Mary Lanning Healthcare. Student Orientation Training

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1 Mary Laig Healthcare Studet Orietatio Traiig

2 WELCOME to Mary Laig Healthcare The goal of our studet orietatio is to acclimate you to our orgaizatio ad hopefully aswer ay questios you may have about our expectatios as you begi this jourey.

3 Culture of Excellece Mary Laig Healthcare embraces a culture of excellece! We pride ourselves i the care we provide our patiets, families, visitors ad oe aother. Mary Laig Healthcare GALLUP- Great Workplace Award Wier 2015 / 2016 / 2017 As a studet affiliated with our orgaizatio, you will be viewed as a extesio of our healthcare system; therefore, it is importat to uderstad ad adopt the culture of our orgaizatio.

4 A I D E T Cotributig to our culture of excellece are foudatioal cocepts that have bee show to promote a exceptioal patiet care experiece. Oe of these cocepts is a Studer Group priciple called AIDET. AIDET ca be used by everyoe i all departmets ad settigs. Adoptig AIDET i your iteractios, especially with patiets, has bee show to: Build Trust Decrease Axiety Icrease Better Commuicatio

5 S. A. F. E. Aother key aspect to our Culture of Excellece is our focus o Safety! Patiet Safety is our Number 1 ad Highest Priority S - STOP Pause ad take the extra time to evaluate all situatios A - ASK/ACT Ask questios ad Act as ecessary/eeded F - FOCUS at Mary Laig Healthcare The acroym S.A.F.E. is utilized as a meas to take a timeout or a pause for patiet ad/or employee safety. Focus o the task at had E (Most Importatly) EFFECTIVE COMMUNICATION!!

6 Our Expectatios are straight forward: To become better acquaited with Mary Laig Healthcare expectatios; review the followig modules ad at the coclusio provided documetatio ackowledgig your uderstadig of the iformatio cotaied i each module. v Patiet Cofidetiality v Appropriate Coduct v Respectig the patiets ad their families eeds, v Our visitors v Oe aother v Strivig to maitai a Culture of Excellece HIPAA / EMTALA Overview Ifectio Prevetio Overview Eviromet of Care Overview Compliace Pla ad Basic Workforce Resposibilities Ackowledgemet

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8 What is HIPAA? HIPAA is the acroym for the Health Isurace Portability ad Accoutability Act that was passed by Cogress i HIPAA does the followig: Provides the ability to trasfer ad cotiue health isurace coverage for millios of America workers ad their families whe they chage or lose their jobs; Reduces health care fraud ad abuse; Madates idustry-wide stadards for health care iformatio o electroic billig ad other processes; ad Requires the protectio ad cofidetial hadlig of protected health iformatio This portio of the course will cover the HIPAA Privacy ad Security Rules

9 How does HIPAA apply to You? Ayoe that looks at, uses or shares Protected Health Iformatio (PHI) is affected by HIPAA Ayoe workig i or for Mary Laig Healthcare is resposible to protect patiet iformatio.

10 HIPAA: Privacy Rule Assure that idividual s health iformatio is properly protected while allowig the flow of health iformatio eeded to provide ad promote high quality health care ad to protect the public s health ad well beig. HIPAA is the hospitals obligatio to protect ay ad all iformatio from others who do ot have a busiess reaso to view it or discuss it.

11 What iformatio is Protected? Idividually idetifiable health iformatio held or trasmitted i ay form or media, whether electroic, paper, or oral. This iformatio is called protected health iformatio or PHI.

12 PHI (Protected Health Iformatio ) You must protect a idividual s PHI. PHI is iformatio related to a patiet s past, preset or future physical ad/or metal health or coditio Ca be ay form: writte, spoke, or electroic (icludig video, photographs, ad x-rays) Icludes at least oe of the 18 persoal idetifiers i associatio with health iformatio (listed o the followig slide)

13 PHI Examples Name Postal address All elemets of dates except year Telephoe umber Fax umber address URL address IP address Social Security umber Accout umbers Licese umbers Medical record umber Health pla beeficiary # Device idetifiers ad their serial umbers Vehicle idetifiers ad serial umber Biometric idetifiers (figer ad voice prits) Full face photos ad other comparable images Ay other uique idetifyig umber, code, or characteristic

14 Whe Should You View PHI Use PHI Share PHI Access iformatio oly whe ecessary to perform your job duties Use oly the miimum ecessary to complete the task

15 HIPAA: Security Rule Covers e-phi (electroic protected health iformatio). Protects idividuals electroic persoal health iformatio that is created, received, used, or maitaied by a covered etity.

