Faculty Orientation Handbook
School Year 2013-2014
Addendum to Faculty Orientation Handbook
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Guidelines for Nursing Faculty
Welcome to the Kentucky Children’s Hospital. We hope that you and your
students have a satisfying experience that is both an excellent learning resource
and a potential place of employment for graduating students.
In order to assure quality care for patients in the Kentucky Children’s Hospital and
a meaningful education experience for nursing students, the following expectations
for faculty have been developed:
• It is desirable for faculty to be active in the practice of nursing care of
children. It is preferred that faculty be employed in Nursing at the Kentucky
Children’s Hospital. Faculty working “on call” must work at least eight (8)
hours per month and complete the annual competency and employee health
requirements.
• All new faculty must meet with the KCH Staff Development Specialist,
prior to the beginning of the clinical rotation. For Faculty who are NOT
employed by the Kentucky Children’s Hospital, or who have not worked at
KCH for more than two years, completion of the Kentucky Children’s
Hospital “Initial Shills Checklist for RN’s” and the “Record of Initial and
Ongoing Competency Activity” are required prior to beginning a clinical
rotation. You can anticipate spending one – two shifts to complete these
activities. The document is attached at the end of this handbook.
• The clinical faculty member is responsible for presenting documentation of
successful completion of the above to the KCH Staff Development
Specialist. This documentation must be presented before the first clinical
day.
• Clinical Faculty are also responsible for communicating with the Staff
Development Specialist or the Patient Care Manager for that unit, for any
new policies or procedures implemented during the year.
• For faculty convenience, documents going to the Student Placement
Coordinator may be placed in the KCH Staff Development Specialist’s
mailbox located in the office beside the Acute Care Welcome desk (the
Charge Nurse office, HA 411).
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Please be aware that preceptorships for new staff as well as students may be
occurring in the clinical site. Preceptees work with RN staff and the assignment
he/she has for that shift (direct patient care, record reviews, in-services, facilitation
of student clinical experiences, etc.).
Resource Information
Overview
The KCH is composed of a Neonatal Intensive Care (NICU), a Pediatric Intensive
Critical Care (PICU), a Pediatric Progressive Care Unit (4 North) an Acute Care
Area, (East and West Wings), an Outpatient/Short Stay Unit, and Procedural
Sedation Suite.
The NICU is a sixty six-bed unit for high risk neonates, providing Level III and
intermediate care for the newborn. Fifty of these beds are located on the 4th floor
with the additional 16 beds located on the 3rd floor. KCH works with the Neonatal
transport team that utilizes the KCH Ambulance, a mobile neonatal unit, as well as
helicopter services, and serves as a regional neonatal and pediatric critical care
transport center serving Eastern and Central Kentucky. The nurse to patient ratio
varies 1:1 up to 1:3.
The PICU is a twelve-bed unit for critically ill children. Diagnoses in the unit may
include trauma, open-heart surgery, renal failure, respiratory illness, etc. Nurse to
patient ratio depends on the condition of the child, mostly 1:1 and 1:2; sometimes
1:3
A 12 bed Progressive Care Unit is located on the North wing for care of pediatric
patients requiring an intermediate level of care. The patient population includes:
post op-cardiothoracic surgery, patients receiving high-flow oxygen therapy,
trauma, telemetry and epilepsy monitoring. Nurse to patient ratio is 1:3.
The East Wing is a 21-bed Medical/Surgical unit for infants through adolescents.
Typical patients cared for on this unit are infants and toddlers with respiratory, GI,
and surgical conditions. The nurse to patient ratio is usually 1:3 or 1:4.
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The West Wing is a 22-bed unit, caring for infants through adolescents and some
young adults with pediatric cancer diagnoses. Patients with blood disorders or
childhood cancers are admitted to this wing. General Medical/Surgical patients and
pediatric diabetic patients are cared for on this unit. The nurse to patient ratio is
usually 1:3 or 1:4.
The Outpatient/Short/Stay Unit consists of 8 beds for children admitted 23 hours or
less. Three (3) treatment bays are available for children receiving therapeutic IV
infusions or procedures that require close observation.
A pediatric Procedural Sedation Suite is located on the 3rd floor of Chandler
Hospital in Pavilion H. Pediatric patients undergoing outpatient procedures such
as bronchoscopy, lumbar puncture, bone marrow aspiration, and other
treatments/tests requiring sedation and recovery are cared for in this area.
Patient Care Philosophy
Believing in the value society places on children, it is our goal to promote the best
health and development for all children placed directly or indirectly in our care.
The family is the most important structure in the life of the child. It is the role of
the nurse to promote optimum family functioning. Family Centered Care provides
the structure for planning the best way to assist each child and family. Parents are
encouraged to stay with their child and participate in their child’s care to the best
of their ability. Information about health care and child development is
incorporated into each child’s plan of care and strategies are planned for the most
effective way to facilitate learning by the child and family.
(Please refer to the “Family Centered Care” reference contained in this Faculty
Addendum for Pediatrics. This reference should be shared with all nursing
students.)
Collaborative Practice
Nursing works with a variety of services to provide coordinated, comprehensive
and outstanding care. Staff members are encouraged and supported in participation
of clinical research projects and Evidence Based Practice studies. Physicians,
APRN’s, PA’s, social workers, dieticians, respiratory therapists, pharmacists, and
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physical therapists are some of the disciplines that are members of the health care
team.
Management Philosophy
Accountability and responsibility for nursing care are decentrally organized. Each
unit has a Patient Care Manager who works closely with his/her staff. A Charge
Nurse is available to facilitate admissions, make decisions regarding bed utilization
and coordinate staffing needs. Two Service Directors facilitate quality care across
the division and represent the KCH throughout the UK HealthCare Enterprise.
There are many opportunities for learning and professional development within
this structure. .
Staff are encouraged to utilize the Professional Advancement Program to reach
their individual potential in nursing. Pediatric and NICU Staff Development
Specialists work closely with managers and staff to plan orientation, coordinate
continuing education and inservices and facilitate clinical problem solving. Critical
thinking skills are highly valued in the KCH.
Child Life Program and the Hospital Teacher
Play is an essential part of every child’s day and is especially important for the
hospitalized child. Assisting in adjusting to a strange environment, coping with
stress of illness, and maintaining normal patterns of growth and development are
all factors that must be considered. The “Play Rooms” are considered a safe haven
for patients. Procedures, including vital signs and medication administration are
strictly forbidden in these areas.
Play opportunities and activities are coordinated through the Child Life program.
The Child Life staff are available to assist with pre-procedure preparation of
children who are 3 years or older. Fayette County Schools employ a hospital based schoolteacher as a link between home, school and the hospital.
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NaviCare Nurse Call System
The NaviCare nurse call system enables patients and families to contact nursing
staff using both audible and visual alerts. Regular unit nursing staff wear locating
sensors that work with the call system. Please ask a nurse on the unit or the Staff
Development Specialist to show you how to use NaviCare.
Pediatric Code Blue
A Pediatric Code Blue is called by pulling the Code Bar (in patient rooms) or
pressing the red Emergency button (in support areas) on a NaviCare unit, calling 35200, # 1, and requesting the Pediatric Code team for the specific location
including patient room number with prefix (e.g. HA 4xx).
Please refer to the information provided further back in this addendum for a review
of procedures unique to Pediatrics for yourself and with your nursing students.
Pain in Children
Specific to children are several pain assessment tools that are utilized by the
Pediatric nursing staff. Handouts are provided in the Faculty Handbook
Addendum. Please refer to these tools and share with your students.
Patient Confidentiality
Please stress the importance of patient/family confidentiality with students. There
are rooms available in each area of the Children's Hospital for patients, families,
nursing staff and physicians to talk privately. Most of the patient rooms are private.
Patient charts should be placed in closed chart areas at the pods and the electronic
patient records must be logged off by the individual users. Remind students to
refrain from discussing patient care situations in public areas and on social
networking sites.
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Infant / Child Security
To protect the safety of newborns in the Birthing Center and infants and children in
the Kentucky Children’s Hospital, it is vital that special care be taken to assure
these young patients are released only to the parent(s) or person legally responsible
for their care. See Hospital Policy 01-27 for instructions in caring for this
population.
An infant security system has been installed in the UK Birthing Center. Please see
the Patient Care Manager or charge nurse for the Mother/Baby Unit regarding
specifics of this system. Be aware that no infant from this unit may be transported
by anyone not wearing a special yellow UK ID badge.
