Welcome to the Baptist Experience Student Orientation
Module
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Welcome to Baptist Health System student orientation page. We
are excited that you will be learning at Baptist. WELCOME!
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In order to prepare you for your clinical experience, you are
required to complete the orientation module, sign the
confidentiality form and take the test prior to your first student
visit at the hospital. You will also be required to attend a
computer class at the hospital prior to your first clinical visit.
This will be set up by your instructor. The completed test and
signed confidentiality form should be submitted via email to the
address located on the bottom of each form. Again, welcome to
Baptist; we wish you a meaningful learning experience on
campus!
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Our History Almost 100 years of service in Alabama Faith-based
committed to physical, mental and spiritual care 4 hospitals
Approximately 45 Baptist Health Centers Technology, resources and
the experience for most medical conditions High Touch meeting High
Tech
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Our Mission Statement As a witness to the love of God, revealed
through Jesus Christ, the Baptist Health System is committed to
ministries that enhance the health, dignity and wholeness of those
we serve through Integrity, Compassion, Advocacy, Resourcefulness,
and Excellence.
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Our Commitment And Purpose Our Commitment Better Health; More
People Our Purpose To Honor God and Others
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Baptist Experience We care about delivering the best patient
and customer experience through a culture that consistently
demonstrates we care.
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Our Values Integrity Constantly sticking to a strict moral or
ethical code in public and in private. It presents the idea of
wholeness. This means that there is no compromise for integrity.
Compassion The deep awareness of the suffering of other people
along with the desire and attempt to relieve it. It is ministering
to the body, mind and spirit of those entrusted to our care, and
treating others as we would want to be treated. Advocacy Taking
action for, defending or recommending an idea. Advocacy is an
ongoing process that tries to change attitudes or actions. We
continuously search for ways to improve the well- being of the
communities God has given us the privilege of serving.always
striving to do more and better. Resourcefulness The ability to take
what is given to you and use it effectively or imaginatively. We
are challenged to be careful and responsible stewards of the
God-given resources that have been entrusted to us. We are taught
that to those who wisely used what they had, more was given.
Excellence The commitment to reach higher and exceed expectations
at every level of the organization through cooperation, sharing of
new ideas and an obsession for quality. Scriptures teach us
whatever we do, we are to do it with excellence and enthusiasm, as
unto the Lord.
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The Patient Promise Our Promise to You Because it is our sacred
privilege to serve you, our goal is to ensure that you receive the
best care in a manner that exhibits the love of Christ. We promise
to deliver an experience that ensures you feel confident in
recommending Baptist Health System as the best place for all
health-related needs. We promise to: always provide attentive and
personalized care that is sensitive to your physical, emotional and
spiritual well being; always be compassionate and responsive to
your needs; always listen to understand your needs and coordinate
your care with our expert physicians and medical team; always
provide you with open and honest communication, and the information
you need every step of the way; always provide a safe and clean
environment for you, your family and friends; always value your
time while keeping focused on the importance of your health.
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The Culture of Our Organization: Shaped by our values Guides
our behaviors to deliver the best patient and customer experience
Assures we meet behavioral expectations of our ICARE values Helps
us live our mission and demonstrate faith-based values Recognize,
Respect, and work with people with different beliefs, practices,
cultures and rituals to promote and improve the health of our
customers Population groups and/or age groups must also be
considered when addressing the patients plan of care
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Behavioral standards that are used to meet the promise are:
1.Gracious greeting 2.Informative interaction 3.Establish
expectations 4.Appealing appearance Behavioral Standards
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A gracious greeting is important to continue with our strong
reputation for caring and compassion. It includes three parts:
Smile, make eye contact within 5 seconds Immediate acknowledgement
of someone makes them feel valued and cared for. It sets the tone
for the rest of the interaction and can help diffuse any anxiety or
discomfort the patient may be having. Smiling is appropriate in
most situations. However, there are a few times it is not.
Introduce self and facility by introducing yourself, you put the
patient at ease and create a more emotional and personal
connection. By stating the name of the facility, you are helping to
tie the patient emotionally to Baptist. This creates loyalty in the
future. Welcome, thank you, good morning starting a greeting with a
salutation helps make the patient feel welcomed. It also shows
respect.
