Northside Hospital Student Orientation

1. Northside Hospital Student Orientation

2. Welcome!! We are so happy to have you as part of our team! We hope that your experience at Northside Hospital will be a valuable stepping stone in your career!

3. Purpose Of This Presentation • Introduce Northside Hospital services • Ensure accurate completion of required paperwork • Provide information regarding key policy & procedural issues

4. About Northside Hospital • Sandy Springs location opened in 1970, presently a 444 bed full service hospital • Forsyth location in Cumming, GA acquired 2002, presently a 78 bed hospital & growing • Cherokee location in Canton, GA licensed for 84 beds • All are not-for profit community hospitals • Named Atlanta’s “Most Preferred Hospital” since 1997 by the National Research Corporation

5. Proud To Serve... • Women’s Services--Obstetrics & GYN • Oncology Programs--Bone Marrow, Leukemia, Breast & GYN cancers • Surgical Services • Radiology Services • Emergency Services • Cardiology • Medical/Surgical • Critical Care • Pharmacy

6. Core Values At Northside • Dignity • Respect • Pride • Warmth • Caring

7. Forms • The forms on this website must be completed at the time of Orientation, signed, dated & returned to instructor before your arrival at any Northside Hospital campus • Acknowledgement and Release Form • Health History • All questions must be answered in #6 (TB skin test) & #7 (Rubella)

8. Name Badge • Our policy requires that you wear your name badge AT ALL TIMES while you are on the Northside Hospital Campus • Name badge--school issued, photo ID • You will also be issued a Northside Hospital name badge, identifying the unit/ department in which you will be doing your clinical experience

9. Dining At Northside • Two food services on main campus • McDonald’s • Morrison’s • 30% discount with your name badge • Morrison’s: when open (6:30 AM - 7 PM) • McDonald’s: only when Morrison’s is closed • Northside Forsyth & Northside Cherokee cafeterias offer students a 20% discount

10. Parking At Northside Facilities • Parking at the main hospital is available in the Women’s Center Deck on Hollis Cobb Drive directly opposite the Women’s Center • Enter the deck using a code (provided to your faculty member) or by taking parking ticket; show your student ID at attendant exit or use code at keypad exits for free parking • At Forsyth & Cherokee, use designated employee parking areas--no code required

11. Confidentiality • Critical to maintain because: • Protect the trust patients have in their health care providers • Requirement of Code of Ethics of various professions • Required by regulatory & accrediting organizations

12. Health Insurance Portability and Accountability Act…... HIPAA Enacted to ensure that personal medical information (shared with doctors, hospitals and others who provide and pay for healthcare) is protected. Establishes restrictions on uses and disclosures of personal health information. Allows patients enhanced protection and greater access to their medical records.

13. Protected Health Information (PHI) • Any patient’s health or personal information transmitted through oral, recorded, paper, or electronic means. Such as: • Patient name and address. • Social Security Number. • Medical records. • Billing information

14. Minimum Reporting Necessary • PHI is to only be used or disclosed when it is necessary to carry out a specific function. • This standard does not apply when PHI is used or disclosed for treatment purposes

15. Our Role for Privacy Notice • We are required to inform patients of how we, as a facility, use and disclose their PHI. • Patients must receive this notice on the date the first service is rendered. • The right to access and control the PHI of minors is left to the parents - except when state law overrides parental control.

16. Patients Have Rights To: • Restrict use and disclosure. (Although the provider, NSH, is not required to agree). • Designate an alternate means for communication with the patient (i.e. work number vs home number) • Inspect and amend their medical record or “state their part of the story”. • Request a history of non-routine disclosures for as far back as 6 years. • Contact the designated NSH privacy official with questions and breech of privacy complaints.

