Transcript Slide 1

Spring/Summer 2015




Program Manager, Students & Contract Workers
Email: [email protected]
Human Resources
Phone: 405-271-6035

For students to begin clinical rotations the
following items must be complete:
◦ Students have reviewed the orientation presentation
on the Student Programs website annually.
◦ Required Student Forms have been submitted.
◦ School has attested that all necessary requirements
have been met:
 Background check, drug screen, immunizations, TB test, etc.


Meditech Access is only granted to students that will be
at OU Medical System for a single clinical rotation for 6
weeks or more.
Meditech Access Forms should be sent at least two
weeks prior to needing access and must be the updated
Request Form from website with DOB, start date, and
end dates listed.


Meditech Access Forms will be sent to IS after HR
review and confirmation that all student paperwork and
requirements have been met. Student and Instructor
logins and passwords will be sent to your school official.
NP students require a different Meditech Access form
that can be requested by emailing the request to
[email protected].
◦ Ensure that all students and instructors have met the necessary
OU Medical System requirements including:
 Student Forms, Attestation of Requirements, and Meditech Access
Forms (if applicable).
 Attestation of Requirements includes:
 Cleared background check, drug test, immunizations, and CPR
certification.
 Between November 1 and March 31 of every year, all students and
instructors will be required to provide documentation of Influenza
Vaccination or wear a mask while in OUMS facilities.
◦ All requirements must be emailed to
[email protected] prior to clinical
rotation start date.



The students and instructor(s) names should be input into the
Clinical Hub two weeks prior to the clinical rotation date in
order to keep your slots. If the names are not put into the
system, you will receive a reminder email before the slots are
released for the week and the unit is notified.
If requesting slots for clinical rotations out of the normal
negotiation period, please send an email to
[email protected] in order for her
to review the slots for approval/denial.
NESA Spreadsheets MUST be sent prior to the clinical
rotation start date in order for your students to complete
clinical rotations.



OUMS’s nursing student policy designates nursing
activities appropriate for nursing students in registered
nurse/licensed practical nurse programs when caring for
our patients.
All patients with student assignments will have a registered
nurse assigned to them who will maintain full and final
responsibility for patient care.
Students and instructors must read the Student Nurses
policy 5.2 A/P prior to patient care.

Schools that order a background investigation in compliance with this policy
retain ownership of the report of the investigation. If attestations are
accepted, OU Medical System must annually audit a sample of files for onethird of those entities that provide attestations.

OU Medical System must take into consideration the risk to patients
presented by the type of individuals provided by the entities that provide
attestations and focus on those that present the greatest risk (e.g. direct
care providers present a greater risk than those who undertake
administrative support or property management services).

A sufficient sample size of the audit will be the greater of five percent (5%)
or thirty (30) files for each of the third parties.


Anyone on OUMS campus that is not a patient or a
visitor must be held to TJC (Joint Commission)
requirements.
◦ Employees
◦ Students
◦ Instructors
Packets (Instructors, Students)




Three hospitals founded in the early 1900s:
◦ Presbyterian (originally Wesley, 1910)
◦ University Hospital (1912)
◦ Children’s Hospital (1927)
February 5, 1998—Joint Operating Agreement with HCA
Became OU Medical Center in 2001
Edmond Campus Joins OUMC in 2010 and we become OU Medical System. So
now we proudly have the following three hospitals:
◦ Edmond OU Medical Center, Children’s OU Medical Center, and OU Medical
Center.


New adult bed tower
Recent construction
completions includes:
◦ Education Center
◦ Cancer Center
◦ Surgery Center

Mission - Leading health care.

Vision – OUMS will be the premier enterprise for
advancing health care, medical education and research
for the community, state and region. Through our
combined efforts we strive to improve the lives of all
people.

