Transcript Welcome Aurora Sheboygan Memorial Medical Center We help people live well Revised September, 2014

Welcome
Aurora Sheboygan
Memorial Medical Center
We help people live well
Revised September, 2014
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What you need to know….
This presentation will provide you with the information
you need to work at our facility:
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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 clinical or student
experience at our sites, 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
• If you do not have a name badge,
contact Loss Prevention
Badge Identification
• Caregivers working in the Emergency
Department, Behavioral Health Services, or
Radiology need a special badge to access
the unit. Contact your instructor or
preceptor. They will tell you how to gain
access or obtain a badge for you from Loss
Prevention.
Your Professionalism
• You are representing
Aurora Sheboygan
Memorial Medical
Center
• Professional speech,
behavior, attitude and
appearance is an
expectation
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
ASMMC
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 and community 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
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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
Nursing Caregivers:
Rounding with a Purpose
Rounding With a Purpose is:
MORE than just entering the room every hour.
A purposeful visit that involves key words and
addresses key points consistently.
Showing
up
(every hour)
Key Words
+
(Power of
suggestion)
=
Rounding
with a
Purpose
Rounding with a Purpose
Every hour nursing caregivers will follow the 3 steps of rounding:
• STEP 1: Introduce yourself to your patient.
Explain that you would like to partner with your
patient to make sure his or her needs are met
every time you enter their room until the patient
knows your name
- “Hi, I’m _________, your RN/CNA. We’ll check in with
you routinely. Each time we do, we’ll ask about your
needs and make sure we’re doing everything we
can for you.”
Rounding with a Purpose
• STEP 2: Address the 3 ‘P’s and ‘S’
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Personal Needs: Toileting (Ask if the patient needs
to go to the bathroom, empty urinal or hat). Call light,
telephone, garbage can, fresh water and personal
belongings within reach.
Pain: Ask the patient about their pain (offer
pharmacological and non pharmacological options)
Positioning: Ask if the patient needs to be
repositioned.
Safety: Ensure the bed is locked and is lowest
position, bed/chair alarm on if applicable, cords are
safely stored, equipment functioning properly
Rounding with a Purpose
• STEP 3: Close the visit
Review
- “I believe we have met all of your needs.”
Recite back what cares you have provided and the
remainder of the 3 “Ps” that were not provided, such as
Toileting.
Confirm
- They do not have any additional needs.
End it
- “If you think of anything more we can do for you I will be
back in approximately 1 hour to take care of it.”
Patient Experience
• Our goal is patients first,
always
• We believe that patient’s
rights and responsibilities are
an integral part of healthcare
• Click here to review our
patient’s rights and
responsibilities
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 and Interpreters
• Caregivers will offer a qualified medical interpreter
to patients with limited English proficiency
• A qualified interpreter is one who passed an
Aurora competency test
• Even if a patient refuses and chooses to use an
adult family member or friend as an interpreter,
Aurora must provide a qualified interpreter to verify
that the information is accurate
Cultural Diversity and Interpreters
• Document in the electronic record when an interpreter is
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used
If the patient refused interpreter services, document who
interpreted instead (family or friend), and that a qualified
Aurora interpreter was present
A minor may not be used to interpret clinical information,
even if the patient requests a family member who is a minor
May use an interpreter, interpreter phone, or a pocket phone
to call interpreter services
Contact the Interpreter Services department or nursing
supervisor if you need an interpreter
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,
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accept the baby without questions
Offer the person an envelope of information
(available at the admitting desk)
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
Protect Yourself from Hazardous
Substances
• Employees have a Right to Know what
toxic substances may be encountered on
the job
• The Occupational Safety and Health
Administration (OSHA) identifies how
hazardous substances should be labeled,
including a product identifier used on the
safety data sheet
Protect Yourself from Hazardous
Substances
• The Material Safety Data Sheets (MSDS)
contain the information you need if you are
exposed to a toxic substance.
• The MSDS is available online
• Caregiver Connect > Places
Blood-borne Pathogens
• 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
Blood-born Pathogens:
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,
ASMMC 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
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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
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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
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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. Use paper towels to absorb spill
3. Scrub with #25 solution
4. Flood surface with #25 solution (leave in
place for 10 minutes to disinfect)
May use Bio-Safety Spill Kit instead of #25
solution
Reduce Your Risk
• Hepatitis B vaccine is provided at no cost
to caregivers with anticipated exposure to
blood or high-risk body fluids
• 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
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10-15 minutes
Notify Employee Health & Wellness Services
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 employee incident report
Tuberculosis (TB)
• TB is caused by germs that are spread
through the air by coughing, sneezing,
singing or talking.
