Clinical Instructor Welcome Packet. Neuroscience Perinatal Ortho

Transcription

1 Clinical Instructor Welcome Packet Med/Surg Critical Care Neuroscience Perinatal Ortho Updated June 2012

2 Welcome to the UC Irvine Medical Center Instructor Packet Please take a few moments to review these pages. We hope this information will enable you to have a good clinical rotation here at University of California Irvine Medical Center. Use it as a reference, but never hesitate to ask any of us for help. We will be providing you with Instructor Badges which will give you access to the staff elevators, link elevators, unit doors, 3T, and medication rooms. We will also be providing you with student badges. The student badge will give them access to the unit doors, link elevator, 3T. In addition you need to be aware there is a fee for the badge if it is lost. The student badges will be collected at the end of the clinical rotation. If you have another rotation in the following semester/quarter you may keep your badge until you have completed all of your rotations for the year. We would like to set up the following meetings with you and your students: First day of clinical at your post conference (please provide the date, time, and place). Last day of clinical at your post conference (please provide the date, time, and place). The purpose of the first meeting is to welcome you all to the medical center and to reinforce our expectations of nursing students. In addition, I am hoping the educator and/or CNS for the area will be the ones meeting. This will introduce a valuable resource to both you and the students. The purpose of the last meeting is to complete an exit interview with you and your students. We would like to hear what went well and if there were any areas that were challenging and we could improve upon. We thank you in advance for the opportunities to introduce ourselves and to obtain feedback.

3 Please ensure we have your clinical profile (copy included in packet for your reference), confidentiality forms signed by each of your students (copy included packet for your reference) and a roster of your students. If you have created a grid with your student placements we would like to have that document so we can forward to the Nurse Managers of the units where the students will be doing their clinical rotation (this can be in place of the student roster). Once again welcome to UC Irvine Medical Center

4 Nursing Quality, Education, and Research Director Donna Grochow Manager Charlene Miranda-Wood Clinical Nurse Educators Steve Bereta- Med/Surg Sherry Carter- Med/Surg/Peds Nicole Jasso - NICU Cheryl Simkins Critical Care Susan Gallitto-Special Projects Johanna Morelos Carrere-Perinatal Michelle Grywalski-Critical Care Contacts: Department FAX (714) Susan Gallitto BSN, RNC-NIC Charlene Miranda-Wood (714) Office (714) Office (714) pager (714) Pager sagallit@uci.edu cmmirand@uci.edu NicoleManfredo, Assistant Administrative Analyst (714) (714) manfredo@uci.edu Clinical Nurse Specialists Maurice Espinoza Critical Care Robin Koeppel NICU Khaled Al Eid Med/Surg Deborah Boyle-Oncology Administrative Assistants Akimbi Jeffers Dettie Romero Assistant Administrative Analyst Nicole Manfredo Parking Office -Hours of Operation The Parking Office (Bldg.33) is open Monday thru Friday, from 0715 to 1600, including the lunch hour. The telephone number is (714) For after hours leave a message, or for immediate assistance, please call UC Irvine Campus Dispatch at (724) There are two parking places just outside the parking office for your convenience. Nelly Cruz, Parking Manager ncruz@uci.edu Which parking pass do I buy (buy your pass before parking in the Crystal Cathedral lot)? Purchase MB-General Staff, Students permit o Cost: $3.00/Daily o Valid 24 hours daily in the Crystal Cathedral on the corner of Lewis and Chapman Avenue. An attendant will direct you to the correct lot, if there is no

