New Hire OrientationSUPPORT EMPLOYEES IN A PSYCHIATRIC HOSPITAL

DAY 1

PARTNERSHIP AND RECOVERY

Our Mission, Vision, and Values

Mental illness affects many people and their families

Everyone individual is worth helping

Everyone should be given hope that they can excel in life

We partner with the individual, the families, and the community

Recovery is the ultimate goal

Our prime purpose in this life is to help others. And if you can't help them, at least don't hurt

them. ~Dalai Lama

Fulton State Hospital

Opened in 1851

At one time housed over 5000 patients, now our census is about 340

Maximum, intermediate, and minimum security settings

Treating seriously mentally ill people that have been diagnosed with schizophrenia, bipolar disorder, borderline personality disorder, intellectual disabilities, autism, impulse disorder, etc

Nationally known evidence-based programming for our patients

SMART program—crisis management program developed by our staff

Work Hours and Benefits

Work hours vary by department/hospital needs. Lunch breaks are 1 hour. Contact your supervisor for further information

Probationary period lasts 6 months, but can extend it be extended

Supervisors are watching performance and work ethic

Paying close attention to sick time use and behaviors

12 holidays per year (comp-time is earned if working)

Employees earn 10 hours of vacation and sick time every month

Typically advanced notice is needed for vacation time

Please call in 2 hours before your shift if sick

Health Insurance

3 types of health insurance options HMO with smaller monthly premium but higher deductible ($600)

HMO with higher monthly premium but higher deductible ($300)

High-Deductible Health Plan (very small monthly premium, but large deductible ($1500)

Annual preventative health care visit is free (no co-pay)

No pre-existing condition wait period

Prescription drug plan comes with all of these. Many generics are $4.

Flexible Spending Account

Dental and Eye insurance at an additional cost

Life insurance

Computer Access

Everyone needs at least email access, this is an important tool in the communication process at the facility

Access request form

Depending on your job duties, there is other access you may need Specific diet information

Incident reporting/tracking

Electronic Medical Record information

Ordering supplies

Work order entry/tracking

Training system

Security

This is a highly secure environment

Contraband comes in many different forms. The items below items are just a small number of things not allowed around the patients.

Compact mirrors

Some combs

Certain pens and notebooks

And most importantly, Ccell Pphones!

Weapons take many different forms, vigilance and critical thinking are key

Toothbrushes

Torn sheets

CDs, batteries

Internet Use

Employees do have access to the internet (email doesn’t work without it)

Internet use must be business related

Abuse can result in the internet being taken away or other disciplinary action could occur

Internet use can include

Email, computer systems mentioned previously

Shopping for patients

Streaming videos—only if for training and with permission

NO streaming music, news, or weather

These sites require constant hits off the internet and can slow down the speed of others that need to use various systems

No Social Media sites at work

Be careful about your use at home when referring to work. (Think before you post!)

Health Insurance Portability and Accountability Act (HIPAA)

Privacy is very important to our patients and their families

We recognize that you want to share your work with your families, but be careful to not tell enough that the person could be identified

Be sure to identify yourself when you are calling an area and needing information about a patient

Explain the reason for the information

Do not get upset if the person wants to check with their supervisor first

Restaurants—watch the stories you tell, people can hear

Social Media (Think before you post!)

Incident Reporting

Everyone is responsible for incident reporting

Incident reports are required for many types of events

Incident reporting allows the facility to collect data on safety and security in the hospital. This lets the facility identify trends and take action as things occur.

Some incidents that support employees may be reporting include:

Leaky roof

Water on floor

Contraband found

Injuries of any kind

Falls

Accidents

Grievances

Employee grievances are different from incident reporting

Incident reporting is about the safety/security of the hospital

Grievances are about employees (if you think a supervisor is treating you unfairly, another employee is rude or harassing you, or complaints about work conditions)

Sexual Harassment

Zero Tolerance

If you feel you are a victim of sexual harassment or were witness of harassment, report it immediately to a supervisor, the HR department, on the form presented (however you feel comfortable reporting, but report it—that’s the only way we can help)

Equal Employment Opportunity and Diversity

This hospital is an equal opportunity employer.

