Student Orientation

Sandy HeresaManager Staff Development

KSMC

8/06

Mission

Preserve and improve our patient’s health

Provide high quality, affordable care

Provide excellent customer service

Partnership to achieve an excellent work environment

Who We Serve

Salem to the South Longview/Kelso to the north Clark County of SW Washington Division/Rockwood to the East Beaverton/Hillsboro to the west

Who We Serve

454,000 members in NW

171,000 KP Dental members in 15

clinics

Pain Management

All patients assessed and documented for acceptable level of pain on a 0-10 scale

Each patient’s response to pain intervention is documented in medical record

Annual training related to pain management

Pain

Pain is what the patient tells us

Assess for acceptable level of pain and document

Pain---the 5th Vital Sign

Medical Legal

Medical Legal Documentation Issues

Do not:

Document “incident report completed”

Do not:

Tell patient or family member that “everything will be taken care of….Kaiser is responsible”

Medical Legal Documentation Issues

Do Not: Alter the medical record after the fact,

trying to “clarify” or protect yourself

Late notation is ok if noted as such

Do not use white-out or mark out a notation in the chart

INFECTION CONTROL

IT’S EVERYONE’S

BUSINESS

ROUTES OF TRANSMISSION

Contact

1. direct

2. indirect

3. droplet Vehicle Airborne Vector

DIRECT CONTACT

Person to person spread

Actual physical contact between source and patient.

INDIRECT CONTACT

Patient comes in contact with contaminated intermediate object.

Intermediate object is passively involved in transmission.

DROPLET

Large particles that rapidly settle out on horizontal surfaces.

Brief passage of infectious agent through the air (usually a distance of 3 ft or less).

Infected person and susceptible host need to be relatively near each other (e.g. talking, sneezing, or coughing).

AIRBORNE

May involve varying distances between source and susceptible host.

Organism contained within droplet nuclei or dust particles.

Organisms suspended in air for extended periods; thus may be spread through ventilation systems.

HAND HYGIENE

The most important measure you can use to prevent the spread of infection

STANDARD (UNIVERSAL) PRECAUTIONS

Consider all patients potentially infectious

Use appropriate barrier precautions at all times

WEAR GOWNS

During procedures that are likely to generate splashes of blood or other body fluids

WEAR GLOVES

When touching blood, body fluids, mucous membranes, or non-intact skin of all patients

When handling items or touching surfaces contaminated with blood or body fluids

Wash hands after removing gloves

WEAR MASKS andPROTECTIVE EYEWEAR

During procedures that are

likely to cause splashes of blood or other body fluids (to protect the mucous membranes of the eyes, nose, and mouth)

SAFE HANDLING OF NEEDLES AND SHARPS

Use appropriate sharps containers

Discard used sharps immediately

Avoid recapping needlesActive safety device

BLOOD/BODY FLUID EXPOSURES

First aidReport exposure to supervisorFill out Employee Accident

Investigation formCall Employee Health

National Patient Safety Goal (JCAHO) Improve Communication

Follow do not use list of abbreviations

Follow established time frames for reporting critical lab & test results

Implement a standardized approach to “hand offs” allowing for opportunity to ask and respond to questions (SBAR-our tool)

Communication---SBAR

S-----Situation

B------Background

A------Assessment

R------Recommendation

Body Mechanics

Squat when lifting

Be aware of posture

Turn don’t twist

Use legs when lifting not the back

Hold object close to center of body

Fire Extinguisher

P Pull

A Aim

S Squeeze

S Sweep at base of fire