Transcript Student Orientation Module

Welcome to the
Brookwood Baptist
Health Experience
Student Orientation Module
WELCOME!
Welcome to the Brookwood Baptist
Health student orientation page. We
are excited that you will be learning
with us.
REQUIREMENTS
In order to prepare you for your clinical experience, you are required to
complete the orientation module, sign the confidentiality form and take
the test prior to your first student visit at the hospital. You will also be
required to attend a computer class at the hospital prior to your first
clinical visit. This will be set up by your instructor. The completed test
and signed confidentiality form should be submitted via email to the
address located on the bottom of each form.
Again, welcome to Brookwood Baptist
Health. We wish you a meaningful learning
experience on campus!
Our History: The New Community of Care
The compassionate, personalized care you
already know is now backed by an even larger
network of resources, expertise, innovation
and locations across central Alabama.
In 2015, Brookwood Medical Center merged
with Baptist Health System. The result is a
new community of care: Brookwood Baptist
Health. With five hospitals, dozens of specialty
centers and the largest primary care network
in Alabama, Brookwood Baptist Health sets a
new standard in service and devotion to the
people of central Alabama.
Our Mission Statement
To extend the healing
ministry of Christ through
holistic, people-center
health care.
Behavioral Standards
Behavioral Standards that are used to meet our goals are:
1.
Gracious greeting
2.
Informative interaction
3.
Establish expectations
4.
Appealing appearance
A gracious greeting is important to continue with our strong
reputation for caring and compassion. It includes three parts:
Smile, make eye contact within 5 seconds
Immediate acknowledgement of someone makes them feel valued
and cared for. It sets the tone for the rest of the interaction and can
help diffuse any anxiety or discomfort the patient may be having.
Smiling is appropriate in most situations. However, there are a few
times it is not.
Introduce self and facility by introducing yourself, you put the
patient at ease and create a more emotional and personal
connection. By stating the name of the facility, you are helping to tie
the patient emotionally to Baptist. This creates loyalty in the future.
Welcome, thank you, good morning starting a greeting with a
salutation helps make the patient feel welcomed. It also shows
respect.
Informative Interaction is making sure every patient
interaction is meaningful for the patient. It is comprised
of three things:
1.
Identify self, state position, and address the
patient by name – identifying you puts the
patient at ease and personalizes the interaction.
Stating your position helps the patient know what
to expect and the types of questions they should
ask.
2.
Use the phrase “I’m here for you” with every
customer – this phrase encompasses what
Brookwood Baptist Health offers to each patient
and to the community. It is what we want every
person to feel and experience when they interact
with us.
3.
Provide instructions verbally – using written
format for reinforcement Customer fact:
patients in our community indicate they prefer
instructions verbally, then written. We need to
provide verbal instructions, including asking them
if they understood the instructions, checking for
their understanding, and asking them if they have
additional questions. In addition to help with
retention of the instructions we ask that you
provide them in written format whenever feasible.
Establishing expectations will help manage and
guide the patient on what to expect.
1.
Review the itinerary and provide an update on timing or any changes
as they occur. Time is an important factor and knowing what patients
expect and then helping them to understand what will be provided is
essential to decreasing anxiety.
2.
Promote the next step. Say something positive about the department or
person they will be interacting with next. We need to take every
opportunity to show our expertise and help patients be less apprehensive
of the next steps. By promoting others, it can show both expertise and
how we work together as a team.
3.
Know top questions patients ask and have answers at your
fingertips. By being ready to answer questions quickly and accurately, it
provides the patient with a sense of confidence that we know what we are
doing and that they are in good hands. Remind them the Patient
Information Guide will be a good source for common patient questions.
Always have an appealing appearance because our appearance
is viewed throughout every step the patient takes.
1. Your appearance - It is important, it says a lot about the hospital and
the environment. It is important to follow dress code and look
professional every day.
2. Face Heart to Heart - Your body language sends a loud message
even more than the works you speak- including facing heart to heart
with the patient, making eye contact and smiling when appropriate.
3. Organized and uncluttered - A neat, organized area sends a clear
message to patients and visitors that the quality of care is high. Avoid
or remove clutter from your workstation in order to promote the
perception of excellence.
If you ever have questions about the Patient Promise or how to fulfill
the standards, please let us know- we are here for you.
GENERAL GUIDELINES FOR STUDENTS
A student will never assume total responsibility for a patient. The
assigned nurse has responsibility for the patient.
All planned student activities pertinent to care of a patient will be shared with the
designated Instructor, Staff Nurse, or Preceptor.
A student who has not attained competency in a skill or procedure is required to have
the Instructor or Preceptor present if the student is to participate in that procedure.
A student cannot take a verbal order from a physician or other discipline.
A student cannot sign and release physician’s orders.
A student cannot take a critical lab or critical radiology report.
GENERAL GUIDELINES FOR STUDENTS
A student must comply with the school dress code. School issued name badges
must be present and visible.
A student must report any incident/accident to the Instructor, Preceptor, or Nurse
Manager.
A student cannot cosign as a witness for high-alert medications.
A student cannot be a witness for written consent.
All student documentation must be cosigned by the instructor or preceptor
assigned (As prompted in the computer documentation system).
Sensitivity to Others
No two people are exactly alike. We are all different. These
differences become more important in the health care industry due to
the extremely personal nature of the services provided. We need to
be acutely aware of our differences and create an environment that is
respectful of all people. Be aware of your own feelings regarding
diversity and consistently use behaviors that communicate respect.
We must be able to recognize, respect, and work with people with
different beliefs, practices, cultures, and rituals in order to promote
and improve the health of our customers. Population groups and/or
age groups must also be considered when addressing the patient’s
plan of care. Inform your instructor or preceptor if you have specific
questions regarding sensitivity/ diversity.
Information Management
Information management includes obtaining, managing, and utilizing information to
improve patient outcomes and hospital performances. In order to maintain
confidentiality, access to information is on a need to know basis. User IDs are
issued to students and passwords are created by the student. The password
belongs only to you and it is extremely important that you do not share it with
anyone.
Students may view their assigned patients’ charts in order to prepare for their
clinical experience but should not print or remove any patient information from the
hospital.
To maintain confidentiality of patient information, refrain from having conversations
regarding patients in the hallways, elevators, cafeteria, or other public places.
Never discuss, disclose or review any information about a patient’s medical
conditions with any other person unless they have proper authorization.
HIPAA
HIPAA
HIPAA is a federal law that requires all health care facilities to provide to patients
the Notice of Privacy Practices. This notice explains the patient’s rights and when
and to whom an agency will be giving any protected health information (PHI).
PHI includes information related to any health care provided to a person. The
patient’s medical record, as well as name, address, employer, birth date,
telephone/fax number, email address, occupation, account number, social
security number, certificate number, voice prints, finger prints, photos, relatives’
names, and other personal information are also included.
As a student, you should: not share any PHI with anyone who does not have a
need to know it; only seek the information you need to complete your patient care
assignment; not discuss any patient information in hallways, cafeteria, and other
public places; dispose of any PHI material you have in a designated manner; use
PHI materials in a secure area.
In order to gain access to PHI, each student will be required to sign a
confidentiality agreement.
Environment of
Care (EOC)
Environment of Care (EOC)
We are committed to meeting certain performance standards under
EOC. We have also been entrusted to keep our facilities a safe,
functional physical environment for patients, visitors and staff.
The “environment of care” (EOC) is made up of 3 basic components:
1. Buildings
2. Equipment
3. People
7 Specific Functions of EOC
1. Safety
2. Security
3. Hazardous Materials & Waste
4. Fire Safety
5. Medical Equipment
6. Utility Systems
7. Emergency Management
Security Management
Everyone is responsible for the safety and
security of patients, staff, and visitors while
on hospital campus
Report concerns quickly
Protective Services is available 24/7
Security
FACILITY
EMERGENCY NUMBER
Brookwood
1444
Citizen’s
4030
Princeton
3090
Shelby
5555
Walker
2633
Be sure you know
the emergency
number for your
facility!!
The security department monitors the hospital and surrounding grounds. There is a
security officer posted in the employee parking areas at shift change. If you leave
the hospital after dark and at a time different than shift change, contact Security.
There will be a security officer to observe/escort you to your vehicle.
YOU can help make our hospital a safer place by taking steps to protect yourself.
Do NOT leave your purse, wallet, or valuables unattended. Keep them out of view.
Report any suspicious person or unauthorized persons to security immediately
Fire Safety
Remember to Race & Pass
R - Remove/Rescue
A - Activate fire alarm
C - Contain fire &
clear hallways
E - Extinguish the fire
P - Pull pin of fire extinguisher
A - Aim at base of fire
S - Squeeze trigger
S - Sweep extinguisher
side to side
 Become familiar with the location of fire alarms & fire
extinguishers in each department.
 Evacuation of patients is first horizontal and then vertical.
 BHS hospitals are smoke free. Smoking is not allowed in
patient rooms.
 Code RED – initiates fire response
 Code CLEAR – indicates fire emergency is all clear
Fire Drill Process
Code RED Paged
Act Fast
• Clear Hallways
• Close Doors
• Prepare to evacuate
Fire Extinguisher
• Locate / Respond
Pull Nearest Pull Station
Keep Fire doors unobstructed
Know Horizontal and Vertical Evacuation
Emergency Codes
Legacy Baptist Standardized Emergency Codes
Code
Description
Code Blue + Location
Code Blue Pediatric + Location
Code Red + Location
Code Gray + Location
Code Amber + Location & Description
Code Active Shooter
Code Purple
Code Internal Disaster + Location
Code External Disaster
Tornado Watch
Tornado Warning
All Clear 3 Times
Adult cardiac emergency
Pediatric cardiac emergency
Fire
Unruly patient or visitor
Missing adult, child, or infant
Active shooter on campus
No beds available within the hospital
Disaster within the hospital
Disaster outside of the hospital
Tornado watch within geographic area
Tornado warning within geographic area
Situation resolved
Security Sensitive Areas
Area
Mother Baby areas
Pharmacy
Risk
Infant abduction/ domestic violence
Internal theft of drugs/ robbery due to
storage of drugs
Psychiatric areas
Emergency Department
Patient violence/ domestic violence
Robbery due to storage of drugs/
domestic violence/ gang violence/
patient violence
Theft of sensitive patient information
Medical Records
Each of these areas may have special security devices, policies or procedures
related to the security.
SDS Global Harmonizing
The hazard communication tool gives details on chemical and physical dangers,
safety procedures, and emergency response procedures. Your employer must
have one for every chemical and hazardous product in your workplace.
The SDS (Safety Data Sheets) Covers:
1. Identity – manufacturer name, and address and/or suppliers
information, emergency phone number and date prepared
2. Hazardous ingredients – worker exposure limits to the chemical are
included
3. Physical and chemical characteristics – boiling point, vapor pressure,
vapor density, melting point, evaporation rate, water solubility, and
appearance and odor under normal conditions.
4. Physical hazard such as fire and explosion – and ways to handle those
hazards, such as firefighting equipment and procedure
GHS (Global Harmonizing System) Pictograms and Hazard Classes

Oxidizers

Flammables

Self Reactives

Pyrophorics

Self-Heating


Emits Flammable Gas
Organic Peroxides

Corrosives

Explosives


Self Reactives
Organic Peroxides

Gases Under Pressure

Acute toxicity (severe)

Carcinogen

Irritant

Respiratory Sensitizer

Dermal Sensitizer

Reproductive Toxicity

Acute toxicity (harmful)

Target Organ Toxicity

Narcotic Effects


Mutagenicity
Aspiration Toxicity


Respiratory Tract
Irritation

Environmental Toxicity
Infection Control
General infection control policies are in the “Policies and Procedures” on the Legacy
Baptist Intranet. Refer to these policies for specific questions regarding infection
control or consult your instructor or preceptor. Student nurses should use the
following guidelines while in the hospital:
1. Comply with the school of nursing/hospital dress code regulations.
2. Long hair should be pulled away from face to reduce the risk of contamination
of patient food, supplies, etc. and to reduce the risk of personnel hair
contamination from splashes or contact with soiled hands.
3. Avoid touching eyes or mouth during patient contact activities.
4. No eating or drinking in patient care areas.
5. Follow hand washing guidelines.
6. Comply with hospital guidelines for universal precautions.
7. Follow isolation precautions as indicated.
Handwashing
Proper hand care is the single most important way to prevent and reduce infections.
Washing hands with hospital approved soap and water should be performed if hands
are visibly soiled. If hands are not visibly soiled, the use of the hospital approved
alcohol based hand cleaner is the preferred method of hand care. The alcohol based
hand cleaner kills more bacteria and viruses and has a build up effect to keep killing
organisms on the hands after several uses.
•
•
•
•
Wash your hands before and after entering any patient room
Before putting on gloves and after taking them off
After touching blood or other body substances (or patient care equipment contaminated with these),
broken skin or mucous membranes – even if you wear gloves
Between different procedures on the same patient
If a patient is on contact precautions for Clostridium Difficile, you must wash your
hands with soap and water. Alcohol based hand cleaner is not effective against this
microorganism
Hand Hygiene
Use of Lotions
Lotions are recommended to ease the dryness resulting from
frequent handwashing and to prevent dermatitis resulting from
glove use. Use only hospital approved/supplied lotion.
Nails
Brookwood Baptist Health is committed to ensuring a safe and
healthy work environment for patients and staff. We require our
direct patient care givers to have short, clean, natural nails.
Artificial nails and nail tips for all direct and indirect caregivers
are prohibited.
Personal Protective Equipment (PPE)
PPE is worn to protect against blood/body fluid exposures. Know the location of
the PPE in the patient care area and be familiar with them when barriers are
indicated and use as required.
Biohazardous Waste
Biohazardous waste is any type of waste that is contaminated by blood or other body fluids
contaminated with blood. It includes: liquid or semi-liquid blood or other potentially infectious
materials; contaminated items that would release blood or other potentially infectious materials
in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other
potentially infectious materials and are capable of releasing these materials during handling;
contaminated sharps; and pathological and microbiological waste containing blood or other
potentially infectious material. These materials should be discarded in red containers. These
containers have the Biohazard symbol indicating their contamination. The containers are to be
closable, constructed to contain all contents and prevent leakage during handling, storing,
transporting, or shipping. Always wear PPE when handling Biohazardous Waste.
Bloodborne Pathogen Exposure Protocol
If you are exposed to blood or body fluids:
1. Immediate First Aid
•
•
Wash site with soap and water.
Irrigate eyes 15 minutes at nearest eye wash station.
2. Notify your instructor or preceptor immediately to
ensure proper treatment, management and follow up.
Preventive Measures
 Create organized work area
 Use standard precautions on every patient, every time
 Use appropriate precautions when you anticipate splashes or
sprays of blood or body fluids
 Always use safety designed devices and follow safe injection
practices
 Activate safety device as soon as possible
 Provide adequate lighting
Preventive Measures (continued)
 No hand-to-hand passage of sharps.
 Do not attempt to catch a falling sharp.
 Never leave sharps unattended or place them in an
inappropriate place.
 Monitor gloves for holes and punctures
 Dispose of ALL sharps immediately in the sharps container.
 Do not overfill or use over filled sharps container - (3/4 rule)
 No recapping.
Regulated Medical Waste
Not Regulated Medical Waste
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Disposable paper drapes, lab
Lab coats, paper towels, band aids
Disposable basins, bedpans, urinals
Bonnet caps with no blood
Empty urine cups, stool containers, Foley
Bags/tubing, diapers, chux
Exam & cleaning gloves
Empty collection bottles & bags
Sanitary napkins & tampons (personal)
Paper & plastic wrappers, packaging, boxes,
computer paper, office waste
Unused medical products & supplies
PPE (worn but not soiled)
Food products & waste (soda cans, paper
cups, plastic utensils)
Empty IV bags, bottles & tubing without
needles
Blue Wrap
o
o
o
o
o
o
o
o
o
o
o
Saturated or grossly soiled disposables, i.e.,
bloody gauze, dressings, lap pads, OB and
surgical peri-pads & gloves
Containers, catheters, or tubes with fluid
blood or blood products not discarded or
flushed i.e., blood sets, suction canisters &
drainage sets (Need adequate absorbent
material in container)
Dialyzers & tubing
Microbiology specimens, used culture
plates, tubes, bottles & devices
Placentas & surgical specimens
Blood spill clean-up materials
Sharps Containers RMW Material
Needles & syringes, Scalpel blades, lancets
Glass pipettes, slides, and tubes
Broken contaminated glass
Staples & wires (Cardio-catheter wires)
Disposable suture sets & biopsy forceps
Transport Bag System
Small, red bio bags will be placed inside the patient rooms or centrally located on the floor.
Nurses will attain a bag when needed in order to dispose of REAL medical waste (soaked or
saturated with blood).
Once medical waste is disposed, nurses will tie up the bag in a balloon knot fashion and place
into the proper designated biohazard container, located in the soiled utility closet.
The Red Bag is Tied Just Like A Balloon
Recyclable Items
The following items CAN be thrown into the BLUE Containers:
• Metals – aluminum cans, tin cans, paper clips
• Plastic – bottles, shrink wrap, plastic bags
• Paper – magazines, newspapers, NON-HIPAA documents, used
folders, junk mail, phone books
• Cardboard Boxes – glove boxes, medicine boxes, medical
supply packaging, tissue boxes
Confidential Documents
Put all patient information into shred bins.
Anything that can identify a person is considered patient information …
even sign in sheets.
Disposal of Pharmaceutical Waste
Cut and drain all
maintenance
solutions.
Witness waste all
narcotics.
Sharps Management Service – empty
sharps only disposal
•
• No meds in the reds.
Unbroken empty vials go in trash, not in a Sharp box.
Pharmaceutical Waste Disposal
Place Nicotine and Coumadin wrappers and not fully
used patches back into small bio bags and send back
to the pharmacy.
Pharmaceutical Waste Disposal – left over medication
•
•
•
•
Half full medical vials
Dropped Pills
Expired/Old Pills
Left over IV’s containing medication
Pharmaceutical Waste Disposal – left over medication
in a sharp – behind pyxis – rarely used
ALL OF THESE ITEMS ARE TRASH
Electrical Safety
Electrical safety is needed to prevent fires and shock.
1.
2.
3.
4.
5.
6.
7.
8.
Inspect all equipment prior to use, check for cracks in glass or plastic and sharp or rough edges.
Do not use if cords are frayed.
Use only equipment with a 3-pronged plug.
Do not use unfamiliar equipment.
Use equipment only for what is intended.
Report all broken equipment immediately; label broken equipment “DO NOT USE”.
Do not try to repair broken equipment.
Do not use any device that blows a fuse or gives a shock. Report all shocks immediately, even
small ones.
Patient incidents involving medical equipment or products must be reported immediately to your
instructor/preceptor. This must be reported to Risk Management according to the Safe Medical Devices Act
(SMDA).
Emergency Management Quick Reference
Tornado Precautions
1. Move all non-secured objects away from the windows, such as
books, flowers, personal belongings, etc.
2. Close the curtains or blinds.
3. Close doors.
4. If instructed, evacuate patients and visitors to areas without windows
(halls, etc.).
5. If unable to move patients from rooms with windows, cover patient
with blankets.
Fire Precautions – Code Red
1.
2.
3.
4.
5.
Remove the patient and visitors.
Activate the fire alarm and call to report.
Contain the fire by use of fire extinguishers and closing doors.
Clear the hallways.
Evacuate patients as directed- horizontally first, the down- using
stairs.
Emergency Management Quick Reference
Bomb Threat – Code Internal Disaster
1. Stay on the phone as long as possible. Notice accent,
background noise, etc. Ask where the bomb is, what kind of
bomb, when it will go off, why, etc. Do not notify other staff or
patients and families.
2. While on the phone, get another staff to call Security.
3. If a suspicious item is found, immediately clear the area of
patients.
Infant Abduction – Code Amber
1. Immediately lock down unit and keep locked down until all clear
is announced.
2. Search all areas of unit and waiting room and restrooms. Look
in hampers, etc.
3. Call Security for any suspicious activity and to report area clear.
Clinical Care Measures
Clinical care measures are quality initiatives that are prompted by the federal
government. The initiatives empower consumers to make more informed
decisions and encourage providers to improve quality of healthcare. Our core
measures are:
•
•
•
•
•
Acute Myocardial Infarction
Congestive Heart Failure
Stroke
VTE Prophylaxis
Immunizations
Best practices are defined for each of the measures. The following tables list the
core measures, best practices, and our plan for implementing the best practices.
ACUTE MYOCARDIAL INFARCTION
Best Practices
1. Aspirin on arrival
2. Beta Blocker at discharge (ex: Coreg, Lopressor, Toprol, Zebeta)
3. EKG less than 10 minutes from arrival
4. Door to Drug (TNK) less than 30 minutes
5. Door to PCI less than 90 minutes
CONGESTIVE HEART FAILURE
Best Practices
1. Evaluation of left ventricular function (ECHO, Cardiac Cath)
2. ACE Inhibitor or ARB/and Beta Blocker for Left Ventricular Systolic Dysfunction (EF less
than or equal to 40%.)
ACEIs (ex: Benazepril, Lisinopril, Lotensin, Lotrel, Quinapril)
ARBs (ex: Benicar, Hyzaar, Losartan)
Beta Blockers (ex: Coreg, Lopressor, Toprol, Zebeta)
3. Discharge Instructions – include appointment with date and time
STROKE
Best Practices
1. VTE Prophylaxis
2. Thrombolytic Therapy by day 2
3. Lipid profile within 48 hours
4. Discharge on Thrombolytic Therapy, Statin if greater than 100, assessed for rehab, and
stroke education
VTE PROPHYLAXIS
Best Practices
1. Anyone 18 years or older should have VTE prophylaxis or documented reason why none.
Ambulatory patients must be documented by physician.
May include: Anti-embolism stockings, Xarelto, Heparin, SCD’s, AE pumps
2. Patients discharged home on Coumadin must have Coumadin Therapy Discharge
Instructions.
IMMUNIZATIONS – FLU SEASON – OCTOBER THROUGH MARCH
Best Practices
1. All patients 6 months and older must be reassessed for flu vaccine status.
2. Have had prior to arrival during current flu season
OR
Refused
OR
Receive during current visit
The facility has defined other outcomes measures and
continuously implements plans and actions to improve
performance in the following areas:
•
•
•
National Patient Safety Goals
Patient Satisfaction
Patient Falls
National
Patient Safety
Goals
National Patient Safety Goals
Goal 1: Improve the accuracy of patient identification
Always use 2 appropriate patient identifiers: verbally match name and DOB on
armband with patient record.
Label containers used for blood other specimens in the presence of the patient.
National Patient Safety Goals
Goal 1C: Eliminate transfusion errors
A qualified transfusionist and a second individual
qualified to transfuse objectively match patient
and blood or blood component
National Patient Safety Goals
Goal 2: Improve the effectiveness of communication among
caregivers
 Report critical results of tests and diagnostic procedures on a
timely basis
 When nurses receive a critical test result, record results in Epic
and record the time the results are called to the physician
 Call critical test results to physicians within ONE hour
National Patient Safety Goals
Goal 3: Improve the safety of using medications
Label all medication containers or other solutions on and off the
sterile field in the OR and other procedural areas
Keys to compliance:
• Standardized protocols
• Integrated dietary component
• Baseline labs
• Monitoring
• Programmable pumps
• Policy
• Patient education
National Patient Safety Goals
Goal 6: Reduce the harm associated with clinical alarm systems
Keys to compliance:
• Establish as hospital priority
• Identify most important alarm signals
• Establish policies and procedures for management of alarms
• Medical and hospital staff education
National Patient Safety Goals
Goal 7: Prevent Infection – perform hand hygiene
Hand Hygiene
•
•
All employees are to follow the current Centers for Disease Control and Prevention
(CDC) hand hygiene guidelines:
• Use friction to wash hands for 15-20 seconds with soap and water. Dry hands
with a paper towel and use the paper towel to turn off the faucet;
OR
• Use alcohol sanitizer when hands are not visibly soiled, rubbing hands
together, until hands are dry.
All staff are to use alcohol sanitizer upon entering and exiting patient and
treatment/exam rooms.
No artificial nails are allowed in patient care areas.
For Surgical Scrub (See policy and guidelines).
Hand hygiene is monitored to improve results.
National Patient Safety Goals
Goal 7- Prevent infections with Multi-Drug Resistant Organisms(MDRO)
• Place patients with multi-drug resistant organisms (MDRO) in Contact
Precautions (if MDRO respiratory infection-use Droplet plus Contact
Precautions)
• Give the patient/family education on infection prevention strategies, tell
the family to take precautions.
National Patient Safety Goals
Environmental Cleaning to prevent
transmission of MDROs
 Clean and disinfect surfaces that are in close proximity to the patient - Bed
rails, over bed tables and frequently-touched surfaces in the patient care
environment (e.g., keyboards, door knobs, surfaces in and surrounding
toilets in patient’s rooms)
 Dedicate non-critical medical items to use on individual patient known to be
infected with multidrug-resistant organisms.
 Direct patient care staff are responsible for cleaning/disinfecting medical
equipment.
National Patient Safety Goals
Goal 7-Prevent Infection - Catheter Associated Urinary Tract Infections
•
Foley catheters should have limited use and duration to situations medically necessary for
patient care.
•
Use sterile technique for foley catheter insertion, with procedure observed by a trained
buddy.
•
Manage foley catheters by:
• labeling the foley bag with date of insertion
• secure the catheter
• maintain the sterility of the urine collection system
• maintain the foley bag below the patient’s bladder
• collect urine specimens aseptically from port
National Patient Safety Goals
Goal 7- Prevent Infection-Central Lines
To prevent infection related to central lines implement evidence-based standards for
reducing infections (central line bundle)
 Hand hygiene performed prior to insertion or manipulation
 Maximal Barrier Precautions and sterile technique used during insertion
(inserter wears sterile gloves, gown, mask, and cap.) Draping the patient.
 Chlorhexidine skin prep
 Optimal site selection with avoidance of femoral vein
 Use standardized kit for CVL insertion
 CL insertions observed for adherence to sterile technique
Use standardized protocol to disinfect catheter hubs and injection ports (Scrub
the Hub). Evaluate all lines routinely and remove nonessential catheters.
National Patient Safety Goals
Goal 7- Prevent Infection - Surgical Site
In Surgery Department
 Antibiotics are administered prior to procedure (given within 1 hour)
 Only clippers or depilatories are used to remove hair if necessary
 The patient temperature is monitored to keep the patient warm during procedure (normothermia)
In Patient Care Unit
 Controlling glucose level below 180 mg/dL after procedure (Cardiac)
 Discontinue Antibiotics within 24 hours after procedure (48 hrs for Cardiothoracic)
 Discontinue foley by the second post-procedure day - exception is Urology and GYN patients and
when physician documents the medical necessity to continue
 Strict adherence to aseptic technique when changing dressings
National Patient Safety Goals
Goal 15 – Identify Patient Safety Risks
•
The organization identifies patients at risk for suicide
•
A risk assessment is completed that includes factors that
might increase or decrease suicide risk. The patient’s
immediate safety needs and most appropriate setting for
treatment are addressed. The organization provides
information such as crisis hotlines to individuals and their
family members for crisis situations.
National Patient Safety Goals
Universal Protocol – Prevent Mistakes in Surgery
•
UP 1A: Preoperative verification process
•
UP 1B: Mark operative site
•
UP 1C: Active time out immediately before starting the procedure
•
Conduct a “time out” with the entire procedure team confirming:
o
o
o
o
o
Correct patient
Correct procedure
Correct site is marked (if required)
Correct patient position
Special equipment/implants available
CONGRATULATIONS!
You are now part of the
Brookwood Baptist Health
Experience.
This is the completion of the student orientation module. Now
proceed to the post-test and confidentiality statement.
Be sure to email those as instructed on the bottom of each form.