Mad River Community Hospital Nursing Student Orientation

Topics Presented in this Orientation:

• • • • • • • Our Vision/ Standards of Excellence Services offered at MRCH Parking Student Nurse Responsibilities History of MRCH Emergency Codes Fire Safety & Prevention • • • • • • • • Safety/ Hospital-wide manuals Patient Confidentiality Infection Control Waste Disposal Documentation Performance Improvement Cultural Awareness Back Care / Lifting Techniques ** Please complete the attached post-test following your review of this orientation.

Our Vision

• WE ARE Mad River Community Hospital.

• OUR QUEST is to become California’s leading and most innovative community health center.

• WE COMMIT to providing excellent care to patients.

• WE PLEDGE to always respect and care for those who choose us for wellness healthcare, employment, or as a place to practice the art and science of medicine.

Standards of Excellence

~ Mad River Community Hospital’s mission is “to provide the highest quality health care to meet the needs of the people and communities we serve”. All Mad River Community Hospital team members are expected to help fulfill this mission.

More Than A Hospital

* Mad River Community Hospital has a full network of health services: – – – – – – – – – Adult Day Health Care of Mad River Center for Wound Care and Hyperbaric Medicine.

Home Health Services of Mad River Humboldt Family Medical Care Mad River Rehab and Sports Medicine Occupational Health Services of Mad River Six Rivers Medical Center Women’s Health Center Endoscopy/GI Suites

Parking

› › › › Park in the north or south gravel parking lots Park to accommodate patients getting into the hospital Do not park in MD, patient, lab, handicapped, or blocked off areas. Do not move cones: may be blocking off areas for helicopter landing or blood banking personnel

As a student, what are you responsible for during clinicals?

• Reporting to the clinical assignment at the designated time, and receiving your assignment • Reporting information relative to the patient’s plan of care to the clinical instructor and staff assigned to the patient • Communicating with the appropriate staff in order to coordinate care

As a student, what are you responsible for during clinicals?

• Informing the instructor or staff if you feel unable or unsafe to provide a care measure • Contributing to the care planning process and documenting in the appropriate interdisciplinary care records according to standards

As a student, what are you responsible for during clinicals?

• Conducting care, treatments, assessments and documentation according to published standards of the academic institution and the hospital • Protecting the rights of the patient according to standards, including confidentiality, respect and dignity; and requesting patient’s permission for the student to participate in her/ his care

Students may

NOT

perform the following: • • • • • Administer chemotherapeutic agents Prepare and/or administer medications in emergent situations Access/administer narcotics independently Carry narcotic keys Conduct point of care testing – urine dipstick – nitrazine paper – occult blood and whole blood glucose testing)

Students may

NOT

perform the following: • Participate in emergency response for cardiac and respiratory arrest (may observe with instructor permission) • Pick up blood from the Lab • Provide care to the following patient populations: – Patients who are inmates – Patients in respiratory isolation requiring individually fitted masks – Patients with radiation implants

Students may

NOT

sign or complete the following: • • • • • • • • • • Patient Belonging Sheet Labor Record Blood Transfusion Record Record of Death Code Blue Record Leaving Against Medical Advice TPA Checklist Transfer Forms Intra-operative Record Discharge Instruction Sheet

History of Mad River Community Hospital

Our History

The original Trinity Hospital built on the corner of 13 th & G Streets in Arcata in 1911.

– – – – 25 beds Nursery Two sun rooms Operating room on the top floor for maximum lighting

• On February 3, 1943, a tragic fire swept through the hospital causing extensive damage.

• On March 25, 1943 rebuilding began with the purchase of a full city block at 14 th & C Streets by the Arcata Chamber of Commerce with contributions from the community.

Financial Factors for Change

• Humboldt State College (now University) announced they intended to purchase the Trinity Hospital site in 1968.

• The Sisters of St. Joseph of Orange announced closure of Trinity Hospital on June 30, 1969, in order to consolidate Arcata & Eureka services into new facility in Eureka.

Community Support for Arcata Based Hospital

• • Community members formed the Trinity Hospital Action Committee (THAC).

• Arcata Mayor Ward Falor called a town meeting to discuss the future of Trinity Hospital.

National attention was brought into the plight of Trinity Hospital.

American Hospital Management Corporation

• The THAC requested help from American Hospital Management Corporation (AHMC) in building a new hospital and operating Trinity Hospital until a new facility could be built.

• Allen Shaw, President of AHMC, was impressed with the community and physician support.

A New Beginning

• • • In 1968, AHMC and Trinity Hospital Medical Staff purchased 47 acres located on the Mad River.

