MCCG Clinical Affiliation Orientation Recap

Offered by the Learning Center

Agenda • Operation Excellence/

Corporate ComplianceEnvironment of Care (EOC)

• Parking and Security

• Equipment Updates and Safety Devices

• OSHA – Blood borne Pathogens & TB

• HIPPA

• Post – Test

SO WHAT IS MCCG ALL ABOUT?

The Georgia Heart Center,Neurological, & Orthopedicprograms have eachearned a 5 starnational rankings.

The Medical Center is one of 148 hospitals in the world to earn Magnet status. This designation makes the hospital part of the American Nurses Association's Magnet Recognition Program.

SO WHAT IS MCCG ALL ABOUT?

ONLY dedicated

Children’s Hospital

in Central and South Georgia

The area’s ONLY

Level I Trauma Center – one of only four in the state of Georgia

SO WHAT IS MCCG ALL ABOUT?

• Off-campus Services:– Urgent care centers – Med Centers North, East and Northwest – Neighborhood Healthcare Centers– The Wellness Center & Macon Health Club – Heartworks cardiac rehab – Central Georgia Diagnostics – Central Georgia Fertility Institute– Anderson Health Clinic

Refer to your PINK Cards

Our Mission Our Mission  • To enhance the health status of those we serve • Partner with medical staff and community• Provide wellness services, health education and training, and

access to safe, high quality health care.

  Our VisionOur Vision     • To be a national leader in providing the safestsafest, highest qualityhighest quality

community-centered health care and wellness services  

Our Values

Excellence Excellence - We continually strive to provide the highest quality - We continually strive to provide the highest quality service at the lowest possible cost, with the best utilization of service at the lowest possible cost, with the best utilization of our resourcesour resources

DiversityDiversity – We value and respect the uniqueness and dignity of – We value and respect the uniqueness and dignity of all individualsall individuals

CompassionCompassion – We respond through a caring environment to the – We respond through a caring environment to the holistic needs of those we serveholistic needs of those we serve 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA) & BLOOD BORNE PATHOGENS

Medical Waste

• Contaminated with blood, body fluids & infectious waste

SAFEGUARDSAFEGUARD– Check for leaks– Dispose in Red bag trash– Handle with gloved hands– Keep bags away from uniform– Place Non-disposable equipment in a labeled

“biohazard” bag

• Micro-organisms (germs) that are present in blood and certain body fluids of an infected person and can be transmitted from one person to another causing disease

• Common pathogens:– HIV – causes decreased immune system

– Hepatitis B (HBV) or Hepatitis C (HCV) – causes

significant liver damage

Bloodborne Pathogens

• Assume all body substances are potentially infected

• Use Personal Protective

Equipment including:– Eye or Face Shield– Gown– Shoe Covers– Mask– Gloves

Standard Precautions

– Airborne Precautions TB, Varicella (chicken Pox)

• Patients placed in negative air pressure rooms• Healthcare providers wear respirator mask

• Patients must wear surgery mask when leaving room• Students assigned to patients with these precautions

must obtain “fit-test” of mask with Employee Health

Transmission-Based Precautions

• Droplet Precautions– Influenza & streptococcal pneumonia– Infection spread by coughing and

respiratory secretions

• Contact Precautions– Symptomatic with enteric or gastrointestinal

infection

– Gown & glove.

Transmission-Based Precautions

Clean Linens

– Stored in a closet or covered rack– Wash your hands before taking linens– Avoid contact with uniform– Place on a clean area in the patient’s room– Take ONLY what is needed

Dirty Linens– Place in a hamper or bag – NEVER on the floor

Bed Linens

Use Safety Devices

Dispose in

Sharps Container

Sharps Use & Disposal

OPERATION EXCELLENCEOPERATION EXCELLENCE

YOU are the face the public sees!!

PLEASE be sensitive and responsive to our patients, visitors, and other staff members

One-on-One encounters

• Smile, make eye contact & look approachable.

• Ask if we can help if someone appears lost

• Stand to one side before boarding the elevator

• Make the extra effort to determine the answer or solution when an answer to a question or concern is not known.

• Stay to one side when walking in the hallways in order to facilitate the flow of “people traffic”

Ask “Is there anything else I can do for you?”

Respectful Care

Patients have different cultures, values & beliefs

• Every Patient has the right to receive care:– Equally– Respectfully– With Kindness & Compassion– To the best of our ability– With confidence &

trust in caregivers– Without expectation that they should

be exposed to our own beliefs and

values

CORPORATE COMPLIANCE

• MCCG is a:– Tax-exempt organization– Participate in government programs– Strive to act honestly and ethically in all relationships.

7 Disciplines of EOC (refer to PINK cards)

Emergency Management

Utilities

Hazardous Materials

General Safety

Security

Medical Equipment

Fire Prevention

IN THE EVENT OF AN EMERGENCY(Refer to PINK Cards)

POINTS TO REMEMBER:

• Patient Care staff or faculty member will inform you as needed

• Do not become alarmed or panic.

• Refer to your Pink EOC card for CODES

• Access the Code System by dialing: Extension 1600

CODE Blue or Blue PALS (Refer to PINK Cards)

In the event you are with a patient at thetime of “arrests” or medical emergency:

1.   Stay with the patient.2. Call for immediate assistance (use all options):

• Use the nurse call signal • Contact the hospital operator at EXT. 1600 – tell them exactly

where you are & the situation

Tell the Code teams, when they arrive, exactly what you observed that prompted you to “call the code”.

