MCCG Clinical Affiliation Orientation Recap

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MCCG Clinical Affiliation Orientation Recap

• Offered by the Learning Center

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Agenda

• Operation Excellence/
• Corporate Compliance
• Environment of Care (EOC)
• Parking and Security
• Equipment Updates and Safety Devices
• OSHA Blood borne Pathogens TB
• HIPPA
• Post Test

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SO WHAT IS MCCG ALL ABOUT?
The Medical Center is one of 148 hospitals in the
world to earn Magnet status. This designation
makes the hospital part of the American Nurses
Association's Magnet Recognition Program.

• The Georgia Heart Center,
• Neurological, Orthopedic
• programs have each
• earned a 5 star
• national rankings.

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SO WHAT IS MCCG ALL ABOUT?

• ONLY dedicated
• Childrens Hospital
• in Central and South Georgia
• The areas ONLY
• Level I Trauma Center
• one of only four in the state of Georgia

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SO WHAT IS MCCG ALL ABOUT?

• Off-campus Services
• Urgent care centers Med Centers North, East and
  Northwest
• Neighborhood Healthcare Centers
• The Wellness Center Macon Health Club
• Heartworks cardiac rehab
• Central Georgia Diagnostics
• Central Georgia Fertility Institute
• Anderson Health Clinic

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Refer to your PINK Cards

• Our Mission 
• To enhance the health status of those we serve
• Partner with medical staff and community
• Provide wellness services, health education and
  training, and access to safe, high quality health
  care.
•   Our Vision  
• To be a national leader in providing the safest,
  highest quality community-centered health care
  and wellness services  

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Our Values

• Excellence - We continually strive to provide the
  highest quality service at the lowest possible
  cost, with the best utilization of our resources
• Diversity We value and respect the uniqueness
  and dignity of all individuals
• Compassion We respond through a caring
  environment to the holistic needs of those we
  serve 

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OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
(OSHA) BLOOD BORNE PATHOGENS
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Medical Waste

• Contaminated with blood, body fluids infectious
  waste
• SAFEGUARD
• Check for leaks
• Dispose in Red bag trash
• Handle with gloved hands
• Keep bags away from uniform
• Place Non-disposable equipment in a labeled
  biohazard bag

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Bloodborne Pathogens

• Micro-organisms (germs) that are present in blood
  and certain body fluids of an infected person and
  can be transmitted from one person to another
  causing disease
• Common pathogens
• HIV causes decreased immune system
• Hepatitis B (HBV) or Hepatitis C (HCV) causes
  significant liver damage

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Standard Precautions

• Assume all body substances are potentially
  infected
• Use Personal Protective
• Equipment including
• Eye or Face Shield
• Gown
• Shoe Covers
• Mask
• Gloves

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Transmission-Based Precautions

• Airborne Precautions TB, Varicella (chicken Pox)
• Patients placed in negative air pressure rooms
• Healthcare providers wear respirator mask
• Patients must wear surgery mask when leaving room
• Students assigned to patients with these
  precautions must obtain fit-test of mask with
  Employee Health

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Transmission-Based Precautions

• Droplet Precautions
• Influenza streptococcal pneumonia
• Infection spread by coughing and respiratory
  secretions
• Contact Precautions
• Symptomatic with enteric or gastrointestinal
  infection
• Gown glove.

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Bed Linens

• Clean Linens
• Stored in a closet or covered rack
• Wash your hands before taking linens
• Avoid contact with uniform
• Place on a clean area in the patients room
• Take ONLY what is needed
• Dirty Linens
• Place in a hamper or bag
• NEVER on the floor

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Sharps Use Disposal

• Use Safety Devices
• Dispose in
• Sharps Container

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OPERATION EXCELLENCE

• YOU are the face the public sees!!
• PLEASE be sensitive and responsive to our
  patients, visitors, and other staff members

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One-on-One encounters

• Smile, make eye contact look approachable.
• Ask if we can help if someone appears lost
• Stand to one side before boarding the elevator
• Make the extra effort to determine the answer or
  solution when an answer to a question or
  concern is not known.
• Stay to one side when walking in the hallways in
  order to facilitate the flow of people traffic
• Ask Is there anything else I can do for you?

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Respectful Care

• Patients have different cultures, values
  beliefs
• Every Patient has the right to receive care
• Equally
• Respectfully
• With Kindness Compassion
• To the best of our ability
• With confidence
• trust in caregivers
• Without expectation that they should
• be exposed to our own beliefs and
• values

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CORPORATE COMPLIANCE

• MCCG is a
• Tax-exempt organization
• Participate in government programs
• Strive to act honestly and ethically in all
  relationships.

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7 Disciplines of EOC (refer to PINK cards)

• Emergency Management
• Utilities
• Hazardous Materials
• General Safety

• Security
• Medical Equipment
• Fire Prevention

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• IN THE EVENT OF AN EMERGENCY
• (Refer to PINK Cards)
• POINTS TO REMEMBER
• Patient Care staff or faculty member will inform
  you as needed
• Do not become alarmed or panic.
• Refer to your Pink EOC card for CODES
• Access the Code System by dialing Extension 1600

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CODE Blue or Blue PALS (Refer to PINK Cards)

• In the event you are with a patient at the
• time of arrests or medical emergency
•   Stay with the patient.
• Call for immediate assistance (use all
  options)
• Use the nurse call signal
• Contact the hospital operator at EXT. 1600 tell
  them exactly where you are the situation
• Tell the Code teams, when they arrive, exactly
  what you observed that prompted you to call the
  code.

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Other Codes related Patient Care (Refer to PINK
Cards)

• Code Lift
• Code Green
• Code Purple

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CODE RED (Refer to PINK Cards)

• PULL THE ALARM
• Dont prop doors open COMPARTMENTALIZE
• If a door is warm to the touch DO NOT OPEN
• Do not use elevators during an alarm
•    Fire Drills If asked to participate in a fire
  drill, take action immediately.

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Fire Safety (Refer to PINK Cards)

• R - Rescue anyone in immediate danger
• A - Alarm pull nearest fire alarm station call
  1600
• C - Contain fire by closing all doors/windows
• E - Extinguish use fire extinguisher
• P.A.S.S. - pull pin, aim, squeeze, sweep

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Codes related to Security (Refer to PINK Cards)

• Code B
• Code Gray
• Code Baby Pink

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Parking Security

• Park in Lot 7
• Located on the corner of Arch Street Second St
• Display hang tag from the rear view mirror of
  your car
• To be obtained by Faculty
• DO NOT park in undesignated, time limited, or no
  parking areas.
• There is the possibility of damage to your car
• Police do give tickets tow offenders.

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• Call hospital police at 633-1490 to request an
  escort.

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Medical Equipment

• Maintained by Clinical Engineering
• Broken or Malfunctioning equipment should be
  tagged
• Inspection stickers
• (Tell when the equipment is
• due for service)

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Medical Equipment

• Alaris Medley Pump
• Used for IV infusions administered over a given
  timeframe or in a specific dosage per body weight
• Guardrails Drug Library
• Always PLUG EM IN

• Student Role
• - Administer IV medications with supervision
• Observe
• Complete Check off

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Utility Systems

• Cellular Phone Policy
• Use of cellular phones is strictly prohibited
  within 6 feet of patients on medical equipment.
• Use of RF (radio-frequency) transmitters, (i.e.
  walkie talkies, two-way radios, etc.) is
  prohibited when in close proximity to patients on
  medical equipment.

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MCCG Operation Safety

• Based on JCAHO National Patient Safety Goals
• Who is responsible for patient safety?
• (EVERYBODY)

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Safe Medication Administration

• All medications should be verified by 2 patient
  identifiers at the bedside PRIOR to administering
  the medication.
• Patient Identifiers include
• Name
• Date of Birth
• MR

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Safe Medication Administration

•   Select medications must be double checked by 2
  licensed individuals prior to administration.
• These include
• I.V. Digoxin
• I.V. or S.C. insulin
• Anticoagulants
• I.V. sedatives/narcotics
• I.V. potassium

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Safe Medication Administration

• Students may NOT hang Chemo
• You may monitor patients receiving such
  treatments.
• Students may NOT hang blood or blood products.
• You may monitor vital signs

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Other Safety Measures

• Audible Clinical Alarms
• Assure alarms are audible to be heard over
  competing noise
• Time Out
• Prior to surgical or invasive procedure
• Confirm correct
• Patient
• Procedure
• Site

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Other Safety Measures-Approved Abbreviations
Do Not Use Write Instead
mg mcg or micrograms
u units
Mg or MgSO4 Mag Sulfate or Magnesium Sulfate
MS or MSO4 Morphine
IU International units
Q.D. or QD or qd daily or every day

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Other Safety Measures Approved Abbreviations
Do Not Use Write Instead
Q.O.D. or QOD or qod every other day
T.I.W. three times a week
GM-CSF sargramostim or Leukine
G-CSF   filgrastim or Neupogen



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Other Safety Measures

• Hand Hygeine
• Wash Hands before after patient contact
• Use Alcohol Based Sanitizers
• Nails - NO longer than 1/4 inch from fingertip
• Artificial Nails are NOT permitted

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Incident Response

• If an error occurs
• Immediately notify your faculty preceptor
• Assist in completing a Confidential Incident
  Report for patients
• Forward Report to Risk Management

Refer to Incident Response area on PINK card
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Injury Reporting

• If an injury occurs
• Report to your instructor
• Document on a MCCG Confidential Incident Report
  for visitors
• Seek medical attention in the EC
• (Treatment will be at the expense of the
  individual)

Refer to Incident Response area on PINK card
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PERSONAL SAFETY

• Drive slowly on MCCG property, in parking lots,
  parking decks
• Observing the smoke-free policy
• Reporting untidy, unsafe, or unsanitary
  conditions to the charge nurse
• Know emergency codes
• Be mindful of noise levels

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HIPAA(Health Insurance Portability and
Accountability Act)

• CONFIDENTIAL INFORMATION
• Written
• Verbal
• Visual
• Electronic
• Printed
• While patient medical record information may be
  needed to assess, treat, and manage a patient's
  medical condition, all patient information,
  regardless of how obtained, is confidential and
  should be discussed only with other health care
  professionals directly involved in the patient's
  care.
• Students and faculty are not permitted to copy or
  remove elements of the patients medical record
  or printouts

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NPNINo Press No Information

• ANY patient may choose the status
• Hospital police may initiate
• KEY PHRASES
• Im sorry, we do not have a patient by that
  name
• OR
• They have chosen their identity here be
  confidential.

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TEST TIMEClick on Post Test button. Print test,
complete and return to your clinical instructor
(80 score is necessary)
Post Test