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Palomar Medical Center

Facility Guide

Table of Contents

Important InformationDirections ......................................................................................................... 5

Mission, Vision, & Values ............................................................................... 5

Key Design Elements ...................................................................................... 7

Department Names Before & After ............................................................. 8

Building Information & DirectoryHospital Layout........................................................................................................ 11

Floor Color & Themes .......................................................................................... 12

Floor Plans ................................................................................................................ 13

Parking & Transportation.................................................................................... 18

Elevators ................................................................................................................... 20

Phone Directory ...................................................................................................... 21

Visitor InformationVisitor Services ....................................................................................................... 27

Parking & Transportation.................................................................................... 29

Dining In and Around PMC ................................................................................. 30

Employee InformationEmployee Services ................................................................................................ 33

Nurse Call Devices ................................................................................................. 34

Policies & Procedures ........................................................................................... 35

Department Names in Clarity ........................................................................... 36

Safety & SustainabilitySustainability Flow Chart ................................................................................... 39

Safety & Codes ......................................................................................................... 41

Other Safety Points ............................................................................................... 43

I would like to extend a warm welcome to you as we embark on this exciting journey at our new Palomar Medical Center. As we continue to pursue our vision of being the health system of choice, we recognize that it is our employees who are the driving force behind this goal.

The new PMC has been built with the goal of providing a healing environment and features a green roof, natural lighting, outdoor terraces and patio seating in our café. These are just a few features that support our mission to heal, comfort, and promote health by following modern medical beliefs that patients heal faster with natural light and a connection to nature.

In this Facility Guide, you will find useful information such as the hospital layout with maps, visitor and employee services, telephone directories, and much more. Keep this handbook close as it will not only serve to inform you, but it will help you to direct your patients and their families as they visit our new hospital for the first time. Ongoing patient-centric information and education is available through the Service Excellence Department, at 760.740.7361.

From our management team to our volunteer staff, I want everyone at Palomar Health to believe in what we are doing and where we are going. As we continue to grow and transform our services, we remain committed to delivering on our promise of providing excellent customer service and the highest quality of care possible.

I sincerely thank you for your commitment to Palomar Health. This is your house now; together let’s take pride in our new home. Welcome once again to the new Palomar Medical Center: Your Hospital of the Future.

Sincerely,

Michael H. Covert, FACHE

Welcome.

Important Information


5 6

The Palomar Medical Center Facility Guide

Directions

2185 Citracado Parkway Escondido, CA 92029 442.281.5000

DIRECTIONS

From Highway 78: Exit Nordahl Road and head west. Make a right on Citracado Parkway.

From Interstate 15: Exit Valley Parkway and head west. Make a right on Auto Parkway and a left on Citracado Parkway.

Mission, Vision, & Values

OUR MISSION

The mission of Palomar Health is to heal, comfort, and promote health in the communities we serve.

OUR VISION

Palomar Health will be the health system of choice for patients, physicians and employees, recognized nationally for the highest quality of clinical care and access to comprehensive services.

OUR VALUES

Patient’s Well-Being – We passionately give and support heartfelt care that encourages patient comfort and safety.

Professionalism – Each of us takes pride in teamwork, self-discipline, our skills and trustworthiness.

Highest Quality – We are each accountable for providing the safest, most effective and innovative care.

PATIENT CENTRIC CULTURE

We strive to provide the ideal patient care experience for every one of our patients and their families. In order to achieve this, Palomar Health has identified four patient centric standards:

The patient will experience effective communication. Every patient receiving service will be told the name and role of the staff member, what is being done and why it is being done.

.

. i 78

W C

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Commercial St. Enter

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St.

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Dole Lee Pl.

Auto Park Way

Rose

Dr.

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Nord

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The patient will be actively listened to. Every patient will have their most important need of the day identified and addressed.

The patient’s needs will be anticipated and responded to. Caregivers will round on their assigned patients hourly to assess and respond to the patient’s needs related to pain, position, personal needs and presence.

The patient will receive timely service. Every patient service will be provided on time, within 15-30 minutes of their scheduled event.

THIS BUILDING WAS DESIGNED WITH OUR COMMUNITY IN MIND

The 740,000 square feet hospital is an 11-story building with 288 private, single-patient rooms and more than 800 parking spaces. It houses 50 emergency & trauma rooms, 12 operating rooms and 6 interventional radiology suites just on the 1st and 2nd levels alone! On each level, patients, families and employees can enjoy 3 outdoor terraces adorned with patio seating and live trees, flowers and shrubs. As the community grows and develops, Palomar Medical Center has the ability to expand to twice the size!