16 E-PHI Security Rule applies to e-phi the same restrictios that the Privacy Rule applies to all PHI but i additio you must be able to maitai the itegrity ad availability of e-phi. Itegrity e-phi is ot altered or destroyed i a uauthorized maer Availability e-phi is accessible ad usable o demad by a authorized perso

17 Computer Security Create a strog password ad do ot share your userame or password with ayoe Log off your computer termial whe you are doe, or if you walk away eve for just a few momets Esure iformatio o computer screes is ot visible to people who pass by your area Esure your system has ati-virus ad all ecessary security patches ad updates.

18 Verbal Exchages Patiets may see ormal cliical operatios as violatig their privacy Be aware of your surroudigs whe talkig Do ot leave PHI o aswerig machies Ask yourself, what if it was my iformatio beig discussed like this?

19 Kow where you left your paperwork! Check priters, faxes, copier machies whe you are doe usig them. Esure paper charts are retured to applicable areas i ursig statios, medical records, or desigated file rooms Do ot leave hard copies of PHI layig o your desk; lock it up i your desk at the ed of the day Seal evelopes well whe mailig

20 Privacy Breach from Lost, Stole, or Misdirected Iformatio A privacy breach ca occur whe: Iformatio is physically lost or stole Paper copies, films, tapes, electroic devices Iformatio is misdirected to others outside of MLH Verbal messages are set to or left o the wrog voic or set to or left for the wrog perso Mislabeled mail, misdirected Wrog fax umber, wrog phoe umber

21 Examples of Privacy Breaches Talkig i public areas, talkig too loudly, talkig to the wrog perso Lost/stole or improperly disposed of paper, mail, films, otebooks Lost/stole laptops, PDAs, cell phoes, media devices (video ad audio recordigs) Lost/stole zip disks, CDs, flash drives, memory drives Hackig of uprotected computer systems or faxes set to the wrog address, wrog perso, or wrog umber User ot loggig off of computer systems, allowig others to access their computer or system

22 Soopig Costitutes a Violatio As a urse or a CNA, you may have access to a patiet s medical record. But that does ot give you the right to look at it if it does NOT pertai to your job. You may ot access your ow records or your family members record. By simply workig i the hospital, you may see patiets you kow, see iformatio about a patiet, or overhear cliical coversatio. You may NOT share this iformatio with others. THAT IS A VIOLATION!

23 Reportig Privacy Breaches ad Security Icidets Immediately report ay kow or suspected privacy breaches (such as paper, coversatios, suspected uauthorized or iappropriate access or use of PHI) to your Supervisor, Maager, Director or the Compliace ad Privacy Officer.

24 How to Report a Violatio CALL or Compliace / Privacy Officer Jeifer Gaede (Ext 5505) jgaede@marylaig.org Iformatio Officer Lisa Noema (Ext 5742) loema@marylaig.org Reportig Forms Located i Iteret shortcuts (Ico o MLH Computers Desktop) Computers available i the MLH Library located i the basemet of the Medical Services Buildig Compliat Form HIPAA Privacy HIPAA Violatio reportig form Complait Form - Compliace Compliace complait/violatio reportig form ANONYMOUS HOTLINE Number established to report Compliace issues (402) Moitored daily

25 Coclusio Remember to the patiet, ALL iformatio is private. This icludes: Persoal iformatio Fiacial iformatio Medical iformatio Protected health iformatio Iformatio i ay format: spoke, writte, or electroic

26 Emergecy Medical Treatmet & Labor Act EMTALA

27 Backgroud / Overview The Emergecy Medical Treatmet & Labor Act (EMTALA) is a Federal Law eacted by Cogress i Esures public access to emergecy services regardless of isurace status or ability to pay. If ANYONE asks for medical care, or where they should go for treatmet, they MUST be immediately directed to the Emergecy Departmet ad owhere else!

