TITLE: Department Orientation / Competency Requirements/Skills Checklist 1 OF 1

Transcription

1 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER DEPARTMENT OF SURGERY POLICY AND PROCEDURE REVISION: Sept 30, 2009 NUMBER 2.5 PREPARED BY: LANE A. BEASLEY ADMINISTRATOR APPROVED BY: JOHN GRISWOLD, M.D. CHAIRMAN DATE ISSUED: EFFECTIVE DATE: May 3, 2005 May 3, 2005 PAGE: TITLE: Department Orientation / Competency Requirements/Skills Checklist 1 OF 1 A. GENERAL STATEMENT OF POLICY B. SCOPE: To establish orientation procedures for staff positions. This policy will cover the Department of Surgery. C. ADMINISTRATION: D. TEXT This policy will be revised by the administrator and approved by the chairman. It is the goal of the department to ensure that all new employees are welcomed into the department and given all the tools and information to become of fully functioning members of the team as soon as possible. In order to do so, the new employee checklist needs to be completed prior to arrival. The new employee should be signed up for New Employee Orientation. All jobs specific training (PSS Training) should be arranged by the supervisor. For all nursing and patient services specialists positions within the Department, a competency requirement/skills checklist will be followed during the first couple of weeks of employment to ensure employees are properly oriented with their jobs and all skills are covered (see attachments). E. DISTRIBUTION This policy and procedure should be distributed to all Department of Surgery Employees. F. REVISION It shall be the responsibility of the administrator and/or designee to indicate any revisions to this policy and it shall be the responsibility of the chairman to approve any revisions to this policy.

2 Name: SS#: Date: Date of Hire: Department of Surgery Texas Tech University Health Science Center School of Medicine Clinic System Patient Service Specialist/Managed Care Coordinators Instructions: For each of the following items, have the preceptor/instructor initial and date each orientation component upon completion. HSC New Employee Orientation Welcoming Event Institutional Mission/Your Role Confidentiality /Your Role New Employee Orientation Human Resources General Information Hours of Work - Timesheets Comp Time Lunch /Break / Policies / Break Room Dress Code Vacation / Sick Leave Policies Holiday Schedules Emergency Operations Plan / Codes / Evacuation Plan Safety Policies / Reporting / Annual Training Housekeeping / When to Call Body Mechanics Chain of Command Chairman, Administrator, Medical Director Roles Your Supervisor - Name, Role, Function Memos Responsibilities Job Description / Purpose Departmental Interaction / Teamwork Cross - Training / Covering for Other Staff TTUHSC Policy Manual Review Work Area Telephone System / Proper use Paging System / Beeper Numbers Staff Meetings Standards of Conduct / Performance Reporting Problems / Errors Occurrence Reports Ordering / Accepting Supplies Initials Date

3 New Employee Orientation Smoking Rules Message Taking & Delivering / Telephone Triage Continuing Education Health.edu Equipment Training Telephone System Fax Machine Copiers Shredder Computers Printers Power Chart Refigerators s IDX Scheduling Phone Etiquite Scheduling Specifics PNS Policies Urgent General Surgery Policy Demographics/Insurance (Self Pay) ENT Specifics Check-In Verify Insurance/Demographics Witness Paperwork New Patient Paperwork No-Show Appointments ts Medical Records Chart Prep Processing Files Labels Chart Request Chart Check in/out Check Out Collect Co-pays Schedule F/U Appointment Self Pay Fee Calculation Insurance Referals Precertification Predetermination IDX Use Scheduling Appointments Using the Physician Dictionary Bad Address Steps w/ Returned Mail Printing Reports and Schedules Medical Records Priting Labels

4 Name: SS#: Date: Date of Hire: Department of Surgery Texas Tech University Health Science Center School of Medicine Clinic System Nursing Skills Checklist Instructions: For each of the following items, have the preceptor/instructor initial and date each orientation component upon completion. New Employee Orientation Human Resources HSC New Employee Orientation Welcoming Event Institutional Mission/Your Role Confidentiality /Your Role General Information Hours of Work - Timesheets Comp Time Lunch /Break / Policies / Break Room Dress Code Vacation / Sick Leave Policies Holiday Schedules Emergency Operations Plan / Codes / Evacuation Plan Safety Policies / Reporting / Annual Training Housekeeping / When to Call Body Mechanics Chain of Command Chairman, Administrator, Medical Director Roles Your Supervisor - Name, Role, Function Memos Responsibilities Job Description / Purpose Departmental Interaction / Teamwork Cross - Training / Covering for Other Staff TTUHSC Policy Manual Review Work Area Departmental Lab Area Telephone System / Proper use Paging System / Beeper Numbers Staff Meetings Standards of Conduct / Performance Reporting Problems / Errors Occurrence Reports Ordering / Accepting Supplies Initials Date

5 New Employee Orientation Smoking Rules Message Taking & Delivering / Telephone Triage Continuing Education HEALTHNET Equipment Training Telephone System Fax Machine Copiers Shredder Computers Printers Power Chart (referral nurse) TV / VCR Refigerators s

6 Instructions: For each of the following items, have the preceptor/instructor initial and date each orientation component upon completion. Medical Personnel General Clinic Orientation Review TTUHSC Policy and Procedure Manual Review of Department of Surgery Policy and Procedure Manual Tour of Department of Surgery and Clinics Crash Cart Locations Fire Extinguisher / Alarm locations, Fire / Emergency Exits Personal Protective Equipment X-Ray View Boxes Equipment Utilization Centrifuge Scales Oxygen Biopsy Procedures Setting up and assisting with TRUS/BX Obtain consent and set up fine needle aspiration of thyroid and neck mass Set up for larynsgoscopy (flexible), clean, sterilize, and maintain equipment Assist with Lypoma and removal Removal of tracheotimies Unnaboot applications Orientation Component Pre-Orientation Post-Orientation Yes No Yes No Initials Date

7 Physical Exam (Assist MD) Rectal Exam (Assist MD) Chaperone / Witness Excision/Biopsy - Labeling and Requisition Vital Signs, including temp, weight, height, B/P Lab Requisitions Medication Injections Catherization Documentation Legibility Confidentiality HIPAA Policy Filing into Patient record (Nursing Entry) Patient Education Procedures and Consent form Legal Issues Signature List of Qualified Staff Messages Communication Documentation Long Distance Calls Target Response Times Specialized Forms Used Radiology Specimen Labeling Pharmacy / Refills / New Medication Report of Injury (Incident Report) Emergency Management Specific Assignment Oxygen / Ambu bag use IV Supplies Emergency Drugs Dealing with family members Covering clinic duties during a medical emergency situations Orientation Component Pre-Orientation Post-Orientation Yes No Yes No Initials Date

8 Mock Code CPR Certification Compliance / Performance Improvement Purpose / Objectives Physician Teaching Rules Chart Audits Employee Responsibility Compliance Hotline Performance Improvement Model / PDSA Interaction with Risk Management CQI Committee Infection Control Purpose / Objectives Universal Precautions Reportable Disease Surveillance / Reporting Infectious Disease Screening / Isolation Multi Vials Monitoring and Walk - Through Evaluations Employee Responsibilities Sharps Container / Disposal Employee Illness Reporting Cleaning Policies / Solutions Hand Washing Technique Biohazard Waste Management Personal Hygiene Occupational / Bloodborne Pathogen Exposure / Procedure Point of care Log and Controls Glucometer Fecal Occult Blood Orientation Component Pre-Orientation Post-Orientation Yes No Yes No Initials Date