The green roof is a 1.5-acre wavy rooftop directly above the Surgery and Procedures area and is the largest of its kind in Southern California. The roof is “green” with vegetation that has been planted across the entire area which will contribute to energy efficiency and follows modern medical beliefs that patients heal faster with natural light and a connection to nature. All south-facing west wing rooms overlook the green roof.

MINIMIZING OUR CARBON FOOTPRINT

The issue of sustainability is of great importance at Palomar Health. In our efforts to reduce the amount of waste created, certain measures have been implemented at the new facility. Recycling collection bins are in centralized public areas for recyclable waste which includes glass, aluminum, plastics and cardboard among other wastes. Composters will be used to dehydrate food wastes to prepare for landscape use on campus. Our Sani-Pak system will convert medical hazardous waste to solid waste that will then be disposed of properly. For more information on the various waste streams and how to dispose of waste appropriately, please see the Sustainability Flow Chart on page #.

TOBACCO FREE

All Palomar Health campuses are tobacco-free facilities. For more information, please see Lucidoc procedure # 25912. For assistance to stop smoking, please call 1-800-QUIT-NOW.


7 8

The Palomar Medical Center Facility Guide

Key Design Elements

HEALING ENVIRONMENT

The healing environment is evident throughout the campus. Atriums and garden terraces are on every floor for patients, visitors and staff to enjoy the natural climate of Southern California. The walking garden on the north end of the facility serves as a place of respite for all. Within the walls of the facility, the healing environment is apparent with decreased noise levels on inpatient floors into patient rooms, allowing doors to remain closed and noise levels to be controlled. Patient rooms, including in the Emergency Department and Pre-op/

Recovery areas, are larger to allow for family members to be present. Patients have the ability to control inpatient room climates with the touch of a button.

SAFETY

All patient rooms are “same handed”, with hand rails from the bed to the bathroom for ambulation safety. The bathrooms feature double wide doorways and built in showers so patients don’t have to step over a tub side. Patient lifts aid staff in lifting and avoiding back strains.

EFFICIENCY

Staff and visitors can find their way through the building with ease using our Wayfinding Kiosks, dedicated visitor elevators and dedicated staff and service elevators. Critical care floors house procedure rooms and the Emergency Department has a dedicated CT scanner for increased efficiency of patient care.

Our Food and Nutrition Services provide Room Service, which gives patients the opportunity to order foods they want when they want them.

TECHNOLOGY

The new facility has wireless infrastructure and fiber optic capability, which increases the speed of digital information exchange for staff, patients and guests. The single beam span in Surgery & Procedures creates larger open spaces in the department while providing flexibility for redesign in the future.

SUSTAINABILITY

The 1.5 acre wavy green roof is covered with water-wise plants across the entire area which will contribute to energy efficiency by providing a cooling effect on the Surgery & Procedures equipment. Irrigation is done using recycled water. The lights throughout the facility are LED low voltage.

LOCATION BEFORE AFTER LOCATION

1st level Java City Starbucks 1st level lobby

2nd level Cafeteria Garden Terrace Café 3rd level east

MD Lounge Physician Dining Room 3rd level east

3rd level Health Information Services

Medical Records 2nd level west

Trauma ICU Surgical & Trauma ICU 4th level west

Interventional Radiology

Surgery & Procedure 2nd level west

Radiology/Ultrasound Imaging 1st level west

Patient Access Registration 1st level west

Laboratory Laboratory Collection Station Laboratory

1st level westLower level west

4th level Catheterization LabOperating RoomPre-Op

Surgery & Procedures 2nd level west

PACU Recovery (in Surgery & Procedures)

2nd level west

5th level Ortho/Neuro/Stroke Orthopedic Acute CareNeurosciences Acute Care

7th level east

7th level west

Observation Short Stay Unit 9th level east (shelled)

6th level Telemetry Cardiovascular Acute Care 5th level east

Intensive Care Unit Medical ICUCardiovascular ICUCardiovascular Acute Care

6th level west5th level west5th level west

Respiratory Pulmonary 1st level west

7th level Intermediate Care Unit

Pulmonary Medical Acute CarePulmonary Acute Care

6th level east6th level west

Medical Oncology Medical Oncology Acute Care 8th level east

8th level Medical Surgical Medical Acute CareSurgical Acute Care

8th level west4th level east/west

-- -- Central Monitoring Room 3rd level west

Palomar Medical Center Before & After

New Names of Units and Departments

Building Information& Directory

The Palomar Medical Center Facility GuideBuilding Information & Directory

11 12

1st

2nd

3rd

4th

5th

6th

7th

8th

LL

9th

10th

11th

Surgical Acute Care

Cardiovascular Acute Care

Pulmonary Medical Acute Care

Orthopedic Acute Care

Medical Oncology Acute Care

Main Lobby, Financial Services (Future: Retail area, Business

& Conference Center)

