Personnel practices will be supported by written personnel policies that are kept current. At a minimum, these personnel policies will include:

• Procedures for selecting qualified personnel; 

• A system for documenting the current licensure and/or certification status for those personnel whose positions or functions require such licensure or certification; 

• Frequency of supervision; 

• Continuing education; 

• Hiring/firing practices; 

• A system for assessing the competency of all personnel providing healthcare services

Policies will be maintained in writing, be available to all personnel and be updated and/or revised as appropriate. All staff will be made aware of current personnel policies, practices and procedures through initial orientation, annual updates and interim notifications when necessary.