Transcript Student Safety Module

Student Welcome
Mandatory Safety Education
Prepared by Clinical Education
Learning About
Mercy Health Youngstown
ABOUT US:
Mercy Health Youngstown is a Region of the Mercy Health
System, the largest health system in Ohio and the seventh
largest not-for-profit health system in the United States. With
facilities throughout Mahoning, Trumbull and Columbiana
Counties, Mercy Health Youngstown is proud to be the area’s
preferred provider for health care services.
Mercy Health Youngstown
Facilities
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New Castle Cardiac Diagnostic
Center
St. Joseph Warren Hospital
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Poland Imaging
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St Elizabeth Boardman Hospital
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Austintown ED
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Howland Surgery Center
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Andover ED and Radiology Services
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Urgent & Ready Care sites
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Humility House, The Assumption Village,
Marion Living Center
Multiple Physician Practices
throughout Trumbull, Mahoning, &
Columbiana Counties
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MH Home Care
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MH Home Therapies and Medical
Equipment
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Hospice of the Valley inpatient and
outpatient services (Trumbull, Mahoning,
Columbiana counties and PA)
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St. Elizabeth Youngstown Hospital
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Each represent an important
element of the Mercy Health
Youngstown Region necessary to
provide a full spectrum of quality
services to residents of the
greater Trumbull, Mahoning
Valley and Columbiana areas.
Mission/Values
Mercy Health Youngstown extends the healing ministry of Jesus by
improving the health of our communities with emphasis on people
who are poor and underserved.
Our Core Values :
Compassion - our commitment to serve with mercy and tenderness.
Excellence - our commitment to be the best in the quality of our services
and the stewardship of our resources.
Human Dignity - our commitment to be respectful of all persons.
Justice - our commitment to act with integrity, honesty and truthfulness.
Sacredness of Life - our commitment to reverence all life.
Service - our commitment to respond to those in need.
DIVERSITY
Defining Diversity
Diversity is the way in which we differ (i.e., age, race, gender, religion,
education, family makeup, marital status, professional status, socioeconomic
status, union affiliation, thinking styles, learning styles, etc.).
The challenge is to create an environment of inclusion which
• engenders the strength of our diversity
• enhances organizational synergy
• increases our overall effectiveness
Mercy Health Youngstown believes such an environment
supports our Mission to be a Healing Presence to All we serve,
including one another.
UNDERSTANDING
DIVERSITY & SAFETY
Being aware of diverse cultural practices helps us to
design culturally competent and safe care.
Obtaining interpreters to translate information
assures patients have a clear understanding of what
is expected of them, while assuring we get clear
information from them—so there is no confusion.
Appearance Policy
• Name/ID Badges at chest level
while in facility
• Personal Hygiene - clean and well
groomed
• Minimum Cologne/Perfume
• Clothing must not smell of smoke.
• Accessories -no more than 2 items
of jewelry
• Body piercing limited to ears
• Tattoos are to be covered
• No Cell phones while in patient care
areas. Limited to Cafeteria and/or
break rooms
• Footwear - No sandals, flip flops
or open-toed shoes
• Must wear hose/socks
• Uniforms – clean & neat
• Business Casual attire if not in
uniform
• No artificial or gel nails. Clear
polish only
• Nail length is limited to ¼ inch for
patient care provider students
and ½ inch for non-patient care
provider students
WHAT IS CORPORATE
COMPLIANCE
Corporate Compliance provides a framework of
guidelines, education and tools to help Mercy health
Youngstown put our Core Values into action at every
level of our organization.
Our program consists of three basic components:
• Standards of Conduct
• Responsibilities
• Three-Step Reporting Process
STANDARDS OF CONDUCT
Involves an active decision to live our Mission through
dedication and commitment to fulfill all ethical, professional
and legal obligations, which fosters a culture that enables all
employees and those who work with us to do the same. It
promotes excellence, quality and responsible conduct by:
Doing the Right Thing
The Right Way
For the Right Reason
And, With the Right Attitude
Student RESPONSIBILITIES
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Adhere to all applicable laws, regulations and policies.
Complete required student education for clinical experiences.
Report, without fear of retaliation, any known or suspected violations.
