Student Orientation

Student Orientation Sandy Heresa Manager Staff Development KSMC 8/06

Mission • Preserve and improve our patient’s health • Provide high quality, affordable care • Provide excellent customer service • Partnership to achieve an excellent work environment

Who We Serve • Salem to the South • Longview/Kelso to the north • Clark County of SW Washington • Division/Rockwood to the East • Beaverton/Hillsboro to the west

Who We Serve • 454,000 members in NW • 171,000 KP Dental members in 15 clinics

Pain Management • All patients assessed and documented for acceptable level of pain on a 0-10 scale • Each patient’s response to pain intervention is documented in medical record • Annual training related to pain management

Pain • Pain is what the patient tells us • Assess for acceptable level of pain and document • Pain---the 5th Vital Sign

Medical Legal

Medical Legal Documentation Issues • Do not: Document “incident report completed” Do not: Tell patient or family member that “everything will be taken care of….Kaiser is responsible”

Medical Legal Documentation Issues • Do Not: Alter the medical record after the fact, trying to “clarify” or protect yourself Late notation is ok if noted as such Do not use white-out or mark out a notation in the chart

INFECTION CONTROL IT’S EVERYONE’S BUSINESS

ROUTES OF TRANSMISSION • Contact 1. direct 2. indirect 3. droplet • Vehicle • Airborne • Vector

DIRECT CONTACT • Person to person spread • Actual physical contact between source and patient.

INDIRECT CONTACT • Patient comes in contact with contaminated intermediate object. • Intermediate object is passively involved in transmission.

DROPLET • Large particles that rapidly settle out on horizontal surfaces. • Brief passage of infectious agent through the air (usually a distance of 3 ft or less). • Infected person and susceptible host need to be relatively near each other (e.g. talking, sneezing, or coughing).

AIRBORNE • May involve varying distances between source and susceptible host. • Organism contained within droplet nuclei or dust particles. • Organisms suspended in air for extended periods; thus may be spread through ventilation systems.

The most important measure you can use to prevent the spread of infection HAND HYGIENE

STANDARD (UNIVERSAL) PRECAUTIONS • Consider all patients potentially infectious • Use appropriate barrier precautions at all times

WEAR GOWNS • During procedures that are likely to generate splashes of blood or other body fluids

WEAR GLOVES • When touching blood, body fluids, mucous membranes, or non-intact skin of all patients • When handling items or touching surfaces contaminated with blood or body fluids • Wash hands after removing gloves

WEAR MASKS andPROTECTIVE EYEWEAR During procedures that are likely to cause splashes of blood or other body fluids (to protect the mucous membranes of the eyes, nose, and mouth)

SAFE HANDLING OF NEEDLES AND SHARPS • Use appropriate sharps containers • Discard used sharps immediately • Avoid recapping needles • Active safety device

BLOOD/BODY FLUID EXPOSURES • First aid • Report exposure to supervisor • Fill out Employee Accident Investigation form • Call Employee Health

National Patient Safety Goal (JCAHO) Improve Communication • Follow do not use list of abbreviations • Follow established time frames for reporting critical lab & test results • Implement a standardized approach to “hand offs” allowing for opportunity to ask and respond to questions (SBAR-our tool)

Communication---SBAR • S-----Situation • B------Background • A------Assessment • R------Recommendation

Body Mechanics Squat when lifting Be aware of posture Turn don’t twist Use legs when lifting not the back Hold object close to center of body

P Pull A Aim S Squeeze S Sweep at base of fire Fire Extinguisher

Student Orientation