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WELCOME TO HENRY FORD MACOMB HOSPITAL

ORIENTATION!

5/1/14

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Our Mission

To improve human life through excellence in the science and art of health care and healing.

Our Vision

Transforming lives and communities through health and wellness - one person at a time.

Our ValuesWe serve our patients and our community through our actions that always demonstrate:

Respect for peopleHigh performanceLearning and continuous improvementA social conscience

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Agenda

HIPAA Emergency Preparedness, Environmental and

Personal Safety Infection Control Service Excellence National Patient Safety Goal Information

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HIPAAHealth Insurance Portability and

Accountability ActHIPAA Privacy vs. HIPAA Security

The Privacy Rule:

In effect since April 14, 2003

Applies to patient information in any form whether communicated electronically, on paper, or orally (which we refer to as PI)

The Security Rule:

In effect since April 20, 2005

Applies only to patient information in electronic form (which we refer to as ePI)

• The Security Rule supports the Privacy Rule by preventing unauthorized access and use of patient information

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Who must comply with HIPAA?

All workforce members, at all locations, must comply with our Privacy and Security policies.

Our workforce includes all employees, volunteers, medical staff (including residents), students and contractors.

Violations of our Privacy and Security policies may result in corrective action, including termination of employment or contract, and could lead to investigations by law enforcement, regulatory, licensure and accreditation organizations.

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Medical Record Access Guidelines

Under no circumstances is it ever acceptable for you to access the information of persons known to you, including friends, associates, co-workers or public figures unless it's to conduct HFHS business or with prior authorization to do so.

You are not to access your own information through the system. You may access your own information through Henry Ford MyChart. This is a website and internet-based services offering a secure, private channel for healthcare communications, personal medical information storage, online healthcare information, and related products, services and content. An activation code is required; inquire at your clinic visit or at your after visit summary (AVS) subsequent to an inpatient admission.

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Security Program Objectives

Protect and ensure the confidentiality, integrity, and availability of ePI that is created, received, maintained, or transmitted by HFHS 

Protect against disclosure of information that is not permitted or required– Avoid discussing patient information in public areas

Secure your PC and mobile workstation (laptop, PDA, etc.) Never use or share your user IDs and passwords

Always sign-off of your workstation when not using it or when leaving the area

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HFHS HIPAA Resources

E-Mail Addresses

HIPAA@hfhs.org - HIPAA Privacy

HIPAASec@hfhs.org - HIPAA Security

Phone Number

(313) 874-9561 - HIPAA Privacy Message Line

Henry Webpage

Access henry.hfhs.org and enter ‘HIPAA’ in search box for more details

The website includes a list of the HIPAA policies and other HIPAA privacy and security information

If you have questions about how HIPAA affects your job, please contact your immediate manager or supervisor

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Online Policies- Henry Ford Macomb

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Type the key word

Select ‘business Unit’

Click on ‘Find’

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Emergency Preparedness, Emergency Preparedness, Environmental and Personal SafetyEnvironmental and Personal Safety

Introduction The intent/purpose of this module is to, very

briefly, introduce the participant to selected topics related to Environment of Care and personal safety, as it relates to their employment with the Henry Ford Health System.

Employees and staff are encouraged to view various PowerPoint presentations which explore the topics in greater detail, and to reference their facility’s Environment of Care (or Safety) manual, or speak with their safety officer/ representative.

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Personal Safety

Be aware of your surroundings, and people entering, or approaching, both inside and outside the building.

Keep belongings in a secured location.

Always wear your employee/school photo ID.

Lock doors, when leaving office unattended.

Report suspicious persons, or packages, to Security personnel.

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General Rules

No Latex Balloons – Only Mylar

Sorry…no alcohol!

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General Rules

No firearms/weapons either!

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Environmental Safety Hazards in the Workplace

Chemical

Biological

Physical

Electrical

Radioactive

Ergonomic

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Hazard Communication Plan

Michigan Right to Know LawMichigan Right to Know Law

Every employee has the “right to know” about hazardous chemicals that are used in the workplace.