North – Surgical Acute CareSouth – Surgical & Trauma ICU

Cardiovascular ICU

North – Pulmonary Acute CareSouth – Medical ICU

Neurosciences Acute Care

Medical Acute Care

Shelled

Shelled

Shelled

Surgery & Procedures, Recovery, IR/Cardiac Cath, Endoscopy, Pre Admission,

Medical Staff, Administration

Emergency, Registration, Cardiology,Imaging, Laboratory Collection Station,

Medical Records, Pulmonary

Facilities, EVS, SPD, Supply Chain,Mail Room, Laboratory

Garden Terrace Café, Physician Dining

Pharmacy, Inpatient Rehab (Future: Chapel & Resource Center)

Unassigned

Kitchen, Morgue

Mechanical area, Remote Monitoring

(Future: Community Room)

East Wing

South (Stone Brewery)

North (78 Freeway)

E

L

E

V

A

T

O

R

S

WEST WING

EAST WING

Outdoor Terrace, Wavy Green Roof

Helipad

West Wing

Diagnostic & Treatment

Hospital Layout Floor Colors & Themes

1111

1111111111111111111110000000000000000000000000000000000000000000000000

99

8888888888888

777777

6666666666

LEVEL 5

55

333

LEVEL 4

PHARMACY

CAFE

LABORATORY

LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL

CONFERENCE ROOM A

44444444444444

PHARMACY

2

CONFERENC

LEVEL 11

LEVEL 10

LEVEL 9

LEVEL 8

LEVEL 7

LEVEL 6

E ROOM A

LEVEL 11:SKY

LEVEL 10:ALPINE

LEVEL 9:TROPICAL

LEVEL 8:FOREST

LEVEL 7:WATER

LEVEL 6:SHADE

LEVEL 5:WILDFLOWER

LEVEL 4:GRASS

LEVEL 3:SUCCULENT

LEVEL 2:ZEN GARDEN

LEVEL 1:ROCK

LEVEL LL:ROOT


13 14

1st Level

LOBBY

IMAGINGEMERGENCY SERVICES

CARDIO DIAGNOSTICS

RESPIRATORY THERAPY

MAIN HOSPITAL ENTRY

COURTYARD

AMBULANCEENTRY

FINANCIAL COUNSELING

Lower Level Floor Plan

FOOD SERVICE

FACILITIES

SUPPLY CHAIN MGMT.

PNEUMATIC TUBE INTERCHANGE

STERILE PROCESSING

MORGUE

EVS

LAB


15 16

3rd Level

GARDEN TERRACE CAFE

WAVY GREEN ROOF

OUTDOOR TERRACE

2nd Level

PHARMACY

PRE/POST OP

OPERATING ROOMS PATHOLOLGY

WAITING AREA

IR/CATH

INTERVENTIONAL SERVICES

TERRACETERRACE

INPATIENT REHAB


17 18

Parking & Transportation

PATIENT/VISITOR

EMPLOYEE PARKING

PATIENT/VISITOR PARKING

EMPLOYEEPARKING

EMPLOYEEPARKING

LOADING

DOCK

Employee Parking

Patient/Visitor Parking

Physician Parking

DRAWING KEY:

Employee/Physician Route

Patient/Visitor Route

Employee/Physician Walking

Employee/Physician Entrance

MAIN ENTRANCE

ER ENTRANCE

Central Utility Plant


15 MIN PARKING

AMBULANCE & EMERGENCY RESPONDER

PARKING

CLERGY

SHUTTLEPARKING

VOLLUNTEERS

PHYSICIAN PARKING

N


4th – 9th Level

24 BED UNIT

30 BED UNIT

STAFF/PATIENT ELEVATORS

RECEPTION/WAITING AREA

SERVICE ELEVATORS

STAFF ELEVATORS

PUBLIC ELEVATORS

OUTDOOR TERRACE

OUTDOOR TERRACE

OUTDOOR TERRACE

East / West End

STAFF LOUNGE & LOCKERS


19 20

Elevators

LOCATION ELEVATORS USERSLEVELS SERVICED

Central PA1-PA4 (4 elevators)

Families & Visitors only

LL - 11

PA7 (1 elevator) ● Staff & Service LL - 11

PA8 (1 elevator) ● Staff & Service LL - 11 - Helipad

West Tower PA9 (1 elevator) ● Staff & Services LL - 11

SE1 - SE2 (2 elevators) Staff & Services LL - 11

SE3 (1 elevator) SPD - Clean LL - 2

SE4 (1 elevator) SPD - Clean LL - 2

West End PA10 (Helipad Trauma) ●

Trauma LL - 11 - Helipad

Surgery & Procedures

PA11 (1 elevator) ● ED to Cath Lab 1 - 2

East Tower SE6 (1 elevator) FANS LL - 3 (no stop on 2)

PA12 (1 elevator) Café Shuttle LL - 3 (no stop on 2)

SE7 - SE8 (2 Elevators)

Staff & Service LL - 9

All elevators are connected to emergency power.

