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UMHC Student Orientation. Welcome! Welcome to the University of Mississippi Medical Center. We are glad that you have chosen our institution as a clinical.

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Presentation on theme: "UMHC Student Orientation. Welcome! Welcome to the University of Mississippi Medical Center. We are glad that you have chosen our institution as a clinical."— Presentation transcript:

1 UMHC Student Orientation

2 Welcome! Welcome to the University of Mississippi Medical Center. We are glad that you have chosen our institution as a clinical site for your students. Our orientation process was developed in an effort to standardize the information that incoming faculty and students receive prior to beginning clinical rotations at University of Mississippi Health Care.

3 Who are we? We are a Thomson’s Top 100 Hospital. We are Mississippi Nurses Association’s Hospital of the Year (Large Hospital). We tied for #1 in “Equity for Treatment” by the University HealthSystem Consortium.

4 Standards of Performance At UMHC, it is expected that our affiliated students and instructors adopt our Standards of Performance. Follow the link below and read through our Standards Guide. Standards Guide

5 Background Check / Fingerprinting at UMMC All contractual persons coming to UMHC for staffing purposes must be identified with a UMHC ID badge. Persons must come to the Human Resources (HR) Benefits Office on the first floor (office # N146) of the Medical School Building to have their picture taken and receive an official UMHC ID badge. All personnel must wear the UMHC ID badge along with their agency badge. The UMHC ID badge will be required to gain access to certain areas of the hospital that are restricted. You will not be allowed into any clinical area without your UMHC ID badge. The UMHC badge will have an expiration date built into it so that it will not be active after the end of your contract. There is a $20.00 cost for replacement of an ID badge. Mississippi law requires verification of background check/fingerprinting of each person working for a State Institution. This information must be submitted to Human Resources prior to receiving an ID badge. ID badges are done every Tuesday-Friday of any week (Mondays are reserved for UMHC employees only). When an official holiday falls on Monday, the following Tuesday is then reserved or UMHC employees only. For individuals in need of a background check and fingerprinting, UMMC provides this service at a cost of $50.00 per person (cash, money orders, and cashier’s checks only; no personal checks and no credit cards will be accepted). A valid driver’s license or state I.D. is required prior to fingerprinting. Contact Human Resources at (601) 984-1130 for more information. Agency Responsibility: To ensure that all required information is placed within the ID badge system, please send the following information two (2) weeks before the arrival of the Agency Staff. 1. the name of the person for contract 2. social security numbers of the person 3. the start date and end date of the contract

6 Parking All students and contract employees are asked to park in the Stadium parking lot that is located across State Street from the hospital. Parking in undesignated areas may result in the owner's vehicle being ticketed or towed at the owner's expense. Night shift may park in lots 3, 3A, or parking garage A near the School of Nursing. Vehicles must be out of the garage by 8:00am or owner will pay for parking. During weekends and holidays, parking on campus is permitted as above.

7 Dress Code Please click on one of the following to read the appropriate policy: Non-nursing – UMHC’s Professional Appearance Policy Nursing – UMHC’s Professional Appearance Policy UMHC’s Professional Appearance Policy

8 Professional Behaviors Please click on the following link and read: UMHC’s Professional Behaviors Policy UMHC’s Professional Behaviors Policy

9 Emergency Codes It is important to be familiar with emergency codes and procedures so that if an emergency occurs, you will know how to respond. Be familiar with the clinical environment, including locations of the nearest fire pull boxes and extinguishers. If you come upon an emergency situation, call the following extensions and report the emergency: UMHC Campus Code NameType of CodePhone Number CODE BLUEAdult Cardiac Arrest4-1111 CODE 13Pediatric Cardiac Arrest4-1111 CODE WHITEPatient becomes potentially dangerous to self/others 4-5555 CODE PINKInfant/child Abduction 5-7777 (police) first, then 4-1001 (operator) CHEMICAL SPILLHazardous chemical spills4-1981 or 4-1420 FIREAny type of fire4-6666 Jackson Medical Mall Campus Cardiac Arrest9-981-4199 (security) first, then 911 All Other Emergencies9-981-4199

