Welcome to the Baptist Experience Student Orientation Module.

Welcome to the Baptist Experience Student Orientation Module

Welcome to Baptist Health System student orientation page. We are excited that you will be learning at Baptist. WELCOME!

In order to prepare you for your clinical experience, you are required to complete the orientation module, sign the confidentiality form and take the test prior to your first student visit at the hospital. You will also be required to attend a computer class at the hospital prior to your first clinical visit. This will be set up by your instructor. The completed test and signed confidentiality form should be submitted via email to the address located on the bottom of each form. Again, welcome to Baptist; we wish you a meaningful learning experience on campus!

Our History Almost 100 years of service in Alabama Faith-based committed to physical, mental and spiritual care 4 hospitals Approximately 45 Baptist Health Centers Technology, resources and the experience for most medical conditions High Touch meeting High Tech

Our Mission Statement As a witness to the love of God, revealed through Jesus Christ, the Baptist Health System is committed to ministries that enhance the health, dignity and wholeness of those we serve through Integrity, Compassion, Advocacy, Resourcefulness, and Excellence.

Our Commitment And Purpose Our Commitment Better Health; More People Our Purpose To Honor God and Others

Baptist Experience We care about delivering the best patient and customer experience through a culture that consistently demonstrates we care.

Our Values Integrity Constantly sticking to a strict moral or ethical code in public and in private. It presents the idea of wholeness. This means that there is no compromise for integrity. Compassion The deep awareness of the suffering of other people along with the desire and attempt to relieve it. It is ministering to the body, mind and spirit of those entrusted to our care, and treating others as we would want to be treated. Advocacy Taking action for, defending or recommending an idea. Advocacy is an ongoing process that tries to change attitudes or actions. We continuously search for ways to improve the well- being of the communities God has given us the privilege of serving.always striving to do more and better. Resourcefulness The ability to take what is given to you and use it effectively or imaginatively. We are challenged to be careful and responsible stewards of the God-given resources that have been entrusted to us. We are taught that to those who wisely used what they had, more was given. Excellence The commitment to reach higher and exceed expectations at every level of the organization through cooperation, sharing of new ideas and an obsession for quality. Scriptures teach us whatever we do, we are to do it with excellence and enthusiasm, as unto the Lord.

The Patient Promise Our Promise to You Because it is our sacred privilege to serve you, our goal is to ensure that you receive the best care in a manner that exhibits the love of Christ. We promise to deliver an experience that ensures you feel confident in recommending Baptist Health System as the best place for all health-related needs. We promise to: always provide attentive and personalized care that is sensitive to your physical, emotional and spiritual well being; always be compassionate and responsive to your needs; always listen to understand your needs and coordinate your care with our expert physicians and medical team; always provide you with open and honest communication, and the information you need every step of the way; always provide a safe and clean environment for you, your family and friends; always value your time while keeping focused on the importance of your health.

The Culture of Our Organization: Shaped by our values Guides our behaviors to deliver the best patient and customer experience Assures we meet behavioral expectations of our ICARE values Helps us live our mission and demonstrate faith-based values Recognize, Respect, and work with people with different beliefs, practices, cultures and rituals to promote and improve the health of our customers Population groups and/or age groups must also be considered when addressing the patients plan of care

Behavioral standards that are used to meet the promise are: 1.Gracious greeting 2.Informative interaction 3.Establish expectations 4.Appealing appearance Behavioral Standards

A gracious greeting is important to continue with our strong reputation for caring and compassion. It includes three parts: Smile, make eye contact within 5 seconds Immediate acknowledgement of someone makes them feel valued and cared for. It sets the tone for the rest of the interaction and can help diffuse any anxiety or discomfort the patient may be having. Smiling is appropriate in most situations. However, there are a few times it is not. Introduce self and facility by introducing yourself, you put the patient at ease and create a more emotional and personal connection. By stating the name of the facility, you are helping to tie the patient emotionally to Baptist. This creates loyalty in the future. Welcome, thank you, good morning starting a greeting with a salutation helps make the patient feel welcomed. It also shows respect.

