VOLUNTEER ORIENTATION

1. VOLUNTEER ORIENTATION Marilyn Brincat, RN, BA Student Services Specialist

2. BADGE / DRESS CODE • Identify yourself as a volunteer • Wear Volunteer Uniform – Blue jacket/vest or polo shirt • “No jeans” or such attire at any time • Wear your badge while on duty

3. CUSTOMER SERVICE • CWH is a Patient Focused Organization • What does this mean to you? • Patients should be the first priority • The goal of our care should be “PatientCentered”

4. HIPAA Health Insurance Portability and Accountability Act of 1996

5. HIPPA REGULATIONSPURPOSE • To prevent inappropriate use and disclosureof individuals health information, also called PHI (Protected Health Information). • Require organizations which use health information to protect the information and the systems which store and transmit it.

6. HIPPA REGULATIONS GOALS • To protect worker’s health insurance whenthey change or lose their jobs. • To allow the free flow of information needed to provide high quality healthcare. • To protect patient’s privacy and the security of their individual health information.

7. IMPORTANCE OF CONFIDENTIALITY • The community needs to have confidence in thehospital and the services we provide. • Patients expect their personal information to be kept confidential, including their financial information, healthcare information, and personal decisions. • Workforce members expect their personal information to be kept confidential as well.

8. BREACHING CONFIDENTIALITY • Workforce members (employees, volunteers, orstudents) who breach confidentiality may be subject to legal proceedings. • Breaching confidentiality is sufficient cause for immediate dismissal.

9. ACCESS TO INFORMATION • CWHS has many communication methods(charts, records, white boards, patient identification, computer screens) that contain patient information. • Workforce members are not to review any records or obtain any information about a hospital services patient unless it is in their line of duty.

10. EXAMPLES OF PHI • Name, Address, Telephone Number • Social Security Number • Medical Record Number • Birth Date • Medications • Diagnosis • Photographs

11. COMMON AREAS OF CONCERN • Patient charts and chart forms • Computer screens • White boards • Test result forms • Conversations overheard in non-clinical areas (cafeteria, elevators, hallways)

12. YOUR JOB IN GUARDING PRIVACY • Take reasonable care not to be overheard • If you see unprotected PHI, notify your supervisor or call the OOPS Line (6677) • Dispose of PHI properly, including shredding • No copying of patient records / charts

13. SAFETY TOPICS

14. Medical Emergency Fire Safety Electrical Safety Chemical Safety Bomb Threat Safety Radiation Safety Disaster Preparedness Infant Abduction Security and Violence EMERGENCY RESPONSE

15. DON’T WAIT TO GET HELP! • Recognize an impending emergency before it becomes a real emergency • Report potential or real emergencies by getting help immediately

16. MEDICAL EMERGENCY • Any patient, visitor, or workforce member has signs of an impending or actual medical emergency as evidenced by: • trouble breathing or stops breathing • loss of consciousness • loss of pulse • severe injury

17. MEDICAL EMERGENCY RESPONSE Code 9 • Call 2911 (in hospital) and report a Code 9 • Push code 9 button in inpatient care areas • Call 9-911 (in external clinics, home health building, dialysis) and report the emergency • If necessary, begin basic life support using protective barriers if trained in BLS • Call 2911 (in hospital) to cancel a code

18. FIRE EMERGENCIES Code Red R Rescue everyone from the immediate vicinity. A Activate the red fire alarm pull station. C Call 2911 and report the fire and location. E Extinguish small fires with extinguisher or smother with blanket or pillow.

19. FIRE EXTINGUISHER USE • Know fire extinguisher locations in your work area. • Bring the extinguisher to the fire site, then: PPull the pin out from between the two handles. AAim the nozzle at the base of the fire and hold the nozzle securely. SSqueeze the two handles together. Pump squeeze. SSweep the spray from side to side, covering the entire area of the fire.

20. ELECTRICAL SAFETY • Be careful to not stress electrical wiring (yanking plugs from outlets, running over wiring with equipment). • If a piece of equipment is broken or malfunctions, unplug it and report it to the Bio-Medical Department. • Remove the equipment from service and label it for repair.

21. ELECTRICAL SAFETY • Red electrical outlets are for emergency use. In the event of a power outage, plug patient equipment into the red outlets. • Do not use electrical equipment in water. • Report any shocks caused by contact with electrical equipment to the Biomedical Department. Ext. 6057.

22. CHEMICAL SAFETY Material Safety Data Sheet (MSDS) • In the event of a chemical spill or chemical contact, call housekeeping immediately. • MSDS information is now on our icentral web site.

