Health Occupation Student Orientation Module 2: Environment of Care.
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Transcript of Health Occupation Student Orientation Module 2: Environment of Care.
Health Occupation Student
Orientation Module 2: Environment of Care
FIRE AND LIFE SAFETYSection 1
Safety/Emergency Resources – Fast Facts
Fast Facts is a quick reference response guide to
Codes, e.g Code Grey, Pink, Orange
Other events e.g. System Failures, evacuation, disasters, emergency communication systems
Form Samples e.g. bomb threat, abduction record.
Emergency Codes
TO CALL ANY CODE:
Dial 8211 – activates the overhead paging system
Identify type of code and location
Repeat the message.
CODE RED Fire
CODE BLUE Adult medical emergency
Pediatric Code Blue Pediatric medical emergency
CODE PINK Infant abduction
CODE PURPLE Child abduction
CODE YELLOWNotification of a bomb on campus
CODE GRAY Combative person
CODE SILVER Hostage or weapon
CODE ORANGE Hazmat spill or release
CODE TRIAGE Internal or external disaster
Life Safety – Fire Safety
Action to Take for Code Red
Department
Response Plan
You should know the following: Evacuation routes and location of
exits and stairs
Location of smoke/fire doors
Location of fire alarms/extinguishers
Life Safety – Fire Safety
Action to Take for Code Red
R REMOVE
all persons in danger
A ACTIVATE ALARM
use pull station or emergency # 8211
C CONFINE fire
close doors and windows
EEXTINGUISH
the fire if manageable
Immediate Response Plan
Life Safety – Fire Safety
Action to Take for Code Red
Student Response
When You Hear Code Red Paged:
Follow the instructions or your Clinical Instructor or Charge Nurse guidance.
Never prop doors open with trash cans, chairs etc – prevents automatic door closure in event of fire.
Life Safety - Fire Safety
Order of Evacuation• Ambulatory / Non-ambulatory
patients closest to danger;
• Ambulatory patients, visitors and staff;
• Non-ambulatory patients in wheelchairs, Isolettes and cribs;
• Non-ambulatory patients in their beds
• Critical Care and ventilator patients using gurneys/beds;
Action to Take for Emergency Evacuation: Move patients beyond nearest
fire doors – “area of refuge”
Place an “X “on door with tape
Take meds and medical record with patient
Follow instructions of the Charge Nurse
SECURITY MANAGEMENTSection 2
Security
We have Security / Engineering staff that provides security 7 days a week, 24 hours a day for our facility. We use interior /exterior close circuit monitoring of strategic areas and 2 way communication.
Even with these measures, Security cannot be everywhere at all times. You are actually the extra “eyes and ears” of our Security / Engineering staff.
The key to providing effective security for our facility is prevention, and prevention begins with you.
Your Role in Security
Always wear your ID badge Keep personal belongings out of
sight Main doors are locked between
8p – 5:30a. Use ED entrance during those times.
Be alert and observant of people that normally should not be in an area.
Report all suspicious activity to the Charge Nurse on your unit.
Security: EMERGENCY CODES
CODE SILVER
Hostage or weapon
CODE GRAY Combative person
CODE YELLOW
Notification of a bomb on campus
CODE PINKInfant abduction (<1 year)
CODE PURPLE
Child abduction
(<18 years)
The hospital has 4 emergency security codes (shown at right) that you need to be aware of.
In the event of an emergency, report to your Charge Nurse for direction.
Security Management – Hostage / Weapon Situation
Action to Take: Staff / students:
DO NOT go to announced location This is an extremely dangerous and sensitive
situation that should only be handled by local police agencies.
Staff / students who see person with weapon: Seek cover/protection; warn others Report “Code Silver” to Operator including
location, number of suspects/hostages, number and type of weapons
CODE
SILVER
Security Management – Combative Person
Action To Take:
Student Response:
Stay clear of announced location
Reassure other patients
Follow directions of your Clinical Instructor or Charge Nurse
CODE
GRE Y
Security Management - Bomb Threat or Suspicious Package
Action to Take:Students - IMPORTANT:
Do not use radios, pagers or cell phones.
If you see a suspicious package, don’t touch it – notify the Charge Nurse
Follow the directions of the Charge Nurse.
CODE
YELLOW
Security Management - Infant or Child Abduction
Action to Take:
Staff Response: Go to nearest unmanned exits, stairwell, or
parking lot Politely ask for ID of people exiting hospital Do NOT go to area of abduction.
Student Response: DO NOT give out any information about a
possible abduction. DO note any suspicious activities, persons or
vehicles and report to Clinical Supervisor. DO NOT participate in facility wide response
INFANT
CODE
PINK
CHILD
CODE
PURPLE
Infant= up to 27 days Child = 28 days and older
Security Management - Protected Health Information
What Must be Protected? an individual’s health information that…
Includes at least 1 of the 18 personal identifiers
Is created, received, or maintained by a health care provider or health plan
Is written, spoken, or electronic
Personal Identifiers
Name
Date of Birth
Address
Phone Number
Email Address
Medical Record Number
Social Security Number
License Number
Facial photos
Account Numbers
And more . .
Security Management - Protected Health Information
Steps to ensure Privacy and Security of PHI Position WOWs and bedside computer
screens out of sight of visitors or casual viewers
Lock computer screen or log out when done working
Manage/secure all printed patient census sheets e.g. use cover sheet to hide PHI
Manage/secure all patient identification stickers
Minimize work conversations in hallways and public areas
Security Management -Protected Health Information -
HIPPA Requirement - Minimum Necessary Standard
This standard provides guidance for use of PHI while maintaining security and privacy
Use / disclose the minimum amount of identifiable patient information needed by your job regardless of access
Applies to all users of PHI in the workplace
OTHER EMERGENCY RESPONSE
Section 3
Emergency Management – CODE BLUE (ADULT) / Pediatric Code White
Action to Take:
Staff Response: Code Team goes to announced location (ED MD &
RN, ICU RN, RT, Admin Sup, Compressor, recorder)
Unit / department staff bring crash cart
If YOU discover the patient: Identify signs/symptoms of cardiac / respiratory
distress. Call the code Begin first responder CPR until staff arrive to relieve
you. Note: after the first response, students may only
observe a Code Blue if first approved by their instructor.
