Nursing Student Orientation

1. Nursing Student Orientation Saint Mary’s Regional Medical Center

2. Saint Mary’s Leadership Mike McCoy, CEO We’re glad to have you doing clinicals at SMRMC.

3. Saint Mary’s Leadership Wendell VanEs, CFO We hope your clinical experience at SMRMC is enjoyable.

4. Orientation Agenda Dress Code Phone Etiquette Documentation Safety Infection Control Patient Rights General Info

5. HIPAAvideoShown by Tech instructors

6. Dress Code Dress Clothes No Jeans No Shorts Lab Coats are ok Scrubs Closed Toe Shoes Keep your school ID on at all times

7. Phone Etiquette “Good Morning, Education. This is Linda. How may I help you?” Best if staff personnel answer phones.

8. Safety

9. Fire Safety R rescue A alarm C contain E extinguish or evacuate P pull A aim S squeeze S sweep

10. Electrical Safety Extension Cords (must be approved by engineering) New Equipment (must be checked out by biomed and engineering) Personal Equipment (must be checked out by engineering)

11. Smoking Policy No smoking anywhere including in your car in the parking lot. This is a completely smoke free campus in compliance with Ark. Law.

12. Safety Codes Code Blue - Cardiopulmonary Arrest Code Red - Fire Code Pink - Infant Abduction Code Yellow I - Community Disaster Code Yellow II - Radiation Disaster Code Yellow III – Evacuation Code Yellow IV- Biological/chemical disaster Code Wind - Tornado Code 13 - All available male help Code Black - Hostage Situation Code CAT

13. MSDS Material Safety Data Sheet What are MSDS sheets? Specific info about Chemicals Where are they located? Master File – ER Specific MSDS in work area

14. PARKING POLICY All Students are required to have a parking hang tag. These will be provided by your instructors. Please place the hang tag in the front window of your vehicle. Numbered parking hang tags are used to monitor our parking lots and notify you in case of an emergency.

15. PARKING

16. Infection Control

17. Infection Control Hand washing Gloves Red (contaminated trash)/Blue (linen) Bags Isolation Precautions Carts Latex Sensitivity/Allergy

18. Hand Washing • Hand washing is the best way to prevent the spread of infection. Even though Healthcare workers wear gloves, that does not take the place of hand washing. • Hand washing should be done before and after wearing gloves, before and after patient contact, contact with your eyes nose and mouth, going to the restroom etc. • Hands should be washed with soap and water for at least 15 seconds.

19. Hand Washing The CDC recommends the use of alcohol foams or gels for up to 10 times or until hands become sticky with product in place of soap and water as long as hands or gloves are not visibly soiled. Exception to the rule: If the patient has Clostridium difficile (c-diff) you must wash your hands with soap and water. These spores are not killed by alcohol so DO NOT use alcohol

20. All linen once used goes into a blue bag as contaminated. • All trash that is saturated to the point of dripping with blood and body fluids, (except for urine and feces unless there is visible blood) go into a red biohazard bag

21. All isolation trash goes into a red biohazard bag. • All other trash goes into regular trash

22. Isolation Patient • Patients that are in isolation should have a hanging cart of Personal Protective equipment on the door of their room (this is available from the materials management department). • There should be a sign telling you the type of isolation and the type of PPE needed

23. Patient Rights Considerate & Respectful care Information/Collaboration Refuse treatment Called the name of their choice Wear personal clothes, jewelry, etc. Confidentiality/Privacy Pain assessment & intervention

24. Abuse ReportingLinda Blasingame, RN It is the right thing to do.

25. Abuse Investigation Complaint of abuse by an employee, another patient, etc. Notify charge nurse or supervisor immediately Patient must be moved to safe environment Investigation started by manager/administration

26. Abuse Reporting - It’s the law Child Abuse 1-800-482-5964 Child Protective Services Elderly Abuse 1-800-482-8049 Adult Protective Services Spousal or Partner Abuse 911 or county sheriff in county the abuse occurred in

27. Abuse Reporting Reporting within the hospital: Emergency Dept Physician or ER Nurse Your responsible to report any suspected abuse or neglect to your manager. Dept Manager on duty Case Management Nursing Supervisor

28. Signs of Elder/Dependent Abuse Unexplained injuriesFracturesWelts/bruisesLacerationsPuncturesBurnsInjuries due to lack of supervision Unexplained inability to pay bills, purchase food, etc.Anxiety/depressionReluctance to answer questionsInadequate clothingLack of medication

29. Signs of Child Abuse Unexplained injuries Bruises and welts Burns Fractures Human bites Hair pulls/bald spots Head trauma Sexual molestation Suicide attempts Fearful, withdrawn Declining school performance Running away from home

30. Signs of Domestic Abuse Unexplained injuries Fractures Welts/bruises Lacerations Punctures Burns Injuries present in various healing stages History of seeking treatment in different places from different providers Poor self esteem Depression Anxious to explain away injuries Does not want to answer questions

31. Behaviors of the Abuser Controlling Refuses tests/treatments for the patient Blames others for the abuse May attempt to take patient away before treatment is complete Easily Angered Overly concerned Refuses to leave patient alone

32. What if you suspect abuse? Notify your supervisor or the house supervisor. (DO NOT CONFRONT THE SUSPECTED ABUSER) Call the appropriate authority (Child Protective Service, Adult Protective Services, or Sheriff office) this is an anonymous call. If you are the one being abused GET HELP call the crisis center or one of these other numbers for information and direction on how to get help and get out.

33. ABUSE REPORTING It is mandatory for licensed staff And Morally correct for all.

34. General information Cultural competency- covered by Tech instructors Computer user rights and responsibilities- pick up form from Tech instructors to sign and return. Complete final test that is required and turn in.

35. Questions?