Goals - Uncompromising Quality, Exceptional Service,
Innovative Education, Advancing Knowledge,
Institutional Strength.
Our Foundation Principles
Values:








We believe that caring for our patients must be at the center of all we do.
We act with honesty and integrity.
We respect our colleagues and co-workers.
We magnify our effectiveness through teamwork.
We improve continually through harnessing innovation and encouraging
high performance.
We believe in open and effective communication.
We are committed to providing outstanding educational programs.
We will be a leader in the advancement of basic and clinical research.
Excel Initiatives

Carefully review our Standards of Excellence prior to
starting your Clinical Rotation. These Standards were
developed by OUMS employees to establish specific
behaviors that all employees, students, and instructors
are expected to practice while on campus. As you
complete your clinical rotation here at OUMS, please
ensure that these Excel Standards of Behavior are
consistent with your own work standards, beliefs, and
behaviors.
Excel Standards of Behavior
We
approach our work in a professional manner.
We believe effective communication is fundamental to
everything we do.
We are sensitive to the needs of those we serve.
We are committed to quality service.
We always look for better ways to take care of our patients.
OUMS expects students and staff to always exhibit the
Excel Standards of Behavior at all times. You can find an expanded
version of the Standards in your packets.
Who Do I Contact For Parking?
Republic Parking
◦ PPOB, 7th Floor Suite 704, Phone: 271-7032
OUHSC Parking
◦ OUHSC Service Center, Phone: 271-2020
Campus Police
◦ 271-4300
◦ Call for assistance w/ flats, jumps, or escort to a parking area. However,
the police cannot help with locked keys in car.
◦ Always use the Buddy System to increase your safety.
Edmond Campus
◦ Steve Boos 359-5590
◦ Security 359-5554


If anyone on campus receives or perceives a threat or is a
victim of violence immediately report.
OUPD may also be contacted.
Downtown Campus:
OUHSC Police Department: 14911
Downtown hospitals Emergency # 11911 (Code Blues,
Person Down, Code Red)
Edmond Campus:
Emergency: 444 | Non-emergency: 0
(Hospital Operator contacts Security)
The Emergency Blue
Phones, scattered across
campus, should be used
to contact OUHSC
Police to request help,
report suspicious
behavior, or to request
help.
Where Do I Park?
Students Park Here
Republic Parking




Not parking in your assigned parking spot could result in
the loss of OUMS as a clinical site.
Even if you pay, you are NOT to park in any of the visitor
parking garages as this impacts patient parking.
Edmond Campus – Please use the northwest parking
lot.
Contact Republic Parking at 271-7032 to get your
parking pass for the OKC campus. (This is your
Instructor’s Responsibility).
Security and Shuttle Info





Blue Phones & Police Services
OKC Campus Police
◦ (405) 271-4300 non emergency
◦ 11911 emergency
Edmond Campus Security
◦ (405) 359-5554
OKC Campus Shuttle Service
The University shuttles operate from 6 am – 6pm, M-F. OUMS
shuttle operates from 4:30 am – 11:30 pm, M-F.
The evening clinical students can ride the OUMS Shuttle after
6 pm by letting the driver know that they are at the HHODC
parking lot.
The “TJC”
So who is TJC anyway and what are the BUZZ words:
◦ The Joint Commission or TJC evaluates hospitals in their
compliance with federal regulations.
 Tracer Methodology is an evaluation method in which surveyors
select a patient and use that patient’s record as a roadmap to move
through an organization to assess and evaluate the organization’s
compliance with standards and the organization’s systems of
providing care and services.
 Core Measures are mandated by the TJC and CMS and are a set
of clinical interventions that result in consistent quality health care,
reduced medical errors, and better patient outcomes.
 National Patient Safety Goals are reviewed on the next few slides.
2015 National Patient Safety Goals
Improve the Accuracy of Patient Identification
Use TWO identifiers (name, birth date, medical record number) before providing care.
Make sure the correct patient gets the correct blood type when receiving a
transfusion.
Improve Effectiveness of Communication Among Caregivers
Quickly report critical tests and critical results to the physician/licensed caregiver.
Improve the Safety of Using Medications
Label ALL medications; including solutions on/off the sterile field.
Take extra care with patients taking anticoagulants (blood thinners).
Maintain/communicate accurate patient medication information (med reconciliation).
2015 National Patient Safety Goals
Reduce the Risk of Health Care-Associated Infections
Wash hands before AND after all patient contact.
Prevent multidrug-resistant organisms (MRSA, VRE, C.Diff) with contact precautions
- Prevent central-line bloodstream, surgical site, & catheter-associated urinary tract
infections.
Identify Safety Risks Inherent in the Hospital’s Patient Population Patients at risk for suicide are identified and a psych consult is initiated.
Reduce the harm associated with clinical alarm systems –
Improve the safety of clinical alarm systems.
Universal Protocol: Preventing Wrong Site, Wrong Procedure,
Wrong Person Surgery - Pre-procedure verification of information, equipment,
procedure, and patient – The LIP marks the procedure site – A time-out is performed
immediately before the procedure.
2015 National Patient Safety Goals

For detailed information on the National Patient Safety
Goals Please visit - www.jointcommission.org
What is cultural competence?
The ability of health care providers and organizations to
understand and respond effectively to the cultural and
language needs brought by diverse patients to health
care encounters.
 What is patient population specific care?
As a caregiver we must modify our care to meet the needs
of our patients based on their individual needs. Patient
Population Specific Care includes but is not limited
to cultural competence.

.

Standard LD.04.03.01 The hospital provides services that
meet patient needs.
– The hospital uses available population-level data to help
determine the needs of the population(s)served.
 Age
 Sex
 Socioeconomic status
 Disability
 Language(s)
 Race/ethnicity
 Religions(s)

Security Measures
◦ Limited Access units – only accessible via badge swipe.
◦ Newborns receive transponder within 30 minutes of delivery.
◦ Mom/Primary Caregiver for NICU baby submits an approved
guest list.
◦ All parents/guardians, guests and visitors must check-in, sign
in/out, show proper photo ID.
◦ Perinatal and Neonatal employees will wear scrubs unique to
the area and must swipe badge to enter.
OUMC Policy 15-56




Hospital employees in these mandated areas will wear
all black scrubs and have a pink identification badge.
Students and Instructors are not permitted to wear all
black scrubs.
Students are not permitted to transport a baby off the
unit without the RN present.
Code Pink is when someone is trying to leave the
building inappropriately with a pediatric patient.
Notify Hospital Operator & charge nurse
Downtown Campus: 14190 | Edmond Campus: 444
 Check nearby stairwells and exits. Stay at the exit
until Code Pink All Clear is announced.
 Question anyone who is
Carrying a large purse or bag
Acting suspiciously
Attempting to leave with an infant
 DO NOT detain anyone  Call OUPD or Security
Services immediately.

OUMC Policy 15-08
WHY IS DOCUMENTATION SO IMPORTANT?
 It is how we communicate our patient care. We are computerized
so documentation and results can be viewed at anytime, anywhere
on campus and for physicians, from home, to facilitate patient care.
 It is a legal record.
 Accurate and timely documentation protects the patient.
 Assists with accurate billing.
 What you document can have an effect elsewhere in the system.
Your documentation can be tied to warnings and alerts, clinical
prompts and reminders for other caregivers.
CONSEQUENCES OF POOR DOCUMENTATION
 Incorrect or incomplete documentation can lead to
potential adverse patient events.
 It is falsification of a legal record.
 Inaccurate billing.
 Can lead to individual practice and licensure
consequences.
 Please always check with your instructors and the RNs
for any questions about charting patient data.
Scanning of Medications


Immediately prior to administration, the dose of
medication to be administered to the patient is scanned
by the individual administering the dose to confirm a
medication order for that medication is on the medication
profile. When administering more than one capsule or
tablet, each capsule or tablet is to be scanned
individually.
In the event the bar-code on the medication package will
not scan, the dose of the medication is to be returned to
the Pharmacy.
Scanning the Patient’s Armband





Always use two patient identifiers before giving medication
Immediately prior to administration of the medication, the
patient’s armband will be scanned to ensure the correct
medication is being administered to the correct patient.
Illegible/otherwise unreadable armbands should be
replaced. Check with the RN to replace an armband.
Scanning a medication is documenting the administration.
Documenting in Meditech is just like signing your name on
a paper document.




Label ALL medications; including solutions on/off the
sterile field.
Take extra care with patients taking anticoagulants
(blood thinners).
Be aware of Look-A-Like/Sound-A-Like Meds.
Medications that are easily confused are stored
separately.




All patients receive comprehensive screening for fall-risk
assessment.
Automatically considered high risk for fall-injury (no signs
placed):
◦ ICU
◦ Outpatient
◦ Pediatric patients under age 3
Patients at risk for fall-injury receive a yellow armband.
Yellow patient armbands immediately let us know a
patient is at risk for falling.


Signs indicating fall risk placed on patient door and
on front of chart.
Adult patient risk assessment levels:
1. Low Fall-Injury Risk – no FALLING STAR
2. Moderate Fall-Injury Risk
3. High Fall-Injury Risk
4. Very High Fall-Injury Risk
• Pediatric patients, age
3+, high risk



Hospitals are not an environment
that patients are used to.
Therefore we have to keep all
patient spaces and walkways
clear.
Ensure appropriate room
lighting and low bed positioning.
Remember the 4 P’s of Rounding
*Pain –address it frequently!
*Position –and reposition often!
*Potty –ask our patients if we can assist
them to the toilet!
*Personal Items/Placement
Be aware of your role in preventing
patient fall and injury.
The success of OUMS Fall Prevention
program is dependent on all of us!
Every patient, Every
time, saves lives!
The nurse and nursing student have a duty to serve as a
patient advocate in ensuring appropriate pain
management. The nurse is expected to use sound
clinical judgment in evaluating pain management
interventions and to pursue through both medical and
nursing chains of command any concerns about
appropriateness and/or effectiveness of prescribed pain
management interventions. (OUMC Systems Pain Management
Guidelines)

If your patient is having severe pain issues contact the
appropriate physician and RN and
communicate/discuss the following:
◦
◦
◦
◦
Period of time drug has been tried.
Current drug(s) amount, frequency of administration.
Average of patient’s pain rating over last 4,8 or 24 hours.
Home pain medications listed on medication reconciliation form not
ordered.
◦ Suggestions for more effective use of current drugs or alternative
therapies (i.e. pain management consult, ice, heat, etc.).
Pain Assessment Tools(age range for recommended use):
 FLACC Scale (< 5 years old)
 FACES Pain Scale (5-13 years old)
 Verbal rating (older than 13 years old)
 Numeric scale
 Visual analogue scale
Remember, all pain assessments/re-assessments must
have a number assigned regarding intensity.


To request a consult please have the physician write an
order and call 523-0385 for Adults and 327-8961 for
Pediatrics or talk to the RN in charge of the patient’s care if
you feel like a referral to the Pain Control nurses is
appropriate.
Edmond Campus: Contact the RN or physician for pain
management consult .
OU Medical System
is dedicated to fostering a culture that supports a
patient’s right to be free from restraint or seclusion.
Restraint or seclusion use will be limited to clinically
justified situations.
The least restrictive restraint will be used with the goal
of reducing, and ultimately eliminating, the use of
restraints or seclusion.



Restraint is any 1) manual method or physical or mechanical
device, or 2) material or equipment that immobilizes or
reduces the ability of a patient to move his or her arms, legs,
body, or head freely.
Violent/Self- Destructive restraints are utilized due to an
unexpected outburst of severely aggressive, destructive, or
violent behavior that poses and imminent danger to the
patient or others.
Non-Violent/Non-Self Destructive restraints are used for
patient safety, or to limit mobility to promote healing, avoid
treatment interruptions, or to enable active interventions.

