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Cone Health . 8,600 employees Largest private employer in Guilford County 5 hospitals (1,017 beds) 60+ Physician Practices Three Urgent Care Centers. Greetings From Our Chief Nursing Officer.

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cone health
Cone Health
  • 8,600 employees
  • Largest private employer in Guilford County
  • 5 hospitals (1,017 beds)
  • 60+ Physician Practices
  • Three Urgent Care Centers
greetings from our chief nursing officer
Greetings From Our Chief Nursing Officer

“Welcome! I am excited as you embark on your new professional journey. My wish is that you will sincerely enjoy working at Cone Health and will thrive in our practice environment.”

Theresa Brodrick , RN, PhD, CNS, CNA Chief Nursing Officer


Cone Health will be

a national leader in delivering

measurably superior healthcare.


Strategic Plan

Our MissionWe serve our communities by preventing illness, restoring health and providing comfort, through exceptional people delivering exceptional care.Goal:Be in the top 10% nationally for: Quality Service Cost


Our Expectations

To provide the best healthcare possible, we believe that everyone mustbe committed to the Cone Health Values and our New Operating Principles and Practices.

cone health operating principles
Cone Health Operating Principles

In caring for our patients, each other and our communities:

  • I use evidence based practices to provide safe and exceptional patient care.
  • I communicate honestly and directly with care and respect.
  • I include people with diverse backgrounds, experiences, and points of view.
  • I see it, own it, solve it, do it, and celebrate it!
six new practices
Six New Practices
  • I keep patients safe by practicing the 4 R’s (right patient, right place, right time, right service).
  • I practice AIDET (acknowledge, introduce, duration, explain, thank you) for every patient interaction.
  • I assume the best intention and seek to understand.
  • I do not gossip; I take issues to the person who can do something about it.
  • I do what I say, when I say, and communicate.  If I can’t I clean it up.
  • I thank someone every day.
professional model of care
Our philosophy summarizes our beliefs

Our beliefs are the basis for how we deliver care

Our Model of Care outlines how we conceptualize our beliefs

This model is based on theories of caring

Professional Model of Care
care delivery model
Care Delivery Model
  • Our Relationship Based Care Delivery Model is how we operationalize our Model of Care and Philosophy
  • This model is patient and family centered

Focuses on 3 Key Relationships

  • Self
  • Colleagues
  • Patient & Families

HIPAA and Corporate Compliance

Special Note


“xxx” in front of the patient’s name = Strict Privacy

When someone asks for that person by name, state, ”There is no record of that person being in the facility.”


HIPAA and Corporate Compliance

Report Privacy Violations

• Reports of a privacy violation are entered into the electronic Safety Zone Portal (SZP).

Discuss first with your instructor, charge nurse or Cone Health Privacy Officer

Safety Zone Portal


HIPAA and Corporate Compliance

Gifts from Patients

• • Patients who would like to honor a student should be referred to the Office of Fund Development.

patient care partnership
Patient Care Partnership










Thank You

patient care partnership1
Patient Care Partnership

Acknowledge the patient and visitors. Say “hello.”


Introduce yourself and state your business. Why you are there and what you hope to accomplish.


Duration- If there is a delay in treatment tell the pt. how long the wait will be.


ExplanationTell the pt. why you are doing the treatment and/or giving the medication etc.



Thank the pt. for allowing you to care for him/her.


the patient care partnership
The Patient Care Partnership

Hourly Rounding with a Purpose

8 Behaviors important to Hourly Rounding with Purpose:

  • Use warm acknowledgement to reduce anxiety
  • Perform scheduled tasks
  • Address the 3 Ps (Pain, Potty, Positioning)
  • Assess additional comfort needs
  • Conduct an environmental assessment of the room
  • Prior to leaving the room, ask, “Is there anything else I can do for you?”
  • Tell each patient when you will be back
  • Document the round on the chart

Infection Control

Hand Hygiene

The expectation is that each healthcareworker (including students) will perform proper

hand hygiene with and without wearing gloves

Upon entering and exiting the patient’s room

Cone Health policy

Only use alcohol gel / foam provided by Cone Health, or soap and water.


Policies and Procedures

  • Cone Health Nursing Policies and Procedures are available online on the Intranet Homepage under the Resources tab. The Intranet is available on every department computer desktop directly or through Citrix.
  • Click on the icons for Citrix or the CH Intranet Homepage.

Policies and Procedures

  • CareNotes: Electronic Patient Education Resource
  • CareNotes provide information in English and Spanish on a
  • variety of topics:
    • Medications
    • Tests
    • Diagnosis
    • Labs
    • Procedures
  • You can find a link to
  • CareNotes on the Intranet
  • Homepage under Applications.

Policies and Procedures

Computer Training

Faculty should contact the Staff Education

Department in order to schedule training


Nursing students and faculty will be given computer instructions and access codes upon successful completion of the training exercise. .


Policies and Procedures

Documentation Standards

Do not sharecomputer IDs or passwords.

Do not look atinformation in patient medical records unless you are assigned to the patient. (HIPAA Privacy Laws)

Cone Health Employees must use the computer password assigned as student/faculty for documentation and not their employee password when in the student/faculty role.