Always be aware that there is a risk of a child being abducted. When having
students in the Birthing Center or in the Kentucky Children’s Hospital, be
observant of individuals loitering, persons in uniform without appropriate
identification, and any other suspicious individual. Question people without proper
identification ask them to identify themselves and tell you why they are on the unit.
Direct any suspicious activity to the Charge Nurse. If you suspect that an infant or
child is missing, immediately notify the Charge Nurse and Security. A “Code
Pink” overhead page indicates that an infant or child is missing and staff are to
respond by directly observing activity in hallways, stairways and elevators.
All units of the Kentucky Children’s Hospital have “restricted access”. A UK
Healthcare ID badge is required to access these units. Your faculty and student ID
badges will be configured in the Security office to gain access to these restricted
areas.
All visitors to the KCH must check in at the main Welcome Desk by the KCH
elevator. They will be required to show a picture ID and be given a visitor sticker
that they must wear to assist with identifying visitors. Parents or guardians of
patients are given blue armbands to wear. Please remember that parents and
guardians are not considered visitors and may come and go without checking in at
the Welcome Desk. We encourage all to be vigilant and observant for those
without a hospital badge, parent armband, or visitor sticker. Many are not aware of
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the process and may try to follow you into the unit. If someone attempts to enter
the unit without the necessary identification, please take them to the main
Welcome Desk at the KCH elevator to sign in and receive the proper identification.
• Note - Kentucky Children’s Hospital: Keys to the supply carts in patient rooms
need to be obtained from the unit manager with a $10 deposit that will be refunded
upon return.
Have a great year and let us know if we can assist you!
Addendums:
Resource List / Numbers for KCH staff
Family Centered Care
Pediatric Pain Assessment Tools
KCH Nursing Instructor Record of Initial and Ongoing Competency Activity
Resource List for Kentucky Children’s Hospital Staff
DCN Office
DCN pager
3-6473
330-6298
NICU/ Birthing Center
Service Director: Gwen Moreland
3-1210
PICU/Acute Care/Progressive Care
Service Director: Suzanne Springate
3-5578
Acute Care Manager: Lisa Butcher
Acute Care Asst. Manager: Jessica Hutchins
3-0698
3-5284
PICU/Progressive Care/ Per Diem/On Call RN
Manager: Lee Ann Russell
7-1097
NICU/Neo III Manager: Kathy Isaacs
NICU/Neo III Assistant Manager: Shannon Haynes
3-8974
3-3102
NICU Clinical Nurse Specialist: Lisa McGee
3-6683
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Staff Development Specialists:
Teresa Chase (Acute Care/PICU/Progressive Care)
____________(OB, NICU/Neo III)
3-8006
7-4041
Acute Care Welcome Center
4 East Communication Center
4 West Communication Center
PICU/NICU Welcome Center
4 North Communication Center
3-5741 or 3-5742
3-5881
3-5936
3-5744 or 3-57454
3-1333
Judy Martin, Child Life Program
3-6551
Family Centered Care
© Institute for Patient- and Family-Centered Care • 6917 Arlington Road, Suite 309,
Bethesda, MD
http://www.ipfcc.org/faq.html
Patient- and family-centered care is an approach to the planning, delivery,
and evaluation of health care that is grounded in mutually beneficial
partnerships among health care providers, patients, and families. It redefines
the relationships in health care.
Patient- and family-centered practitioners recognize the vital role that
families play in ensuring the health and well-being of infants, children,
adolescents, and family members of all ages. They acknowledge that
emotional, social, and developmental support are integral components of
health care. They promote the health and well-being of individuals and
families and restore dignity and control to them.
Core Concepts of Family Centered Care
 Respect and dignity. Health care practitioners listen to and
honor patient and family perspectives and choices. Patient and
family knowledge, values, beliefs and cultural backgrounds are
incorporated into the planning and delivery of care.
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 Information Sharing. Health care practitioners communicate
and share complete and unbiased information with patients and
families in ways that are affirming and useful. Patients and
families receive timely, complete, and accurate information in
order to effectively participate in care and decision-making.
 Participation. Patients and families are encouraged and
supported in participating in care and decision-making at the
level they choose.