Informative interaction is making sure that every patient interaction is meaningful for the patient. It is comprised of three things: 1.Identify self, state position, and address the patient by name identifying you puts the patient at ease and personalizes the interaction. Stating your position helps the patient know what to expect and the types of questions they should ask. 2.Use the phrase Im here for you with every customer - this phrase encompasses what Baptist offers to each patient and to the community. It is what we want every person to feel and experience when they interact with us. 3.Provide instructions verbally- using written format for reinforcement Customer fact: patients in our community indicate they prefer instructions verbally, then written. We need to provide verbal instructions, including asking them if they understood the instructions, checking for their understanding, and asking them if they have additional questions. In addition to help with retention of the instructions we ask that you provide them in written format whenever feasible.

Establishing expectations will help manage and guide patient on what to expect 1.Review the itinerary and provide an update on timing or any changes as they occur. Time is an important factor and knowing what patients expect and then helping them to understand what will be provided is essential to decreasing anxiety. 2.Promote the next step. Say something positive about the department or person they will be interacting with next. We need to take every opportunity to show our expertise and help patients be less apprehensive of the next steps. By promoting others, it can show both expertise and how we work together as a team. 3.Know top questions patients ask and have answers at your fingertips. By being ready to answer questions quickly and accurately, it provides the patient with a sense of confidence that we know what we are doing and that they are in good hands. Remind them the Patient Information Guide will be a good source for common patient questions.

Always have an appealing appearance because our appearance is viewed throughout every step the patient takes. 1.Your appearance - It is important, it says a lot about the hospital and the environment. It is important to follow dress code and look professional every day. 2.Face Heart to Heart - Your body language sends a loud message even more than the works you speak- including facing heart to heart with the patient, making eye contact and smiling when appropriate. 3.Organized and uncluttered - A neat, organized area sends a clear message to patients and visitors that the quality of care is high. Avoid or remove clutter from your workstation in order to promote the perception of excellence. If you ever have questions about the Patient Promise or how to fulfill the standards, please let us know- we are here for you.

GENERAL GUIDELINES FOR STUDENTS * A student will never assume total responsibility for a patient. The assigned nurse has responsibility for the patient. * All planned student activities pertinent to care of a patient will be shared with the designated Instructor, Staff Nurse, or Preceptor. * A student who has not attained competency in a skill or procedure is required to have the Instructor or Preceptor present if the student is to participate in that procedure. * A student cannot take a verbal order from a physician or other discipline. * A student cannot sign and release physicians orders. * A student cannot take a critical lab or critical radiology report.

GENERAL GUIDELINES FOR STUDENTS * A student must comply with the school dress code. School issued name badges must be present and visible. * A student must report any incident/accident to the Instructor, Preceptor, or Nurse Manager. * A student cannot cosign as a witness for high-alert medications. * A student cannot be a witness for written consent. * All student documentation must be cosigned by the instructor or preceptor assigned (As prompted in the computer documentation system).

Sensitivity to Others No two people are exactly alike. We are all different. These differences become more important in the health care industry due to the extremely personal nature of the services provided. We need to be acutely aware of our differences and create an environment that is respectful of all people. Be aware of your own feelings regarding diversity and consistently use behaviors that communicate respect. We must be able to recognize, respect, and work with people with different beliefs, practices, cultures, and rituals in order to promote and improve the health of our customers. Population groups and/or age groups must also be considered when addressing the patients plan of care. Inform your instructor or preceptor if you have specific questions regarding sensitivity/ diversity.

Information Management Information management includes obtaining, managing, and utilizing information to improve patient outcomes and hospital performances. In order to maintain confidentiality, access to information is on a need to know basis. User IDs are issued to students and passwords are created by the student. The password belongs only to you and it is extremely important that you do not share it with anyone. Students may view their assigned patients charts in order to prepare for their clinical experience but should not print or remove any patient information from the hospital. To maintain confidentiality of patient information, refrain from having conversations regarding patients in the hallways, elevators, cafeteria, or other public places. Never discuss, disclose or review any information about a patients medical conditions with any other person unless they have proper authorization.

HIPAA is a federal law that requires all health care facilities to provide to patients the Notice of Privacy Practices. This notice explains the patients rights and when and to whom an agency will be giving any protected health information (PHI). PHI includes information related to any health care provided to a person. The patients medical record, as well as name, address, employer, birth date, telephone/fax number, email address, occupation, account number, social security number, certificate number, voice prints, finger prints, photos, relatives names, and other personal information are also included. As a student, you should: not share any PHI with anyone who does not have a need to know it; only seek the information you need to complete your patient care assignment; not discuss any patient information in hallways, cafeteria, and other public places; dispose of any PHI material you have in a designated manner; use PHI materials in a secure area. In order to gain access to PHI, each student will be required to sign a confidentiality agreement.

Environment of Care

Environment of Care (EOC) We are committed to meeting certain performance standards under EOC. We have also been entrusted to keep our facilities a safe, functional physical environment for patients, visitors and staff. The environment of care (EOC) is made up of 3 basic components: Buildings Equipment People

1.Safety 2.Security 3.Hazardous Materials & Waste 4.Fire Safety 5.Medical Equipment 6.Utility Systems 7.Emergency Management 7 Specific Functions of EOC

Everyone is responsible for the Safety and Security of patients, staff, and visitors while on hospital Campus Report concerns quickly Protective Services is available 24/7 Security Management

Security FACILITYEMERGENCY NUMBER Citizens4030 Princeton3090 Shelby5555 Walker2633 **Be sure you know the emergency number for the facility where you are assigned!! The Security Department monitors the hospital and surrounding grounds. There is a security officer posted in the employee parking areas at shift change. If you leave the hospital after dark and at a time different than shift change, contact Security. There will be a security officer to observe/escort you to your vehicle. YOU can help make our hospital a safer place by taking steps to protect yourself. Do NOT leave your purse, wallet, or valuables unattended. Keep them out of view. Report any suspicious person or unauthorized persons to Security immediately.

Fire Safety : Remember to Race & Pass Become familiar with the location of fire alarms & fire extinguishers in each department. Evacuation of patients is first horizontal and then vertical. BHS hospitals are smoke free. Smoking is not allowed in patient rooms. Code RED initiates fire response Code CLEAR indicates fire emergency is all clear R - Remove/RescueP - Pull pin of fire extinguisher A - Activate fire alarmA - Aim at base of fire C -Contain fire & S - Squeeze trigger clear hallwaysS - Sweep extinguisher E - Extinguish the fire side to side

Code RED Paged Act Fast Clear Hallways Close Doors Prepare to evacuate Fire Extinguisher Locate / Respond Pull Nearest Pull Station Keep Fire doors unobstructed Know Horizontal and Vertical Evacuation Fire Drill Process

BHS Standardized Emergency Codes CodeDescription Code Blue + LocationAdult cardiac emergency Code Blue Pediatric + LocationPediatric cardiac emergency Code Red + LocationFire Code Gray + LocationUnruly patient or visitor Code Amber + Location & DescriptionMissing adult, child, or infant Code Active ShooterActive shooter on campus Code PurpleNo beds available within the hospital Code Internal Disaster + LocationDisaster within the hospital Code External DisasterDisaster outside of the hospital Tornado WatchTornado watch within geographic area Tornado WarningTornado warning within geographic area All Clear 3 TimesSituation resolved Emergency Codes

Security Sensitive Areas AreaRisk Mother Baby areasInfant abduction/ domestic violence PharmacyInternal theft of drugs/ robbery due to storage of drugs Psychiatric areasPatient violence/ domestic violence Emergency DepartmentRobbery due to storage of drugs/ domestic violence/ gang violence/ patient violence Medical RecordsTheft of sensitive patient information Each of these areas may have special security devices, policies or procedures related to the security.

