MSU Nursing Students MDG Orientation. Welcome. We are excited to have students at the 5 Medical Group (5 MDG) and would like to extend a warm welcome to you. The following slides are a compressed MDG orientation. Please read through them carefully and if you have questions, don’t
We are excited to have students at the
5 Medical Group (5 MDG) and would
like to extend a warm welcome to you.
The following slides are a compressed
MDG orientation. Please read through them
carefully and if you have questions, don’t
hesitate to ask a staff member when you
arrive at the MDG.
It is required that all students working at a
medical facility ALWAYS inform patients that
they are students PRIOR to asking the patient
any questions, conducting any type of assessment,
or providing any type of treatment. Most patients
are happy to have students help them out and will
gladly accept you as a member of their care team.
So, let the patient know at the beginning of the
encounter that you are a student.
Goals of infection control within 5 MDG
Health care facilities are concerned about the occupational (work related) exposure of their employees to diseases transmitted through contact with blood or body fluids. The two blood borne diseases that hospital employees are most at risk for developing are :BLOODBORNE PATHOGENS
The single most important aspect of effective infection control is handwashing
treat everyone as if they are infectious.... control is handwashingSTANDARD PRECAUTIONS
Types of isolation used in 5 MDG (two-tiered)
Standard Precautions: apply to blood, body fluids, secretions and excretions,
nonintact skin and mucous membranes. Standard precautions are used for each
and every patient.
Transmission-based precautions: used for patients with known or suspected
infections by epidemiologically important pathogens spread by airborne, droplet
transmission or by contact with dry skin or contaminated surfaces..
MDGI 44-15 attachment 4 lists specific precaution and discusses type and
duration of precautions needed for selected infections and conditions.
ALL personnel are responsible to comply with the requirements of isolation
Just do it !!!
. . .
PPE = Personal Protective Equipment.
Also known as: PPA = Personal Protective Attire
WEAR GLOVES -any time contact with blood or other body fluids may occur. For example:
Change gloves if they’re torn, and after contact with each patient. Do NOT reuse disposable gloves.
Washing hands with gloves on is not an acceptable practice.
Gloves are cheap compared to the cost of treating an infection!
USE MASKS AND EYE PROTECTION - or protective face shields if there’s any chance that blood or other body fluids may splash into your mouth, nose or eyes.
WEAR A GOWN - or apron if splashing of blood or other body fluids is likely.
AND REMEMBER TO WASH YOUR HANDS AND OTHER SKIN SURFACES IMMEDIATELY AFTER:
PPE is only effective if it is used appropriately. It is not a total
prophylactic. Hand washing is still necessary
Basics of sharps/needle safety
Needlestick protocol to be followed in the 5 MDG
Take care when using sharps, NOT CHANCES! Pay attention to
what you are doing when handling sharps. Do not jeopardize
coworkers or your own safety.
Red bag is for potentially infectious,
contaminated material ONLY.
Must be saturated with body fluids
before qualifying for disposal
in red bag. Non-saturated
dressings, band aids, outer
wrappers go in regular
VERY EXPENSIVE to dispose of!
Whenever a suspected nosocomial infection is
discovered, fill out a report form.
Infection Control Officer or inform the ICO of a known infection and ICO will fill out the form.
Leisa Johnson, PRP Clinic
Safety-related incidents are those that directly pose a health threat to staff and patients, can directly impact the mission, and that are generally considered preventable. The most common safety-related incidents in the 5th Medical Group are medication errors, needlestick/sharps injuries, falls (both patient and staff), and exposures to blood-borne pathogens and chemicals.
