ANNUAL REVIEW ONLINE

1. ANNUAL REVIEW ONLINE Welcome

2. Print out all forms:Complete front and back • Test • Compliance and Confidentiality Form • TB Health Assessment Form

3. SAFETY

4. SAFETY • KDMC Safety Officer: Clyde Sbravati • MSDS SHEET: Material Safety Data Sheet: This information is now available via phone. • 1-800-451-8346 • Information will be read for you or they will FAX the information to you.

5. MSDS FORM SHOULD HAVE THE FOLLOWING INFORMATION: • Where product come from. • Composition and information on the ingredients. • Physical data. • Boiling point • Appearance • Potential health effects • Emergency and first aid measures. • Fire fighting measures and procedures. • Handling and storage of the chemical. • PPE needed to handle the chemical spill. (The hospital will provide you with the equipment needed.

6. Your Nametag: • Should be worn by all employees while at work. • Never loan your nametag to anyone.

7. Be Safety Alert: • Report all unsafe practices, conditions, defective equipment and or injuries to your supervisor, Safety Committee or Safety Officer. • Use required personal protective equipment in specified areas and on designated job duties. • Operate equipment only after have been authorized and trained to do so, and follow all safety rules, procedures and practices. • Respond to emergency situations in accordance with medical center and departmental polices and procedures.

8. SENSITIVE AREAS OF KDMC • Nursery • Medical Records • Back Loading dock • Pharmacy • Emergency Department

9. Chemical Spills • Mercury spill kits are located at each nurses stations. • There is a big gray barrel with red lettering, located in materials management for chemical spills

10. Electrical Safety: Unplug Equipment from wall immediately if you notice: • A burning smell. • Equipment is hot to touch. • Equipment is smoking • You feel a shock or tingling feeling. • Report Cords and Wall plugs if you notice: • Cracks in insulation • Bent or missing AC plug or prongs • Burn marks on AC plug • Warm or Hot power cords.

11. What is a Disaster or Code Black? • An external or internal disaster occurs when an incident produces casualties of such numbers, that the routine methods for patient care are not adequate. • If a disaster occurs while you are off duty, you will received notice that you are needed at KDMC by phone, radio or TV announcement. • It is your responsibility to respond to any disaster at KDMC. Be sure your home phone and cell phone numbers are up to date in the Human Resources office and with your immediate supervisor.

12. Code Force: Non-medical emergency Available employees should report to the location called.

13. Code Gray: Tornado • Move as many patients as possible to the hallway. • Move all others away from the windows. • All other employees should move to 1st floor hallway by dietary.

14. Code Red: Fire Alarm, RACE • R-Remove anyone in the danger area. • A-Alarm, dial 711 and announce the location of the fire. • C-Control fire with extinguisher. • E-Evacuate patients to a safe part of hospital

15. Code Red: Fire • Get Fire extinguisher and report to area called. • Use Pass for fire extinguisher. • P-Pull pin • A-Aim Nozzle • S-Squeeze handle • S-Sweep at the base of the fire.

16. Code Pink / Code Adam: Missing baby or missing child. • Report to the nearest exit. • No one should be able to leave or enter the building. • Try to obtain a description of child • Age Sex Race • Hair and eye color • Clothing • Type and color of shoes

17. Code Blue: Cardiac Arrest Available medical staff, Code Team, should report to the location called.

18. SAFE LIFTING& BODY MECHANICS

19. Proper Sitting: • Sit in a chair that has proper low back support. • Keep your feet flat on the floor. • Keep your hips at a 90% angle. • Avoid slumped sitting. • Keep your chin tucked in and avoid head forward posture. • Avoid prolonged sitting. Change positions frequently.

20. Lifting Safely: Bend your knees, not your back, and you greatly reduce stress to your low back. Keep the load close to your body and carry heavy objects waist high.

21. 5 Key Points of Proper Lifting: 1. Plan ahead, rearrange area and get help if needed. 2. Bend your knees not your back. 3. Keep the load or patient close to your body. 4. Use a good wide base of support. 5. Pivot your feet when turning-avoid twisting.

22. Pushing or Pulling? If you have a choice-PUSH! • Pushing is more mechanically efficient. • Keep your back straight. Bend as you push. • Reposition your body as you push. Don’t let the load get too far in front of you.

23. Carrying a Load: • Support the load in two places, side and bottom. • Hold the load close to your body, keep your back straight. • Carry with a slight bend in your elbows. • If you carrying shopping bag or luggage- split the load and carry a lighter load on each side.

24. Reaching: • Pace your work and get as close as you can. • Avoid standing on your ‘tip toes’, use a stool or ladder if necessary. • Store frequently used items within easy reach. • Use one hand for extra support if possible. • Avoid prolonged overhead work without breaks.

25. Common Mistakes of Body Mechanics: • Lifting with the Back Bent and the leg Straight. • Lift with your legs not your back. • Using Fast Jerking Motions. • This adds additional stress on back and joints • Bending and twisting at the same time. • This causes maximum stress on the lower back.

26. Common Mistakes Continue: • Load too far away. • Load at arms length weights 7-10 time more. • Poor planning • Failure to anticipate needing assistance • Poor communication • Let patients know what to expect, they can help. • Insufficient strength • Not strong enough to lift the patient or load.

27. Remember: • Lift with your legs and not your back. • Keep back straight. • Bend at the legs. • Lift your head before you lift. • Maintain natural sway in lower back.

28. FALL PREVENTION

29. Fall Risk Assessment • Should be completed on every patient. • If your patient does fall: 1.Complete Occurrence Report. 2.Complete Fall Report in Meditech Nursing 3.Place on “High Risk” Fall precautions if not on it already. 4.Notify physician and family.

30. “High Risk”Fall Precautions: • Yellow armband and door card. • Room near nurses station. • Possible bed alarm. • 4 side rails up. • Sitter at bedside. • Bed in low position.

31. PATIENT RIGHTS EVERY PATIENT SHOULD RECEIVE A “Patient Rights & Responsibilities” Hand Book

32. The Patient Bill of Rights.Each Patient has the Right to: • Be treated with dignity & respect • Expect privacy & confidentiality • Make informed decisions • Participate in all aspects of care • Establish advance directives • Receive impartial access to care • Be given full financial information

33. Help Them Develop an Advanced Directive • Advising of their right to advance directives. • Asking if they have an advance directive. • Assisting them in developing advanced directives. • Including the information in their medical record.

34. Patient’s Bill of RightsEach patient has the right to: • Know the identity & professional status of all healthcare workers. • Participate voluntarily in research & education projects. • Receive full knowledge of their rights and responsibilities.

35. Patient RestraintsWhen Are Restraints Used? • Only with a doctors order to include: • The type of restraint to be used. • The length of time the restraint is to be used. • Reason for the restraint. • Document every two hours on restraint sheet circulation and skin condition. • Checked at least every 15 minutes. • Signed by physician within 1 hour. • New order every 24 hours

36. How Are Restraint Used? • Follow manufactures directions. • Use correct size. • Fasten straps tight but not constrictive. • Do not place over IV Site or wound. • Tie knots for easy release. • Only trained personnel should apply.

37. Problems That Can OccurFrom Using Restraints: • Increase agitation • Circulatory impairment • Asphyxiation D/T aspiration or restricted respiratory function. • Seizure Pts can suffer fractures or trauma. • Alternative: • Have family stay with patient. • Move them out to the desk. • Try to fix what is bothering them.

38. National Bereavement Sign If you see this sign on a patient door, it means there is a “sensitive” situation going on involving possible loss or death. Please be respectful.

39. Visitation Rights Patients have the right to choose who may visit them. They have the right to choose someone who is not related by blood or law. This includes, but is not limited to: • A Friend • A Domestic partner (any gender) • A Neighbor • A Significant Other

40. WORKPLACEVIOLENCE POLICY: KDMC does not tolerate acts of workplace violence committed by or against employees.

41. If Conflict Occurs: 1. Stay Calm 2. Listen attentively 3. Maintain eye contact 4. Be courteous, but maintain your distance 5. Signal for someone to call for help 6. Never try to grab a weapon

42. Early Warning Signs: • Nervous behavior. • Loud, over bearing personality. • Threatening others. • Getting in your face. • Clinched fist. • Flashing a weapon. • History of violence.

43. If Violence Strikes: • Take action to protect yourself. • Call for Code Force. • Remove patients & visitors to safe area. • Don’t try to take away a weapon. • Don’t try to restrain the person alone.

44. Safe Practices: • Don’t leave scalpels or needles unsecured. • Obtain history: ask about cuts & bruises. • Know way to contact Security. • Overhead page • Pager • Radio

45. Watch for Signs of Abuseto our Patients: • Physical Indicators: • Unexplained bruises in different stages of healing. • Complains of abuse at home. • Patterned injuries. (Buckles, belts, burns) • Untreated old injuries. • Delay in receiving help. • Attempted suicide.

46. Questioning the Suspected Abuse Patient. • Provide a safe environment. • Interview patient alone. • Have Security escort others out of the room if need. • Ask direct, non-threatening, non-judgmental questions.

47. INFECTION CONTROL Bloodborne Pathogens

48. What are Bloodborne Pathogens? They are viruses, bacteria and other microorganisms that: are carried (borne) in the person’s bloodstream and in certain other body fluids cause disease If a person comes in contact with infected blood or certain other body fluids, he or she might become infected too!

49. Non-Infectious Body Fluidsfor Bloodborne Pathogens: • Sweat • Saliva • Tears • Urine • Feces • Vomitus • Nasal secretions

50. Infectious Body Fluidsfor Bloodborne Pathogens: • Blood • Fluid around or in an organ • Any body fluid that contains blood