Communicated by:

Training by manager/supervisor at time of hire or when new chemicals are introduced

Accessibility to Material Safety Data Sheets

Signage/Labeling

Departmental - Chemical Inventory List

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Material Safety Data Sheet (MSDS) Signage

Posted in work location

Access via “henry”

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Online Access to MSDS

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Exploring an MSDS

Material Safety Data Sheet

General

Information

Hazardous

Ingredients

Physical

Hazards

Fire and

Explosive Hazard Data

Health

Hazards

Reactivity

Data

Spill, Leak and

Disposal

Procedures

Control

Measures

Special

Precautions

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Labeling of Chemicals

The manufacturer must label all containers with:– Written in English– Contain name of hazardous chemical (as found on the MSDS)– Describe hazard warnings– Have name and address of chemical manufacturer

Originated from National Fire Protection Association (NFPA) as a method to assist emergency response and fire fighters

Separated into 4 colors:– Blue = Health score– Red = Flammability score– Yellow = Reactivity score– White = Special precautions that apply

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Chemical Spills

Each department, using chemicals, must have:– A “Spill Control PlanSpill Control Plan” for small and large spills

– MSDSMSDS for each chemical

– Chemical spill kitsspill kits for small, containable spills

Seek medical attention, if necessary

Document all spill incidents in your facility’s Event Occurrence Form

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Injury Prevention Controls

Personal Protective Equipment (PPE):

– Eye goggles

– Splash shields

– Nitrile gloves

– Lab coats

– Full hazmat gear

PPE is used for tasks as per Standard and Transmission-Based Precautions but the PPE needs to be removed as soon as the task is complete and hands cleaned.  PPE should not be worn out in the halls.

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Injury Prevention Controls

Engineering Controls: Safe Needle Devices

B-D Safety Glide B-D Safety Glide B-D Eclipse B-D Insyte Autoguard

B-D Vacutainer Eclipse

B-D Butterflies B-D Blood Transfer B-D Blunt Fill

B-D Safety Scalpel

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Injury Prevention Controls

Engineering Controls:

– Chemical fume hoods

– Appropriate storage cabinets (flammable cabinets, acid cabinets)

– Eyewash stations (flush weekly; document)

– Sharps Containers

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Injury Prevention Controls

Work Practice Controls: – No eating– No drinking– No smoking– No gum chewing– No application of cosmetics– No manipulation of contact lenses– No pipetting by mouth

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Radiation Safety

If you work near radioactive material, use standard precautions to protect yourself.

– Minimize your exposure time, to reduce radiation dose.

– Maximize your distance from the source, and stand at least 9 feet from portable x-ray machines.

– Maximize shielding by use of rolling shields, lead aprons, and thyroid shields.

– Wear a personal, radiation dosimeter badge monitor.

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Laser Safety

Warning signs must be posted when the Laser is in use.

Appropriate protective eyewear must be worn (dependent on type of Laser used). Side eye protection is essential.

If you work in an area where Lasers are used, you must receive instruction from the Laser Safety Officer, of the dangers and precautions to be taken, to prevent harm to oneself and the patient.

Magnetic Resonance Safety

The magnetic field, produced during an MRI examination, creates a potentially very dangerous situation, and therefore is STRICTLY “off limits” to unscreened staff – even in emergency situations.

Note the pictures!!!

chair floor scrubber oxygen cylinder IV pole

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Ergonomics

Ergonomics is the science of designing work stations and tools, and introducing work practices to reduce work-related musculoskeletal disorders (WMSDs).

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Ergonomics

WMSDs are injuries and illnesses that affect muscles, nerves, tendons, ligaments, joints, or spinal discs.

The goal is to achieve the optimal match between the person doing the work, and the overall work environment.

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"BACK" to Basics

By Rehabilitation Services

Henry Ford Macomb Hospital

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“Back”ground

Back problems not new. *

Back disabilities are the top item in compensation payments.

Account for 93 million work days lost per year.

Americans spend over $17 billion annually for diagnostics and treatments and billions more in disability claims.

97% of the money spent on treatment 3% toward prevention.

Interesting when you consider you are 10 times more likely to have another episode of back pain compared to individuals who have never had an injury.

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Anatomy

24 vertebrae in all– 7 Cervical Vertebra– 12 Thoracic– 5 Lumbar – Sacrum & Coccyx

Intervertebral Disc

Nerves

Disc– Jelly- like shock absorbers.– Surrounded by rubbery fibers attach to bone.

Ligaments– Tough non-elastic bands that connect bone to bone.

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Anatomy, Continued

Muscles– Movers and Stabilizers

Nerves – Originate from spinal cord, exit between vertebrae and travel

out to individual muscles.– Provide energy to make muscles contract.

