Thank you for your interest in supporting Northern Light Health’s vaccination effort through volunteering! Please fill out this application to the best of your ability and we will be in touch as opportunities are available.

Where would you like to volunteer?

Location:







Please note: Cumberland County: Vaccination clinic at the Portland Expo run by Mercy Hospital, state of Maine, and the city of Portland.

Personal Info

Emergency Contact

Are you an NLH employee?

Employee Info

Non Employee

Background Check

Consumer Report / Investigative Consumer Report Disclosure and Release of Information Authorization

I understand that, in connection with my application for employment or at any time during my employment with Northern Light Health and its member organizations, Northern Light Health may conduct a background investigation on me for employment purposes.

I understand Northern Light Health may utilize PT Research, Inc., a consumer-reporting agency, to prepare a consumer report or investigative consumer report, as defined under the Fair Credit Reporting Act (15 U.S.C. § 1681, et seq.), in connection with the background investigation. A “consumer report” means any written, oral, or other communication of any information by a consumer reporting agency bearing on my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living, which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in establishing my eligibility for employment purposes. An “investigative consumer report” means a consumer report or portion thereof in which information on my character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with my neighbors, friends, or associates or with others with whom I am acquainted or who may have knowledge concerning any such items of information. Information for a consumer or report and/or investigative consumer report may be retrieved from several sources, including but not limited to public records, educational institutions, financial institutions, law enforcement and other government agencies, credit bureaus, and personal interviews with my current and former employers, friends, neighbors and associates. The information received may include, but is not limited to, academic, residential, achievement, job performance, attendance, litigation, personal history, credit reports, driving history, and criminal history records consistent with federal and state law. I understand that this information may be transmitted electronically and I authorize such transmission.

I further acknowledge that I have received a copy of the “Summary of Your Rights Under the Fair Credit Reporting Act” which is attached to this Authorization. In the event an investigative consumer report is prepared, I understand that I may submit a written request for additional disclosures regarding the nature and scope of the investigation requested as well as a summary of my rights under the FCRA.

If information from a consumer report or an investigative consumer report is used in whole or in part in making an adverse decision concerning my employment or application for employment, before making the adverse decision Northern Light Health will provide me with a copy of the consumer report or investigative consumer report and a description in writing of my rights under the Fair Credit Reporting Act.

I understand that if I disagree with the accuracy of any information contained in the report, I must notify Northern Light Health within 10 days of my receipt of the report.

AUTHORIZATION

I hereby authorize Northern Light Health to obtain a consumer report and/or an investigative report about me. If I am hired by Northern Light Health, this authorization shall remain on file and shall serve as an ongoing authorization for Northern Light Health to procure consumer reports and/or investigative consumer reports at any time during my employment. I agree that a photocopy of this authorization may be accepted with the same authority as the original.

I hereby authorize, without reservation, PT Research and any party or agency contacted by PT Research, to furnish the above information. I further release and forever discharge Eastern Maine Healthcare Systems, its member organizations, PT Research, and any person/entity from which they obtained information from any liability resulting from providing such information.

I understand that this information will be transmitted electronically and authorize such transmission. I am willing that a photocopy of this authorization be accepted with the same authority as the original, and that if employed by Northern Light Health this authorization will remain in effect throughout my employment.

*CALIFORNIA APPLICANTS: Under California law, the reports ordered about you for employment purposes within the State ofCalifornia are defined as “Investigative Consumer Reports.” These reports may contain information on your character, general reputation, personal characteristics, and/or mode of living. Under California Civil Code §1786.22, you may view the report(s) maintained at the CRA during normal business hours. You may also obtain a copy by submitting proper identification and paying the cost of duplication by appearing at the CRA in person, by mail, or by telephone. The CRA is required to have personnel available to explain the report(s) and to explain any coded information. If you appear in person, you may be accompanied by a person of your choice, if s/he furnishes proper identification

NEWYORK and MAINE APPLICANTS: You have the right, upon written request, to be notified whether a consumer report was requested about you by the above-named company.