28 EMTALA Requiremets Hospitals with a dedicated emergecy departmet must provide: Medical Screeig Examiatio (MSE) whe a request is made for examiatio or treatmet regardless of ability to pay Stabilizig treatmet for patiets with a emergecy medical coditio (EMC) If uable to stabilize or patiet requests, appropriate trasfer may be implemeted

29 Thak you If you have ay questio, please speak to a Director/Maager, Huma Resources or cotact the MLH Compliace/Privacy Officer at Ext Please cotiue to the Ifectio Prevetio / Had Hygiee module.

30 Ifectio Prevetio / Had Hygiee

31 Objectives Your role i ifectio prevetio It is importat to prevet the spread of disease withi our healthcare facility. Examples of ifectios iclude; uriary tract ifectio, respiratory ifectios, peumoia ad hepatitis B, C ad HIV. Mary Laig curretly has a very low ifectio rate but our target goal is zero! This ca be achieved with your help by followig isolatio precautios ad had hygiee. Become familiar with the followig iformatio ad the take the ifectio prevetio quiz. Ways to prevet trasmissio through Had Hygiee Stadard Precautios ad Trasmissio Precautios Blood-bore Pathoges ad Exposure

32 Your role i Ifectio Prevetio Everyoe is resposible for the safety of our patiets, visitors, coworkers ad their families. Protects: Patiets Visitors Employees/families Prevets ifectios Does t matter where you work or your title!

33 Ifectios are spread by: Cotact Direct Idirect Droplet Air vetilatio Cotamiated food Isects/parasites Spread through trasmissio Source Host Trasmissio Cotrols to stop the spread: Isolatio Had Hygiee Cleaig of equipmet

34 Prevetig Ifectios The best way is to practice had hygiee. Follow isolatio ad stadard precautios Blood ad body fluid spills are treated as potetially ifectious ad are cotaied durig trasport. Keep food ad drik separate from ay areas where blood ad body fluids may be hadled. All laboratory specimes are potetially ifectious ad are cotaied durig trasport. Trash is placed i regular trash bags. Ifectious waste is placed i a red bag ad i a red cotaier. If you see a biohazard label or the color red, please take precautios to protect yourself. Beig healthy Stay home whe you re ill

35 Had Hygiee The umber oe way to stop the spread of ifectio: Had Hygiee Soap ad water Alcohol rub Lotio As a studet affiliated with MLH, you are required to wash their hads every time they eter ad exit a patiet's room. Wash hads whe they are visibly soiled. Atimicrobial foam had rise is effective ad is located i all patiet rooms.

36 Had Hygiee Whe to Remember to Wash Before ad after all patiet cotact After hadlig soiled items (diapers etc.) After removig gloves Immediately after exposure to blood ad /or body fluids (this icludes after usig the bathroom) After blowig your ose After seezig or coughig i your hads After workig with trash or dirty/cotamiated surfaces Before preparig or eatig meals Use a water-based had lotio frequetly to avoid chapped ad cracked hads

37 More Hygiee tips Keep ails short (1/4 ), filed ad well groomed Avoid wearig multiple rigs Artificial ails are ot allowed with ay patiet cotact Nail polish itact o cracks Avoid excessive jewelry (thik germ trapper!) Keep rigs/watches o durig had hygiee removig ad reapplyig ca cause recotamiatio Mary Laig supports the CDC recommedatio regardig figerails for all staff havig patiet cotact. Please read the ext slide carefully regardig Mary Laig Healthcare s Figerail Criteria.

38 Figerail Criteria Persoel havig patiet cotact DO NOT wear artificial figerails ad/or exteders. Artificial ails or other figerail ehacemet or resi bodig products (i.e. tips, artificial ails, gel polish, decoratios, glitter, etc.). Nail polish ad Shellac are acceptable types of ail coverage as log as it is well maitaied. Nail polish ad Shellac should be removed immediately upo ay sigs of damage, chippig, etc. Natural figerails should be kept short (1/4 ) ad well groomed.

