Updated: April 2006 Agency & Temporary Staff Orientation Read slides carefully as there are two quizzes required from this material. Use the left and right arrows on the bottom of the slide to navigate. You can also click the outline located on the left of the screen. 1 Orientation Agenda Objective: Brief overview of necessary components to work at NMH NMH Mission and Values Technology at NMH Ethics and Health Acts Safety and Security Infection Control 2
Our Mission Northwestern Memorial Hospital Is An Academic Medical Center Where The Patient Comes First. What you do plays an important role in achieving this mission. 3 Our Values Integrity to do what is right even when no one is looking Patients First understand thing from their perspective Excellence in work and actions Teamwork with everyone in the hospital 4
Three Strategic Goals Provide the Best Patient Experience From the Patient s s Perspective Attract, Develop, and Retain the Best People Who Share the Organization s s Values and Achieve Results Develop the Resources to Achieve Our Mission and Vision Through Exceptional Financial Performance 5 NMH has aggressive goals towards these strategies In order to accomplish this, we are a technologically driven organization 6
Technology at NMH 7 Reference Materials Technology NM Connect (intranet) contains: NMH policies and forms Departmental information Employee Resources (jobs, campus maps) Information on hospital events Employee feedback area Clinical applications 8
Technology Clinical technology via intranet: Online medication orders & charting (PowerChart) Pharmacologic references Radiology (PACS) Online training: PowerChart Computer Based Training (found under the more link) ICU unit nurses can receive additional CE credits for ECCO online training 9 NM Connect Dept information, NMH Policies, Job opportunities, Feedback site All clinical applications Web paging, phone directory NMH events, news, and notices 10
Time Reporting All nursing and allied areas utilize a group sign-in in method, including per-diem and long-term assignments created by AMR ProNurse. Sign-in in binders are located on each unit, either in the report room or at the nursing station. Temporary employees are required to sign in and out and obtain NMH approval (signature) for all shifts worked. (Please note that all overtime and no lunch must have NMH approval prior to processing) The sheets will be collected weekly and faxed to our staffing partners by noon each Monday. Now, let s go onto Corporate Integrity 11 Corporate Integrity 12
Northwestern Memorial Code of Ethics Accurate Books and Records Conflict of Interest Fraud, Bribery and Theft False Claims Marketing and Purchasing Healthcare Fraud and Abuse Tax Exemption Political Contributions EMTALA Antitrust Research Privacy 13 Important Ethical Reminders If you see a violation report it! Gifts are acceptable if shared with everyone or donated to the hospital Personal gifts or money is not accepted at NMH Use business resources for business NEVER use patient discounted parking Zero-tolerance policy for all thefts Disciplinary actions that may result will be done via AMR Remember to obtain and review the NMH policy on Rules for Personal Conduct 14
EMTALA The Emergency Medical Treatment and Active Labor Act Assist anyone who needs help within NMH Campus Direct those needing emergency care to ER Not contingent on whether they can pay for services Must present services even if they initially refuse treatment Do the right thing 15 HIPAA Health Insurance Portability and Accountability Act of 1996 Information that Our Patients entrust to our Care Privacy & Confidentiality Should be practiced at all times This can include but not limited to.. 16
Proper disposal of patient information Use privacy screens, screensavers or Auto log-off Be careful with faxes, copiers, printers Privacy- Confidentiality- Security Do not look up information for you, your family, friends, or fellow workers Vendor visitation in patient care areas 17 Top 10 Privacy Concepts 1. Protected Health Information (PHI) Secure and restrict patient information to those who have a clinical relationship with the patient. 2. If it s not your job duty, do not view information even if it s your own. 3. Minimum necessary to perform job only view assigned patient information for clinical purposes Other information should not be viewed. 4. Provide Notice of Privacy Practices pamphlet 5. Patients can opt out of general directory No one will be able to access whether they are in the hospital at all; family members, florist, etc. 18
