Student Orientation
Sandy HeresaManager Staff Development
KSMC
8/06
Mission
Preserve and improve our patient’s health
Provide high quality, affordable care
Provide excellent customer service
Partnership to achieve an excellent work environment
Who We Serve
Salem to the South Longview/Kelso to the north Clark County of SW Washington Division/Rockwood to the East Beaverton/Hillsboro to the west
Who We Serve
454,000 members in NW
171,000 KP Dental members in 15
clinics
Pain Management
All patients assessed and documented for acceptable level of pain on a 0-10 scale
Each patient’s response to pain intervention is documented in medical record
Annual training related to pain management
Pain
Pain is what the patient tells us
Assess for acceptable level of pain and document
Pain---the 5th Vital Sign
Medical Legal
Medical Legal Documentation Issues
Do not:
Document “incident report completed”
Do not:
Tell patient or family member that “everything will be taken care of….Kaiser is responsible”
Medical Legal Documentation Issues
Do Not: Alter the medical record after the fact,
trying to “clarify” or protect yourself
Late notation is ok if noted as such
Do not use white-out or mark out a notation in the chart
INFECTION CONTROL
IT’S EVERYONE’S
BUSINESS
ROUTES OF TRANSMISSION
Contact
1. direct
2. indirect
3. droplet Vehicle Airborne Vector
DIRECT CONTACT
Person to person spread
Actual physical contact between source and patient.
INDIRECT CONTACT
Patient comes in contact with contaminated intermediate object.
Intermediate object is passively involved in transmission.
DROPLET
Large particles that rapidly settle out on horizontal surfaces.
Brief passage of infectious agent through the air (usually a distance of 3 ft or less).
Infected person and susceptible host need to be relatively near each other (e.g. talking, sneezing, or coughing).
AIRBORNE
May involve varying distances between source and susceptible host.
Organism contained within droplet nuclei or dust particles.
Organisms suspended in air for extended periods; thus may be spread through ventilation systems.
HAND HYGIENE
The most important measure you can use to prevent the spread of infection
STANDARD (UNIVERSAL) PRECAUTIONS
Consider all patients potentially infectious
Use appropriate barrier precautions at all times
WEAR GOWNS
During procedures that are likely to generate splashes of blood or other body fluids
WEAR GLOVES
When touching blood, body fluids, mucous membranes, or non-intact skin of all patients
When handling items or touching surfaces contaminated with blood or body fluids
Wash hands after removing gloves
WEAR MASKS andPROTECTIVE EYEWEAR
During procedures that are
likely to cause splashes of blood or other body fluids (to protect the mucous membranes of the eyes, nose, and mouth)
SAFE HANDLING OF NEEDLES AND SHARPS
Use appropriate sharps containers
Discard used sharps immediately
Avoid recapping needlesActive safety device
BLOOD/BODY FLUID EXPOSURES
First aidReport exposure to supervisorFill out Employee Accident
Investigation formCall Employee Health
National Patient Safety Goal (JCAHO) Improve Communication
Follow do not use list of abbreviations
Follow established time frames for reporting critical lab & test results
Implement a standardized approach to “hand offs” allowing for opportunity to ask and respond to questions (SBAR-our tool)
Communication---SBAR
S-----Situation
B------Background
A------Assessment
R------Recommendation
Body Mechanics
Squat when lifting
Be aware of posture
Turn don’t twist
Use legs when lifting not the back
Hold object close to center of body
Fire Extinguisher
P Pull
A Aim
S Squeeze
S Sweep at base of fire