Nursing Student Orientation Abington Hospital Jefferson Health 2015.

Nursing Student Nursing Student OrientationOrientation

Abington Hospital Jefferson Abington Hospital Jefferson HealthHealth

20152015

WelcomeWelcome

On Behalf of Abington Hospital and On Behalf of Abington Hospital and the Department of Nursing, we would the Department of Nursing, we would like to extend a warm welcome to like to extend a warm welcome to you.you.

We are glad you have come or are We are glad you have come or are coming to Abington Hospital for your coming to Abington Hospital for your clinical experience.clinical experience.

Overview of Abington Health Overview of Abington Health SystemSystem

Founded in 1914, Abington Hospital is a Founded in 1914, Abington Hospital is a fully accredited, not for profit, 665 bed fully accredited, not for profit, 665 bed community teaching hospital. community teaching hospital.

Abington Hospital is an independent Abington Hospital is an independent regional health care center servicing regional health care center servicing residents of Montgomery, Bucks and residents of Montgomery, Bucks and Philadelphia Counties. We are the only Philadelphia Counties. We are the only trauma center in Montgomery County. trauma center in Montgomery County.

ObjectivesObjectives

Discuss the expectation of the student Discuss the expectation of the student in regard to duties, tasks and in regard to duties, tasks and responsibilities.responsibilities.

State expectations for student State expectations for student identification badge.identification badge.

Discuss expectations with regard to Discuss expectations with regard to guest relations, guest relations, confidentiality/patients rights.confidentiality/patients rights.

Review patient safetyReview patient safety


Review Mission, Vision, Values and Review Mission, Vision, Values and Performance Standards.Performance Standards.

Understand what HIPAA is.Understand what HIPAA is. Know the meaning of Protected Health Know the meaning of Protected Health

Information (PHI).Information (PHI). Understand the significance of Understand the significance of

Treatment, Payment and Operations Treatment, Payment and Operations (TPO) and why it is important to (TPO) and why it is important to remember.remember.


Know the consequences for non-Know the consequences for non-compliance with the law.compliance with the law.

Recognize the importance of making Recognize the importance of making a renewed commitment to patient a renewed commitment to patient confidentiality.confidentiality.

Expectation of the studentExpectation of the student

All students are expected to conduct All students are expected to conduct themselves in a professional manner themselves in a professional manner while on campus at Abington Hospital. while on campus at Abington Hospital.

All students are expected to practice All students are expected to practice within the scope of their capabilities within the scope of their capabilities while at Abington Hospital. while at Abington Hospital.

All students are expected to be All students are expected to be responsible for their actions while at responsible for their actions while at Abington Hospital.Abington Hospital.

Expectation of the studentExpectation of the student

Professional appearance at all times Professional appearance at all times Hoodies are not allowed in the clinical area.Hoodies are not allowed in the clinical area. No visible tattoos – all must be covered No visible tattoos – all must be covered No artificial or long nailsNo artificial or long nails

Students are not allowed to meet in the Students are not allowed to meet in the main lobbies of the hospital at any main lobbies of the hospital at any time. Those locations are for patients time. Those locations are for patients and family members.and family members.

Instructors please go over the details of Instructors please go over the details of the Affiliation policy with your students the Affiliation policy with your students

Identification BadgesIdentification Badges

All students are expected to wear All students are expected to wear their Abington Hospital issued their Abington Hospital issued identification badge whenever, they identification badge whenever, they are on campus as a student. are on campus as a student. PA state law as well as hospital policy PA state law as well as hospital policy

requires that all hospital be identified by requires that all hospital be identified by name and job title.name and job title.

Wear your badge above your waist for Wear your badge above your waist for ease of viewing.ease of viewing.

Guest RelationsGuest Relations

Patient satisfaction:Patient satisfaction: ScoresScores

Confidentiality and patient rights:Confidentiality and patient rights: HIPAAHIPAA

Our Mission and Vision Our Mission and Vision

Abington Health MVV and goals OUR MISSIONOUR MISSION

Abington Health is dedicated to improving the quality of Abington Health is dedicated to improving the quality of life for all by fostering healing, easing suffering, and life for all by fostering healing, easing suffering, and promoting wellness in a culture of safety, learning and promoting wellness in a culture of safety, learning and respect.respect.

