Aurora Medical Center Manitowoc County We help people live well Welcome Welcome to the student / contracted staff orientation for Aurora Medical Center Manitowoc.
Download ReportTranscript Aurora Medical Center Manitowoc County We help people live well Welcome Welcome to the student / contracted staff orientation for Aurora Medical Center Manitowoc.
Aurora Medical Center Manitowoc County We help people live well Welcome Welcome to the student / contracted staff orientation for Aurora Medical Center Manitowoc County. We hope you have a great experience here at Aurora Health Care. For more information contact: Nursing, HUC, EMS – Mary Greeneway 794-5244 All Other Students - Brenda Cooley 794-5020 Navigation Tips • View this presentation as a slide show so you will be able to open the hyperlinks • Navigation TIP: When closing or exiting from a linked site or document, please click the back arrow in the upper left corner of your screen to return to the PowerPoint unless it is grayed out • If it is grayed out, click the x in the upper right hand corner Before You Start Student / Contracted Staff Requirements Prior to Placement Criminal Background Check Health Screening Requirements a. Evidence of immunity to Rubella – positive titer or evidence of immunization b. Evidence of immunity to varicella (chicken pox) – positive titer or evidence of immunization c. Annual TB test d. Proof of being offered Hepatitis B Vaccine e. Annual Flu vaccination unless medical or religious exemption is provided. Before you start…. • Click on and print the following 3 forms. You will complete the first 2 forms after viewing this presentation • Student / Contract Staff Orientation Checklist • Contract Staff/Student Confidentiality Statement • Minimum Necessary Checklist What you need to know…. This presentation will provide you with the information you need to work at our facility: • • • • • • • • Caregiver identification & appearance policy Aurora Healthcare’s mission & goals Patient Experience Patient rights & confidentiality Bloodborne pathogens Infection prevention measures Safety/Environment of Care How to report an incident Your Appearance • Before you start your experience at our site, please review the following: - “Caregiver Appearance” policy • This policy tells you what you can or cannot wear, grooming, fingernails, piercings, etc. Your Badge Identification • All caregivers must wear a name badge that is visible • Students may wear their school name badge • If the badge does not contain a photo, students must also carry photo identification • You will also receive an Aurora Health Care Student Nurse Badge that you should wear, this badge will provide access to some secure areas in the hospital, the badge must be returned at the conclusion of your clinical rotation. Badge Identification • Students working in the Women’s Health Department require a special badge. Contact your instructor or hospital nursing staff. They will obtain a badge for you from Loss Prevention. Your Professionalism • You are representing Aurora Medical Center, Manitowoc County • Professional speech, behavior, attitude and appearance is an expectation at all time. Aurora Health Care is an Integrated Health System • Private, not-for-profit integrated health care provider • 15 hospitals • 31 counties, 90 communities • 1,000+ Aurora Medical Group physicians • 325+ Aurora Advanced physicians • 155 clinics • VNA - largest in Wisconsin • 83 retail pharmacies • 30,000+ caregivers • 92,000 inpatient discharges • 2.2 million outpatient visits • 3.6 million ambulatory care visits Aurora Health Care AMCMC About Aurora • Our purpose – What we do - We help people live well • Our vision – What we aspire to - Provide people with better health care than they can get anywhere else • Our values – What we believe - Every patient deserves the best care - Responsibly managing resources - Building a healthy workplace through accountability, teamwork and respect Aurora health Care is a not-for-profit health care provider and a national leader in the efforts to improve the quality of health care. Patient Experience Please Remember: • To identify yourself when entering a patient’s room • Always wear a name badge • Always inform the patient of what you will be doing and why • Show respect, provide dignity and privacy • Think about how you would want to be treated if you were a patient Service Commitments Be Kind • Treat every patient with kindness every time • Speak positively about each other • Support others and help when needed Service Commitments Show Respect • Listen and respond to the needs of our patients • Acknowledge every one. Use eye contact and a smile • Protect patient privacy and confidential information • Respect each other’s time Service