History of VIMHistory of VIM

An estimated 120,000 working Jacksonville citizens have no health insurance.

VIM-Jax proposes to serve the working uninsured and their families by operating a volunteer-run clinic where patients will receive free primary medical care, counseling services and medications they need to live healthy productive lives.

History Cont.History Cont.

The VIM model was created in 1994 by Dr. Jack B. McConnell in Hilton Head Island, South Carolina.

VIM’s ongoing success with the assistance of a grant from the Ortho-McNeil Pharmaceuticals is repeated daily in many volunteer run clinics from Florida to Oregon.

Mission StatementMission Statement

The Volunteers in MedicineJacksonville clinic is a volunteer run medical clinic that provides primary medical services to the working uninsured of Greater Jacksonville

Operations are funded through private and corporate donations, grants, and on-going fundraising

StaffStaff

Care is provided by volunteer physicians, nurses, nurse practitioners and non-medical community volunteers.

Community partners providing specific services on an outsource basis

A small paid staff to coordinate and effectively administer the clinic.

Board of TrusteesBoard of Trustees

James N. Burt, MD Kevin Hyde, Esq. Dorothy S. Dorion,

RN, MS Guy Cuiddihee Li Loriz, PhD C.B. McIntosh, MD Heather Duncan

Rev. Richard A. Petry George E. Ridge, Esq. Leo Alonso, D.O. Ron Mallett Gene Baker, PhD Lisa Weatherby

VIM ObjectivesVIM Objectives

Provide free primary care medical and counseling services.

Improve community health through education and preventative medicine.

Encourage care providers and receivers to contribute to the community’s well being.

Promote volunteerism and community spirit.

Patient Criteria for ServicesPatient Criteria for Services

Residency-patients live or work in Duval County Income-patients have an income level between

$13,000-$25,530 per year for a single individual. Uninsured-patients are without private or

government funded medical insurance. Employment-one or more family members are

gainfully employed.

VisionVision

May we have eyes to see those rendered invisible and excluded; open arms and hearts to reach out and include them; healing hands to touch their lives with love, and, in the process, heal ourselves.

Keys to Success• Quality Management

• Efficient, Low-cost Operation

• Enthusiastic and Committed Volunteers

• Broad Base of Community Involvement and Support

Clinical Volunteer SectionClinical Volunteer Section

Infection Control, HIPAA, HIV & Fire Safety

Infection ControlInfection Control

OSHA is a regulatory agency that oversees occupational health and safety.

Protection against blood borne pathogens

You can help prevent the spread of infection by following three basic guidelines.

1.1. Practice Optimal Hand Practice Optimal Hand Hygiene!Hygiene!

Hand Hygiene is the single most important method of preventing the spread of infection.

Hand Hygiene is a general term that includes: Hand washing with plain soap or antiseptic soap

and water. Use of waterless hand rub for routine hygiene.

2. Perform Hand Hygiene…2. Perform Hand Hygiene…

When arriving at the clinical work area Before and after having direct patient care contact

with the patient’s intact skin. Before performing invasive procedures or other

sterile procedures, whether or not sterile gloves are worn.

Before meals After coughing, sneezing, or blowing your nose After using the restroom When hands are visibly soiled

3. Effective Hand washing 3. Effective Hand washing TechniqueTechnique

1. Wet hands with warm water

2. Apply 3-5 ml (2-3 teaspoons) of soap to hands

3. Rub hands together for at least 15 seconds, covering all surfaces of the hands and fingers

4. Rinse hands with water and dry thoroughly

5. Use towel to turn off the faucet

Remember…..Remember…..

Hand hygiene is the single most important method of preventing the spread of infection!

HIV/AIDSHIV/AIDS

What is HIVHuman Immunodeficiency Virus is a

retrovirus that causes AIDS.It destroys the essential conduction of the

immune systemThe only way to determine whether HIV is

present is through blood test.

