student orientation sandy heresa manager staff development
DESCRIPTION
TRANSCRIPT
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Student Orientation
Sandy HeresaManager Staff Development
KSMC
8/06
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Mission
Preserve and improve our patient’s health
Provide high quality, affordable care
Provide excellent customer service
Partnership to achieve an excellent work environment
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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
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Who We Serve
454,000 members in NW
171,000 KP Dental members in 15
clinics
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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
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Pain
Pain is what the patient tells us
Assess for acceptable level of pain and document
Pain---the 5th Vital Sign
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Medical Legal
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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”
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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
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INFECTION CONTROL
IT’S EVERYONE’S
BUSINESS
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ROUTES OF TRANSMISSION
Contact
1. direct
2. indirect
3. droplet Vehicle Airborne Vector
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DIRECT CONTACT
Person to person spread
Actual physical contact between source and patient.
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INDIRECT CONTACT
Patient comes in contact with contaminated intermediate object.
Intermediate object is passively involved in transmission.
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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).
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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.
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HAND HYGIENE
The most important measure you can use to prevent the spread of infection
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STANDARD (UNIVERSAL) PRECAUTIONS
Consider all patients potentially infectious
Use appropriate barrier precautions at all times
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WEAR GOWNS
During procedures that are likely to generate splashes of blood or other body fluids
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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
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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)
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SAFE HANDLING OF NEEDLES AND SHARPS
Use appropriate sharps containers
Discard used sharps immediately
Avoid recapping needlesActive safety device
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BLOOD/BODY FLUID EXPOSURES
First aidReport exposure to supervisorFill out Employee Accident
Investigation formCall Employee Health
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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)
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Communication---SBAR
S-----Situation
B------Background
A------Assessment
R------Recommendation
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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
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Fire Extinguisher
P Pull
A Aim
S Squeeze
S Sweep at base of fire