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Informative interaction is making sure that every patient
interaction is meaningful for the patient. It is comprised of three
things: 1.Identify self, state position, and address the patient by
name identifying you puts the patient at ease and personalizes the
interaction. Stating your position helps the patient know what to
expect and the types of questions they should ask. 2.Use the phrase
Im here for you with every customer - this phrase encompasses what
Baptist offers to each patient and to the community. It is what we
want every person to feel and experience when they interact with
us. 3.Provide instructions verbally- using written format for
reinforcement Customer fact: patients in our community indicate
they prefer instructions verbally, then written. We need to provide
verbal instructions, including asking them if they understood the
instructions, checking for their understanding, and asking them if
they have additional questions. In addition to help with retention
of the instructions we ask that you provide them in written format
whenever feasible.
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Establishing expectations will help manage and guide patient on
what to expect 1.Review the itinerary and provide an update on
timing or any changes as they occur. Time is an important factor
and knowing what patients expect and then helping them to
understand what will be provided is essential to decreasing
anxiety. 2.Promote the next step. Say something positive about the
department or person they will be interacting with next. We need to
take every opportunity to show our expertise and help patients be
less apprehensive of the next steps. By promoting others, it can
show both expertise and how we work together as a team. 3.Know top
questions patients ask and have answers at your fingertips. By
being ready to answer questions quickly and accurately, it provides
the patient with a sense of confidence that we know what we are
doing and that they are in good hands. Remind them the Patient
Information Guide will be a good source for common patient
questions.
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Always have an appealing appearance because our appearance is
viewed throughout every step the patient takes. 1.Your appearance -
It is important, it says a lot about the hospital and the
environment. It is important to follow dress code and look
professional every day. 2.Face Heart to Heart - Your body language
sends a loud message even more than the works you speak- including
facing heart to heart with the patient, making eye contact and
smiling when appropriate. 3.Organized and uncluttered - A neat,
organized area sends a clear message to patients and visitors that
the quality of care is high. Avoid or remove clutter from your
workstation in order to promote the perception of excellence. If
you ever have questions about the Patient Promise or how to fulfill
the standards, please let us know- we are here for you.
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GENERAL GUIDELINES FOR STUDENTS * A student will never assume
total responsibility for a patient. The assigned nurse has
responsibility for the patient. * All planned student activities
pertinent to care of a patient will be shared with the designated
Instructor, Staff Nurse, or Preceptor. * A student who has not
attained competency in a skill or procedure is required to have the
Instructor or Preceptor present if the student is to participate in
that procedure. * A student cannot take a verbal order from a
physician or other discipline. * A student cannot sign and release
physicians orders. * A student cannot take a critical lab or
critical radiology report.
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GENERAL GUIDELINES FOR STUDENTS * A student must comply with
the school dress code. School issued name badges must be present
and visible. * A student must report any incident/accident to the
Instructor, Preceptor, or Nurse Manager. * A student cannot cosign
as a witness for high-alert medications. * A student cannot be a
witness for written consent. * All student documentation must be
cosigned by the instructor or preceptor assigned (As prompted in
the computer documentation system).
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Sensitivity to Others No two people are exactly alike. We are
all different. These differences become more important in the
health care industry due to the extremely personal nature of the
services provided. We need to be acutely aware of our differences
and create an environment that is respectful of all people. Be
aware of your own feelings regarding diversity and consistently use
behaviors that communicate respect. We must be able to recognize,
respect, and work with people with different beliefs, practices,
cultures, and rituals in order to promote and improve the health of
our customers. Population groups and/or age groups must also be
considered when addressing the patients plan of care. Inform your
instructor or preceptor if you have specific questions regarding
sensitivity/ diversity.
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Information Management Information management includes
obtaining, managing, and utilizing information to improve patient
outcomes and hospital performances. In order to maintain
confidentiality, access to information is on a need to know basis.
User IDs are issued to students and passwords are created by the
student. The password belongs only to you and it is extremely
important that you do not share it with anyone. Students may view
their assigned patients charts in order to prepare for their
clinical experience but should not print or remove any patient
information from the hospital. To maintain confidentiality of
patient information, refrain from having conversations regarding
patients in the hallways, elevators, cafeteria, or other public
places. Never discuss, disclose or review any information about a
patients medical conditions with any other person unless they have
proper authorization.