NEW YORK APPLICANTS: Should a consumer report received by an employer contain criminal conviction information, the employer must provide to the applicant or employee who is the subject of the report, a printed or electronic copy of Article 23-A of the New York Correction Law, which governs the employment of persons previously convicted of one or more criminal offenses.

Please initial here to acknowledge receipt of Article 23-A of the New York Correction Law

Employee Referral

Volunteer Information

Are you willing to be added to an emergency volunteer call list if there is rapid need:

Volunteer Orientation

COMMUNITY VACCINE CLINIC VOLUNTEER ORIENTATION

Confidentiality

The privacy of our patients is of utmost concern.  It is the responsibility of everyone to protect the privacy of patients and their families.  Maine law has strict requirements to maintain patient privacy and the confidentiality of health information.  The federal law HIPAA (Health Insurance Portability and Accountability Act) will preempt Maine law only when HIPAA creates a stricter standard.
 
PHI stands for protected health information.  It is any identifiable health information held by Northern Light Eastern Maine Medical Center including oral, written, or electronic communication.  Volunteers sometimes have access to PHI but only the minimum amount necessary to perform duties.
 
HIPAA requires that the Medical Center establish “reasonable safeguards” to protect privacy such as:
  • Never discuss or a patient’s name or illness outside of your volunteer duties; never discuss a patient or patient information in any area of the hospital, except to the staff involved with the patient’s care and never where the conversation could be overheard.
  • Never look at a patient’s records or ask questions about a patient’s treatment unless it is part of your volunteer responsibility.
  • Never leave identifiable information (including lists of names) unattended; never leave computer monitors with patient information exposed on them.
  • Always respect a fellow volunteer’s right to privacy and confidentiality should s/he become a patient at the Medical Center.
 
If you inadvertently cause a breach of confidentiality, report it to your Volunteer Leader.  Self-reporting is the best idea.  It will not be a violation if reasonable safeguards were in place and the disclosure resulted from a legitimate use of that information (i.e. need to know for your duties).  Hefty monetary fines and criminal penalties can be imposed on an individual and an organization for “wrongful disclosure”.
 

Patient Safety


All hospital employees and volunteers are responsible for patient safety.  The health, safety and wellbeing of patients are the primary concern of all workers.  Never attempt to exceed your responsibilities, abilities, and training.  Understand your assignment.  Knowing what not to do is as important as knowing what to do.
 
Volunteers are not permitted to provide physical assistance to a patient getting in or out of a wheelchair or a bed. Never change a patient’s bed position, move a patient, lower bed rails, or give a patient anything to eat or drink, including water, without the nurse’s permission.
 
Cell phones must be turned off completely while volunteering.  If you need to place a call or check messages, appropriate areas include the cafeteria, lobby, and volunteer office.
 
Northern Light Eastern Maine Medical Center is a fragrance free zone. Please abide by our customer service and safety standards by avoiding use of fragranced substances, including any type of cigarettes, during your hours at the Medical Center (volunteering, meetings, WorkHealth appointments, etc.).
 

Accidental Injury/Exposure

If you have an accident involving exposure to a patient’s blood or body fluid, receive a puncture wound or other injury which breaks the skin, notify your supervisor and WorkHealth (staff will help you with this process).  After office hours, report to the Nursing Supervisor’s office by dialing “0” on any in-house phone.  A confidential Incident Report must be filled out.  If you are seen in Emergency, you may follow up with WorkHealth on the next business day.
 
Report any accident/injury (other than an Infection Control exposure) occurring to you while you are on duty to the supervisor in your assigned area and to Volunteer Services.  You may be seen in the Emergency Department.  You and your supervisor will need to fill out a confidential Incident Report within 24-48 hours.
 

Infection Control


Personal Hygiene
General infection control guidelines are to protect volunteers from acquiring or transmitting infections or communicable disease.  Volunteers must practice good personal hygiene, i.e. clean uniforms and shoes, neat hairstyles, no ornate jewelry, no chipped nail polish and be free of infection or communicable diseases.
 