5 attendant, please refer to the Crystal Cathedral map for lots (highlighted in red) where you may park. o Once you have purchased your passes then you can park in the Crystal Cathedral lots. How do I get from the Crystal Cathedral to the Medical Center? Shuttle service is available to bring you back and forth from the Crystal Cathedral to the Medical Center from Computer Training If you have not received training on our electronic medical record system, you will need to have your instructor send an to Nicole Kennedy (contact information below). Your instructor will need to contact Nicole 6 weeks prior to the start of your preceptorship. In addition, your instructor will need to provide Nicole with your legal name and birth date. She will coordinate the computer training with your instructor. **If students unable to make training dates below, please contact Nicole Kennedy to schedule an intro class for View-Only access on Tuesday afternoons (30 students max). Nicole Manfredo Assistant Administrative Analyst Department of Nursing Quality, Research & Education Phone: Fax: manfredo@uci.edu Fall 2012: Computer Training Dates and location 200 South Manchester, Suite 840, Classroom C Scheduling Rooms for Post Conference Please Nicole Manfredo(Contact information below) with your request for rooms for post conference. She will need the dates and times included in your request. NicoleManfredo, Assistant Administrative Analyst (714) phone (714) fax manfredo@uci.edu If your rotation is in the Perinatal department, please contact either of the following: Jane Migliaccio Nurse Manager (714) Dettie Romero Administrative Assistant (714)

6 Codes and Phone Numbers Paging System= dial pager# call back = extension you are calling from, then #key Area Phone # House Supervisor PICC Line Nurse ED 5705 OR 5261 Laboratory results 5121 Pharmacy Inpatient 6117 Sterile Products (IV 5981 Room) Dietary Ultrasound 5450 Emergency Line 6123 Code Blue (Adult) = Resuscitation Code Gray = Combative person Code Orange = Radiation incident/hazard spill Code Pink = Infant abduction Code Purple = Child abduction Code Red = Fire and evacuation Code Silver = Hostage Code Triage = Internal and External disaster Code White (Pediatric) = Resuscitation Code Yellow = Earthquake and Bomb threat

7 Information for UCI Clinical Rotation UCI Medical Center 101 The City Drive South, Orange, California, Hospital Operator - ( ) Professional Standards of Conduct 1. Personal disclosures, other than friendly conversation by staff are indicated only when pertinent to the patient s health and well being. 2. Staff will refrain from acting possessive about select patients or giving special nonclinical attention to any patient or family member that is not given to all. 3. Staff will always treat patients, patient s families, and co-workers with respect including respect for their privacy. 4. It is expected that discussing non-work related personal information with c0-workers will be done in private. 5. Plans to recognize patients or family members for birthdays, holidays, or other celebrations while well intentioned, can create a variety of problems. All such activities will be organized through a pre-designated person such as the DON, Director of Child Life, or Clinical Social Worker. 6. Special Needs situations involving a patient should be referred to wither the Child Life Director or Clinical Social Worker. 7. Staff will not transport, socialize, or fraternize with patients when on or off duty unless there is a pre-existing personal relationship. 8. Staff will not assume direct care for family members, significant others or friends unless approved by their supervisor. 9. Staff shall refrain from disclosing identifying information about themselves to patients. 10. Staff who are off-duty are strongly encouraged to avoid calling or coming to work to check on patients or other work responsibilities unless the situation is exceptional. 11. When staff experience difficult life stressors, staff will rigorously guard the privacy of the co-worker.

8 Public Relations Performance Standards Service Excellence Standards are represented by the acronym UC I CARE Understanding: Understanding the wants and needs of the patients we service is essential to providing excellent care. Communication: The four E s of communication (Engage, Empathize, Educate, Enlist) helps us gain understanding by listening attentively to both verbal and non-verbal messages. Involvement: Involving others increases their understanding and allows them to make informed decisions and appropriate choices. Commitment: Commitment to our organization and our work is essential to creating a successful and healing atmosphere. Action: The actions we take demonstrated our competence, professionalism, and attitude. Respect: Respect will be demonstrated for all individuals, regardless of culture, class, or beliefs. Environment: Maintaining a safe and clean environment demonstrates our pride and makes a powerful impression on our patients, their families, and our staff. Service Recovery Standards - Resolution of customer complaints utilizes the acronym LAST Listen: Actively listen to the customer s complaints and concerns to identify their needs. Apologize: An apology does not mean an admission of guilt. It is an expression that you are personally sorry that your customer is unhappy with their service. Solve: Solving means to take action at the point of service. Enlist help from others in the organization. Thank: Thank the customer for taking the time to tell you about their experience and giving you the opportunity to make a change. Cell Phone Use Should be primarily for work related activities Must be in silent or vibration mode at all times Limit personal use to break and lunch periods in non-patient care areas whenever possible No cell phone photography of patients is allowed Standard Precautions Standard precautions apply to all patients, regardless of suspected or confirmed infection status, in any setting in which healthcare is delivered. Assume every person is potentially infected. Safe injection practices include: o Do not administer medications from a syringe to multiple patients, even if the needle or cannula on the syringe is changed.

