Transcript Garden City Hospital Emergency Services Orientation

Garden City Hospital
Emergency Services Orientation
Developed by
Kelly Banasky, RN, , BSN,TNCC, ENPC
Emergency Services Educator
Entrances
Elmwood Entrance
Ambulance Entrance
Parking
During the Day shift, parking is limited. It is hospital
policy that all staff park in designated areas which are
located:
 Behind the hospital in the hospital parking areas
 At the Harrison Parking Lot
 Afternoon shift has a designated parking lot located
off of Inkster road
 Do NOT park on the side streets surrounding the
hospital or on the neighborhood streets. We strive to
maintain respect with our neighbors.
 If security or staff requests for you to move your
vehicle to the correct parking area, please comply
Harrison Lot
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The Harrison Lot is located on Hartel Street, between
Maplewood and Cambridge.
Shuttle Service is provided from 5:30am to 8pm
There is no shuttle service on legal holidays
Drop-off is at the chapel door entrance at the hospital.
 The chapel door faces Inkster Road.
When dropped off at the chapel door, enter through
the main hospital entrance and see information, they
will direct you to the Emergency Department.
Please have your badge visible for staff
Appearance
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Please arrive to the clinical area on time, and in professional
uniform dress.
Uniform should be neat, pressed and clean, shirts tucked in.
Artificial nails are not allowed at GCH per infection
prevention policy
There is a room available for backpacks and jackets. Please
have your name badge/ID badge visible at all times in the
hospital.
Your badge should be placed on your left chest area where it
can be easily seen and identified by security.
If you arrive to clinical without a badge, you will be directed
to security for a visible Pass for patient and staff identification.
Lunches
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Lunches:
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There is a refrigerator, microwave and a toaster
available for your use.
The Hospital Cafeteria is available at various times
throughout the day
The Garden Café is open from 7am to 7pm
There is a vending machine area called Fast Track
in the main hospital that has vended sandwiches
and snacks.
Please when going to break, inform your preceptor
Start of Clinical Day
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Upon arrival to the Emergency Department. Ask to see the
Clinical Coordinator or Charge nurse.
 If you do have not done clinical’s at GCH before, ask
where the sign in book is at.
 Inform them of your level of practice, eg. Basic, etc. so
they may assign you to a preceptor.
Check in immediately with your preceptor
Introduce yourself and your level of practice
If unfamiliar with equipment, please ask.
Bring your evaluation sheets with you and have your preceptor
sign off on them at the end of your clinical day.
The preceptor is to sign you out of the log book at the end of
your shift.
Dinamaps
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Are blue and there are
approximately 2 in each
zone
Capabilities:
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BP
HR
Temp
 Oral
 Rectal
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Pulse Ox
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Manual BP CUFFS
Are on the walls in the
patient care areas
BP CUFFS
Adult
Pediatric/Infant
Thermometer Probes
There are two types
 Oral (BLUE) For use on Adults/Children who are able to
tolerate, cooperate with the oral probe. If the patient is prone
to biting, seizing, has any condition that risks the patient, or
the probe being broken do NOT use.
 Rectal (RED) For use on infants, intubated patients, or any
patient that can NOT tolerate the oral probe. Probe must be
have surgi-lube applied prior to use.
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A Temporal Scanner available for use, please ask the staff to
demonstrate how to use this instrument
Thermometer Probes
KEY POINTS:
 All thermometer probes must have a disposable probe cover
for every patient use
 Dispose of probes after each use
 Before using a rectal probe, see the RN or Tech Partner.
Safety must be in place when using these probes
 NEVER use a RED probe for anything other than a rectal temp
 NEVER use a BLUE probe for a rectal temp
Pulse Oximetry
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There are two types of Pulse
Oximeter probes
 Pediatric
 Resembles a band-aid
 Adult
 Non-Disposable
Vital Sign Requirements for GCH
All patients must have a full set of vital signs
 At triage
 Every 2 hours
 PRN
 And for medications that affect a patients hemodynamic status
 Any drug that has the ability to affect HR, BP, RR, T,
SPO2
 1 hour before discharge or transfer to the floor or unit
 When patients can not tell us their pain, GCH uses the WongBaker Scale
Definition of VITAL SIGNS for GCH
Blood Pressure
 Heart Rate
 Respiratory Rate
 Temperature
 Pain level
 Pulse Ox
KEYPOINT: if any of the patients vital signs are not within
normal limits, you need to notify the nurse
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Bio-Hazard Bins & Hoppers
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Bio-hazard Bins
Found throughout
department and in dirty
utility room
Items saturated with body
fluids or blood should be
disposed of in these bins
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Hopper
NEVER throw towels or
Maslin towels in the hopper.
Only body fluids or liquids.
IV CARTS & Sharps Containers
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All used needles are to go into sharp’s containers
No paper products, gloves, gauze or labels are to go into the
sharp containers
Do not attempt to force sharps in if container is full
GCH has a company that maintains our sharps containers.
NEVER reach into a sharps container
ALWAYS use caution with a sharps container
Sharps
IV Carts
Containers
Drawer 1 & 2
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Phlebotomy
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Angiocaths
Phlebotomy supplies
Vacutainer adapters
Drawer 3 & 4
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Chloraprep
Butterfly sets
18G needles
Band-aids
Betadine swabs
Needles adapters
•Syringes
•Pre-filled Saline Syringes
•2 x 2 Gauze pads
•Tegaderms
•Vacutainers
•Silk Tape
•Blood CultureVacutainers
•Tourniquet's
Drawer 5 & 6
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Saline locks
IV tubing
Blood Identification Bands
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IV start Kits
Secondary medication sets
Crash Carts
Adult
Pediatrics
Intubation Kits
Patient Care Area
Trauma Bay
GT/OBS/FT
Resources
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If you have any questions or concerns, please let the charge
nurse or coordinators know.
Additionally, you can leave a voicemail for the educator,
Kelly at 734-458-3231 or email her at [email protected]
Thank you for coming to our facility to complete your clinical
rotation, we look forward to helping you be successful in your
future
MAES REQUIREMENT
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Must have completed this orientation before doing any clinical
rotations at GCOH
Print the next page, completely fill out, turn into staff to file
Eligible for GCOH clinicals
Certificate of Completion
I have completed a review of the Garden City
Hospital EMT & Paramedic Clinical
Orientation.
 Date: _________
 Name:_______________
 Signature:_______________
 Date Received by Staff______
 Staff Initials___
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