Welcome Health Science and Nursing Students

1. Welcome Health Science and Nursing Students We are delighted to have you!

2. Instructions • Complete the five Educational Modules for Infection Control, Hospital Safety, Patient Diversity, Safety Goals and Age Specific Care • Complete the five educational modules quizzes with a score of 80% or better • Print a copy of your quiz results • Read information provided about Methodist Medical Center • Complete the HIPAA 101 training module • Print, read and sign the Confidentiality statement • Print and sign the HIPAA Training Documentation Form • Print and complete the Immunization Record • Give quiz report, confidentiality statement and immunization record to your instructor.

3. MMC MISSION and VISION • We serve the community by improving the quality of life through better health. • MMC will be a local, regional and national healthcare leader known for compassionate care delivered with the highest quality.

4. MMC VALUES • Integrity • Quality • Serving the Customer • Caring for and Developing our People • Using the Community’s Resources Wisely

5. Parking Students are instructed to park in employee parking located behind the hospital off of West Tennessee Avenue.

6. Smoking Policy Methodist Medical Center is a non-smoking facility. Visitors/staff can smoke ONLY in designated areas OUTSIDE the hospital. An enclosed smoking gazebo is located across from the Emergency Department. s

7. In-House Referral Services • Diabetic Specialist • EnteroStomal Specialist • Infection Control / Risk Management • House Chaplain • Safety and Security • Engineering • Outcomes Management • Hospitality House • Educational Learning

8. Code Blue • Verify that patient is unresponsive ABC’s • A - Open airway • B – Breathing (Look, listen and feel) • C – Circulation …..if breathing call RN for change in status • Verify ‘white’ name tag (full code) • Call x1500 and begin CPR

9. Code Blue – Student Role • Stay with assigned patient • You may go to the code room if situation allows • Assist as needed elsewhere • Be supportive of roommate

10. HIPAA – Your Guide to the Privacy Rule • Health Insurance Portability and Accountability Act • A “Patients Rights” Law • Confidentiality • Protected Health Information (PHI)

11. Integrity • …Building trust with our customers and each other by being honest, ethical and consistent in what we say and do. • “Always do right. It will gratify some people and astonish the rest.” Mark Twain

12. Integrity (con’t) • Appropriate Staff and Leadership Behaviors • Guidance for fair treatment of employees, patient, customer service, billing, records, funds, conflict of interest, drugs or alcohol • Integrity reporting process: A concern arises Discuss the issue with supervisor or other company resource Contact the Integrity-Compliance Office

13. Teamwork Philosophy • People working together, supporting, respecting and appreciating each other • We are linked by one common purpose: serving our patients and our community

14. Teamwork Standards of Performance • Encourage each other • Solve problems immediately as a team • Rudeness is never appropriate • Welcome new staff • Hold an end-of-shift team meeting • Build relationships

15. Teamwork Standards Con’t. • Be professional, but do not forget your sense of humor • Recognize and reward good teamwork • Be observant of the entire team’s work • Respect everyone for their skills

16. C.N.A. • ADL’s, Vital Signs, Surgical Preps, Weights • Admission Room Set-up • Answer call lights • Charting – Specific to their role • Safety Monitoring: Restraint checks every 2 hours Falls precautions every hour • Patient checks every 2 hours for T, C, DB

17. C.N.A. (con’t) • Post Mortum care • Meal tray set-up and pick-up • Obtain routine urine and stool specimens • Report changes in condition or in skin integrity • Support Role: Pick up Lab & RX, replace stock, cleaning, empty sharps containers

18. LPN • 12 Hr. Chart Checks/Documentation • AcuChecks & Dressing Changes • Charting IV’s and drainage tubes • Medication administration • Monitor PCA’s, Blood, Epidurals and Chemo • Permits and check-off lists • Post-procedural and neuro checks

19. LPN (con’t) • Routine treatments and procedures • Sign off orders/clarify orders • MD Communication and Pt. Education • Admission history – home medications • Starting and maintaining IV’s • Telemetry set-up and monitoring • Safety monitoring

20. RN • Patient assessments • Blood initiation and monitoring • Reporting of Patient change of status to MD • Documentation, order sign-off and clarification • Discharge process • Patient and Family education – Disease process, surgery and procedures

21. RN (con’t) • IV additive and med. pushes. Draw Blood • Initiate and maintain IV’s, PCA and Epidural pumps • Initiate care plans and order sets • Insertion of NG and feeding tubes • Initial intense special circumstance assessment (TEE, Arteriogram, Heart Cath.)

22. RN (con’t) • Reporting test results • Rhythm interpretation and telemetry set-up • TPN initiation and maintenance • Central line maintenance and drsg. • Restraint, Falls precautions, skin assessment • Medication administration

23. Customer Service • Identify the Customer • Greet the customer • Introduce self before care begins • Keep the customer informed • Maintain privacy and confidentiality

24. Customer Service (con’t) • Respond promptly to the customer needs and complaints • Stay calm in stressful situations • Listen attentively • Create a positive work environment • Be knowledgeable of hospital information

25. Emergency Codes • Code Red Fire • Code Blue Cardiac Arrest • Code Green Pt. or staff in danger • Code Pink Baby Taken • Code Black Bomb threat • Code Yellow Disaster • Code Orange Helicopter arrival

26. Emergency Codes (con’t) • Code Purple Hostage situation • Code Gray Severe weather • Code White NBC – Nuclear, Biological or Chemical exposure

27. Fire Safety (R.A.C.E.) • Remove: Everyone from immediate area of danger • Activate: Alarm systems – Fire pulls and x1500 Code Red • Close: Doors and windows • Evacuate / Extinguish

28. Management of Occupational Exposure • Confidential • Performed by or under supervision of physician or other licensed healthcare professional • Document circumstances of exposure • Identify source patient and test their blood • Make results available to exposed employee