SDS Global Harmonizing The hazard communication tool gives details on chemical and physical dangers, safety procedures, and emergency response procedures. Your employer must have one for every chemical and hazardous product in your workplace. The SDS (Safety Data Sheets) Covers: 1.Identity manufacturer name, and address and/or suppliers information, emergency phone number and date prepared 2.Hazardous ingredients worker exposure limits to the chemical are included 3.Physical and chemical characteristics boiling point, vapor pressure, vapor density, melting point, evaporation rate, water solubility, and appearance and odor under normal conditions. 4.Physical hazard such as fire and explosion and ways to handle those hazards, such as firefighting equipment and procedure

Infection Control General infection control policies are in the Policies and Procedures on the Baptist Intranet. Refer to these policies for specific questions regarding infection control or consult your instructor or preceptor. Student nurses should use the following guidelines while in the hospital: 1.Comply with the school of nursing/hospital dress code regulations. 2.Long hair should be pulled away from face to reduce the risk of contamination of patient food, supplies, etc. and to reduce the risk of personnel hair contamination from splashes or contact with soiled hands. 3.Avoid touching eyes or mouth during patient contact activities. 4.No eating or drinking in patient care areas. 5.Follow hand washing guidelines. 6.Comply with hospital guidelines for universal precautions. 7.Follow isolation precautions as indicated.

Handwashing Proper hand care is the single most important way to prevent and reduce infections. Washing hands with hospital approved soap and water should be performed if hands are visibly soiled. If hands are not visibly soiled, the use of the hospital approved alcohol based hand cleaner is the preferred method of hand care. The alcohol based hand cleaner kills more bacteria and viruses and has a build up effect to keep killing organisms on the hands after several uses. Wash your hands before and after entering any patient room Before putting on gloves and after taking them off After touching blood or other body substances (or patient care equipment contaminated with these), broken skin or mucous membranes even if you wear gloves Between different procedures on the same patient If a patient is on contact precautions for Clostridium Difficile, you must wash your hands with soap and water. Alcohol based hand cleaner is not effective against this microorganism

Hand Hygiene Use of Lotions Lotions are recommended to ease the dryness resulting from frequent handwashing and to prevent dermatitis resulting from glove use. Use only hospital approved/supplied lotion. Nails Baptist Health System is committed to ensuring a safe and healthy work environment for patients and staff. We require our direct patient care givers to have short, clean, natural nails. Artificial nails and nail tips for all direct and indirect caregivers are prohibited.

Personal Protective Equipment (PPE) PPE is worn to protect against blood/body fluid exposures. Know the location of the PPE in the patient care area and be familiar with them when barriers are indicated and use as required.

Biohazardous Waste Biohazardous waste is any type of waste that is contaminated by blood or other body fluids contaminated with blood. It includes: liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological waste containing blood or other potentially infectious material. These materials should be discarded in red containers. These containers have the Biohazard symbol indicating their contamination. The containers are to be closable, constructed to contain all contents and prevent leakage during handling, storing, transporting, or shipping. Always wear PPE when handling Biohazardous Waste.

Bloodborne Pathogen Exposure Protocol If you are exposed to blood or body fluids: Immediate First Aid Wash site with soap and water. Irrigate eyes 15 minutes at nearest eye wash station. Notify your instructor or preceptor immediately to ensure proper treatment, management and follow up.

Preventive Measures Create organized work area Use standard precautions on every patient, every time Use appropriate precautions when you anticipate splashes or sprays of blood or body fluids Always use safety designed devices and follow safe injection practices Activate safety device as soon as possible Provide adequate lighting

No hand-to-hand passage of sharps. Do not attempt to catch a falling sharp. Never leave sharps unattended or place them in an inappropriate place. Monitor gloves for holes and punctures. Dispose of ALL sharps immediately in the sharps container. Do not overfill or use over filled sharps container - (3/4 rule) No recapping Preventive Measures

