Student orientation
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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

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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


Student orientation

Pain

  • Pain is what the patient tells us

  • Assess for acceptable level of pain and document

  • Pain---the 5th Vital Sign


Medical legal

Medical Legal


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.


Hand hygiene

The most important measure you can use to prevent the spread of infection

HAND HYGIENE


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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