WELCOME TO HENRY FORD MACOMB HOSPITAL ORIENTATION!

1. WELCOME TO HENRY FORD MACOMB HOSPITAL ORIENTATION! 5/1/14

2. Our Mission To improve human life through excellence in the science and art of health care and healing. Our Vision Transforming lives and communities through health and wellness - one person at a time. Our Values • We serve our patients and our community through our actions that always demonstrate: • Respect for people • High performance • Learning and continuous improvement • A social conscience

3. HIPAA Emergency Preparedness, Environmental and Personal Safety Infection Control Service Excellence National Patient Safety Goal Information Agenda

4. HIPAAHealth Insurance Portability and Accountability ActHIPAA Privacy vs. HIPAA Security The Privacy Rule: In effect since April 14, 2003 Applies to patient information in any form whether communicated electronically, on paper, or orally (which we refer to as PI) The Security Rule: In effect since April 20, 2005 Applies only to patient information in electronic form (which we refer to as ePI) The Security Rule supports the Privacy Rule by preventing unauthorized access and use of patient information

5. Who must comply with HIPAA? All workforce members, at all locations, must comply with our Privacy and Security policies. Our workforce includes all employees, volunteers, medical staff (including residents), students and contractors. Violations of our Privacy and Security policies may result in corrective action, including termination of employment or contract, and could lead to investigations by law enforcement, regulatory, licensure and accreditation organizations.

6. Medical Record Access Guidelines Under no circumstances is it ever acceptable for you to access the information of persons known to you, including friends, associates, co-workers or public figures unless it's to conduct HFHS business or with prior authorization to do so. You are not to access your own information through the system. You may access your own information through Henry Ford MyChart. This is a website and internet-based services offering a secure, private channel for healthcare communications, personal medical information storage, online healthcare information, and related products, services and content. An activation code is required; inquire at your clinic visit or at your after visit summary (AVS) subsequent to an inpatient admission.

7. Security Program Objectives Protect and ensure the confidentiality, integrity, and availability of ePI that is created, received, maintained, or transmitted by HFHS  Protect against disclosure of information that is not permitted or required Avoid discussing patient information in public areas Secure your PC and mobile workstation (laptop, PDA, etc.) Never use or share your user IDs and passwords Always sign-off of your workstation when not using it or when leaving the area

8. HFHS HIPAA Resources E-Mail Addresses HIPAA@hfhs.org - HIPAA Privacy HIPAASec@hfhs.org - HIPAA Security Phone Number (313) 874-9561 - HIPAA Privacy Message Line Henry Webpage Access henry.hfhs.org and enter ‘HIPAA’ in search box for more details The website includes a list of the HIPAA policies and other HIPAA privacy and security information If you have questions about how HIPAA affects your job, please contact your immediate manager or supervisor

9. Online Policies- Henry Ford Macomb

10. Type the key word Select ‘business Unit’ Click on ‘Find’

11. The intent/purpose of this module is to, very briefly, introduce the participant to selected topics related to Environment of Care and personal safety, as it relates to their employment with the Henry Ford Health System. Employees and staff are encouraged to view various PowerPoint presentations which explore the topics in greater detail, and to reference their facility’s Environment of Care (or Safety) manual, or speak with their safety officer/ representative. Emergency Preparedness, Environmental and Personal SafetyIntroduction

12. Be aware of your surroundings, and people entering, or approaching, both inside and outside the building. Keep belongings in a secured location. Always wear your employee/school photo ID. Lock doors, when leaving office unattended. Report suspicious persons, or packages, to Security personnel. Personal Safety

13. General Rules No Latex Balloons – Only Mylar Sorry…no alcohol!

14. General Rules No firearms/weapons either!

15. Environmental Safety Hazards in the Workplace Chemical Biological Physical Electrical Radioactive Ergonomic

16. Michigan Right to Know Law Every employee has the “right to know” about hazardous chemicals that are used in the workplace. Communicated by: Training by manager/supervisor at time of hire or when new chemicals are introduced Accessibility to Material Safety Data Sheets Signage/Labeling Departmental - Chemical Inventory List Hazard Communication Plan