Commitments Communicate • Involve patients and families in their care • Communicate in a way everyone understands. Use plain language • Own and resolve concerns and questions Service Commitments Champion Clinical Quality • Uphold clinical quality & care management standards • Provide a clean, quiet and healing environment for our patients and families • Provide well-coordinated care Service Commitments Use AIDET to Live our Service Commitments 5 steps for a consistent way to have kind, respectful, high quality interactions with others AIDET • Acknowledge-put them at ease. Eye • • • • contact, smile, use name Introduce-build confidence. Introduce self by name and experience Duration-give the patient an estimate of the time it will take to complete what you do Explanation-reduce anxiety by explaining what you are going to do Thank-demonstrate your appreciation by thanking the patient Patient Experience • Our goal is patients first, always • We believe that patient’s rights and responsibilities are an integral part of healthcare • Read on to review our patient’s rights and responsibilities Patient’s Rights and Responsibilities • Respect and Dignity • Exercise of Rights • Privacy and • Refusal of Treatment • • • • • • • Confidentiality Personal Safety/Use of Restraints Pain Management Identity Information Communication Consent Consultation • Alternate Physician • Transfer and Continuity of • • • • Care Ethical Decisions Advance Directives Medical Center Charges Medical Center Rules and Regulations Patient Responsibilities • • • • • Provision of Information Compliance with Instructions Refusal of Treatment Medical Center Charges Respect and Consideration Patient’s Privacy & Confidentiality • While interacting with patients, you will be exposed to personal information regarding their hospital stay • Our patients trust us to keep their personal and health information confidential • It is critical to be aware of patient privacy at all times HIPAA • HIPAA (Health Insurance Portability and Accountability Act) is a patient information privacy law that became effective in 2003 • The law defines “protected health information” (PHI) • All healthcare workers must receive HIPAA education and sign a confidentiality agreement Protected Health Information • Any information we collect and store that relates to an individual’s health and identifies the patient is confidential • Discuss information about a patient’s condition, care, treatment, or personal data only with those directly responsible for the patient’s care About Personal Health Information (PHI) Examples: • Name, date of birth • Address, phone • Insurance information • Medical history • Medical information • Test results Where will I find PHI? • Spoken • Paper records • Computer screens • White boards • Photos, videos • Medical container labels (prescription bottles, IV and specimen labels etc) How You Can Protect Confidential Info • Do not discuss patients outside of the hospital • Be aware of surroundings—do not discuss patients in elevators, cafeteria, restrooms or hallways • Do not discuss patient care or information on Social Media sites • Do not store patient info on personal technology devices (cell phone, personal computer) How You Can Protect Personal Health Info • Do not share your computer password • Log off computer when not in use • Do not leave medical records in public view • View only the records required to perform your assignment • Dispose of PHI as instructed to maintain confidentiality Confidentiality & Patient Rights Policies • You can review Aurora Health Care’s policies by clicking on the links below: • Confidentiality/Information Privacy Policy • Patient Rights Policy Diversity & Sensitivity • Aurora Health Care believes in the power of Diversity • Diversity is the full array of individual differences among people • We are committed to creating environments that meet the diverse physical, emotional, spiritual, social and economic needs of our patients and clients, as well as the people who serve them Cultural Diversity • Interpreter Services are available • Discuss need for interpreter with your preceptor or contact the nursing supervisor if you need this service EMTALA-a law you need to know about Emergency Medical Treatment and Active Labor Act (EMTALA) • Ensures we provide emergency attention to anyone who comes in our doors EMTALA—What you can do • If someone on hospital grounds requests medical attention, assist them to the Emergency Department • Do not ask if the person has a doctor or health insurance • Do not turn away someone prior to an evaluation for an emergency medical condition Safe Haven for Newborns Law • This state stature provides a safe place for newborn babies in lieu of abandonment, injury or death • Newborn babies up to 72 hours of age may be taken to any hospital, police or fire station within the state of Wisconsin Safe Haven—What you can do • If someone approaches you with a newborn, • • • • • accept the baby without questions Offer the person an envelope of information (available at the information desks at each public entrance) Take the baby to the Emergency Department Do not ask for name or identification Do not call the police Do not return the infant to the person who is leaving the baby OSHA • In 1992 the Occupational Safety and Health Administration (OSHA) issued blood-borne pathogen laws to protect and provide a safe environment for employees • As a healthcare worker, these laws pertain to you Protecting yourself & your patients Learn How To: • Identify the 3 bloodborne diseases caregivers are most frequently exposed to in the workplace • List high-risk body fluids • Identify how high-risk body fluids enter the body • Identify when to use standard precautions • Identify ways to reduce risk of exposure to high-risk body fluids • Increase awareness of benefits of hepatitis B vaccine • Follow policy if exposed to blood or body fluids Bloodborne Pathogens • Bloodborne pathogens are microorganisms carried in the blood that can cause disease in people • In accordance with OSHA standards, Aurora Health Care has developed a Bloodborne Pathogen Exposure Control Plan • Click here to view the entire plan Bloodborne Pathogens • Primarily spread by: - Blood to blood - Sexually - From infected mother to infant (probably at birth) • All blood & body fluids are potentially infectious & can cause spread of serious diseases: - Hepatitis B - Hepatitis C - HIV Bloodborne Diseases-HBV • • • • • Hepatitis B Virus (HBV) You have greatest risk of exposure to this disease while at work It can remain alive on surfaces in a dried state for at least 1 week 2/3 of infected people do not have symptoms May cause liver failure, cirrhosis or death There is a vaccine to prevent this disease Bloodborne Diseases-HCV • • • • • Hepatitis C (HCV) No test for HCV until 1992 Spread more readily through blood exposure or transfusions than sexually No vaccine No cure May cause liver failure, cirrhosis or death Bloodborne Disease-HIV/AIDS • Acquired immuno- • Once infected, a person deficiency syndrome (AIDS) is a chronic, life threatening condition caused by the human immunodeficiency virus • It can takes years for HIV to weaken the immune system to the point of having AIDS • Medications slow the disease, but there is no cure & no vaccine remains infectious to other people • HIV is fragile & outside of the body in a dried state cannot transmit infection • Is a sexually transmitted disease, also spread by contact with blood, or mother-to-child • Not transmitted by casual contact How are Bloodborne Diseases Spread? Pathogens may be present in: • Blood • High risk body fluids: semen, vaginal secretions, and deep body fluids (peritoneal, pleural, amniotic, pericardial, cerebral spinal, synovial) • Unfixed tissue or organs • Cells or tissue cultures containing pathogens How are Bloodborne Pathogens Spread? Pathogens may enter the body by: • An injury from a sharp object contaminated with • • • • body fluid (needle, scalpel, glass, blade) An open cut, nick or skin abrasion that contacts body fluid Eyes, nose and mouth that contact body fluid Indirect transmission-touching contaminated surface, then transferring to open skin, eyes etc Surfaces contaminated with HBV-surface may not be visibly soiled Reduce Your Risk-Standard Precautions • Any patient may be potentially infectious • All body fluids are considered infectious • Protect yourself • Use standard precautions with every patient Standard Precautions Include: • Handwashing • Personal protective equipment • Using equipment safely • Controlling the environment, waste & linen Reduce Your Risk Practice Good Hand Hygiene Reduce Your RiskPersonal Protective Equipment Wear personal protective equipment (PPE) as indicated when in contact with any bodily fluid or blood: • Gloves • Fluid resistant gowns • Goggles, safety glasses, face shields • Pocket mask or bag-valve mask (ambu bag) Reduce Your Risk Prevent Injury From Sharps By: • Activating safety devices before disposal • Never recapping a used needle • Using a point guard for needles that do not have a built in safety device • Immediately disposing of sharps in sharps container Reduce Your Risk-The environment • Clean & decontaminate work area at end of shift • Do not pick up broken glass with bare hands • Place item contaminated with high risk body fluid that is drippable, pourable, saturated, or flakeable in red infectious waste • Use PPE to handle contaminated laundry, placing in blue bag Blood Spills If you