10 Emergency Codes Code Blue/Code 13: When a cardiopulmonary emergency occurs, the health care worker present, or first to arrive will begin Basic Life Support (BLS) and call for help. The individual reporting the emergency will dial the operator using the cardiopulmonary emergency extension (4-1111). They will give the appropriate name, building and unit location as well as the room number. The operator will notify the appropriate code team of the emergency within 60 seconds or less after notification. Code White: In the event that someone becomes violent towards self or others, one staff member will go to the phone and call extension 4-5555, and ask the operator to call a code white and give the unit location. Remove other patients and visitors from the immediate area. If possible, decrease stimuli in the area, i.e. turn off the television. Remove as many potentially dangerous objects from the area as possible, i.e., equipment, chairs, carts, etc. Code Pink: Upon suspicion that an infant/child may be missing, the staff member discovering the possible abduction, will notify the operator of a code pink emergency, the child’s age, sex, unit location, and immediately notify the Nurse Manager, and Public Affairs. Employees and contractual staff working in the area of the code pink should help monitor for suspicious behavior, persons with babies or children, bags or bulky clothing. Employees in all other areas should monitor all exits for any persons exhibiting suspicious behavior, bulky clothing or large bundles or bags. No one is allowed to leave the buildings without first being examined. Report this information to Campus police. Stay in your assigned area until “Code Pink—all clear” is announced.

11 Fire Safety A fire is a serious event. All fire announcements should be taken seriously and proper procedures should be followed at all times. UMHC uses the RACE acronym in response to fires: R=Respond and remove persons in immediate danger. A=Alert three ways (verbally, dial 4-6666, and activate the fire alarm pull station) C=Confine the fire by closing ALL doors. E=Extinguish the fire ONLY if you can do so WITHOUT putting yourself in danger. If you cannot safely extinguish the fire, leave the area. Seal off the room with a damp towel or blanket at the door.

12 UMHC is a Tobacco-Free Campus No one is allowed to smoke in any areas on the UMMC campus. Period.

13 Electrical Safety It is important that equipment be properly maintained and grounded. Failure to do these things can potentially lead to fire or shock. Do not use defective equipment and never pull out a plug by pulling the cord. Instead, grasp the plug and pull firmly. If any equipment is found to display the following danger signs, please notify the charge nurse on the unit and call Biomedical Engineering: - Plug does not fit properly in the outlet - Feels unusually warm to touch - Smells as if it is burning - Makes noise or pop when turned off - Has a power cord longer than 10 feet - Gives inconsistent readings - Knob or switch is loose or worn - Tingles when you touch it - Third or grounding pin on the plug is missing - Cord is frayed

14 Radiation Safety If you are in an area where radiation is being used, it is important to remember the following information that can decrease your exposure to radiation. You can decrease your risk of radiation exposure by following the following guidelines: Time - Shorter time spent near a source results in less exposure. Distance - A greater distance from a source results in less exposure. Shielding - Lead aprons, lab coats and gloves reduce contamination and exposures. If working around sources of radiation, it is your responsibility to report a pregnancy to your charge nurse or supervisor for additional instructions and/or precautions. Also, there should be no eating, drinking, smoking or applying or using cosmetics in these areas.

15 Hazardous Communication When working with chemicals that pose a hazard to you or others, you are responsible for your own personal safety and health. You are also responsible for the safety and health of others nearby and for the protection of the environment. Common substances that may be considered hazardous include bleach and other disinfecting solutions. Also, chemotherapeutic or anti-neoplastic agents are listed among potentially hazardous substances. Special training is required before a nurse may administer such medications. Each unit that you are on is responsible for having available Material Safety Data Sheets (MSDS) for all chemicals used at that work area. If there is a hazardous material spill in your area, call extension 4-1981 or 4-1420 and report it.

16 Disaster Preparedness When a disaster occurs, there is the potential that it will produce large numbers of victims. In order to manage and care for large numbers of patients effectively, it is essential that the following traits be displayed by all that are involved: -Willingness to perform tasks as assigned by the person who is in charge -Following the institution disaster guidelines as requested -Remembering patient confidentiality and not spreading rumors about patients or the situation -Remaining in your assigned area until further instructions are received

17 Infection Control Handwashing is the single most important measure to reduce the risk of transmitting organisms from one person to another or from one site to another on the same patient. Remember to wash hands before and after: - Performing invasive procedures - Touching wounds - Touching patients (even if gloves are used) - Eating, blowing and wiping the nose, using the toilet or combing hair - Preparing or serving food or administering medications - Touching inanimate surfaces in the patient care area or contaminated equipment - Contact with blood, body fluids, and secretions - Specimen collection In order for handwashing to be effective, it must be done correctly. When washing your hands, the following steps should be performed: - Wet hands thoroughly - Apply and lather soap - Rub hands together vigorously for at least 15 seconds reaching all surfaces - Rinse under a stream of water - Use a clean paper towel to dry your hands thoroughly - Use another paper towel to turn off the faucet and open the door. Steps for handwashing with Alcohol Hand Cleanser (foam cleanser): - Dispense alcohol into palm (usually one pull from the dispenser yields an adequate volume to cover the hands) - Rub the alcohol well over fingers, fingernails, and backs of hands - Avoiding touching anything electrical or electronic until you have rub hands dry

18 Infection Control The modes of transmission of organisms include airborne, direct contact, indirect contact and respiratory. It is important to use the appropriate personal protective equipment (PPE) such as gloves, gowns, masks, face shields or boots depending on the type of isolation precautions that patients are on. And always, use Standard Precautions (formerly called Universal Precautions) for all patients. Dirty utility rooms should be used for storage of contaminated or potentially contaminated items, such as soiled linen and used patient care equipment that has not yet been disinfected. Handle soiled linen in a manner that prevents skin and mucous membrane exposure, contamination of clothing, and transfer of microorganisms to other patients and environments. If exposed to blood or body fluids, you should: 1. Notify your charge nurse and manager immediately 2. Report to Student-Employee health for appropriate action and follow-up If exposed to blood or body fluids, contractual (Non-UMHC) employees should: 1. Notify your Agency 2. Ask for assistance from UMHC staff in completing an Occurrence Report on the computer as soon as possible after the exposure occurs. Click on “non-patient”, and then complete the Occurrence Report. ( Details of exposure to address: ·Needlestick or Sharps Injury: Type of needle or sharp? How injury occurred? Did the injury bleed? Action: Wash wound well; Splash to Eyes, Nose, Mouth (mucous membrane)? What fluid were you splashed with? Action: Flush area well with sterile solution or tap water; Human Bite/Scratch: Did the injury bleed? Action: Wash wound well; · Be specific about what caused the injury. How did it happen?) 3. Identify who and what you were exposed to. For example, did the person have HIV, hepatitis, or syphilis? 4. You may report your injury to the Adult Emergency Department. Reporting protocol should follow the guidelines set by UMHC & your Agency. If the exposure is reported to the UMHC Adult Emergency Department, the exposed person (or their Agency if determined by their Agency) is responsible for the charges incurred by the person and the source individual (the person the contractual person was exposed to). The Adult Emergency Room will coordinate the initial work-up for the exposure and the follow-up lab work. Contractual employees are responsible for having their own health insurance. Remember to report your exposure as soon as possible. Your baseline labwork will be drawn and if it is appropriate, preventive medication may be given at the time of injury. All laboratory results are confidential and should not be discussed with others. Do not try to view lab results on the computer. Baseline labwork includes testing for HIV, hepatitis B, hepatitis C, hepatitis A, and syphilis.