Elevators marked with ● are able to be overridden by Code Blue Emergency

NCTD: RIDE WITH YOUR BADGE FOR ROUTE 353

North County Transit District has provided a BREEZE Bus Route 353 that all Palomar Health employees are able to ride for free with a Palomar Health badge. The route begins at Palomar Health Downtown Campus and ends at the new PMC via the Escondido Transit Center. Route 353 operates every 30 minutes on weekdays and hourly on Saturdays. No service on Sundays or holidays. For more information, please visit www.GoNCTD.com or call the BREEZE hotline at 855.287.6283.

PMC CURBSIDE SHUTTLE SERVICE

A golf cart shuttle service is available to escort visitors and staff members between the hospital entrances and the parking lot.

ENTRANCES

Main Lobby Entrance: Patients and visitors can use this entrance where a reception desk attendant can assist them in finding their destinations. The Main Lobby entrance is open from 0600 to 2030 every day.

After Hours Entrance: Patients and their families who arrive to PMC after hours can enter the facility through the ER Entrance on the 1st floor.

Employee Entrances: There are two employee entrances, both of which are badge-accessible only. One is located just east of the ER on the 1st floor; the other is located on the back end of the Main Lobby on the 1st floor.


21 22

Garden Terrace Café 3rd level east wing 442.281.3203

HELP desk/Information Technology (IT)

15255 Innovation DriveSan Diego, CA 92128

858.613.HELP (4357)

Home Health 975 S. Andreasen DriveEscondido, CA 92029 760.796.6800

Hospitality Call Center (Room Service) Lower level east 442.281.3201

Human Resources (HR) 456 Grand Ave Escondido, CA 92025 760.740.6311 (main)

Imaging (CT/Diagnostics/MRI/NucMed/Ultrasound/Xray) 1st level west wing

Infection Control 9th level east wing442.281.3456M-F 8-1630After hours, call PBX

Inpatient Rehab (Occupational/Physical/Speech Therapies) 2nd level east wing 442.281.1100

Interventional Radioloby (IR) 2nd level west wing 442.281.3102

Kaiser Member Services 2nd level west wing

Laboratory, Central Processing Lower level west wing 442.281.1503

Laboratory, Chemistry Lower level west wing 442.281.1504

Laboratory, Admin Office Lower level west wing

Laboratory, Hematology Lower level west wing 442.281.1505

Laboratory, Microbiology Lower level west wing 442.281.1502

Laboratory, Outpatient 1st level west wing

Laboratory, Pathology 442.281.1500

Mail Room Lower level west wing

Maintenance/Facilities Lower level west wing 442.281.3250

Medical Acute Care Unit 8th level west wing 442.281.2850

Medical ICU 6th level west wing south 442.281.2650

Medical Oncology Acute Care Unit 8th level east wing 442.281.2800

DEPARTMENT LOCATION/LEVEL PHONE NUMBER

Palomar Medical Center Directory

Palomar Medical CenterMain Hospital Number

2185 Citracado ParkwayEscondido, CA 92029 442.281.5000

Administation 2nd level west wing 442.281.1000

Benefits (HR) 456 Grand Ave.Escondido, CA 92025

760.740.6336 760.740.6337

BioMedical Engineering 442.281.1020

Blood Bank Lower level west wing 442.281.1501

Cardiac Cath Lab 2nd level west wing 442.281.3101

Cardiology Services 1st level west wing 442.281.3300

Cardiovascular Acute Care 5th level east wing 442.281.2550

Cardiovascular ICU 5th level west wing 442.281.2500

Chaplain 2nd level east wing 442.281.3333

Chemistry Laboratory Lower level west wing 442.281.1504

Clinical Care Extenders(Pipeline Career Services)

