Welcome to Texas Health Plano

1. Welcome to Texas Health Plano Education Department

2. Our Mission, Vision & Values

3. Our Mission To improve the health of the people in the communities that we serve.

4. Our Vision Be the area’s premier health care provider offering faith based, quality services with recognized value for adults and children in collaboration with physicians, employees and the corporate community.

5. Our Core Values • Respect • Integrity • Compassion • Excellence

6. Our Promise Individuals Caring for Individuals, Together.

7. Promise Behaviors • I promise I will treat you with courtesy, dignity and respect. • I promise I will listen and communicate clearly. • I promise to earn your trust. • I promise that, before acting, I will first ask, “Does this positively reflect THR’s Mission, Vision, Values and Promise?”

8. Promise Behaviors • I promise to care about you as an individual and to respond to your concerns/needs as quickly as I can. • I promise to take care of both you and me – body, mind and spirit. • I promise that I will be mindful of quality and making safe choices in my actions and decisions. • I promise to demonstrate and promote teamwork. • I promise to continually learn and improve.

9. Diversity Value Statement We will provide and maintain a fair and equitable environment for all by valuing and respecting individual differences for our enrichment and for the enrichment of the communities we serve. • Diversity means the existence of many unique individuals in the workplace.

10. Our Faith-based Foundation • Answering the call to a ministry of healing, treating, providing care and compassion, serving, managing, leading and following • Being a blessing to our patients and their families- and to each other – by Living the Promise • Calling ourselves to action & accountability to provide an extraordinary experience to every patient we have the distinct privilege to serve

11. General Information

12. Personal Appearance and Professional Image • Scrubs/uniforms • Shoes • Tattoos, piercings • Fingernails • Appropriate behavior • Scented body products • Tobacco-free campus • Cell phones/other devices

13. Parking Roof of the parking garage

15. Your Safety • ID badges – wear above your waist, photo visible at all times • Visitor assistance • Be aware, be alert at all times – emergency call boxes located on all levels of garage at stairwells • Report unusual situations to Security x7753 • If leaving after dark, you can arrange Security escort

16. Patient Safety Rules! • THP Patient Safety Indicators: • Hand hygiene • Two patient identifiers • Pre-procedure time out/universal protocol • The Joint Commission National Patient Safety Goals • If you see something that isn’t safe, shout it out!

17. Patient Safety - General • Restraints • Seizure precautions • Patient’s with altered LOC (post-op, post sedation) • Patient transfer/transport • Crib rails • Specialty beds • Latex Precautions

18. NEW Alert Wristbands RED = Allergy YELLOW = Fall risk PURPLE = Do Not Resuscitate (DNR) THR specific: GREEN = Isolation BLUE = Obstructive Sleep Apnea (OSA)

19. Emergency Codes

20. BLUE = Cardiac arrest or emergency SILVER = person with weapon or hostage RED= Fire GREEN = Fire drill YELLOW = Disaster GREY = Sever weather BLACK = Tornado PINK= Infant or child abduction BROWN= Bomb threat = Security incident PURPLE = Hazardous chemical spill UTILITY = loss of essential equipment/utilities ORANGE= release of radiation Know the Emergency Codes WHITE

21. Call the Code 55 - STAY ALIVE

22. Emergency Codes - Code RED RACE for safety! • Rescue • Alert • Confine • Extinguish PASSto extinguish • Pull • Aim • Squeeze • Sweep

23. Emergency Fire Evacuation Plan • Report directly to your assigned area for instructions. • If decision is made to evacuate, assist with moving all patients, visitors and staff to the next horizontal fire zone. • Familiarize yourself with your area’s evacuation plan.

24. Emergency Codes - Blue • Do the Two Step to activate: pull Code Blue lever in room for local response, call 55 after CONFIRMING that it is a code. • Special considerations: • Infant Codesin NICU, Newborn Nursery, HROB, and Labor and Delivery: staff should respond internally by calling the NICU emergency phone (69911). • Adult Codes in the NICU, Newborn Nursery, HROB and L&D: The Two-Step Method should be utilized. The NICU Code Team should also respond to all adult codes in L&D and HROB. • Adult Codes and Infant codes on Postpartum: staff should respond using the Two-Step Method for Code Blue. The Adult Code Team and NICU Code Team should respond as the code could be either an adult or infant. • Code Blue Pediatric: follow Two Step, but notify operator that it involves a pediatric patient; additional specialized staff will respond.

