Universal Student Hospital Orientation. A Collaborative Project of the Nassau Suffolk Coordinating Council of Nursing Education and Practice and the Nassau Suffolk Hospital Council Inc. Effective Fall 2010 Final Copy/Presented to NSHC 7-16-10. Introduction.
A Collaborative Project of the Nassau Suffolk Coordinating Council of Nursing Education and Practice and the
Nassau Suffolk Hospital Council Inc.
Effective Fall 2010
Final Copy/Presented to NSHC
Affiliation with a group often linked by:
CONTROL OF THE MODES AND ROUTES OF TRANSMISSION
(Person Likely To
Get The Disease)
(Host of Infectious Agent)
Portal of Entry
Agent Enters the
Portal of Exit
ESBLs E.coli Klebsiella pneumoniaeOrganisms with Increasing ResistanceStreptococcal pneumoniaePseudomonas-Stenotrophomonas maltophiliaMultiply Drug Resistant TB
Leading cause of hospital acquired diarrhea
Antibiotics major factor
Difficult to kill – sterilization needed
Lasts in environment
Hand washing – alcohol based gel ineffective
Single most important component of an Infection Prevention program
Hands must be washed with soap & water when:
Before and after contact with patients, body fluids, specimens, and contaminated or soiled item.
Between “clean” and “dirty” procedures on the same patient.
After removing gloves.
Before and after performing invasive procedures.
After using the bathroom.
When your hands are visibly soiled.
After coughing and sneezing.
The alcohol based hand antiseptic should adequately wet hands. Allow to air dry. Alcohol gel is appropriate for hand antisepsis before and after patient care, except when the hands are visibly soiled. Do not use if the patient has C.difficile.
Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.
EXPOSURE CONTROL PLAN
The Occupational Health and Safety Administration requires the employer to protect employees from exposure and contamination from the blood and body fluids of another person.
The written Exposure Control Plan is found in the Infection Control Manual.
Applies to all patients regardless of diagnosis or presumed infection status.
- all body fluids, secretions, and excretions except sweat regardless of whether or not they contain visible blood.
Assumes that each person is potentially infectious and contagious.
Gloves (vinyl & latex)
gowns(fluid proof, fluid resistant)
mask(surgical, non-surgical, respirator)
All PPE should be removedIMMEDIATELYand disposed of according to Hospital policy.
Prior to entering the patient’s room: BODY FLUIDS1.Put on protective garments before entering the patient's room2.Put on mask3.Put on protective eyewear (if necessary)4.Put on gown, tie at neck and back5.Don disposable gloves Leaving the patient’s room:1.Remove protective garments before leaving the patient's room.2.Take off gloves, turning them inside out when removing. 3.Take off gown, turning back into front so that inside of gown is on the outside.4.Take off mask or respirator and eye protection.5.Discard in clear waste receptacle.6.Wash hands.
SEQUENCE OF PUTTING ON AND TAKING OFF PPEs
Needle stick or sharp object injury:
Wash the area thoroughly with soap and water
If blood spills or splashes on your hands:
Wash hands thoroughly with soap and water
If blood spills or splashes in your eyes:
Be aware of location of eye wash station
Flush eyes with large amounts of water
Notify your Supervisor
Complete an incident report
Go to the Emergency Department within 30 minutes of the incident
National Patient Safety Goals
Doing the Right Thing
Doing the Right ThingWell
Are we doing the right things
A – Advocate
C – Caregiver
E - Educator
Assure that our policies and procedures are executed as intended
Report unsafe practices
Speak Up for our patients
Practice within our scope of practice
Assess and communicate effectively
Create effective plans of care
Execute our plans of care
Create safe environments
Teach patients & families to participate in their care
Inform them about their illness
Infection control practices
After Hospital Care
Perioperative Check List and Verification,
Surgical Site Marking,
Never use the patients room number or physical location as an identifier!
- Wrong Person Surgery
Types of Extinguishers
dry chemical or C02
multipurpose dry chemicalTypes of Extinguishers
Your response when you hear the fire bells:
RemovePatients from danger
Announce - Activate Alarm
ExtinguishWith Proper Fire Extinguisher
Pull Pin Wrong Person Surgery
Aim @ fire
Swish side to sideFire Safety
Complete the 20 question post-test found on the following Slides 72-76.
Fill in your answers on the separate answer sheet found on Slide 77.
Print out your completed answer sheet and submit to your clinical instructor.
Nassau Suffolk Coordinating Council of Nursing Education and PracticeUniversal Student Hospital OrientationName: ______________________School: ____________________Date: _______________________
Matching: Cultural Competence Please Use Separate Answer Sheet
7. Ethical issues in healthcare include legal principles and governmental regulations, but do not include the ANA Code of Ethics, which are optional in the acute care settings. (True/False)
8. Infection prevention strategies include hand washing and personal protective equipment. (True/False)
9. Alcohol based hand gel is appropriate for al situations. (True/False)
10. Standard Precautions apply to all patients, regardless of diagnosis or presumed infection status. (True/False)
11. You should always contact your instructor immediately if you sustain a needle stick. (True/False)
12. National Patient Safety Goals focus on problems in healthcare, safety and how to solve them. (True/False)
13. The National Patient Safety Goals improve communication among caregivers via a standardized approach to hand off communication. (True/False)
14. According to the National Patient Safety Goals, all medications should be labeled. (True/False)
15. Fire Safety is everyone’s responsibility and response to a fire within the health care system is facilitated by the RACE acronym. (True/False)
16. Patient confidentiality is every patient’s right and legislature protecting these rights include HIPPA (Health Information Portability and Accountability Act) and PHI (Protected Health Information).
17. ACE stands for Advocate, Caregiver and Educator. (True/False)
18. Preventing injuries is the focus of all Hospital Safety plans.
19. The nursing professional image is enhanced when nurses value nursing and project that image daily and promote the value of the nursing profession. (True/False)
20. Customer service includes greeting patients by their first names and referring the patients to support staff for toileting needs.
1.____ 6.____ Practice
Suffolk Coordinating Council of Nursing Education and PracticeUniversal Student Hospital Orientation Post-TestName: ______________________ School:Suffolk County Community CollegeDate: ___________ANSWER SHEET