Other Codes related Patient Care (Refer to PINK Cards)

• Code Lift

• Code Green

• Code Purple

CODE REDCODE RED (Refer to PINK Cards)

• PULL THE ALARM• Don’t prop doors open – COMPARTMENTALIZE

• If a door is warm to the touch DO NOT OPEN

• Do not use elevators during an alarm

   Fire Drills:Fire Drills: If asked to participate in a fire drill, take action immediately.

Fire Safety (Refer to PINK Cards)

• R - Rescue anyone in immediate danger• A - Alarm pull nearest fire alarm station call 1600• C - Contain fire by closing all doors/windows • E - Extinguish use fire extinguisher

– P.A.S.S. - pull pin, aim, squeeze, sweep

Codes related to Security (Refer to PINK Cards)

• Code B

• Code Gray

• Code Baby Pink

Parking & Security

Park in Lot # 7 • Located on the corner of Arch Street & Second St

Display “hang tag” from the rear view mirror of your car• To be obtained by Faculty

DO NOT park in undesignated, time limited, or “no parking” areas. • There is the possibility of damage to your car• Police do give tickets & tow offenders.

Call hospital police at 633-1490 to request an escort.

Medical Equipment

• Maintained by Clinical Engineering

• Broken or Malfunctioning equipment should be “tagged”

• Inspection stickers

(Tell when the equipment is

due for service)

Alaris Medley Pump

– Used for IV infusions administered over a given timeframe or in a specific dosage per body weight

– Guardrails Drug Library

– Always “PLUG EM’ IN”Student Role:

- Administer IV medications with supervision

-Observe

- Complete Check off

Medical Equipment

Utility Systems

Cellular Phone Policy• Use of cellular phones is strictly prohibited

within 6 feet of patients on medical equipment.

• Use of RF (radio-frequency) transmitters, (i.e. walkie talkies, two-way radios, etc.) is prohibited when in close proximity to patients

on medical equipment.

MCCG Operation Safety

• Based on JCAHO National Patient Safety GoalsJCAHO National Patient Safety Goals

Who is responsible for patient safety?

(EVERYBODY)

Safe Medication Administration

All medications should be verified by 2 patient identifiers at the bedside PRIOR to administering the medication.

Patient Identifiers include:• Name• Date of Birth• MR #

Safe Medication Administration

  Select medications must be double checked by 2 licensed individuals prior to administration.

These include: – I.V. Digoxin– I.V. or S.C. insulin– Anticoagulants– I.V. sedatives/narcotics – I.V. potassium

Safe Medication Administration

• Students may NOT hang Chemo: – You may monitor patients receiving such treatments.

• Students may NOT hang blood or blood products. – You may monitor vital signs

Other Safety Measures

Audible Clinical Alarms• Assure alarms are audible to be heard over

competing noise

Time Out• Prior to surgical or invasive procedure• Confirm correct:

– Patient– Procedure– Site

Other Safety Measures-Approved Abbreviations

Do Not Use Write Instead

“mg” “mcg” or “micrograms”

“u” “units”

“Mg or MgSO4” “Mag Sulfate” or “Magnesium Sulfate”

“MS or MSO4” “Morphine”

“IU” “International units”

“Q.D. or QD or qd” “daily” or “every day”

Other Safety Measures Approved Abbreviations

Do Not Use Write Instead

“Q.O.D. or QOD or qod” “every other day”

“T.I.W.” “three times a week”

“GM-CSF” sargramostim or Leukine®

“G-CSF”   filgrastim or Neupogen®

Other Safety Measures

Hand Hygeine

• Wash Hands before & after patient contact

• Use Alcohol Based Sanitizers

• Nails - NO longer than 1/4 inch from fingertip

• Artificial Nails are NOT permitted

Incident Response

If an error occurs:

– Immediately notify your faculty & preceptor

– Assist in completing a Confidential Incident Report for patients

– Forward Report to Risk Management

Refer to Incident Response area on PINK card

Injury Reporting

If an injury occurs:

– Report to your instructor

– Document on a MCCG Confidential Incident Report for visitors

– Seek medical attention in the EC

(Treatment will be at the expense of the individual)

Refer to Incident Response area on PINK card

PERSONAL SAFETY

• Drive slowly on MCCG property, in parking lots, parking decks

• Observing the smoke-free policy • Reporting untidy, unsafe, or unsanitary conditions to the

charge nurse • Know emergency codes• Be mindful of noise levels

HIPAA

(Health Insurance Portability and Accountability Act) • CONFIDENTIAL INFORMATION

– Written – Verbal – Visual – Electronic – Printed

• While patient medical record information may be needed to assess, treat, and manage a patient's medical condition, all patient information, regardless of how obtained, is confidential and should be discussed only with other health care professionals directly involved in the patient's care.

• Students and faculty are not permitted to copy or remove elements of the patient’s medical record or printouts

NPNINo Press No Information

• ANY patient may choose the status

• Hospital police may initiate

• KEY PHRASES:

“I’m sorry, we do not have a patient by that name”

OR

“They have chosen their identity here be confidential.”

TEST TIME

Click on Post Test button. Print test, complete and return to your clinical instructor (80% score is necessary)

Post Test