Distal Symptoms when nerves are impinged. – i.e. numbness, tingling down leg or arm

Audience Interaction

Everyone stands and moves through all planes of motion.– Fwd Bend

– Bwd Bend

– Rt. Side Bend

– Lft. Side Bend

– Rotation Lt. And Rt.

Purpose is to show not only that tight muscles limit motion but the bones or facet joints also limit motion.

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Purpose of the Spine

Maintain and support the structure of the trunk to allow for body mobility.

Protect Spinal Cord

Act as Shock Absorber.– Bones, Discs and ligaments provide the structure.

– Muscles support the structure and facet joints direct movements.

– Nervous system provides the energy and control.

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“Back” to Basics

Back problems usually begin way before you experience pain.

Most of the time back problems are a result of cumulative effects of months or years of poor posture, bad mechanics, deconditioning, loss of flexibility, stress and poor nutrition.

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Proper Sitting Posture

Important to adjust workstation for your height.

Sitting Posture– Sit close to your work.

– Sit with feet flat on floor.

– Elbows, hips, knees and ankles in 90/90 position

– Chair back that supports curve of your back. Use of a towel roll when needed.

– Don’t look down or lean forward to do your work.

– Head and eyes should be straight on.

– Don’t sit longer than 20 min.

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Proper Sitting Posture, Cont.

Activity to check for neutral sitting position.– Slump way down

– Sit way up

– Come half way down.

– This is neutral.

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Proper Standing Posture

Standing Posture– Elevate or incline your work station

– Put one foot up and shift your weight frequently

– Stand on a cushioned mat if possible

– Don’t stand bent forward or with knees locked back.

– Keep tension in abdominals

– Don’t wear platformed shoes if possible.

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Body Mechanics

Rules: – Keep head up

– Back neutral

– Keep weight close to body

– Wide base of support

– Check weight of load before attempting to lift.

– Make sure area is clear of obstructions, not slippery or hazardous.

Always push or pull instead of lift if possible.

Pivot Don’t Twist

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Types of Lifts

Demonstration of Types of Lifts– Diagonal Lift

– Straight leg Lift

– Partial Squat Lift

– Golfer’s Lift

– Carry load on shoulder when going long distances if possible.

Next Steps

Remember protection and prevention are the key to a healthy back.

If you’re having specific problems that are limiting or altering your lifestyle you should consult your physician.

Physical Therapy

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Emergency Preparedness Emergency Management

HFHS utilizes the Hospital Incident Command system (HICS) for responding to internal and external emergencies/disasters.

Each department must have an emergency department must have an emergency management planmanagement plan, and each employee must each employee must know their role and responsibilitiesknow their role and responsibilities.

Employees must safely return to their department and participate in their department’s management plan, when a “code” is called.

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Emergency Color Codes

Code Red-FireCode Blue-Adult Medical EmergencyCode White-Pediatric Medical EmergencyCode Pink-Infant AbductionCode Purple-Child Abduction 1yr and OlderCode Black-TornadoCode Grey-Combative PersonCode Silver-Weapon/Hostage SituationCode Green-Missing PersonCode Triage Internal-Internal DisasterCode Triage External-External DisasterCode Orange-Hazardous Material SpillCode Yellow-Bomb Threat

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Code Red (Fire) Return to department/unit

immediately

RACE

Rescue those in danger

Activate fire alarm

Confine the fire by closing doors

Extinguish fire (if small)/Evacuate

PASS

Pull pin on extinguisher

Aim

Squeeze

SweepCall 4114

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Oxygen Shut-off In the event of fire, it may be necessary to turn off

oxygen or other medical gases

If the fire is confined to a patient room, turn off bedside oxygen and remove patient from the room.

If the fire is widespread, the decision to turn off the oxygen at the Oxygen Shut-off Valve, may be made by the Charge Nurse, or designeeCharge Nurse, or designee.

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Code Blue (Adult Medical Emergency)

Assess patient’s airway, breathing and circulation

Call 4114

Initiate CPR– C – Compression– A – Airway– B – Breathing

Do not leave patient

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Code White (Pediatric Medical Emergency)

Assess patient’s airway, breathing and circulation

Call 4114

Initiate CPR– C – Compression– A – Airway– B – Breathing

Do not leave patient

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Monitor hallways, stairwells and elevators

Observe for person:– carrying a bag large enough to

hold an infant– carrying a coat/baby blanket– or person, in a nurse’s

uniform/scrubs, carrying an infant, without appropriate identification

Note identifying characteristics of person, take down license number of vehicle

Call 4114 immediately

Code Pink (Infant Abduction < 1 yr old)

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Monitor hallways, stairwells and elevators

An abductor can be a stranger, or family member, such as a non-custodial parent

Children, may or may not be able to verbally communicate a threatening situation

Note identifying characteristics of person, take down license number of vehicle

Call 4114 immediately

Code Purple (Child Abduction > 1 yr old)Code Purple (Child Abduction > 1 yr old)

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Code Green (Missing / Eloped Patient)Code Green (Missing / Eloped Patient)

Call 4114 and provide with:– patient’s name, date of birth– physical description– description of clothing– time and location last seen– Risks or precautions

Staff should conduct a thorough search and notify Security/Police with search results

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Code Black (Warning)Code Black (Warning)

Return to department/unit

Close all doors, blinds, drapes, if possible

Move ambulatory patients and visitors to inner hallways, away from windows and doorways

Pull cubicle curtain around non-ambulatory patients to minimize potential for glass injuries from broken windows

Reassure patients and visitors

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Code Black (Severe Weather/Tornado)Code Black (Severe Weather/Tornado)

Severe Thunderstorm Warning: A severe thunderstorm warning is issued when the National Weather Service expects thunderstorms with large hail/or damaging winds in excess of 57 miles per hour. Frequent lightning is likely. A tornado is possible. Review your Review your department plan!department plan!

Tornado Watch: A tornado watch means that atmospheric conditions are favorable for tornadoes to form, although none have yet been sighted. It is intended to provide enough lead time, so those who need to set their plans in motion can do so. Review Review your department plan!your department plan!

Tornado Warning: A tornado warning is issued when a tornado has been sighted or is indicated by weather radar. Warnings advise of a threat to life or property. Take action!Take action!

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Code Gray (Combative Person)Code Gray (Combative Person)

If, at any time, staff are concerned about their own safety, or the safety of others call 4114

Attempt to verbally de-escalate the person

Add distance/barriers between yourself or others and person

Get medical assistance if needed

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Workplace ViolenceWorkplace Violence

Acts of violence are those acts, behaviors or conduct, that would lead a reasonable person to believe that he/she is in danger of physical or mental, verbal or non-verbal harm, injury or abuse.

HFHS policy prohibits:– any acts, or threats of violence by any employee,

or former employee, against any other employee.– any acts, or threats of violence against HFHS

employees, patients, customers, or visitors.

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Code Silver (Weapon / Hostage)Code Silver (Weapon / Hostage)

A weapon is defined as any firearm, knife, or instrument that can cause bodily harm or injury

If a person is found (or suspected) of having a weapon, call emergency number immediately

If someone is being held hostage call 4114 immediately.

Seek cover and warn others of the situation

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Code Orange (Hazardous Material Spill)Code Orange (Hazardous Material Spill)

Isolate area

If spill is small and containable, use appropriate spill kit for cleaning.

If spill/release is large, evacuate the area and contact HazMat Team or outside contractor per your facility’s policy.

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Code Yellow (Bomb Threat)Code Yellow (Bomb Threat)

If you receive a bomb threat:

– Call 4114 immediately– Give your name, phone number

and location– Gather as much information as

possible:• Description of bomb,

location, when it will explode

• Listen to voice, speech patterns, accents, noises

– Don't go looking for it on your own

If you find a suspicious package or device:

– Do not touch it– Call emergency number

immediate.

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Code Triage – Internal (Disaster)Code Triage – Internal (Disaster)

An event that causes disruption in our ability to care for patients.

Return to department/unit immediately.

Department/unit/hospital emergency plan is initiated.

All breaks/meals are suspended until released by department management.

Staff may be re-deployed, by management, to other areas.

Staff (completing their shift), are not to leave until released by management, or the disaster alert is cancelled.

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Code Triage – External (Disaster) Code Triage – External (Disaster)

An event that throws upon the healthcare system, a sudden excess of patients in urgent need of emergency treatment, at a rate greater than the system is equipped to normally accommodate.

See Code Triage Internal

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RAPID RESPONSE

(RRT)

Henry Ford Macomb’s Rapid Response Team

Provide clinical support to the nurse in caring for patients identified to be in physiologic deterioration.