Be trustworthy & perform your student activities to the highest ethical & moral
standards.
To not intentionally falsify, destroy or withhold records.
Prepare accurate and correct billing charges.
Report any offers of bribes, kickbacks or rebates.
Immediately notify the Corporate Responsibility Officer of any contact from a
governmental agency.
Call the Compliance Hot-Line when unsure or if you suspect a violation is
occurring.
Understand that any violation of the Corporate Responsibility Program will
result in disciplinary action such as possible termination of student activities.
THREE-STEP REPORTING
PROCESS
Any student engaging in a rotation at Mercy Health Youngstown has a duty to
report, in good faith, concerns about potential or suspected violations of laws,
regulations, standards or policies, including safety or quality of care issues, without
fear of retaliation, express or implied.
This is done through the Three-Step Reporting Process, which includes:
1. Contact your Instructor /Faculty and Clinical site dept. Manager
2. Contact the Corporate Responsibility Officer (330) 480-3240,
3. Contact the confidential HotLine (330)783-6293 available 24 hours a day, 7
days a week. NO CALLER ID attached to this number!
NOTE:
You also have the right to directly report concerns to the appropriate
regulatory or accrediting body (e.g. The Joint Commission or Office of Civil
Rights) and will not be retaliated against.
RISK MANAGEMENT
Purpose of Risk Management
To Identify, assess and manage patient care activities and processes in
order to eliminate or reduce risks within Mercy Health Youngstown.
Compliance, actively applied, reduces risk.
WHAT DO I REPORT?
 Errors, adverse events, and near misses
(Examples: Patient falls - Medication error – Lost property – AMA patient
departure – IV infiltration/phlebitis – Delay in diagnostic test procedure or
results – Equipment failure - Birth-related complications - Conflict or
disruptive behavior affecting patient care)
 Any threatened or perceived legal concerns.
 Anything inconsistent with routine operations
If in doubt, Notify your Instructor /Faculty and Clinical site Manager
SENTINEL EVENT
An unexpected event / occurrence involving death or serious physical or
psychological injury or the risk thereof.
Examples include:
Patient suicide - most common
Unanticipated death or permanent loss of function unrelated to patient’s illness or
injury
Major transfusion reaction
Significant adverse drug reaction
Major discrepancy between preoperative and postoperative diagnosis
Significant adverse anesthesia reaction
Rape
Surgery on the wrong patient or body part
Unintended retention of a foreign object in a patient
Infant abduction or discharge to the wrong patient
Unanticipated/unexpected death secondary to a hospital acquired infection
Reporting a SENTINEL EVENT
Call the Risk Management Department at (330) 480-3366
Inform your Instructor/Faculty and clinical site Manager
Call the Mercy Health Police Department, as necessary
Enter occurrence report in SafeCare
WHY REPORT?
Immediate Reporting of a Sentinel Event results in the best possible outcome for
the involved party and allows for in-depth performance analysis with an emphasis
on process performance improvement.
DOCUMENTATION
The medical record is a legal document. CarePATH is the Electronic Medical
Record system (EPIC) used at Mercy Health Youngstown.
Document all observations, conversations, and information related to patient care,
treatment, and outcomes in a complete, accurate and timely fashion.
No documentation, with identifiable patient information, is to leave the patient
care area. All clinical report sheets, etc. are to be disposed of in the shredder
containers, located in each patient care area. No use of photo option with
cellphones is allowed.
Discussing identifiable patient information
outside of the clinical area with those who
do not have a “need to know” is a violation
of HIPAA.
HIPAA
HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT
Part of the Administrative Simplification requirements:
Privacy Standard - protects the privacy of medical records and other
specific information.
Security Standard- protects the security, confidentiality, integrity, and
availability of Personal Health Information (PHI).
HIPAA Benefits – gives patients more control over their health
information.
Sets boundaries on the use and release of health records and holds violators
accountable, with civil and criminal penalties that can be imposed if they
violate patients’ privacy rights.
Strikes a balance when public responsibility requires disclosure of some
forms of data (example - to protect public health).
HIPAA
PATIENT BENEFITS
Patients can:
• make informed choices when seeking medical care based on how protected
health information may be used and disclosed.
• find out how their information will be used and what disclosures of their
information have been made.
• limit the release of information, for the purpose of disclosure.
• examine and obtain a copy of their own health records and request corrections.
ALL requests for health/medical records must go through the Medical
Records Department to ensure that the proper process is followed.
HIPAA
STUDENT Responsibility
• Keep information about a patient's health information private.
• Patient information can be shared only with those who are “authorized” to know
and have a “need” to know in order to complete their job functions.
• Maintaining patient confidentiality requires that any information you know about
a patient (either inside or outside the hospital) CANNOT be repeated to anyone
who is not directly involved with that patient's care.
Students who violate HIPAA can be charged with criminal
and civil violations and share in fines.
HIPAA empowers our patients to seek a clear avenue of recourse through
our MH Privacy Officer if they feel their rights have been violated.
SAFE MEDICAL DEVICE ACT
Mercy Health Youngstown Region must report serious or potentially serious device-related
injuries or illnesses of patients and/or employees to the device manufacturer, and if death or
significant injury is involved, to the Federal Food and Drug Administration.
SAFE MEDICAL DEVICE ACT REQUIREMENTS INCLUDE…..
Report the incident to your Instructor/Faculty and Clinical site
Manager.
Remove equipment from service and attach tag (date, time, and
reason for removal.)
Maintain the setting on the equipment or document the original
settings.
Remove and secure supplies, accessories, disposables, and
packaging associated with the incident.
Complete a report in SafeCare.
PATIENT RIGHTS
Recognizing that each patient is an individual with unique health care needs, Mercy
Health respects the rights of each patient who receives care within its facilities. In
providing care, Mercy Health has the right to expect behavior on the part of patients
and families, which, considering the nature of their illness, is reasonable and
responsible.
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Access to care and personal safety
Privacy and confidentiality
Reasonable informed participation in decisions involving care.
Not subjected to any procedure without their voluntary, competent, and
understanding consent.
May request and pay for a consult with a specialist.
Upon admission, patients receive:
• a written copy of their rights and responsibilities and
• how to lodge a complaint or grievance and
• how to contact the state regulatory agency with concerns regarding
his/her care.
PATIENT RIGHTS
Patients may / have:
1.
Refuse treatment & be told of the consequences of refusal.
2.
Right to leave the hospital even against medical advice.
3.
Right to be advised of and refuse to participate in human experimentation.
4.
Right to be involved in ethical decisions about their care.
5.
May not be transferred to another facility without a complete explanation and
alternatives.
6.
Right to request and receive a detailed, itemized bill.
7.
Right to timely notice prior to termination of eligibility for
reimbursement for the cost of care.
8.
Right to considerate, respectful and responsive care at the end of life and the right to
access pastoral and spiritual care.
9.
Right to appropriate assessment and management of pain.
PATIENT RESPONSIBILITIES
Patients are responsible for:
A. Providing pertinent medical and insurance information necessary for care.
B. Provide a written copy of their advance directives.
C. Being considerate of the property and rights of other patients and hospital
personnel.
D. Following the treatment plan including instructions of nurses.
E. Communicating any problems, doubts or confusion related to their plan of care.
F.
Assuring that the financial obligations are fulfilled.
G. Following the rules and regulations of the facility.
HEALTHCARE SAFETY
NO SMOKING POLICY – Mercy Health
Youngstown is a
Smoke-free Campus
Students are not to use ANY tobacco products, including
Vapor and electronic devices, in/or on Mercy Health
property/vehicles, owned or leased.
This includes personal vehicles parked on MH property.
SECURITY & LIFE SAFETY
MANAGEMENT
INTERIM LIFE SAFETY
Interim life safety plan is put into effect when construction is
going on in the facility.
Egress
routes are posted
Increase
in Fire Drills to be expected.
SECURITY
Public access is controlled in all safety-sensitive areas.
Badge
access is limited in Pharmacy, Pediatrics, Maternity, and
Emergency Dept.
Emergency Codes
OHIO EMERGENCY CODES
CODE RED
Fire
CODE ADAM
CODE BLACK
Infant/Child Abduction
Bomb / Bomb Threat
CODE GRAY
CODE ORANGE
Severe Weather
Hazardous Material Spill/Release
CODE BLUE
Adult Medical Emergency
CODE PINK
Pediatric Medical Emergency
CODE YELLOW
Internal / External Disaster
CODE VIOLET
Violent / Combative Person
CODE SILVER
Hostage or Weapon Situation
CODE BROWN
Missing Adult Patient
CODE ACTIVATION
Dial (911) on a hospital land-line to
report/activate a code.
Indicate Code Name and location.
Rapid Response Team (RRT) activation
follows the same process.
CODE RED
R.A.C.E. & P.A.S.S.
In the event of a fire, remember to R.A.C.E.
Rescue
Alarm (911 & pull fire box)
Confine (close all doors)
Extinguish / Evacuate
FIRE EXTINGUISHER
(P.A.S.S.)
Pull the pin
Aim at the base of the flame
Squeeze the handle
Sweep from side to side
Code Red
Student Response
During a fire alarm:
• Listen to the bell sequence to know what area is
involved and PA announcement.
• Return to your assigned clinical site.
• Help staff to close doors, as needed.
• Areas outside of the alarm area MUST close all
doors, clear corridors and listen to the PA system
for additional instructions.
EVACUATION
Be prepared to evacuate the building in the event of an emergency.
 When possible, evacuate horizontally.
 Depending on the situation, you may evacuate to the nearest adjacent
department beyond the fire door.
When moving vertically – use stairwells
SAFE AREA
Safe areas are rooms that lock and have telephone service. These rooms
act as a “safe” area until help can reach you.
In EMERGENCY situations,
PULL the fire alarm to get help!
EMERGENCY MANAGEMENT
• CODE BLUE – Used for adults in cardiac or respiratory
arrest.
• CODE PINK – Used for children in respiratory or cardiac
arrest.
• Rapid Response Team (RRT) – Used for a person
whose condition is deteriorating and a team is needed to
stabilize their condition.
Emergency Management
• Code Adam – Used for missing infant or child.
Watch exits for suspicious persons leaving the hospital
with large bags, infants, children, etc.
Be able to describe physical attributes, vehicle, etc.
• CODE YELLOW (Disaster)
results in a number of deaths, injuries, illness OR
extensive property damage.
Students to report to their Instructor.
Emergency Management
• CODE BLACK (Bomb Threat)
• Report to your Instructor.
• DO NOT turn lights on or off.
• Turn off all two-way radios, cell phones, and
pagers.
• If you find a suspicious package DO NOT
touch, move or jar the object.
• Immediately notify a Mercy Health Police
Officer.
Emergency Management
• CODE SILVER (Hostage Situation and/or person with weapon;
Active Shooter)
A student who recognizes the development of a hostage situation should:
• Immediately report the situation and location.
• Identify the number of hostages, suspects, & weapons.
• Report to Instructor/Faculty and leave the area.
• Active Shooter – recommended actions
• RUN – for safety if path exit is obtainable. Leave your
belongings behind.
• HIDE – in a room that can be locked or barricaded and if
possible stay under desk or table.
• FIGHT – if there is no alternative.
NO weapons (firearms, clubs, knives with long blades) may
be carried on property.
Emergency Management
• CODE VIOLET (Person with violent behavior)
Students who interact with potentially violent individuals must realize
their behavior can have a tremendous impact on the situation.
If a person begins to threaten, fight, or attack,
• call 911 for Code Violet activation
• Notify your Instructor/Faculty and Clinical site Manager.
• Code Brown – (Missing adult patient)
• Patients at risk for wandering or possible elopement are given a
special colored gown to wear while in the hospital. The gown color
is used as a visual cue to hospital staff.
Hazardous Materials
Management
GHS - Safety Data Sheets (Right to Understand)
To Obtain an Safety Data Sheet (SDS) not readily available:
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Go to the Mercy Health HUB
Click on Region and select Youngstown from drop down list
Click on Region Resources
Click on Applications from drop down list
Click on MSDS Online from list.
Search box appears: type in Manufacturer or Chemical name.
Scroll through and check selections. When selection found, open and
view.
Select the print command to print the SDS.
EXPOSURE
EYEWASH STATION
Any student who may be exposed to hazardous
corrosive chemicals should know how to use
emergency eyewash equipment.
Always wear eye production if there is
a potential for splashing
If eye splash occurs follow exposure procedure.
National Fire Protection
Association (NFPA)
NFPA placard system provides a simple system of hazard identification.
The placard is diamond in shape.
It is color coded for type of hazard and number coded for
severity of the hazard.
Blue Diamond - Health Hazards
Red Diamond - Fire Hazards
Yellow Diamond - Reactivity hazards
White Diamond - Information purposes / symbols
RADIATION SAFETY
Mercy Health is committed to keeping radiation exposure
AS LOW AS REASONABLY ACHIEVABLE (ALARA).
It is IMPORTANT for all individuals' to avoid any unnecessary
exposure to radiation and to follow the established radiation
guidelines.
RESTRICTED AREAS
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REMEMBER –
take precautions in any location where portable x-ray equipment is
being used.
Any area where unauthorized entry is controlled to protect
individuals from exposure to radiation / radioactive materials.
When the doors are closed, no one should enter the area as a
radiation hazard may be present.
Areas where radiation / radioactive materials are used are clearly
marked with signs.
Security Management
Mercy Health Police Department
The hospitals have their own on-site Police department.
-Officers are armed and have full arrest powers.
-Officers are on duty 24/7.
-Responsive to off-site Mercy Health properties.
Functions
 Protect staff, patient, visitors, and property
 Investigate and record incidents, thefts, disturbances, vandalism,
accidents, and traffic accidents
 Provide special services including escorts, battery boosts, key retrievals
from locked cars, lock and unlock doors.
 Respond to emergency codes such as fire, disaster, and bomb threats
UTILITIES MANAGEMENT
Emergency Power System
When normal power is interrupted, an emergency system takes over.
- The system is powered by generators.
- Activates within 8 seconds of commercial power interruption.
- Outlets for emergency power are red or labeled.
Utility Management
Includes medical gases, electric, heating, air conditioning, equipment,
emergency power, sewer and water service.
Any support system or portable equipment within the facility.
Engineering/Maintenance is to be notified of any system outage.
Medical Gases (Oxygen)
Be aware of the location of shut off valves and zone valves.
INFECTION CONTROL
You are responsible for understanding the risk of exposure to blood or
other potentially infectious materials at your clinical site.
Follow these guidelines:
• Frequent hand hygiene is the foundation of infection control by
lowering the risk of transmitting microorganisms from person to
person.
• Wearing gloves does not replace hand hygiene.
• Wash hands when visibly soiled, before eating and after using the
restroom.
• An alcohol-based hand rub may be used for hand hygiene except
when exposed to C-Diff (Must use Soap and Water).
INFECTION CONTROL
Red Biohazard bags are used for
disposable patient care items that
are contaminated with blood and
body fluids.
Special waste areas are
designated for all red Biohazard bag collections.
Blue plastic bags are used for patient linens.
Linens are never to be placed on the floor.
Once brought in to a patient care area, unused linen is to be
sent to laundry and is never returned to the clean linen cart.
EQUIPMENT CLEANING
Equipment used on multiple patients such as
blood pressure cuffs, Hoyer lifts, wheelchairs,
etc. are to be cleaned with antiseptic wipe
between patients.
Antiseptic wipes have prescribed “wet times”
for disinfection. Follow label directions for
“wet time” time frame and allow dry time as
directed.
HAZARDOUS WASTE
MANAGEMENT
The biohazard symbol is universal and is used
on any container or area that may contain
regulated waste.
Biohazard signs are ALWAYS red or orange
and have the biohazard symbol
All sharps are placed in Sharps Containers.
CODE FOR HAZARDOUS RELEASE/SPILL –
CODE ORANGE
STANDARD PRECAUTIONS
Treat all blood and other potentially infectious materials as if they were
known to be infected with bloodborne diseases.
Personal Protective Equipment (PPE)
PPE includes:
• gloves,
• gowns,
• eye protection (goggles),
• aprons,
• respirators,
• ear plugs and
• shoe covers/boots
The use of PPE is seen as THE LAST RESORT for decreasing or
eliminating workplace exposures!
These items Must be removed when leaving patient care area.
TRANSMISSION-BASED
PRECAUTIONS
Applies to patients with documented or suspected infections / colonizations
Transmission-Based Precautions include:
Airborne Precautions (TB) No Student Contact permitted
Droplet Precautions (Influenza, Meningitis, Mumps, Meningococcal pneumonia, etc)
Contact Precautions (C. difficele, gastroenteritis, lice, scabies, multi-drug resistant
infections/ colonizations such as MRSA, VRE, etc.)
Airborne / Contact Precautions (chickenpox, measles, disseminated shingles)
BLOODBORNE DISEASES
Three bloodborne diseases of major concern in healthcare are:
HIV
Hepatitis B
Hepatitis C
How Bloodborne Diseases are
Contracted
HIV
Hepatitis B
Hepatitis C
Needle stick / Sharp Injury
Needle stick / Sharp Injury
Needle stick / Sharp Injury
Splashes onto broken skin or
into mucous membranes
Splashes onto broken skin or
into mucous membranes
Splashes onto broken skin or
into mucous membranes
Mother to unborn child
Mother to unborn child
Blood transfusion – formerly a
major way of transmission
Mother to infant at birth
Mother to infant through
breast feeding
Mother to infant at birth
Sexual contact
Sexual contact
Sharing of contaminated
IV drug needles
Sharing of contaminated
IV drug needles
BBP EXPOSURE
First Action:
• Wash/flush area with large amounts water.
• Notify your Instructor/Faculty & Clinical Site Manager immediately.
• Call Mercy Health Police Service Department
• You MUST go to the ED. (You can refuse treatment BUT, you MUST complete a
SafeCare report!)
• Student MUST register under your own insurance
• Student’s insurance will be billed for the ED visit.
With a Student exposure to blood or other potentially infectious body fluid:
• Source patient will be drawn for HIV, HBsAg and HCV.
• Source Patient’s blood work will be billed to Employee Health Services.
• Student will be informed of his/her own and the source patient’s blood work
results by Infection Prevention Services.
CLINICAL INJURY
If you suffer an INJURY (injury, fall, hit, etc) during a clinical
experience within Mercy Health:
• Notify your Instructor/Faculty and Clinical Site Manager
• Call Mercy Health Police Department
• Complete a SafeCare Report
• Go to ED (You MUST register under your own insurance and your own
insurance will be billed for ED visit).
You CAN refuse treatment BUT, you MUST complete an event report!
TUBERCULOSIS (TB)
Disease caused by the microorganism
Mycobacterium Tuberculosis
• Usually affects the lungs, but can affect other parts of the body.
• Spreads when air is forcibly expelled from the lungs of an infected
person.
• Infection occurs when others breathe in air containing the organism.
EXPOSURE TO TB:
• May develop active (contagious) TB or
• May remain latent/inactive (non-contagious) while the immune
system is strong.
Latent/Inactive TB may become active TB when the immune
system is compromised/weakened.
TUBERCULOSIS
PATIENT CARE MEASURES
Patient must wear a surgical mask if they leave their room.
Staff are fit-tested for a special mask to wear when in the patient room.
No longer considered contagious when
their
cough subsides
sputum
smears are negative.
(This usually happens within 2 weeks after therapy begins)
The physician and hospital policy determine when to discontinue Airborne
isolation measures.
Students are not permitted to care for patients with active TB.
All students are to have an annual Mantoux tuberculin skin test.
Parking at Mercy Health
All students are to follow Parking Guidelines during rotations.
St Elizabeth Youngstown Campus
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Park in Employee parking lots on Belmont Ave (across from hospital) and Park Ave
(next to parking deck). Badge Access for Gate is required.
Mercy Students are to register cars and park on the 4th level of deck unless assigned
to Lot B
St Elizabeth Boardman Campus
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Park in designated Employee lots off McClurg Road.
Employee Parking lots with Badge Access for Gate entry.
St Joseph Warren Campus
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Park in the Employee Parking lot H located in the rear area of the hospital grounds.
Students are not to park in areas designated for
Patients/Visitors/Emergency
You may now take the
Safety Quiz
Thank You.