642 East Grand Ave.Escondido, CA 92025 760.739.2149

Compliance Officer 15255 Innovation Dr.San Diego, CA 92128 858.675.5259

Emergency Department 1st level west wing 442.281.2000

Employee Health

15611 Pomerado Road, Poway, CA 92064120 Craven RoadSan Marcos, CA 92078

858.613.6280

760.510.7373

Endoscopy 2nd level west wing 442.281.3102

Environmental Services (EVS) Lower level west wing 442.281.1200

Escondido Surgery Center 343 East 2nd Ave.Escondido, CA 92025 760.480.6606

Facilities/Maintenance Lower level west wing 442.281.3250

Financial Services General: 1st level east ED: 1st level west

442.281.1999442.281.1900

Food and Nutrition Services (FANS) Lower level east wing 442.281.3200



23 24

Medical Records 1st level west wing

Medical Staffing Office 2nd level west wing 442.281.1005

Morgue Lower level east wing

Neurosciences Acute Care Unit 7th level west wing 442.281.2750

Nursing Administration 2nd level west wing 442.281.1002

Nursing Staffing

Operating Room (OR) 2nd level west wing 442.281.3000

Orthopedica Acute Care Unit 7th level east wing 442.281.2700

Palomar Continuing Care Center (PCCC) 1817 Avenida Del DiabloEscondido, CA 92029 760.739.2000

Palomar Medical Center Downtown Campus MAIN HOSPITAL NUMBER

555 East Valley ParkwayEscondido, CA 92025 760.739.3000

Payroll (HR) 456 Grand Ave.Escondido, CA 92025

760.480.7996 or 760.480.7920

Pharmacy 2nd level east wing 442.281.1300

Pomerado Hospital MAIN HOSPITAL NUMBER

15615 Pomerado RoadPoway, CA 92064 858.613.4000

Pre Admission 2nd level west wing 442.281.1800

Pre Op/Recovery 2nd level west wing 442.281.1400

Pulmonary Acute Care Unit 6th level west wing north 442.281.2650

Pulmonary Medical Acute Care Unit 6th level east wing 442.281.2600

Recovery/Pre-Op 2nd level west wing 442.281.1401

Registration 1st level west wing 442.281.1900

Registration for Surgery & Procedures 2nd level west wing 442.281.1800

Rehab Gyms Neuro: 6th level centralOrtho: 7th level central

442.281.1092442.281.1095

Respiratory Therarpy Main Office 1st level west wing 442.281.1601

Respiratory Therapy Work Rooms5th level7th level9th level


Palomar Medical Center Directory (continued)

Security & Police Office 1st level ED 442.281.4444

Sterile Processing (SPD) Lower level west wing 442.281.1040

Supply Chain Lower level west wing 442.281.3499

Surgery & Procedures Waiting room 2nd level west wing

Surgical & Trauma ICU 4th level west wing south 442.281.2450

Surgical Acute Care 4th level east wing and4th level west wing north

442.281.2400442.281.2450

Villa Pomerado Skilled Nursing 15616 Pomerado RoadPoway, CA 92064 858.613.4545

Volunteers Office 9th level east wing 442.281.1920


Visitor Information

Visitor Information The Palomar Medical Center Facility Guide

27 28

Visitor Services

ATM

(Bank) ATMs are located (locations). There is a fee of (fee) for non-customers of (bank).

GIFT SHOP OR CVS PHARMACY

Located on the 1st level by the main lobby, the gift shop is open (days/hrs) and the offerings include (offerings). Contact information for the gift shop can be found in the Telephone Directory. Contact: Sheila Brown

INTERPRETERS

Spanish interpreters are available for translation. Clinical Care Extender (CCE) interpreters volunteer 7 days a week from 7am until 11pm and are available at extension _____. If a CCE interpreter is not available, check with your supervisor about dual role employee interpreters.

PUBLIC PHONES

Pay phones are located (locations). The charge per call is (charge). Courtesy phones available?

RELEASE OF PATIENT INFORMATION

For release of patient information, please visit Medical Records on the 2nd level west wing. They are open (days/hrs) and can assist visitors in filling out the appropriate forms for release of information. It takes about (length of time to get info) to receive requested information. Contact information for Medical Records can be found in the Telephone Directory.

RESTROOMS

Public restrooms are available on every level and most are centrally located next to the public bank of elevators.

ROOM SERVICE

Room service is a meal service we use to meet the special needs of our patients with considerations for diagnosis, diet restrictions, medication management and overall patient care. Breakfast is available during all service hours, from 6:30am-7:00pm. Lunch and dinner are available from 10:30am-7:00pm.