 Collaboration. Patients and families are also included on an
institution-wide basis. Health care leaders collaborate with
patients and families in policy and program development,
implementation, and evaluation; in health care facility design;
and in professional education, as well as in the delivery of care
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Pediatric Pain Assessment Tools
Wong-Baker Faces Pain Rating Scale
Wong-Baker Faces Pain Rating Scale:
 Point to the faces. “These faces show how much hurt you can have”
 Ask: “How much hurt do you have now?” If the child seems confused or
doesn’t respond, point to face 1 and say, “This face has no hurt.” Slide you
finger to face 5 and say, “this face hurts as much as you can imagine,
although you don’t have to be crying to feel this bad.”
 “Pick the face that tells me about your pain right now.”
 Record the number that is under the chosen face in SCM
 Intervene if pain is not at an acceptable level & document in SCM
 Reassess pain within 60 minutes and document in SCM
Visual Analog Scale
0
1
No Pain
2
3
4
5
6
7
8
9
10
Worst Pain
Visual Analog Scale:
 Show the child the VAS 1-10 scale. Say, “these numbers show how much
hurt you have. Number one means that you are comfortable and number 10
means you are having as much pain as you can imagine. You don’t have to
be crying to feel this bad.”
 “Pick the number that tells me about your pain right now.”
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 Record the number that is chosen in SCM documentation system.
 Intervene if pain is not at an acceptable level & document in SCM
 Reassess pain within 60 minutes and document in SCM
FLACC Non-Verbal Pain Assessment Scale
Face
Legs
Activity
Cry
Consolability
0
1
No particular
Occasional
expression or smile grimace or frown,
withdrawn,
disinterested
0
1
Normal position or Uneasy, restless,
relaxed
tense
0
1
Lying quietly,
Squirming,
normal position,
shifting, back and
moves easily
forth, tense
0
1
No cry (awake or
Moans or
sleep)
whimpers;
occasional
complaint
0
1
Content, relaxed
Reassured by
occasional
touching, hugging
or talking to,
distractible
2
Frequent to
constant frown,
clenched jaw,
quivering chin.
2
Kicking or legs
drawn up.
2
Arched, rigid, or
jerking
2
Cries steadily,
screams, sobs,
frequent
complaints
2
Difficult to console
or comfort.
FLACC Non-verbal Pain Assessment Scale:
 This scale can be used with very young children or children who are unable
to speak due to injury, drugs, and treatments.
 Assign a numerical score to the designated observations.
 Record the score in the designated place in the SCM documentation system.
A low total score indicates a low or acceptable level of pain and a high score
(maximum score = 10) indicates the most pain.
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 Intervene if pain is not at an acceptable level & document in SCM
 Reassess pain within 60 minutes and document in SCM
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KCH Nursing Instructor
Record of Initial and Ongoing Competency Activity
2013--2014
Name: _________________________ Nursing program: ________________
Directions: Complete and return with orientation verification forms prior to the
first clinical day.
Please Circle: Activity is
A=Annual
I=Initial
Completed
___________
__
Yes
Annual regulatory Competencies:
o Glucometer
o Safety and Infection Control (from
Handbook)
o BLS/CPR
KCH Unit Competencies:
o Family Centered Care (from Handbook)
o Pediatric Code (from Handbook)
o Pediatric Rapid Response Team (from
Handbook)
o Report Guidelines
o Physical Layout
o Nurse Call System
o Badges
o Phones
o Documentation
o SCM
o Pain Management
o Other Clinical/Care Changes
________________________________
________________________________
________________________________
Equipment
_____ BP
_____ Oxygen Equip.
_____ Pulse Oximeter _____ Suction
_____ IV Pump
_____ Supply Pyxis
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No
Date
Completed
_____ Syringe Pump
_____ Pyxis Medstation
INTRAVENOUS THERAPY
_____ Needleless System
_____ Central Venous Access Devices
_____ Administering Medications via Alaris
pumps
OTHER
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Faculty Member Acknowledgment of Orientation
1. I have read both the Orientation Handbook for Nursing Faculty and the Orientation
Handbook for Nursing Students and received additional information and instruction, as
it pertains to my assignment.