Top 10 Privacy Concepts 6. Restrict or amend records for patients Restrictions on who can view/ modify patient records can be made. 7. Complaints & questions Can be directed to Corporate Integrity Office or Patient Representative Department. 8. Proper disposal of sensitive information Use of shredder bins. Ensuring paperwork is not laid out in public view. 9. Incidental disclosures Protected health information that is unintentionally overheard or seen (elevator, nursing stations, registration desk, etc.). 10. Reporting a breach in privacy All violations should be reported to your manager or the Corporate Integrity Office. 19 Your Role & Responsibility Reporting The Corporate Integrity Hotline 312-926-4866 (Line open 24/7 & Anonymous) 20
Occupational Safety 21 Topics For Discussion Fire Prevention and Response Emergency Management Hazard Communication Ergonomics Security General phone number: 22
Introduction Safety Impact Safe Employee, Patient and Visitor Environment Best Patient Experience Comfort Care Best People Wellness Workplace Exceptional Financial Performance Property loss Three R s R recognize respond report 23 Recognize Work Environment Hazards Physical hazards Ergonomic hazards Moving parts/equipment Sharp edges Slip, trip, and fall hazards Health hazards Electrical hazards Blood-borne pathogens Hazardous chemicals Radiation recognize 24
Respond Follow procedures to prevent health and physical hazards or eliminate an unsafe condition. Wear appropriate personal protective equipment. Contact Environmental Services to report a wet floor to prevent slips. Contact Facilities to report flooring problems that may result in a trip or fall. Look out for patients, visitors, or staff who may be doing something unsafe. respond 25 Report Report unsafe conditions to: Co-workers Departmental safety representative Safety management department at extension 6-SAFT6 Your manager If you are injured, report the injury to your manager or supervisor and report to the appropriate location for treatment. Corporate health 9 Galter (M-Th 7am-5pm/ F 9am- 5pm) Emergency department 1 Feinberg (after hours) 26 report
Life Safety Rescue Alarm Confine Extinguish xtinguish or Evacuate Extinguish ONLY IF... You can put it out in < 20 seconds AND... You use the buddy system 27 PULL FIRE ALARM BOX Alarm CALL 5-5555 Give your building name and floor/ room. State FIRE/SMOKE 28
Extinguish Use the P.A.S.S. method to extinguish fires only if it can be done safely. R.A.C. A.C.E. 29 P.A.S.S. PULL the pin AIM the nozzle SQUEEZE SWEEP at the base 30
Fire Extinguishers Be sure to use the RIGHT extinguisher for the job! ABC A BC 31 Other Alarms General evacuation alarm Move horizontally through fire doors Do not attempt to move vertically unless instructed Complete evacuation: outside of the building. Testing is done periodically Check your specific alarm codes for your building Remember your code Remember evacuation route 32
Hospital Emergency Incident Command System H.E.I.C.S Job Action Sheets Found in departments Details what is expected in a mass emergency for department and personnel 33 Ergonomics Designing the workstation and tools to accommodate the worker and prevent injury. Patient lift equipment can be ordered online through Power Chart. 34
Service Disruptions Code Yellow Any internal service disruptions are Code Yellow. Such as Flood Chemical Spill Utility Outage Power Phone/Paging Water Medical Gas Dial 5-55555 5555 I I Have a..? Exact Location? 35 Hazard Communication LABEL MSDS (Material Safety Data Sheet) TRAINING Four diamond color to ID chemical Severity rating scale of 0-4 Chemicals with 3+ rating must be stored in flammable area All spills should be contained by applying absorbent pads, alerting people, and calling Safety (if hazardous) 36
Waste Management Do not discard wastes improperly. Pouring chemicals down drains. Discarding chemicals into trash containers. Venting gases to the atmosphere. Waste Types Hazardous Waste Flammable Corrosive Reactive Toxic Universal Waste Lamps Batteries 37 Security 38
ID Badges ID Badges Wear and display your NM badge prominently this is a requirement. $100 fee if lost or damaged Visitor Badges (paper badges) Indicates date Indicates where they are to be - location Security officer may ask you to show your ID 39 General Access with ID Badge Access Control In place from 7:00 p.m. to 5:00 a.m. If you cannot gain access to required areas, notify your coordinator/ manager Some departments require ID access General Access Level General Access Level Stairwells are locked except the first floor Must have ID to open Automatically becomes unlocked in the event of a fire or other alarm 40