Menus are available in patient rooms and on inpatient units. A physician-ordered diet is required for all patients prior to receiving nourishment. FANS will provide “Moonlight Meals” (boxed lunches) daily and store in the unit pantry refrigerator to be used when Room Service is not in operation. If a guest tray is requested, the guest may call the Hospitality Call Center to place their order for a fee. Contact information can be found in the Telephone Directory. For more information, please see Lucidoc procedure #44933

ROOM SERVICE DELIVERY SCHEDULE (non-select trays only)

AREA SERVICES BREAKFAST LUNCH DINNER

8-West Medical 8:00 12:00 17:45

8-East Medical Oncology 8:00 12:00 17:45

7-West Neurosciences 7:30 12:30 17:00

7-East Ortho 7:30 12:30 17:00

6-West South Medical ICU 8:00 12:00 17:45

6-West North Pulmonary 8:00 12:00 17:45

6-East Pulmonary 8:00 12:00 17:45

5-West Cardiovascular ICU 7:45 11:45 17:30

5-East Cardiovascular 7:45 11:45 17:30

4-West North Surgical 8:00 12:00 17:00

4-East Surgical 8:00 12:00 17:00

4 – West South Surgical & Trauma ICU 8:00 12:00 17:00

SPECIAL SERVICES

Services such as financial services, grief counseling, chaplaincy, case management and durable medical equipment liaison services are available, as well as many more. Please see your supervisors for contact information.

VISITING POLICIES

Visitors will be given a badge to wear that will indicate their destination within the hospital. A maximum of 4 visitors per patient during day time hours is allowed. One family member or visitor may stay at night with “Quite Time Guidelines” observed from 9pm to 6am. No food preparation or outside appliances are permitted in the facility. Service animals and the Pet RX program are the only animals allowed in the facility.

VOLUNTEERING

Volunteer services include but are not limited to: Escort and Shuttle Services, Family Waiting Services, Gift Shop Services, Café Services, Library, Lobby and Information Desk Services and Patient Helper.

WAYFINDING KIOSKS

Free-standing kiosks are available to patients and visitors on the 1st and 2nd levels for self-direction. In addition, visitors can use kiosks for online bill pay, media, and Foundation donations.

WIRELESS ACCESS

No password is needed to access Wi-Fi within the building. The user just needs to accept the terms of use on the home page to utilize the wireless access.

Visitor Information The Palomar Medical Center Facility Guide

29 30

Parking and Transportation

Dining in and around Palomar Medical Center

DINING LOCATION OFFERINGS SERVICE HOURS

Garden Terrace Café

3rd level east wing Pizza, Pasta, Deli Sandwiches, Hot Foods, Carving Station, Soup & Salad, Grab & Go, Beverages

Breakfast: 6a-10a Lunch: 11a-2p Dinner: 5p-7p 3rd Shift: 11p-1a

Starbucks 1st level main lobby Hot & Cold Beverages, Pastries, Deli Sandwiches

Sheila Brown to convey info

Stone Brewery

1999 Citracado Pkwy Escondido, CA (Just west of PMC)

Food & Beverages Sunday-Thursday: 11a-11p Friday-Saturday: 11a-12a

“No scrubs” policy for Stone Brewery?

VISITOR PARKING & ENTRANCES

Complimentary valet services are available for all visitors. The valet station is located at ____ and is open __ through ___ from 00:00 to 00:00. Patients and visitors can enter the parking lot through the main entrance from Citracado Parkway. In addition to the general visitor parking, there are 4 stalls in front of the ED entrance (15 minute parking only) and 7 stalls at the turnaround by the main entrance hours for any parking lot area? Are certain lots closed at night? Public v staff

PATIENT/VISITOR

EMPLOYEE PARKING


EMPLOYEEPARKING

EMPLOYEEPARKING

LOADING

DOCK

Employee Parking

Patient/Visitor Parking

Physician Parking

DRAWING KEY:

Employee/Physician Route

Patient/Visitor Route

Employee/Physician Walking

Employee/Physician Entrance

MAIN ENTRANCE

ER ENTRANCE

Central Utility Plant


15 MIN PARKING

AMBULANCE & EMERGENCY RESPONDER

PARKING

CLERGY

SHUTTLEPARKING

VOLLUNTEERS

PHYSICIAN PARKING

N


Employee Information

Employee Information The Palomar Medical Center Facility Guide

33 34

Nurse Call Devices

Our new nurse call system has been designed to efficiently route calls to the right staff member so that the patient’s needs can be met more readily.

Nurse Console – One way staff can answer call lights is from the nurse console. Anyone can pick up the receiver and speak to the patient directly. There are two consoles located in the Multidisciplinary Rooms.

Corridor Lights – Different colored lights on this device located above each patient door are a way to quickly tell the status of a patient room at a glance. From a simple patient call for water to a code blue emergency, many different statuses can be displayed for ease of communication.

Patient Pillow Speaker – This device replaces the current bed remote. The patient can choose to press certain buttons to get quicker staff response for their needs such as “pain”, “toilet”, or simply “nurse”. Controls for television, lighting and blinds are also included on the pillow speaker.

Staff Terminal – Situated on the walls outside of each patient room, this terminal is one way staff can communicate with each other with buttons to indicate specific situations such as “MD in Room” or “Food Tray Arrived”. Staff can call select departments and set patient rounding timers using the staff terminals.