have a blood spill on a hard surface: 1. Contact Environmental Services for assistance 2. Apply PPE 3. Use paper towels to absorb spill 4. Scrub with HB Quat disinfectant cleanser 5. Flood surface with HB Quat (leave in place for 10 minutes to disinfect) Infectious Material Spill Kits are available on all units Reduce Your Risk • Hepatitis B vaccine is required of all students • Vaccine is made from yeast • Safe & effective • Provides life-long immunity What if you are exposed to body fluid? • Wash site for 5 minutes with soap & water • If eyes contaminated, rinse with water or saline for • • • • 10-15 minutes Notify Employee Health immediately (if not present, notify nursing supervisor) Notify instructor Anticipate testing of self and source of exposure for HIV, hepatitis B & hepatitis C (test results are confidential) Complete an appropriate incident report Infection Prevention-Protect patient & self • Hand Hygiene is the single most effective method to prevent the spread of infection! • Also prevent the spread of infection by staying home if you are sick • All Staff and students are required to receive an annual influenza vaccination. Hand Hygiene • • • • • • Use soap and water for 15 seconds When hands are visibly soiled or contaminated with blood/body fluids After using the restroom Before eating or drinking After using the alcohol-based gel 5-10 times due to residual gel ingredients If contact with spores (C. Diff) is expected In cases of suspected/confirmed Norovirus Hand Hygiene Use alcohol based, waterless gel or foam: • When entering and when leaving a patient room. • For routine cleansing of hands • Before & after your work shift • Before & after patient contact/procedure • Before & after using gloves • Before preparing or administering meds • After blowing nose/sneezing (use soap & water if visibly soiled) • After contact with body fluids if not visibly soiled • After contact with patient care items • When moving from contaminated to clean body site Infection Prevention-Equipment • Clean equipment with an approved cleaner ( Super Sani Cloth) after use, when exiting patient room and before using for another patient Infection Prevention: Isolation Precautions • Sometimes patients enter our facility with a contagious disease that can easily be spread to other patients or caregivers • With these infections we take measures in addition to Standard Precautions to prevent the spread of these germs Isolation Precautions • There are 3 kinds of isolation precautions - Contact - Droplet - Airborne • An isolation cart with signage and supplies is available in clean supply areas Contact Precautions • Used to prevent the transmission of germs that can be spread by direct or indirect patient contact or on environmental surfaces • Used for patients with resistant organisms such as MRSA or VRE • Wear gloves and gown when entering room. Eye/face protection if splashing is anticipated Droplet Precautions • Prevent the spread of germs from the respiratory tract which are generated by the patient during coughing, sneezing or talking • Example-influenza, pneumonia • Wear masks when entering the room or within 3 feet of the patient Airborne Precautions • Used when germs are spread long distances on tiny particles in the air • Example-active or suspected tuberculosis • Fitted N95 Respirator mask or PAPR worn by caregiver • Patient placed in negative pressure room Safety • Aurora is committed to providing a safe environment for patients, visitors and caregivers • Click here to view Aurora’s Environment of Care/Safety Policy Safety • We want you to be prepared in any of our Aurora facilities • We use plain language alerts for situations where we may need to act fast • Know numbers to call: • 5911 for emergencies at AMCMC • 5099 to contact Loss Prevention for security questions or concerns Safety – Emergency Preparedness In order to practice safely at our facilities, it is essential that you know any alerts that may be announced Emergency Preparedness plans can be located in each department Be sure to locate and review the plan when you arrive Be familiar with the following alerts: • Facility Emergency - Communication Outage - Utility Outage - Flood - Medical Gas Outage - Internal Incident • Security Alert - Security Assistance - Active Shooter - Building Threat - Perimeter Control Nursing units have a duress button at the nursing stations. In a patient care room you also have a staff assist button Dial 5911 to call for Security Assistance when assistance is needed for violent or threatening behavior. Security and all available caregivers will respond to help. Security Alert: Active Shooter What to do if there is an active shooter 1. GET OUT of the area to somewhere safe. Leave the room and go in the opposite direction from any shooter. 