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Agency and Travel Non-Employee Orientation Program

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Title: Agency and Travel Non-Employee Orientation Program


1
Mercy Unity Hospitals
  • Agency and Travel Non-Employee Orientation Program

2
Orientation
  • Part One

3
Welcome to Mercy Unity Hospitals Non-Employee
Orientation Program
  • The following slides will aid you in preparing
    yourself to provide an excellent healthcare
    experience for our patients.
  • To progress through the orientation information
    use the action buttons at the bottom right of the
    screen to proceed forward (right button) or
    backward (left button) by clicking on it with the
    mouse.
  • While you are reading through these slides
    check-off your progress on the Non-Employee
    Patient Care Staff Orientation Checklist This
    form can be obtained from the site you found this
    program on or your agency. It is then to be
    returned to your agency upon completion of this
    program.
  • We hope you find this information helpful and
    look forward to having you join our exceptional
    health care team.

4
Contents
  • Who Are We
  • Mission, Vision Values
  • Allina Hospitals Customers
  • Accessing the Allina Knowledge Network
  • Confidentiality / HIPAA
  • Extraordinary Workplace with Extraordinary
    Employees
  • Safety Awareness
  • Infection Control
  • Your Role in Restraint Use
  • Vital Patient Care Issues
  • Advanced Directives
  • Medication Safety
  • Documentation Overview
  • Information Services and Clinical Systems

5
Who We Are
  • Mercy Unity Hospitals are part of Allina
    Hospitals Clinics
  • Allina is a not-for-profit healthcare
    organization serving Minnesota and western
    Wisconsin
  • Although we are not-for-profit, it is still
    necessary to watch the financial bottom line. We
    need to be able to meet the current and future
    needs of the communities we serve. We reinvest
    profits in new equipment and advanced
    technologies to better care for our patients.
  • Allina Hospitals Clinics
  • 13 hospitals
  • 42 clinics
  • Medical transportation services serving 70
    Minnesota communities
  • Home care, Hospice, and Palliative Care
  • Metro Hospitals
  • Mercy
  • Unity
  • Abbott Northwestern
  • United
  • Phillips Eye Institute
  • Regional Hospitals
  • Buffalo
  • Cambridge
  • Owatonna
  • St. Francis
  • River Falls
  • New Ulm

6
What we strive for...
  • Allina Mission
  • We serve our communities by providing exceptional
    care, as we prevent illness, restore health and
    provide comfort to all who entrust us with their
    care.
  • Allina Vision
  • Put the patient first,
  • Make a difference in peoples lives by providing
    exceptional care service,
  • Create a healing environment where passionate
    people thrive excel, and
  • Lead collaborative efforts that solve our
    communitys health care challenges.
  • Allina Values
  • Integrity - Match our actions with our words. We
    live our values and mission in all decisions and
    actions.
  • Respect - Treat everyone with honor, dignity and
    courtesy. Respect values, cultures, beliefs and
    traditions of others. Value each others talents
    and contributions.
  • Trust - We act in the best interests of out
    patients, physicians, communities and one
    another.
  • Compassion - Dedicated to creating a healing and
    caring environment to support the emotional,
    physical spiritual well-being of all.
  • Stewardship - Use our resources wisely. Commit
    to being thoughtful stewards of time, energy and
    talent.

7
Living the Values
  • Why is it that some patients can have poor
    outcomes and still say that they wouldnt go
    anywhere else for their healthcare?
  • The difference is the relationships that we
    create with our patients.
  • Its the customer service we provide.
  • People come back to our hospitals because we live
    out our values and walk the talk-not just give
    them lip service.
  • Customer Service Basics
  • Creating an excellent experience where patients
    feel assured, included and appreciated.
  • While much of our work is of a high tech nature,
    we know the importance of connecting with our
    customers on a human/emotional level when
    beginning and ending any interaction.
  • Who are our customers?
  • External Customers
  • Patients
  • Families
  • Physicians
  • Internal Customers
  • Coworkers
  • Other departments

8
The impact of body language, voice, tone and words
  • Are the words you are saying congruent with your
    body language and our tone of voice?
  • Do we say one thing but project the opposite?
  • Do we ask What else can I do for you? each time
    before we leave their room?
  • When we breakdown communication, we realize that
  • 55 of the message is our body language
  • 38 of the message is our tone of voice
  • 7 of the message is the actual words we use.
  • To make the biggest impact, youre actions must
    match your words

9
How to access policies on the Allina Knowledge
Network (AKN)
  • All policies are located on the AKN, an
    intranet site which can be accessed using our
    network computers. Ask the charge nurse to show
    you this site during your first shift.