We believe that diversity leads to a stronger, more innovative organization that is sensitive to many people’s needs.

Performance improvement is more effective when there is involvement from a wide variety of people that display different characteristics including race, ethnicity, age, education levels and backgrounds, religion, etc.

Employment is based on personal capabilities and qualifications without discrimination because of age, race, color, religion, national origin, sex, sexual orientation, disability, veteran status, political beliefs, or any other protected characteristic as established by law.

EEO applies to all policies and procedures relating to recruitment and hiring, compensation, benefits, termination and all other terms and conditions of employment.

Complaints should be directed to the Human Resources Department.

Communicating with Respect

Verbal interactions are important with patients and staff

When communicating show respect

Listening, not interrupting

Be courteous

Consider others needs

Collaborate to solve problems

Nonjudgmental responses

Watch body language

Cultural sensitivity is helpful when communicating.

Disciplinary Process

Coaching and Mentoring is not disciplinary

Educational logs are not disciplinary

Written Counsellings also are not disciplinary

Written Reprimand is the first step in the disciplinary process

Unacceptable Conduct Notice is the second step

Suspension is the third step

Dismissal is the final step

Union and arbitration rights

Performance Appraisals

Every employee gets an annual performance appraisal

A new employee may receive monthly evaluations while they are on probation

Job duties and expectations will be rated during the appraisal

A form with your specific expectations will be given to you by your supervisor

The performance appraisal process doesn’t start and end once a year. The process is ongoing.

Your supervisor wants you to succeed! So ask questions and contact them about your needs.

Positions/Roles at the Hospital

Psychiatrists

Medical physicians

Psychologists

Nurses

Social Workers

Rehab services

Environmental Services

Dietary staff

Maintenance staff

Forensic Rehabilitation Specialists

Accountants

Chief Operating Officer

Administrative Assistants

Ward Clerks

Security Officers

Research Analysts

Infection Control Nurse

Occupational Therapists

Director of Treatment Services

Electricians

Staff Recognition

Employee of the month (small monetary reward and parking space) Employee of the year (monetary reward) Department and discipline recognition (shirts, cups, pens, celebrations) Years of Service Awards “Seen Doing Good” Awards

Recognition Hotline

Strategic Planning

Helps to strengthen the mission of the hospital

Continuously looking for ways to improve hospital performance

Focuses the main goals over the next few years

Some of our current goals

Respect/Hope Speakers

Trauma Informed Care

Taking Care of staff (ASAP)

Community Involvement

Upcoming Schedule

In the next few days Crisis Management Techniques First Aid Policies & Procedures Emergency drills (Fire, Tornado, Earthquake,

chemical spill) Your department and specific duties Mentor Shadowing and Tours

References

Fried, B., & Fottler, M. D. (2011). Fundamentals of human resources in healthcare. Chicago: Health Administration Press.

Missouri Department of Mental Health (DMH) (2014). Fulton State Hospital. Retrieved from http://dmh.mo.gov/fulton/

Group 3, you guys did an absolutely wonderful job! Your script was sooo detailed! I can’t believe how extensive this orientation was. Is this the real orientation used at your facility or did you all come up with one? It’s okay if it was the real one, I didn’t specify that it couldn’t be (you still had to ensure it covered all the class material). I’m just curious if you got all that from your two sources. There was one significant problem with your presentations and that was the text size and busyness of the slides. The size was way too small for a presentation especially in a room of people. That type of background is one that you use when you email a presentation for a conference call, not one that you present to a room of people. Also, you had way to much text in some of your slides, which made the text even smaller. I would typically take 5 points off for this, but I am feeling so “Eastery” tonight! I’m taking off 3. I would also take off another 5 for the mechanical and grammatical errors (remember, I’m a stickler for proofreading in group projects because there are 10 eyeballs on this before it gets to me!!!! I think 2 is a good number considering the Holy Week. Great job!! 95%