Purpose is to decrease morbidity and mortality through early and aggressive intervention

Dial 4114

24 hour coverage, 7 days a week

Call guidelines: – Respiratory distress – BP (high or low)– Heart rate (high or low) – Acute change in conscious state– Seizure – Acute change in urinary output to

– Nurse concerned about patient less than 50 ml in 4 hours– Acute and sustained drop in O2 – Chest pain sat – Signs/symptoms of stroke

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Quality Management ReportingQuality Management Reporting

For quality concerns, see the unit manager or access the HF intranet to complete the Online Redform: Risk / Feedback.

Anyone witnessing or aware of a safety event or an unusual occurrence is responsible for reporting it.

The Safety Officer at Henry Ford Macomb Hospital is MaryAnn Northcote!

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If you have a concern regarding patient rights, care of patients, safety, infection control, medication use and/or security. Please bring your concern to the attention of the healthcare organization leaders. If this does not lead to resolution, contact the Joint Commission at 1-800-994-6610 or email at complaint@jointcommission.org. Joint Commission forbids accredited organizations from taking retaliatory actions against individuals reporting quality concerns.

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Infection Control

Hand Hygiene Standard Precautions Transmission-Based Precautions Medical Waste Blood/Body Fluid Exposures Linen Handling Refer to handout on Dress and

Personal Appearance Standards

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Hand Hygiene

Most important way to prevent hospital-acquired infections

Caring for the skin in a way that will minimize the risk of transmitting organisms. Includes:

decontamination of handsusing lotions and creams to protect skin

from damage that can harbor bacteriaKeeping fingernails natural (no artificial

overlays or nail jewelry) and less than ¼ inch in length

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Hand Hygiene (continued)

Hand washing: Soap, water, and friction for at least 15 seconds. Necessary when:

hands are visibly soiledWhen caring for a patient with Clostridium

difficile (C. diff)before eating/handling foodafter using the restroom

Alcohol-based hand sanitizer: Use enough product to moisten all surfaces of the hands and rub together until dry.

Preferred over hand washing when hands are not visibly soiled

Be careful…do not touch electrical switches, or metallic surfaces, while your hands are still moist with this sanitizer.

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Hand Hygiene (continued)Your 5 Moments for Hand Hygiene

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Hand Hygiene, (continued)

Gloves are not a substitute for hand hygiene.

If gloves are required for one of the 5 Moments, hand hygiene is still necessary before and / or after glove use, depending on the situation.

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Standard Precautions

– Consider all human blood and other potentially infectious materials (OPIM) as capable of transmitting bloodborne pathogens (e.g., HIV, hepatitis B and C).

– Use preventative measures to protect yourself from exposure:

Hand hygienePersonal protective equipment (PPE)Safe work practicesEngineering controls (e.g., needleless

devices, protected sharps)

Preventing exposures to blood and OPIM is key to your health and safety!

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Transmission-Based Precautions

Precautions necessary (in addition to Standard Precautions) to prevent transmission of organisms that are spread by the airborne, droplet, and contact route.

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Airborne Precautions: Used when patient has a known or suspected disease

that can be spread through the air. (TB, Measles, Chickenpox, disseminated herpes zoster, and SARS)

Properly fitted N95 respirators (high filtration masks) required for people entering room

Room engineered with special airflow criteria is required

Door must remain closed

Patients must wear a surgical mask when outside the airborne isolation room (e.g., for testing)

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Diseases Requiring Airborne Precautions

Chickenpox/varicella - also Contact Precautions

Measles

SARS (Severe Acute Respiratory Syndrome) – also Contact Precautions

Shingles/herpes zoster (disseminated or localized in immune compromised patient) – also Contact Precautions

Smallpox/variola – also with Contact Precautions

Tuberculosis (pulmonary or laryngeal, suspected or confirmed)

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Droplet Precautions:

Used when patient has a known or suspected disease than can be spread by droplets in the air. These droplets fall within 3 feet of the patient, and are expelled by sneezing, talking, or coughing. (Includes influenza, meningitis, and pertussis.)

Surgical mask must be worn when entering the room.

Patient must wear surgical mask during transport.