19 Proper Body Mechanics Using proper body mechanics will help protect you from back injuries as well as other types of injuries. Please observe the following work practices when in the hospital setting: -Get a firm footing, feet apart -Bend your knees, not your back -Tighten stomach muscles when you lift -Lift with your legs -Keep the load close -Keep your back upright - use gait belts for lifting and sliding boards for transfers

20 Online Occurence Reporting In the event that you witness an injury or critical incident involving a patient/visitor, or you are involved in a medication error, notify the charge nurse and Nurse Manager or supervisor immediately. A UMHC employee will collect factual information from you about the occurrence and assist you in completing an online occurrence report. It is important to notify someone immediately if an incident occurs so that the patient/visitor can get the proper follow-up assessment/care as needed. The following guidelines should be followed for contractual persons who are injured while at UMHC: The services of UMHC Student-Employee Health do not extend to contractual persons, non UMHC students or faculty. These individuals are advised to contact their Agency employer, or private insurance carrier for additional information regarding health care for injuries. Contractual persons, students or faculty may wish to receive care from the UMHC Adult Emergency Department or one of the Adult Clinics by appointment at the usual and customary fee. In the event of TB exposure, you are to follow up with the Hinds County Health Department or your local Health Department at the usual and customary fee. TB skin testing and a variety of vaccinations are available through the Mississippi State Department of Health at the Jackson Medical Mall. Usual and customary fees will apply. Round trip shuttle bus service to and from campus is provided at no charge.

21 TJC 2008 National Patient Safety Goals - Each year, National Patient Safety Goals are identified by The Joint Commission (TJC) from topics published in TJC ’s Sentinel Event Alerts. - All accredited hospitals are expected to review and implement the goal requirements as relevant to the scope of services provided. - In addition, TJC will expect to see data reflecting compliance with the requirements (what have we done to meet the goal and how do we know it is working).

22 TJC 2008 National Patient Safety Goals Improve the accuracy of patient identification: - Use patient’s name and medical record number as two patient identifiers. When an armband is in place, compare to 2 identifiers on chart or MAR. Identify patients without armbands using name and date of birth obtained by active communication. - Use our patient identifiers whenever: obtaining blood or other specimens, administering medications or blood products, or before performing procedures by comparing armband to MAR or order sheet Universal Protocol: - Includes steps taken before a procedure to ensure patient safety. These steps include marking of the operative/procedure site by the operating physician including the patient in active communication, the completion of a pre-op checklist, and a “Time Out” immediately before laying the scapel to the skin. - A verification time out to ensure: correct patient, procedure, site, positioning, availability of implants, special equipment, films, etc. is expected for any invasive procedure that requires a consent form. (The exceptions include certain routine minor procedures such as venipuncture, peripheral IV line placement, insertion of NG tube or Foley catheter) (Most procedures that involve puncture or incision of the skin, or insertion of an instrument or foreign material into the body require a verification “time out.”) - The physician calls a “Time Out” between the physician and assisting staff. If the physician neglects to call “Time Out,” any person assisting with the procedure may do so. Time Out is documented in the progress notes by a written note and/or a pink sticker completed by the assisting co worker or nurse.

23 TJC 2008 National Patient Safety Goals Improve the effectiveness of communication among caregivers: - One should always “write down and read back” verbal orders, phone orders, or critical test results. - Physicians should “write down and read back” critical results unless there is physician to physician consultation. - Assure that all verbal and/or telephone orders are followed with a “Read Back” of patient identifiers and the complete order or test result by the licensed person receiving and transcribing the order. - Document the name, credentials, date, and time of person receiving results. UMHC policy states such documentation is verification of “Read Back” of critical test results by the licensed careperson receiving the test results. - Critical Test Results require urgent response. These should be communicated within one hour from the time the critical results are discovered by Radiology and clinical Lab. All Acute MIs are to be reported within 5 minutes of ECG reading. This notification requires verification read back Critical Test Results have been defined as follows: Cardiology- Acute MI Radiology - Pneumothorax, ruptured aorta, dissecting aortic aneurysm, intracranial bleeding or aneurysm, - -- perforated intestine or intraperitoneal bleeding, ectopic pregnancy, acute appendicitis and unstable spine fracture. Clinical Laboratory - Panic values, such as glucose less than 45 mg/ml, CSF glucose -- CSF glucose less than 50 mg/ml; Serum potassium greater than 5mEq/L; gram stain bacteria identified; Hematocrit less than 24 mg/ll; Hemoglobin less than 5 mg/l; Platelet count less than 20,000 mm3; CSF-- CSF cytospin bacteria identified; CONFIR with microbiology; INR-- INR greater than 3.9; Whole blood pH less than 7.0

24 TJC 2008 National Patient Safety Goals The following abbreviations are associated with increased errors and are UNACCEPTABLE at UMHC: Improve the safety of using medications (Prevent medication errors with concentrated electrolytes, other concentrated medications, and look-alike/sound-alike drugs): - All concentrated electrolytes are kept in pharmacy or under lock and key as a controlled substance. - Limit and standardize the number of drug concentrations available. The adult hospital has one concentration of heparin. The pediatrics hospital also has standardized concentrations of medications - Keep heparin and insulin separate from each other. - Store look-alike/sound alike medications separate from each other and differentiate these drugs with TALL MAN/short man lettering on labels. - Always remember the “5 rights of medication administration.” Instead of AbbreviatingWrite Out U"unit" IU“International unit” Q.D. and O.O.D.“daily” and “every other day” MS, MSO4 and MgSO4“Morphine sulfate” or “Magnesium sulfate” 1.0.1 No zeros after a decimal and always zeros before a decimal

25 TJC 2008 National Patient Safety Goals Reduce the incidence of hospital-acquired infections: - Wash hands for a minimum of 15 seconds with soap and water, if hands are visibly soiled, before and after patient contact, before beginning work, before and after eating, and after a restroom or smoke break. - Wash hands with alcohol foam until hands are dry if hands are not visibly soiled - Make sure all direct patient care employees and food service workers have fingernails less than ¼ inch in length and have no artificial nails. - Report any hospital-acquired infection causing death or major harm as a sentinel event and assist Risk Management in completing a Root Cause Analysis. Accurately and completely reconcile medications across the continuum of care: - Using the Medication Reconciliation Form, document a complete list of current medications (including herbals and over-the-counter medications), at the time of admission and compare to hospital admission medication orders. - Reconcile medications whenever a patient is transferred to another level of care, another service, or another unit within the facility. - Communicate a complete list of medications to the next provider of service when a patient is transferred, referred, or discharged.

26 TJC 2008 National Patient Safety Goals Reduce the risk of patient harm resulting from falls: - Consider all ambulatory/outpatient clients to be at increased fall risk. - Use the Morse Falls Prevention Assessment Tool on Admission, every shift, and with changes in the patient’s condition to reassess the risk for falling. - Identify patients at risk for falling with green dots on armbands and beside name on patient’s door (patients under the age of three are automatically considered high fall risk). - Monitor patients every 2 hours. - Know what medications increase fall risk and reassess appropriately (High- risk medications are included in the Fall Prevention Policy—Nursing Policy and Procedure CL/F-1). - Be PROACTIVE! Use Standard Fall Preventions and High Risk Fall Prevention Interventions according to RISK SCORE. Encourage patients' active involement in their own care: - All patients admitted to the hospital receive patient safety information in the form of pamphlets. The packet includes ways to be actively involved in their care and encourages patients to report any safety concerns. - Always tell patients to speak out about their concerns, never go for a test unless you have been told by a nurse or doctor, do not assume that no news is good news, and call the Customer Care Connection for any compliments or complaints.

27 TJC 2008 National Patient Safety Goals The organization identifies safety risks inherent in its patient population: - Suicide assessment packets have been developed to identify patients at risk for suicide. - All patients with a primary psychiatric diagnosis must be evaluated using the SAD Persons Scale. Patients with a secondary psychiatric diagnosis are to be evaluated at the nurse's discretion. Improve recognition and response to changes in a patient's condition: - A Rapid Response Team is available for the all adult and pediatric inpatients. The Rapid Response Team may be activated by the bedside nurse.