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HIPAA
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HIPAA is a federal law that requires all health care facilities
to provide to patients the Notice of Privacy Practices. This notice
explains the patients rights and when and to whom an agency will be
giving any protected health information (PHI). PHI includes
information related to any health care provided to a person. The
patients medical record, as well as name, address, employer, birth
date, telephone/fax number, email address, occupation, account
number, social security number, certificate number, voice prints,
finger prints, photos, relatives names, and other personal
information are also included. As a student, you should: not share
any PHI with anyone who does not have a need to know it; only seek
the information you need to complete your patient care assignment;
not discuss any patient information in hallways, cafeteria, and
other public places; dispose of any PHI material you have in a
designated manner; use PHI materials in a secure area. In order to
gain access to PHI, each student will be required to sign a
confidentiality agreement.
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Environment of Care
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Environment of Care (EOC) We are committed to meeting certain
performance standards under EOC. We have also been entrusted to
keep our facilities a safe, functional physical environment for
patients, visitors and staff. The environment of care (EOC) is made
up of 3 basic components: Buildings Equipment People
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1.Safety 2.Security 3.Hazardous Materials & Waste 4.Fire
Safety 5.Medical Equipment 6.Utility Systems 7.Emergency Management
7 Specific Functions of EOC
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Everyone is responsible for the Safety and Security of
patients, staff, and visitors while on hospital Campus Report
concerns quickly Protective Services is available 24/7 Security
Management
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Security FACILITYEMERGENCY NUMBER Citizens4030 Princeton3090
Shelby5555 Walker2633 **Be sure you know the emergency number for
the facility where you are assigned!! The Security Department
monitors the hospital and surrounding grounds. There is a security
officer posted in the employee parking areas at shift change. If
you leave the hospital after dark and at a time different than
shift change, contact Security. There will be a security officer to
observe/escort you to your vehicle. YOU can help make our hospital
a safer place by taking steps to protect yourself. Do NOT leave
your purse, wallet, or valuables unattended. Keep them out of view.
Report any suspicious person or unauthorized persons to Security
immediately.
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Fire Safety : Remember to Race & Pass Become familiar with
the location of fire alarms & fire extinguishers in each
department. Evacuation of patients is first horizontal and then
vertical. BHS hospitals are smoke free. Smoking is not allowed in
patient rooms. Code RED initiates fire response Code CLEAR
indicates fire emergency is all clear R - Remove/RescueP - Pull pin
of fire extinguisher A - Activate fire alarmA - Aim at base of fire
C -Contain fire & S - Squeeze trigger clear hallwaysS - Sweep
extinguisher E - Extinguish the fire side to side
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Code RED Paged Act Fast Clear Hallways Close Doors Prepare to
evacuate Fire Extinguisher Locate / Respond Pull Nearest Pull
Station Keep Fire doors unobstructed Know Horizontal and Vertical
Evacuation Fire Drill Process
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BHS Standardized Emergency Codes CodeDescription Code Blue +
LocationAdult cardiac emergency Code Blue Pediatric +
LocationPediatric cardiac emergency Code Red + LocationFire Code
Gray + LocationUnruly patient or visitor Code Amber + Location
& DescriptionMissing adult, child, or infant Code Active
ShooterActive shooter on campus Code PurpleNo beds available within
the hospital Code Internal Disaster + LocationDisaster within the
hospital Code External DisasterDisaster outside of the hospital
Tornado WatchTornado watch within geographic area Tornado
WarningTornado warning within geographic area All Clear 3
TimesSituation resolved Emergency Codes
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Security Sensitive Areas AreaRisk Mother Baby areasInfant
abduction/ domestic violence PharmacyInternal theft of drugs/
robbery due to storage of drugs Psychiatric areasPatient violence/
domestic violence Emergency DepartmentRobbery due to storage of
drugs/ domestic violence/ gang violence/ patient violence Medical
RecordsTheft of sensitive patient information Each of these areas
may have special security devices, policies or procedures related
to the security.
