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Medical Student Orientation Donna R. Davidson, RN, MSHP Interim Chief Nursing Officer.

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Presentation on theme: "Medical Student Orientation Donna R. Davidson, RN, MSHP Interim Chief Nursing Officer."— Presentation transcript:

1 Medical Student Orientation Donna R. Davidson, RN, MSHP Interim Chief Nursing Officer

2 CNO Role Budgeting, Staffing, Capital Budget, Patient/Physician/Staff Satisfaction Assure quality patient care is delivered to all patients Assist with problem resolution Office: 449-4373

3 Unit Structure Staff Nurse Unit Shift Supervisor (Charge Nurse) Nurse Director House Supervisor (24/7) Chief Nursing Officer

4 5200 – Surgical/Trauma 33 beds General Surgical Unit Bariatric, Orthopedic,Thoracic, Vascular, Trauma Telemetry capability for 16 beds Nurse Director – Darren Parks

5 5500 – Specialized Medicine 33 beds Medical Unit Observation for non-monitored patients Internal Medicine, Family Practice, Urology, Oncology, Renal Telemetry capability for 10 beds Nurse Director – Darren Parks

6 3100 Adult Intensive Care Unit 25 beds Combined Medical-Surgical Intensive Care Restricted access unit Nurse Director - Karl Samuelson

7 4100 – Coronary Care Unit Coronary Care Unit 28 beds Intensive care unit-ventilators, intra- aortic balloon pumps, arterial lines, titratable drips Observation pts requiring monitoring CHF, angina, acute MI, arrhythmias Nurse Director – Karl Samuelson

8 4300 – Pediatrics/PICU Pediatrics/Pediatric Intensive Care Unit 12 beds-4 PICU Age 1 day 18 years of age Restricted access unit Nurse Director – Traci Eisele

9 NICU Neonatal Intensive Care Unit 24 beds Level III MD/NP coverage Restricted Access Unit Nurse Director – Traci Eisele

10 4500 – Family Birth Center Family Birth Center/Labor and Delivery 8 LDR rooms, 4 Antepartum, 2 ORs 14 beds mother/baby, GYN Restricted access unit Nurse Director – Traci Eisele

11 4600 – Telemetry/ Step Down Telemetry Step-down Unit 20 beds Telemetry Monitoring for 10 patients Observation patients or short stay patients Nurse Director – Inglish Camero

12 4200 Clinical Decision Unit 29 beds Cardiovascular,Thoracic Nurse Director – Inglish Camero

13 Emergency Department Level 1 Trauma Center Trauma days Monday, Wednesday, Thursday, Saturday Restricted Access area Nurse Director - Theresa Gregg

14 Pre-op/OR/PACU Nursing Director - Lynn Crowley Location of inpatient and outpatient surgery Patients present day of surgery for pre-op preparation Operative suites OR Nursing Manger - Open Post Anesthesia Care Unit Pre-op/PACU Nursing Manager – Matt Kayl

15 On The Unit Return charts to the Nurses Station when finished Comply with Infection Control/Isolation requirements Wash hands between patient contact - when entering and leaving a room Assure confidentiality of patient information

16 Do’s Ask for assistance is you have questions Watch for learning opportunities - Code 99, Traumas Comply with the dress code - –Shoes and socks –No bare midriffs

17 Don’ts Copy the medical record (HIPAA) Wake the patient before 0530 or 0600 Obtain food/drink from the galley (patient use only) Bring food into public areas Leave back packs in public areas Leave valuables lying around

18 Survivor Tips Demonstrate respect for patients, staff, families and others Get to know the HUC - can be your best friend Have a great learning experience

19 WRITING ORDERS Must be licensed to take a verbal order per Medical Staff Rules and Regs. May write an order and have it signed by Resident or Staff. All entries must be dated and timed. All entries must be signed legibly. Standard is that someone else must be able to decipher the signature.

20 PROGRESS NOTES All entries must be dated and timed. Must be legible Must be signed legibly. Standard is that someone else must be able to decipher the signature.

21 ABBREVIATIONS List of do not use abbreviations on Order sheets, except those that have pre- printed orders. Part of National Patient Safety Goals

22 ABBREVIATIONS DO NOT DO THIS USEDO NOT DO THISUSE U UNIT LEAVE OFF A LEADING ZERO (.5MG) USE THE LEADING ZERO (0.5MG) Q.D.DAILY USE OF A TRAILING ZERO (1.0MG) NO TRAILING ZERO (1MG) Q.O.D. EVERY OTHER DAY QNNIGHTLY MS OR MSO 4 MORPHINE SULFATE MGSO 4 MAGNESIUM SULFATE GG MCG AU AS AD BOTH EARS LEFT EAR RIGHT EAR IU INTERNATIO NAL UNITS OU OS OD BOTH EYES LEFT EYE RIGHT EYE

23 National Patient Safety Goals Patient Identification - Always check armband before any procedure or test. Communication – Always provide a report to an oncoming caregiver (SBAR). Medications – All medications used must be properly labeled. Reduce infections – Use of maximum sterile barriers in procedures.

24 National Patient Safety Goals Medication Reconciliation – reconcile medications upon admission, transfer and discharge. Safety – Reduce falls Patient Involvement – Include patient in discussions about care and condition.

25 ENVIRONMENT OF CARE Provide a safe, functional and effective environment for patients, staff, and others in the hospital. This is crucial to providing quality patient care and achieving good outcomes.

26 ENVIRONMENT OF CARE is managed by 7 Subcommittees 1.Safety Management 2.Security Management 3.Hazardous Materials Management 4.Emergency Preparedness Management 5.Life Safety Management 6.Medical Equipment Management 7.Utilities Management

27  General Safety  Fire Safety  Electrical Safety  Disaster Preparedness  Hazardous Materials and Waste SAFETY MANAGEMENT

28 SAFETY PLANS provide for: Specific job-related hazards Safety Orientation and Education Incident reporting process, monitoring Proactive hazard surveillance Call 4470 and report all safety related problems “REMEMBER SAFETY IS EVERYONE’S JOB”

29 EMERGENCY PREPAREDNESS PLANS Define roles and responsibility during emergencies. Provide information necessary for you to function in the event of a disaster. Establish backup communication systems Describe how supplies and equipment are obtained or distributed. Ready References are provided by : –The Emergency Plans Manual in each department –Emergency Response Poster posted throughout the hospital –Ready Reference Badge provided with your ID Badge

30 EMERGENCY PREPAREDNESS PLANS EMERGENCY PLANS MANUAL INCLUDE RESPONSES TO: –CODE BLUE (Bomb Threat) –CODE 99 (Medical Emergency) –CODE RED (Fire) –CODE PINK (Infant Abduction) –CODE GREEN (Medical Gas/Vacuum) –Communication, Weather, and others…

31 LIFE SAFETY PLAN Provides for a fire-safe environment Designed to protect patients, visitors, and staff Helps control the fire, and smoke to prevent the spread.

32 LIFE SAFETY ACRONYMS CODE RED Fire Phone # 4711 –R emove those in danger –A ctivate the alarm –C onfine (close doors) –E xtinguish, if safe to do so CODE RED Extinguisher: –P ull the pin –A im at the base of the fire –S queeze the handle –S weep from side to side


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