Hand Hygiene
Infections can and do occur among patients and staff.  The single most effective method of preventing infection is to wash your hands (if your hands are visibly soiled, use soap and water, otherwise you may use hand sanitizer).  All volunteers are required to comply with the Medical Center’s hand hygiene competency policy.

When to wash hands:
  • Upon arriving to volunteer
  • Before and after touching patient/patient’s belongings
  • After using toilet, coughing or sneezing
  • Before entering and exiting a patient’s room
  • Before you leave the hospital

Never use a patient’s bathroom to wash your hands. Waterless alcohol sanitizer is available in all patient rooms mounted on the wall.  Remember to cough or sneeze into your clothes and not your hand.
 
Standard Precautions are used in the care of all patients, regardless of diagnosis. To maintain Standard Precautions never put your bare hands on anything that was or is wet, especially in a patient care area. You will be instructed when it may be necessary to wear gloves.
 
Influenza Virus Transmission Prevention includes Northern Light Eastern Maine Medical Center’s recommendation to all healthcare providers, including volunteers, to receive seasonal vaccination annually.  Those who have been vaccinated will receive stickers to place on their badges, indicating they have received the vaccine.  Healthcare providers who choose not to receive the vaccine are required to wear a mask while volunteering during flu season except when eating or drinking. 
 
COVID-19 Pandemic Transmission Prevention has led to many new protocols being instituted for all staff, volunteers, and visitors, including daily screening before entering our facilities, mandatory masking at all times unless eating or drinking, protective eyewear usage in patient care roles, social distancing of six feet in all areas, and so on. If a volunteer is exposed to COVID-19 or traveling outside of the state of Maine, a negative COVID-19 test and/or 14-day quarantine will be required before returning to service.
 

Security

 
All employees and volunteers must wear their official Northern Light Eastern Maine Medical Center ID visibly, above the waist, at all times.  In the event you forget your badge, go to Security located in the main lobby for a temporary one day badge.  During flu season, the temporary badge will not have the appropriate stickers so employees and volunteers will need to mask while using a temporary badge.
 
 

Chemical hazard communication/right to know

You have the right to know:
  • What hazardous chemicals are in your workplace (check with your volunteer leader)
  • Every chemical must have a label on it
  • What to do in an emergency
    • Notify anyone in immediate area that a spill has occurred
    • Dial 4444 and say you have a chemical spill
Exposure to chemicals can occur by ingestion (eating), inhalation (breathing), absorption (soaking) or injection (needle stick).
 
 

Emergencies

 
Dial 4444 to report ALL emergencies
When a code is called you will hear it on the overhead paging system repeated three times
along with the location. Likewise when the code is cleared it will be repeated three times.
 
CODE RED (FIRE) – In case of fire, smoke or a very strong burning odor in your area, remain calm – do NOT shout “Fire!”  The phrase for fire is “CODE RED”.   Resume regular activities when “ALL CLEAR” (repeated three times along with location) comes over the overhead paging system.  If you are the first to a fire, get staff assistance and follow their direction.  
 
Volunteer responsibility is to get help!
During a Code Red, refer to staff for direction.  Staff will always “R.A.C.E.”
R  -  Rescue anyone in immediate danger.
A  -  Activate nearest alarm, call emergency number 4444 giving exact location, type of fire.
C  -  Confine the fire.
E  -  Extinguish fire.  (Volunteers are not expected to use an extinguisher.)
 
Know where alarm pull stations and fire exits are in your volunteer area.  A fire exit is a path to escape from a building during a fire.  The path is marked by EXIT signs.  Elevators are never considered fire exits and should be used only under the direction of the fire department.  Staff may ask you to assist by helping clear hallways and other such tasks. Remember to wait for staff direction.
 
CODE BLUE - to initiate emergency care for anyone who has a cardiac or respiratory arrest or when a person collapses, loses consciousness and/or stops breathing.  Dial emergency number 4444.  Say “Code Blue” as soon as operator answers.  Identify adult or child.  Give exact location, the department, or area.
 
CODE STROKE – same as Code Blue, but a stroke is suspected.  Alerts pharmacy to arrive with stroke medication.
 
CODE GRAY – a combative person or patient.
 
CODE PINK - a child is lost or separated from parent or guardian or a possible abduction.  Be on the alert for any individual exhibiting suspicious behavior.  Report suspicious behavior immediately to Security at 4444.
 
CODE TRAUMA - a trauma is coming into the emergency department; the announcement will specify whether it is adult or pediatric and what tier. Trauma personnel will be moving rapidly through the hospital to respond. Be aware and make room for those responding.

Sexual harassment and abuse

Northern Light Eastern Maine Medical Center takes very seriously the issues of sexual harassment and abuse.  Sexual harassment is defined as:  unwelcome sexual advances; requests for sexual favors; suggestive or lewd remarks; unwanted hugs, touches or kisses; and other verbal or physical conduct of a sexual nature creating an intimidating, hostile or offensive environment.  Sexual harassment can be verbal, non-verbal, or physical.  If you feel you are being harassed, first ask the offender to stop.  If this does not work, report sexual harassment immediately to your supervisor and/or Director of Volunteer Services.  You may also contact the Maine Human Rights Commission at 207 624-6050. 
 
The Medical Center has designated personnel to handle any cases of suspected abuse.  Suspected abuse, neglect or exploitation of any incapacitated or dependent adult or abuse or neglect of a child (patient or visitor) must be reported immediately – notify your volunteer leader or other supervisor.
 

Cultural & religious diversity

 
Some people spend their days without encountering people from different backgrounds.  In an environment such as ours here at Northern Light Eastern Maine Medical Center, it is important to bear in mind that our population is culturally diverse, made up of people from different national, social and religious backgrounds.  We need to ALWAYS be respectful of one another’s culture, recognizing that the culture that we are most familiar with may be foreign to others.  We are here to put the Patient First and that includes respecting the differences we may find in our patients, visitors, and staff.
 
 

Age specific competency

 
As a volunteer in a healthcare facility, you may interact with patients, families, and visitors of all ages.  Be sure to communicate appropriately with your audience.   Children have a limited ability to communicate and understand what is happening to them.  It is necessary to recognize those limitations in interacting with children.  They often exhibit a fear of strangers.  Babies and toddlers begin to explore their surroundings by crawling, walking, climbing, touching, tasting, and smelling; therefore it is important to provide a safe, clean environment free of hazards.  As children grow, their communication skills increase.  They become increasingly modest and are more conscious of privacy issues.  It is important to respect their need for privacy when entering their rooms or communicating with them.  As people become elderly, there are changes that occur in the body which affect the ability to see, hear, and move about.  The ability to respond lessens.  Memory may be impaired.  Confusion may occur.  Some elderly people wear hearing aids and/or glasses to enhance communication. 

Personal boundaries


As hospital staff, employees and volunteers, we are here to support and care for patients and families, always maintaining personal and professional boundaries.  Close personal, romantic or sexual relationships with current patients are NEVER acceptable, and may even be illegal in some circumstances.
 

Other important information

 
  • Parking:
    • All volunteers must register each vehicle they drive to and from the medical center and have a Northern Light Eastern Maine Medical Center issued parking permit. Please be sure to notify Volunteer Services of any vehicles that need to be added or removed. 
    • Please do not park in spots marked physician or patient parking.
  • Please notify the Volunteer Associate of the hours you volunteer so it can be recorded.
  • Northern Light Eastern Maine Medical Center dress code does not include blue jeans, sweats, shorts, or very short skirts.  Your volunteer position may require you to wear closed toe shoes with socks or hose.
  • The Medical Center is a tobacco free campus.  The use of all tobacco products (cigarettes, cigars, pipes, smoke-less tobacco such as snuff and chew, electronic cigarettes and marijuana, including for medical use) is prohibited on hospital-owned property.  This includes the parking garage and ALL grounds.
  • If you see a lost or disoriented person, offer assistance.  If you do not know the answer, find someone who does.  You can call the Information Desk at 51015.  If you forget the number, just dial 0 and ask for Information.
  • You must call your Volunteer Leader/department directly when you are going to be absent.
 

