Transcript Student Orientation Part 1 - Mad River Community Hospital

Mad River Community Hospital
Nursing Student Orientation
Topics Presented in this Orientation:
• Our Vision/ Standards of
• Safety/ Hospital-wide
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Excellence
Services offered at MRCH
Parking
Student Nurse
Responsibilities
History of MRCH
Emergency Codes
Fire Safety & Prevention
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manuals
Patient Confidentiality
Infection Control
Waste Disposal
Documentation
Performance
Improvement
Cultural Awareness
Back Care / Lifting
Techniques
** Please complete the attached post-test following your review of this orientation.
Our Vision
• WE ARE Mad River Community Hospital.
• OUR QUEST is to become California’s
leading and most innovative community
health center.
• WE COMMIT to providing excellent care
to patients.
• WE PLEDGE to always respect and care
for those who choose us for wellness
healthcare, employment, or as a place to
practice the art and science of medicine.
Standards of Excellence
~ Mad River Community Hospital’s mission is
“to provide the highest quality health care to
meet the needs of the people and communities
we serve”. All Mad River Community Hospital
team members are expected to help fulfill this
mission.
More Than A Hospital
* Mad River Community Hospital has a full network of
health services:
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Adult Day Health Care of Mad River
Center for Wound Care and Hyperbaric Medicine.
Home Health Services of Mad River
Humboldt Family Medical Care
Mad River Rehab and Sports Medicine
Occupational Health Services of Mad River
Six Rivers Medical Center
Women’s Health Center
Endoscopy/GI Suites
Parking
› Park in the north or south gravel parking
lots
› Park to accommodate patients getting into
the hospital
› Do not park in MD, patient, lab,
handicapped, or blocked off areas.
› Do not move cones: may be blocking off
areas for helicopter landing or blood
banking personnel
As a student, what are you
responsible for during clinicals?
• Reporting to the clinical assignment at the
designated time, and receiving your assignment
• Reporting information relative to the patient’s plan
of care to the clinical instructor and staff assigned to
the patient
• Communicating with the appropriate staff in order to
coordinate care
As a student, what are you
responsible for during clinicals?
• Informing the instructor or staff if you feel unable or
unsafe to provide a care measure
• Contributing to the care planning process and
documenting in the appropriate interdisciplinary care
records according to standards
As a student, what are you
responsible for during clinicals?
• Conducting care, treatments, assessments and
documentation according to published standards of
the academic institution and the hospital
• Protecting the rights of the patient according to
standards, including confidentiality, respect and
dignity; and requesting patient’s permission for the
student to participate in her/ his care
Students may NOT perform the following:
• Administer chemotherapeutic agents
• Prepare and/or administer medications in emergent
situations
• Access/administer narcotics independently
• Carry narcotic keys
• Conduct point of care testing
– urine dipstick
– nitrazine paper
– occult blood and whole blood glucose testing)
Students may NOT perform the following:
• Participate in emergency response for cardiac and
respiratory arrest (may observe with instructor
permission)
• Pick up blood from the Lab
• Provide care to the following patient populations:
– Patients who are inmates
– Patients in respiratory isolation requiring individually
fitted masks
– Patients with radiation implants
Students may NOT sign
or complete the following:
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Patient Belonging Sheet
Labor Record
Blood Transfusion Record
Record of Death
Code Blue Record
Leaving Against Medical Advice
TPA Checklist
Transfer Forms
Intra-operative Record
Discharge Instruction Sheet
History of Mad River
Community Hospital
Our History
The original Trinity Hospital
built on the corner of 13th &
G Streets in Arcata in 1911.
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25 beds
Nursery
Two sun rooms
Operating room on the
top floor for maximum
lighting
• On February 3, 1943, a tragic fire swept
through the hospital causing extensive damage.
• On March 25, 1943 rebuilding began with the
purchase of a full city block at 14th & C Streets
by the Arcata Chamber of Commerce with
contributions from the community.
Financial Factors for Change
• Humboldt State College (now University)
announced they intended to purchase the
Trinity Hospital site in 1968.
• The Sisters of St. Joseph of Orange
announced closure of Trinity Hospital on
June 30, 1969, in order to consolidate Arcata
& Eureka services into new facility in
Eureka.
Community Support for
Arcata Based Hospital
• Arcata Mayor Ward Falor called a town
meeting to discuss the future of Trinity
Hospital.
• Community members formed the Trinity
Hospital Action Committee (THAC).
• National attention was brought into the
plight of Trinity Hospital.
American Hospital
Management Corporation
• The THAC requested help from American
Hospital Management Corporation
(AHMC) in building a new hospital and
operating Trinity Hospital until a new
facility could be built.
• Allen Shaw, President of AHMC, was
impressed with the community and
physician support.
A New Beginning
• In 1968, AHMC and Trinity Hospital
Medical Staff purchased 47 acres located on
the Mad River.
• Community-wide efforts were underway to
purchase the old Trinity Hospital from the
Sisters.
• On July 1, 1969, with no interruption of
services or employee layoffs, AHMC
assumed the operation of Trinity Hospital.
The Birth of A New Hospital
~ And so began the arduous,
political process of gaining state
approval to build a new hospital.
Mad River Community Hospital
• Without the assistance of state or federal
funds, Mad River Community Hospital
opened its doors with patients from Trinity
Hospital in October, 1972.
• AHMC has sold its four other hospitals, thus
managing only Mad River Community
Hospital and devoting itself entirely to the
people of the North Coast.
Another New Beginning
• Medical Outpatient building completed in
August 2004.
• Services continue to be phased in.
Emergency Hospital Codes
Your Role In Any Code:
• Students can call any code in an
emergent situation, but may not
participate past the initial response.
To Call Any Code:
(Emergency Phone System)
• Dial 3911
- Between the hours of
0700-2300
- State the type of code and
the location. Repeat.
• Dial 55
- Between 2300-0700
- You will be “live” on the
overhead system.
- Listen for 3 beeps. State type of
code and location. Repeat,
pause, and repeat again.
MRCH Emergency Codes
Code Blue
Cardiac/ Medical Emergency
Code Red
Fire
Code Pink
Pediatric/ Infant Abduction
Code 4
Respiratory to Nursery Stat
Code Yellow (external)
Major External Disaster (with probable
multiple injuries)
Code Yellow (internal)
Physical Plant Failure (with possible
injuries), [other codes may follow]
Dr. Strong
Manpower needed
Condition E
Evacuation of specific area
Code Security
Lock Down
Code Orange
Stay Away
* All codes can also be found on the back of employee name badges
Fire Safety & Prevention
• Goals of Fire Safety
• Your Role in Fire Safety
• Fire Safety (Code Red)
Goals of Fire Safety
• Prevent fires from starting
• Stop the spread of fire
Your Role in Fire Safety
• Handle all flammables, electrical equipment, and
medical devices correctly and safely
• Never leave trash or supplies laying around in
hallways (potential “kindling”)
• Never block fire doors, exits, fire extinguishers,
or hoses
• Report any equipment problem or hazard
immediately
Fire Safety – Code Red
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Remove all persons in danger
A
Activate Alarm
- Page by calling 3911 (day) or 55 (night)
- Pull the fire alarm
C
Confine the Fire
- Close doors and windows to help keep fire and
smoke from spreading
E
Extinguish the Fire (if manageable)
- Attempt to put out only if small
- If not, evacuate the area!
Operating a Fire Extinguisher
P
Pull the pin
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Aim at base of fire
S
Squeeze the handle
S
Sweep from side to side
Safety Manuals/ Hospital-wide Manuals
* All manuals are now located on the hospital intranet.
When your clinical orientation begins, make sure you know
where to find these on the computer.
* Know what type of information can be found in each manual.
* Clinical departments may have hard copies of manuals as well.
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Environment of Care manual
Org. Wide manual
Nursing Administrative and Clinical manual
Infection Control manual
Environment of Care Manual
* Contains information on the following:
• Emergency communication plan & call tree
• Phone/power failure procedure
• Staff safety policies/ security plan
• Patient emergency response & call system
• Disaster plan
• Hazardous substances
• MSDS location
Patient Confidentiality
• HIPPA Privacy Rule (Health Insurance
Portability and Accountability Act)
– Ensures personal medical information patients
share with doctors, hospitals and others who
provide and pay for healthcare is protected.
The Privacy Rule does the following:
– Imposes restrictions on the use and disclosure
of personal health information
– Gives patients greater access to their medical
records
– Gives patients greater protection
of their medical records
What is Protected Health
Information (PHI)?
• Includes any information (oral, recorded,
on paper, email, etc.) about a person’s
physical or mental health
• Includes any information on services
rendered or payment for those services
Examples:
– Patient’s name or
address
– Social security or other
identification numbers
– Physician’s personal
notes
– Billing information
Who is covered under the HIPPA
Privacy Rule?
• You are termed a covered entity if you are a:
– Healthcare provider
– Health plan
– Healthcare clearinghouse
– Business associate
What are the rules for use and disclosure of PHI?
• PHI can be used or disclosed for: treatment,
payment, and healthcare operations
• With authorization or agreement from the
individual patient
• For disclosure to the individual patient
• For incidental uses such as physicians talking to
patients in a semi-private room
HIPPA Security Rule
• Second set of federal standards to protect health
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information in electronic form
Protects:
– Confidentiality of electronic PHI (ePHI)
– Integrity of ePHI (once created, can’t be tampered with)
– Availability of ePHI (can’t be accessed without authority)
In general, use/ disclosure of PHI is
limited to the minimum amount of
health information necessary to get the
job done right.