10
Confidentiality
  • HIPAAs Privacy Law

11
Confidentiality
  • Maintaining a patients privacy and
    confidentiality is not only the ethical thing to
    do, its the law.
  • We are committed to preserving the
    confidentiality of patient information.
  • The inappropriate use and or release of
    information will result in disciplinary action
    and possible legal action.
  • HIPAA - The Health Insurance Portability and
    Accountability Act
  • This revised Privacy Law places strict
    regulations around the privacy and security of
    patients health information.
  • The law also mandates that we train everyone in
    the rules and provisions of this law.

12
Protected Health Information
  • PHI is basically any information that identifies
    an individual or could reasonably be used to
    identify an individual.
  • This includes, but is not limited to
  • Name, address, age or SSN
  • Health history and conditions, treatment or meds
  • Hospital or clinic bill or payment record
  • Any identification that an individual is a
    patient.
  • It can be in any form
  • Verbal, written or electronic
  • Past, present or future medical information
  • Minimum Necessary Rule
  • Minimum Necessary Rule We must only use and
    disclose the minimum amount of patient
    information needed to do our jobs.
  • Simply put You may only ask for, use and
    disclose patient information as needed for
    legitimate patient care or business purposes.

13
Curiosity Killed the Cat Dont let it get you!
  • Sharing with others that you saw someone at the
    hospital or sharing of their health information
    may seem harmless to you- but it can be very
    harmful to the patient-and its illegal!
  • You might be curious to look up information on a
    family member that is a patient here. Unless you
    need that information to do your job, you are
    prohibited from accessing that info.
  • If in doubt, caution on the side of maintaining
    patient privacy.
  • Release of Health Information
  • We must have consent from the patient before
    giving any information to others, including
    spouse, family members, or friends.
  • The inappropriate release of protected health
    information is illegal and we must address any
    harm that occurs because of its inappropriate
    release.
  • You are held legally accountable to maintain a
    patients privacy and confidentiality.

14
An Extraordinary Workplace with Extraordinary
Employees
  • A Culture of Caring

15
An Environment for Healing
  • When patients see how well we treat one another,
    they will know this is a good place for healing.
  • We cannot provide to patients what we are unable
    or unwilling to provide each other.
  • If they see or hear uncaring behaviors, they will
    not find the healthy, healing environment they
    need.
  • Create a Respectful and Professional Workplace
  • Where You Would Want to Give and Receive Care

16
Diversity
  • Defined as all the differences and similarities
    that exist among people - including race, gender,
    age, sexual orientation, job status, physical
    differences, political affiliations and religious
    beliefs.
  • We value the differing points of view, varied
    experiences and the talents of each and every
    person!
  • Harassment Free Workplace
  • We have a zero tolerance policy for harassment in
    all of its forms. Including, but not limited to,
    harassment based on
  • Sex
  • Race
  • Age
  • National Origin
  • Religion
  • Sexual Orientation
  • Political Preference

17
Key Points on Harassment
  • Its the impact, not the intent.
  • Whether or not you intended harm doesnt change
    the fact that someone was impacted by your
    actions or behavior.
  • Direct or indirect, subtle or obvious
  • Employees expect to work in an environment that
    is not hostile or intimidating. This includes
    jokes, slurs, pictures, comments anything that
    could be felt as harassment.
  • It can take place at the workplace or at off duty
    related activities such as social gatherings or
    calls to your home.
  • Act early and talk to the accused. Ask them to
    stop the behavior. If not resolved, escalate
    this situation by discussing with your leader or
    manager who will then investigate the activities
    with the assistance of human resources. If you
    are uncomfortable talking with the person contact
    your manager. If it is your manager that is the
    cause of the problem then speak with an human
    resource generalist.

