Welcome to HealthSouth Rehabilitation Hospital of Austin Nursing Student Orientation

1. Welcome to HealthSouth Rehabilitation Hospital of Austin Nursing Student Orientation

2. We are thrilled to have you complete your nursing rotation with us and we look forward to having you participate in the exceptional care and rehabilitative services that we provide to our patients.

3. Agenda The agenda for this presentation Welcome Mission Statement Environment of Care and Culture of Safety HIPAA Privacy Acknowledgement Tests and Forms Environment of Care HIPAA Acknowledgement Confidentiality Agreement

4. Our Mission Statement �Getting people back to work, to play and living.�

5. Environment of CareRicky Nevels, Director of Plant Operations and Safety

6. General Safety GuidelinesA copy of the Safety Manual is Located in each Department Report any unsafe condition immediately to your supervisor. Any foreign matter on the floor should be removed or mopped up immediately. Report all injuries, however slight, to first responder and secure first aid. Report all patient problems and complaints to the supervisor in charge. Walk don�t run in the building, use caution at all corners. Open all swinging doors carefully. Observe all warning signs. Never engage in horseplay or practical jokes, they can have tragic consequences. Know your duties during a fire and disaster.

7. Hazardous Materials and Waste Management Removal of Medical Waste � housekeeping staff removes the waste from each floor daily and the company (Texas Environmental Services) removes the waste from the facility Monday, Wednesday and Friday. The Material Safety Data Sheets (MSDS) will be reviewed annually. Any and all chemicals used in the facility must be reviewed prior to use. Appropriate committees must approve all cleaning agents used to clean and sanitize the patients� rooms prior to use. MSDS manuals are located in the nursing station on each floor and in each department.

8. Fire Prevention Management Fire drills are conducted 1 per shift each quarter. Keep all areas clean and free of clutter. Doors and halls must be kept free of obstructions at all times. Doorstops are not authorized for use in the facility. Check power cords on equipment � no torn/frayed or tape should be on cords. NO SMOKING is allowed anywhere within the facility. Austin city ordinance requires no smoking within 15 feet of any entrances. The designated smoking areas for staff are located out the door by the elevators and on the east-end of the facility Keep all items at least 18� from ceiling.

9. HEALTHSOUTHEmergency Codes

10. Code Red � Fire Fire Drills - 1 per shift each quarter Fire Response R.A.C.E. Fire extinguisher use P.A.S.S.

11. Fire ResponseR.A.C.E. Rescue anyone in immediate danger if it can be done safely Alert/activate alarm system Confine area Extinguish if possible or evacuate horizontal then vertical

12. Fire Extinguisher UseP.A.S.S. Pull the pin Aim nozzle at base of fire Squeeze the handle Sweep side to side

13. Code Zero - Internal Disaster Prepare for evacuation but do not evacuate unless directed by the Administrator, Administrator on Call (AOC), safety officer or local authorities. Preparations include: consolidating patient medical records, patient medications, patient care items, blankets, etc.

14. Code Brown - External Disaster Code Brown Policy Initiated in response to a disaster outside the facility Administrator/Administrator on Call will initiate Command post will be set up inside the Cafeteria Annex Triage Team will be in Outpatient Gym, 1st Floor Treatment Team will be in Day Hospital Manpower Team will be in cafeteria PBX will notify staff over paging system Specific duties are listed in the Emergency Preparedness (EOC EP.406.02)

15. Code Yellow - Bomb Threat The person receiving the call should gather as much information from the caller as possible. Remain calm notify maintenance or security staff check areas for any suspicious objects or boxes If the facility must be evacuated, it will be done only at the direction of the Administrator, AOC, Safety Officer or local authorities.

16. Code Blue � Cardiac Arrest Cardiac or Respiratory Arrest Appropriate staff will respond immediately to the location and provide care as needed. Emergency services will be contacted at 911 and person transported to the nearest hospital as needed.

17. Code Grey � Disruptive Behavior This code is used in the event someone becomes aggressive towards staff or patients. The appropriate staff member should try to talk with the person to calm them down and diffuse the situation as quickly as possible. Maintenance and security staff will immediately respond to the location to provide assistance.