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SDS Global Harmonizing The hazard communication tool gives
details on chemical and physical dangers, safety procedures, and
emergency response procedures. Your employer must have one for
every chemical and hazardous product in your workplace. The SDS
(Safety Data Sheets) Covers: 1.Identity manufacturer name, and
address and/or suppliers information, emergency phone number and
date prepared 2.Hazardous ingredients worker exposure limits to the
chemical are included 3.Physical and chemical characteristics
boiling point, vapor pressure, vapor density, melting point,
evaporation rate, water solubility, and appearance and odor under
normal conditions. 4.Physical hazard such as fire and explosion and
ways to handle those hazards, such as firefighting equipment and
procedure
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Infection Control General infection control policies are in the
Policies and Procedures on the Baptist Intranet. Refer to these
policies for specific questions regarding infection control or
consult your instructor or preceptor. Student nurses should use the
following guidelines while in the hospital: 1.Comply with the
school of nursing/hospital dress code regulations. 2.Long hair
should be pulled away from face to reduce the risk of contamination
of patient food, supplies, etc. and to reduce the risk of personnel
hair contamination from splashes or contact with soiled hands.
3.Avoid touching eyes or mouth during patient contact activities.
4.No eating or drinking in patient care areas. 5.Follow hand
washing guidelines. 6.Comply with hospital guidelines for universal
precautions. 7.Follow isolation precautions as indicated.
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Handwashing Proper hand care is the single most important way
to prevent and reduce infections. Washing hands with hospital
approved soap and water should be performed if hands are visibly
soiled. If hands are not visibly soiled, the use of the hospital
approved alcohol based hand cleaner is the preferred method of hand
care. The alcohol based hand cleaner kills more bacteria and
viruses and has a build up effect to keep killing organisms on the
hands after several uses. Wash your hands before and after entering
any patient room Before putting on gloves and after taking them off
After touching blood or other body substances (or patient care
equipment contaminated with these), broken skin or mucous membranes
even if you wear gloves Between different procedures on the same
patient If a patient is on contact precautions for Clostridium
Difficile, you must wash your hands with soap and water. Alcohol
based hand cleaner is not effective against this microorganism
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Hand Hygiene Use of Lotions Lotions are recommended to ease the
dryness resulting from frequent handwashing and to prevent
dermatitis resulting from glove use. Use only hospital
approved/supplied lotion. Nails Baptist Health System is committed
to ensuring a safe and healthy work environment for patients and
staff. We require our direct patient care givers to have short,
clean, natural nails. Artificial nails and nail tips for all direct
and indirect caregivers are prohibited.
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Personal Protective Equipment (PPE) PPE is worn to protect
against blood/body fluid exposures. Know the location of the PPE in
the patient care area and be familiar with them when barriers are
indicated and use as required.
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Biohazardous Waste Biohazardous waste is any type of waste that
is contaminated by blood or other body fluids contaminated with
blood. It includes: liquid or semi-liquid blood or other
potentially infectious materials; contaminated items that would
release blood or other potentially infectious materials in a liquid
or semi-liquid state if compressed; items that are caked with dried
blood or other potentially infectious materials and are capable of
releasing these materials during handling; contaminated sharps; and
pathological and microbiological waste containing blood or other
potentially infectious material. These materials should be
discarded in red containers. These containers have the Biohazard
symbol indicating their contamination. The containers are to be
closable, constructed to contain all contents and prevent leakage
during handling, storing, transporting, or shipping. Always wear
PPE when handling Biohazardous Waste.
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Bloodborne Pathogen Exposure Protocol If you are exposed to
blood or body fluids: Immediate First Aid Wash site with soap and
water. Irrigate eyes 15 minutes at nearest eye wash station. Notify
your instructor or preceptor immediately to ensure proper
treatment, management and follow up.
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Preventive Measures Create organized work area Use standard
precautions on every patient, every time Use appropriate
precautions when you anticipate splashes or sprays of blood or body
fluids Always use safety designed devices and follow safe injection
practices Activate safety device as soon as possible Provide
adequate lighting
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No hand-to-hand passage of sharps. Do not attempt to catch a
falling sharp. Never leave sharps unattended or place them in an
inappropriate place. Monitor gloves for holes and punctures.
Dispose of ALL sharps immediately in the sharps container. Do not
overfill or use over filled sharps container - (3/4 rule) No
recapping Preventive Measures
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Disposable paper drapes, lab Lab coats, paper towels, band aids
Disposable basins, bedpans, urinals Bonnet caps with no blood Empty
urine cups, stool containers, Foley Bags/tubing, diapers, chux Exam
& cleaning gloves Empty collection bottles & bags Sanitary
napkins & tampons (personal) Paper & plastic wrappers,
packaging, boxes, computer paper, office waste Unused medical
products & supplies PPE (worn but not soiled) Food products
& waste (soda cans, paper cups, plastic utensils) Empty IV
bags, bottles & tubing without needles Blue Wrap Saturated or
grossly soiled disposables, i.e., bloody gauze, dressings, lap
pads, OB and surgical peri- pads & gloves Containers,
catheters, or tubes with fluid blood or blood products not
discarded or flushed i.e., blood sets, suction canisters &
drainage sets (Need adequate absorbent material in container)
Dialyzers & tubing Microbiology specimens, used culture plates,
tubes, bottles & devices Placentas & surgical specimens
Blood spill clean-up materials Sharps Containers RMW Material
Needles & syringes, Scalpel blades, lancets Glass pipettes,
slides, and tubes Broken contaminated glass Staples & wires
(Cardio-catheter wires) Disposable suture sets & biopsy forceps
Not Regulated Medical Waste Regulated Medical Waste
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Transport bag system Small, Red Bio bags will be placed inside
the patient rooms or centrally located on the floor. Nurses will
attain a bag when needed in order to dispose of REAL medical waste
(soaked or saturated with blood). Once medical waste is disposed,
Nurses will tie up the bag in a balloon knot fashion and place into
the proper designated biohazard container, located in the soiled
utility closet.
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the red bag is tied Just like a balloon
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The following items CAN be thrown into the BLUE Containers:
Metals aluminum cans, tin cans, paper clips Plastic bottles, shrink
wrap, plastic bags Paper magazines, newspapers, NON- HIPAA
documents, used folders, junk mail, phone books Cardboard Boxes
glove boxes, medicine boxes, medical supply packaging, tissue boxes
Recyclable items
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Confidential documents Put all patient information into shred
bins. Anything that can identify a person is considered patient
information. Even sign in sheets.
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Disposal of pharmaceutical waste Cut and drain all maintenance
solutions. Witness waste all narcotics.
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Sharps management service empty sharps only disposal No meds in
the reds. Unbroken empty vials go in trash, not in a Sharp
box.
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Pharmaceutical waste disposal Place Nicotine and Coumadin
wrappers and not fully used patches back into small bio bags and
send back to the pharmacy.
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Pharmaceutical waste disposal left over medication Half full
medical vials Dropped Pills Expired/Old Pills Left over IVs
containing medication
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Pharmaceutical waste disposal left over medication in a sharp
behind pyxis rarely used
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ALL OF THESE ITEMS ARE TRASH
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Electrical Safety Electrical safety is needed to prevent fires
and shock. 1.Inspect all equipment prior to use, check for cracks
in glass or plastic and sharp or rough edges. 2.Do not use if cords
are frayed. 3.Use only equipment with a 3-pronged plug. 4.Do not
use unfamiliar equipment. 5.Use equipment only for what is
intended. 6.Report all broken equipment immediately; label broken
equipment DO NOT USE. 7.Do not try to repair broken equipment. 8.Do
not use any device that blows a fuse or gives a shock. Report all
shocks immediately, even small ones. Patient incidents involving
medical equipment or products must be reported immediately to your
instructor/preceptor. This must be reported to Risk Management
according to the Safe Medical Devices Act (SMDA).
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Emergency Management Quick Reference Tornado Precautions 1.Move
all non-secured objects away from the windows, such as books,
flowers, personal belongings, etc. 2.Close the curtains or blinds.
3.Close doors. 4.If instructed, evacuate patients and visitors to
areas without windows (halls, etc.). 5.If unable to move patients
from rooms with windows, cover patient with blankets. Fire
Precautions Code Red 1.Remove the patient and visitors. 2.Activate
the fire alarm and call to report. 3.Contain the fire by use of
fire extinguishers and closing doors. 4.Clear the hallways.
5.Evacuate patients as directed- horizontally first, the down-
using stairs.
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Emergency Management Quick Reference Bomb Threat Code Internal
Disaster 1.Stay on the phone as long as possible. Notice accent,
background noise, etc. Ask where the bomb is, what kind of bomb,
when it will go off, why, etc. Do not notify other staff or
patients and families. 2.While on the phone, get another staff to
call Security. 3.If a suspicious item is found, immediately clear
the area of patients. Infant Abduction Code Amber 1.Immediately
lock down unit and keep locked down until all clear is announced.
2.Search all areas of unit and waiting room and restrooms. Look in
hampers, etc. 3.Call Security for any suspicious activity and to
report area clear.
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Clinical Care Measures Clinical care measures are quality
initiatives that are prompted by the federal government. The
initiatives empower consumers to make more informed decisions and
encourage providers to improve quality of healthcare. Our core
measures are: Acute Myocardial Infarction Congestive Heart Failure
Stroke VTE Prophylaxis Immunizations Best practices are defined for
each of the measures. The following tables list the core measures,
best practices, and our plan for implementing the best
practices.
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ACUTE MYOCARDIAL INFARCTION Best Practices 1. Aspirin on
arrival 2. Beta Blocker at discharge (ex: Coreg, Lopressor, Toprol,
Zebeta) 3. EKG less than 10 minutes from arrival 4. Door to Drug
(TNK) less than 30 minutes 5. Door to PCI less than 90 minutes
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CONGESTIVE HEART FAILURE Best Practices 1. Evaluation of left
ventricular function (ECHO, Cardiac Cath) 2.ACE Inhibitor or
ARB/and Beta Blocker for Left Ventricular Systolic Dysfunction (EF
less than or equal to 40%.) ACEIs (ex: Benazepril, Lisinopril,
Lotensin, Lotrel, Quinapril) ARBs (ex: Benicar, Hyzaar, Losartan)
Beta Blockers (ex: Coreg, Lopressor, Toprol, Zebeta) 3. Discharge
Instructions include appointment with date and time
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STROKE Best Practices 1. VTE Prophylaxis 2. Thrombolytic
Therapy by day 2 3. Lipid profile within 48 hours 4. Discharge on
Thrombolytic Therapy, Statin if greater than 100, assessed for
rehab, and stroke education
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VTE PROPHYLAXIS Best Practices 1.Anyone 18 years or older
should have VTE prophylaxis or documented reason why none.
Ambulatory patients must be documented by physician. May include:
Anti-embolism stockings, Xarelto, Heparin, SCDs, AE pumps 2.
Patients discharged home on Coumadin must have Coumadin Therapy
Discharge Instructions.
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IMMUNIZATIONS FLU SEASON OCTOBER THROUGH MARCH Best Practices
1. All patients 6 months and older must be reassessed for flu
vaccine status. 2.Have had prior to arrival during current flu
season OR Refused OR Receive during current visit
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The facility has defined other outcomes measures and
continuously implements plans and actions to improve performance in
the following areas: National Patient Safety Goals Patient
Satisfaction Patient Falls
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National Patient Safety Goals Goal 1: Improve the accuracy of
patient identification Always use 2 appropriate patient
identifiers: verbally match name and DOB on armband with patient
record. Label containers used for blood other specimens in the
presence of the patient.
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National Patient Safety Goals Goal 1C: Eliminate transfusion
errors A qualified transfusionist and a second individual qualified
to transfuse objectively match patient and blood or blood
component
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National Patient Safety Goals Goal 2: Improve the effectiveness
of communication among caregivers Report critical results of tests
and diagnostic procedures on a timely basis When nurses receive a
critical test result, record results in Epic and record the time
the results are called to the physician Call critical test results
to physicians within ONE hour
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National Patient Safety Goals Goal 3: Improve the safety of
using medications Label all medication containers or other
solutions on and off the sterile field in the OR and other
procedural areas Keys to compliance: Standardized protocols
Integrated dietary component Baseline labs Monitoring Programmable
pumps Policy Patient education
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National Patient Safety Goals Goal 6: Reduce the harm
associated with clinical alarm systems Keys to compliance:
Establish as hospital priority Identify most important alarm
signals Establish policies and procedures for management of alarms
Medical and hospital staff education
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National Patient Safety Goals Goal 7: Prevent Infection perform
hand hygiene Hand hygiene All employees are to follow the current
Centers for Disease Control and Prevention (CDC) hand hygiene
guidelines: Use friction to wash hands for 15-20 seconds with soap
and water. Dry hands with a paper towel and use the paper towel to
turn off the faucet; OR Use alcohol sanitizer when hands are not
visibly soiled, rubbing hands together, until hands are dry. All
staff are to use alcohol sanitizer upon entering and exiting
patient and treatment/exam rooms. No artificial nails are allowed
in patient care areas. For Surgical Scrub (See policy and
guidelines). Hand hygiene is monitored to improve results.