Hand hygiene information


The best way to help prevent the spread of infection is simple:


WASH YOUR HANDS!.  


All staff, including volunteers, must complete hand hygiene competency prior to start of service.

PROCEDURE FOR USE OF WATERLESS HAND-FOAM OR GEL:

  1. Push sleeves of uniform or shirt up above the wrist to mid forearm level,
  2. Dispense a dime to quarter size portion of foam/gel into palm of hands.
  3. Vigorously rub into all surfaces of hands and wrists until hands are dry.  Do not dry with towels.
  4. Duration of entire procedure:  20 to 30 seconds.
  5. Do not pull sleeves down until hands are completely dry.
 

PROCEDURE FOR SOAP AND WATER WASH:

  1. Push sleeves of uniform or shirt up above the wrist to mid forearm level.
  2. Wristwatch may be pushed up above the wrist (mid forearm).  It is preferable to limit jewelry to a wedding band only.
  3. Assess hands for hangnails, cuts or breaks in skin, and areas that are heavily soiled.
  4. Turn water on.  Adjust the flow and temperature.  Temperature of the water should be warm.
  5. Wet hands and lower forearms thoroughly by holding under running water.  Keep hands and forearms in the down position with elbows straight.  Avoid splashing water and touching the sides of the sink or faucet.
  6. Apply about 5 ml (1 teaspoon) of liquid soap.  Lather thoroughly.
  7. Thoroughly rub hands together interlacing fingers and thumbs and move back and forth to wash between digits.  Rub palms and back of hands with circular motion.  Special attention should be provided to areas such as the knuckles, under rings and fingernails, which are known to harbor organisms.
  8. Rinse in the direction of forearm to wrist to fingers; with hands in the down position and elbows straight.
  9. Blot hand and forearms to dry thoroughly.  Dry in the direction of fingers to wrist and forearms.  Discard the paper towels in the proper receptacle.
  10. Turn off the water faucet with a clean, dry paper towel.
  11. Duration of entire procedure:  40 to 60 seconds.
 

VOLUNTEER ORIENTATION CONFIRMATION

  1. I understand HIPAA and the risks to Protected Health Information including patient, customer, physician, employee, volunteer, system, network, and business information
  2. I understand I may have additional mandatory education requirements in my department.
  3. I have been informed of local policies on security and parking.
  4. I understand the responsibility I have in reporting any volunteer-related injury I may incur and the process of notification.
  5. I know and understand the electrical, fire, and hazardous material safety procedure at my organization.
  1. I agree that it is my responsibility to comply with the policies maintained locally and system-wide and any revisions made to them.
  2. I have been informed of the local Infection Control Procedures and understand my role in preventing infection.
  3. I understand the core principles of the Northern Light Health customer service and patient experience.
  4. I am aware of my contact for questions or concerns regarding any of the topics covered in the onboarding process.
  5. I understand that I there is a 90-day exploratory period. I or EMMC may terminate my volunteer service at any time during this period.
 
I have completed the entire orientation program and understand the information that was presented to me.
 
If I have further questions, I understand that I may contact the orientation presenter for clarification.
 
I authorize the sharing of medical information or special accommodation needs as it pertains to my volunteer experience.
 

Confidentiality and Information Security Agreement

Please read and initial where indicated

NORTHERN LIGHT HEALTH
CONFIDENTIALITY AND INFORMATION SECURITY AGREEMENT AND ACCEPTABLE USE AGREEMENT (Consolidated)

Purpose: The Health Insurance Portability and Accountability Act (HIPAA) , the Health Information Technology for Economic and Clinical Health Act (HITECH) and other federal and state laws and regulations were established to protect the confidentiality of medical and personal information, and provide, generally, that patient information may not be disclosed except as permitted by law or unless authorized by the patient. These privacy laws apply to all members of the workforce. All Northern Light Health workforce members are required to agree to and sign this agreement.