9 o Use fluid infusion and administration sets for one patient only and dispose appropriately after use. Consider a syringe or needle/cannula contaminated once it has been used to enter or connect to a patient s intravenous infusion bag or administration set. o Use single dose vials for parenteral medications whenever possible. Do not administer medications from single-dose vials or ampules to multiple patients or combine leftover contents for later use. o Do not use bags or bottles of intravenous solution as a common source of supply for multiple patients. Sequence for Donning Personal Protective Equipment (PPE) 1. Gown fully cover torso from neck to knees, arms to end of wrist, and wrap around the back. Fasten in back of neck and waist. 2. Mask or respirator Secure ties or elastic bands at middle of head and neck. Fit flexible band to nose bridge. Fit snug to face and below chin. Fit-check respirator. 3. Goggles or face shield Place over face and eyes and adjust to fit. 4. Gloves extend to cover wrist to isolation gown. Sequence for Removing PPE 1. Gloves Outside of gloves is contaminated! Grasp outside of glove with opposite gloved hand. Peel off. Hold removed glove in gloved hand. Slide fingers of ungloved hand under remaining glove of wrist. Peel glove off over the first glove. Discard gloves in waste container. 2. Goggles or face shield Outside of goggles or face shield is contaminated! To remove, handle by head band or ear pieces. Place in designated receptacle for reprocessing or in waste container. 3. Gown Gown front and sleeves are contaminated! Unfasten ties. Pull away from neck and shoulders, touching inside of gown only. Turn gown inside out. Fold or roll into a bundle and discard. 4. Mask or respirator Front of mask/respirator is contaminated! Do Not Touch! Grasp bottom, then top ties or elastics and remove. Discard in waste container.

10 Hand Hygiene Use soap and water scrub at least 15 seconds When hands are visibly dirty or contaminated with proteinaceous material or are visibly soiled with blood or other body fluids Before eating After using a restroom After care of a patient on Spore Precautions or after contact with the patient s environment in the Spore Precautions room. Use alcohol based hand rub rub hands, covering all surfaces, until hands are dry Before having direct contact with patients Before donning PPE Before inserting indwelling urinary catheters, peripheral vascular catheters or other invasive devices After contact with a patient s intact skin (when taking vitals, lifting patient, etc.) No artificial fingernails. Fingernails are not to exceed ¼ inch beyond fingertips. Medication Administration Highlights Students are required to have either their instructor or the RN they are working with in attendance at the bedside when they are administering medications (no exceptions). Read the label three times prior to administration o Before removing from the storage area o Before preparing medication o Before returning to storage area Two licensed staff independently conducts double check for narcotic and sedative continuous IV drips, PCA, insulin, therapeutic IV heparin, and chemotherapy. Observe the patient taking the medication Medications that come in single dose containers that are removed from the MedStation and not administered to the patient should be returned to the Return Bin at the Med Station. Select Print Slip, wrap the slip around the return item and drop in the Return Bin. Scrub diaphragms of locks and injection ports with 70% isopropyl alcohol prior to injection.

11 Falls Patients who are at high risk for falling may be identified by any of the following: falling star at their door colored footwear red falling star stickers to the chart Code Number Dial extension 6123 and report Code (state the color) and its location (Building, Unit, and Bed Number) Hand Off Communication Hand offs will be conducted in a consistent manner using a standardized hand off form or guideline. The SBAR framework will be used.