2. CALL OUT to 911 (9911 if using AMCMC phone). Give as many details as possible about what you saw or heard and your current location. Do not assume that someone else has called – you may have new information for the police. 3. HIDE OUT. If you can not leave, turn out the lights of the room you are in, and hide until help arrives. Avoid hallways, turn your cell phone on silent, and remain as quiet as possible. 4. KEEP OUT. Lock, block, or barricade the door with any available furniture. 5. TAKE OUT. This is a last resort when you have no other option, this is the life or death situation. Attempt to take out the shooter however you can. Be familiar with the following alerts: • Abduction/Missing Person • Hazardous Substance Spill • Mass Casualty-External • Bomb Threat Call Checklist • Severe Weather-Tornado Watch/Warning • Incident Command Activation • Medical Emergency-Cardiac Arrest or Code Blue • Fire Alarm Emergency Alerts-Fire Alarm Fire Alarm ATTENTION, PLEASE: Fire Alarm + Location Followed by… All Clear ATTENTION, PLEASE: Announced Alert + All Clear RACE = •Rescue •Alarm/Alert •Confine/Close Doors •Extinguish/Exit or Evacuate Fire Safety: Know RACE and PASS PASS P = Pull A = Aim S = Squeeze S = Sweep Rapid Response Team (RRT) • Activate the RRT when you need help to assess a • • • • patient who is unstable. (Call a cardiac arrest if the patient is pulseless or breathless) Activate Stroke Alert if anyone exhibits stroke symptoms Dial “5911” and tell the operator where you need help The nursing supervisor, ICU RN and respiratory therapist will respond within 5 minutes In a Stroke Alert lab and imaging will also be notified What’s the difference? RRT Stroke Alert Cardiac Arrest Dial “5911” Dial “5911” Push code button or dial “5911” Help arrives within 5 minutes Help arrives within 5 minutes Help arrives immediately Team=supervisor, ICU Team – supervisor, ICU RN, Respiratory therapist RN, Lab and Imaging Team=emergency personnel, including physicians Patient needs assessment to stabilize or transfer to higher level of care Patient is pulseless, breathless, or needs immediate care Patient or visitor is exhibiting signs of a possible stroke. Safety – Exposures and Spills • If you are exposed to any hazardous chemical, be sure to know how to locate Material Safety Data Sheets (MSDS) • These will provide guidance on how to protect yourself and care following exposure, as well as how to clean a spill • Located on-line, ask any caregiver Safety—Medical Equipment To report a concern about the safety of medical equipment: • Take the equipment out of service • Apply Defective Equipment tag • Notify department manager that equipment needs repair and an incident report needs to be completed Incident Reports • Incident reporting is a process to identify events involving patients, visitors, equipment, facilities and grounds • It is an important process to identify and fix areas of risk Incident Reporting • Report events that result in harm, or have the potential to do so. Examples: equipment failures, falls, medication errors, pressure ulcers • Report near misses, or events caught before reaching the patient Incident Reporting • Incident reports are completed on-line: Peminic Incident Reporting • Ask your instructor or department manager for assistance Safety – Disposing of Wastes Healthcare workers generate a lot of waste Know where to throw: • Hazardous-infectious wastes • Pharmaceutical wastes • Chemotherapy wastes • Radioactive wastes • Recyclables Click here for the Recycling Resource Guide Safety – Disposing of Wastes Hazardous-infectious wastes • Remember: Infectious waste contains blood or high risk body fluids that are: Drippable Pourable Squeezable Flakable • Red bag all items containing blood or high risk body fluids Dispose in red biohazard bins or bags - Blood, semen, vaginal secretions, pleural, amniotic or spinal fluid. These items DO NOT belong in Red Bag • IV Bags and • • • • lines without visible blood Syringes PPE Packaging materials Empty bedpans, emesis basins, wash basins and urinals • Empty medication • • • • • vials Stool blood cards Paper toweling Exam table paper Diapers and underpads only spotted with blood Dressings and bandages only spotted with blood Safety – Disposing of Wastes Pharmaceutical Wastes • Any leftover medication in a vial, tube, inhaler, syringe, pill, IV bag, etc. must be discarded in a Black Container • There are special situations regarding narcotics (including Fentanyl patches), nicotine patches, and warfarin (Coumadin™) • Ask a caregiver if you have questions Safety – Disposing of Wastes • Radiology staff must dispose of radioactive waste appropriately • Chemotherapy waste is disposed of in yellow bins • Please be sure to dispose of recyclables where indicated • Sharps such as syringe needles, broken glass, ampules Chemotherapy Precautions • Use special precautions to protect yourself when caring for patients who have received chemotherapy within the past 48 hours • A pink index card on the patient’s door frame indicates chemotherapy precautions. • Use proper PPE when handling any body wastes for 48 hours post chemotherapy administration Abuse • Health Care Workers are mandatory reporters of abuse • Every patient is assessed for abuse or violence. • Any report of abuse or signs of abuse must be reported • Contact your instructor and nursing supervisor is you know or suspect abuse. Abuse Look for any of the following • Signs of physical abuse • Signs of Emotional abuse • Signs of neglect • Signs of Sexual Abuse If suspected report, provide support and resources. Age – Specific Care To ensure quality care we must be sure to provide and document care that is specific for each patient’s age. Following are some basic highlights to review for each age group . Infants 0 – 12 Months • • • • • Need stimulation. Have anxiety toward strangers. Need security of established routines, love, and affection. Frequently express themselves through nonverbal means. Most patient education is aimed at the parents. Toddlers 13 Months – 3 Years • • • • • • • Are egocentric (“me” oriented). Imitate language; frequently say “no”. Have short attention span and ritualistic behaviors. Are curious and like to explore the environment. Allow choices when possible. Do not fully understand treatments being given to them, but need to become familiar with medical equipment. Use play as a means of preparation and explanation. Preschoolers 3 – 5 Years • • • • • • • Are commonly regressive and ask “Why?” frequently. Have increasing motor, language, and personal-social skills. Begin to develop peer relationships. Are able to verbalize physical needs. Act out feelings and experiences; imaginary play is very important. Have difficulty understanding the concepts of loss and death. Like to know what they will taste, hear, see, smell, feel, and touch during a procedure. School-Aged 6 – 12 Years • • • • • • Have greater attention span. Know names of body parts; greatest fear is body mutilation. Need explanations prior to procedures. Need to have choices. Begin to use logical thinking. Undergoing increased importance of peer relationships. Adolescents 13 – 18 Years • • • • • Need to be recognized as individuals, with respect for privacy May not verbalize concerns due to fears. Usually do not respond to authoritarian approach. May not have their chronological age correspond to their developmental stage. Are able to understand more detailed information and abstract concepts. Adults 19 – 64 Years • Need to have role of culture and lifestyle patterns considered. • Desire accurate information to assist in problem solving/decision making. • Need to be included in care decisions. Older Adults 65 Years and Older • Do not experience changes in thought process with normal aging. • May have unique physical limitations, psychosocial needs, and age-associated illnesses. • May be psychosocially dealing with loss. Aurora – Smoke Free • Aurora is a smoke free organization • Smoking is not permitted in buildings and/or on the facility property • Those that choose to smoke must leave the campus or the property Aurora – No weapons • No weapons, including guns, tasers or knives, are allowed in any Aurora facilities • Weapons must be locked in vehicle Parking Student / Contract Staff Parking Please park in the main parking lot in front of the building. Park in the outer most row to allow sufficient parking for our patients and visitors Enter the building through the main entrance which is open from 530 AM – 8 PM Employee parking lot is also available on the East side of the building. AMCMC Website The hospital website contains all of the resource information that you need. Your instructor or nursing supervisor will review with you how to access this site. You are almost done! • Your instructor, preceptor, or nursing supervisor should guide your experience • Be sure to ask our caregivers questions • This is your time to learn so be sure to ask for experiences, jump in when you are able • Don’t do something you have not been trained or prepared to do. If you are not sure if you can do something, Always ask Complete Paperwork • Complete Student / Contracted Staff Orientation Checklist • Sign the Contract Staff/Student Confidentiality Statement • The Minimum Necessary Checklist will be completed when you meet with your instructor, preceptor, or nursing supervisor • Bring all 3 forms with you on your first day of your experience Enjoy Your Clinical Experience