CONFIDENTIALITY STATEMENT
As an Northern Light Health workforce member, I understand I may be working with confidential patient health and other sensitive information. This information may include, but is not limited to, medical records, personnel information, financial information, proprietary business information regardless of whether such information is communicated electronically, verbally, graphically or on paper.
I understand and acknowledge that under HIPAA I am required to receive education on privacy and security regulations and organizational policies, procedures and directives relating to the protection of health information. I agree to obtain all required education before I access, use, or disclose any patient information.

I acknowledge it is my responsibility to respect and protect the privacy and confidentiality of patient and other sensitive information. I will not access, use, or disclose patient or other confidential information unless I do so in the course and scope of fulfilling my duties as an Northern Light Health workforce member. I understand that I am required to report immediately any information about the unauthorized access, use, or disclosure of patient information. Initial reports go to my supervisor and to the Privacy Officer (Acadia Hospital 973-6010; Affiliated, Laboratory, Medical Transport & Emergency Care, and Miller Drug 973-7649; Beacon Health 973-9378; Blue Hill Hospital 374-3919 x3890; CA Dean Hospital 695-5265; Eastern Maine Medical Center, 973-8551; Northern Light Health, 973-5100; Inland Hospital 861-3385; Lakewood 873-5125; Maine Coast Hospital 374-3919 x 3890; Mercy Hospital 5536114; Rosscare 275-2128; Sebasticook Valley Hospital 487-4022; AR Gould Hospital 768-4834; Home Care & Hospice 275-2128; and Northern Light Health Information Security, 973-5948). If electronic media is involved, I will report the incident to the Northern Light Health Help Desk at 207-973-7728 or 1-888-827-7728.
I understand and acknowledge that, should I breach any provision of this agreement, I may be subject to civil or criminal liability and/or corrective actions consistent with applicable Northern Light Health and Member Organization policies and/or directives. For more information on HIPAA-related policies, procedures or directives, contact your supervisor.
 

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INFORMATION SECURITY ACCEPTABLE USE POLICY
Purpose: To establish requirements that all workforce members of Northern Light Health and any other persons with access to Northern Light Health information systems must follow to prevent the improper disclosure of confidential information and to prevent unauthorized persons from gaining access to confidential information. Northern Light Health has a duty to safeguard confidential information available within its information systems and to ensure that any use of its computers, laptops and other electronic devices complies with federal and state laws and regulations, and organizational policies and directives.

Access: The information systems of Northern Light Health are used to further the business and patient care objectives of Northern Light Health and its members. This use is called “acceptable use.”
 
  1. Access to Northern Light Health organizational and patient information is permitted only according to approved policies and procedures.
  2. All patient information on Northern Light Health information systems are an extension of the medical record and are subject to approved policies and procedures governing patient medical records.
  3. Only employees or approved agents of Northern Light Health have access to business applications.
  4. Other persons needing access must have a Data Access Agreement in place before being granted access to clinical applications.
  5. Incidental personal use of information systems is permitted according to organizational policy and must not interfere with your work or the work of others.
  6. Only the minimally necessary privileges or network services for the performance of assigned job tasks are allowed.
  7. Security mechanisms that protect information systems may not be disabled or circumvented for any reason.
  8. Northern Light Health Information Security monitors access to Northern Light Health information systems and systems use.
 

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Passwords: Your password must meet Northern Light Health standards for length and content.
 