Disposable paper drapes, lab Lab coats, paper towels, band aids Disposable basins, bedpans, urinals Bonnet caps with no blood Empty urine cups, stool containers, Foley Bags/tubing, diapers, chux Exam & cleaning gloves Empty collection bottles & bags Sanitary napkins & tampons (personal) Paper & plastic wrappers, packaging, boxes, computer paper, office waste Unused medical products & supplies PPE (worn but not soiled) Food products & waste (soda cans, paper cups, plastic utensils) Empty IV bags, bottles & tubing without needles Blue Wrap Saturated or grossly soiled disposables, i.e., bloody gauze, dressings, lap pads, OB and surgical peri- pads & gloves Containers, catheters, or tubes with fluid blood or blood products not discarded or flushed i.e., blood sets, suction canisters & drainage sets (Need adequate absorbent material in container) Dialyzers & tubing Microbiology specimens, used culture plates, tubes, bottles & devices Placentas & surgical specimens Blood spill clean-up materials Sharps Containers RMW Material Needles & syringes, Scalpel blades, lancets Glass pipettes, slides, and tubes Broken contaminated glass Staples & wires (Cardio-catheter wires) Disposable suture sets & biopsy forceps Not Regulated Medical Waste Regulated Medical Waste

Transport bag system Small, Red Bio bags will be placed inside the patient rooms or centrally located on the floor. Nurses will attain a bag when needed in order to dispose of REAL medical waste (soaked or saturated with blood). Once medical waste is disposed, Nurses will tie up the bag in a balloon knot fashion and place into the proper designated biohazard container, located in the soiled utility closet.

the red bag is tied Just like a balloon

The following items CAN be thrown into the BLUE Containers: Metals aluminum cans, tin cans, paper clips Plastic bottles, shrink wrap, plastic bags Paper magazines, newspapers, NON- HIPAA documents, used folders, junk mail, phone books Cardboard Boxes glove boxes, medicine boxes, medical supply packaging, tissue boxes Recyclable items

Confidential documents Put all patient information into shred bins. Anything that can identify a person is considered patient information. Even sign in sheets.

Disposal of pharmaceutical waste Cut and drain all maintenance solutions. Witness waste all narcotics.

Sharps management service empty sharps only disposal No meds in the reds. Unbroken empty vials go in trash, not in a Sharp box.

Pharmaceutical waste disposal Place Nicotine and Coumadin wrappers and not fully used patches back into small bio bags and send back to the pharmacy.

Pharmaceutical waste disposal left over medication Half full medical vials Dropped Pills Expired/Old Pills Left over IVs containing medication

Pharmaceutical waste disposal left over medication in a sharp behind pyxis rarely used

ALL OF THESE ITEMS ARE TRASH

Electrical Safety Electrical safety is needed to prevent fires and shock. 1.Inspect all equipment prior to use, check for cracks in glass or plastic and sharp or rough edges. 2.Do not use if cords are frayed. 3.Use only equipment with a 3-pronged plug. 4.Do not use unfamiliar equipment. 5.Use equipment only for what is intended. 6.Report all broken equipment immediately; label broken equipment DO NOT USE. 7.Do not try to repair broken equipment. 8.Do not use any device that blows a fuse or gives a shock. Report all shocks immediately, even small ones. Patient incidents involving medical equipment or products must be reported immediately to your instructor/preceptor. This must be reported to Risk Management according to the Safe Medical Devices Act (SMDA).

Emergency Management Quick Reference Tornado Precautions 1.Move all non-secured objects away from the windows, such as books, flowers, personal belongings, etc. 2.Close the curtains or blinds. 3.Close doors. 4.If instructed, evacuate patients and visitors to areas without windows (halls, etc.). 5.If unable to move patients from rooms with windows, cover patient with blankets. Fire Precautions Code Red 1.Remove the patient and visitors. 2.Activate the fire alarm and call to report. 3.Contain the fire by use of fire extinguishers and closing doors. 4.Clear the hallways. 5.Evacuate patients as directed- horizontally first, the down- using stairs.