Policies and Procedures

  • CBG Training
  • Nursing students/faculty will not perform patient glucose testing at this time.
  • Faculty and/or Students who are Cone Health employees are notpermittedto perform the testing while in the faculty/student role.
  • Students may work with the primary nurse/instructor in order to intervene as necessary r/t blood glucose test results and may chart the results in the patient’s documentation record.

Policies and Procedures

  • Risk Management
  • Any incident, which may have adverse consequences for patients, visitors, faculty/student should be reported immediately to Leadership on the department and a safety Zone Portal entry completed.
  • Events that are inconsistent with Cone Health Policies & Procedures, or not part of routine care
  • Goal: Improve Quality & Safety
  • Leads to appropriate follow up
  • Event to be documented in patient chart
  • Do not document SZP record in patient’s chart

Policies and Procedures

  • Sentinel Event
  • A Sentinel Event Is:
  • An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof
  • These events should be reported immediately.
  • Work with the clinical instructor and the patient’s primary care nurse to report.
  • See the “Sentinel Event” policy in the Administrative and Patient Care Manual)
red rules

Policies and Procedures

Red Rules
  • RED Rules are requirements that must be followed each and every time the occasion or situation arises
  • Because they are such a priority, they are considered REDto signify their importance.
  • RED Rules are rules that CANNOT be broken.
  • They are few in number and easy to remember.
  • They are associated with processes that can cause serious harm to patients.
cone health red rule 1

Policies and Procedures

Cone Health Red Rule #1
  • A time out is completed before all invasive procedures.
  • Invasive procedures are described in policy number IV-P-39 located in the Administrative Policy Manual.

Cone Health Red Rule #2

  • All inpatients receiving medication or blood products, or undergoing any procedure, will have an identification band in place and identification will be confirmed.

Policies and Procedures

Patients in Cone Health are identification by both:



Medical Record #


Policies and Procedures

  • Ethical Issues
  • Cone Health offers Ethics Consultation for patients, families, medical staff and ancillary staff involved in patient care.
  • The patient’s primary nurse and your instructor can contact Pastoral Care to request an Ethics Consult

The American Nurses Association (ANA) Code of Ethics for Nurses provides guidelines for practice.


Policies and Procedures

  • Rapid Response Team (RRT)
  • Provides early and rapid intervention for patients outside the ICU setting whose condition is deteriorating.
  • Critical Care team responds to a call for critical care expertise to the patient’s bedside to assist with stabilizing and transferring to a higher level of care as needed
  • A Safety Net Program for Patients and Families
  • WHAT- Ability for patients and families to activate a Rapid Response Team to come to your room to work with your current healthcare team to address your concerns.
  • HOW - CONDITION HELP – Dial 2-1666 from any hospital phone

Emergency Codes

Code Gray – Restricted Access

  • What isCode Gray?
  • Response to an incident of civil unrest withinCone Health that threatens the safety of patients, visitors and staff.
  • Potential reasons to activate Code Gray include, but are not limited to:
    • Heightened emotional or behavioral response, even after de-escalation attempts
    • Visible weapons
    • Physical altercations
    • Hostage situations
    • Communication of threats

Emergency Codes

  • When a “Code Gray” is announced:
  • Ancillary services and support staff avoid the area until “Code Gray – All Clear” is announced
  • All staff authorized to enter the restricted area must present appropriate identification

Emergency Codes

Code Pink – Abduction

When Code Pink is announced, some departments have specific assignments.All other available employeesshould:

  • Come into the hallways and stairwells.
  • Keep an eye on any nearby exits.
  • Call Security to report any activity that seems suspicious.
cone health is a certified chest pain stroke center

Cone Health isa Certified Chest Pain & Stroke Center

Heart Attack Symptoms

How to Recognize


What to Do

chest discomfort may be a sign of a heart attack
Chest Discomfort May Be a Sign of a Heart Attack
  • Pressure, heaviness
  • Squeezing, tightness
  • Burning
  • Lasts more than 2 minutes
  • May come & go

Sometimes Heart Attacks only cause Pain in …

  • One or both arms. Back. Neck
  • Shortness of breath. Breaking out in a cold sweat
  • Nausea, vomiting. Light headedness
  • Extreme weakness, fatigue

Other Signs of a Heart Attack


If a guest or employee has symptoms of a heart attack:- Notify an RN or other healthcare provider- Assist him into a wheelchair- Take him to the Emergency Department- If there is no ED available, call 911 for emergency careIf a patient has symptoms of a heart attack:- Notify the patient’s nurse or medical caregiver immediately

a stroke looks like
A Stroke Looks Like…

Stroke Signs and Symptoms:

  • Numbness or weakness of the face, arm or leg…especially on one side!
  • Trouble seeing in one or both eyes!
a stroke looks like1
A Stroke Looks Like…

Stroke Signs and Symptoms:

  • Trouble walking, loss of balance or coordination!
  • “The Worst Headache of my Life” with no known cause!
what should you do if you think a patient or visitor is having a stroke

Notify a Nurse or other Healthcare Provider!

Callif you are not at the hospital!


