Transcript Student / Instructor Orientation - For Medical Professionals

Student / Instructor Orientation
Welcome to Aurora Health Care and the
Aurora Oshkosh / Fond du Lac Patient Service Market
We hope your clinical or internship experience with us
will be a rewarding one
If you have any questions during your time here, please contact
our student coordinator at 920-456-7795 or
[email protected]
Orientation Checklist: Before you Start
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Before you start your clinical or student experience
at our sites, complete the appropriate checklist from
Website:
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Print off the appropriate form from Website for your role
Bring to first day of clinical/experience
Review with your instructor or preceptor
Sign and Return to the Education Department
Orientation Checklist: Before you can Start
• Before starting at Aurora, please review:
- Our Health Requirements
- And Required Background checks
• Your school coordinator or instructor must
ensure these are met prior to your arrival
Orientation Checklist: Before you Start
• Our patients may not recognize
the difference between our
regular caregivers and students
• Before starting review the
following policy:
Caregiver Appearance Policy
• This policy tells you what you
can or cannot wear, grooming,
fingernails (no shellac),
piercings, tattoos, etc.
About Aurora
• Our purpose – What we do
- We help people live well
• Our vision – What we aspire to
- Provide people with better health care than they can get
anywhere else
• Our values – What we believe
- Every patient deserves the best care
- Responsibly managing resources
- Building a healthy workplace through accountability,
teamwork and respect
About Aurora, Integrated Health System
• Private, not-for-profit integrated
health care provider
• 15 hospitals
• 31 counties, 90 communities
• 1,000+ Aurora Medical Group
physicians
• 325+ Aurora Advanced physicians
• 155 clinics
• VNA - largest in Wisconsin
• 83 retail pharmacies
• 30,000+ caregivers
• 92,000 inpatient discharges
• 2.2 million outpatient visits
• 3.6 million ambulatory care visits
Directions and Location
The following facilities are located in the
Oshkosh/Fond du Lac Patient Service Market and
are part of the Fox Valley Health Care Alliance
Click here for Facility Search and Directions
• Oshkosh Hospital
• Oshkosh Clinic
• Oshkosh Doctor’s
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Court Clinic Location
Fond du Lac Clinic
North Fond du Lac
Lomira
Mayville
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Fremont
Neenah
Omro
Ripon
Wautoma
Winneconne
Other Aurora facilities
– search by type and
location
About Aurora Hospital / Clinic - Parking
• Click here for a MAP of our
Oshkosh facility
• Oshkosh campus, the hospital
entrance is in the rear of the
complex, clinic is in the front
• A piano is located in the
hospital lobby; staircase in the
clinic
• Park between white lines,
farthest away from the
entrances
• Yellow lines are for our guests
and patients
Park
Here
About Aurora – Smoke Free
• Aurora is a smoke free
organization
• Smoking is not permitted
in buildings and/or on the
facility property
• Those that choose to
smoke must leave the
campus or the property
Aurora does not allow Firearms
• There are no
firearms, handguns,
or weapons allowed
in any of Aurora
facilities
• Must be locked in car
• If firearm or handgun
found, security is
notified – they will
keep locked in secure
location (if security is
on premises)
Aurora health Care is a not-for-profit health care provider and a national leader in the efforts to improve the quality of health care.
Patient Experience
• Our goal is patients first,
always
• We believe that patient’s
rights and responsibilities are
an integral part of healthcare
• Click here to review our
patient’s rights and
responsibilities
Patient Experience
• Aurora is committed to service and diversity
- We have access to interpreter services
- Contact the department or house supervisor if you need their
services
• We offer many complementary services in the hospital
- Healing garden
- Massage therapy
- Pet therapy
- 24/7 family visitation
- Special dietary requests
- And more
Patient Experience is Important
Please Remember AIDET:
• Acknowledge the patient by knocking first,
saying hello
• Introduce yourself and your role as a
student
• Duration: discuss how long a procedure,
an interaction, assessment, a test, or
results may take
• Explain the purpose of your visit and what
you will be doing
• Thank the patient for their time and close
with “is there anything else I can do or get
for you?”
Patient Experience is Important
Other TIPS
• Always wear a name badge
• Always inform the patient of what
you will be doing and why
• Show respect, provide dignity and
privacy
• Think about how you would want to
be treated if you were a patient
• While you are here, you are part of
the team – it is all about the patient
Orientation - Badges
• All students & instructors must be
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identified with a badge
Use your school issued badge to identify
you and an Aurora badge to indicate you
are a student
Aurora Hospital requires all students,
volunteers, and caregivers wear an
Aurora Badge
Your instructor or preceptor may provide
you with a student badge, or contact the
education department at ext. 7795 or 7196
Return all badges to AMCO Education
Orientation - Badges
• Aurora Badges with an orange stripe
indicate caregivers or students working in
the obstetrical or pediatric departments of
the hospital
• This is a special security measure
Orientation - Badges
• If you are provided an Aurora Badge, please sign
the badge agreement section on the orientation
checklist and return to Education Department
• Reminder: Badges are tracked by security
• All badges need to be returned at the end of
your clinical/internship to the Education
Department or you will be charged a
replacement fee $25.00
About Aurora Resources
• From our internal computers, you will have access
to:
- Our on-line library services
- Patient Education
- Other Resources
• Just ask our medical librarian (ext. 7039) or any of
our caregivers if you need assistance with locating
resources or policies on-line
Aurora Resources
If you are providing information to patients, please
remember the following tips:
 Keep information simple
 Use plain language (avoid medical jargon or abbreviations)
 Have the patient or family member “teach back” or tell you /
show you what you just told /showed them
 Do not say, “do you have any questions”…..
 Instead, ask them to…
 “Tell me what you know about….”
 “Tell me what your doctor told you”, then clarify the
information as needed
 “How will you do this or take this when you get home?”
Safety
• We want you to be prepared in any of our Aurora
facilities
• We use plain language alerts for situations
where we may need to act fast
• Know numbers to call:
• 5911 at Oshkosh Facility
• Other outlying facilities call 9-911
• Fond du Lac clinic, call 22
Safety – Emergency Preparedness
In order to practice safely at
our facilities, it is essential
that you know any alerts
that may be announced
Emergency Preparedness
plans can be located in each
department
Be sure to locate and review
the plan when you arrive
Emergency Alerts: Fire Alarm
Fire Alarm:
In case of a fire, call for help immediately.
• In the hospital dial 5911
• Outlying clinics dial 9, then 911
• At Fond du Lac clinic dial 22
In the hospital you will hear this
announcement:
“Attention Please: Fire Alarm”, then the location
In case of a Fire: Know “RACE” and “PASS”
RACE
PASS
• R = Rescue (remove
• P = Pull the pin
anyone from danger)
• A = Alarm (pull the fire
alarm or call appropriate
number)
• C = Contain or confine
the fire (e.g., close doors)
• E = Extinguish (if small
enough) or Evacuate (if
too large and your safety
in jeopardy)
• A = Aim the nozzle
• S = Squeeze the handle
• S = Sweep back and forth
covering the entire fire
base
Emergency Alerts: Missing Person or Abduction
Abduction or Missing Person:
• What you will hear,
- “Attention Please, Missing person, then
whether the person is an adult, child or infant, then
any description and the location if known
- Description may include:
• Gender
• Age
• Clothing
• Hair or eye color
• Direction last seen or going
Emergency Alerts: Medical Emergency
• If there is a medical emergency, perhaps a person or
patient you find that has passed out, having a stroke, or
is not breathing and you need help quickly
• Dial the emergency number
- 5911-Oshkosh;
- 9-911- Outlying clinics
- or 22 – Fond du Lac clinic
- 8111 – Neenah Clinic
• Give as much information as possible
• Always let the operator hang up on you
Emergency Alerts: Medical Emergency
• When calling the operator at the Oshkosh
campus, give details such as location and the
type of help needed.
- The location (hospital, room ___; or clinic, suite ___;
or whatever department the situation is located
- Patient is breathing, not breathing, having a stroke or
a heart attack
• The announcement overhead will determine
which team responds to the medical emergency
Emergency Alerts: Medical Emergency
• Rapid Response Team (RRT) is requested if
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urgent help is needed and the patient is still
breathing/has a pulse
Code Blue is announced if the patient is not
breathing and has no pulse
RRT Stroke is announced if the patient is having a
stroke
RRT STEMI is announced if the patient is having a
heart attack
External is announced if assistance is needed
outside the building
Emergency Alerts: Severe Weather
In case of severe weather, you will here this
announcement:
• “Attention Please, Severe Weather”, then
one of the following:
- Tornado watch
- Tornado warning
- Weather advisory
• And a timeline
Emergency Alerts: Facility Emergencies
• You may also hear other alerts related to facility
emergencies that involve:
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Communications
Flood
Evacuation
Outages
Hazardous Spills
• Once these have been resolved, “All Clear” will be
announced
• A caregiver or a supervisor will direct you if action
is needed
Emergency Alerts: Security Alert
There may be situations where caregivers, patients
and/or visitors might be at risk.
Security Alert will be announced followed by one of
the following descriptors:
• Security Assist (used for disruptive behavior, hostage,
gun, knife situations)
• Building Threat (used if bomb threat)
• Active Shooter (used if there is an active shooter on the
premises)
• Perimeter Control
Active Shooter: The 5 “Outs”
What to do if there is an active shooter
1. GET OUT of the area to somewhere safe.
Leave the room and go in the opposite direction from any shooter.
2. CALL OUT to 911. Give as many details about what you saw or
heard and your current location. Do not assume that someone else
has called – you may have new information for the police.
3. HIDE OUT. If you can not leave, turn out the lights of the room
you are in, and hide until help arrives. Avoid hallways, turn your cell
phone on silent, and remain as quiet as possible.
4. KEEP OUT. Lock, block, or barricade the door with any available
furniture.
5. TAKE OUT. This is a last resort when you have no other option,
this is the life or death situation. Attempt to take out the shooter
however you can.
Safety – Exposures and Spills
• If you are exposed to any hazardous chemical,
be sure to know how to locate Material Safety
Data Sheets (MSDS)
• These will provide guidance on how to protect
yourself and care following exposure, as well as
how to clean a spill
• Located on-line, ask any caregiver
Safety – Exposures and Spills
If you have a blood spill:
1. Contact Environmental Services
immediately
2. If not available, notify the House
Supervisor where applicable (Hospital)
3. A blood spill kit is required for clean up
4. Do not pick up broken glass with hands
Safety – Exposures and Spills
For blood spills when Environmental
Services is unavailable:
1.
Put on gloves and any other
personal protective equipment
(gown, mask and eye protection)
depending on the size of the spill
2.
Apply absorbent powder from spill
kit. Otherwise wipe up spill with
paper toweling
3.
Sweep absorbent powder into a
dustpan and place in a red bag or
place paper towels into a red bag
Blood spill kit
Safety – Exposures and Spills
4.
Do not use your hands to pick up
broken glass. Use a dustpan or tongs
5.
Place broken glass in a sharps
container
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Apply antimicrobial cleaner onto spill
area and let stand per manufacturer’s
specifications before wiping up
(Bleach packets can be used for small
spills)
7.
Dispose of all soiled materials or the
used spill kit into red bags
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Remove gloves and wash your hands
Safety – Exposures and Spills
If you are exposed to a spill, needle stick or any
other injury during your student experience:
• Notify your instructor or preceptor
• Notify the department supervisor or manager and
employee health nurse
• Report to walk-in, urgent care, or the emergency
department (after hours) for evaluation
• An incident report will need to be filled out
Safety – Disposing of Wastes
Healthcare workers generate a lot of waste
Know where to throw:
• Hazardous-infectious wastes
• Pharmaceutical wastes
• Chemotherapy wastes
• Radioactive wastes
• Recyclables
Safety – Disposing of Wastes
• Hazardous-infectious
wastes
• Dispose in red biohazard
bins or bags
• Remember: Infectious waste
contains blood or high risk
body fluids that are:
Drippable
Pourable
Squeezable
Flakable
• Red bag all items containing
blood or high risk body fluids
Safety – Disposing of Wastes
High-risk body fluids include:
• Blood
• Semen
• Vaginal secretions
• Pleural fluid
• Amniotic fluid
• and Spinal fluid
These items DO NOT belong in Red Bag
• IV Bags and
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lines without
visible blood
Syringes
PPE
Packaging
materials
Empty bedpans,
emesis basins,
wash basins and
urinals
• Empty medication
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vials
Stool blood cards
Paper toweling
Exam table paper
Diapers and
underpads only
spotted with blood
Dressings and
bandages only
spotted with blood
Safety – Disposing of Wastes
• Radiology staff must dispose of
radioactive waste appropriately
• Chemotherapy waste is
disposed of in yellow bins
• Please be sure to dispose of
recyclables where indicated
• Sharps such as syringe needles,
broken glass, ampules
Safety – Disposing of Wastes
Pharmaceutical Wastes
• Any leftover medication in a
vial, tube, inhaler, syringe, pill,
IV bag, etc. must be discarded
in a Black Container
• Before discarding any
medication, ALWAYS ask a
caregiver
• There are special situations
regarding narcotics, nicotine
patches, and warfarin
(Coumadin™)
These do not belong in black box
• No sharps
• No empty containers
• No narcotics
• No biologicals (e.g., ablumin)
Patient Safety Is Important!
• Prevent infection – wash your hands
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- Follow isolation precautions
- Wear appropriate personal protective equipment (PPE)
Prevent healthcare associated infections (HAIs)
- Surgical Site Infections (SSI)
- Central Line Associated Blood Stream Infection (CLABSI)
- Catheter Associated Urinary Tract Infection (CA-UTI)
Use checklists and take a time out for procedures
Identify the correct patient & procedure every time
Report critical test results immediately
Communicate clearly with other caregivers
Communicate clearly with patients
Follow interventions to Prevent falls
Be alert to signs of abuse, neglect or suicide
Patient Safety - Medications
Prevent medication errors, always use 7 rights:
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Right Patient
Right Drug
Right Dose
Right Route
Right Time/Day
Right Form
Right Documentation
Label ALL medications and fluids
Does patient understand list of medications
Check expiration dates for all immunizations,
document lot numbers
Patient Safety
• If your experience will be in the hospital setting,
you will need to be aware of our restraint policy
• Alternatives to restraints are always used first
• Generally we don’t use restraints except for
specific situations where the patient could cause
harm to self or others
• Students and instructors may not apply restraints
Personal Safety
When dealing with
an angry person:
Remember:
DO NOT argue
Listen, listen, listen
Do not let yourself
be cornered
Stand up if you were
seated
Watch for anything that
could be used as a weapon
Call for security assistance
 Ext. 7020 at Oshkosh
campus
 9-911 other sites
Trust your instincts!
Personal Safety – Back Safety
Personal Safety – Back Safety
1.Get help
2.Use appropriate
lift/transfer
devices
3.Use good body
mechanics
Care Management and Quality Initiatives
• Aurora is involved in many initiatives that
promote quality care
• Whether your experience is in a clinic, outpatient
setting or hospital, be sure to ask the caregiver
you are with about these initiatives and your role
See next slide for our Quality Initiatives
Our many Care Management or
Quality Initiatives
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Advance Care Planning
Asthma
Breast Health
Cancer Screening:
Breast, Cervical and
Colorectal
• Childhood and
Adolescent
Immunizations
• Chronic Kidney Disease
• Diabetes
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Heart Failure
Hypertension
Influenza Vaccination
Ischemic Vascular
Disease (IVD) Care
Osteoporosis
Patient Safety
Pressure Ulcer
Prevention
Stroke
Tobacco
You are almost done!
• Be sure to ask our caregivers questions
• Don’t do something you have not been trained or
are prepared to do
• Your instructor or preceptor should guide your
experiences
• This is your time to learn so be sure to ask for
experiences, jump in when you are able
• If you are not sure if you can do something,
Always ask
Finishing my Student Orientation:
Document turned in to Aurora
1. Click on, Print, Complete and Sign one of the
safety/orientation checklists on website with your
instructor or preceptor
2. Turn in Aurora checklist to Education Department
at Aurora Medical Center Oshkosh
Finishing my Student Orientation:
Documents that are returned to your school
1. Click on and Print the FVHCA: Clinical
Agency Specific Orientation – Form C on
the FVHCA website
2.
This form confirms you have completed
orientation at Aurora – this documentation
is a regulatory requirement
3. Sign and Return Form C to your School
Coordinator or Instructor
“All these forms are confusing…what do I
turn in to my school?”
Finishing my Student Orientation:
Documents that are returned to your school
By now you should have completed the following:
•Module #1: Infection Control / OSHA Bloodborne Pathogens / Safety Orientation (.pdf)
•Module #2: HIPAA / Confidentiality / Compliance / Professionalism Orientation (.pdf)
And printed off Form A (Confidentiality Agreement) and
Form B (Orientation Modules 1 and 2 Completion Form)
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You will turn in the following forms to your
school or instructor:
1. FVHCA Form A: Confidentiality Agreement
2. FVHCA Form B: Orientation Modules 1 and 2 Completion Form
3. FVHCA Form C: Organization Specific Orientation Confirmation Form
You are done!
Welcome to Aurora and we hope you
have a wonderful experience in our
Oshkosh / Fond du Lac market