Incidents are unexpected occurrences such as: or inform the ICO of a known infection and ICO will fill out the form.
exposures to blood-born pathogens
equipment failures during patient care episodes
MANAGEMENT OF VIOLENT PERSONS
5 MDGI 44-121, Management of Violent Persons, mandates orientation and annual training on use of nonviolent intervention
It discusses expected outcomes (goals) of nonviolent intervention and steps for implementing nonviolent intervention
Protective Devices – devices used to protect patient, or posturally support or assist to obtain/maintain normative bodily functions; such as bedrails, halter restraints, orthopedic devices, braces, etc.; not considered restraints
Medical Immobilization – mechanisms employed during procedures, without which patient could suffer harm; such as body restraint during surgery or soft restraints to prevent dislodgement of intravenous lines; associated with normal behavior; not considered restraints
Restraint – use of physical or mechanical devices used to involuntarily hinder movement of all or portion of person’s body to control physical activities, thereby protecting person or others from injury; key is the intent for its use; is person’s behavior itself that determines the need
Egress immediate area ASAP; behind locked doors
Notify Ambulance Services or activate automated
alarm when safe to do so
Ambulance Services will announce twice, “Code
Black/Dr. Strong in (location).”
Facility Management will survey premises and
determine any structural damage that might
jeopardize safety and if necessary, will activate
alternate facility plan
Ambulance Services will document events in the
If the MCC was activated, documentation will be
consistent with MDG’s DCCP.
ITEMS EVERYONE SHOULD KNOW or inform the ICO of a known infection and ICO will fill out the form.
1. Know the location of the nearest alarm pull station.
2. Know the location of the nearest fire extinguisher.
3. Know by heart the number for the Ambulance service. (5627)
4. Know by heart the number of Facility Management. ( 5260)
5. Know who your safety monitor for your section is.
6. Know who your area fire marshal is.
7. Know the fire escape plan for your area.
8. Select an area that everyone meets to have a head count.
9. Always use the outside stairs to evacuate the building.
10. Your 5th Medical Group Primary safety officer is Ms. Carrie Mullin
The 5th Medical Group is on a fire zone
system. When a fire alarm is activated, the
system generates two series of rings. The
first series indicates on which floor the fire
alarm has been activated. This is followed
by a brief pause, followed by a series of
rings that indicates where on the floor the
alarm has been pulled.
Fire Safety or inform the ICO of a known infection and ICO will fill out the form.
Know what fire zone you are in at all times.
Reason: If you are in a zone that has a fire in it, you only need to go to the next fire zone to have more time to escape. Unless Fire Dept evacuates whole building
How do I know what fire zone I am in????
You need only to look at the fire alarm bells it is printed on each one also it is on each pull station.
If the fire is small and you feel you
have the ability to extinguish it using an
extinguisher, remember the acronym
P - Pull pin: you will need to pull hard on the pin to break the seal
A - Aim: at the base of the fire, ensure you do not stand too close or the force of the extinguisher may spread the fire
S - Squeeze: the trigger
S - Sweep: side to side at the base of the fire
Fire extinguishers in the facility are of the "ABC" variety. These extinguishers can be used on ALL types of fires.
If at any time you doubt whether you have the ability to put out the fire using an extinguisher, leave, ensure the fire alarm is activated and the Fire Department is notified. Life safety takes precedence over anything. It is everyone's responsibility to know the locations of fire alarm pull stations and fire extinguishers in their work ar
Evacuate upper floors via the four corner stairways, leave the atrium stairs for upcoming traffic--NEVER USE THE ELEVATORS DURING A FIRE.
In case of fire at the 5 MDG you would call 9-911.
Listen for the location of the fire through
the overhead. If you are located adjacent
to the fire area, close all doors to rooms
and wait for further instructions. If the fire
is in your area begin RACE procedures.
R- REACT by shouting FIRE & RESCUE
A - ACTIVATE the fire warning/ alarm system-KNOW location of nearest alarm pull box
C - CLOSE all doors in affected fire zone
E - EVACUATE ALL PERSONNEL
WHAT ARE THE HIPAA RULES?
HOW DOES HIPAA APPLY TO ME?
HELP ME UNDERSTAND HIPAA.
1996 – In Tampa, a public health worker sent to two newspapers a computer disk containing the names of 4,000 people who tested positive of HIV.
2000 – Darryl Strawberry’s medical records from a visit to a New York hospital were reviewed 365 times. An audit determined less than 3% of those reviewing his records had even a remote connection to his care.
2000 –An Atlanta truck driver lost his job in early 1998 after his employer learned from his insurance company that he had sought treatment for a drinking problems. (USA Today, 23 Mar 2000)
2001 - Elli Lilly accidentally sent e-mail to Prozac users on an informational list server revealing identities of numerous other Prozac users.