28 Health Information Privacy & Portability Act (HIPPA) All patient information of a private or sensitive nature is considered confidential. Confidential information should not be read or discussed unless it pertains to your specific role in caring for the patient. Discussion of confidential information must take place in private settings away from patients or members of the public. Do not discuss patient information in hallways, elevators, cafeterias and other public areas. You must not discuss or reveal confidential information to friends or family members or employees who do not have a legitimate need to know. The disclosure of a patient’s presence in any of the University Hospitals and Clinics’ facilities may indicate the nature of the illness and jeopardize confidentiality.

29 Patient’s Bill of Rights A Patient’s Bill of Rights was established to ensure that patients’ rights are clearly defined. Patients have the right to take an active part in their health care. They also have a right to be informed and make educated decisions about their health care. Patients also have many other rights concerning the health care that they receive. These rights are outlined in A Patient’s Bill of Rights. Visit the American Hospital Association’s website (http://www.a hts.html) for a detailed description of A Patient’s Bill of Rights. As a faculty member, or student, you are responsible for respecting these rights and abiding by them when involved in patient care in any way.http://www.a hts.html

30 Advance Directives Patients have the right to give instructions about their own health care. This is the purpose of an Advance Directive. This document allows patients to name an individual as the agent to make health care decisions for them if they are unable to do so, give specific instructions about any aspect of their health care, and designate a physician to have primary responsibility for their health care. You have a responsibility to make sure that if a patient does have an Advance Directive, the care/treatment that you give does not contradict that Advance Directive.

31 Tissue / Organ Donation It is the policy of the University Hospitals and Clinics to provide the option of organ and tissue donation to the family members of deceased patients with discretion and sensitivity to the circumstances, values and beliefs of the families of potential donors. Family members of every deceased patient, determined to be medically suitable for organ/tissue donation by the Mississippi Organ Recovery Agency (MORA) or the Mississippi Lion’s Eye Bank (MLEB), will routinely be afforded the opportunity to consent to donation by the appropriate recovery agency. This policy provides information and a procedure to facilitate such a donation. Recovery coordinators from both recovery agencies are available around the clock to assist with the implementation of this policy and procedure. The 24-hour phone number for the Mississippi Donation Referral Line is 1-800-362-6169.

32 Pain Management Patients have the right to have their pain assessed and treated. At UMMC the FLACC scale, the numerical distress scale (rated 0- 10), and the Wong-Baker faces pain-rating scale are used for pain assessment. Pain should be assessed at the beginning of the shift, when vital signs are taken, and routinely throughout the shift. Assessment of pain, any treatments and response should be documented.

33 Use of Restraints Restraints should be used as a last resort. Justifiable reasons must be identified prior to initiating restraints for a patient. Patients must be monitored closely when restraints are in use. Careful documentation must be maintained for patients in restraints, using appropriate documentation forms. Link to policy. Link to policy.

34 Abuse and Neglect One of the crucial roles of health care providers is to be a patient advocate. Therefore, you should be alert to any signs or symptoms that suggest that a patient is potentially being abused or neglected. If you suspect abuse or neglect in an adult or child, please report it to your supervisor, charge nurse or instructor immediately so that the appropriate interventions can be initiated. Possible indicators of abuse or neglect include things such as inconsistent information from the patient or family members regarding injuries, mechanism of injury is not compatible with the child’s developmental ability, delay in seeking medical care for a significant injury, poor general care, evidence of neglect, unexplained bruises, bite marks, and burns.

35 Cultural Diversity and Sexual Harassment University Hospitals and Clinics is dedicated to the principle that all patients, employees, physicians and visitors deserve to be treated with dignity, respect, and courtesy. The organization will constantly strive to adhere to these principles. In all of the various settings in which the University Hospitals and Clinics provides patient services, we will deliver care based upon the needs of the patient without regard to ability to pay, social economic status, race, religious preference, gender, marital status, handicap status, or sexual orientation. We shall treat each other with respect, dignity and fairness. Sexual harassment, sexual advances, request for sexual favors or other verbal or physical conduct of a sexual nature that would create a hostile working environment are absolutely prohibited.

