Affiliate Schools Online Orientation

1. Affiliate Schools Online Orientation

2. Message from the CEO We are delighted that you have chosen The MED as a clinical training site. We hope that your experience at The MED will be a valuable learning opportunity that will enhance your career! Regional Medical Center at Memphis is the oldest hospital in Tennessee and is committed to providing quality healthcare to all in this community. We enjoy a rich and historic 180-year plus tradition of providing excellent service and highly specialized care to the citizens of Shelby County and the entire Mid-South. It is our commitment to continue this tradition. I am deeply honored and proud to lead this great institution into the next chapter in its history. It is a privilege to foster and lead a team of healthcare professionals dedicated to excellence and committed to quality. Through the actions of and communications with our employees, you will experience a team of highly trained healthcare professionals delivering compassionate and quality care to you and your family. You will see a healthcare organization that achieves growth and sustainability by focusing on quality improvement and accountability. You will see a healthy and sustained Regional Medical Center. Sincerely, Reginald W. Coopwood, MDPresident and CEO

3. Purpose/Goals Affiliate School online orientation is designed to inform Faculty and Students of their role, expectations and scope of practice while involved in patient care at Regional Medical Center (The MED). Goals • Facilitate communication between affiliate schools and The MED • Enhance Patient Safety

4. Objectives At the completion of orientation, participants will be able to: • Embrace the mission of The MED. • Identify roles and responsibilities of program coordinator and students. • Apply safety and infection prevention practices. • Discuss the role, expectation, and scope of practice for students.

5. Overview of The MED • Since 1829, The MED has been the forefront in attending to the healthcare needs of it's community. • The MED, Tennessee's oldest hospital has always taken pride in it's unwavering dedication to providing patients with the best possible services. • Centers of Excellence include Trauma and Burn Centers; High Risk Obstetrics; and Neonatal Intensive Care Unit. • Rehabilitation Hospital, Wound Center, Sickle Cell Center, Adult Special Care and subspecialty outpatient clinics • Please visit www.the-med.org for additional information

6. Mission, Values, & Vision Mission: To improve the health and well being of the people we serve by providing compassionate care and excellent services. Values: We value quality C.A.R.E. • Compassion • Accountability • Respect • Excellence Vision: In collaboration with our academic partners, we will be the premier healthcare system advancing the qualities of life in our communities.

7. Instructor & Student Responsibilities The primary responsibility of instructors are the Students Please click on the link below to review our Affiliate School policy that outlines role and responsibilities of faculty, students and schools Affiliate school policy

8. Fundamentals of Communication Regional Medical Center at Memphis has incorporated a Studer principle referred to as AIDET to enhance customer service. Faculty and students are required to apply AIDET when interacting with patients, families, and others. AIDET: • Acknowledge • Introduce • Duration • Explain • Thank You

9. Fundamentals of Communication AcknowledgeGreet customer with a smile, maintain appropriate eye contact, and demonstrate a warm, receptive attitude with everyone you come in contact with. IntroduceOffer your name, your role in the customer’s care and communicate your ability and desire to help – this requires your full attention to the other person.DurationExplain how long a procedure will take, how long the patient may have to wait, or if you are walking with someone, how long it will take to reach your destination. ExplanationProvide detailed information about a test or procedure, such as why it is being performed, who will perform it, whether there is pain or discomfort, and what will happen afterward. Be sure to answer the patients’ or family members’ questions. Thank YouSincerely thank the patient or visitor for choosing the hospital and for trusting you to provide care.

10. Patient Rights The MED recognizes its role in providing a foundation for respecting the rights and responsibilities of patients, their families, physicians, and other caregivers. The patient has the right to obtain relevant, current and clear information concerning their diagnosis, treatment, prognosis and information related to specific procedures and/or treatments including relevant risks, benefits and side effects and also possible results of not receiving care, treatment and services.

11. Patient Safety Patient Safety is a priority at The MED. Our Leaders have established specific expectations that demonstrate our commitment to patient safety.

