Transcript Nursing Student Orientation

Nursing Student
Orientation
Abington Memorial Hospital
2015
Welcome
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On Behalf of Abington Memorial Hospital
and the Department of Nursing, we would
like to extend a warm welcome to you.
We are glad you have come or are coming
to Abington for your clinical experience.
Overview of Abington Health
System
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Founded in 1914, AMH is a fully
accredited, not for profit, 665 bed
community teaching hospital.
AMH is an independent regional health
care center servicing residents of
Montgomery, Bucks and Philadelphia
Counties. We are the only trauma center
in Montgomery County.
Objectives
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Discuss the expectation of the student in
regard to duties, tasks and responsibilities.
State expectations for student
identification badge.
Discuss expectations with regard to guest
relations, confidentiality/patients rights.
Review patient safety
Objectives
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Review Mission, Vision, Values and
Performance Standards.
Understand what HIPAA is.
Know the meaning of Protected Health
Information (PHI).
Understand the significance of Treatment,
Payment and Operations (TPO) and why it
is important to remember.
Objectives
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Know the consequences for noncompliance with the law.
Recognize the importance of making a
renewed commitment to patient
confidentiality.
Expectation of the student
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All students are expected to conduct
themselves in a professional manner while
on campus at AMH.
All students are expected to practice
within the scope of their capabilities while
at AMH.
All students are expected to be
responsible for their actions while at AMH.
Expectation of the student
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Professional appearance at all times
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Hoodies are not allowed in the clinical area.
No visible tattoos – all must be covered
No artificial or long nails
Students are not allowed to meet in the
main lobbies of the hospital at any time.
Those locations are for patients and family
members.
Instructors please go over the details of
the Affiliation policy with your students
Identification Badges
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All students are expected to wear their
AMH issued identification badge
whenever, they are on campus as a
student.
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PA state law as well as hospital policy requires
that all hospital be identified by name and job
title.
Wear your badge above your waist for ease of
viewing.
Guest Relations
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Patient satisfaction:
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Scores
Confidentiality and patient rights:
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HIPAA
Our Mission and Vision
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Abington Health MVV and goals
OUR MISSION
 Abington Health is dedicated to improving the quality of life for
all by fostering healing, easing suffering, and promoting wellness
in a culture of safety, learning and respect.
OUR VISION
 Abington Health will be the most trusted health care partner,
consistently exceeding expectations for care, comfort and
communication
 Promote HEALING, Prevent HARM, Be KIND
Key Success factors
Patient safety
 Staff engagement /Patient
satisfaction
 Operational and financial
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Our Values and Performance
Standards
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Patients are the focus of everything we
do. To ensure every patient receives the
very best we have to offer every day, we
are committed to:
Patient Safety First
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Prevent harm. Think safe, act safe, be safe
and stay safe.
Our Values and Performance
Standards
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Respect All
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Respect for all: every patient, every
colleague, every encounter, every day.
Embrace diversity.
Do What’s Right
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Integrity and the highest personal standards
in everything we do and say. Be responsible
and accountable.
Reduce Risk of Hospital
Associated Infections
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Use hand hygiene before and after each
patient contact-Every time you cross the
threshold of the pt room.
Use soap and water for 15 seconds. Use
soap and water if you are caring for a
patient with C-diff, if your hands are
visibly soiled, you have used the
bathroom, or you are going to eat.
Reduce Risk of HAI
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Alcohol-based rub is acceptable under all
other circumstances-remember to rub you
hands until dry.
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There are gel containers outside of every
patient room
Wipe stethoscope with alcohol wipes in
between patients.
Follow instructions on Isolation Signs!
No artificial or long nails
If a Fire Occurs:
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R – Rescue all patients and personnel in
immediate danger
A – Announce by pulling the fire alarm or
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Dialing 777
C – Confine by closing doors and windows
E – Evacuate the area or extinguish if able
without endangering yourself.
Emergency Codes
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Code 100 = disaster alert
Code Blue = adult cardiac arrest dial 333
Code Blue pediatric = pediatric cardiac arrest
dial 333
Team 99 = Physical Manpower needed
Code Red= Fire Situation – implement race
Code Yellow= Fire Drill
Code Green Fire situation/drill over
Emergency Codes
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Code Orange Chemical spill, isolate spill
area and dial 2828 to report the spill
Code Pink child or infant abduction, dial
777
Code FIND missing patient, dial 777
Rapid response Team -dial 333
Our Values and Performance
Standards
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Communication is critical
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Communicate effectively to ensure success in
every interaction.
