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435.767.0517
802 South 200 West, Blanding, UT 84511

As a condition of submiting an application for employment, you must read and accept the Blue Mountain Hospital’s Standards of Behavior.

Standards of Behavior Agreement

PATIENT RELATIONS

  • I will treat our patients and visitors in a kind and professional manner.
  • I will be courteous and friendly in speaking and in body language.
  • I will introduce myself to the patient/family member and tell him my job title and experience using AIDET.
    • Acknowledge
    • Introduce
    • Duration
    • Explanation
    • Thank you
  • I will ask an open-ended question, such as, “How may I help you?”
  • I will use the person’s name as soon as I have heard it or as it is written.
  • I will keep the patient’s information confidential. I won’t discuss the patient in public places.

CUSTOMER SERVICE

  • I will never use the following phrases in front of patients, families, or visitors, or where they may be overheard:
    • “It’s not my job”
    • “It’s not my patient”
    • We are understaffed”, “we don’t have enough help”
    • Foul language or demeaning tone to patient, physician or co-worker
    • Negative comments about co-workers, management, physicians, or the organization
  • I will commit to excellent service and ask customers to tell me if I am not meeting their expectations
  • I will treat everyone in a courteous manner, rudeness is never acceptable.
  • I will take action when I recognize that the customer’s expectations have not been met.
  • I will remember customers are not an interruption of my work; they are the reason I am here.
  • I will find someone else to meet a request if I am unable to do so.
  • I will introduce other staff to customers when a hand-off occurs and explain that the person will provide excellent service.
  • I will always strive to resolve customer issues by using HEAL:
    • H: Hear them out
    • E: Empathize
    • A: Apologize (I’m sorry we did not meet your expectations.”)
    • L: Leap into action to solve the problem
  • If I see it, smell it, hear it, touch it, then I own it and will do something about it.

GENERAL ETIQUETTE

  • I will notice if someone appears in need of assistance and offer help immediately.
  • I will not discuss staffing or internal issues with, or in the presence of, patients or visitors.
  • I will speak with appropriate voice level.
  • I will not discuss hospital business with others outside the workplace.
  • I will not discuss hospital business outside company-authorized communications.
  • I will not disclose personal employee and nonemployee information and/or other nonpublic information.

TELEPHONE ETIQUETTE

  • I will be courteous on the telephone and use a tone of voice that is alert and pleasant.
  • I will answer the telephone with a greeting, my department, and my name (and title if appropriate).
  • I will ask for permission before placing a caller on hold or using speakerphone, and wait for an answer. I will thank the caller when I return to him or her.
  • I will have a voice mail message that is brief, current, includes my name and department, and offers the caller options if possible.
  • I will make an effort to answer my phone during normal business hours.
  • I will return voice mail and email messages within 24 hours or the next business day.
  • I will offer further assistance to the caller upon completing the conversation.

COMMITMENT TO CO-WORKERS

  • In verbal and non-verbal communication, I will treat co-workers respectfully and professionally by listening and avoiding defensiveness.
  • I will respond promptly to any form of communication
  • I will report to work as scheduled. Communicate delays as appropriate.
  • I will offer to assist co-workers and other departments when needed.
  • I will respectfully approach fellow employees and refrain from discipline or constructive criticism in public.
  • I will discuss issues directly with co-workers and not go to other people unless the issue cannot be resolved.
  • I will take responsibility for solving problems regardless of origin.• I will be mindful and respectful of others’ time and schedules. Meetings will start and end on time.
  • I will be accountable when completing assignments.

By printing my name below, I indicate that I have been given a copy of the Standards of Behavior Agreement. I will uphold these standards to the best of my ability. I understand that behavior outside of these guidelines may result in termination.

Print Name:
Date:

Application for Employment

Personal Information

Name:
Middle Initial:
Last Name:
Address
Street:
City:
State:
Zip Code:
Alternate Address
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City:
State:
Zip:

Contact Information

Home Phone:
Mobile Phone:
Email Address:

Company Information

How did you learn about our company?
Positions Sought:
Available Start Date:
Are you available for shift work?
Graves/Days
Weekdays/Weekends
Salary Desired
Are you currently employed?:

Education

School 1
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Did you Graduate?:
Degree:
Major:
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Please list your area of highest proficiency, special skills or other items that may contribute to your abilities in performing the above mentioned position

Work History

(if you wish to elaborate, a supplemental sheet or resume may be attached. Include military services, if applicable.)
Company 1
Company Name:
Company Location:
Job Title:
Dates of Employment:
Reason for Leaving:
Job Title, Responsibilities and Duties:
Add Work History +
Additional Qualities and Skills: (Licenses, Certifications, etc)
Attach any resumes here:

Application Signature

Certification of Applicant: I certify that all statements made in this application are true and correct, and that any misstatement of material facts may subject me to disqualification or dismissal. Also, I authorize verification of all statements made in this application.
Print Name:
Date:

Blue Mountain Hospital
Located at 802 South 200 West Blanding, UT 84511. View Map
Phone: (435) 767-0517
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