OUR VISIONOUR VISION Abington Health will be the most trusted health care Abington Health will be the most trusted health care

partner, consistently exceeding expectations for care, partner, consistently exceeding expectations for care, comfort and communicationcomfort and communication

Promote HEALING, Prevent HARM, Be KINDPromote HEALING, Prevent HARM, Be KIND

Key Success factorsKey Success factors

Patient safetyPatient safety Staff engagement /Patient Staff engagement /Patient

satisfactionsatisfaction Operational and financialOperational and financial

Our Values and Performance Our Values and Performance StandardsStandards

Patients are the focus of everything Patients are the focus of everything we do. To ensure every patient we do. To ensure every patient receives the very best we have to receives the very best we have to offer every day, we are committed offer every day, we are committed to:to:

Patient Safety FirstPatient Safety First Prevent harm. Think safe, act safe, be Prevent harm. Think safe, act safe, be

safe and stay safe.safe and stay safe.


Respect AllRespect All Respect for all: every patient, every Respect for all: every patient, every

colleague, every encounter, every day. colleague, every encounter, every day. Embrace diversity.Embrace diversity.

Do What’s RightDo What’s Right Integrity and the highest personal Integrity and the highest personal

standards in everything we do and say. standards in everything we do and say. Be responsible and accountable.Be responsible and accountable.

Reduce Risk of Hospital Reduce Risk of Hospital Associated InfectionsAssociated Infections

Use hand hygiene before and after Use hand hygiene before and after each patient contact-Every time you each patient contact-Every time you cross the threshold of the pt room. cross the threshold of the pt room.

Use soap and water for 15 seconds. Use soap and water for 15 seconds. Use soap and water if you are caring Use soap and water if you are caring for a patient with C-diff, if your hands for a patient with C-diff, if your hands are visibly soiled, you have used the are visibly soiled, you have used the bathroom, or you are going to eat.bathroom, or you are going to eat.

Reduce Risk of HAIReduce Risk of HAI

Alcohol-based rub is acceptable Alcohol-based rub is acceptable under all other circumstances-under all other circumstances-remember to rub you hands until dry.remember to rub you hands until dry. There are gel containers outside of There are gel containers outside of

every patient roomevery patient room Wipe stethoscope with alcohol wipes Wipe stethoscope with alcohol wipes

in between patients.in between patients. Follow instructions on Isolation Signs!Follow instructions on Isolation Signs! No artificial or long nailsNo artificial or long nails

If a Fire Occurs:If a Fire Occurs:

R – Rescue all patients and personnel in R – Rescue all patients and personnel in immediate danger immediate danger

A – Announce by pulling the fire alarm or A – Announce by pulling the fire alarm or Dialing 777Dialing 777

C – Confine by closing doors and C – Confine by closing doors and windowswindows

E – Evacuate the area or extinguish if E – Evacuate the area or extinguish if ableable

without endangering yourself.without endangering yourself.

Emergency CodesEmergency Codes

Code 100 = disaster alertCode 100 = disaster alert Code Blue = adult cardiac arrest dial Code Blue = adult cardiac arrest dial

333333 Code Blue pediatric = Code Blue pediatric = pediatric cardiac arrest pediatric cardiac arrest

dialdial 333 333 Team 99 = Physical Manpower neededTeam 99 = Physical Manpower needed Code Red= Fire Situation – Code Red= Fire Situation – implement raceimplement race

Code Yellow= Fire DrillCode Yellow= Fire Drill Code Green Fire situation/drill overCode Green Fire situation/drill over

Emergency CodesEmergency Codes

Code Orange Chemical spill, isolate Code Orange Chemical spill, isolate spill area and dial 2828 to report the spill area and dial 2828 to report the spillspill

Code Pink child or infant abduction, Code Pink child or infant abduction, dial 777dial 777

Code FIND missing patient, dial 777Code FIND missing patient, dial 777 Rapid response Team -dial 333Rapid response Team -dial 333


Communication is criticalCommunication is critical Communicate effectively to ensure Communicate effectively to ensure

success in every interaction.success in every interaction. Always learnAlways learn

Create and support a learning Create and support a learning environment where growth and environment where growth and experience are valued.experience are valued.

Communication NeedsCommunication Needs

The hospital identifies the patients oral The hospital identifies the patients oral and written communication needs and written communication needs including the patient’s preferred including the patient’s preferred language for discussing health care. language for discussing health care.

Our patients have the right to receive Our patients have the right to receive information in a way they understand. information in a way they understand. This includes interpretation and This includes interpretation and translation, free of charge.translation, free of charge.

HIPPAHIPPA

Health Insurance Portability and Health Insurance Portability and Accountability ActAccountability Act

Abington Hospital has a strong Abington Hospital has a strong tradition of protecting the privacy of tradition of protecting the privacy of patient information. Confidentiality patient information. Confidentiality has always been part of the hospital has always been part of the hospital culture. However, now there is a new culture. However, now there is a new law that sets a national standard to law that sets a national standard to protect medical records and other protect medical records and other personal health information.personal health information.

What is HIPAAWhat is HIPAA

HIPAA sets national standards for the HIPAA sets national standards for the protection of patient information.protection of patient information.

HIPAA applies to ALL health care HIPAA applies to ALL health care providers.providers.

HIPAA covers ALL forms of protected HIPAA covers ALL forms of protected health information….oral, written and health information….oral, written and electronic.electronic.

What is Protected Health What is Protected Health Information (PHI)?Information (PHI)?

AddressesAddresses DatesDates Telephone or fax numbersTelephone or fax numbers Social security numbersSocial security numbers Medical records numbersMedical records numbers Patient account numbersPatient account numbers Insurance plan numbersInsurance plan numbers Vehicle informationVehicle information License numbersLicense numbers Medical equipment numbers Medical equipment numbers PhotographsPhotographs FingerprintsFingerprints Email addresses Email addresses Internet addressesInternet addresses

Sharing Patient InformationSharing Patient Information

HIPAA, under the consent rule, allows HIPAA, under the consent rule, allows the provider of care to use health the provider of care to use health information for Treatment, Payment information for Treatment, Payment and Operations (TPO). and Operations (TPO).

Under the Minimum Necessary Rule Under the Minimum Necessary Rule nursing students should only access nursing students should only access the information they need to fulfill the information they need to fulfill their assigned duties.their assigned duties.

What is TPO?What is TPO?

Treatment: providing care to patientsTreatment: providing care to patients Payment: getting paid for caring for Payment: getting paid for caring for

patientspatients Operations: Normal business Operations: Normal business

activities such as quality activities such as quality improvement, training, auditing, improvement, training, auditing, customer service and resolution of customer service and resolution of grievancesgrievances

If personal health information (PHI) If personal health information (PHI) is involvedis involved

StopStop Ask yourself does my sharing this Ask yourself does my sharing this

information involve TPO for that patient?information involve TPO for that patient? If the answer is NO, Don’t pass it along If the answer is NO, Don’t pass it along

unless you have been authorized to do unless you have been authorized to do so!so!

This includes information you may see This includes information you may see or hear about hospitalized students, or hear about hospitalized students, friends and acquaintances.friends and acquaintances.

Consequences of non-complianceConsequences of non-compliance

It has always been against hospital policy It has always been against hospital policy to improperly share, use or dispose of to improperly share, use or dispose of patient information in the wrong way. patient information in the wrong way. Under HIPAA, there are now fines and Under HIPAA, there are now fines and penalties for this.penalties for this.

We treat privacy seriously.We treat privacy seriously. A breach in privacy may result in A breach in privacy may result in

termination of your clinical priviledges.termination of your clinical priviledges. Wrongful and willful disclosure of health Wrongful and willful disclosure of health

information carries fines and can involve information carries fines and can involve jail time.jail time.

Why should we do this?Why should we do this?

It is the right thing to do.It is the right thing to do. It is in keeping with the values of our It is in keeping with the values of our

organization.organization. Think how you would feel if it was Think how you would feel if it was

information about you or a loved information about you or a loved one.one.

Providing for the security of patient Providing for the security of patient informationinformation

With computersWith computers We have to make sure all health We have to make sure all health

information, no matter where it is, is information, no matter where it is, is secure. This includes information stored secure. This includes information stored on computers. Everyone who uses a on computers. Everyone who uses a computer has a duty to keep health computer has a duty to keep health information secure. Please log out when information secure. Please log out when you are not using the computer. you are not using the computer.


HIPAA says we must protect all patient HIPAA says we must protect all patient information on computers by:information on computers by:

Properly signing-on with individual ID’s Properly signing-on with individual ID’s and passwordsand passwords

Signing-off of computers if walking awaySigning-off of computers if walking away Keeping ID’s and passwords Keeping ID’s and passwords

CONFIDENTIALCONFIDENTIAL Protecting computer screens from Protecting computer screens from

unwanted viewing.unwanted viewing.


Through proper disposal of Through proper disposal of informationinformation We have to handle and dispose of We have to handle and dispose of

patient information carefully, such as patient information carefully, such as using a shredder instead of throwing using a shredder instead of throwing patient information away. patient information away.

RULE OF THUMB….NEVER dispose of RULE OF THUMB….NEVER dispose of patient information in any open area patient information in any open area trash bin. When in doubt, ASK.trash bin. When in doubt, ASK.

Reporting ViolationsReporting Violations

It is EVERYONE’s responsibility to It is EVERYONE’s responsibility to report violations, or wrong doings. report violations, or wrong doings.

Whether someone received patient Whether someone received patient information improperly, or shared information improperly, or shared patient information in the wrong patient information in the wrong way, everyone has a responsibility to way, everyone has a responsibility to report violations. When in doubt, report violations. When in doubt, ASK.ASK.

What’s Next?What’s Next?

Help us keep the HIPAA Awareness Help us keep the HIPAA Awareness level HIGH!!!!level HIGH!!!!

Be HIPAA wise and model correct Be HIPAA wise and model correct behavior!behavior!

Takeaway TipsTakeaway Tips

Always stop and ask yourself, should Always stop and ask yourself, should I be sharing this patient information?I be sharing this patient information?

If it doesn’t pertain to TPO, don’t If it doesn’t pertain to TPO, don’t discuss it!discuss it!

Think of patient information about Think of patient information about fellow students, neighbors and fellow students, neighbors and acquantances as protected acquantances as protected information, not for sharing!!information, not for sharing!!

Takeaway TipsTakeaway Tips

Dispose of patient information by Dispose of patient information by placing in appropriate shredding placing in appropriate shredding bins….never in an open wastebasket.bins….never in an open wastebasket.

Turn computer screens off or log out Turn computer screens off or log out if you leave the computer for any if you leave the computer for any reason.reason.

Report all abuses….enforcing the Report all abuses….enforcing the regulation is everyone’s regulation is everyone’s responsibility!responsibility!

AssignmentsAssignments

Please make certain that you receive Please make certain that you receive report from your patient’s primary report from your patient’s primary nurse each clinical day.nurse each clinical day. During that time please complete the During that time please complete the

nurse communication form with your nurse communication form with your nurse to assure that the completion of nurse to assure that the completion of tasks have been reviewed. tasks have been reviewed.

At the end of your shift please sign off to At the end of your shift please sign off to the primary nurse, Let them know the primary nurse, Let them know anything that has not been completed. anything that has not been completed.

What NextWhat Next

Identification BadgesIdentification Badges ParkingParking EvaluationsEvaluations

Nursing Student Orientation Abington Hospital Jefferson Health 2015.

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Transcript of Nursing Student Orientation Abington Hospital Jefferson Health 2015.