2012

Volunteer Services Orientation

Facts Regarding

The University of Kansas Hospital

Volunteer Orientation Checklist

When each page is discussed, place a “√ ” in front of the page number to indicate the information was presented.

When finished please sign, date, and return the checklist to your instructor.

_____ Our Vision

_____ Volunteer Agreement

_____ Confidentiality Policy

_____ H.I.P.A.A.

_____ Material Safety Data Sheet

_____ Infection Control Procedures

_____ Pink Dot Program/Orange Dot Program

_____ Code Red/Other Emergency Codes

_____ Fire Extinguisher Use

_____ Emergency Codes

______ Volunteer Uniform Policy

______ Wheelchairs  ______ Important phone numbers  ______ Map

  By signing this document, I acknowledge that I have read and understand the above listed materials.   _______________________________ ____________________ Name Date

Our Vision

To lead the nation in caring, healing, teaching, and learning.

Our Mission

The University of Kansas Hospital will:

Deliver world-class patient care to the people we serve.

Ensure the excellence of future patient care through exceptional learning, teaching, and research.

* Five Star Performance Goals *

SERVICEPEOPLEQUALITYCOSTGROWTH

Volunteer Agreement

• My services are donated to the hospital without contemplation of compensation or future employment.

• I will not sell or attempt to sell goods or services, request contributions, or solicit persons to sign or distribute political petitions on KU Hospital premises.

• I will meet the TB skin test requirements as determined by KU Hospital.

• I will be punctual and conscientious, conduct myself with dignity, courtesy and consideration of others, and endeavor to make my work professional in quality.

• I will make my best effort to fulfill my commitment to KU Hospital by completing all assignments that I accept.

• I will at all times while engaged in volunteer activities at KU Hospital uphold the philosophy and ethical principles of KU Hospital.

• I understand that the volunteer services department reserves the right to terminate my volunteer status as a result of:

* failure to comply with KU Hospital policies, rulesand regulations.

* absence without prior notification.

* unsatisfactory attitude, work or appearance.

* any other circumstances which, based on the ultimate

decision of the Volunteer Department, would make my

continued services as a volunteer contrary to the best interest of KU Hospital.

Confidentiality Policy

Our patients and employees of the Hospital are entitled to and expect Hospital volunteers to keep medical and personal information confidential. The Hospital also is entitled to and expects its volunteers to closely protect financial and operational information about the Hospital. Supervisors in each department of the Hospital are responsible for ensuring that volunteers understand and follow Hospital policies regarding the release of patient, employee, and Hospital financial and operational material.

1. All patients’ medical and personal information is confidential

information and must be held in strict confidence. This confidential information must not become casual

conversation anywhere in the Hospital. Information can only be shared with other employees or volunteers if they

have aneed to know in order to provide care/services to the

patient.

2. An employee’s/volunteer’s medical or personal information is

confidential. The information must not be disclosed tomanagers, supervisors, or other employees/volunteers unless the information is necessary to ensure the health

and safety or with the employee’s/volunteer’s consent.

3. Hospital financial and operational information is confidential.

Volunteers who have access to this confidential information

may not disclose it to individuals other than Hospital employees who have a need to know in order to perform

theirjob.

Confidentiality Policy

4. The Hospital Information System’s user codes/passwords are confidential. Only the individual to whom the

code/password is issued should know the code/password. A volunteer

must not attempt to obtain access through the computer information system to which he/she is authorized to view

or receive. A new password must be requested if another knows it.

5. Information will not be given out on “D” (Denial) which means

the patient’s personal information is protected for their safety

and well being. Acknowledging this person is a patient in the

hospital is prohibited. “DP” (Psychiatric Patient Denial) which means this patient can’t receive flowers, mail, etc.

for their own safety. “O” (Omit) which means the patient’s personal information is omitted from the Hospital

directory, at the patient’s request.

6. If a volunteer is aware of a violation or suspects a violation ofthis policy, it is the volunteer’s responsibility to

immediately report this to his/her supervisor.

7. Violations of this policy will result in disciplinary action up to and including termination of volunteer assignment.

What is H.I.P.P.A.?

The University of Kansas Hospital Volunteers will strive to maintain the confidentially of patient and other confidential information in accordance with applicable legal and ethical standards.

 

1. What is HIPAA? Health Insurance Portability and Accountability Act.

a) A set of rules established by the Federal Government that

must be followed by all health care providers.

b) A law that sets national standard to protect medical records

and other personal health information (PHI),

c) A state organization that governs hospital boards.

 

2. HIPAA regulations apply to all of the following: hospitals, physicians,

insurance companies, labs, home care companies, and surgical

centers.

a) True

b) False

 

3. Why is HIPAA important?

a) The University of Kansas Hospital promises patients that their

information will stay private unless it is deemed necessary to

disclose it.

b) It is a state law that must be endorsed.

 

4. The HIPAA regulations apply to protected health information in:

a) Electronic documents, paper documents, conversations.

b) Paper documents.

c) Electronic and paper documents.

5. The penalty for an employee or volunteer who knowingly misuses a patient’s

health information under false pretenses is:

a) a fine of up to $1000

b) a fine of up to $50,000 and imprisonment for a term up to five years

c) a fine of up to $250,000 and imprisonment for a term up to ten years

What is H.I.P.P.A.?

6. A University of Kansas Hospital employee/volunteer who violates the confidentiality policy is subject to punishments up to and including termination of employment/volunteer assignment.a) Trueb) False

 7. If I leave out a name of a patient in conversation, isn’t that enough? A) Yes

B) No

8. When a famous person is a patient at the University Of Kansas Hospital, it

is acceptable to a) Ask them for their autograph and take a picture.b) Tell your friends that he/she is a patient at the hospital.c) None of the above

9. Volunteers shall refrain from revealing any personal or confidential information concerning patients unlessa) Legally required or there is a valid release for patient care

purposes.b) The nurse manager on duty requests the information.c) The media requests information regarding the patient.

 10. Every patient being treated at The University of Kansas Hospital must be

provided with a copy of the Hospital Notice of Privacy Practices when they

first arrive.a) Trueb) False

 11. Hospital volunteers will not reveal any personal or confidential information

regarding a) Patients, employees, or medical staff members unless

authorized to do so by the University of Kansas Hospital.b) Patients, employees, or medical staff members, and Pets for Life

animals unless authorized to do so by the University of Kansas . 

HIPAA Quiz Answers   1. A & B 2. A 3. A 4. A 5. C 6. A 7. B 8. C 9. A 10. A 11. A

 

Material Safety Data Sheets

Material Safety Data Sheets are supplied by manufactures and contain the following information for user safety:

Name of chemical Emergency responseManufacturer Spill and leaksAssociated hazards Handling reactivityChemical components Disposal practicesPhysical properties Exposure limitsFirst aid proceduresRecommended personal equipment

Infection Control

Hand washing is the most important hygiene measure in preventing the spread of infection.

Wash hands before and after each patient contact, after personal hygiene, eating, drinking, or wearing gloves.

Do not handle anything soiled with blood or body fluid. Call Environmental Services for assistance.

Check with staff before entering a room with isolation card on the door.

Wristband DOT Programs

DOT program

This was created to facilitate the safety of patients with confused, impulsive, and/or wandering behavior. The purpose is to prevent harm to a confused or judgment-impaired patient (especially one with wandering/elopement risk). This is the primary responsibility of the RN assigned to care for the patient. (Elopement means leaving the nursing unit or hospital without the endorsement of the clinicians.)

DO DOT Program

There are patients coming into our hospital for both outpatient and inpatient care who have various barriers to communication (that is, they cannot be understood or they cannot understand others readily). Some examples include patients who:

* Have hearing or speaking difficulties.* Speak a language other than English.* Have limited English proficiency.

Emergency Codes

CODE RED (R.A.C.C.E.E.)Remove- anyone in danger.Activate- Alarm; locate the nearest pull station.Call 911- provide exact location (room number,

status of situation.Close- doors, windows, or oxygen zone valves.

eliminate drafts.Extinguish- small fires if possible. Evacuate- patients and personnel if needed or

directed.

CODE BLUE– Cardiac/respiratory arrest. Areas to

avoid will be given.

CODE PINK– Infant abduction.

Fire Extinguisher Use

Where are the fire extinguishers located in your work area?

How is it used? (PASS)

P – pull pinA – aim at the base of fireS – squeeze triggerS – sweep from side to side

 

                                                                  

 

   

Volunteer Uniform

(*Certain groups may be excluded from this requirement, e.g. Missy’s Boutique volunteers.)

All University of Kansas Hospital volunteers will wear a uniform. Volunteers will purchase a uniform provided from the Volunteer Department for $20.00.

The volunteer uniform consists of a navy blue vest with the hospital logo (purchased from the department), worn with a white shirt and khaki or tan pants. Depending upon the volunteer assignment, volunteers my wear a blue polo shirt with the hospital volunteer logo. Shirts are worn tucked in. Skirts or slacks worn with the uniform must be tan or khaki. NO shorts, jeans, or capri pants are to be worn. No mini-skirts are to be worn.

Nametags provided by the University of Kansas Hospital will be worn at all times when on duty.

Soft soled comfortable and close-toed shoes. Socks or hosiery will be worn at all times. NO sandals or open toed shoes are to be worn.

Jewelry must be simple; no dangling earrings, bracelets or necklaces.

Cologne, perfume and shaving lotion will not be worn.Volunteer’s appearance will be neat and clean at all times while on duty.

Wheelchair Safety Guidelines

In keeping with the University of Kansas Hospital philosophy of patient-centered care, our first consideration in the use of wheelchairs is the patient’s safety and comfort.

Always keep a pleasant, friendly attitude, no matter how unreasonable a patient or family member may seem.Keep hand brakes locked when the patient is entering/exiting the wheelchair.

Put the footrest up and out of the way when assisting the patient into and out of the wheelchair.

Ask the patient if they are ready before moving the chair and tell them where you are taking them.

See that the patient’s arms are inside the armrests and never hanging over the side of the chair.

See that the patient’s feet are securely placed on the footrests.

Back into the elevator.

Avoid sudden stops. Move slowly. Stop at all hall entrances to be sure traffic is clear for you to enter.

Never lift a patient to put them into or take them out of a chair. Call staff for assistance.

Do not push patients with equipment; this includes oxygen tanks (theirs or ours), and IV poles.

Do not push patients who are obviously very ill. Call staff for assistance.

Stay with the patient when you arrive at their destination until a staff member comes to take over.

Important Phone Numbers

Paula Gangel, Director pgangel@kumc.edu 913-588-6528

Volunteer Coordinators Cathy Engmann cengmann@kumc.edu 913-588-6560

Judy Masonbrink jmasonbrink@kumc.edu 913-588-6560

Notes about the Phone SystemFor dialing inside KU, place an 8 in front of the four-digit extension. If dialing outside of K.U. Med, dial the entire number. To obtain an outside line (to call home, etc.) first dial a “9.”

Information Desk Main Hospital 8-5800

Information Desk Cancer Center 5-5713

Information Desk Heart Hospital 8-8928

Customer Complaints/Patient Relations 8-2220

Emergency Department 8-6500

K.U. Police 8-911K.U. Security 8-5030

ChaplainProtestant 8-5033Catholic 8-5034

Environmental Services 8-1155

Transportation--Wheelchair Transport 8-1816

Rapid Response Team 8-5656