39 Additioal Steps to Stop Ifectios Cover your mouth with coughig or seezig Use tissue or sleeve Do ot share persoal care items-brushes, make-up, razors Place used tissues i the trash Keep your hads away from the T Zoe Stay at home if sick Cover ope lesios, otify Employee Health if draiig Update immuizatios Do ot share eatig or drikig utesils

40 Kow what s clea ad what s dirty What s clea: What s dirty: Clea lies Siks ad areas aroud siks Medicatios Clea supplies Clea equipmet Clea surfaces Bathrooms Floors Used food trays Trash Elevators Prepared food trays from the kitche Telephoes Keyboards COWS Used equipmet

41 TRASH Regular/Red Bag Be aware of the differece Regular Trash Papers Tissues Disposable dishes/utesils Paper towels Used cups Red Bag Trash Aythig that is cotamiated with drippig blood or body fluids Foley NG IV

42 Bloodbore Pathoges & Exposure OSHA Occupatioal Safety ad Health Admiistratio I order to protect the employee, OSHA establishes madatory stadards ad compliace regulatios to adhere to for Blood-bore Pathoges ad exposure procedures. If ot followed, fies are eforced. The most commo Bloodbore pathoges: Hepatitis B Hepatitis C Huma Immuodeficiecy Virus (HIV) that causes AIDS (Acquired Immuodeficiecy Sydrome).

43 Bloodbore Pathoges & Exposure A Exposure is: Splash, stick or spray that causes blood or body fluid to have cotact with o-itact ski, eyes, mucous membraes To Protect Yourself: Exposure ca be preveted by usig Precautios Treat all blood ad body fluids as ifectious! Your Resposibilities: Use protective equipmet if there is potetial for cotact with blood ad body fluids.

44 2 Tiers of Precautios Stadard Precautios: Treat all blood ad body fluids as ifectious Your resposibilities: Use protective equipmet if there is potetial for cotact with blood or body fluids Trasmissio based: Airbore Cotact Droplet

45 Stadard Precautios Gloves Your resposibility: wear gloves if there is potetial to come ito cotact with ay type of body fluid. Eye Protectio Your resposibility: wear goggles or face shield if there is potetial risk of a splash of body fluids to your eyes.

46 Stadard Precautios cotiued Masks Your resposibility: protect your ose ad mouth from possible sprays of body fluids. Gow/Apro Your resposibility: wear a gow (ad gloves) if your clothig is likely to become soiled with ay type of body fluids. Gows will also be wor with Cotact Precautios.

47 Stadard Precautios cotiued Patiet-Care Equipmet Clea ad hadle so that o cotamiatio occurs to clothig or trasfers bacteria to other patiets. Discard sigle use items. Evirometal Cotrol Follow hospital procedure for routie care, cleaig ad disifectio of evirometal surfacesbeds, bedrails, bedside equipmet ad other frequetly touched surfaces.

48 Stadard Precautios cotiued Lie Treat all used lie as ifectious. Bag it where you re workig. Do ot gather it ext to clothig. Do ot shake out or flip used lie. Sharps Disposal Do ot recap eedles If have to recap use a oehaded scoop method or mechaical recappig device. Do ot bed or break used eedles. Dispose of i pucture resistat cotaiers. Stabilize sharps cotaiers

49 Trasmissio Precautios

50 TYPES of ISOLATION ad PPE to WEAR Cotact: Gloves Gow Mask if goig to be withi 3 feet of a patiet who is coughig, seezig, has a trach or ot i cotrol of their secretios. Door ca be left ope Droplet: Surgical Mask If workig with childre gow ad gloves Door ca be left ope Airbore: N 95 mask for staff or PAPR if ca t be fit tested Surgical mask for visitors Negative air flow room Door to be closed

51 How to Prevet a Exposure Thik SAFE Stop Assess Focus Evaluate Wear PPE if splash or spray could occur. Never reach ito a sharps cotaier Dispose of sharps immediately after use Activate safety device if preset Take the extra half secod!

