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Student Orientation. Sandy Heresa Manager Staff Development KSMC 8/06. Mission. Preserve and improve our patient’s health Provide high quality, affordable care Provide excellent customer service Partnership to achieve an excellent work environment. Who We Serve. Salem to the South

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student orientation

Student Orientation

Sandy Heresa

Manager Staff Development

KSMC

8/06

mission
Mission
  • Preserve and improve our patient’s health
  • Provide high quality, affordable care
  • Provide excellent customer service
  • Partnership to achieve an excellent work environment
who we serve
Who We Serve
  • Salem to the South
  • Longview/Kelso to the north
  • Clark County of SW Washington
  • Division/Rockwood to the East
  • Beaverton/Hillsboro to the west
who we serve1
Who We Serve
  • 454,000 members in NW
  • 171,000 KP Dental members in 15

clinics

pain management
Pain Management
  • All patients assessed and documented for acceptable level of pain on a 0-10 scale
  • Each patient’s response to pain intervention is documented in medical record
  • Annual training related to pain management
slide6
Pain
  • Pain is what the patient tells us
  • Assess for acceptable level of pain and document
  • Pain---the 5th Vital Sign
medical legal documentation issues
Medical Legal Documentation Issues
  • Do not:

Document “incident report completed”

Do not:

Tell patient or family member that “everything will be taken care of….Kaiser is responsible”

medical legal documentation issues1
Medical Legal Documentation Issues
  • Do Not:

Alter the medical record after the fact, trying to “clarify” or protect yourself

Late notation is ok if noted as such

Do not use white-out or mark out a notation in the chart

infection control
INFECTION CONTROL

IT’S EVERYONE’S BUSINESS

routes of transmission
ROUTES OF TRANSMISSION
  • Contact

1. direct

2. indirect

3. droplet

  • Vehicle
  • Airborne
  • Vector
direct contact
DIRECT CONTACT
  • Person to person spread
  • Actual physical contact between source and patient.
indirect contact
INDIRECT CONTACT
  • Patient comes in contact with contaminated intermediate object.
  • Intermediate object is passively involved in transmission.
droplet
DROPLET
  • Large particles that rapidly settle out on horizontal surfaces.
  • Brief passage of infectious agent through the air (usually a distance of 3 ft or less).
  • Infected person and susceptible host need to be relatively near each other (e.g. talking, sneezing, or coughing).
airborne
AIRBORNE
  • May involve varying distances between source and susceptible host.
  • Organism contained within droplet nuclei or dust particles.
  • Organisms suspended in air for extended periods; thus may be spread through ventilation systems.
standard universal precautions
STANDARD (UNIVERSAL) PRECAUTIONS
  • Consider all patients potentially infectious
  • Use appropriate barrier precautions at all times
wear gowns
WEAR GOWNS
  • During procedures that are likely to generate splashes of blood or other body fluids
wear gloves
WEAR GLOVES
  • When touching blood, body fluids, mucous membranes, or non-intact skin of all patients
  • When handling items or touching surfaces contaminated with blood or body fluids
  • Wash hands after removing gloves
wear masks and protective eyewear
WEAR MASKS andPROTECTIVE EYEWEAR

During procedures that are

likely to cause splashes of blood or other body fluids (to protect the mucous membranes of the eyes, nose, and mouth)

safe handling of needles and sharps
SAFE HANDLING OF NEEDLES AND SHARPS
  • Use appropriate sharps containers
  • Discard used sharps immediately
  • Avoid recapping needles
  • Active safety device
blood body fluid exposures
BLOOD/BODY FLUID EXPOSURES
  • First aid
  • Report exposure to supervisor
  • Fill out Employee Accident Investigation form
  • Call Employee Health
national patient safety goal jcaho improve communication
National Patient Safety Goal (JCAHO) Improve Communication
  • Follow do not use list of abbreviations
  • Follow established time frames for reporting critical lab & test results
  • Implement a standardized approach to “hand offs” allowing for opportunity to ask and respond to questions (SBAR-our tool)
communication sbar
Communication---SBAR
  • S-----Situation
  • B------Background
  • A------Assessment
  • R------Recommendation
body mechanics
Body Mechanics

Squat when lifting

Be aware of posture

Turn don’t twist

Use legs when lifting not the back

Hold object close to center of body

fire extinguisher
P Pull

A Aim

S Squeeze

S Sweep at

base of fire

Fire Extinguisher
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