17. Tips On Confidentiality • Avoid using waiting areas to interview or brief patients or family members • Be mindful that there are often patients & family members on employee elevators, in hallways & in the cafeteria

18. Confidentiality & Technology • Prior to sending a fax, check with the charge nurse in the department to which you are assigned • When using a copier, don’t leave material unattended • Don’t use someone else’s username to access a system for any reason • Don’t leave computer displays showing confidential information--log-off when finished

19. Questions About Confidentiality Practices • Ask your preceptor or the charge nurse of the unit to which you are assigned • If you see or suspect a possible HIPAA Security or Privacy violation, call Northside’s HIPAA hotline: • (404) 845-5534

20. Respect and Courtesy At Northside Hospital • Knock before entering • Introduce yourself before observing or initiating care in any setting

21. PATIENT’S RIGHTS AND RESPONSIBILITIES PARTNERING WITH OUR PATIENTS AND FAMILIES

22. Patient Rights • Patients have the right to privacy, confidentiality, ethics consultation, refusal of treatment, safety, interpretation when needed, assessment & management of pain and more • Patients have the right to speak to a Patient Representative to have complaints and or suggestions for improvement heard and the right for assistance with special needs, including interpretation services • For a complete listing of patients rights, see “Your Rights and Responsibilities as a Patient” fact sheet

23. Patient Responsibilities • Patient responsibilities include asking questions, providing accurate information, following treatment plans and more • Listed on the reverse side of “Your Rights and Responsibilities as a Patient” fact sheet

24. Patient Rights & Responsibilities • Northside encourages patients and families to be active members of their healthcare team in order to provide the highest quality of care • In keeping with this “partnership” philosophy, every patient that is admitted to Northside Hospital receives a written copy of their rights and responsibilities along with ways to help prevent medical errors (available in English and Spanish)

25. Patient Rights & Responsibilities • Other patients rights reference materials: • Patient/Family/Visitors Guides located in all patient rooms and patient access areas • Mosby’s Multicultural Reference Guide • Located on patient care units and in Health Resource Library • Multi-Faith Informational Manual • Located on patient care units and in Health Resource Library • Information regarding Northside’s Ethical Code of Conduct can be found in policy A-018

26. Other Supportive Services Available • Patient Relations • Interpretation Services • Pastoral Care • Check with the charge nurse for more information on utilization or how to access

27. DIVERSITY

28. DIVERSITY • Defined as “any collective mixture characterized by similarities and differences” • NSH is committed to creating an environment in which our patients’ cultural differences, beliefs and practices are respected

29. CULTURE • Defined as the dynamic pattern of learned behavior, values, beliefs and world view exhibited by groups that share history and geographic proximity • Transmitted through institutions of society (family, religion, educational systems, political systems, media) • Beliefs about the cause, prevention and treatment of illness vary among cultures

30. CULTURAL DIFFERENCES • Age • Gender • Educational background • Experience • Lifestyle • Nationality • Physical ability • Race • Religion

31. CULTURAL ASSESSMENT • Listen with sympathy & understanding to the patient’s perception of the problem • Explain your perceptions of the problem & your strategy for treatment • Acknowledge & discuss the differences & similarities between these perceptions • Recommend treatment while remembering the patient’s cultural parameters • Negotiate agreement

32. Avoid • Stereotyping: making broad statements/ assumptions based on membership in a group (“All _____ think this way”) • Ethnocentrism: belief in supremacy of one’s own ethnic group • Prejudice: biased or hostile attitudes or perceptions toward a person who belongs to a group simply because he/she belongs to that group

33. Culturally Sensitive Care • Become familiar with socioeconomic & demographic characteristics, belief systems & health behaviors of other culture • Apply cultural knowledge, behaviors & interpersonal & clinical skills that enhance your effectiveness in managing patient care

34. 2005 NATIONAL PATIENT SAFETY GOALS

35. 2005 NATIONAL PATIENT SAFETY GOALS • Goal I: Improve the accuracy of patient identification • Taking of Blood Samples or Other Specimens for Clinical Testing • Administration of Medications • Administration of Blood Products • Any Treatment or Procedure • NSH uses 2 identifiers--check with clinical resource to determine appropriate identifiers for procedure