Alternatives
 Psychosocial: diversion, family interaction, pastoral visits,
etc.
 Environmental: Commode at bedside, Music/TV, call light
within reach, etc.
 Physiological: Fluids/nutrition/snack, pain intervention, lab
values, etc.
 Sitters: Safety Attendants will be used for those patients
whose behavior is out of control and all other alternatives
have proved ineffective.

All OUMS patient in restraints will be checked three
times an hour for:
◦ Rights
◦ Dignity
◦ Safety
OUMC Policy 11-06
 Applies to all healthcare professionals who have direct
responsibility in ordering, assessing, planning care and
application of the restraint patient.
Always call the RN when any concerns regarding
patient restraints or seclusion arise.
A stroke is when the blood supply in part of the brain
is reduced or stopped.
◦ Usually due to a blocked blood vessel to or in the brain
◦ That portion of the brain dies
Have high blood pressure
 Have heart disease
 Have Diabetes
 Are overweight
 Have fat deposits on your arteries
 Have high cholesterol
 Smoke cigarettes
 Have a family member who has had a stroke








Severe headache
Weakness or numbness on one side of body (tingling in
face, arm, leg).
Dizziness
Loss of speech (slurred speech).
Confusion/changes in personality.
Difficulty seeing in one or both eyes/double vision.
Difficulty using muscles or swallowing.
Call a Code Gray (Stroke Alert)
 The primary nurse will immediately inform the physician
and activate a Code Gray immediately by calling the
emergency department charge nurse at 417-6796 (OKC)
or 444 (Edmond).
(dial 9 first if calling from a hospital phone)
 Staff will follow all orders included in INPATIENT Initial
Orders for Stroke Patients.



If you, a family member or a co-worker are experiencing
any of the signs and symptoms we have just reviewed,
please call for help immediately.
If outside the hospital, call 911.
And as a student always remember to call the RN
immediately if you are concerned about a patient’s
condition.
Many job aids exist on the Intranet to help facilitate
knowledge of nursing processes. To locate a job aid:
 Go to the Intranet Page
 Click on Departments
 Click on Nursing
 On the right side tool bar click on the job aid you are
interested in reviewing.





Is everyone’s responsibility.
OUMS works to reduce workplace violence via policy
and practices.
Offer assistance in directing or escorting visitors to
destinations.
Inform supervisors, RNs, and instructors of suspicious
behavior.
Weapons of any kind are not permitted on campus
except for official law enforcement officers.
If anyone on campus receives or perceives a threat or is a victim of
violence immediately report.
 OU Police or appropriate law enforcement agency will also be
contacted.
Downtown Campus:
Emergency: 11911 | Non-emergency: 14911

Edmond Campus:
Emergency: 444 | Non-emergency: “0”
(Hospital Operator contacts Security)


Code Purple is to call for assistance for when anyone’s behavior
undermines a culture of safety.iolent Crisis Intervention will respond)
Visitors
◦ Allow to vent in a controlled manner.
◦ When uncontrolled, ask to leave.
◦ If person does not comply, notify police.
Reporting & Patient Notification



All employees have a primary duty to report adverse occurrences involving the
patient. Every student witnessing an adverse event involving a visitor, property
damage or property loss should report the event to the charge nurse.
Type of events that should be reported include:
◦ Damage or loss to hospital property or equipment.
◦ Violation of hospital policies and procedures that involve patient care, for
example:
 Medication errors.
 Treatment delays.
 IV-related complications.
◦ Accidents, with or without personal injury.
◦ Mishaps due to possible faulty/defective equipment or environmental equipment.
When a significant medical adverse event in the patient’s care occurs, the physician
will notify the patient/patient’s family/significant as soon as the adverse event is
discovered.


