaceutical Waste	initial and subsequently once every three years	Online. To enroll, login to the VUMC Learning Exchange and search for the course title.
Staff who work in clinical, research or teaching laboratories	Laboratory Safety Curricula included courses: Chemical & Physical Safety in the Lab Chemical Waste Training for Labs Working Safely with Human Materials in the Lab Laboratory Ergonomics Notice: The Laboratory Safety Curricula is the minimum annual training requirement for VUMC lab personnel. Refer to Lab Safety Training requirements to determine if you need to complete additional training for other hazards present in your lab, such as radioactive material, biological hazards or lasers.	Initial and annual training	Online. To enroll, login to the VUMC Learning Exchange and search for the course titles.