18
Safety Vision
  • To make Mercy Unity Hospitals a safer place to
    give and receive care

19
Minnesota Employee Right to Know Act (ERTK) 1983
  • The law was passed to make sure employees are
    told about the dangers associated in working with
    hazardous substances and harmful physical or
    infectious agents.
  • The law outlines both employer and employee
    responsibilities for safety from work related
    injury or illness.
  • What does exposed to mean?
  • You are considered routinely exposed to a
    substance or agent if there is a reasonable
    possibility youll be in contact with one of the
    items during the normal course of your assigned
    work.

20
Employer Requirements
  • Education of staff and new employees on
  • The types of hazardous materials, agents and
    equipment in your work area.
  • How to properly handle and work safely with the
    products.
  • Where information about hazardous materials is
    located.
  • Education specific to the materials/agents in
    your work areas will need to be covered during
    unit specific orientation. Mercy and Unity uses
    the computerized Prosar system found on the AKN
    for obtaining Material Safety Data Sheets.
  • Employee Requirements
  • The law gives you the right to refuse to work
    under imminent danger conditions or if
    information or training about how to safely
    proceed with your job is not provided.
  • Use personal protective equipment (PPE) available
    on each unit you will be assigned to. It is your
    responsibility to use this equipment when
    situations require protection. Ask the charge
    nurse if you have questions about the PPEs for
    that unit.

21
What if Im asked to work in an unsafe situation?
  • Tell the unit charge nurse if you feel a work
    situation may be dangerous
  • Tell the unit charge nurse if you dont know how
    to use or handle hazardous materials and/or
    equipment.
  • Report faulty equipment so it can be repaired or
    replaced.
  • Dont put yourself in any situation where you
    could be injured or harmed. You have the right to
    refuse to work under dangerous conditions.
  • What Happens Next?
  • The unit charge nurse will
  • Evaluate the situation for safety and the
    presence of hazards.
  • Teach you how to safely use the product, direct
    you to the appropriate resource, provide you with
    learning materials, give you the appropriate
    Personal Protective Equipment.
  • Reassign you to an alternate job until a
    hazardous condition can be corrected or
    eliminated.

22
Chemical Spills/Release
  • Each department maintains procedures for the safe
    handling and spill clean-up of the hazardous
    products used in their areas.
  • You need to receive unit specific orientation on
    the hazards found in your area.
  • With any chemical spill, you should notify the
    supervisor and maintenance.

23
Locating information on Hazardous Substances
Chemicals
Material Safety Data Sheets (MSDS) provide
information on the effects and properties of
hazardous substances. These can be accessed from
the Prosar program found on the Allina Knowledge
Network (AKN).
24
Emergency Codes
  • You might hear these emergency codes paged
    overhead, so it is important to know their
    meanings. Ask the charge nurse for your role
    when one of these codes is paged.
  • Dr. Red Fire Alarm
  • Code Blue Adult Cardiac and/or Respiratory
    Arrest
  • Code Pink Neonate Cardiac and/or Respiratory
    Arrest
  • RPR Restraint Personnel Requested
  • RPR Alert Calls the RPR team in less severe
  • situations.
  • Dr. Shield Security help needed
  • Orange Alert Disaster Plan in effect
  • Code A Pediatric or Infant Abduction

25
Severe Weather Codes
  • Severe Thunderstorm Warning-conditions are
    favorable for severe weather
  • Tornado Warning (phase 1) - a tornado has been
    sighted. Close windows, blinds and curtains.
    Keep corridors clear.
  • Tornado Warning (phase 2) - hospital is in the
    path of the tornado. Move patients and visitors
    away from windows to interior corridors closing
    all doors. Visitors should stay with the
    patients and staff should move the the best
    shelter in the department.
  • Fire Safety Essentials in
  • Your Department
  • You will need to locate this information in the
    areas you work.
  • Location of the fire alarm pull boxes
  • Location and type(s) of extinguishers
  • Emergency phone number x63333
  • The stations main oxygen shutoff valve(s)
  • Evacuation plans and routes

26
R.A.C.E.
Rescue
  • Rescue Move anyone in danger to a safe area.
  • Alert Pull fire alarm box and call x63333 to
    report the fires location.
  • Confine Close doors windows in area, clear
    corridors and fire exit areas.
  • Extinguish Fight the fire only if it will not
    place you in danger. Blankets can be used to
    smother the flames of small fires or waste basket
    fires as well as using extinguishers.