52 Exposure Prevetio cotiued Items cotamiated with blood or body fluid should be i a rigid cotaier ad marked with biohazard sig Oly fill sharps cotaiers ¾ full Lock off whe full Use safety devices Use eedleless systems Do t recap eedles Clea cotamiated equipmet immediately

53 If you are ijured or exposed to blood or body fluids, seek immediate treatmet. The you eed to report the exposure ASAP to the Employee Health / Ifectio Prevetio Departmet at Ext or

54 Red Box Remai withi the imagiary red box (width of the door swig). (614 ad 621 the door swigs out so you have to visualize the width) of a cotact isolatio room i order to check o or visit with a patiet without wearig Isolatio PPE. Practice had hygiee upo eterig ad exitig the room. If patiet eeds somethig, exit, put o gow ad gloves ad the eter room. Do ot touch aythig while i the red box. Stad i the red box ad had somethig to someoe (eve the patiet) i the room as log as they do t cotamiate themselves (oly touch object hadig off). Red Box applies to ALL staff, cotracted employees, studets ad providers. Misuse/use outside of accepted Red Box policy by staff will result i reversig to full cotact isolatio, for the safety of our patiets ad our staff. If you have questios, check with Ifectio Prevetio Departmet at Ext or

55 Take Care of Yourself Stay home if ill Notify supervisor if ill you may be asked what you re ill with this is for outbreak trackig oly Receive your iflueza vaccie aually Tetaus booster every 10 years. Maitai your health Exercise Eat right Get your rest Maage your stress Keep your immuizatios up to date

56 Thak you Thak you for your time reviewig the Ifectio Prevetio, Had Hygiee, ad Bloodbore Pathoge iformatio. Cotact Employee Health / Ifectio Prevetio at Ext or with ay questios about the iformatio cotaied i this module. Please cotiue to the Eviromet of Care module.

57 Eviromet of Care

58 What is the Eviromet of Care? A comprehesive safety program that maages these specific compoets: Safety (Geeral) ad Security Emergecy Codes Hazardous Materials ad Waste Electrical Safety Fire Safety

59 SAFETY (GENERAL) AND SECURITY

60 What will you eed to kow Basic uderstadig of hospital safety How to respod to: Security ad Emergecies Fire Emergecies Child Abductios Violet Situatios Electrical Safety Hazardous Materials / Waste ad Chemical Spills

61 Security Access Badge ID Please wear your badge above the waist ad o the outermost layer of clothig so that it is visible ad ca be see at all times. Access to MLH is restricted from 9:30 p.m. to 6:00 a.m. Durig these hours, you ca eter through the Mai Lobby or ay door that is equipped with a card reader if you are grated access by swipig your badge. Aytime you are i the hospital, your ame badge eeds to be displayed.

62 Security Assistace Access ID Badges If badge is lost: Notify Huma Resources immediately. Phoe: (Ext. 5104) Badge caot be shared with ayoe.

63 Security Emergecies If you eed a emergecy assist from Security Dial 5277 for the operator to report Emergecy Codes For o-emerget eeds (escorts, lost item, suspicious perso, etc.), dial for security directly Security Assistace may iclude, but is ot limited to: Witess Emergecy Codes Slides to follow Suspicious / disruptive perso If at ay time you otice somethig suspicious i the parkig lot or i the hospital, cotact a Security Officer to have the situatio checked. Escorts (patiets, visitors, or employee) If staff or visitors feel ucertai about walkig to their car i a Mary Laig parkig lot, they ca cotact Security for a escort to their vehicle. Lost items (patiet, visitor, or employee) Security eeds to be otified of thefts, icidets of vadalism ad assaults. The Security Officer o duty will take a report. If ecessary, a ivestigatio will be coducted or outside authorities may be cotacted.

64 Emergecy Codes - The followig slides explai Mary Laig s Emergecy Codes ad their desigated meaigs. Please take time to familiarize yourself.

65 Medical Codes CODE BLUE Adult Cardiac Arrest/Respiratory Arrest CODE PINK Pediatric Resuscitatio Team CODE STROKE A patiet has preseted sigs ad symptoms of a stroke

66 Medical Codes cotiued CODE YELLOW Trauma Patiet Arrival/Trauma Team Activatio CODE TRIAGE (Stad by or Active) Disaster Pla Activatio (multiple patiets) Pla located at the top of Iteret Shortcuts

67 Security Codes DR. ARMSTRONG / Show of Force A situatio that requires additioal staff support DR. KIDD Ifat/child abductio Facility exits are covered by staff All idividuals with bags will be checked Hospital is searched by staff ad security Family Care Ceter (2 d floor) HUGS System