• Germs can stay in the air for several hours.
• A person becomes infected by breathing in
the germs.
• TB usually affects the lungs.
Tuberculosis
Symptoms of TB of the Lung include:
• Weakness
• Weight loss
• Fever
• Night sweats
• Cough with possible blood
• Chest pain
Tuberculosis
• A patient with suspected TB disease is
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placed in Airborne Precautions in a
negative pressure room.
People entering the room must wear an
N95 respirator or PAPR.
Students should not be
assigned to care for
patients in a negative
pressure room.
Ebola-Transmission
A person infected with Ebola cannot spread the
disease until symptoms appear.
Ebola is spread through direct contact (through
broken skin or mucous membranes) with:
• Blood or body fluids (urine, vomit, stool, saliva,
sweat, semen, breast milk) of a person sick with
Ebola
• Objects contaminated with the blood or body fluids
of a person sick with Ebola
• In Ebola affected countries in Africa, some infected
wild animals (bats & monkeys)
Ebola-Symptoms
Symptoms can begin 2 – 21 days after exposure. The
types of symptoms include:
• Fever
• Headache
• Diarrhea
• Vomiting
• Abdominal pain
• Muscle pain
• Weakness
• Unexplained bleeding
or bruising
Aurora’s Ebola Plan
For our patients, we focus on THREE steps:
1.Identify: Use screening questions to
identify patients at risk for Ebola
2.Isolate: Isolate patients at risk in a private
room and protect our caregivers from
possible exposures
3.Inform: Notify and inform the trained
Aurora care teams and the required public
health authorities
Ebola Patient Screening (Identify)
Patients will be screened for risk factors
including the following:
• Travel history: has a patient lived or
traveled in an Ebola –affected country in
the last 21 days?
- The affected countries are in West Africa,
including Guinea, Liberia and Sierra Leone
• Exposure History: has the patient been
exposed to blood or body fluids from an
Ebola patient (alive or dead)?
Ebola—Strict Isolation
• Patients with a possible diagnosis of Ebola
will be placed in Strict Precautions
• Students will not be assigned to care for a
patient with a possible diagnosis of Ebola
• Environmental Services and
Patient Caregivers must have
special training
Students at Risk May Not Work Until
Cleared
• Caregivers, including students, who have
traveled to an Ebola-affected country or
have been exposed to an Ebola patient
MUST be assessed before return to work
• Caregivers cannot return to work until they
have been assessed and confirmed that
they are not at risk
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
Hand Hygiene
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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:
• 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 after use,
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 primary kinds of isolation
precautions
- Droplet
- Airborne
- Contact
• An isolation cart with signage and supplies
is available from Sterile Processing &
Distribution (SPD)
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
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
Contact Precautions + Special
Precautions
• Used for patients with
suspected or actual C.
Diff, Norovirus or
infectious diarrhea
• Follow contact
precautions + wash
hands with soap and
water followed by gel
before exiting
• Disinfect patient care
items with bleach
product
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 ASMMC
• 5065 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
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 ASMMC 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 the RRT if anyone exhibits stroke
symptoms
• Dial “0” and tell the operator where you need help
• The nursing supervisor, ICU RN and respiratory
therapist will respond within 5 minutes
What’s the difference?
RRT
Cardiac Arrest
Dial “0”
Push code button or dial
“5911”
Help arrives within 5
minutes
Help arrives immediately
Team=supervisor, ICU RN,
Respiratory therapist
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
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
• 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 a waste disposal and recycling chart
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
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lines without
visible blood
Syringes
PPE
Packaging
materials
Empty bedpans,
emesis basins,
wash basins and
urinals
• Empty medication
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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 chemo cart with
signage and instructions
is available from
Materials Management
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
• Students—park on the
street during 1st shift
Click here for map of city street
parking restrictions
Click here for Sheboygan’s winter
parking rules
Click here for ASMMC parking lot
map
• Students--park in the
lot during 2nd shift
• Park between white lines,
farthest away from the
entrances
• Yellow lines are for our
guests and patients
• Blue lines are for
physicians
2nd shift
Park Here
Entrance
• Use the Main Entrance in the front of the
building (7th street)
You are almost done!
• Your instructor or preceptor should guide your
experiences
• 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
• Close this presentation. Print and complete the
required forms from the Aurora Sheboygan
Memorial student webpage
• Bring the forms with you on your first day of clinical
experience (or give to your instructor)