Alert
Confine
Extinguish
27
How to Use Extinguishers
  • Know the types of extinguisher in your work
    area. Choose the appropriate extinguisher for
    the type of fire.
  • Then
  • P Pull-the pin
  • A Aim-the extinguisher
  • S Squeeze-the handle
  • S Sweep-the extinguisher hose at the base of the
    fire.

28
Patient Safety Initiatives
  • To provide our patients with a safe healing
    environment we have initiated safety goals around
    the care of the patient. Some of the goals you
    should become familiar with include
  • 2 Patient Identifiers
  • Unacceptable abbreviations
  • Clinical Alarms
  • Pause for the Cause Surgical Site Marking
  • Reduce hospital acquired infections hand hygiene
  • All five will be discussed in the following
    slides.

29
  • Matching the right patient to the right treatment
    or service
  • When obtaining blood samples or administering
    medication or applying the patients armband, two
    patient identifiers will be used to compare to
    the same two printed identifiers on the lab
    request, medication record, or patients medical
    record.
  • Patient Identifiers Include
  • Patients stated name and date of birth are
    compared against the printed name and DOB on the
    medication record, specimen label, or medical
    record.
  • Patients unable to state their name and DOB
  • Verification by a family member
  • Verification by carefully matching the name and
    DOB on the wristband with the same info on the
    medical record, specimen label.
  • A patient room number will never be used as a
    method of patient identification or verification.
  • Exception to above is the administration of blood
    products. In this instance, use patient name,
    birth date and social security number.

30
Unacceptable Abbreviations
  • We have developed a list of abbreviations that
    are not approved for use within the medical
    record (documentation, notes or orders).
  • Orders written with an unacceptable abbreviation
    will not be accepted or executed.
  • Unacceptable orders will be clarified by the
    nurse and documented as a verbal order before
    executing.
  • Ask the unit charge nurse for more information
    regarding unacceptable abbreviations
  • Clinical Alarms
  • Goal Improve the effectiveness of clinical
    alarms.
  • Examples of clinical alarms are cardiac monitor
    alarms, fetal monitor alarms, apnea alarms, door
    alarms, elopement / abduction alarms, infusion
    pump alarms, bed alarms, bathroom alarms or
    respirator alarms
  • Clinical Alarm Considerations
  • Clinical alarms are basically all patient care
    equipment containing alarm functions
  • Alarm functions should be managed/adjusted by the
    assigned staff RN or other hospital designee.
    Collaborate with the charge nurse if you are
    having difficulty setting/adjusting alarm
    parameters with your patients.
  • Alarm policies are practiced
  • If an alarms fails, a Patient/Visitor Safety
    Report is completed, Risk Management is notified,
    and the equipment is immediately sent to Clinical
    Equipment Services (CES) for evaluation

31
Pause for the Cause
  • Goal Eliminate wrong site, wrong patient, wrong
    procedure/surgery.
  • Done prior to local injection/incision/start of
    procedure
  • Surgical Site Marking The surgical site is
    marked for correct site and laterality, per
    policy.
  • Pause for the Cause The circulating RN reads
    the patients full name and procedure including
    site / side, from the consent form. All members
    of the surgical team listen and confirm the
    correct procedure, patient, surgical site and
    side (laterality).

32
Safety Ethical Situations
  • If you encounter a potential hazard or unsafe
    situation in our hospital or if you have an
    ethical concern regarding our practices or a
    patient care situation, you should discuss this
    with the charge nurse.
  • We encourage reporting of safety concerns,
    incidents, hazards and ethical concerns.
  • We have committees and processes in place to
    address these issues and make changes when
    appropriate.
  • Concerns reported to the charge nurse may be
    escalated to the unit leadership.
  • You may be asked to complete a Patient/Safety
    Visitor Report or Area of Concern Form to
    document the events.
  • When in doubt fill it out!

33
Safety Phone Numbers
  • Dallas Anderson, Security Manager 763/236-4306
  • Deb Andrews, Employee Safety Director
    763/236-4712
  • Shari Bakker, Patient Safety Director
    763/236-8084
  • 763/236-SAFE
  • These numbers can be found on each unit.

