Transcript Lee Memorial Health System Expectations

Lee Memorial Health System
Introduction
2014
LMHS MOTTO
“Creating comfort
through
compassion and
competence."
LMHS VISION
“To become the best patient centered
health system in the State of Florida. This
vision will be accomplished through
recognition of nursing as a focus of
excellence while supporting an environment
that fosters interdisciplinary collaboration
with all members of the
health care team.”
HISTORY OF THE LEE
MEMORIAL HEALTH SYSTEM
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First opened 1916
6 hospitals, 4 campuses
Over 9000 employees
Over 3400 Volunteers
Over 1000 Physicians on Staff
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Over 1,000,000 patient visits a year!
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LEE MEMORIAL HOSPITAL
CAMPUS
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First hospital in the system
367 beds
Level II Trauma Center
Rehabilitation Hospital & Orthopedics
Neurosciences & Stroke
Oncology Services
Infectious Disease
PCU, ICU & SICU
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No inpatient pediatrics or obstetrics
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LMH FAST PASS Security System
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Fast Pass secure stations will be
maintained in the Hospital
Lobby, the MOC (Medical
Office Center) Lobby and the
Emergency room entrance.
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All visitors/students will pass
through the Fast Pass, showing
their state identification card
and receiving a photo ID, to
gain entrance into the building.
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All visitors must give the room
or the reason for their visit.
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Photo passes will be good for 1
entire day only.
CAPE CORAL HOSPITAL
CAMPUS
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Served the community for more than 20 years before
merging with LMHS in 1996
291 Beds, all private
Largest Emergency Department in Lee County
Low risk obstetrics & Special Care Nursery
orthopedics, urology, endocrinology,
gastroenterology, ICU and Neuroscience Unit.
HEALTHPARK MEDICAL
CENTER CAMPUS
Anyone know why it looks like this…?
HEALTHPARK MEDICAL
CENTER CAMPUS
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Opened in 1991
360 beds, all private
Heart & Vascular Institute
Neurovascular Intervention Unit
Obstetric and High Risk Obstetric Center
Neonatal Intensive Care / NICU
Pediatrics / PICU
SWF Children's Hospital
GULF COAST MEDICAL
CENTER CAMPUS
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349 Beds
Emergency Department 43 beds
Comprehensive cardiovascular care, including cardiology,
cardiac surgery, angioplasty, cardiac catheterization
The area’s only kidney transplantation center (shortest wait time
in Nation for transplantation!!!!!)
Other services include: orthopedic surgery, neurosurgery & spine
surgery, neurology and stroke care, general and vascular surgery,
general medicine, and intensive care units.
What is DNV?
DNV-accreditation organization
 DNV stands for “Det Norske Veritas”
translated “The Norwegian Truth”
 Others surveyors include:
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 CMS-Centers
for Medicaid & Medicare
Services,
 AHCA-American Healthcare
Association
What is HCAHPS?
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Hospital, Consumer, Assessment of Healthcare Providers
and Systems
Survey of patients hospital care tied to reimbursement
27 Questions about recent hospital stay
 Q’s related to hospital experience?
 Communication & responsiveness of hospital staff,
toileting needs met, call lights answered, pain
management, cleanliness, quietness, education, and
overall hospital experience
 Explain to patient exactly what you are doing!
www.hospitalcompare.hhs.gov
EHR is Here!!
One patient/one record, standardized
design processes, fully integrated, based on
current science!
EHR Electronic Health Record
 EPIC name of our new computer
system
 CPOM Computerized Physician
Order Management
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REFERENCE MATERIALS
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LMHS support digital media for referencing. Computer
available on every unit at every hospital and in Medical
Libraries.
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Examples include on IntraLee:
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Integrated Services Manual (Policies and Procedures)
Micromedex (Patient Education & Clinical Resources)
Library databases (Dynamed, Natural Standard, Ovid, etc.)
Ebooks (such as Clinical References)
The ANA Code of
Ethics for Nurses
DELIVERING CARE
FROM THE HEART
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Why did you choose your profession?
Using a holistic approach to your care:
 Attending to physical needs
 Attending to emotional needs
 Attending to spiritual needs
 Attending to the needs of the
family
HONORING DIVERSITY
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Respect for diverse needs and beliefs:
 Generational
 Cultural
 Socioeconomic
 Educational
 Religious
“ZERO TOLERANCE”
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LMHS promotes Respect, Dignity & Equal
Opportunity
LMHS does NOT tolerate: Discrimination, Any type
of Harassment, Retaliation or a Hostile work
environment
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This applies to all employees, physicians, vendors,
contractors, patients, visitors and any individual
on premises!!
Report up the Chain of Command, Compliance # or
HR Employee Relations.
NEVER FORGET...
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Nursing is a vocation as well as a
profession.
Your heart is as important as your
clinical expertise in creating
comfort for our patients and their
families.
Lead the Safety Journey.
We are all responsible for leading the Safety Journey…
Gold Card Expectation…
Always have a LMHS
Gold Card in your badge
holder while in the clinical
setting.
Lee Memorial Health System
Expectations:
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Clinical faculty responsible for supervising students
in the performance of procedures and patient care
LMHS Staff are responsible for the care of the
patient
All medications administered must
be co-signed by RN and/or Faculty.
Lee Memorial Health System
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Students MAY NOT:
 Take
telephone or verbal orders
 Sign off orders on medical record
 Act as a witness for any document or consent
 Give any medication without the co-signature
of the Faculty or a RN
Lee Memorial Health System
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Students MAY NOT:
 Give
or regulate PCA’s, epidural medications or
chemotherapy medications
 Use auto transfusion devices or Hang Blood
 Chart or Edit Electronic Assessments
 Perform any invasive procedure on children
under one year of age unless under the direct
supervision of a staff RN from the department
in which the child is a patient
What NOT to Bring in
Patient Care Areas
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NO cell phones in Patient Care Areas-any technology that may
jeopardize a patients rights or violate confidentiality is absolutely
NOT ALLOWED. Only during breaks in appropriate locations (i.e.
lobby, outside, break rooms)
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Cellular phone use must be 5 feet away from any medical
equipment.
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NO Text Books in Patient Care Areas
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NO Food or Drink in patient areas (exception-bottled water
with secured cap)
“Customer Service”
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Students are NOT to park in the VISITOR Lots!!!!! If caught
security will take down car tag info, look up names and school
affiliation. It will be documented and may directly affect future
employment with LMHS. PLEASE…Park in Employee
Parking Areas ONLY Please!
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Use the service elevators!
LMHS administration is serious about this, as it hampers our
ability to care for patients and families.
What the Nursing Staff
Expects
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No more than 2 students assigned to the patients of
any staff nurse
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Document all activity, AM or HS care, intake/ouput
after meals, and bathroom assistance related to
patient care in the electronic health record.
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Vital signs are to be done timely per the unit
routine. “Real Time Charting” is a must!
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Document at computers in the hall. Try not to
utilize the staff nurse work area if possible
What the Nursing Staff
Expects
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Communicate significant findings or status changes
immediately.
Communicate to the primary nurse when you leave the
unit for breaks or leave at the end of the day. (Include
anything that has not been done)
Students should not be congregating in hall or at nurses
station.
No Students to be present in
the room during Codes &
MET calls
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Although we realize the value in learning and
observing Medical Emergency Team (MET)
calls and Cardiac/Respiratory Arrest, it has been
advised that it is distracting and too crowded for
students to be present unless they were directly
involved with the care of that patient.
ASSURING CONFIDENTIALITY
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HIPAA laws and penalties
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Access to patient information
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Communications with peers
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Communications outside of the
hospital
COMPUTER USE ISSUES
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Accessing your own computer medical
records, or those of friends or family is
STRICTLY PROHIBITED!
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Employees should not use employee sign-on
while functioning in the role of student at any
time.
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Internet use:
 Personal e-mail
 Non-work related internet sites
Social Networking…
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Social Networking is NOT permitted while at
LMHS or on any LMHS Equipment.
For your protection DO NOT post any
privileged, confidential, copyrighted or company
issued documents.
Anything obscene, vulgar, defamatory,
threatening, discriminatory, harassing, abusive,
hateful, or embarrassing to a LMHS employee,
patient or business partner is prohibited.
Students are NOT to
perform Blood Sugar
Checks
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Students and Faculty are not to perform blood sugar
checks with the Accucheck machines at any time on any
Patients, Visitors or themselves-even if the nurse
offers…DECLINE!
USE OF THE GLUCOMETER WITHOUT
TRAINING, OR USING THE METER WITH
ANOTHER EMPLOYEE’S ID NUMBER IS
CONSIDERED FRAUDULENT
DOCUMENTATION, AND IS GROUNDS FOR
DISCIPLINARY ACTION.
YOU ARE AN IMPORTANT
MEMBER OF OUR TEAM!
What is our #1 concern & core value
here at LMHS?
YOUR ROLES ON THE TEAM
Assuring patient safety
 Being a patient advocate
 Communicating effectively
 Representing the values of
LMHS
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IMPROVING THE ACCURACY OF
PATIENT IDENTIFICATION
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Information on the Identi-print
armband.
Two forms of patient identification used
at LMHS
Involve the Patient:
NAME
DATE OF BIRTH
CSN-Contact Serial #
It Takes Two
 Verify
2 reliable identifiers every
process every time!
 This is a RED RULE!!!!!
 Scanning is not considered a reliable
identifier!!
Know Your Patient
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Door Precaution Signs
**BE SURE to UPDATE**
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Color coded armbands:
 Red = Allergy
 Blue =Do Not Resuscitate (DNR Imprint)= No code
 Green =Restrictive Resuscitation
 Yellow (Fall Imprint) = Fall risk
 Pink = Extremity use precaution
 Purple = Anticoagulant precaution
PREVENTING INFECTION
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What are the most effective ways to reduce the
transmission of infection?
Is using hand sanitizer considering a form of
hand washing?
How long EXACTLY do we wash or gel hands
for?
YOUR ROLE IN
REPRESENTING THE
VALUES OF LMHS
Our profession has changed with time,
but our values remain the same.
PROFESSIONAL BEHAVIORS
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First impressions are important!
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Look the part.
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Think about how you sound to
others.
PROFESSIONAL VALUES
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Keep up to date with policies and
procedures.
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Enhance your knowledge and skills.
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Ask for help when you do not know
something.
REFLECTING LMHS IN YOUR
COMMUNITY
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Be meticulous about confidentiality
outside the hospital.
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Be a positive representative in the
community.
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You have an amazing opportunity
to learn & grow at LMHS and
we’re glad you are here!