Wireless Phone – This handheld phone is a lifeline between staff and patients. Patient calls will be directly routed to this wireless phone. On monitored units, alarms will also be directly routed to the phone. In the future, the phones will have capability of receiving stat order and critical lab alerts.

Employee Services

STAFF BREAK ROOMS

Break rooms are scattered within each department at Palomar Medical Center. Specifically on the inpatient nursing units, the break rooms are located on the far ends of each wing. Intended as a place of respite and gathering, all staff members are welcome to use any break rooms. Lockers are for “shift use” and locks are not ; Please do not attach anything to the lockers with tape.

CAFÉ

The Garden Terrace Café on the 3rd level offers employees who wear their Palomar Health badge free coffee, iced tea and hot tea. Please see “Dining In and Around Palomar Medical Center” for more information on café offerings and hours.

OUTDOOR TERRACES

Employees are welcome to enjoy all outdoor terraces and atriums at Palomar Medical Center.

MAIL ROUTING

How to send interoffice mail within PMC-West and between facilities?

TIME CLOCKS

Also called “API Machines” or “Badge Readers”, they are located within each department, usually in the designated break room. All staff members are required to use the API machine in their home unit to clock in and out.

Employee Information The Palomar Medical Center Facility Guide

35 36

UNIT DESCRIPTION UNIT DISPLAY

Cardio Diagnostics Cardio PMCW

Emergency Department ED NPMC

ED Hold ED Hold PMCW

Imaging Rad PMCW

Pulmonary PULM PMCW

IR/Endo & Special Procedures IR/ENDO/SP PMCW

Cardiac Cath Cath PMCW

Laboratory Lab PMCW

Surgery & Procedures SURG PMCW

Surgery Holding SURGH PMCW

Post Anesthesia Care PACU PMCW

4 Southwest Critical Care 4SW CC PMCW

4 Northwest Surgical Acute Care 4NW SURG PMCW

4 East Surgical Acute Care 4E SURG PMCW

5 West Critical Care 5W CC PMCW

5 East Cardiovascular Acute Care 5E CARDIO PMCW

6 Southwest Critical Care 6SW CC PMCW

6 Northwest Pulmonary Acute Care 6NW PULM PMCW

6 East Pulmonary Acute Care 6E PULM PMCW

7 West Neuro Acute Care 7W NEURO PMCW

7 East Ortho Acute Care 7E ORTHO PMCW

8 West Medical Acute Care 8W MED PMCW

8 East Medical Acute Care 8E MED PMCW

9 East Observation Unit 9E OBS PMCW

Department Names in Clarity

Safety & Sustainability

Safety & Sustainability The Palomar Medical Center Facility Guide

39 40

Sustainability Flow Chart

MUNICIPAL SOLID WASTE

■ Packaging/Wrapping ■ Emply I.V. bags ■ Tubing ■ Unit dose packaging except RCRA

pharmaceuticals

SOILED LINEN

■ Soiled Linen

BIOHAZARDOUS SHARPS

■ Any device having acute rigid corners, edges, or protuberances capable of cutting or piercing, including, but not limited to:

■ Culture dishes, other glassware, glass contaminated with medical waste

■ Scalpels ■ Needles – for shots or drawing

blood, hypodermic, attached tubing

■ Lancels, syringes, blades

CONFIDENTIAL WASTE

■ Papers or documents containing patient information

■ Confidential hospital information ■ Papers or documents containing

employee information

LIQUID WASTE

■ Solutions in I.V. bags containing only saline solution, lactate, nutrients (glucose, vitamins, and added salts like potassium, and or other electrolytes can be placed down the drain/toilet of Municipal Water System.

RETURNABLE MEDICATION FOR CREDIT

■ Intact expired or unusable medications including controlled drugs

■ Return to pharmacy via Pyxis return bins, locked or secured pharmacy pick up containers

PHARMACEUTICAL WASTE

■ Un-reusable, non-intact, soiled tablets, half tablets or partial I.V. solutions that contain additional ingredients in addition to electrolytes and/or dextrose including:

■ Non-intact, damaged, contaminated or unwanted medications

■ Pharmaceuticals that cannot be returned to a reverse distributor for credit from manufacturer

■ Half tablets/capsules ■ Antibiotics ■ Used duragesic patches ■ Propofol ■ Bo-Tox ■ Liquids that cannot be returned for

credit ■ Partial tubes of creams ■ Ointments ■ Used eye/ear drops ■ Partial vials ■ Herbals ■ Over the counters