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National Patient Safety Goals Goal 7- Prevent infections with
Multi-Drug Resistant Organisms(MDRO) Place patients with multi-drug
resistant organisms (MDRO) in Contact Precautions (if MDRO
respiratory infection-use Droplet plus Contact Precautions) Give
the patient/family education on infection prevention strategies,
tell the family to take precautions.
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National Patient Safety Goals Environmental Cleaning to prevent
transmission of MDROs Clean and disinfect surfaces that are in
close proximity to the patient - Bed rails, over bed tables and
frequently-touched surfaces in the patient care environment (e.g.,
keyboards, door knobs, surfaces in and surrounding toilets in
patients rooms) Dedicate non-critical medical items to use on
individual patient known to be infected with multidrug-resistant
organisms. Direct patient care staff are responsible for
cleaning/disinfecting medical equipment.
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National Patient Safety Goals Goal 7-Prevent Infection -
Catheter Associated Urinary Tract Infections Foley catheters should
have limited use and duration to situations medically necessary for
patient care. Use sterile technique for foley catheter insertion,
with procedure observed by a trained buddy. Manage foley catheters
by: labeling the foley bag with date of insertion secure the
catheter maintain the sterility of the urine collection system
maintain the foley bag below the patients bladder collect urine
specimens aseptically from port
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National Patient Safety Goals Goal 7- Prevent Infection-Central
Lines To prevent infection related to central lines implement
evidence-based standards for reducing infections (central line
bundle) Hand hygiene performed prior to insertion or manipulation
Maximal Barrier Precautions and sterile technique used during
insertion (inserter wears sterile gloves, gown, mask, and cap.)
Draping the patient. Chlorhexidine skin prep Optimal site selection
with avoidance of femoral vein Use standardized kit for CVL
insertion CL insertions observed for adherence to sterile technique
Use standardized protocol to disinfect catheter hubs and injection
ports (Scrub the Hub). Evaluate all lines routinely and remove
nonessential catheters.
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National Patient Safety Goals Goal 7- Prevent Infection -
Surgical Site In Surgery Department Antibiotics are administered
prior to procedure (given within 1 hour) Only clippers or
depilatories are used to remove hair if necessary The patient
temperature is monitored to keep the patient warm during procedure
(normothermia) In Patient Care Unit Controlling glucose level below
180 mg/dL after procedure (Cardiac) Discontinue Antibiotics within
24 hours after procedure (48 hrs for Cardiothoracic) Discontinue
foley by the second post-procedure day - exception is Urology and
GYN patients and when physician documents the medical necessity to
continue Strict adherence to aseptic technique when changing
dressings
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National Patient Safety Goals Goal 15 Identify Patient Safety
Risks The organization identifies patients at risk for suicide A
risk assessment is completed that includes factors that might
increase or decrease suicide risk. The patients immediate safety
needs and most appropriate setting for treatment are addressed. The
organization provides information such as crisis hotlines to
individuals and their family members for crisis situations.
Slide 75
National Patient Safety Goals Universal Protocol Prevent
Mistakes in Surgery UP 1A: Preoperative verification process UP 1B:
Mark operative site UP 1C: Active time out immediately before
starting the procedure Conduct a time out with the entire procedure
team confirming: oCorrect patient oCorrect procedure oCorrect site
is marked (if required) oCorrect patient position oSpecial
equipment/implants available
Slide 76
This is the completion of the student orientation module. Now
proceed to the post-test and confidentiality statement. Be sure to
email those as instructed on the bottom of each form.
Congratulations! You are now part of The Baptist Experience!