MCCG Clinical Affiliation Orientation Recap

1. MCCG Clinical Affiliation Orientation Recap Offered by the Learning Center

2. Agenda • Operation Excellence/ Corporate Compliance Environment of Care (EOC) • Parking and Security • Equipment Updates and Safety Devices • OSHA – Blood borne Pathogens & TB • HIPPA • Post – Test

3. SO WHAT IS MCCG ALL ABOUT? 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. The Georgia Heart Center, Neurological, & Orthopedic programs have each earned a 5 star national rankings.

4. 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

5. 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

6. Refer to yourPINK Cards 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 Vision • To be a national leader in providing the safest, highest quality community-centered health care and wellness services  

7. Our Values Excellence - We continually strive to provide the highest quality service at the lowest possible cost, with the best utilization of our resources Diversity – We value and respect the uniqueness and dignity of all individuals Compassion – We respond through a caring environment to the holistic needs of those we serve

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

9. Medical Waste • Contaminated with blood, body fluids & infectious waste SAFEGUARD • 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

10. Bloodborne Pathogens • 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

11. Standard Precautions • Assume all body substances are potentially infected • Use Personal Protective Equipment including: • Eye or Face Shield • Gown • Shoe Covers • Mask • Gloves

12. Transmission-Based Precautions • Airborne PrecautionsTB, 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

13. 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.

14. Bed Linens 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

15. Sharps Use & Disposal Use Safety Devices Dispose in Sharps Container

16. OPERATION EXCELLENCE YOU are the face the public sees!! PLEASE be sensitive and responsive to our patients, visitors, and other staff members

17. 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?”

18. 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

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

20. Emergency Management Utilities Hazardous Materials General Safety Security Medical Equipment Fire Prevention 7 Disciplines of EOC (refer to PINKcards)

21. IN THE EVENT OF AN EMERGENCY (Refer to PINKCards) 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

22. CODE Blue or Blue PALS(Refer to PINKCards) In the event you are with a patient at the time of “arrests” or medical emergency: • Stay with the patient. • 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”.

23. Other Codes related Patient Care(Refer to PINKCards) • Code Lift • Code Green • Code Purple

24. CODE RED(Refer to PINKCards) • 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:If asked to participate in a fire drill, take action immediately.

25. Fire Safety(Refer to PINKCards) • R - Rescue anyone in immediate danger • A - Alarm pull nearest fire alarm station call 1600 • C - Contain fire by closing all doors/windows • E - Extinguishuse fire extinguisher • P.A.S.S. - pull pin, aim, squeeze, sweep

26. Codes related to Security(Refer to PINKCards) • Code B • Code Gray • Code Baby Pink

27. 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.

28. Callhospital police at 633-1490to request an escort.

29. Medical Equipment • Maintained by Clinical Engineering • Broken or Malfunctioning equipment should be “tagged” • Inspection stickers (Tell when the equipment is due for service)

30. Medical Equipment 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

31. 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.

32. MCCG Operation Safety • Based on JCAHO National Patient Safety Goals Who is responsible for patient safety? (EVERYBODY)

33. Safe Medication Administration All medications should be verified by2 patient identifiers at the bedside PRIORtoadministering the medication. Patient Identifiers include: • Name • Date of Birth • MR #

34. 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

35. 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

36. 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

37. Other Safety Measures-Approved Abbreviations

38. Other Safety Measures Approved Abbreviations

39. 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

40. 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 PINKcard

41. 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

42. 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

43. 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

44. 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.”

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