36. 2005 NATIONAL PATIENT SAFETY GOALS • Goal II: Improve the effectiveness of communication among caregivers • Do Not Use Abbreviations--refer to list on all charts & throughout departments • Verbal/Telephone Orders • Timeliness of reporting and receipt of critical test results and values

37. 2005 NATIONAL PATIENT SAFETY GOALS • Goal III: Improve the safety of high-alert medications • Drug Concentration standardization • Removal of concentrated electrolytes from patient care areas • Annual review of look-alike/sound-alike drugs

38. 2005 NATIONAL PATIENT SAFETY GOALS • Goal IV: Eliminate wrong site, wrong patient, wrong procedure surgery • Pre-operative Verification Process • Marking of site • Conduct a “time-out” immediately before starting the procedure • Goal V: Improve the safety of using infusion pumps • Ensure Free-flow protection

39. 2005 NATIONAL PATIENT SAFETY GOALS • Goal VI: Improve the effectiveness of clinical alarm systems • Regular testing and maintenance is performed • Alarms are audible with respect to competing noises in unit • Goal VII: Reduce the risk of health care-associated infections • Comply with current CDC hand hygiene guidelines

40. 2005 NATIONAL PATIENT SAFETY GOALS • Goal VIII: Accurately and completely reconcile medications across the continuum of care • Obtain and document complete list of patient’s medication upon admission • Communicate complete list of patient’s medications to next provider of service whetherwithin or outside the organization

41. 2005 NATIONAL PATIENT SAFETY GOALS • Goal IX: Reduce the risk of patient harm from falls • Assess and periodically reassess each patient’s risk for Falling, including the potential risk associated with Patient’s medication regimen

42. RISK MANAGEMENT

43. PURPOSE OF RISK MANAGEMENT • Identify, evaluate & reduce the risk of injury or loss to patients, staff members & the organization • Injury can be actual physical injury to a person or loss or damage to property, reputation or income • Early identification of injury or loss can prevent similar recurrences in the future

44. INCIDENT REPORTING • In your everyday contact with patients, you are in the best position to identify patient safety issues, unusual outcomes or injures • These are recorded on incident reports • Not to assign blame to to evaluate process involved • An opportunity to improve practice & quality of care

45. INCIDENT REPORTS • Factual statement • Gives account of what actually happened to a particular patient in a particular situation • Does not give opinions of what happened or why happened • Does not point fingers or assign blame • Is not part of Medical Record • Does not take the place of documentation in the Medical Record

46. IF YOU DISCOVER AN UNUSUAL OCCURRENCE • Report to charge nurse • Follow instructions for completion of Incident Report • Document incident in Medical Record in factual, concise way

47. IMPAIRED PROVIDERS

48. WHAT IS AN IMPAIRED PROVIDER? • A Physician or Affiliated Practitioner (CRNA, CNM, etc) whose ability or clinical judgment may be adversely altered because of • psychiatric or other medical conditions or • the use of alcohol or illegal drugs or • the use or abuse of prescribed drugs or OTC drugs • resulting in the inability to provide appropriate patient care, an immediate threat to the safety and welfare of patients and staff, or an inability to fulfill other duties or responsibilities.

49. TYPES OF HEALTH ISSUES THAT MAY RESULT IN IMPAIRMENT • Any disease that might impact manual dexterity, such as arthritis in a physician or other practitioner who performs procedures • Any situation that could slow response times or cloud decision making • Lack of sleep • Depression • Stress from divorce, problems with children, or family illness • Substance dependency or abuse

50. RECOGNIZING AN IMPAIRED PROVIDER--JOB PERFORMANCE • Agitation with questions regarding activities or care • Complaints from patients or families regarding care provided or unreasonable behavior during visits • Memory lapses or generalized forgetfulness, including forgotten verbal ordersAlteration in clinical judgment (treatments/orders don’t fit the patient’s clinical situation) • Inappropriate medication orders or over prescribing medications • Decreased quality of medical record documentation • Delays in returning pages/calls or inappropriate response to calling • Making rounds in “off hours”