36 Care of Prisoners Restrictions: Prisoners receiving treatment at The University Hospitals and Clinics shall wear clothing issued by the custodial agency unless medically inappropriate. Prisoners shall not receive any items not issued by the hospital. Only food items from the hospital may be served to the prisoner. Telephone service shall be discontinued in patient rooms occupied by prisoners who are admitted to the hospital. Access Management will notify the hospital operator to block the phone upon admission of the prisoner. Prisoners will not be allowed access to a telephone at any time while being treated. The University Hospitals and Clinics staff will not run errands, make calls, deliver messages or do other favors for prisoners receiving treatment at University Hospitals and Clinics that is non consistent with their medical treatment. Standards of Care : Prisoners are entitled to and will receive the same level of care provided to the general public in the hospital. Prisoners will be afforded normal courtesies and in turn will display the same to the hospital staff. Should any prisoner become a problem (harassing any staff member, making threats, asserting himself/herself in such a manner which is offensive) they should be reported to the custodial agency immediately and the prisoner, if medically stable, will be taken back to their facility. Medical Record : The medical record of the prisoner is the property of The University Hospitals and Clinics. Upon discharge from inpatient or outpatient treatment, the prisoner is to be given verbal instructions regarding their care. A written discharge instruction form will be given to the accompanying officer. The outpatient consultant information must be faxed to the referring institution’s medical records. In the event that the prisoner was an inpatient, the discharge information including discharge medications must be faxed to the referring facility medical records. If a prisoner is brought in to the The University Hospitals and Clinics Emergency Room and then discharged back to the facility, the findings along with medication information must be faxed to the referring facility. Rights and Responsibilities : Prisoners have the same rights concerning care decisions as any patient treated at University Hospitals and Clinics. The prisoners are to receive informed consent and may sign their own consent for treatment forms. While they do have the right to confidentiality, the officer/guard is to be present during all times including those times when the prisoner may be receiving a physical examination or procedure. Dietary Utensils : Upon admission to the nursing unit, the unit secretary or charge nurse is to notify the dietary department of the prisoner’s entry into the hospital system. All prisoners are to receive disposable eating utensils which are to be counted prior to being delivered to the prisoner and after the prisoner has completed their meal by the officer responsible for the security of the prisoner. Canned beverages must be transferred to a Styrofoam cup. No china dishes may be used. Should a discrepancy be noted, the officer or security guard on duty is responsible for conducting a search of the room and/or prisoner for the missing utensil(s). A report of the incident should be made to UMMC Campus Police.

37 Translation & Interpretive Services You will see this flyer on patient care units – follow instructions when Translator or Interpretive Services are needed

38 Organizational Compliance It is the policy of University Hospitals and Clinics that all of the business of the organization be conducted according to high ethical standards, including compliance with applicable laws, rules, and regulations, and the requirements of third party payers. In support of this stated policy, a Code of Conduct is essential for the organization to prosper and receive the desired trust and respect of its patients, physicians and other health care providers, third party payers, employees, and agents. Set forth in this Code of Conduct is a set of standards to evaluate situations in a consistent manner and arrive at uniform decisions. The underlying principles of these standards are based on common sense, courtesy, ethical and legal conduct that are essential to govern the business of the organization.

39 Performance Improvement UMMC is committed to continuously improving everything we do to achieve excellence in performance. The organization realizes that improving organizational performance is a continuous and ever-changing process. The performance improvement plan strives to set the guidelines to lead the organization in improving the health, service and cost outcomes for our customers on a continuous basis. This continuous improvement applies to people as well. We encourage personal growth and learning for all members of our team. Individual departments prioritize performance improvement activities according to the organization’s strategies. The performance improvement process is implemented through designated teams and other groups that systematically manage processes and use problem solving tools and techniques.

40 Information Policy Please click on the following and read: UMC’s Information PolicyUMC’s Information Policy

41 Next Steps: Follow links on the left side of the Student webpage to complete your appropriate form(s) We look forward to having you on our campus!

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