It is the policy of OU MEDICAL System to immediately report any and
all instances where information reasonably suggests that there is a
probability that a device has caused or contributed to a death,
serious injury, or illness of an individual. When a patient, student, or
an employee is injured, develops an illness or dies related to the use
of medical device, this shall be immediately reported to the charge
nurse.
The medical device should be sequestered with no changes made in
control settings or other methods used to regulate the equipment.
The device should be secured along with all accessories (cords,
probes, etc.) in use at the time of the occurrence. A sticker should be
placed over the power switch labeled “do not use.”
Code
Code Blue
Code Red
Code Pink
Code Black
Description
Action
Cardiac/Respiratory Arrest
Call "11911" or "9911" (OKC) or 444 (Edmond),
Initiate CPR.
Fire/Smoke
Initiate RACE, call "11911" (OKC) or "444" (Edmond).
Infant/Child Abduction
Severe Weather (Tornado)
Activate alarm, search exit routes.
Seek shelter away from windows, ensure foot wear
is on.
Active Shooter/Hostages
External/Mass Casualty
Code Yellow Disaster
Code Silver
Run, Hide and Fight (as a last resort).
Stay on, or report to your unit.
Hazardous Exposure Requires Stay on, or report to your unit.
Code Orange Decontamination
Code Purple
Code White
Code Grey
Aggressive/Disruptive Person Call police at "14911" (OKC) or "0" (Edmond).
Sudden Illness or Injury
Stroke Alert
Call police at "14911" (OKC) or "0" (Edmond).
Activates the Stroke Team.
Fire Response
IN THE PRIMARY FIRE AREA: (RACE)
 R-Rescue anyone in immediate danger (if safe to do so).
 A-Activate the fire alarm (pull manual alarm pull box and call facility emergency #).
 C-Contain the fire (close all doors and windows).
 E-Extinguish the fire (if safe to do so).
IN A SECONDARY FIRE AREA: (CALM).
 C-Close all doors and windows.
 A-Assure patients and visitors that all is under control.
 L-Leave someone by the telephone in case help is needed.
 M-Maintain normal operations as well as possible.
TO EXTINGUISH THE FIRE WITH A PORTABLE FIRE EXTINGUISHER: (PASS).
 P-Pull the pin.
 A-Aim the nozzle at base of fire.
 S-Squeeze the handle.
 S-Sweep nozzle from side to side.
Important Items to be Aware of



You are a reflection of
OU Medical System.
Patient and Visitor
Satisfaction – always
think of how you would
feel if it was you or a
loved one in the hospital.
We are a Smoke Free
Campus.




Cultural Differences
Religious Beliefs
Political Views
Language Assistance
Awareness

OUMC Policy 7-03 defines harassment as verbal or physical
conduct that denigrates, demeans or shows hostility or aversion
toward an individual. Of specific concern is when that hostility or
aversion is because of a person's race, skin color, religion, gender,
sexual orientation, national origin, age, disability or other protected
category.
◦ When in doubt, leave it out.
◦ Zero Tolerance (Physical or Sexual Harassment).
◦ Utilize chain of command or contact HRD Advisor.
Signs of Abuse and Neglect





Physical Evidence
Conflicting stories on how
injuries occurred.
Inconsistent developmental
level of a child.
Complaint other than the one
associated with the abuse.
Loss of weight, failure to gain
weight, unkempt appearance.
If you become aware of any
type of abuse, you MUST
report it. Silence equals
acceptance.






Caretaker keeps away from
others.
Sudden change in behavior.
Extreme withdrawal or
agitation.
Financial exploitation.
Untreated injuries in various
states of healing.
Every Employee/Student
Responsible for reporting to
supervisor or to Social
Services.
Infection Control Practices
Other Factors to Consider



Artificial nails (includes gel and shellac polish), nail tips,
and wraps are PROHIBITED in a patient care areas.
Natural nails should be kept to 1/4” at the tip. If polish is
worn, it should be transparent enough to observe
whether nails are clean. Chipped polish is not allowed.
You cannot provide patient care if your nails are not in
compliance with policy.
Jewelry should be minimal since this has also been
shown to harbor microorganisms.
Transmission Based Precautions



Standard precautions with the addition of Airborne
Infection Isolation, Contact Isolation, Droplet Isolation,
and Protective isolation.
With expanded precautions, you follow the guidelines
set forth for that particular precaution no matter what
activity is being performed.
Use goggles/face shields when there is a potential for a
splash, splatter, or spray. For example, emptying a foley,
dc’ing an IV, suctioning, etc.
Transmission Based Precaution Signs
Transmission Based Precaution Signs
Transmission Based Precaution Signs
Hand washing with antimicrobial soap and water ONLY.
Gowning & Gloving still required for all activity in the room.
Dedicate equipment to patient/room as much as possible.
Disinfect/clean items with BLEACH wipes that enter/exit room.
Proper Way to Remove PPE
Safe Practices to Keep in Mind
Bloodborne pathogen Exposures
TREAT THE EXPOSURE SITE…
1. Wash the area with soap and water.
2. Flush mucous membranes with water.
3. Flush eyes with water or saline.
4. Do NOT apply caustic agents or inject
antiseptics or disinfectants into the wound.
OUHSC Students
OUHSC Students
(Medical ,Nursing, Dental, Allied Health Students)
(Medical, Nursing, Dental, Allied Health Students)
8:30 am - 4:00 pm
After Hours, Holidays, & Weekends
Credentialed medical staff or competent OUMC employee
directly involved with the patient will obtain 2 Full Lavender
Top Vacutainers* of SOURCE blood.
Credentialed medical staff or competent OUMC employee
directly involved with patient's care will obtain 2 Full Lavender
Top Vacutainers* of the SOURCE blood.
DO NOT label blood with any patient identifiers
DO NOT label blood with any patient identifiers
*May use microtainers for NICU source lab.
*May use microtainers for NICU source lab.
Contact OUHSC Student Health at 271-2577 and provide:
1. SOURCE patient Name/MR # , location, nearest tube station #.
2. RN contact name/number responsible for SOURCE patient
3. Exposed contact number to notify of SOURCE Rapid HIV result.
Go directly to OUMC ED with Source Blood
1. Take Source patient Name & MR # with you
2. Exposed individual will be admitted to the OUMC ED.
3. Exposed individual baseline labs will be drawn.
Infection Prevention Department will be notified by Student
Health to coordinate source testing. Infection Preventions will
provide source exposure labels and requisition before
responsible RN will send blood to the lab.
Post Exposure Prophylaxis (PEP)
offered only if source Rapid HIV result is POSITIVE.
OUHSC Student Health Nurse will contact Exposed individual
with SOURCE Rapid HIV results. Instructions will be given at
that time regarding follow up in Student Health office at the OU
Family Medicine Clinic.
Exposed individual will follow up with OUHSC Student Health office at
the OU Family Medicine Clinic on next business day to obtain
baseline lab results and SOURCE Hepatitis B & C status.
ZERO TOLERANCE
Mission Statement:
OUMS has zero tolerance for NOT adhering to infection prevention
measures and broken systems that lead to harm.
Culture of Accountability
OUMC has a zero tolerance for non-compliance with basic infection
prevention practices.
Every patient has the right to a clean safe environment.
Each employee is responsible for their own actions towards these
goals as well as the actions of other members of the healthcare
team..
Specific Indications for Hand Hygiene
BEFORE:
◦ ANY patient contact.
◦ Full barrier precautions when inserting a centrally placed venous
catheter.
◦ Before inserting or removing urinary catheters, peripheral vascular
catheters, or other invasive devices that do not require surgery.
AFTER:
◦ ANY patient contact, including contact with intact skin, bloody fluids
or excretions, non-intact skin, wound dressings, etc.
◦ Removing gloves.



