1. 1 Welcome to Cone Health

2. Our Values

3. Communication Accountability Respect Empowerment

4. Nursing at Cone Health Nursing Philosophy

5. A I D E T Acknowledge Introduce Duration Explanation Thank You Patient Care Partnership

6. The Patient Care Partnership Hourly Rounding with a Purpose 8 Behaviors important to Hourly Rounding with Purpose: Use warm acknowledgement to reduce anxiety Use warm acknowledgement to reduce anxiety Perform scheduled tasks Perform scheduled tasks Address the 3 Ps (Pain, Potty, Positioning) Address the 3 Ps (Pain, Potty, Positioning) Assess additional comfort needs Assess additional comfort needs Conduct an environmental assessment of the room Conduct an environmental assessment of the room Prior to leaving the room, ask, “Is there anything else I can do for you?” Prior to leaving the room, ask, “Is there anything else I can do for you?” Tell each patient when you will be back Tell each patient when you will be back Document the round Document the round

7. HIPAA and Corporate Compliance Special Note Privacy Flag in CHL = Strict Privacy Refrain from sharing experiences on social media Save Trees & Confidentiality – No printing practice

8. Policies and Procedures Mosby’s Nursing Consult Electronic Resources

9. Cone Healthlink Assist Desk at (2) 7242 Self-Serve Password reset instructions / The last 4 SSN = last 4 Student ID Protect computer IDs or passwords Viewed for your patient only Cone Health Employees will need a 2 nd ID for student / faculty role use Policies and Procedures

10. SAFETY ZONE PORTAL Events inconsistent with Cone Health Policies & Procedures, or not part of routine care Leads to appropriate follow up Leads to appropriate follow up Event to be documented in patient chart Event to be documented in patient chart Do not document SZP record Do not document SZP record in patient’s chart in patient’s chart Policies and Procedures

12. Cone Health Red Rule #1 A time out before all invasive procedures. Cone Health Red Rule #2 Patients are identified by both: Name & Medical Record # Before receiving medication, blood products or any procedure

13. Red stickers = Allergy Purple stickers = DNR (Do Not Resuscitate) Banding Together for Patient Safety

14. Alamance Patient Identification Band

15. Ethical Issues / Interpreters The patient’s primary nurse and your instructor can contact Pastoral Care to request an Ethics Consult or an Interpreter if needed Policies and Procedures The American Nurses Association (ANA) Code of Ethics for Nurses provides guidelines for practice.

16. Rapid Response Team (RRT) Provides early and rapid intervention for patients outside the ICU setting whose condition is deteriorating. CONDITION HELP A Safety Net Program for Patients and Families Ability for patients and families to activate a a call for help from any hospital phone Policies and Procedures

17. CONE HEALTH EMERGENCY CODES

18. Emergency Codes ARMC * = Same Purple Evacuation White Severe Weather 300(Priority 1) Violence / Threats Walker Patient Elopement

19. Code Gray Code Gray – Restricted Access Emergency Codes Response to an incident of civil unrest that threatens the safety of patients, visitors and staff. Restricted Access to area

20. Code Pink Code Pink – Abduction Emergency Codes Follow directives of department Monitor hallways and stairwells and nearby exits Call Security to report suspicious activity

21. Safe Patient Handling POLICY: All patient transfer/ lifting will be done safely and appropriately to protect the employee and patient from injury POLICY: All patient transfer/ lifting will be done safely and appropriately to protect the employee and patient from injury. Consult with the patient’s nurse and your clinical instructor for guidance.

22. Safe Patient Handling Maxi Move- Lifting and transfer device for the totally dependent individual Maxi Move- Lifting and transfer device for the totally dependent individual Safe to transport throughout the facility Weigh individual during lifting Isolation Isolation – Signage on doors with instructions. Do not enter patient’s rooms that require a special mask Consult with the patient’s nurse and your clinical instructor for guidance.

23. Team Communication Tools SBAR – Effective communication tool. Consistent and organized to promote patient safety Gather information prior to communication Situation Background Assessment Recommendations General Guidelines

24. Team Communication Tools HAND-OFF / HALL PASS Internal and external transfer of care – Shift Report – Coverage for lunch / breaks – Critical Lab and Radiology Results Uninterrupted time – Requires ability to ask questions General Guidelines

25. Cone Health is a Certified Chest Pain & Stroke Center Heart Attack Symptoms How to Recognize & What to Do

26. Chest Discomfort May Be a Sign of a Heart Attack Pressure, heaviness Pressure, heaviness Squeezing, tightness Squeezing, tightness Burning Burning Lasts more than 2 minutes Lasts more than 2 minutes May come & go May come & go Sometimes Heart Attacks only cause Pain in … One or both arms. Back. Neck One or both arms. Back. Neck Shortness of breath. Breaking out in a cold sweat Shortness of breath. Breaking out in a cold sweat Nausea, vomiting. Light headedness Nausea, vomiting. Light headedness Extreme weakness, fatigue Extreme weakness, fatigue Other Signs of a Heart Attack

27. If a guest or employee has symptoms of a heart attack Notify an RN or other healthcare provider - Assist patient into a wheelchair - Transport to the Emergency Department - If there is no ED available, call 911 for emergency care Notify the patient’s nurse or medical caregiver immediately If a guest or employee has symptoms of a heart attack: - Notify an RN or other healthcare provider - Assist patient into a wheelchair - Transport to the Emergency Department - If there is no ED available, call 911 for emergency care If a patient has symptoms of a heart attack: - Notify the patient’s nurse or medical caregiver immediately

28. A Stroke Looks Like… Stroke Signs and Symptoms: Numbness or weakness of the face, arm or leg…especially on one side! Numbness or weakness of the face, arm or leg…especially on one side! Trouble seeing in one or both eyes! Trouble seeing in one or both eyes!

29. A Stroke Looks Like… Stroke Signs and Symptoms: Trouble walking, loss of balance or coordination! Trouble walking, loss of balance or coordination! “The Worst Headache of my Life” with no known cause! “The Worst Headache of my Life” with no known cause!

30. What should you do if you think a patient or visitor is having a STROKE?

31. You can make a difference in a stroke patient’s life! REMEMBER… Eyes Double Blurred Bala nce Facial Droop Arm Leg Weakness Speech TIME TIME!

32. General Guidelines Phones/Valuables Personal phone calls should be limited to emergencies. Personal cellular phones are to be turned off and not used in clinical settings. Storage is limited for personal belongings. Valuables cannot be secured.

33. General Guidelines Student Parking Carpooling is strongly encouraged on each campus. Moses Cone Hospital –3 rd level of the Visitor Garage accessed from Church Street Wesley Long Hospital – Employee parking lot located off N. Elam and Friendly avenues. Women’s Hospital –Upper Employee Lot Annie Penn Hospital Employee parking lot located adjacent to the South Main Street exit of the hospital lot. Behavioral Health Hospital – Upper middle lot and to the left of the building. Alamance Regional Medical Center – S Lot across from Medical Mall entrance

34. THANK YOU We are confident you will have an exceptional learning experience at Cone Health. Please sign the Orientation Acknowledgement Form