History of VIM An estimated 120,000 working Jacksonville citizens have no health insurance. VIM-Jax...
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Transcript of History of VIM An estimated 120,000 working Jacksonville citizens have no health insurance. VIM-Jax...
History of VIMHistory of VIM
An estimated 120,000 working Jacksonville citizens have no health insurance.
VIM-Jax proposes to serve the working uninsured and their families by operating a volunteer-run clinic where patients will receive free primary medical care, counseling services and medications they need to live healthy productive lives.
History Cont.History Cont.
The VIM model was created in 1994 by Dr. Jack B. McConnell in Hilton Head Island, South Carolina.
VIM’s ongoing success with the assistance of a grant from the Ortho-McNeil Pharmaceuticals is repeated daily in many volunteer run clinics from Florida to Oregon.
Mission StatementMission Statement
The Volunteers in MedicineJacksonville clinic is a volunteer run medical clinic that provides primary medical services to the working uninsured of Greater Jacksonville
Operations are funded through private and corporate donations, grants, and on-going fundraising
StaffStaff
Care is provided by volunteer physicians, nurses, nurse practitioners and non-medical community volunteers.
Community partners providing specific services on an outsource basis
A small paid staff to coordinate and effectively administer the clinic.
Board of TrusteesBoard of Trustees
James N. Burt, MD Kevin Hyde, Esq. Dorothy S. Dorion,
RN, MS Guy Cuiddihee Li Loriz, PhD C.B. McIntosh, MD Heather Duncan
Rev. Richard A. Petry George E. Ridge, Esq. Leo Alonso, D.O. Ron Mallett Gene Baker, PhD Lisa Weatherby
VIM ObjectivesVIM Objectives
Provide free primary care medical and counseling services.
Improve community health through education and preventative medicine.
Encourage care providers and receivers to contribute to the community’s well being.
Promote volunteerism and community spirit.
Patient Criteria for ServicesPatient Criteria for Services
Residency-patients live or work in Duval County Income-patients have an income level between
$13,000-$25,530 per year for a single individual. Uninsured-patients are without private or
government funded medical insurance. Employment-one or more family members are
gainfully employed.
VisionVision
May we have eyes to see those rendered invisible and excluded; open arms and hearts to reach out and include them; healing hands to touch their lives with love, and, in the process, heal ourselves.
Keys to Success• Quality Management
• Efficient, Low-cost Operation
• Enthusiastic and Committed Volunteers
• Broad Base of Community Involvement and Support
Clinical Volunteer SectionClinical Volunteer Section
Infection Control, HIPAA, HIV & Fire Safety
Infection ControlInfection Control
OSHA is a regulatory agency that oversees occupational health and safety.
Protection against blood borne pathogens
You can help prevent the spread of infection by following three basic guidelines.
1.1. Practice Optimal Hand Practice Optimal Hand Hygiene!Hygiene!
Hand Hygiene is the single most important method of preventing the spread of infection.
Hand Hygiene is a general term that includes: Hand washing with plain soap or antiseptic soap
and water. Use of waterless hand rub for routine hygiene.
2. Perform Hand Hygiene…2. Perform Hand Hygiene…
When arriving at the clinical work area Before and after having direct patient care contact
with the patient’s intact skin. Before performing invasive procedures or other
sterile procedures, whether or not sterile gloves are worn.
Before meals After coughing, sneezing, or blowing your nose After using the restroom When hands are visibly soiled
3. Effective Hand washing 3. Effective Hand washing TechniqueTechnique
1. Wet hands with warm water
2. Apply 3-5 ml (2-3 teaspoons) of soap to hands
3. Rub hands together for at least 15 seconds, covering all surfaces of the hands and fingers
4. Rinse hands with water and dry thoroughly
5. Use towel to turn off the faucet
Remember…..Remember…..
Hand hygiene is the single most important method of preventing the spread of infection!
HIV/AIDSHIV/AIDS
What is HIVHuman Immunodeficiency Virus is a
retrovirus that causes AIDS.It destroys the essential conduction of the
immune systemThe only way to determine whether HIV is
present is through blood test.
Transmission of HIVTransmission of HIV
Exposure to blood or other potentially infectious material
IV drug users from needle sharing
Homosexual contact Heterosexual contact
Transfusion of blood or blood products contaminated with HIV
Occupational needle stick injury and other blood exposures
During pregnancy, during delivery and after birth
You will not get HIV by the You will not get HIV by the following:following:
Touching Social kissing Coughing Sneezing Contact with eating
utensils, water fountains and toilet seats
Using public facilities such as swimming pools
Being close to other people or in crowded spaces
Preventing the spread of HIV:Preventing the spread of HIV:
Not sharing needles or personal items which may be contaminated with blood.
Protect open wounds from contact with blood and body fluids by properly covering any broken skin surfaces.
Practice good hand hygiene
Hand hygiene before and after patient contact, even if gloves are worn
Use appropriate protective equipment, gloves, gown, masks, etc.
OSHA/Blood Borne OSHA/Blood Borne PathogensPathogens
Blood borne pathogens can potentially reside in:
BloodSemenVaginal secretionsBody fluid with visible bloodOther body fluids
Fire SafetyFire Safety
There are three exits, the main entrance, a rear exit on the first floor and a rear exit on the second floor.
A fire extinguisher is located on the first floor near the reception area. Extinguisher instructions:1. Pull ring pin2. Stand 8’ from fire3. Aim at the base of the fire, use extinguisher upright.4. Squeeze the lever, sweep from side to side
HIPAAHIPAA
What is it? National Legislation passed by congress in 1996 that resulted in total reform.
It was passed to guarantee that persons changing jobs would not lose coverage.
It standardizes how medical information is shared and guarantees patient security and confidentiality.
HIPAA: Why is it important to HIPAA: Why is it important to VIM-Jax?VIM-Jax?
All volunteers are going to be exposed to sensitive information.
To protect the dignity and privacy of our guests, we need to respect their protected health information.
What constitutes protected What constitutes protected health information?health information?
Name and Address Phone and fax numbers Medical record numbers Insurance information Social Security numbers Certificate/license
numbers Internet addresses
Hospital records Identifying
characteristics Vehicle ID Numbers Photographs Device identifiers Any medium with
patient information.
HIPAA SummaryHIPAA Summary
Treat guest information as if it was your own. Disclose the minimum amount of information
necessary. Only give personal information to those directly
relevant to care and treatment. Patients ultimately make the decision regarding
the use and release of their information.
QuizQuiz
1. The first step to take when there is an exposure to blood/body fluids is to:
A. Report immediately to the Emergency Department
B. Complete an accident reportC. Notify the clinic managerD. Wash the exposed area
immediately and thoroughly.
QuizQuiz
2. HIV can be spread by occupational needle stick injury, sexual contact, during delivery or an HIV+ mother to her baby.
True or False
Quiz Cont.Quiz Cont.
3. It is acceptable to share patient information with other volunteers.
A. True
B. False
Quiz Cont.Quiz Cont.
4. Which of the following is proper hand washing technique:
A. Rub hands together for 5 seconds under warm water.B. Wet hands with warm water, apply 3 ml of soap, rub hands together for 15 seconds
covering all surfaces of the hands and fingers, rinse hands with water and dry thoroughly, use a towel to turn off the faucet.
C. Use warm soapy water to wash palms and fingers, dry hands on jeans.
Quiz Cont.Quiz Cont.
5. Hand hygiene is the single most important way to prevent the spread of infection.
A. True
B. False
AnswersAnswers
1. D
2. A
3. B
4. B
5. A
ReferencesReferences
Volunteers in Medicine Institute. (2005). Volunteers in Medicine Institute. Retrieved April 4, 2005, from http://www.vimi.org
Volunteers in Medicine Jacksonville. (2004). Volunteers in Medicine Jacksonville [Brochure]. Jacksonville, FL: Author.
Volunteers in Medicine Jacksonville. (2005).
Retrieved April 4, 2005, from http://www.vim-jax.org www.improvingchroniccare.org/tools/index.html