17. Material Safety Data Sheet (MSDS) Signage Posted in work location Access via “henry”

18. Online Access to MSDS

19. Exploring an MSDS

20. The manufacturer must label all containers with: Written in English Contain name of hazardous chemical (as found on the MSDS) Describe hazard warnings Have name and address of chemical manufacturer Originated from National Fire Protection Association (NFPA) as a method to assist emergency response and fire fighters Separated into 4 colors: Blue = Health score Red = Flammability score Yellow = Reactivity score White = Special precautions that apply Labeling of Chemicals

21. Each department, using chemicals, must have: A “Spill Control Plan” for small and large spills MSDS for each chemical Chemical spill kits for small, containable spills Seek medical attention, if necessary Document all spill incidents in your facility’s Event Occurrence Form Chemical Spills

22. Personal Protective Equipment (PPE): Eye goggles Splash shields Nitrile gloves Lab coats Full hazmat gear PPE is used for tasks as per Standard and Transmission-Based Precautions but the PPE needs to be removed as soon as the task is complete and hands cleaned.  PPE should not be worn out in the halls. Injury Prevention Controls

23. Injury Prevention Controls • Engineering Controls: Safe Needle Devices B-D Safety Glide B-D Safety Glide B-D Eclipse B-D Insyte Autoguard B-D Vacutainer Eclipse B-D Butterflies B-D Blood Transfer B-D Blunt Fill B-D Safety Scalpel

24. Engineering Controls: Chemical fume hoods Appropriate storage cabinets (flammable cabinets, acid cabinets) Eyewash stations (flush weekly; document) Sharps Containers Injury Prevention Controls

25. Work Practice Controls: No eating No drinking No smoking No gum chewing No application of cosmetics No manipulation of contact lenses No pipetting by mouth Injury Prevention Controls

26. If you work near radioactive material, use standard precautions to protect yourself. Minimize your exposure time, to reduce radiation dose. Maximize your distance from the source, and stand at least 9 feet from portable x-ray machines. Maximize shielding by use of rolling shields, lead aprons, and thyroid shields. Wear a personal, radiation dosimeter badge monitor. Radiation Safety

27. Laser Safety Warning signs must be posted when the Laser is in use. • Appropriate protective eyewear must be worn (dependent on type of Laser used). Side eye protection is essential. • If you work in an area where Lasers are used, you must receive instruction from the Laser Safety Officer, of the dangers and precautions to be taken, to prevent harm to oneself and the patient.

28. The magnetic field, produced during an MRI examination, creates a potentially very dangerous situation, and therefore is STRICTLY “off limits” to unscreened staff – even in emergency situations. Note the pictures!!! chair floor scrubber oxygen cylinder IV pole Magnetic Resonance Safety

29. Ergonomics is the science of designing work stations and tools, and introducing work practices to reduce work-related musculoskeletal disorders (WMSDs). Ergonomics

30. WMSDs are injuries and illnesses that affect muscles, nerves, tendons, ligaments, joints, or spinal discs. The goal is to achieve the optimal match between the person doing the work, and the overall work environment. Ergonomics

31. By Rehabilitation Services Henry Ford Macomb Hospital "BACK" to Basics

32. Back problems not new. * Back disabilities are the top item in compensation payments. Account for 93 million work days lost per year. Americans spend over $17 billion annually for diagnostics and treatments and billions more in disability claims. 97% of the money spent on treatment 3% toward prevention. Interesting when you consider you are 10 times more likely to have another episode of back pain compared to individuals who have never had an injury. “Back”ground

33. 24 vertebrae in all 7 Cervical Vertebra 12 Thoracic 5 Lumbar Sacrum & Coccyx Intervertebral Disc Nerves Disc Jelly- like shock absorbers. Surrounded by rubbery fibers attach to bone. Ligaments Tough non-elastic bands that connect bone to bone. Anatomy

34. Muscles Movers and Stabilizers Nerves Originate from spinal cord, exit between vertebrae and travel out to individual muscles. Provide energy to make muscles contract. Distal Symptoms when nerves are impinged. i.e. numbness, tingling down leg or arm Audience Interaction Everyone stands and moves through all planes of motion. Fwd Bend Bwd Bend Rt. Side Bend Lft. Side Bend Rotation Lt. And Rt. Purpose is to show not only that tight muscles limit motion but the bones or facet joints also limit motion. Anatomy, Continued

35. Maintain and support the structure of the trunk to allow for body mobility. Protect Spinal Cord Act as Shock Absorber. Bones, Discs and ligaments provide the structure. Muscles support the structure and facet joints direct movements. Nervous system provides the energy and control. Purpose of the Spine

36. “Back” to Basics • Back problems usually begin way before you experience pain. • Most of the time back problems are a result of cumulative effects of months or years of poor posture, bad mechanics, deconditioning, loss of flexibility, stress and poor nutrition.