RCRA HAZARDOUS PHARM WASTE

■ Any pharmaceutical waste that is listed in 40 CFR 261 of the Fed. Regulations or is characteristically hazardous. Includes:

■ Partial undiluted ampules/vials of Epinephrine & Nitroglycerin

■ Nitroglycerin ointment (partial tubes) ■ Pourable flammables (rubbing

alcohol, tinctures, flexible colloidon) ■ Inhalers (partially used &/or metered

dose) ■ Warfarin and its unit dose package

wrapper ■ Chloralhydrate

RECYCLABLE WASTE

■ Glass, including empty bottles and vials defined as <3%, or as much fluid that can be removed by syringe (e.g., propofol containers)

■ Aluminum ■ Plastics ■ Cardboard ■ Laser/inkjet cartridges ■ Beverage containers

BIOHAZARDOUS WASTE

■ Any solid waste that is generated in the diagnosis, treatment or immunization of human beings, including.

■ Blood-soaked bandages ■ Discarded surgical gloves or

instruments ■ Cultures, stocks, swabs, used to

inoculate cultures ■ Removed body organs-

tonsils, appedices, limbs, etc.

NARCOTICS & CONTROLLED SUBSTANCE WASTE

■ Requires 2 RN signature documentation to waste

■ A drug or other substance, or immediate precursor, included in Schedule I-V of Title 21 CFR 1308

■ Un-reusable, non-intact, soiled tablets, partial I.V. solutions including:

■ Lorazepam, Merperidine, Midazolam, Morphine, Oxycontin, Dilaudid (hydromorphone), Duragesic (fentanyl) patches, Percocet


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Safety & Codes

CODE DESCRIPTION ALERT TYPE

Code Blue Adult Medical Emergency Overhead page housewide

Code Red Fire Overhead page and Alarm for affected level, one level above and one level below Strobe lights housewide

Code Pink Infant Abduction Overhead page housewide

Code Purple Child Abduction Overhead page housewide

Code Yellow Bomb Threat Supervisors to notify staff

Code Orange Hazardous Material Spill/Release Overhead page housewide

Code Gray Combative Person Overhead page house wide

Code Silver Person with a Weapon/Hostage Situation

Overhead page house wide

Code Green Patient Elopement/Missing High Risk Patient

Overhead page house wide

Code Triage Disaster Procedures Overhead page house wide

In case of a fire, remember RACE

R Rescue Move patients and others from immediate danger

A AlarmPull the alarm box in your area and then call the hospital’s fire number ______, per hospital policy.

C Contain/ConfineContain the fire and smoke by closing all windows and doors.

E Extinguish/EvacuateIf the fire is small and you feel you can safely try to put it out, get a fire extinguisher. Otherwise, evacuate.

To operate a fire extinguisher, remember PASS

P Pull the pin

A Aim the nozzle

S Squeeze the handle

S Sweep from side to side at the base of the fire.


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Other Safety Points

Locate fire alarm pull stations, fire extinguishers, fire doors, medical gas shut off valves, evacuation equipment, stairwells and emergency exits in your area. Remember locations of the safety equipment.

SECURITY DEPARTMENT

The security and police office is located on the 1st floor next to the ED waiting room. Security officers are available 24 hours a day to assist visitors and employees with services such as car escort, parking lot assistance calls and new badges. Please see the telephone directory for contact information.

HAZARDOUS MATERIALS & WASTE MANAGEMENT PLAN

All hospital employees run the risk of exposure to hazardous materials, and if they are not disposed of properly, they can pose a risk to the general public as well. Hazardous materials include but are not limited to: Medical and infectious waste, sharps waste, radioactive waste, chemical waste, chemotherapeutic waste and RCRA pharmaceutical waste. For more information on hazardous materials and waste streams, please refer to the Annual Competency & Safety Manual 2012 Edition (pages 12-16).

FIRE DOORS

Fire doors are embedded within the walls of each department and automatically close when the fire alarm sounds. If you need to get past a closed fire door, there is a push bar you can use to open it.

EVACUATION TIPS

In case of a fire, use stairwells to exit, do not use elevators. Evacuation signage is posted at elevators, next to stairwell doors and at predetermined intervals in all hallways. The decision to evacuate the facility is made by the Administrator or Incident Commander in conjunction with the Fire Department. Evacuation routes are based on the location and extent of the fire and will impact the destination of the patients and staff. The Command Center/Fire Department determines the location of the assembly area.

One of the following methods of evacuation should be utilized depending on the urgency of the situation and the condition of the patient:

Assisted Ambulation

Chair carry

Two-man carry

Wheelchair, gurney or bed transfer

Evac-Chair

Med Sled

Blanket drag

2185 Citracado Parkway | Escondido, CA 92029 | 442.281.5000

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