Student Orientation

1. Student Orientation Department of Education and Professional Development PASTORAL CARE STUDENTS

2. Our Mission To deliver high quality healthcare emphasizing excellence and compassion consistent with the healing ministry of Jesus Christ.

3. Attitude • Appearance • Cheerfulness • Commitment to Coworkers • Communication • Privacy • Customer Waiting • Respect and Equal Treatment • Safety Awareness • Sense of Ownership • Sense of Mission • Quality Hendrick Medical CenterPrinciples of Performance

4. Professional Appearance in the Workplace Artificial nails, nail polish, exposed cleavage, and piercings other than studded earrings are not acceptable. Hair color must be close to natural color. No tattoos may be exposed.

5. Professionalism Cell Phones and Text Messaging - are unacceptable in any patient care area or where visible by family and visitors Verbal and Nonverbal Communication – remember to be polite and that body language can say a lot before ever opening your mouth

6. All Students Must Follow HMC policies and procedures. Arrive on time and notify unit staff of their presence. Be in appropriate attire with appropriate identification with student name badge worn on the upper third of the body.

7. Notify a nurse as soon as there is a problem. • Describe the incident in your daily visitation report. • If applicable, note date, time, name of those involved and occurrence. Name is very important! Problems?

8. Take a photo of a patient. • Send information regarding a patient on unsecured cell phones or email. • Access electronic medical record information on unassigned patients. • Discuss patient information NEVER

9. Publicity Codes Hendrick will release specified patient information regarding patients who occupy a bed based upon each patient’s publicity code. Publicity Code 2: Acknowledge their presence; Release room number/telephone number of the patient to callers/visitors. Publicity Code 3: Acknowledge the patient is at Hendrick, BUTWILL NOT give out room and phone number. Publicity Code 4: Patients may choose this publicity code if they do not want Hendrick personnel to acknowledge that they are in the hospital. Publicity Code 5: Assigned by a Security Department officer for patients under arrest by law enforcement, for inmates, or for crime victims.

10. State -Federal Penalty • Civil Penalties • Criminal Penalties • State Law • Exclusion from Medicare Reimbursement • Licensure issues • Internal Discipline • Bad Press • Future Implications HIPAA Violations

11. Quality of care is compromised • Conditions may go undetected, patients may not trust to give full disclosure. Lack of Trust

12. Parking All Students/Faculty - Lot 1 Citations Sent To School Administrators Students/Faculty receiving a citation may be removed from the clinical setting.

13. Map

14. 2015 Joint Commission Patient Safety Goals

15. NPSG.07.01.01, Prevent Infection • Comply with either the current CDC or WHO hand hygiene guidelines. • NPSG.07.03.01, Prevent Infection • Implement evidence-based practices to prevent health-care associated infections due to multidrug-resistant organisms in acute care hospitals. 2015 Hospital National Patient Safety Goals

16. Infection Prevention High risk populations, such as the elderly, have weakened immune systems, which make them more susceptible to infection. Quality infection control techniques will protect residents, visitors, other employees, yourself, and your family.

17. Transmission of Infection Contact - direct contact with infection Direct - touching the source of the infection Indirect - touching contaminated objects Droplet - secretions produced by coughing/sneezing or talking that come in contact with eyes, nose, or mouth of an individual Airborne – respiratory particles produced by coughing/sneezing, talking, laughing, exhaling and inhaled by another individual

18. How Can I Prevent Infection? Do not share or borrow personal supplies between patients. Keep your work environment and equipment clean. Perform procedures correctly and appropriately—shortcuts are unacceptible.

19. Preventing Infection Hand washing is the most important measure of infection prevention.

20. Alcohol Hand Rub HMC utilizes the alcohol based hand rub Avagard which is available in all patient rooms and exam rooms. The use of Avagard is recommended: • Before direct patient contact and prior to applying gloves (sterile/clean) ● After contact with objects within patient vicinity ● After removing gloves

21. Hand Washing Hand washing is necessary: • When your hands are visibly dirty or contaminated. • Before eating and after using the restroom.

22. Contact Isolation • Wash hands before entering and leaving patient room. • Wear gloves and gown when in room at all times. Remove prior to leaving room. • Use disposable equipment. Clean and disinfect shared equipment. • Wash hands before entering and after leaving.

23. Contact Isolation

24. Droplet Precautions • Door may remain open. • Wash hands before entering and after leaving room. • Mask required. • Wear gown & gloves when in direct contact with patient. • Dispose of gown, mask & gloves prior to leaving patient rooms.

25. Droplet Precautions

26. Airborne precautions • Negative pressure room is required. • Keep door closed. • N-95 Mask must be worn before entering room. Students may NOT take care of patients in Airborne isolation.

27. Airborne Precautions

28. C-Diff Precautions Wash hands with soap and water. Avagard is ineffective. Initiate Contact Isolation

29. EMERGENCIES • “2222” for ALL EMERGENCY ASSISTANCE • Any code • Security “2911” • Off campus Dial “911” • Explain Who? What? Where?

30. Fire • Our main objective is patient care and safety. • Fires are extinguished by a defend in place method • evacuate horizontally then vertically • Attempt to contain the fire to a minimum, i.e. keeping all doors closed.

31. R.A.C.E. • Rescue people in danger • Alarm, call 2222, notify the proper authorities • Contain the fire and the smoke • Evacuate or extinguish

32. Fire Extinguishers P.A.S.S • Pull the pin • Aim at the base of the fire • Squeeze the handle • Sweep across the fire

33. Fire Drills • Performance and knowledge is evaluated during each drill • It is a team effort! • Drills are held quarterly and annually

34. Emergency Codes (x2222) • Code 5 • Code Blue • Code 99 • Code 32 • Code Silver • Code Brown • Code Red • Code Green • Code Pink

35. Code 5 Drill • Fire Drill • The Operator will announce the wing and floor • Close all doors, windows, trash chutes and linen chutes; clear hallways of all equipment including crash carts

36. Code Blue • Cardiac Arrest = Life threatening event anywhere in the hospital • Code Blue Team will respond

37. Code 99 • Cardiac Arrest in CCU

38. Code 32 • Same as code blue, however it is for infants or children

39. Code Brown • Tornado or severe weather

40. Code Red • Bomb threat • Look for suspicious items • Don’t touch or move • Report to your supervisor or security, call 2911

41. Code Green Hazardous Material Spill Refer to SDS sheets

42. Code Pink • Infant abduction • Monitor stair wells, halls or isolated areas. • Look for small bundles, packages, backpacks and listen for noises

43. CodeSilver Active shooter, barricaded subject, escaped prisoner, or hostage situation on HMC campus

44. Operation D • Internal Disaster • Ex. Chemical spill • External Disaster • Ex. Terrorist threat

45. HMC is a smoke free campus