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Diseases Requiring Droplet Precautions

NOTE: For a complete listing of diseases requiring Droplet Precautions, refer to Infection Control policy 7011.20, Disease Isolation Guide

Diphtheria (pharyngeal)

Haemophilus influenzae (epiglottitis, meningitis)

Influenza (“respiratory flu”)

Meningitis (for all suspect cases, necessary for confirmed meningococcal or haemophilus influenzae)

Mumps (infectious parotitis)

Mycoplasma pneumonia

Neisseria meningitides (pneumonia, bacteremia, meningitis)

Pertussis/Whooping Cough

Pneumonic plague

Rubella/German Measles

Scarlet Fever (infants/children) Streptococcus Group A (pneumonia or pharyngitis in infants/children)

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Contact Precautions:

For patients with a known or suspected disease that can be spread by direct (contact with patient) or indirect means (contact with healthcare worker hands or the environment).

Protect your hands with gloves and your clothing with a gown whenever you anticipate contact with the patient or their surroundings.

Dedicate equipment to the patient and use disposable items when available.

Commonly used for: VRE, MRSA, other multi-drug resistant organisms, large draining wounds, scabies, lice, etc.

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Diseases Requiring Contact Precautions NOTE: For a complete listing of diseases requiring Contact Precautions, refer to Infection Control

Policy 5.07, Precautions and Isolation Guide. Acinetobacter baumannii

Bronchiolitis (infants/children)

Chickenpox/varicella (also Airborne Precautions)

Conjunctivitis

Diphtheria (cutaneous)

E. coli type O157:H7 (diapered, incontinent)

Enteroviral infection (children)

Gastroenteritis (bacterial)

Giardiasis

Hepatitis A (diapered/incontinent)

Herpes simplex virus (primary or disseminated lesions, severe lesions, or neonates with perinatal exposure)

Impetigo

Lice (pediculosis)

MRSA (children, adults if contamination of patient environment is likely)

MDR (multi-drug resistant) bacteria, including ESBL producers

Rotavirus (diapered, incontinent)

RSV (respiratory syncytial virus)

Salmonella (incontinent, children)

Scabies

Shigella (diapered/incontinent)

Shingles/herpes zoster (disseminated or localized in immune compromised patient) – also

Airborne precautions

Smallpox/variola (also Airborne Precautions)

Streptococcus group A (pneumonia or major wound)

VRE (vancomycin resistant enterococcus)

VRSA (vancomycin resistant Staph. aureus)

Wounds (major, draining when dressing does not adequately containing drainage)

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Contact Plus Precautions Patients with known or suspected

Clostridium difficile or viral gastroenteritis require Contact Plus Precautions

Handwashing with an antimicrobial soap and water is indicated.

Alcohol-based hand sanitizers may be ineffective with these conditions.

Commonly used for Clostridium difficile or viral gastroenteritis

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Diseases Requiring Contact PLUS Precautions

Clostridium difficile (suspected or confirmed)

Gastroenteritis (viral)

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Waste Management

General Waste includes:

– Packaging material, paper, food, disposable goods, items lightly stained with blood

– Microbiological agents– Blood and blood products/body fluids – (excluding urine); including blood transfusion– bags, IV tubing w/blood; saturated gauze;– suction devices & canisters (Red Bag Waste)– Pathological Waste– Sharps (Sharps Container)

Regulated Medical Waste includes:

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Medical Waste

Any material that can be squeezed to express a drop of blood or other potentially infectious material (OPIM) or can be flaked off of the surface.

Heavily saturated bandages, gauze, gloves, and other personal protective equipment (PPE)

Suction Canisters (unless decontaminated with Premicide (OR))

Blood filled tubing Blood transfusion bags

Items minimally stained with blood or OPIM

can be discarded in the regular waste: Bandages with absorbed drainage sanitary napkins Stained or visibly clean gloves and other PPE

All sharps must be disposed of in a biohazard-labeled,

puncture-proof, sharps container.

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Medical Waste

Disposal Guidelines:1. Place all non-sharp medical waste into red bins with red plastic

liners.

2. Place all sharp items in a puncture-proof, biohazard-labeled, sharps container.

3. Liquid waste must either be securely contained or discarded with absorbent material.

4. Do not over-fill containers. -Sharps containers must be less than ¾ full-Red bins should be considered full at approx. 75% full to allow ease of lifting

5. If any medical waste is noticed in a clear bag, that clear bag should be treated as medical waste and disposed of in a red bin in the soiled utility room.

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Pop Quiz Question:

What is wrong with

this picture?

Answer:

Significant quantities of regular trash and a stereo were inappropriately placed in this red bag. Medical waste costs more to dispose of than regular trash.

Lesson:

Inappropriate disposal choices can either create safety risks or cost the hospital money.

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Blood/Body Fluid Exposure

What is considered an exposure?