Staying Safe Personal Safety & Crime Prevention If parking at NMH garage, take the shuttle during 2 nd / 3 rd shift Security at garage can escort you to car Secure your valuables/personal property Bomb/ violence threats should be reported immediately to Security s main number or emergency number Alert security of any suspicious activities Report any workplace violence or threats Emergency phones are also located throughout the campus. 41 Northwestern Medical Campus Emergency Phone Locations There are various campus phones located on various corners NMH NU VA These red boxes will call security directly 42
Telephone Numbers Security Services Emergency Number 6-2311 Dr. Fairbanks - code word used when in a dangerous situation. Call number, mention code, and state your location (building name, floor, room number) Non-Emergency: 6-31176 Lost and Found, lock outs, battery jumps, escort services, etc. Numbers are also on the back of your badge 43 Infection Control 44
Infection Control Employee Safety Standard Precautions Sharps Safety Tuberculosis Prevention 45 Employee Safety Obtain up-to to-date vaccinations Dispose of materials properly NO EATING/DRINKING in nursing or patient care areas Wear proper protective equipment when handling patients and when signs are posted 46
Standard Precautions is a management program used to prevent transmission of blood-borne borne pathogens in the healthcare environment. Assume everyone is contaminated, and assist them without endangering your own health 47 Standard Precautions Used at NMH Use Personal Protective Equipment (PPE) and attire procedures/ policies Wash hands for at least 15 seconds Hepatitis vaccine is available at no cost at NMH Engineering controls are provided Bio-hazardous waste management Sharps management procedure No artificial nails permissible in patient areas 48
Common Myths Wearing gloves will prevent contamination and there is no need to wash your hands It is OK to apply lip balm or personal items near the nurses stations since it is away from the patients As long as you re not in the patient areas, you can wear what you want 49 Standard Precautions - PPE Gloves Masks Goggles And Face Shields Gowns And Aprons Head Covers Shoe Covers CPR Pocket Masks Proper use of these will be provided on your unit orientation 50
Standard Precautions Attire No open-toed shoes allowed No sleeveless tops without a lab coat or jacket throughout the hospital Socks/hose must be worn at all times Hospital scrubs must be covered when leaving the work area Jewelry is allowed if it does not interfere with safety of self or patients 51 Sharps Management Sharps containers are located in every patient room Dispose of all sharps in the container till ¾ full Call Bio-Engineering if container needs replacement Place only sharps in the container Never recap, bend or break sharps!!! 52
Biohazardous Waste Management Bio-hazardous waste is any disposable item that is visibly contaminated with blood or other regulated body fluids Bio-hazardous waste is segregated at the point of use Containers are in every patient room These are considered red bag waste 53 Soiled Linens Use only foot-operated operated covered laundry receptacles provided by the hospital Place only laundry in the containers Double tie bags before sending down the chute All soiled linen is treated the same, no isolation linen is used 54
Accidental Exposure Wash the affected area with soap and water Rinse eye with copious amounts of water or use eyewash Notify your supervisor Call Corporate Health (6-8282) *Any emergency during 7-5pm: 7 Go to Corporate Health. *After hours: go to ER 55 TB Control Program Identify cases early Negative airflow rooms Pulls air in towards the room Masks may be required Follow policies and procedures Annual testing is required Color Coded Alerts: Take note of visual signage TB is always BLUE 56
Other Precautions Respiratory Cover with arm when coughing/sneezing Offer masks to those coughing in public areas General Illness Stay home to prevent infection of others Avoid touching eyes, nose, and/or mouth Equipment malfunctions Inspect wires, power cords carefully and report to Bio-Engineering Review equipment operating requirements Stabilize patient if necessary Stay Safe and Alert 57 Additional References Additional materials can be found at the Agency or with the unit manager on: Safety and Infection Control information Corporate Integrity workbook Hospital policies can be found online on NM Connect 58
NEXT STEPS Take the following quizzes: Corporate Integrity Safety & Infection Control Based on your position located within this CD Rom Print results and give to the Agency Complete the CD Rom on PowerChart There is a quiz at the end of this section that requires a 85% passing score Print out the Rules for Personal Conduct and read over the policy Sign your attestation form on this CD Rom and turn into the Agency Contact agency upon completion for start date Contact agency upon completion for start date 59 Northwestern Memorial Hospital Welcome! 60