student/volunteer orientation for cech 2015-2016
TRANSCRIPT
STUDENT/VOLUNTEER ORIENTATION FOR CECH
2015-2016
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
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 Children’s Hospital (CECH)
• Provides play, recreational and supportive activities to children and their families in the pediatric playrooms on the patient care units.
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.
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.).
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.
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)
ORIENTATION AND REGULATORY REQUIREMENTS:
• Student volunteers must meet all volunteer requirements prior to volunteering
• Broward Health and Chris Evert Children’s 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.
ORIENTATION SITE
• Available on the website: www.Browardhealth.org
• Follow instructional tabs to Chris Evert Children’s Hospital Child Life
• See Navigational Slides
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: [email protected]
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
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 [email protected]
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
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 tee’s, no shorts,
no short skirts, no tight fitting clothing– No dangling jewelry – no hoops, etc.– Artificial nails and nail jewelry are not permitted
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 [email protected]
PROCEDURES FOR SCHEDULING
• If you plan on volunteering, you must request via email, [email protected].
• 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.
PROCEDURES FOR CANCELATION
• If you are ill, you must not come to Chris Evert Children’s 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 [email protected] as soon as you know you cannot attend.
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
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.
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.
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.
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.
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.
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)
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
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 “What’s wrong with you”
• Use positive reinforcement to build the patient’s confidence and self esteem (a healthy child’s presence reminds the patient of their illness and the loss of normalcy)
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 patient’s name and room number in the patient sign in binder.
• Assist the patient to wash hands utilizing the foam sanitizer
• 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
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
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 family’s 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.
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 child’s 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 child’s behavior.
“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 child’s “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
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 nobody’s 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.
THANK YOU FOR VOLUNTEERING AT CECH