Transmission of HIVTransmission of HIV

Exposure to blood or other potentially infectious material

IV drug users from needle sharing

Homosexual contact Heterosexual contact

Transfusion of blood or blood products contaminated with HIV

Occupational needle stick injury and other blood exposures

During pregnancy, during delivery and after birth

You will not get HIV by the You will not get HIV by the following:following:

Touching Social kissing Coughing Sneezing Contact with eating

utensils, water fountains and toilet seats

Using public facilities such as swimming pools

Being close to other people or in crowded spaces

Preventing the spread of HIV:Preventing the spread of HIV:

Not sharing needles or personal items which may be contaminated with blood.

Protect open wounds from contact with blood and body fluids by properly covering any broken skin surfaces.

Practice good hand hygiene

Hand hygiene before and after patient contact, even if gloves are worn

Use appropriate protective equipment, gloves, gown, masks, etc.

OSHA/Blood Borne OSHA/Blood Borne PathogensPathogens

Blood borne pathogens can potentially reside in:

BloodSemenVaginal secretionsBody fluid with visible bloodOther body fluids

Fire SafetyFire Safety

There are three exits, the main entrance, a rear exit on the first floor and a rear exit on the second floor.

A fire extinguisher is located on the first floor near the reception area. Extinguisher instructions:1. Pull ring pin2. Stand 8’ from fire3. Aim at the base of the fire, use extinguisher upright.4. Squeeze the lever, sweep from side to side

HIPAAHIPAA

What is it? National Legislation passed by congress in 1996 that resulted in total reform.

It was passed to guarantee that persons changing jobs would not lose coverage.

It standardizes how medical information is shared and guarantees patient security and confidentiality.

HIPAA: Why is it important to HIPAA: Why is it important to VIM-Jax?VIM-Jax?

All volunteers are going to be exposed to sensitive information.

To protect the dignity and privacy of our guests, we need to respect their protected health information.

What constitutes protected What constitutes protected health information?health information?

Name and Address Phone and fax numbers Medical record numbers Insurance information Social Security numbers Certificate/license

numbers Internet addresses

Hospital records Identifying

characteristics Vehicle ID Numbers Photographs Device identifiers Any medium with

patient information.

HIPAA SummaryHIPAA Summary

Treat guest information as if it was your own. Disclose the minimum amount of information

necessary. Only give personal information to those directly

relevant to care and treatment. Patients ultimately make the decision regarding

the use and release of their information.

QuizQuiz

1. The first step to take when there is an exposure to blood/body fluids is to:

A. Report immediately to the Emergency Department

B. Complete an accident reportC. Notify the clinic managerD. Wash the exposed area

immediately and thoroughly.

QuizQuiz

2. HIV can be spread by occupational needle stick injury, sexual contact, during delivery or an HIV+ mother to her baby.

True or False

Quiz Cont.Quiz Cont.

3. It is acceptable to share patient information with other volunteers.

A. True

B. False

Quiz Cont.Quiz Cont.

4. Which of the following is proper hand washing technique:

A. Rub hands together for 5 seconds under warm water.B. Wet hands with warm water, apply 3 ml of soap, rub hands together for 15 seconds

covering all surfaces of the hands and fingers, rinse hands with water and dry thoroughly, use a towel to turn off the faucet.

C. Use warm soapy water to wash palms and fingers, dry hands on jeans.

Quiz Cont.Quiz Cont.

5. Hand hygiene is the single most important way to prevent the spread of infection.

A. True

B. False

AnswersAnswers

1. D

2. A

3. B

4. B

5. A

ReferencesReferences

Volunteers in Medicine Institute. (2005). Volunteers in Medicine Institute. Retrieved April 4, 2005, from http://www.vimi.org

Volunteers in Medicine Jacksonville. (2004). Volunteers in Medicine Jacksonville [Brochure]. Jacksonville, FL: Author.

Volunteers in Medicine Jacksonville. (2005).

Retrieved April 4, 2005, from http://www.vim-jax.org www.improvingchroniccare.org/tools/index.html