CODE
BLUE
PEDIATRIC
C ODE
WHI TE
Emergency Operations Plan - Code Triage
MajorUtility
Failure
ChemicalRadiationAccident
Infant AbductionCode Pink
Bomb ThreatCode Yellow
Natural Disaster
Child AbductionCode Purple
HostageSituation
Code Silver
FireEvacuationCode Red
Activate CODE
TRIAGE
Each of the Emergency Situations shown at right could result in activation of the Emergency Operations Plan (EOP), Code Triage.
The EOP enables us to effectively respond to these emergencies regardless of scope. The hospital adopted the Hospital Incident Command System (HICS) model for its plan.
Emergency Operations Plan - Code Triage
About the Hospital Incident Command System (HICS) ModelThe HICS model provides a standardized response to all kinds of emergencies regardless of magnitude.
Hospital Command Center (HCC) In the event of a Code Triage, the HCC serves as the clearinghouse for all information and all instructions during the disaster.
Incident Commander (IC)
The IC is responsible for ALL decisions regarding resources, personnel, patient flow, safety and security issues during the disaster.
Action to Take for Code Triage:
Students:Follow the directions of your immediate supervisor.
UTILITIES / MEDICAL EQUIPMENT MANAGEMENT
Section 4
Utilities - Utility Failure
Action To Take:
• In the event of a utility failure, follow the directions of the charge nurse on your unit.
• Emergency power outlets have a RED cover or outlet connections. These receive power from the emergency generator and are used for critical equipment only
Medical Equipment – Safety Inspections
Patient Care Equipment Look for inspection sticker with
last date noted
OK to use if within 12 mos. of date
Non Patient Care Equipment Look for the “OK to use
Sticker)
Patient Owned Equipment Physician order required Must be inspected by
Engineering before use RCP can inspect respiratory
therapy equipment from home
Medical Equipment – Safe Use Basics
DO NOT plug in any patient care equipment without the third grounding prong in place.
DO NOT use extension cords. DO NOT unplug devices by pulling on the cord. DO NOT use wet, damaged or obviously defective
equipment. DO NOT use equipment without first being trained Always inspect equipment before using it on
patients. Notify the staff of any malfunctioning equipment –
describe exactly what the problem is.
HAZARDOUS MATERIALS AND WASTE STREAM MANAGEMENT
Section 5
Hazardous Materials– Your Right to Know
Warning Labels on Containers: Material Safety Data Sheets
(MSDS) - written information supplied by the manufacturer or distributor of the product.
The MSDS lists chemical composition, protective equipment, types of exposure and effects, spill clean up and more.
Your Role in HazMat Carefully read and follow
warning labels and MSDS.
Ask staff for help if you are unclear about what safety measures to take.
When in the hospital, you may be exposed to hazardous chemicals. You have the right to know and be informed of these potential hazards. This information is available from 2 sources:
Material Safety Data Sheets (MSDS)
To Access MSDS Information:
Call the toll free number shown at right and have the following information available: Product name and number Manufacturer Name UPC code if applicable Your fax number
Emergency requests are responded to within 15 minutes
Urgent requests are responded to within 30 minutes.
MSDS on Demand
1-800-451-8346
Hazardous Materials – Spill Procedure
Action To Take:
If You Witness a Spill: REMOVE all persons in danger NOTIFY hospital staff immediately Keep others away from spill area DO NOT clean up the spill
If You are Exposed: Notify your clinical instructor and
hospital staff. Follow emergency first aide
measures as directed.
CODE
ORANGE
Waste Stream Management
Biohazardous waste Red bags
All Soiled linen Yellow bags
Pathology waste Labeled Red containers
Chemotherapy Waste
Labeled containers
Sharps and broken glass
Red sharps containers
Pharmaceutical waste
Blue and white containers
PHARMACEUTICAL WASTE – Any unused medication must be discarded in the pharmaceutical waste containers including narcotics and fentanyl patches
o Electrolytes/TPN may be discarded in sink
Special attention must be given to disposal of hospital generated wastes. Follow the disposal guidelines listed below.
RADIATION SAFETYModule 6
Radioactive Materials Continuously emit radiation. They are made from radioactive
elements.
Radiation Producing Devices Emit zero radiation when they
are turned off. Devices are not a safety
concern when they are not being used.
Look for the signs shown at right.
Radiation – About Radiation
Radiation - Radiation Sources
Ways To Reduce Your
Exposure
TIMESpend as little time around radiation as
possible.
DistanceMaximize your distance
from radiation.
ShieldingShielding yourself behind
a wall or high density material can substantially
reduce the dose received.
Location Radiation Source
Radiology Devices - X-Ray Machines
Cardiology Devices - Portable X-ray
Surgery Devices - Portable X-ray
ED Devices -Portable X-ray
Nursing Units Devices - Portable X-ray
Radiation sources are present in many areas of the hospital as shown below:
Radiation – Radiation Sources
When you hear the x-ray tech announce – “X-Ray” – get clear of the room.
Only the patient and essential personnel remain in the room.
Personnel remaining in the room must: Wear a lead apron Not be pregnant Stay out of the path of the x-ray
beam.
Portable x-rays are routinely taken on the nursing units. Please observe these precautions: