Student/Volunteer ORIENTATION FOR CECH

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Student/Volunteer ORIENTATION FOR CECH

• 2015-2016

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Contents

• Student/Volunteers Guidelines Responsibilities
• Orientation Materials Web Orientation
• Required Student/Volunteer Documents Sequence
• Dress Code/Confidentiality issues
• Advance Scheduling
• Parking
• Safety Procedures
• Access to Pediatric Units
• Questions

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Student Volunteer Responsibilities

• A non-employed student enrolled in an accredited
  High School program under 18 years of age. Who
  volunteers hours for school community service or
  for educational/charitable purposes performing
  specific identified functions within the Child
  Life department of the Chris Evert Childrens
  Hospital (CECH)
• Provides play, recreational and supportive
  activities to children and their families in the
  pediatric playrooms on the patient care units.

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Student Volunteer Scope

• All student volunteers must be enrolled in an
  accredited High School program
• 14 years of agenon-direct patient care
  opportunities this includes creating and
  implementing activities such as fundraisers,
  pediatric band-aide drives, organizing specific
  gifts to pediatric units, creation of
  age-appropriate activity crafts and game bags ,
  collating of coloring sheets, aid in creating
  decorations, and participation in small escorted
  group visitations in non-patient care areas
  during the holiday seasons.

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14 Yr Old Students

• (Up to 6 student volunteers per group with school
  adult supervision, maximum of 12 students at any
  given time, 2 school adult supervisors, etc.).

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Students 15 yrs up to 18 yrs of age (17 yrs,
364 days).

• All student volunteers must be enrolled in an
  accredited High School program
• 15 years of age up to (17 yrs, 364 days)
• Direct patient contact will occur in the
  Pediatric Unit Playrooms and other approved
  designated pediatric play areas. No patient
  contact of any kind in the patient rooms.
• The maximum number of student volunteers allowed
  per area is 4 at any given time.

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Orientation and Regulatory Requirements

• Mandatory School/faculty orientation (annually)
• Completed Broward Health Orientation (completion
  certificate)
• Completed Broward Health Compliance Program
  (completion certificate)
• Completed Broward Health Hand Hygiene Program
  (completion certificate)
• Proof of Annual TB Screening
• Proof of Flu Vaccination
• Proof of general medical clearance/immunization
  record
• Parental Consent if applicable
• Code of Conduct/AIDET compliance (completion
  Certificate)

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Orientation and Regulatory Requirements

• Student volunteers must meet all volunteer
  requirements prior to volunteering
• Broward Health and Chris Evert Childrens
  Hospital reserve the right to remove any person
  from volunteering if their behavior and actions
  are not aligned to the Broward Health policies
  and procedures. The student/volunteer will be
  asked to withdraw from the volunteer program.

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Orientation Site

• Available on the website www.Browardhealth.org
  
• Follow instructional tabs to Chris Evert
  Childrens Hospital Child Life
• See Navigational Slides

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Verification/Validation Process for Compliance
with Broward Health Orientation

• Completed Student Roster
• Certificates of Completion for - Broward Health
  Orientation - Broward Health Compliance
• Copy of School Participation Form/Parental
  permission
• Proof of Annual TB screening and Flu vaccination
• Scan all documents and email to
  Studentvolunteers_at_browardhealth.org

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Faculty Requirements

• Background check/Sexual Predator Search
• Completed application Informational form
• Completed Broward Health Orientation
  Requirements (completion certificates)
• Proof of Annual TB screening and Flu vaccination

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Dress Code

• Prior to first shift assignment, the student
  volunteer must attain from Human Resources a
  Student Volunteer badge. A representative from
  Child Life will escort you to HR for the badge.
  This must be coordinated via the Child Life
  Coordinator, please email at Studentvolunteers_at_bro
  wardhealth.org

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dress code

• Hair Hair should be neat and contained- no
  vibrant colors no elaborate styles
• Nails should be groomed and polish if applicable
  intact and not cracked or peeling
• Closed toe shoes must be worn
• No jeans or ripped clothing, nothing form fitting
  or suggestive in appearance nor droopy drawers
• Identification Badge must be worn at all times
  above the waist allowing photograph of
  student/volunteer to face front
• Jewelry if worn should be secure NOTE NO FACIAL
  JEWELRY
• A school uniform shirt must be worn

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Dress code

• Prohibited use of cell phones and personal
  electronic devices
• Visible tattoos are NOT PERMITTED. They must be
  covered
• No open toed shoes
• No spandex, no jeans, no ripped tees, no shorts,
  no short skirts, no tight fitting clothing
• No dangling jewelry no hoops, etc.
• Artificial nails and nail jewelry are not
  permitted

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Advance Scheduling for Student Volunteers

• For Student/Volunteer group visitations one
  month notice is required.
• For Student/Volunteer weekly visits, one week
  advance notice
• All advance notice must be made within the
  identified time frames via e-mail to the Child
  Life Specialist, Kasey Castro at
  Kcastro_at_browardhealth.org

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Procedures for Scheduling

• If you plan on volunteering, you must request via
  email, Kcastro_at_browardhealth.org.
• This request must be acknowledged and approved
  prior to coming in to volunteer.
• Await a confirmation email from Child Life
  Specialist confirming/acknowledging the request.
• Do not assume if you emailed a request, that
  request is acknowledged and granted. must be
  approved prior to scheduling.
• Each request must be reviewed to ensure there is
  no overbooking and we can accommodate the
  request.

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Procedures for Cancelation

• If you are ill, you must not come to Chris Evert
  Childrens Hospital to volunteer until you are
  healthy again. No fevers, no colds, no sore
  throats, etc.
• If for any reason you cannot come during your
  scheduled session, you must send an email to
  Kasey Castro, Child Life Specialist, at
  Kcastro_at_browardhealth.org as soon as you know you
  cannot attend.

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General Safety Procedures

• Blood and Body FluidsNever ouch a Body Fluid or
  a potentially body fluids, vomitus, sputum,
  urine, feces, etc.
• If an accident should occur notify a nurse
  immediately, ensure safety of patient and those
  in the playroom.
• All toys and donated play items must meet safety
  standards set forth in the Pediatric Safety
  Policy. All toys must be new and of reputable
  brands adhering to safety standards and
  infections control policies

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General Safety

• Used or Stuff cloth toys are not permitted
• Notify Charge Nurse or Child Life Specialist if
  you need to leave the unit. Always travel in
  pairs. Do not leave the unit alone. Student
  Volunteers must go to café, restrooms, etc., in
  pairs.
• Student Volunteers must never give out their last
  name to parents/family members, visitors etc. for
  their own safety.
• Student Volunteers must keep the patient/family
  relationship professional and are prohibited from
  meeting/socializing with them outside of the
  hospital situation.

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General Safety

• Student/Volunteers are prohibited from taking
  pictures on I phones, phones, cameras or any
  electronic device during their volunteer
  experience
• NO FACEBOOKING OR TWITTERING WHILE ON DUTY
  VOLUNTEERING.
• Students/Volunteers are prohibited from posting
  anything regarding the student volunteer
  experience on Twitter, Facebook or other
  media/social networking sites.

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Access to Pediatric Units

• All Student Volunteers must identify themselves
  to Charge Nurse
• All Student Volunteers must wear their ID Badge
  at all times will on the premises
• Return the ID Badge to the Child Specialist at
  the end of your volunteer experience (termination
  of volunteering)
• All Student Volunteers must be expected as per
  policy. If Volunteer/Students are not registered
  to visit at that time they will be denied access
  to the pediatric unit and asked to contact Child
  Life Coordinator for reminder of
  procedure/protocol.

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Broward Health Student Expectations

• Elevators
• Please do not discuss patients or clinical care
  in the general elevators. Please reserve the use
  of Patient Transport elevator for patients.
• Hold open for visitors, patients and staff
• Do not use your cell phone while in the hospital.
  If you need to use your cell phone use must do
  this in the nurse lounge.

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The Role of the Child Life Student/Volunteer

• The role of the student volunteer is to provide
  opportunities to interact with the patients and
  maintain normal patterns of interaction and play
  during their illness.
• Your role is to assist in relieving stress and
  anxiety by interacting and playing with the
  patient and their siblings
• Our goal is to assist the patient to develop and
  maintain normal growth and development while in
  our healthcare facility.

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How Interact with the Pediatric Patients

• Always wash hands before and after patient
  contact or contact with any common item in the
  playroom
• Approach the patient naturally as you normally do
• Introduce yourself using the AIDET Technique
• This technique reduces stress and provides for a
  good introduction
• If you need help with the patient (needs to go
  back to room, needs to go to the bathroom, or
  they feel sicker, step out to the doorway and
  request help from the nurse)
• Never touch body fluids. (cover with paper towels
  and notify staff to clean up)

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AIDET

• A Acknowledge the patient. Use their first name
  and smile
• I Introduction, Introduce yourself and what
  school you are from. State why you are there
• D Duration. State how long you have to spend
  with patient
• E Explain. Explain your role and what you can
  do with the patient
• T Thank you. Thank the patient prior to leaving
  and allowing you to spend time with them

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Tips for Success

• Be yourself when with the patient
• Refrain from talking about the patient
  (condition, illness, appearance) in front or near
  the patient/family)
• Allow the patient to talk with you and learn
  about the patient. Do not ask direct questions,
  like Whats wrong with you
• Use positive reinforcement to build the patients
  confidence and self esteem (a healthy childs
  presence reminds the patient of their illness and
  the loss of normalcy)

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The Playroom

• The playroom is the safe haven for the patient
• No medical or treatment procedures are allowed in
  the playroom
• Always wash hands/or use hand sanitizer when
  entering or exiting the playroom
• If a patient enters the playroom, greet them, and
  then check the with the charge nurse or child
  life specialist to make sure they are appropriate
  for the playroom
• Enter the patients name and room number in the
  patient sign in binder.
• Assist the patient to wash hands utilizing the
  foam sanitizer

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• If a patient is not playing appropriately or not
  following the playroom rules, you should notify
  the Child Life Specialist or Charge Nurse.
• Request help from the Child Life Specialist or
  Charge Nurse if the child requires help back to
  their room or needs toys delivered to their room
• Ensure toys used are to be placed in the dirty
  toy bin for sanitizing.
• Student/Volunteers may assist in cleaning toys

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Special Notes for Pediatric Patients

• Children who are ill are under stress and
  sometimes they cope in different ways. Sometimes
  they revert to an early developmental state in
  response to the stress of being ill. This is
  normal.
• Stress affects people in different ways

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The degree of stress a child may feel will be
influenced by these factors

• The nature and severity of the illness and
  treatment.
• Past hospital experience.
• Cognitive level.
• The familys interpretation of the
  hospitalization.
• Current stresses the child is facing
  developmental milestones, school or peer
  problems, family problems.
• The way the child has coped with stress in the
  past.

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Behavior and Hospitalized Children

• Regression is expected when a child is admitted
  to a hospital.
• The behaviors you will see may not always seem
  age appropriate or typical for a given child.
  Remember that the childs behavior is an
  expression of his way of coping with stress.
  Your job is to recognize any maladaptive
  behaviors, and help the child substitute more
  positive behaviors. Keep these points in mind
  when observing a childs behavior.

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Coping behaviors often seen as

• Regression often influenced by hospital
  procedures which necessitate loss of
  independence. (A child who is potty trained
  starts wetting his/her pants) as they must
  undergo the directives of the medical team. They
  have no choice.
• Use of Fantasy The can be fun but you need to
  be the childs bridge to reality
• Denial Denial of being sick or having to deal
  with being in the hospital listening to all the
  rules can fuel the desire to break the rules and
  test limits/boundaries
• Rebelliousness Refusal to cooperate, displaying
  anger towards family and staff, aggressive
  behavior.
• Submission The child can become passive,
  withdrawn and/or isolated

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Development factors adding to stress

• Infants developmental delay, upset in
  attachment, distress at being held as the infants
  may be fearful of a potential painful experience.
  We need to use positive baby holding techniques,
  gentle rocking, soft talking, positive sensory
  experience.
• Toddlers separation anxiety, loss of recently
  gained loco motor skills, fear of being left
  alone that can be expressed by magical/wishful
  thinking
• Preschoolers regression, loss of self
  sufficiency, very active use of fantasy/escapism.
  My request to have someone else do a task that
  they previously did independently for example
  Will you brush my teeth for me? When the child
  has proven in the past that he/she knows how to
  brush heir own teeth.
• School-Age fear of body mutilation, pain,
  anxiety caused by belief that illness is
  punishment. The importance of doing, making,
  building, as a way of coping with stress. Illness
  is nobodys fault. It happens to everyone to a
  degree. Maintain good health care practices is a
  good defense we all must practice.
• Teenagers loss of independence, concern about
  body image, fear of death and/or fear of being
  different.

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Thank you for volunteering at CECH