Emergency Management Quick Reference Bomb Threat Code Internal Disaster 1.Stay on the phone as long as possible. Notice accent, background noise, etc. Ask where the bomb is, what kind of bomb, when it will go off, why, etc. Do not notify other staff or patients and families. 2.While on the phone, get another staff to call Security. 3.If a suspicious item is found, immediately clear the area of patients. Infant Abduction Code Amber 1.Immediately lock down unit and keep locked down until all clear is announced. 2.Search all areas of unit and waiting room and restrooms. Look in hampers, etc. 3.Call Security for any suspicious activity and to report area clear.

Clinical Care Measures Clinical care measures are quality initiatives that are prompted by the federal government. The initiatives empower consumers to make more informed decisions and encourage providers to improve quality of healthcare. Our core measures are: Acute Myocardial Infarction Congestive Heart Failure Stroke VTE Prophylaxis Immunizations Best practices are defined for each of the measures. The following tables list the core measures, best practices, and our plan for implementing the best practices.

ACUTE MYOCARDIAL INFARCTION Best Practices 1. Aspirin on arrival 2. Beta Blocker at discharge (ex: Coreg, Lopressor, Toprol, Zebeta) 3. EKG less than 10 minutes from arrival 4. Door to Drug (TNK) less than 30 minutes 5. Door to PCI less than 90 minutes

CONGESTIVE HEART FAILURE Best Practices 1. Evaluation of left ventricular function (ECHO, Cardiac Cath) 2.ACE Inhibitor or ARB/and Beta Blocker for Left Ventricular Systolic Dysfunction (EF less than or equal to 40%.) ACEIs (ex: Benazepril, Lisinopril, Lotensin, Lotrel, Quinapril) ARBs (ex: Benicar, Hyzaar, Losartan) Beta Blockers (ex: Coreg, Lopressor, Toprol, Zebeta) 3. Discharge Instructions include appointment with date and time

STROKE Best Practices 1. VTE Prophylaxis 2. Thrombolytic Therapy by day 2 3. Lipid profile within 48 hours 4. Discharge on Thrombolytic Therapy, Statin if greater than 100, assessed for rehab, and stroke education

VTE PROPHYLAXIS Best Practices 1.Anyone 18 years or older should have VTE prophylaxis or documented reason why none. Ambulatory patients must be documented by physician. May include: Anti-embolism stockings, Xarelto, Heparin, SCDs, AE pumps 2. Patients discharged home on Coumadin must have Coumadin Therapy Discharge Instructions.

IMMUNIZATIONS FLU SEASON OCTOBER THROUGH MARCH Best Practices 1. All patients 6 months and older must be reassessed for flu vaccine status. 2.Have had prior to arrival during current flu season OR Refused OR Receive during current visit

The facility has defined other outcomes measures and continuously implements plans and actions to improve performance in the following areas: National Patient Safety Goals Patient Satisfaction Patient Falls

National Patient Safety Goals Goal 1: Improve the accuracy of patient identification Always use 2 appropriate patient identifiers: verbally match name and DOB on armband with patient record. Label containers used for blood other specimens in the presence of the patient.

National Patient Safety Goals Goal 1C: Eliminate transfusion errors A qualified transfusionist and a second individual qualified to transfuse objectively match patient and blood or blood component

National Patient Safety Goals Goal 2: Improve the effectiveness of communication among caregivers Report critical results of tests and diagnostic procedures on a timely basis When nurses receive a critical test result, record results in Epic and record the time the results are called to the physician Call critical test results to physicians within ONE hour

National Patient Safety Goals Goal 3: Improve the safety of using medications Label all medication containers or other solutions on and off the sterile field in the OR and other procedural areas Keys to compliance: Standardized protocols Integrated dietary component Baseline labs Monitoring Programmable pumps Policy Patient education

National Patient Safety Goals Goal 6: Reduce the harm associated with clinical alarm systems Keys to compliance: Establish as hospital priority Identify most important alarm signals Establish policies and procedures for management of alarms Medical and hospital staff education

National Patient Safety Goals Goal 7: Prevent Infection perform hand hygiene Hand hygiene All employees are to follow the current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines: Use friction to wash hands for 15-20 seconds with soap and water. Dry hands with a paper towel and use the paper towel to turn off the faucet; OR Use alcohol sanitizer when hands are not visibly soiled, rubbing hands together, until hands are dry. All staff are to use alcohol sanitizer upon entering and exiting patient and treatment/exam rooms. No artificial nails are allowed in patient care areas. For Surgical Scrub (See policy and guidelines). Hand hygiene is monitored to improve results.