Always learn
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Create and support a learning environment
where growth and experience are valued.
Communication Needs
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The hospital identifies the patients oral
and written communication needs
including the patient’s preferred language
for discussing health care.
Our patients have the right to receive
information in a way they understand.
This includes interpretation and
translation, free of charge.
HIPPA
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Health Insurance Portability and
Accountability Act
AMH has a strong tradition of protecting
the privacy of patient information.
Confidentiality has always been part of the
hospital culture. However, now there is a
new law that sets a national standard to
protect medical records and other
personal health information.
What is HIPAA
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HIPAA sets national standards for the
protection of patient information.
HIPAA applies to ALL health care
providers.
HIPAA covers ALL forms of protected
health information….oral, written and
electronic.
What is Protected Health
Information (PHI)?
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Addresses
Dates
Telephone or fax numbers
Social security numbers
Medical records numbers
Patient account numbers
Insurance plan numbers
Vehicle information
License numbers
Medical equipment numbers
Photographs
Fingerprints
Email addresses
Internet addresses
Sharing Patient Information
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HIPAA, under the consent rule, allows the
provider of care to use health information
for Treatment, Payment and Operations
(TPO).
Under the Minimum Necessary Rule
nursing students should only access the
information they need to fulfill their
assigned duties.
What is TPO?
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Treatment: providing care to patients
Payment: getting paid for caring for
patients
Operations: Normal business activities
such as quality improvement, training,
auditing, customer service and resolution
of grievances
If personal health information (PHI)
is involved
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Stop
Ask yourself does my sharing this
information involve TPO for that patient?
If the answer is NO, Don’t pass it along
unless you have been authorized to do so!
This includes information you may see or
hear about hospitalized students, friends
and acquaintances.
Consequences of non-compliance
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It has always been against hospital policy to
improperly share, use or dispose of patient
information in the wrong way. Under HIPAA,
there are now fines and penalties for this.
We treat privacy seriously.
A breach in privacy may result in termination of
your clinical priviledges.
Wrongful and willful disclosure of health
information carries fines and can involve jail
time.
Why should we do this?
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It is the right thing to do.
It is in keeping with the values of our
organization.
Think how you would feel if it was
information about you or a loved one.
Providing for the security of patient
information
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With computers
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We have to make sure all health information,
no matter where it is, is secure. This includes
information stored on computers. Everyone
who uses a computer has a duty to keep
health information secure. Please log out
when you are not using the computer.
Providing for the security of patient
information
HIPAA says we must protect all patient
information on computers by:
 Properly signing-on with individual ID’s and
passwords
 Signing-off of computers if walking away
 Keeping ID’s and passwords CONFIDENTIAL
 Protecting computer screens from unwanted
viewing.
Providing for the security of patient
information
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Through proper disposal of information
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We have to handle and dispose of patient
information carefully, such as using a
shredder instead of throwing patient
information away.
RULE OF THUMB….NEVER dispose of patient
information in any open area trash bin. When
in doubt, ASK.
Reporting Violations
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It is EVERYONE’s responsibility to report
violations, or wrong doings.
Whether someone received patient
information improperly, or shared patient
information in the wrong way, everyone
has a responsibility to report violations.
When in doubt, ASK.
What’s Next?
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Help us keep the HIPAA Awareness level
HIGH!!!!
Be HIPAA wise and model correct
behavior!
Takeaway Tips
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Always stop and ask yourself, should I be
sharing this patient information?
If it doesn’t pertain to TPO, don’t discuss
it!
Think of patient information about fellow
students, neighbors and acquantances as
protected information, not for sharing!!
Takeaway Tips
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Dispose of patient information by placing
in appropriate shredding bins….never in
an open wastebasket.
Turn computer screens off or log out if
you leave the computer for any reason.
Report all abuses….enforcing the
regulation is everyone’s responsibility!
Assignments
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Please make certain that you receive
report from your patient’s primary nurse
each clinical day.
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During that time please complete the nurse
communication form with your nurse to
assure that the completion of tasks have been
reviewed.
At the end of your shift please sign off to the
primary nurse, Let them know anything that
has not been completed.
What Next
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Identification Badges
Parking
Evaluations