Controlled Substance: Any drug or chemical substance
whose possession and use are regulated under the
Controlled Substances Act.
Illegal Substance: Any drug the possession or sale of which
violates federal law (in the U.S.) or the county, state or local
law of the jurisdiction in which the facility is located.
Impairment: Practitioner impairment occurs when a
substance-related disorder interferes with his or her ability to
engage in professional activities competently and safely.



Employees and Students have a duty to report to his/her
supervisor:
◦ Your own use of prescription or over-the-counter.
medications that could impair your ability to perform your
job.
◦ Any reasonable suspicions of a coworker, contractor or
student who may be in violation of the Substance in the
Workplace policy.
Cooperate fully with investigations of violations.
Safeguard controlled substances from unauthorized access.
 Sale, manufacture, distribution, purchase, use or possession
of alcoholic beverages, illegal substances or non-prescribed
controlled substances.
 Reporting to duty or being at work while under the influence or
impaired.
 Reporting to duty or being at work smelling of alcohol or with a
measurable quantity of non-prescribed controlled substances
in one’s blood or urine.
 Theft or diversion of facility medications.
 Conviction for sale or possession with intent to
distribute any drugs, including prescription drugs.
 Refusal to submit to consent to drug/alcohol screen.
 Participation in any act that would create false
documentation of security or safety practices.
 Tampering with drug testing samples or security
equipment.



Drug screening is conducted as part of the postaccident process.
Reasonable suspicion of impairment regarding an
employee, contractors or student can result in a forcause drug screen.
Searches may be conducted as part of the
investigation process.
What is HIPAA?
 The Health Insurance Portability and Accountability Act (HIPAA) was
enacted by Congress in 1996. The HIPAA Privacy Rule provides federal
protections for personal health information held by covered entities and
gives patients an array of rights with respect to that information.
 Federal Law.
What is the purpose of the law?
 Guarantee privacy and security of health information.
 Protect health insurance coverage, improve access to healthcare.
 Reduce fraud, abuse and administrative health care cost.
 Improve quality of healthcare in general.
HIPAA and HITECH
What is HITECH?
 The Health Information Technology for Economic and Clinical Health
Act (HITECH) was signed into law by the President on February 17,
2009. It is the part of the American Recovery and Reinvestment Act of
2009.
 It is a Federal Law.
 HITECH Act strengthens those patient privacy protections of HIPAA
and places additional requirements on the healthcare community.
What is the purpose of the law?
 Makes massive changes to existing privacy and security laws.
 Increases penalties for privacy and security violations.
 Creates a nationwide electronic health record.


Information may be considered identifiable if it contains, but is
not limited to, any of the following: Unique ID number given at
admission, name, discharge date, address including street,
city, county, zip code and equivalent geocodes, health plan
beneficiary number, names of relatives, account number,
birthdates, telephone numbers, email addresses, social
security numbers or medical record numbers.
The Notice of Patient Privacy requires patients are notified
when their protected health information is breached by a
hospital.
OUMS is responsible for protecting patients, employees and
visitors from unauthorized photography/digital taping/video
taping, etc. Photographing patients or patient test results with
any photographic or video device is prohibited and considered
a violation of HIPAA.
HIPAA/HITECH guidelines now state that Electronic Media now
includes flash drives and digital memory cards.

Displaying and/or distributing images of patients without
approval is not permitted. This includes images which
may have been taken by others and images which may
be on non-OUMS computers. Demonstrating respect
and confidentiality of all patient information and images
is expected of students at all times.
Employment Process





Apply online – www.oumedicine.com
HR Role – Pre-Screening; Questions
Offer – Made by HR
Pre-Employment Processes – Drug screen, Physical,
and Background Check.
Contact a member of the Recruitment team for questions
at 405-271-6035 or email [email protected]
Questions?
If you have
questions, please feel
free to contact your
Clinical Instructor
or
Human Resources
at 405-271-6035