12. Enhancing Patient Safety Report the following to a MED Manager or Supervisor: • Clinical Alarms • Damage Walls, ceiling or water on the floors • Broken Equipment • Potential patient safety issues • Suspect of Abuse and Neglect of patients (TennesseeLaw: if abuse and neglect is not reported it is a Class A Misdemeanor) Always practice Infection Control Principles

13. Enhancing Patient Safety • Report all Needle Sticks and Injuries • Use Standard Precautions when dealing with patient’s bodily secretions. • The use of Personal Protective Equipment (PPE) will be provided at no cost. Fit Test must be completed at affiliate school.

14. Restraints Application • Only trained employees of The MED are allowed to place a patient in clinical restraints. • Students are not allowed to place a patient in clinical restraints!

15. Incident Reporting Incident is defined as any event which is not consistent with the desired operation of the facility or care of the patient. Examples include: • Physical harm • Unauthorized leaves by patients • Patient dissatisfaction • Mistaken identity • Hospital acquired infections • Unexpected and unexplained returns to surgery

16. Student’s Role during Incident Reporting • Students should report incidents to Management even if there is no injury. • Who is included in an Incident? • Incidents involve healthcare employees, students, patients, family and/or non-employee.

17. Enhancing Patient Safety Impairment: “The inability to practice medicine with reasonable skill and safety to patients due to physical or mental illnesses, alcoholism, or drug dependency.” American Medical Association (AMA)

18. Impaired Healthcare Staff Impairment is in the form of alcoholism, substance abuse, chemical dependency, mental/emotional, instability, or senility. Warning Signs • Consistently documents the administration of pain or nerve medications for patients who have not needed the medications before or after that nurse has cared for them.

19. Reporting & Investigation In the event of a suspected impairment posing a serious and immediate threat to a patient, report it immediately to Management. REPORT IT, REPORT IT, REPORT IT!

20. Confidentiality Agreement Protecting the privacy of our patients is critical. Health Insurance Portability and Accountability Act (HIPAA) was enacted to ensure that personal medical information is protected. Faculty and students are required to submit a signed copy of The MED’s Confidentiality Agreement to Training and Development prior to clinical rotations to insure privacy of our patients

21. Protected Health Information Definition:Any patient’s health or personal information transmitted orally, recorded, paper or electronic documentation. Examples: • Patient name and address • Social security number • Medical records • Billing information Remember: Faculty and students should avoid using waiting areas to interview or brief patients or family members.

22. Privacy & Students DO: • Faculty and students are allowed to make reasonable notes, including patient identifying data, but are cautioned that such information is extremely confidential. • You may discuss patients by name or location only in a private area. • Be mindful that there are often patients & family members on employee elevators, in hallways and in the cafeteria. • Prior to sending a fax, check with management.

23. Privacy & Students • Do not read records that do not pertain to your assignment. • Do not leave patient information unattended in public areas. • Do not leave material unattended when using a copier. • Do not leave computer displays showing confidential information — log off when finished.

24. Social Networking Never take pictures of patients or family members while in a clinical setting. Bluetooth headsets, cell phones, iPods, and iPads use are prohibited in the clinical setting.

25. Cultural Diversity and Sensitivity The MED is sensitive to cultural, racial, linguistic, religious, age, gender, and other differences, as well as the needs of persons with disabilities.

26. Interpreter Services A Healthcare Interpreteris a bilingual individual trained in interpretation skills and medical terminology, which facilitates understanding in communication between people speaking different languages in health care settings. A Healthcare Interpreter is the voice for the patient describing symptoms or asking questions. Call the Telephone Operator at (901) 545-7100 or “0” from any hospital telephone

27. How to reach an Interpreter? Page Interpreter for a Quick Response (901) 790-9189 __________________________________________________________________________________________________________________________________________ Call the Telephone Operator at (901) 545-7100 or (‘0” from any hospital telephone)

28. Emergency Codes

29. Fire Response/Evacuation Information • Evacuation – Horizontal beyond the next smoke compartment • (Fire doors) Vertical is down the stairway • Fire Pull stations – summons Memphis Fire Department, located at every stairway door and exit door • Fire extinguisher location – at each nurse station and every 50’ of travel • Note the wall flags pointing to extinguisher and pull station

30. Security The MED is concerned and committed to safety and health for its’ employees, patients and visitors. The Workplace Violence Prevention Program promote safety and security in the workplace. MED SecurityCall 911 for EmergenciesCall545-7700 for Non-Emergency

31. Workplace Violence (WPV) WPV is any act of physical violence, threats of physical violence, harassment, intimidation, or other threatening, disruptive behavior that occurs at the work site that can affect or involve affiliate school participants, employees, medical staff, contract staff, patients, visitors, vendors, etc.