23. BOMB THREAT SAFETY Code Black • If you answer the phone and a bomb threat is given, get as much information as you can from the caller. • Call 2911 and report a bomb threat. • The emergency code “Code Black” will be announced. • Stay or return to your work area. Look for suspicious items. • If suspicious items found, call Security 393-4225,

24. RADIATION SAFETY • Watch for Radiation warning signs in patient care areas or patient treatment areas. • Remember; Time, Distance and Shielding.

25. DISASTERS Announcement = “Disaster” • As Volunteers your role in a disaster is to maintain your duties, unless otherwise instructed • If you are at the hospital, leave if you are instructed. • If you are not at the hospital, do not come in unless you are called.

26. INFANT ABDUCTION Code Pink • An infant is taken without permission. • May occur in the Nursery, OB, or Pediatrics. • Call 2911 and report Code Pink. • Kidnapper may be non-custodial family. • Go to the nearest hospital exit • . Delay anyone from leaving with an infant or carrying a small suitcase, box or other item that might conceal an infant.

27. DISRUPTIVE INDIVIDUAL Code Green • Threat of violence, 2911 to report • Trained Response team will respond • De-escalation without violence • Focus on Safe Outcomes for all involved

28. SECURITY • Call 2911 and request “Security” • Uniformed Security Officer will respond • Ability to communicate directly with Wenatchee Police

29. WEAPONS • The hospital is a weapons-free zone. This includes guns, knives, and any other type of weapon. • If a patient, visitor, or workforce member states they have a weapon or shows a weapon, call 2911 and request help.

30. PROTECT YOUR SAFETY • If you are faced with a threatening person: • Make sure you have an exit • Talk slowly and quietly • Avoid direct, intimidating eye contact • Ask questions • Let the person vent • Avoid threatening body language • Stay focused

31. DON’T WAIT TO GET HELP • Call Security (393-4225) before someone loses control and becomes violent: • If someone is inappropriately emotional • If someone appears to be under the influence of alcohol or other drugs • If someone sets off your internal “warning signals” of danger

32. DON’T INCREASE YOUR OWN RISK • Don’t bring any valuables to work • Don’t leave any valuables on your car seats • Be aware of people who are out of place • Be vigilant to potential violence • Know the Security number, 393-4225

33. SAFE PLACE FOR NEWBORNS PROGRAM

34. PROGRAM GOALS • To provide a safe haven for abandoned infants • To provide a safe place for abandonment without fear of prosecution • To preserve the health of the mother

35. STATE – WIDE PROGRAM • Anonymous abandonment • Infant should appear to be unharmed • Infant should appear to be less than 72 hours • CWH Policy PFF-54: Safe Place for Newborns

36. WORKFORCE RESPONSIBILITIES • Accept newborn. • Be non-judgmental and supportive. • Encourage mother or person leaving the infant to accompany you to the Emergency Department. • Ask if the person would like to leave any information with the infant (name, date of birth, family medical history).

37. OTHER PARTICIPATING AGENGIES • Fire Stations

38. ABUSE REPORTING

39. CHILDREN Bruises Welts Bite Marks Patterned Burns Fear of Home Pain or Itching in Genitalia Withdrawal Behavior Extremes Head or Limb Injures ELDERS Unexplained Injuries Physician Hopping Upper Body Injuries Bruising on Inner Thighs Unusual Burns Fearful of Caretaker Low Self Esteem Evasiveness Dehydration Malnutrition Pressure Ulcers Excessive Dirt/Odor WHAT DOES ABUSE LOOK LIKE?

40. WHAT DOES ABUSE LOOK LIKE? DOMESTIC VIOLENCE • Sexual Assault • Contusions, Lacerations, Human Bites • Headaches • Bilateral Distribution Injury • Injures during Pregnancy • Injuries in Multiple Healing Stages

41. WHAT IS MYRESPONSIBILITY? • Notify Charge person for your area or Delcie Mott with your concerns. • Notify appropriate agencies i.e.; law enforcement, CPS, or DSHS. For more information, refer to Policy PFF-73, Abuse Policy

42. INFECTION CONTROL

43. GENERAL HEALTH POLICY • Report sick days to Delcie Mott, not CWH staffing office • Stay home until you are well • If you contract communicable condition while being in a patient care area, report to the Employee Health Department – ext. 6036

44. Standard Contact Droplet Airborne TRANSMISSION BASEDPRECAUTIONS

48. HAND HYGIENE • 3M Avagard D

49. RESPIRATORY ETTIQUETTECover Your Cough

50. PATIENT SAFETY