34
Infection Control
  • Everyones Job

35
Where do germs come from?
  • Environment
  • surfaces
  • floors
  • gardens
  • People
  • skin
  • intestines
  • Equipment
  • Water
  • Flowers/plants

Chain of Infection
All links must be complete for an organism to
spread from one place to another. Our goal is to
break the chain in one or more links.
36
Risk of Transmission
  • Intact skin is a good barrier to organisms but
    remember that organisms can enter through
    non-intact skin (cuts, scrapes, eczema)
  • Mucous membranes allow transmission, such as
    through
  • eyes
  • nose
  • mouth
  • Most transmission occurs through contact
  • Direct contact- touching patient
  • Indirect contact - touching a contaminated
    surface
  • Spray/splashes Fluids, sputum, etc
  • Most contact is with our hands

37
Hand Washing
  • Hand washing is the single most effective way you
    can break the chain of infection.
  • Hand Washing Basics
  • Soap - Use only hospital approved soaps, lotions
    foam products.
  • Warm running water
  • 15 seconds sing the ABCs song or Happy
    Birthday twice
  • Use friction
  • Turn off faucet with paper towel.
  • Waterless Hand Washing (Quik-Care Alcohol foam)
  • Preferred method of hand cleaning if hands are
    not visibly soiled or contaminated with blood or
    body fluids.
  • Dispense a walnut size amount and rub hands and
    under nails until dry.
  • Use before and after every patient contact or
    contact with contaminated equipment.
  • Contains emollients, therefore is better for your
    hands and is less drying to hands than soap and
    water.
  • The emollients can build up on the hands after
    repeated use, so, wash with soap and water
    occasionally.
  • Lotion
  • Accent Plus is the hospital approved lotion which
    is compatible with hospital microbial soap and
    gloves.
  • Use at least 3-4 times each shift.

38
Artificial Nail Restriction
  • This restriction must be followed by everyone who
    has direct patient contact, cleans rooms, handles
    patient supplies, prepares or serves food/drinks,
    handles medications or blood products.
  • Artificial nails including tips, wraps, overlays,
    acrylics, gels, any appliques, nail piercing,
    nail jewelry or any other artificial nail
    enhancements of any kind are not allowed in our
    facility.
  • Natural nails must be kept 1/4 inch or less.
  • Blood Spills
  • Potential exposure to blood or body fluids could
    occur at any work site
  • There is a plan in place for each work site
  • Guiding principles of each plan
  • Avoid direct contact with body fluid.
  • Wear gloves.
  • Cleanup Twice once for the spill and once to
    disinfect the area.
  • Remove gloves
  • Wash hands.
  • Allow area to air dry e.g. 10 minutes

39
Standard Precautions
  • Standard Precautions considers all patients as
    potentially infectious.
  • Prevent exposure to infectious organisms by
    wearing Personal Protective Equipment (PPE) when
    contact with the following is anticipated
  • blood
  • body fluids, secretions and excretions
  • non-intact or broken skin
  • mucous membranes
  • Personal Protective Equipment (PPE)
  • PPE is located in all patient care areas. Exact
    location should be sought out during unit
    specific orientation.
  • Gloves - to keep hands clean
  • Gowns - to protect uniform from getting splashed
    or wet
  • Facial protection - to protect mucous membranes
    from getting splashed or sprayed

40
Other Infection Control Issues

41
Other Infection Control Issues
42
Location of Exposure Control Plan and Infection
Control Policies
The Allina Knowledge Network (AKN) Ask your
charge nurse about access to the AKN.
43
In Closing...
  • Final Considerations

44
Department Specific Orientation Checklist
  • Minimally, your department specific orientation
    should include the following items
  • Location of
  • Crash Cart
  • Emergency Equipment
  • Fire Safety
  • Personal Protective Equipment
  • Evacuation Map
  • Orientation to
  • Documentation process and related technology
  • Medication administration and related technology
  • Accessing policies, procedures and other
    resources
  • Hospital and unit care quality improvement
    initiatives
  • Demonstration of quick release tie and
    application of locking restraints (required for
    anyone working with patients).

45
You Have Completed Part One! Please turn in the
checklist used for this training program to
your agency. Continue on to part Two based on
the directions from your agency.
  • Press the ESC key to end
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