National Patient Safety Goals Goal 7- Prevent infections with Multi-Drug Resistant Organisms(MDRO) Place patients with multi-drug resistant organisms (MDRO) in Contact Precautions (if MDRO respiratory infection-use Droplet plus Contact Precautions) Give the patient/family education on infection prevention strategies, tell the family to take precautions.

National Patient Safety Goals Environmental Cleaning to prevent transmission of MDROs Clean and disinfect surfaces that are in close proximity to the patient - Bed rails, over bed tables and frequently-touched surfaces in the patient care environment (e.g., keyboards, door knobs, surfaces in and surrounding toilets in patients rooms) Dedicate non-critical medical items to use on individual patient known to be infected with multidrug-resistant organisms. Direct patient care staff are responsible for cleaning/disinfecting medical equipment.

National Patient Safety Goals Goal 7-Prevent Infection - Catheter Associated Urinary Tract Infections Foley catheters should have limited use and duration to situations medically necessary for patient care. Use sterile technique for foley catheter insertion, with procedure observed by a trained buddy. Manage foley catheters by: labeling the foley bag with date of insertion secure the catheter maintain the sterility of the urine collection system maintain the foley bag below the patients bladder collect urine specimens aseptically from port

National Patient Safety Goals Goal 7- Prevent Infection-Central Lines To prevent infection related to central lines implement evidence-based standards for reducing infections (central line bundle) Hand hygiene performed prior to insertion or manipulation Maximal Barrier Precautions and sterile technique used during insertion (inserter wears sterile gloves, gown, mask, and cap.) Draping the patient. Chlorhexidine skin prep Optimal site selection with avoidance of femoral vein Use standardized kit for CVL insertion CL insertions observed for adherence to sterile technique Use standardized protocol to disinfect catheter hubs and injection ports (Scrub the Hub). Evaluate all lines routinely and remove nonessential catheters.

National Patient Safety Goals Goal 7- Prevent Infection - Surgical Site In Surgery Department Antibiotics are administered prior to procedure (given within 1 hour) Only clippers or depilatories are used to remove hair if necessary The patient temperature is monitored to keep the patient warm during procedure (normothermia) In Patient Care Unit Controlling glucose level below 180 mg/dL after procedure (Cardiac) Discontinue Antibiotics within 24 hours after procedure (48 hrs for Cardiothoracic) Discontinue foley by the second post-procedure day - exception is Urology and GYN patients and when physician documents the medical necessity to continue Strict adherence to aseptic technique when changing dressings

National Patient Safety Goals Goal 15 Identify Patient Safety Risks The organization identifies patients at risk for suicide A risk assessment is completed that includes factors that might increase or decrease suicide risk. The patients immediate safety needs and most appropriate setting for treatment are addressed. The organization provides information such as crisis hotlines to individuals and their family members for crisis situations.

National Patient Safety Goals Universal Protocol Prevent Mistakes in Surgery UP 1A: Preoperative verification process UP 1B: Mark operative site UP 1C: Active time out immediately before starting the procedure Conduct a time out with the entire procedure team confirming: oCorrect patient oCorrect procedure oCorrect site is marked (if required) oCorrect patient position oSpecial equipment/implants available

This is the completion of the student orientation module. Now proceed to the post-test and confidentiality statement. Be sure to email those as instructed on the bottom of each form. Congratulations! You are now part of The Baptist Experience!

Welcome to the Baptist Experience Student Orientation Module.

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