(HIPPA PRIVACY OFFICER)
What is Protected Health Information?
Basically, any information pertaining to an individual’s treatment
It is a subset of individually identifiable health information
Including payment for the provision of health care
Yes, under HIPAA, if there is an ongoing investigation we can release Information
I received a phone call from the base legal office for records on an Amn, can I give it to them?
However, we will need the request in writing and only minimum information should be given, and the legal office should be specific about what they are looking for.
Will I have to do a disclosure report?
Yes, disclosures that do not have written authority to release, require a disclosure report.
We have a patient that came from another state. We need her records to continue her care. Does she need to request them?
However, if the patient is available, it is always a good idea to get a signature.
No, under Treatment, Payment, and Healthcare Operations (TPO)
we can request the records without authorization.
Remember a disclosure report isrequired
I would like a copy of my medical records
Under DOD 6025-18R and MDGIS 41-10 and 41-12, patients have a right to inspect or have copies of their medical records.
I have a problem with a notation in my records and I would like it amended.
Under HIPAA a patient has the right to request an amendment or correction. The physician needs to review the records. The request may be denied if:
The Privacy Officer will be consulted prior to any denial to the Patient.
What if I mess up and release PHI to the wrong individual?
Notify the Privacy Officer immediately
Document it on an AF Form 765, Medical Facility Incident Report and forward to the Risk Manager within 24 hours
Persons making intentional unauthorized disclosures will be referred to their unit commander for appropriate administrative or disciplinary action.
MDGI 41-12 – Patient’s Rights Under HIPAA.
MDGI 41-10 – Implementation of Privacy Practices
MDGI 41-11 – Accounting of Disclosures of PHI
Located on the “U” drive; Shared folder; HIPAA Compliance folder
Patients have the right to receive care within a reasonable period of time
What is considered reasonable depends on the type of care required
Patients have the right to receive the
appropriate care required to achieve or
maintain the highest possible quality of life.
That may include not only physical care
end of life
Patients have the right to be involved in any decision that involves their care including:
Advance Directives are written or verbal Statements made by the patient indicating his or her treatment wishes in the event
the patient becomes incapacitated.
Patients must be given the opportunity to make these provisions
Advanced Directives involves their care including: may include living wills,,durable powers of attorney, or similar documents or documentation conveying the patient’s preferences.
A patient has a right to voice
complaints about his or her
care and to have those
complaints reviewed, and when
Patients have the right to be treated with respect in all
interactions. Respect involves numerous issues
-only those needing specific information in order to
provide care are allowed access to patient information
-sharing patient information is restricted to staff involved in the patient’s care and is limited to information essential to that care
Spatial-Patients have the right to physical privacy during
interviews, procedures, etc.
Security-Patients have the right to a safe, secure
environment, for themselves and their property.
Communication-Patients have the right to be treated as
valued individuals in all interactions.
MDGI 37-1 outlines the facility’s Ethics policy and provides the mechanism for obtaining assistance in making ethical decisions involving patient care
The EthicsCommittee meets on an as needed basis to discuss ethical issues. Members are available to assist in the decision making process.
Questions? involves their care including:
Contact Mrs. Lorenda Poissant-Salling at 723-5206 or Mrs. Jean Cadell at 723-5109
CODE BLUE: Code name for cardiopulmonary arrest or any situation in which a cardiopulmonary arrest is imminent.
Normal duty hours:
LOCATION involves their care including:
1st Floor Clinics
All areas of the facilityLOCATION OF ADULT CRASH CARTS
LOCATION involves their care including:
Pediatric Clinic (GREEN TEAM)
Clinic areas of MDOS
All areas of the facilityLOCATION OF PEDIATRIC CRASH CARTS
- Check case/housing for damage
- Replace leads/hoses/tubing, as required
- Replace batteries/bulbs if accessible without tools
- Perform function checks; report deficiencies
- Reference manufacturer’s operator manuals
- Keep equipment clean
- Ensure battery-operated devices are plugged
in to maintain charge & prevent internal damage
Service Due Date
MSgt Jim Britt
SSgt Chasity Force
SrA Patryk Gasiewski