CHI Saint Joseph Health: Agency Nurse Orientation 2020 Table of Contents Welcome and Introduction.............................................................................................................................. 4 Mission, Vision and Values .............................................................................................................................. 4 Standards of Conduct ...................................................................................................................................... 5 Orientation Information .................................................................................................................................. 5 CHI Saint Joseph Health Nursing Vision ................................................................................................... 6 Confidentiality .......................................................................................................................................... 6 Disaster Codes .......................................................................................................................................... 6 Dress Code ................................................................................................................................................ 6 Environment of Care ................................................................................................................................ 9 Incident Reporting .................................................................................................................................. 11 Confidentiality, Reporting and Culture ........................................................................................... 11 Reporting Mechanisms ................................................................................................................... 12 Safe Medical Devices Act ................................................................................................................. 12 Sentinel Events ................................................................................................................................ 13 National Patient Safety Goals 2020 ........................................................................................................ 13 Parking .................................................................................................................................................... 24 Saint Joseph Lexington Market Campuses ...................................................................................... 24 Saint Joseph Hospital ...................................................................................................................... 24 Saint Joseph East ............................................................................................................................. 25 Saint Joseph Jessamine ................................................................................................................... 25 Flaget ............................................................................................................................................... 26 Saint Joseph London........................................................................................................................ 26 Saint Joseph Berea .......................................................................................................................... 26 Saint Joseph Mt. Sterling ................................................................................................................. 26 Patient Bill of Rights ............................................................................................................................... 27 Patient Identification .............................................................................................................................. 27 Quality and Patient Safety ...................................................................................................................... 28 Safety First Expectations and Techniques .............................................................................................. 28 Service Excellence .................................................................................................................................. 28 Clinical Care ................................................................................................................................................... 30 Bedside Shift Report Using SBART .......................................................................................................... 30 Blood Administration ............................................................................................................................. 31 Braden Risk Assessment ......................................................................................................................... 35 Code Blue ................................................................................................................................................ 36 American Heart Association Guidelines: ......................................................................................... 36 Procedure: ....................................................................................................................................... 36 Diabetes Management ........................................................................................................................... 38 Nova Stat Glucometer Meter .......................................................................................................... 38 POC Contacts ................................................................................................................................... 47 Fall Prevention ........................................................................................................................................ 50 What to do if a patient falls? ........................................................................................................... 51 Health Literacy ........................................................................................................................................ 51 Hourly Rounding ..................................................................................................................................... 53 Incontinence Guidelines ......................................................................................................................... 54 Informed Consent ................................................................................................................................... 54 Interpretive Services............................................................................................................................... 58 2 Infection Control ..................................................................................................................................... 60 Donning and Doffing PPE ................................................................................................................ 62 Isolation: Standard and Transmission Based Precautions ..................................................................... 64 KODA ...................................................................................................................................................... 68 Latex Allergy ........................................................................................................................................... 69 Medication Administration .................................................................................................................... 70 High Alert Medications .................................................................................................................... 72 Controlled Substance Wasting ........................................................................................................ 72 Medication Safety .................................................................................................................................. 72 MEWS (Modified Early Warning Score).................................................................................................. 75 MRI Safety: The Magnet is Always On..................................................................................................... 77 Oxygen Safety ......................................................................................................................................... 77 Pain Management .................................................................................................................................. 78 Interventions: .................................................................................................................................. 80 Patient and Family Centered Care (PFCC) .............................................................................................. 81 Pharmaceutical Waste Management ..................................................................................................... 82 Rapid Response Team Notification ........................................................................................................ 83 Notification and Process Implementation: ..................................................................................... 84 Guidelines for Notifying Physician/Provider of Changes in Patient Condition ..............................