32. Workplace Violence (WPV) • The MED will not tolerate violence in the workplace. • The MED will make every effort to prevent violent incidents from occurring. • Acts or threats of physical violence, including intimidation, harassment, or coercion will not be tolerated and must be reported immediately. • Affiliate participants as well as staff, guests are required to help make The MED a safe workplace.

33. Infection Control ALWAYS • Wash Hands • Use antimicrobial soap or alcohol antiseptic handrub before donning gloves after removing gloves. • Use care to avoid touching contaminated surfaces in the room after washing your hands.

34. Infection Control Standard Precautions are to be used for the care of all patients. They are designed to reduce the risk of transmission of microorganisms (Bloodborne pathogens and other pathogens) from both recognized and unrecognized sources of infections. Standard Precautions Include: • Blood and all body fluids, secretions, and excretions, except sweat • Non-intact skin • Mucous membranes

35. Airborne Precautions • Airborne Precautions are designed to reduce the risk of Airborne transmission of infectious agents • Airborne transmission occurs by dissemination of either airborne droplet nuclei or dust particle containing the infectious agent.

36. Airborne Precautions • Patient is to wear a surgical mask if transport or movement is necessary. • Notify the area where patient is being taken of the required isolation precautions and the reason to expedite the procedure. • Personal Protective Equipment (PPE): N-95 mask. • Staff should wear an approved N95 respiratory device and staff must be fit tested to wear the respiratory device. • Wear other PPE as required.

37. Contact Precautions • (In addition to Standard Precautions)Visitors Report to Nurses Station Before Entering the Patient Room. • Patient Placement: Private room. When not available, cohort with patient infected or colonized with the same microorganism. • Patient Transport: Patient must remain in room except for urgent procedures.

38. Blood-borne Pathogen Transmissions Blood-borne Pathogen Transmissions in the Healthcare System are usually caused by: • A cut with a sharp object • Contamination caused by a break in the skin • Contamination of mucous membranes by blood • Needle Sticks

39. After an Exposure to Blood or Other Body Fluids • Needlestick/Cut: Wash the area. • Splash/Splatter: Irrigate the area. • Notify your Instructor. • Fill out your OJI. • Call Occupational Health @ 5-7166 M-F 7-4:30 PM. • After hours/week-ends and holidays report to the Emergency Department. • If you have any questions you may page 790-9697.

40. Remember • Good hand hygiene is the single most effective way to prevent the spread of infections. • Use the correct PPE when handling contaminated instruments. • Use safety devices. • Do not recap needles. • Practice good hand hygiene.

41. General Expectations • Students should be on their assigned units at the start of the shift. • If the student must be late, every attempt should be made not to disrupt the work of the unit/department.

42. General Expectations Students are expected to follow the dress code policy. • Reflect business-like and professional atmosphere. • Hair and nails shall not obstruct work with patients, or interfere with performance when working with machinery of any type. • Wear PPE’s (personal protective equipment) in the environment of care according to guidelines. • Adhere to departmental uniform policy. • Student ID badges must be worn at all times while on duty with picture and name visible. • Avoid excess make-up, perfume, shaving lotion, jewelry, and nail polish.

43. General Expectations • Students should answer the phone by identifying the unit, self, and stating “How may I help you?” • Students may answer any call light. • Students are expected to maintain the confidentiality of all patients. • Students must not have loud and boisterous conversations in the organization.

44. Authentication • I have successfully completed The MED’s Affiliate School online orientation policy. • I agree to abide by the rules and regulations set forth in the policies presented during the online orientation. Student Signature_________________________ Instructor Signature________________________ Date______________ Complete this form and submit to Training and Development