37. Important to adjust workstation for your height. Sitting Posture Sit close to your work. Sit with feet flat on floor. Elbows, hips, knees and ankles in 90/90 position Chair back that supports curve of your back. Use of a towel roll when needed. Don’t look down or lean forward to do your work. Head and eyes should be straight on. Don’t sit longer than 20 min. Proper Sitting Posture

38. Activity to check for neutral sitting position. Slump way down Sit way up Come half way down. This is neutral. Proper Sitting Posture, Cont.

39. Standing Posture Elevate or incline your work station Put one foot up and shift your weight frequently Stand on a cushioned mat if possible Don’t stand bent forward or with knees locked back. Keep tension in abdominals Don’t wear platformed shoes if possible. Proper Standing Posture

40. Rules: Keep head up Back neutral Keep weight close to body Wide base of support Check weight of load before attempting to lift. Make sure area is clear of obstructions, not slippery or hazardous. Always push or pull instead of lift if possible. Pivot Don’t Twist Body Mechanics

41. Demonstration of Types of Lifts Diagonal Lift Straight leg Lift Partial Squat Lift Golfer’s Lift Carry load on shoulder when going long distances if possible. Types of Lifts

42. Remember protection and prevention are the key to a healthy back. If you’re having specific problems that are limiting or altering your lifestyle you should consult your physician. Physical Therapy Next Steps

43. HFHS utilizes the Hospital Incident Command system (HICS) for responding to internal and external emergencies/disasters. Each department must have an emergency management plan, and each employee must know their role and responsibilities. Employees must safely return to their department and participate in their department’s management plan, when a “code” is called. Emergency Preparedness Emergency Management

44. Code Red-Fire Code Blue-Adult Medical Emergency Code White-Pediatric Medical Emergency Code Pink-Infant Abduction Code Purple-Child Abduction 1yr and Older Code Black-Tornado Code Grey-Combative Person Code Silver-Weapon/Hostage Situation Code Green-Missing Person Code Triage Internal-Internal Disaster Code Triage External-External Disaster Code Orange-Hazardous Material Spill Code Yellow-Bomb Threat Emergency Color Codes

45. Return to department/unit immediately RACE Rescue those in danger Activate fire alarm Confine the fire by closing doors Extinguish fire (if small)/Evacuate PASS Pull pin on extinguisher Aim Squeeze Sweep Code Red (Fire) Call 4114

46. In the event of fire, it may be necessary to turn off oxygen or other medical gases If the fire is confined to a patient room, turn off bedside oxygen and remove patient from the room. If the fire is widespread, the decision to turn off the oxygen at the Oxygen Shut-off Valve, may be made by the Charge Nurse, or designee. Oxygen Shut-off

47. Code Blue (Adult Medical Emergency) • Assess patient’s airway, breathing and circulation • Call 4114 • Initiate CPR • C – Compression • A – Airway • B – Breathing • Do not leave patient

48. Code White (Pediatric Medical Emergency) • Assess patient’s airway, breathing and circulation • Call 4114 • Initiate CPR • C – Compression • A – Airway • B – Breathing • Do not leave patient

49. Code Pink (Infant Abduction < 1 yr old) • Monitor hallways, stairwells and elevators • Observe for person: • carrying a bag large enough to hold an infant • carrying a coat/baby blanket • or person, in a nurse’s uniform/scrubs, carrying an infant, without appropriate identification • Note identifying characteristics of person, take down license number of vehicle • Call 4114 immediately

50. Code Purple (Child Abduction > 1 yr old) • Monitor hallways, stairwells and elevators • An abductor can be a stranger, or family member, such as a non-custodial parent • Children, may or may not be able to verbally communicate a threatening situation • Note identifying characteristics of person, take down license number of vehicle • Call 4114 immediately