Community-wide efforts were underway to purchase the old Trinity Hospital from the Sisters.

On July 1, 1969, with no interruption of services or employee layoffs, AHMC assumed the operation of Trinity Hospital.

The Birth of A New Hospital

~ And so began the arduous, political process of gaining state approval to build a new hospital.

Mad River Community Hospital

• Without the assistance of state or federal funds, Mad River Community Hospital opened its doors with patients from Trinity Hospital in October, 1972.

• AHMC has sold its four other hospitals, thus managing only Mad River Community Hospital and devoting itself entirely to the people of the North Coast.

Another New Beginning

• • Medical Outpatient building completed in August 2004.

Services continue to be phased in.

Emergency Hospital Codes

Your Role In Any Code:

• Students can call any code in an emergent situation, but may not participate past the initial response.

To Call Any Code:

(Emergency Phone System) • Dial

3911

- Between the hours of 0700-2300 - State the type of code and the location. Repeat.

• Dial

55

- Between 2300-0700 - You will be “live” on the overhead system. - Listen for 3 beeps. State type of code and location. Repeat, pause, and repeat again.

MRCH Emergency Codes

Code Blue Code Red Code Pink Code 4 Code Yellow

(external)

Code Yellow

(internal)

Dr. Strong Condition E Code Security Code Orange

Cardiac/ Medical Emergency Fire Pediatric/ Infant Abduction Respiratory to Nursery Stat Major External Disaster (with probable multiple injuries) Physical Plant Failure (with possible injuries), [other codes may follow] Manpower needed Evacuation of specific area Lock Down Stay Away *

All codes can also be found on the back of employee name badges

Fire Safety & Prevention

• • • Goals of Fire Safety Your Role in Fire Safety Fire Safety (Code Red)

Goals of Fire Safety

• • Prevent fires from starting Stop the spread of fire

Your Role in Fire Safety

• Handle all flammables, electrical equipment, and medical devices correctly and safely • Never leave trash or supplies laying around in hallways (potential “kindling”) • Never block fire doors, exits, fire extinguishers, or hoses • Report any equipment problem or hazard immediately

Fire Safety –

Code Red

R A Remove

all persons in danger -

Activate Alarm

Page by calling 3911 (day) or 55 (night) Pull the fire alarm

C E

-

Confine

the Fire Close doors and windows to help keep fire and smoke from spreading -

Extinguish

the Fire (if manageable) Attempt to put out only if small If not, evacuate the area!

Operating a Fire Extinguisher

P Pull

the pin

A Aim

at base of fire

S Squeeze

the handle

S Sweep

from side to side

Safety Manuals/ Hospital-wide Manuals

* All manuals are now located on the hospital intranet. When your clinical orientation begins, make sure you know where to find these on the computer. * Know what type of information can be found in each manual.

* Clinical departments may have hard copies of manuals as well.

• • • • Environment of Care manual Org. Wide manual Nursing Administrative and Clinical manual Infection Control manual

Environment of Care Manual

* Contains information on the following: • • • • • • • Emergency communication plan & call tree Phone/power failure procedure Staff safety policies/ security plan Patient emergency response & call system Disaster plan Hazardous substances MSDS location

Patient Confidentiality

• HIPPA Privacy Rule (Health Insurance Portability and Accountability Act) – Ensures personal medical information patients share with doctors, hospitals and others who provide and pay for healthcare is protected.

The Privacy Rule does the following: – Imposes restrictions on the use and disclosure of personal health information – Gives patients greater access to their medical records – Gives patients greater protection of their medical records

What is Protected Health Information (PHI)?

• Includes any information (oral, recorded, on paper, email, etc.) about a person’s physical or mental health • Includes any information on services rendered or payment for those services

Examples:

– Patient’s name or address – Social security or other identification numbers – Physician’s personal notes – Billing information

Who is covered under the HIPPA Privacy Rule?

• You are termed a covered entity if you are a: – Healthcare provider – Health plan – Healthcare clearinghouse – Business associate

What are the rules for use and disclosure of PHI?

• PHI can be used or disclosed for: treatment, payment, and healthcare operations • With authorization or agreement from the individual patient • For disclosure to the individual patient • For incidental uses such as physicians talking to patients in a semi-private room

HIPPA Security Rule

• • Second set of federal standards to protect health information in electronic form Protects: – Confidentiality of electronic PHI (ePHI) – Integrity of ePHI (once created, can’t be tampered with) – Availability of ePHI (can’t be accessed without authority)

In general, use/ disclosure of PHI is limited to the minimum amount of health information necessary to get the job done right.