New Employee Emergency Orientation

New Employee Emergency Orientation

**This is an emergency packet only. All personnel must attend hospital orientation if they work on a regular basis.

Orientation Requirements:

Mission & Value Statements (Baptist Health)

Environment of Care (Revised Emergency Preparedness Plans)

Infection Control

Patients Rights/Confidentiality

Customer Service

Corporate Compliance

Guide to Occurrence Reports

Parking Policy

No-Smoking Policy

Professional Appearance Policy (Dress Code)

Map of Facility

Hospital Telephone Directory

Agenda (To be signed by employee upon completion)

Instructions:

1. Read through orientation packet.
2. Return signed agenda to Human Resources.

1.Mission Statement & Values:

Mission:

“As a witness to the love of God through Jesus Christ, Baptist Health exists as a voluntary, not-for-profit organization to promote and improve the physical, emotional and spiritual well-being of the people and communities it serves through the delivery of quality health care services provided within a framework of fiscal responsibility.”

Value Statements:

Excellence:We are committed to excellence and quality in caring for those we serve.

Honesty:We conduct our relationship with the people we serve, physicians, healthcare providers and ourselves honestly, fairly and consistently.

Stewardship:We are responsible stewards of the time, talents and resources entrusted to us to care for the people we serve.

Respect:We treat those we serve and those with whom we work with respect, compassion and courtesy.

Attitude:We believe attitude is a choice and choosing a positive attitude is essential to achieve our mission.

2.Environment of Care:

HAZARDOUS MATERIALS SPILL

Contain the spill

Notify supervisor and Environmental Services

Read label on container for caution/warning and product name/information

Obtain appropriate MSDS

MSDS (Material Safety Date Sheet) – Provides information on chemicals in case of exposure (i.e. symptoms if exposed and treatment). Check with your department supervisor for the location of the MSDS book in your department.

The MSDS for all chemicals within the hospital are located in the Emergency Room.

RIGHT TO KNOW – Baptist Health enforces a “Right to Know” policy concerning hazardous materials. You have a right to know any chemicals you will be working with.

TOTAL FACILITY EVACUATION – Report to your immediate supervisor for instructions during a total facility evacuation.

BOMB THREAT -

Keep caller on line as long as possible

Try to determine:

Age

Sex

Nationality

Background noises

Is caller a former employee/patient?

Notify the hospital operator immediately

Stay by the telephone so you will be available to provide information to those in charge.

Take no further action until so directed.

Do not alarm patients, visitors, employees or volunteers

UTILITY FAILURES

Report utility failures to the Facilities Management Department

Report to your department for further instructions

ELECTRICAL SAFETY

Immediately report frayed cords, broken plugs, loose or broken electrical outlets to Facilities Management for repair

Remove defective equipment from service and attach a notation regarding reason for removal

Only use extension cords for temporary situations

Any electrical equipment (personal radios, heaters, etc.) that is brought into the facility must be checked out by engineering prior to using.

Any patient care equipment that is brought into the facility must be checked out by the Bio-Med prior to use.

SECURITY

Always wear your identification badge while at work.

Park in designated areas for employees

Lock up your valuables in lockers when you arrive

Request escorts if you are arriving or leaving work at unusual times

Report suspicious individuals immediately to Security (during the day call the operator) SECURITY NUMBER: Ext. 3159 or dial 5555

Prattville Baptist Hospital

Emergency Codes Summary

Code

/

Meaning

/ Instructions
Code Blue / Cardiac/Respiratory Arrest / An emergency requiring assistance in a cardiac or respiratory arrest. Personnel who are to respond: House Supervisor, Emergency Department Physician, Respiratory Therapist, Charge Nurse on Unit and Pharmacy.
Code Red / Fire /

What to do in case of fire: R A C E

R – Rescue anyone in immediate danger
A – Active alarm at pull station, call the operator and state the location of fire.
C – Confine the fire, close doors
E – Evacuate as directed by the supervisor or the appropriate fire team commander or
Extinguish the fire.

How to operate the fire extinguisher: P A S S

P – Pull the pin
A – Aim at the base of the fire
S – Squeeze the trigger
S – Spray from side to side
Code Pink / Infant Abduction/Missing Confused Adult Patient / An emergency requiring assistance from hospital personnel in locating an infant, pediatric patient or geriatric patient that is confused or disoriented. Refer to Code Pink Policy in your safety manual for details.
Plan D / Disaster / Refer to your Disaster Plan within your department. Manpower Pool is located in the Classroom
Code Orange / Bomb Threat / Refer to Bomb Threat Policy in your safety manual for details.
Tornado Warning / Severe weather is expected / Report to Building A (Upstairs - nurses’ station or Downstairs - ED/Surgery). Move patients and visitors away from windows. Close curtains and blinds. Be sure all-essential equipment such as ventilators, oximeters and apnea monitors are plugged into the RED wall outlets. Prepare flashlights.
Code Secure / Lockdown of Hospital / An emergency requiring assistance from hospital personnel in securing/locking all hospital doors/entrances. Personnel who are to respond: House Supervisor, all Engineering personnel and Security (if on duty at the time).
Code Yellow / Chemical Spill / An emergency requiring assistance to designate responsibilities related to the process of handling chemical spills. Personnel who are to respond: Environmental Supervisor, Safety Officer, Infection Control and House Supervisor.
Code Strong / Combative Patient/Visitor / Personnel who are to respond are House Supervisor, all available male personnel and Security (if on duty at the time).

REMEMBER:

Familiarize yourself with the emergency exits and fire extinguishers in your department.

Parking Policy

All employees working between 7:00 a.m. and 3:00 p.m. are requested to Park:

• In the parking lot directly behind the hospital (not in physician parking)
• In the parking lot directly behind the old nursing home
• In the parking lot adjacent to the above lot

All other employees may park in the front parking lot only on the row closest to Highway 31.

Familiarize yourself with where the MSDS (Material Safety Data Sheets) are located in your department.

Security – Hours of Operation (2:30 p.m. until 7:30 a.m.)

NOTES:

3.Infection Control:

Employees should not report to work if suffering from communicable disease (i.e. cold, flu, stomach virus, etc.)

Personnel providing direct patient care are not to wear artificial nails/overlays or tips. Natural nails are to be neatly trimmed. (Infection Control Policy #104)

The most effective method to prevent the spread of infection is handwashing. Gloves and other personal protective equipment (PPE) may be used to protect against exposure to bloodborne pathogens.

Never wash or reuse gloves

Washing Hands:

Scrub hands with plenty of good friction for 10-30 seconds by interlacing the fingers and moving hands back and forth.

Continue scrubbing action for at least 30 seconds.

Shut off water using a clean paper towel.

All patient rooms and common areas are now equipped with dispensers of waterless hand cleaner. This is to be utilized when hand washing is not feasible.

Injury/Occurrence Report

Notify your supervisor immediately.

Complete Occurrence report & give to your supervisor.

Supervisor or employee notifies the Employee Health Office.

Employee Health Office or Supervisor assesses injury and arranges medical care as appropriate.

Employee follows up with Employee Health after treatment.

Body Mechanics

Keep your back upright, your spine position set and avoid twisting.

Size up the load before you lift – if it looks heavy, it probably is. Go and get help if necessary.

Get a firm footing. Spread your feet apart for a wide base of support and to improve balance; point toes outward.

Bend your knees. Don’t bend at the waist.

Lift with your legs.

Hold objects close to your body. Never hold your load away from your body.

Isolation Rooms

Use caution before entering these rooms. Check with Nursing before entering room.

Always follow isolation procedures as indicated on signage.

Negative pressure rooms are 118, 120, ICU 6 & PACU

Universal/Standard Precautions: Means treating all blood and other body fluids as if they may be infected with one of the bloodborne pathogens.

Types of Body Fluids that may contain Bloodborne Pathogens:

Blood products (such as plasma)

Semen and vaginal secretions

Amniotic fluid (fluid in the uterus of a pregnant woman)

Fluids surrounding the brain, spine, heart and joints

Fluids in the chest and abdomen

4.Patient Rights/Confidentiality:

Breach of Confidentiality could result in termination

Do not read a patient’s chart unless it is part of your job

If discussing for work reasons, be very careful not to talk in common areas (elevators, hall, cafeteria, etc.)

Patients are given a book with their rights in it.

5.Customer Service:

Identify yourself to visitors (badge)

Speak quietly

Smile

Offer assistance to visitors, staff, patients, etc.

Remember, your attitude can leave a positive or negative impact on someone.

We use the “Team Approach” at Prattville Baptist Hospital

When answering the telephone:

• Always give your name and your location
• Remember that confidentiality extends to the telephone. Unless specifically instructed to do so by a supervisor, give out no patient information other than the patient’s room number.
• When making a local call from the hospital, dial 9 first to get an outside line

6.Corporate Compliance:

System designed to ensure Baptist Health Facilities operates in an ethical manner. Such ethical practices include but are not limited to all areas of patient rights, billing practices, marketing practices, procedures relative to admission, transfer and discharge, and avoidance of conflict of interest in contractual relationships.

Confidential

Hotline # 1-800-621-5966

7.Guide to Occurrence Reports

KEY TO INCIDENT/OCCURRENCE REPORTS

Incident reports are not used to assign blame or criticize. Rather they are tools to be used for improvement of processes and patient care. They are to be completed within 24 hours and are to be forwarded to Quality Management within 48 hours. All information is to be printed unless a signature is required.

NAME – Recipient of the incident/occurrence

STREET ADDRESS – Recipient may not have a telephone or phone # may not be available and he/she may need to be contacted by mail.

CITY, ZIP CODE – Self-explanatory

DEPARTMENT – If an employee injury, enter the employee’s department – not location where injury occurred. For all other incidents/occurrences, enter the department where the injury occurred.

DEPARTMENT # - The # of the employee’s department or for all others, # of the department where the incident occurred.

REPORT DATE – Date report is written

OCCURRENCE DATE – Date incident occurred

OCCURRENCE TIME – Time incident occurred; use military time

PERSON COMPLETING – If an employee, the employee should complete the report in his/her own words

MANAGER/SUPERVISOR – The Manager/Supervisor of person completing report

PT OR EMPLOYEE # - Patient account number or assigned employee number

MEDICAL RECORD # - Patient’s or employee’s medical record number, either inpatient or outpatient

AGE – Age of recipient, whether patient or employee

ATTENDING PHYSICIAN – If a patient is the recipient of the injury, enter his/her attending physician; for all others, enter treating physician or none.

WITNESS (ES) (NAME, ADDRESS, PHONE #) – Witness (es) of incident/occurrence and his/her address and phone #

CONDITION PRIOR TO OCCURRENCE – Complete for all recipients of any occurrence

OCCURRENCE TYPE – Check only one type. DO NOT indicate N/A or other for all other categories note specifically related to incident/occurrence.

FALL – All information under this area relates to a fall. If it is a patient fall from a bed, check if side rails were up or down and if up, the # that were up; if the call bell was in reach; if restraints were in use and if so, the type of restraint.

MEDICATION

Dosage – the wrong amount of medication was given.

Omitted – an ordered dose of medication was omitted.

Route – medication was administered by the wrong route.

Time – medication was not given at the correct time.

Unordered – medication was given that was not prescribed by a physician.

Pharmacy Error – includes:

wrong medication

medication labeled incorrectly

late arrival of mediation that results in omission or late administration

Transcription Error – error was discovered prior to administration of medication to patient.

TREATMENT

Omission – ordered treatment was not given.

Unordered – prescribed treatment was not ordered.

Performance Related – procedure was not performed according to policy or accepted standards of practice, i.e., incorrect instrument counts in surgery.

IV Complication – i.e., infiltration, extravasation, infection, redness at site.

Foreign Body Left In – occurred during a surgical procedure.

Time Related – delay in procedure, consult late, etc.

Unanticipated Procedure – procedure was performed in OR that was not planned, i.e. return to OR during same admission, repeat procedure, etc.

EXPOSURE

Body Fluids

Needlestick – if stuck with contaminated needle.

Other – if exposed via other means, such as splash, spray, splatter, cut, etc.

Other – any other exposure not mentioned under a previous category.

EQUIPMENT/MEDICAL DEVICE

Injury – any injury involving equipment or a medical device, i.e. Foley catheter or IV catheter broke, prosthesis put on incorrectly, IV pump malfunction causing fluid overload, employee’s hand got caught between stretcher and wall, etc.

Unavailable – equipment/medical device was not available when needed for particular procedure or treatment.

SECURITY ISSUES

Personal Articles Lost/Damaged – any property belonging to a patient that was lost or damaged, i.e., flowers, fruit baskets, shoes, etc.

Hospital Property Lost/Damaged – any property belonging to Baptist Health that is lost or damaged by a patient or employee, i.e., monitors, cables, water or coffee spilled on computer, etc.

Confidentiality – any breach of a patient’s confidentiality, i.e., employees heard talking about a patient in an inappropriate area; patient information given to family member/friend not directly involved in the patient’s care (particularly in home health). Patients/visitors caught reading information about other patients, etc.

OTHER

AMA – patient left after being assessed/seen by the physician and physician was aware of patient’s desire to leave.

Elopement – patient just left premises without knowledge of staff or physician (particularly in Psych).

Left Without Being Seen – (lwbs) patient in ED that left prior to being seen by physician.

Complaint – used for patient/family complaints, employee complaint against another employee or against a physician, and physician complaints.

NATURE OF EVENT/INJURY/ILLNESS – select one that most closely fits the incident/occurrence; incident resulted in –

Allergic Reaction – used for reaction to blood, medication, or medical devices such as latex, tape, etc.

Injection Site Injury – used for IV complications such as swelling, edema, redness, drainage, etc.

Puncture – used for needlesticks or punctures resulting from other sharps.

Deceased/Stillborn – used for patients who expire unexpectedly or stillborn neonates.

None Visible – used in situations where the patient has had no apparent injury.

Not Applicable – used in situations such as with AMA, elopement, lwbs, unavailable equipment, etc.

SITE OF ILLNESS/INJURY

Not applicable – used whenever there is no visible injury

TREATMENT RENDERED BY: - used to indicate whether or not treatment was required after the incident/occurrence and if so, by whom.

Other – used primarily for home health patients who may have treatment rendered by family member/caregiver.

Refused – patient or employee refused treatment.

NARRATIVE OF OCCURRENCE - give a brief explanation of the incident. Do not need to include information previously given on the first page.

RECIPIENT OR FAMILY ATTITUDE AFTER OCCURRENCE – check one: recipient or family and attitude.

COMMENTS: - Additional space for further explanation of attitude check above.

WAS DOCTOR CALLED? If he/she was, check the yes box and indicate which doctor was called and when.

WAS SUPERVISOR CALLED? If he/she was, check the yes box and indicate which supervisor was called and when. NOTE: There should be very few incidents in which the supervisor was not notified.

FOLLOW-UP ACTION TAKEN: - indicate which actions were taken to prevent a similar incident/occurrence from reoccurring. If incident/occurrence involved different departments, forward to other departments for follow-up action. NOTE: There should be very few instances when there will be NO follow-up action.

REVIEWED BY: - Head Nurse/Supervisor should review report to insure completeness and accuracy, then sign and date. If not complete, report should be returned to employee to complete. After reviewed by Head Nurse/Supervisor, should be forwarded to appropriate people, i.e., Employee Health Nurse, Safety Coordinator, and then to /Quality Management.

8.Parking Policy

EMPLOYEE PARKING

Policy

It is the policy of Prattville Baptist Hospital to provide adequate parking for patients and visitors. With the limited on-campus parking space available, it is necessary for employees to comply with the following procedures.

Procedures

1.All employees working between 7:00 a.m. and 3:00 p.m. are requested to park:

1. In the parking lot directly behind the hospital.
2. In the parking lot directly behind the nursing home.
3. In the parking lot adjacent to the above lot.

2.All other shift employees may park in the front parking area only on the row closest to Highway 31. All call-back employees will be allowed to park either in this area or they may park in the emergency room parking area. If the called-back employees are required to remain and work the day shift it will be necessary for them to move their vehicles before the shift begins.

3.All employees leaving the facility after dark are encouraged to use the buddy-system (two or more together) or to notify security when they are ready to leave so they may be escorted to their vehicles.