What should you do if you think a patient or visitor is having a STROKE?

Get Help Fast!

you can make a difference in a stroke patient s life


You can make a difference in a stroke patient’s life!














Banding Together for Patient Safety

Cone Health is participating in the statewide program to implement standardized armband colors for improved safety.


Banding Together for Patient Safety

BLUE: Blood Bank Bracelet

The blood identification bracelet is now a blue armband. The armband will continue to have a patient identification number.

Patient identification is done by the white arm band.

safe patient handling
POLICY: All patient transfer/ lifting will be done safely and appropriately to protect the employee and patient from injury.

All patient lifting, shifting, or transferring will be completed based on assessment, utilizing mechanical lift equipment and/or other approved patient handling aids.

Consult with the Patient’s Primary Care Nurse and your nursing instructor for guidance.

Safe Patient Handling
safe patient handling1
Tubes/ Slides

Tubes & slides reduce friction and provide a

safer, more comfortable move for patients

and caregivers.

Blue orOrangeTUBE - Lateral transfer - bed to stretcher

MAXI SLIDE – boost patient in bed

Students refer to clinical instructor and patient’s primary nurse for questions/instruction

Safe Patient Handling
safe patient handling2
Safe Patient Handling
  • Maxi Move- Lifting and transfer device for the totally dependent individual
  • Able to lift from floor, bed, chair, toilet/bathing area and other areas
  • Safe to use as a transportation device throughout the facility
  • Able to double-task procedures - weigh individual during lifting and transfer activities
  • Has selection of standard sized slings from x-small to x-large and various specialty slings (e.g. amputee slings)
  • Refer to clinical instructor and patient’s primary nurse for questions/instruction.

Only approved abbreviations may be used.

The list is found in Citrix / Resources / Policies & Procedures / Approved Abbreviations List.

Also ‘Do Not Use’ list can be found on MD Order Sheet.

Cone Health Guidelines

Cone Health Approved Abbreviations

team communication tools

General Guidelines

Team Communication Tools

SBAR – Effective communication tool. Consistent and organized to promote patient safety

Gather information prior to communication

  • Situation
  • Background
  • Assessment
  • Recommendations
team communication tools1

General Guidelines

Team Communication Tools


  • Internal and external transfer of care
    • Shift Report
    • Coverage for lunch / breaks
    • Critical Lab and Radiology Results
  • Uninterrupted time
    • Requires ability to ask questions

General Guidelines

Student Parking

Carpooling is strongly encouraged on each campus.

Moses Cone Hospital– Students and faculty are required to part in the Wendover and Church Street parking lot.

Wesley Long Hospital– Students must park in the employee parking lot located off N. Elam and Friendly avenues. *May have temporary modifications; confirm with Instructor*

Women’s Hospital– Students may park in the Women’s Education Center parking lot. Turn onto Lendew Avenue from Green Valley Road. Park in the lower area of the parking lot.

Annie Penn Hospital –Students may park in the employee parking lot located adjacent to the South Main Street exit of the hospital lot.

Behavioral Health Hospital – Students must park in the upper middle lot and to the left of the building.


General Guidelines


The Moses H. Cone Memorial Hospital • Wesley Long Hospital

Women’s Hospital • Annie Penn Hospital

Moses Cone Behavioral Health Hospital


Moses Cone Hospital • Wesley Long Hospital

Women’s Hospital • Behavioral Health Hospital


General Guidelines

  • Dress Code
  • • Dress professionally
    • No tank tops, revealing clothing, sweat pants, biking shorts,
    • jeans, capris, shorts or flip flops
  • • Follow the dress code policy of your school and Cone Health.
  • • Wear your school uniform.
  • • Lab coats are to be worn over your street clothes.
  • • Your photo ID must be worn at all times
    • Mid Chest or above with no obstructions

General Guidelines

  • Dress Code
  • Cleanliness and Scents
  • Good personal hygiene must be maintained. Avoid obvious and natural odors.
  • Scented products- e.g. perfumes, fragrances or after-shaves are not allowed.
  • Tattoos-must be covered at all times.
  • Nails-must be neat, clean and short.
  • No artificial nails, nail applications or overlays, nail enamel or polish are allowed for direct bedside caregivers.
  • Jewelry –Minimal while providing patient care.
  • No more than one ring on one hand
  • Earrings-no more than 2 earrings per earlobe. Not greater than 1½ inches in diameter or length.
    • No open gauges and none greater than ½ inch in diameter.
    • No other visible piercing is acceptable.

General Guidelines


• Personal phone calls should be limited to emergencies.

• Personal cellular phones are to be turned off and not used in clinical settings.

• Storage is limited for personal belongings.

• Valuables cannot be secured.


General Guidelines

  • Tobacco Use
  • Tobacco Use is Prohibited on any Cone Health Campus
  • In the interior and exterior of any CH property. This includes:
    • Vehicles parked on CH property
    • Parking decks and lots
    • Sidewalks on or adjacent to system property
    • Balconies and picnic areas.

THANK YOUWe wish you the best at Cone Health. Please sign the Orientation Acknowledgement Form and give it to your Instructor for safe keeping.