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Workstation Use: There are many ways in which network resources can be breached through an individual workstation.
  1. Do not leave your workstation logged on in your absence. Lock your computer to protect it from unauthorized access. Turn your workstation off at the end of the day unless it is shared with another user.
  2. Northern Light Health Information Systems determines which hardware and software are installed on workstations and portable computers. Users must not install additional hardware or software without the permission of the System Administrator. This includes free software or shareware downloaded from the Internet.
  3. Do not connect any device to the network without the approval of Northern Light Health Information Security.
  4. Report any suspected infection by malware to the Northern Light Health Help Desk.
  5. A deliberate introduction of malware onto an Northern Light Health computer will result in corrective action up to and including termination for the user.
  6. The use of this internet connection for the following activities is strictly prohibited:
    1. Spamming and Invasion of Privacy
      1. Sending of unsolicited bulk and/or commercial messages over the Internet using this connection or using it for
      2. activities that invade another's privacy.
    2. Intellectual Property Right Violations
      1. Engaging in any activity that infringes or misappropriates the intellectual property rights of others, including
      2. patents, copyrights, trademarks, service marks, trade secrets, or any other proprietary right of any party.
    3. Hacking
      1. Accessing illegally, or without authorization, computers, accounts, equipment or networks belonging to another party, or attempting to penetrate security measures of another system.
    4. Distribution of Internet Viruses, Trojan Horses, or Other Destructive Activities
      1. Distributing actual or information regarding Internet viruses, worms, Trojan Horses or denial of service attacks. Certain high bandwidth or potentially destructive protocols may not be available on this connection (e.g., bittorrent or p2p).
    5. Export Control Violations
      1. The transfer of technology, software, or other materials in violation of applicable export laws and regulations, including, but not limited to, the U.S. Export Administration Regulations and Executive Orders.
    6. Other Illegal Activities
      1. Using this connection in violation of applicable law and regulation, including, but not limited to, advertising, transmitting, or otherwise making available ponzi schemes, pyramid schemes, fraudulently charging credit cards, pirating or inappropriately distributing copy written material, or making fraudulent offers to sell or buy products, items, or services.
  7. You understand that Northern Light Health monitors all internet activity and you further understand that you should have no expectation of privacy whatsoever while visiting this connection.
 

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Miscellaneous:
  1. Patient information or protected health information (PHI) is any information related to the diagnosis, treatment or payment for healthcare that identifies the patient.
  2. Patients have specific rights under Maine Law and HIPAA regarding their rights to privacy and confidentiality. These rights are outlined in our Notice of Privacy Practices.
  3. Do not remove or send patient information or other confidential information outside the workplace without authorization.
  4. Use an approved fax cover sheet containing the Northern Light Health confidentiality notice with any outgoing fax.
  5. Confidential information sent outside of Northern Light Health by email must have “NLHsecure” typed in the subject line of the message.
  6. You may not access the medical record or account information of family members, dependents or any other individual, even if the person has signed a valid authorization giving you access or, if you are a legal guardian or personal representative, unless such access is necessary for patient care or to complete your assigned job duties. Northern Light Health will not give you access to the electronic medical record just to look at your own record.
  7. Documents containing confidential information must be disposed of in secure shredding bins. Magnetic media (disks, CDs, hard disks, backup tapes, etc.) must be disposed of in accordance Northern Light Health policies and must be degaussed, shredded, or formatted to render them unusable for retrieving information.
  8. Users must observe all intellectual property rights protected by copyright, patent, or trademark.
  9. Users may not engage in communications that are threatening, defamatory, obscene, offensive or harassing.
  10. Use of systems and other resources for political activity; illegal activities; gambling, or for personal gain or the gain of others for a non-Northern Light Health purpose is prohibited.
  11. Violations of this agreement and/or organizational policies relating to the protection of Northern Light Health confidential information and the integrity of its information systems may result in a loss of access to information systems or to civil and criminal liability and/or corrective action consistent with applicable organizational policies.
 

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Non-retaliation: Northern Light Health will not permit retaliation for reporting a perceived or potential violation of the Code of Conduct, policies, laws or regulations including HIPAA or for participation in an investigation of any alleged violation.
I have read and agree to the NLH Non Disclosure/Confidentiality Agreement: