Decatur Memorial Hospital A Memorial Health System Affiliate Intern/Student Orientation Welcome to Decatur Memorial Hospital Intern/Student Online Orientation. We have high expectations that your student experience will be a positive one and look forward to assisting you. In order to prepare you for your student experience, you are required to complete this orientation module by reading the following information; there will be a short test at the end. You will need to complete and print the orientation intern form at the end of this module Please submit to your instructor or Director/coordinator at DMH prior to your first day. The form must be completed prior to beginning your intern experience. With each semester/new student assignment period, your computer access will need to be renewed, out of lab testing competency reviewed as applicable (ex. Blood glucose monitor) and this onboarding/orientation packet completed. It is our privilege to participate in your educational experience. We are committed to assisting you in completing the requirements for your course. Through this orientation, we will refer to the DMH Intranet site “The Pulse” or “Policy Stat”, our online policy software found in Citrix. Thank you for choosing Decatur Memorial Hospital We look forward to including you as a part of our team of skilled and caring health care colleagues.
Transcript
Decatur Memorial Hospital
A Memorial Health System Affiliate
Intern/Student Orientation
Welcome to Decatur Memorial Hospital Intern/Student Online Orientation. We have high expectations that your student experience will be a positive one and look forward to assisting you. In order to prepare you for your student experience, you are required to complete this orientation module by reading the following information; there will be a short test at the end. You will need to complete and print the orientation intern form at the end of this module Please submit to your instructor or Director/coordinator at DMH prior to your first day. The form must be completed prior to beginning your intern experience.
With each semester/new student assignment period, your computer access will need to be renewed, out of lab testing competency reviewed as applicable (ex. Blood glucose monitor) and this onboarding/orientation packet completed.
It is our privilege to participate in your educational experience. We are committed to assisting you in completing the requirements for your course. Through this orientation, we will refer to the DMH Intranet site “The Pulse” or “Policy Stat”, our online policy software found in Citrix.
Thank you for choosing Decatur Memorial Hospital We look forward to including you as a part of our team of skilled and caring health
care colleagues.
The Mission, Values, and Vision of Memorial Health System
Mission: To improve the health of the people and communities we serve
Values: To be the health system people choose over all others
VALUES: IDEALS that guide our behavior
SAFETY:
• We put safety first
• We speak up, without fear, on matters of patient and colleague safety
• We take action to create an environment of zero harm
INTEGRETY:
• We respect others and show compassion
• We behave honestly and ethically
• We are accountable for our attitude, actions and health
QUALITY:
• We advance our knowledge and skills
• We seek continuous improvement
• We deliver evidence-based care that leads to excellence in outcomes
Stewardship:
• We use resources wisely and maintain financial stability
• We work together to coordinate care and services across the health system
• We promote healthier communities
Providing Care in a Relationship Based Care Culture
Relationship Based Care connects us as caring people to our patients. It focuses on caring for ourselves; our
colleagues and our patients: body, mind, and spirit.
We do this by being present and respecting the needs and goals of all involved, keeping the patient at the
center.
So what is your role? The Intern/student will provide care within the framework of their contractual agreement.
The student will be accountable for responsibilities consistent with their competency level in
school.
If working in a clinical area, student will be responsible for patient care consistent with their
competency level in school and will be held to the same legal expectations and framework as
a licensed practitioner. For example, the student nurse will provide care within the
framework of the Illinois Nurse Practice Act and the paramedic student will provide care
within the framework of the Emergency Medical Services (EMS) Systems Act (210 ILCS
50).
Students are expected to abide by standards and policies set at DMH. Policies should be
reviewed prior to initiation of a procedure. Policies are located on Policy Stat.
Please do not come to the hospital if you are sick. (fever > 100, or Rash, and please inform
your instructor if you come into contact with any contagious condition)
All students are asked to appropriately wear their school uniform, appropriate scrubs or
business casual dress (if in a non-clinical area). In accordance with CDC and other regulatory
agency directives, DMH prohibits artificial nails or nail enhancements for employees who
have direct hands-on patient contact. Refer to “DMH Appearance Policy” for all other
requirements.
You must display your identification badge at chest level at all times. If you do not have
a school issued identification badge, one will be provided for you
A student will never take full responsibility for a patient. They will function under the
supervision of a qualified preceptor.
Responsibilities, intern and/or clinical objectives, and the student’s role will be
communicated with staff prior to participation in the work environment or patient care.
Students cannot witness or obtain consents, take orders, or receive critical values.
Students will report off to their designated employee prior to leaving their work area.
All errors should honestly be reported to the staff person in charge, the student’s instructors
and incident reports should be completed promptly. Incident reports are located in Risk
Master found in Citrix. Any staff personnel can assist you in this process.
Parking
Students must park in the lots indicated for colleague parking.
If you will be parking in the hospital lot during your student rotation, you are required to
complete a vehicle registration form. You will then receive a student parking sign to display on
the dashboard of your car. This can be completed on your first day or during your department
orientation.
(Stop by the education office on the 3rd floor of the main hospital Mon-Fri 8-4:30 or call us at 217-
876-2900)
Arrive to the hospital or clinic setting wearing a mask.
All students/faculty must be screened at the start of each clinical day for COVID risk and symptoms. All students/faculty must undergo this screening at the employee entrance or Barnes Lobby visitor entrances of our facilities. Please do not enter through Kirkland lobby at this time. We ask that you remain flexible with us as this situation changes.
Patient Experience
At DMH we put our patients and their families first.
Listen to your patient’s concerns, using “HELP?”
H- Hello my name is… and state your role
E-Explain why you are there….
L-Listen to the patient…
P-Provide accurate information
?-Ask, “Is there anything else you need?”
In 2008 the CMS (Centers for Medicare/Medicaid) began to require hospitals to publicly report patient
satisfaction data captured through their HCAHPS (Hospital Consumer Assessment of Healthcare
Providers and Systems) survey instrument. The survey was designed to produce comparable data on the
patient’s perspective on care that allowed objective and meaningful comparisons between hospitals in
areas that are important to consumers. The HCAHPS survey asks how often something was done and
asks the patient to evaluate the care with a frequency scale of never, sometimes, usually and always.
Results are publicly reported to make hospitals accountable for their actions and improve the quality of
care.
Cultural Diversity
As Health Care Advocates it is our responsibility to provide the best possible care to all of our patients,
regardless of age, race, gender or ethnic origin. We want to create an environment that is respectful to
all of our patients. Cultural Diversity is considering the differing views about health and health care.
Avoid stereotyping; don’t assume an individual patient follows that culture’s particular view. It is
important to ask your patient open ended questions to assess their views and desires. Effective
communication is crucial to provide the best possible care for our patients. DMH has many resources
available to assist in communication, ask one of the DMH colleagues.
Suspected Abuse, Neglect, Violence and Exploitation Assessment
Working in a healthcare setting, we have an opportunity to identify and have an impact on acts of
violence. If you suspect one of your patients is a victim of abuse, neglect, violence or exploitation,
please inform one of our professional colleagues.
Confidentiality and Privacy
HIPAA (Health Insurance Portability and Accountability Act of 1996)
Decatur Memorial Hospital has pledged to our patients to keep their information confidential and to
respect their privacy, there is zero tolerance for a breach of confidentiality. Confidentiality means you
may not disclose any information you have heard or read about a patient, this includes the patient’s
name or any identifying factors about that patient. Never discuss confidential information about patients
and their families, unless it is with an authorized person in a private area.
Privacy is also important with electronic transition:
• Never copy any part of a patient’s chart
• Never download patient information (such as to a memory stick)
• Never put patient information into an email
“What you learn about your patient here stays here.” Students who participate in a clinical rotation here
are agreeing to maintain our high level of confidentiality.
You are not allowed to electronically access your own personal records as well as the medical record of
family or friends while here for your clinical rotations, this is a serious HIPPA violation. The only
access into a medical record should be to a patient(s) you are directly caring for.
Social Media
Decatur Memorial Hospital (DMH) encourages employees and students to use caution when publishing
online comments that may reflect upon DMH, the employee, our patients and families, and other
employees or partners of DMH. Therefore, employees are asked to carefully consider what is stated in
social media forums and how those statements may impact others. This includes all Internet-based
communications and electronic media, including without limitation personal blogs, message boards,
microblogging sites such as Twitter or Tumbler; social networking sites such as Facebook, and
LinkedIn; and other websites. The use of digital cameras (including cameras on cell phones) is strongly
discouraged on DMH premises. Under no circumstances should cameras be used in patient areas,
research areas, restrooms, and shower facilities. If you have questions regarding social media, please
refer to the Social Media policy located on “Policy Stat”
Emergency Preparedness
*****Dial 2345 to report an emergency*****
Emergency Situation Codes (dial 2345)
Emergency Alerts – Plain Language Facility Alert :
• Fire – fire alarms signal the existence of a fire, smoke detector or ventilation system issue. If there is a Fire!
RACE is a national acronym used to help remember what you must do in case of a fire.
R – Rescue: Your first priority is to remove patients from immediate danger.
A - Activate: Pull the nearest red fire alarm box and dial 2345 (fire alarms are usually located by
the fire exits, Locate the fire alarms during your clinical time).
C- Confine: Close all the doors
E- Evacuate/Extinguish: Know the location of all fire exits should evacuation become
necessary. Use the proper fire extinguisher to extinguish or control a fire, only if trained to do so.
• Evacuation – when it is necessary to move to an area of safety o Move to an area of safety if there is an immediate threat to life, such as a
Tornado warning, fire or active threat o Total evacuation – leave the building entirely o Partial evacuation – Move to another part of the building
▪ Horizontal – on the same floor ▪ Vertical – on a lower floor
• Hazardous Spill – are beyond the capability of the department planned response or if someone experiences physical symptoms.
• Information system down – there are downtime procedures that must be followed
• Utility failure – Certain location – the power will automatically switch to generators, there will be no lights for 7-10 seconds. At the hospital, only RED outlets will work and should be used for critical equipment only.
• Communications failure
Medical Alert
• Mass casualty – is called if there are any number of causalities that may impact normal operations at the facility
• Code blue – Cardiac arrest in the hospital at a designated location.
• Code blue pediatric – pediatric arrest in the hospital
• Code Gray – Possible patient with a stroke Security Alert
• Missing newborn – A newborn is missing from hospital maternity unit – Monitor and look for suspicious activity with children or packages. Do not attempt to stop persons, notify security
• Missing person – occurs if any person is reported missing, regardless of age. Monitor your area for missing person, search each room, office, closets, restrooms, stairwells. Call security with any information related to the missing person.
• Active threat - Facility alert Lockdown. This occurs for any event that requires protection for part of or an entire facility. Submit to being screened, have identification available, allow search of items, be in a high state of alert and question any suspicious incident, persons or activity. Report to security.
• Active shooter – occurs for any person actively engaged in shooting their weapon with the intent to kill or cause harm.
o Run to avoid – get away from the treat o Hide to deny – barricade/lock doors, turn off lights, SILENCE all equipment o Fight to defend – dangerous but may be only option – do not try to negotiate. Call security or 911 and obey all commands from police once they arrive.
Weather Alert
• Tornado warning – severs thunderstorms are likely or already happening close to your location. Move to an area of safety.
Emergency alerts will be announced through overhead speakers
Rapid Response Team
DMH has a Rapid Response Team (RRT) - The purpose of the Rapid Response Team (RRT) is to
improve inpatient outcomes by providing a means for rapid and timely intervention of a declining
patient through activation of a trained team of caregivers. Any person providing care can initiate the
Rapid Response by calling #5555 with the room location they should respond to. For additional
information, you may access this policy on “Policy Stat”
Equipment Safety
It is everyone’s responsibility to identify equipment in need of repair and removing it from the
department. A work order must be completed and sent to engineering, a DMH colleague can assist you
in creating a work order. Be aware of tags indicating equipment is not working properly. Tagged
equipment should not be left in a patient care area. Any piece of electrical equipment, regardless who
brings it in to DMH, is required to be inspected by the engineering department. The Safe Medical
Devices Act requires us to report serious injuries or deaths of patients or employees related to medical
devices to the Food and Drug Administration (FDA)
Personal Safety Tips • If you are working with patients, use proper lift equipment when transferring your patient.
• Ask for help when needed.
• Do not leave your valuables unattended.
• Report any suspicious person or unauthorized persons to Security immediately.
• When leaving or entering the hospital after dark, or anytime you do not feel safe, call security at
2020 for an escort to and from your car.
• Any injury you have during your student experience at DMH must be reported to your instructor and
the department Director immediately.
Hazardous Materials
Hazardous Materials is waste capable of producing infectious disease. It includes blood and body fluids,
sharps, surgical waste, isolation waste, microbiological waste and pathological waste. Materials that
should be placed in red bag waste include:
• Any Personal Protective Equipment saturated with blood or body fluids
• Dressings saturated with blood or body fluids
• Any disposable item that is saturated with blood or body fluids
• IV Bags and tubing with blood in them.
• Hemovacs and drains
• Suction canisters
• Chest drainage units
• Hemodialysis products
• Wet Vent circuits
• Disposable items that are contaminated with infectious waste.
Saturated is defined as contents that may drip or release when held vertical, squeezed or compacted.
Items that go into the general waste include:
• Diapers (absorbent and hold/absorb urine and stool)
• Empty syringes without needles
• Emesis basins (after flushing/emptying out contents)
• Foley catheters after emptying
• Sanitary napkins (absorbent and hold blood)
• Dry vent circuits
• Wrappers, plastic, and paper items that do not have confidential information on them.
• PPE and dressings that are not saturated with blood or body fluids
Empty non-medicated primary IV solution bags are to be placed in the general waste.
If the bag has a patient label on it, you must do one of the following prior to placing in general waste to
comply with HIPPA:
• Remove name portion of the label and place in recycle bin.
• Using a black sharpie – mark out the patient name so it is no longer recognizable.
• Place bag in the blue non-hazardous RX waste container.
Sharps - include needles, scalpel blades, broken ampoules; anything in a hospital or clinic that may be
contaminated with infectious material or a risk to injury if handled. Such objects should be disposed in
the red sharps container.
A material safety data sheet (MSDS) for each hazardous material is available upon request.
Infection Control
It is DMH’s goal to create an environment that is safe for our patients, family and colleagues. Zero
hospital acquired infections is our goal. Contact our Infection Preventionist with questions 876-2508
• Hand washing is the single most effective way to prevent the spread of infection.
• Wash hands for at least 20 seconds with soap and friction.
• There are hand sanitizers conveniently located on the units
• Remember to clean your stethoscope, or any equipment between patients
• Strict adherence to Universal/Standard precautions
• It is expected all employees wash in and wash out of patient rooms
• Recognize the types of isolation precautions used for specific communicable disease. Follow the
directions on the isolation signs.
• PERSONAL PROTECTIVE EQUIPMENT is available in each patient care area
• Artificial nails are not permitted to be worn by employees or students with direct patient care
responsibilities.
No students will be assigned to patient who are known COVID positive.
Public Health Pest
Public health pests are a nuisance that pose a problem for our patients and staff. These pests include
such things as bed bugs, lice, and scabies. We use a pro-active approach to prevent infestation:
• Immediate response by staff when these pests are identified or suspected
• Routine inspections and treatment of the hospital done by a pest management company with
experience in treating bed bugs.
We cannot prevent these pests such as bed bugs from coming into our facility BUT what we can do is:
work together to quickly identify them and take appropriate actions to prevent an infestation.
Bed bugs can enter on patients, visitors, staff and even students. Bed bugs are successful hitchhikers.
They travel from place to place in furniture, bedding, luggage, boxes, and clothing. They can go for
months without feeding.
If a patient is suspected of bedbugs:
• Place patient in Contact isolation with booties
• Have the patient shower or give a bed bath
• Double bag personal belongings and seal bag with tape – send them home if possible
• Notify Environment Services (EVS) CAPTURE AND CALL (any bugs you find place in a
specimen container so Pest Management can identify the bug)
• Provide Patient Education on Bed Bugs to patient and families found on “ The Pulse” under the
clinical tab then patient education
If a student lives in an area that is at risk for bed bugs or they think they may have them at home, we ask
that they do the following:
• Do not bring items from home into work
• If they have a dryer at home, dry your work clothes on high heat for 30 minutes right before
coming to work (high heat kills all stages).
• Act early, the longer you wait the harder it is to treat. Contact a local pest company to confirm
the identity of the bugs. Contact your landlord if you rent.
• There are several methods to kill bed bugs including heat methods and pesticides. It may take
more than one method and one type of treatment to be successful.
• The presence of bedbugs may prevent the student from attending the hospital until the problem is
resolved and approval obtained from Infection Prevention personnel.
Patient safety
• If lifting or moving patient’s - utilize patient lifts….only use with a staff member who has had
specific training in the use of the lift.
• Prevent falls by identifying patients who are at high risk and take extra precautions. The Fall Risk
Assessment Protocol is located in our electronic medical record (EMR). DMH uses red footies to
identify our highest fall risk patients.
• Patient identification – requires the use of two identifiers whenever caring for patients. This might be
visually looking for patients name on the patient’s bracelet scanning the bracelet, asking the patient,
“Can you tell me your name”. All Patients must have an ID bracelet.
a. Should it be necessary to remove the identification bracelet, a new bracelet will be completed
and placed on the patient.
b. Types of bracelets
1. WHITE: Normal identification bracelet used for patients unless otherwise specified.
2. GREEN: Indicates patient is allergic to latex.
3. BLUE: Indicates patient is a “NO CODE” (has a “Do Not Resuscitate” order).
4. RED: Indicates venipuncture, arterial puncture and blood pressures on a particular extremity
is contraindicated.
a) This is NOT an identification bracelet but serves as an additional band on the patient.
It should be placed on the affected extremity when required by a patient's condition
(i.e. history of mastectomy, AV shunt, Subclavian Stenosis).
b) For patients undergoing surgery that restricts use of an extremity for blood
pressures, arterial or venous punctures (i.e. mastectomy), the red identification
bracelet will be applied in PACU following surgery.
c) Red identification bracelets will be labeled "DO NOT USE (specified extremity)."
5. Yellow: Blood Bank armband for transfusion of all blood products
• DMH has a List of “Do Not Use Abbreviations”, refer to the Pulse for complete list.
• Communication is the key for success for our patient’s well-being and continuity of care. Make sure
to communicate any pertinent information to the Nurse in charge of the patient’s care.
• Most importantly if you are not sure or don’t know ASK, anyone of our staff members will be happy
to help.
Restraints
If you are working in a clinical area, a restraint may be used to protect the patient from harm to self,
when an alternate intervention has failed. Some examples of restraint alternatives are low beds,
controlling a patient’s pain, moving a patient close to the nurse’s station. If the alternatives do not work,
an order for the application of a restraint is obtained from the physician. The order is only effective for
24 hours. The use of restraints will be documented in our EMR.
DHM Computer Systems Students who will need to access the EMR at DMH will complete a computer training class on how to
use the electronic medical record (EMR). For returning students, this class is available upon request
check with your instructor. If you experience difficulty signing onto a DMH computer call the help desk
at 4510. This will be coordinated through your instructor or coordinator of your student experience.
Smoking Policy
Decatur Memorial Hospital is committed to improving the health of the people of Central Illinois. As
part of that mission, we provide a smoke-free and tobacco-free environment for all patients, visitors, and
employees (including students). No smoking of cigarettes, cigars, e-cigarettes, vapor, or related
products is permitted within the Hospital or within any DMH owned/managed buildings and grounds.
It is our privilege to participate in your educational experience. We are committed to assisting
you in completing the requirements for your coursework. We believe that given the diversity of
patients who come to us for care, we can provide you with an excellent experience.
Welcome and thank you for choosing Decatur Memorial Hospital. We look forward to including you as a part of our team of skilled and caring health care
providers.
You have now completed the reading portion of this orientation module. If you have any questions
regarding the content of this module, please contact any of the persons on the contact list below.
Please print only the last page of this document and complete. Return the completed form along with
any required documentation to the DMH Director/Coordinator for your student experience (or school
instructor if indicated).
This must be completed prior to or on your first day at DMH.
Contact Information
Stacey Taylor BSN RN Education Manager (217) 876-2904 Email: [email protected] Tracy Newlin BSN RN Educator (217) 876-2910 Email: [email protected] Sarah Clark MSN RN
Decatur Memorial Hospital Intern/Student Orientation Form
1. I have read, understand, and agree to follow the Decatur Memorial Hospital Intern
Orientation that I read on-line.
Yes No 2. Dial ________ to page an emergency situation.
Student Signature / Date Print Name Clearly
Personal Email Address Phone Number
Department Interning with School Name and Program of study
(From): (To): Dates Interning Lic plate #
*Signature of School official if TB testing completed at school program entry:
_________________________________________ Date Completed: ______________
Return completed form to your DMH Director/designated student coordinator.
For Director/Coordinator Only: (Please check each box indicating item has been completed)
□ Affiliate agreement on file
□ Proof of Two-step TB screening and a negative test result within the last 12 months, Negative
QuantiFERON gold serum TB test or proof at school program entry OR a documented assessment of status prior to starting if a known TB reactor within the last year.
□ Proof of Flu Vaccine (October 1 – March 31)
□ Parking form completed and parking dashboard sign given to student
□ Student has a school issued badge or request for Hospital issued badge sent to HR ([email protected])
(Badge must be returned to HR at the end of the student experience)