25. CAT and Kitten – Rapid Response Teams To provide early and rapid intervention in order to promote better patient outcomes, such as: • Reduce cardiac and/or respiratory arrests in the hospital • Reduce or facilitate more timely transfers to a higher level of care • Early recognition of sepsis • CAT members: critical care RN, RT team leader, patient’s RN • Kitten members: ED RN, RT team leader, patient’s nurse

26. Condition H • Condition Help: allows patients and families to call for immediate medical attention when an emergent condition develops or they believe the patient is not receiving appropriate medical care/attention. – x 3866 • Patients & families should be informed (translated as needed) at admission about the program. • Call routed to Administrative Supervisor

27. Medical Equipment • Safety – if you don’t know how to use it, ask! • Bio-med stickers/decals should be current on all biomedical equipment.

28. Electrical Safety • Fire and explosion risk • Oxygen enriched atmosphere (OEA) and sparks • Guidelines • Loose plugs/cheater plugs • Damaged cords/plugs/extension cords

29. Hazardous Chemicals • OSHA • Warning labels on containers • Material Safety Data Sheets

30. Infection Control • Infection Control is everyone’s business • Wash your hands and use standard precautions

31. Proper Hand washing Before and after all patient contact: • Wet hands with lukewarm water • Apply soap, lather using friction for 15 seconds • Wash entire surface of hands, above the wrist, between fingers, under and around nails • Rinse thoroughly, fingertips down • Blot dry with towels • Use towels or foot pedals to turn off faucet OR • Use alcohol foam or hand gel Foam in, foam out.

32. Standard Precautions “Assume that every person is potentially infected or colonized with an organism that could be transmitted in the healthcare setting…”- CDC guidelines for Standard Precautions Use Personal Protective Equipment • If you don’t know how to use it, please ask! • Wear gloves if hands will come in contact with body fluids or any wet surfaces • Wear gowns if body fluid contact with your uniform could occur • Wear mask/goggles or mask with eye shield if splashing in face is anticipated • Hand hygiene

33. Contact Precautions • MRSA, VRE, multi drug resistant organisms, bronchiolitis, gastroenteritis • Wear gown and gloves upon entering room • Patient door may be open • Provide covering for infected area for control of secretions

34. Droplet Precautions • Influenza (seasonal), meningitis, mycoplasma pneumonia, pertussis, group A strep, rhinovirus • Wear a surgical mask within 3 feet of an infected patient • Door may remain open • Patient should wear a surgical mask when transported

35. Airborne Precautions • Chickenpox, measles, Tb • Check with patient’s nurse – nature of isolation • Patient should wear a surgical mask when transported • Requires N95 mask – refer to your school process

36. Blood and Body Fluid Spills • Wear appropriate PPE • Use paper towels to absorb visible liquid material & contain so no one slips/falls • Call Environmental Services for assistance

37. Good Housekeeping • Dispose of sharps, needles, and glass in red sharps containers. • Place infectious waste in “Bio-Hazard” bins. • Place contaminated linen in blue plastic bags in linen hamper & keep covered. • Keep food in designated areas only.

38. HIPAA Health Insurance Portability and Accountability Act • Established by Congress in 1996 • Ensures health insurance portability • Reduces health care fraud and abuse • Guarantees privacy and security of health information • Provides standards for electronic exchange of health information • Sanctions and violations • Carelessness • Curiosity/Concern • Personal gain or malice

39. Patient Confidentiality Confidential information: • “Need to know” basis – access to information you need to do your job • Any written, verbal or electronic information that is to be kept secret & not disclosed without permission • Passwords, EHR, ID bands, x-rays, lab results • Respond correctly to inquiries - if someone asks for confidential information: • Ask your instructor/preceptor or charge nurse • Direct them to the appropriate department

40. Safeguarding Personal Information • Control access to personal health information (PHI) – ask questions if you see someone unfamiliar/not wearing a badge • Wear your badge – make it visible • Place PHI in shred boxes • Do not leave your patient notes where they could be read by others • Do not discuss patient information in public areas – elevator, nurses’ station, cafeteria, restroom, over the phone, etc.

41. Thank you for joining us at THP Please contact the Education Department if you need assistance or have any questions.