18. Dr. Stat � Patient Elopement This code is used in the event a patient cannot be found. Staff will respond to the location and immediately begin a search of the facility and surrounding area.

19. Code Twist � Inclement WeatherSevere Severe weather anywhere in the local area. Patients and staff should be moved to a secure area away from glass or flying debris.

20. Code Triage � Bio-terrorism Readiness Healthcare facilities may be the initial site of recognition and response to bioterrorism events. If bioterrorism event is suspected, immediately contact Administrator, AOC, Infection Control. Disaster preparedness drills held at each facility on an annual basis

21. Code Down � Patient/Visitor Down The purpose is to notify appropriate medical staff during non-emergency situations. If an unknown medical emergency occurs other than Code Blue, dial 71 and announce CODE DOWN and location. The first staff members to arrive should be any physician, Nurse Manager, Risk Manager, Director of Clinical Services and Maintenance.

22. Emergency Preparedness The in-house phone extension is �77� and is used to report all emergencies. Extension �71� can be dialed from any in-house phone to activate the hospital�s public address system.

23. Patient Safety

24. Patient Safety Program A new focus by JCAHO (Joint Commission) has been placed on the patient safety program. This focus includes the review of the following goals: How to insure proper patient identification. How to implement a verbal order read-back policy. How to verify the correct site, correct patient and correct procedure (related to more surgical hospitals). How to make sure your alarm systems are in proper working order (nurse call, pumps, bed alarms, etc. patient care items). The proper documentation of these must be recorded and forwarded to appropriate committees. All patient equipment must be properly cleaned prior to the next patient use.

25. Please complete the Environment of Care Test & Culture of Safety Form

26. HIPAA Health Insurance Portability And Accountability Act Nursing Student Orientation

27. HIPAA Privacy Training Health Insurance Portability and Accountability Act What is this?

28. HIPAA Privacy Training Confidentiality and Privacy mean that the patients have the right to control who will see their protected health information. With the enactment of the Health Information Portability and Accountability Act of 1996 (HIPAA), a patient�s right to have his/her health information kept private, secure and confidential became more than just an ethical obligation of healthcare providers; it became a federal law.

29. HIPAA Privacy Training Protected Health Information (PHI) includes patient identity, address, age, social security number and any other personal information that patients are asked to provide. In addition, protected health information includes why a person is sick or in the facility, what treatments and medications he/she may receive, and other observations about his/her condition or past health conditions.

30. HIPAA Privacy Training Healthcare providers use information about patients to determine what services they should receive. Ask yourself before looking at any protected health information: Do I need this in order to do my job and provide quality care? What is the least amount of information I need to do my job? Depending on your task, if you do not need to know confidential patient information, then you should not access it.

31. HIPAA Privacy Training Healthcare providers use information about patients to determine what services they should receive. Ask yourself before looking at any protected health information: Do I need this in order to do my job and provide quality care? What is the least amount of information I need to do my job? Depending on your task, if you do not need to know confidential patient information, then you should not access it.

32. HIPAA Privacy Training Ways to protect a patient�s privacy include: Keep discussions about patient care private if reasonably possible by closing doors, pulling curtains and conducting discussions so that others cannot overhear. Keep medical records locked and out of public areas. If you find that you are overhearing someone else discuss patient information, politely remind the individual of the privacy policies and let them know they can be overheard. Do not release any patient information, unless authorized by the patient. Do not leave messages on answering machines regarding patient condition or test results. If there are persistent problems regarding the breach of confidentiality or you have any questions, please notify or contact your supervisor.

33. HIPAA Privacy Training Please sign the HIPAA Volunteer and Nursing Student Training/Orientation Form

34. Nursing Student Orientation We are happy to have you in our hospital as a nursing student and wish you the very best for your future. We would love to have your feedback about our facility. Our goal is to make HealthSouth Rehabilitation Hospital the �Employer Of Choice� in the Austin area.

35. Confidentiality Please sign the Confidentiality Agreement Form

36. Nursing Student Orientation Please address your comments to any of the following: Bob R. Prehn, CEO 479-3525 Lisa Kunz, Director of Nursing 479-3517 Marilyn Jennings, Director of HR 479-3541