Needlestick injuries or other wounds caused by items contaminated with blood/body fluid.

Cuts or breaks in the skin that come into contact with blood/body fluid.

Mucous membrane (e.g., eyes, nose, mouth) contact with blood/body fluid.

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Blood/Body Fluid Exposures Prevention of exposure to blood and body

fluids is imperative.

If an exposure occurs:– Perform First Aid First– Notify direct supervisor; request that

source blood be collected for HIV, hepatitis B and C testing.

– Complete a Radicalogic red form– Report immediately to the Emergency

Department– Follow up with Employee Health Services

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Pop QuizQuestion:

What is wrong with

this picture?

Answer:

• Container was filled beyond ¾ full.

• Potentially infectious and sharp material is hanging from the side.

• Non-bloody gloves and packaging in the container.

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Linen Handling

Routinely soiled linens, linens visibly soiled with blood or body fluids, and linens from isolation rooms are all handled the same

Place in a leak-proof linen bag

Use minimal agitation when handling

Service Excellenceas part of the Henry Ford Experience

WOW! Where Opportunity Works

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Standards of Excellence

The following 10 Standards of Excellence are integral to The Henry Ford Experience excellence in People, Service, Quality and Safety, Growth, Research and Education, Community, and Finance.

It is important that each team member understand and model these standards, in order to help us create The Henry Ford Experience.

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Team Member Service Excellence

1. Display a positive attitude.Attitude is everything in creating a lasting impression.

2. Take ownership and be accountable.Serve as an ambassador of Henry Ford Health System, referring friends and family.

3. Offer open and constructive communications.Communication with our customers is critical. I will communicate respectfully.

4. Respond in a timely manner.Responding to customers’ needs and questions is a priority. I will respond as swiftly as possible, and keep customers updated when there is a delay in service.

5. Take pride in personal appearance.I will ensure that my appearance is neat and professional.

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Team Member Service Excellence

6. Respect and be sensitive to patient privacy.Customer information is private matter. I will respect the need for privacy in all instances.

7. Commit to team members.Be a team player. I will commit to helping my fellow team members, knowing that it leads to better customer service.

8. Maintain a clean and safe workplace environment.Maintaining a clean environment is everyone’s responsibility.

9. Be innovative.Foster and support innovation.

10. Honor and respect diversity.Treat diverse needs of all individuals with sensitivity and understanding.

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Patient or Customer

A patient is the person we physically, spiritually and mentally treat to cure their illness.

Our customers are the families we serve, our fellow employees, and members of the community where we provide care.

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Service Excellence Principles

Patients have choices. We want them to choose us.

Patients are people who come to us with their needs and wants. It is our job to fill meet and exceed their expectations.

Care should be designed to fit the lifestyles and beliefs of the patients we are treating.

Each of us should deliver care the way we would want to receive it.

Customers deserve the most courteous attention we can give. They are the livelihood of our business. They pay our salaries. Without our patients, we would have to close our doors.

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Standardizing Communication Using the SBAR Briefing Technique

Communication must occur between care providers.

Henry Ford Macomb uses the SBAR briefing technique

Situation What is current problem with patient?

Background What is the clinical background? Key findings?

Assessment What do you think may be going on?

Recommendation What you want done?

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Phone System at Henry Ford Macomb Hospital

Perfect Serve telephone system

How can I contact the physician?

Dial #6121

When perfect serve answers, enter the 4-digit extension of the physician or call group you want to reach or press the #key to dial by name

Listen and respond to the prompts

100

Frequently Dialed in-house extensions:

Cart Exchange 2434

Rapid Response/Code Blue 4114

CNVS 2680

ED 2601

Infection Control 2860

Information Desk 2488

Blood Bank 44500

Chemistry 44470

Coagulation 44480

Medical Records 2474

Pharmacy 2650

Radiology 2400

Security 2445

Staffing Office 2630

Transport 2555

101

Fall Prevention

“Fall Risk” Yellow Sign Patients who are at high risk for falls Yellow fall risk sign will be posted outside the patient’s

room Patient / family education as to interventions

3 P’s - Pain, Potty, Position Hourly rounding on patients Ask patient if they are having pain, need to use the

bathroom and/or if they are comfortable? Do they need anything else?

102

Fall Prevention, Continued

RISK IDENTIFICATION

–Yellow Arm Bands

–Yellow Non-Skid slippers

– Reference: Policy NP 2.0