68 Security Codes Cotiued CODE TWO (2) Hostage situatio All staff is to keep clear of the area util safe Security Respose to area Police otified whe ecessary CODE SILVER ACTIVE SHOOTER Always be aware of your eviromet ad ay possible dagers Take ote of the two earest exits i ay facility you visit Cotiued o ext slide

69 Copig with a Active Shooter situatio Remai Calm Thik about where you are i regards to where the active shooter is located. Keepig your emotios uder cotrol ad thikig clearly ofte make the differece i these situatios. Evacuate (RUN) If there is a accessible escape path, attempt to evacuate the premises. Have a escape route ad pla i mid. Hide out (HIDE), If evacuatio is ot possible. Fid a place to hide, stay there, lock the door ad place heavy objects agaist the door to impede progress. Tur off lights ad Cell Phoes! Take actio agaist the active shooter (FIGHT) Oly as a last resort, ad oly whe your life is i immiet dager, attempt to disrupt ad/or icapacitate the active shooter.

70 Security Codes Cotiued BOMB THREAT Will ot be paged overhead If you receive a phoe threat Keep the caller o the lie Ask questios Get as much iformatio as you ca Notify admiistratio as soo as possible Admiistratio will otify proper authorities

71 Eviromet Codes CODE ORANGE Large Hazardous Material Release Iteral or Exteral CODE RED Fire Emergecy The fire alarm system aouces locatios by a digital voice. Egieerig ad Security are the i-house emergecy respose team.

72 FIRE EMERGENCIES

73 FIRE SAFETY R.A.C.E. Rescue ayoe i dager without puttig yourself i dager Activate the fire alarm system Fire Alarm Pull Statios located by every Exit ad Stairway Call 5277 to report a fire whe o mai campus (extet ad locatio) Call 911 to report a fire whe at a off-site locatio Cofie smoke ad fire by closig all doors Extiguish the fire or Evacuate the area If the fire ca ot be put out with oe extiguisher, cotai the fire ad evacuate the area.

74 How to Use a Fire Extiguisher It s easy to remember how to use a fire extiguisher if you remember the acroym PASS: Pull the pi Aim the ozzle Squeeze the lever Sweep side to side

75 ELECTRICAL SAFETY, HAZARDOUS MATERIALS AND CHEMICAL SPILLS

76 Electrical Safety Electrical Hazards ca cause: Burs Shocks Electrocutio Fires ad Explosios Electricity travels i closed circuits ad a perso s body ca accidetly become part of a circuit Electric shock occurs Electric Shock ca cause: Burs (the most commo type of ijury) Physical ijuries (e.g. muscle damage) Nervous system effects

77 Prevetio of Electrical Accidets Do ot use defective or usafe electrical equipmet Oly use appropriate ad approved electrical coecters Do ot overload outlets Oly use electrical cords for their iteded purposes Do ot yak or tug o the cord whe upluggig Be aware of evirometal coditios aroud you No wet hads or stadig i/ear water or wet floor Do ot clea or repair electrical equipmet uless authorized Tur off ad uplug before performig tasks Reduce the use of electrical equipmet where oxyge is beig admiistered or stored

78 Ispect Equipmet before Use Do ot use electrical equipmet that has: Broke, bet or loose plugs Loose coectios Faulty or damaged isulatio Improper groudig (e.g. 3 rd prog removed) Defective parts Burig smell Equipmet may be overheatig ad may also be hot to the touch.

79 Hazardous Materials: What do you eed to kow? It is the policy of Mary Laig Healthcare to idetify, maage, ad label hazardous materials ad to provide persoel with persoal equipmet, educatio, ad supervisio to assure their safety i the use ad disposal of hazardous materials whe required for patiet care. SDS (Safety Data Sheets) are ow available olie i Iteret Shortcuts or a hard copy is available i the MLH Emergecy Dept. If computers are dow or the Iteret is out of service ad you are uable to access the SDS sheets olie, please call or Ifectio for SDS iformatio. It is the resposibility of all idividuals to protect themselves, the workplace ad the eviromet from ay hazardous materials. It is the policy of Mary Laig Healthcare to commuicate ay hazards associated with hadlig hazardous materials to employees ivolved i coductig the busiess of providig health care services.

80 DEFINITIONS: Hazardous Materials: Ay chemical which by reaso of beig explosive, flammable, poisoous, corrosive, oxidizig, irritatig or otherwise harmful is capable of causig iteral or exteral ijury to you or the eviromet. Ifectious Hazards: Those materials possessig a sigificat potetial for cotagio or cross-ifectio. Radioactive Hazards: Those materials capable of givig off radiat eergy i the form of particles or rays such as alpha, beta, or gamma rays. Gaseous Hazards: Ay substace which may be dispersed through the air ad may act as a poiso, irritat, or asphyxiate. Physical Hazards: Sharps, poited objects, ad pressurized cotaiers

81 Chemical Spills: What to do if you ecouter a spill? Chemical Spill Respose Cotrol the spill-stop the leak Cotai the spill Clea up the spill Report the spill (Ext. 5367)

82 Icidet Respose Policy WHAT TO REPORT If it was importat eough for you to thik about or if it disrupted your day, the report it. Employees are required to report via the icidet reportig process ay icidet of the followig types: INCIDENT: Ay safety evet that reaches a patiet, guest, or employee, whether or ot harm occurs. GOOD CATCH/NEAR MISS: Ay safety evet that has bee idetified, but did ot reach a patiet, guest, or employee. UNSAFE CONDITION: Ay circumstace that icreases the probability of a safety evet. Report ay cocer or icidet observed to a Director/Maager/Supervisor.

83 What to do from here: Locate the fire extiguishers Be familiar with the established codes Kow how to cotact Security (available 24/7) Whe i doubt SPEAK UP!

84 Thak you. The Safety ad Emergecy Preparedess Maual is located i Iteret Shortcuts. A ico is available o most MLH computer desktops. If you have questios about ay of the iformatio covered i this portio of the course, please cotact the Safety Officer at Ext Please cotiue to the Compliace Program ad Basic Workforce Resposibilities Review.

85 Compliace Program & Policy Review Mary Laig Healthcare will fully comply with all applicable federal ad state laws, regulatios, stadards ad other compliace requiremets at all levels of govermet ad withi the various health professios employed by the system. We will ot pursue ay busiess opportuity that requires uethical or illegal activity. What is the most importat thig you should remember about the Compliace Program? It is the resposibility of ayoe workig i or for Mary Laig Healthcare. If you suspect a violatio, REPORT IT!

86 Compliace Code of Coduct & Ethical Behavior A copy of the MLH Corporate Compliace Program ad the Compliace Code of Coduct ad Ethical Behavior policy ADM is available from the Compliace Officer, Huma Resources or i Policy Medical (lik located i Iteret Shortcuts). There are computers available to all idividuals i the MLH Library located i the basemet of the Medical Services Buildig. If you have questios about your role i the Compliace Program, please cotact the Compliace Officer at

87 HIPAA Compliace Pla Recap & Basic Workforce Resposibilities To esure the itegrity ad cofidetiality of PHI. To protect agaist ay reasoable aticipated (1) threats or hazards to security or itegrity of such iformatio; ad (2) uauthorized uses or disclosures of such iformatio. To otherwise esure compliace by Mary Laig Healthcare with the applicable provisios of HIPAA by its officers, directors, ad other workforce (employed or cotracted). Every member of the Mary Laig Healthcare workforce has basic resposibilities uder MLH s HIPAA Compliace Pla. Members of the workforce (whether employed, cotracted, voluteer or studet) are strogly ecouraged to participate, ask questios ad seek out iformatio about these resposibilities. I accordace with policy PRI-420 Basic Workforce Resposibilities; please review ad sig the Ackowledgemet form.

88 Welcome to Mary Laig Healthcare Thak you for completig your Orietatio Traiig! Please use the iformatio to geerate questios to further your kowledge of Mary Laig Healthcare ad to make your experiece here exceptioal! The fial slide is the parkig istructios for MLH s mai campus. The yellow arrows o the map desigate studet parkig areas. After viewig the fial slide; retur to the Mary Laig Healthcare Educatio Tab uder Cliical/Preceptor Studets. Prit ad complete the 2 additioal documets which will serve as cofirmatio of your Orietatio Traiig. Submit the completed documetatio to Huma Resources at the address idicated o the website.

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