2. I have completed a unit-specific orientation, including shadowing a nurse, and am aware
of the policy, procedure resources available at UK Hospital and Kentucky Children’s
Hospital.
3. I have read and agree to abide by the Behavioral Standards in Patient Care.
4.
I understand the expectations, and I agree to abide by Hospital policy, protocols, and
standards of practice during my assignment at University of Kentucky Hospital.
5. I am competent to care of the patient population being assigned to my students and have
submitted an abbreviated resume reflecting that recent experience.
6.
I have shared clinical objectives and expectations with the unit Patient Care Manager.
7.
I, and each of my students, possess UK ID badges.
8. Both the Student Placement Coordinator and Hospital Security have been given a list of
the students in my clinical group.
Name: ________________________________ Date: __________________
Signature: _____________________________ Unit: __________________
Program/School: ___________________________________________________
Day(s) on Unit: _______________________ Times on Unit: ______________
Dates of Clinical Rotation: ____________________________________________
Please complete and return to Student Placement Coordinator
(Mailbox: H-188)
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University of Kentucky Hospital
Pyxis Rx 3000 Identification/ Password Assignment
Statement
I understand that my ID, in combination with the confidential password that I will
later select, will be my electronic signature for all of my transactions on the system
for both controlled substance and patient care record keeping purposes. A time
stamp and date will also be affixed to my transactions. These records will be
maintained and archived as per the policies of the University of Kentucky Hospital
and will be available for inspection by the Drug Enforcement Administration, as is
currently the case with my handwritten records for controlled substances.
I also understand that, to maintain the integrity of electronic signature, I must not
and will not give my personal password to any other individual. Unauthorized
access, release or dissemination of this information may subject me to disciplinary
action. Should I have any suspicion that my personal password has become known
to another individual, I will change it immediately and if deemed appropriate, will
immediately report such to my supervisor.
Signature _______________________________________
Date ___________________
Print Name ______________________________________
SSN# __________________
Position/Title ____________________________________
Clinical Site/Unit _________________________________
Send User ID/Password to:
_____________________________________________________________
School/Program: __________________________________
Clinical Site/Unit: _________________________________
Authorized by Supervisor ___________________________
Date ______________
Entered into Pyxis _________________________________
Date ______________
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Confidential Medstation 3000 System User Information
Name
_____________________________________________________________
Position
_____________________________________________________________
Department
_____________________________________________________________
ID
_____________________________________________________________
Temp Password*
____________________________________________________________
* Leave blank. To be assigned by pharmacy.
Place in Student Placement Coordinator Mailbox H-188
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UK Health Care Information Security Access Form
Date: _________________ (mm/dd/yyyy) New _____ Change ___ Delete ____
Logon ID: ____________________ UKID or SSN:_________________________
Needed for change/delete only!
Date of Birth: ________________________
Mm/dd/yyyy
Name: _______________________ _____ ________________________________
First.
M.I.
Last
Job/Role: __________________________________________________________
Department/School: __________________________________________________
Location/ Building: ________________________ Phone: ____________________
Identifying Facts: (For future use by support center to identify you when you call
for assistance)
What is your father’s mother’s name? ____________________________________
City where you were born? ____________________________________________
What is your mother’s maiden name? ____________________________________
Access Needed:
SCM _X__ SCV ___ RSS ___ MAGIC WEB ___ ABN ___ AIM ___ SOFTMED
___
HealthQuest ___ ACE/AIM ___ ED MGR ___ WORx ___ TSO ___
Special Instructions: Expires one year from date of issue
Nursing Student Coordinator Signature: _________________________________
Department: Nursing Staff Development Phone: 323-9539
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Please complete and return to Student Placement Coordinator (mailbox: H-188)
UK Health Care Confidentiality Agreement for Computer Use
SSN or
Applicant’s Name _____________________________ UKID: ______________
(Please print. First, Middle Initial, Last) ________________________________
Date of Birth: _________________ [mm/dd/yyyy]
I agree to keep patient information confidential by observing the following:
1. I will protect my password from use or theft by others.
2. I will sign off the system when I leave the workstation and not allow others to use my
access.
3. I will only look up information on patients for whom I have direct responsibility. I will
not look up my own medical information on the computer.
4. I will share patient information only with people who have a right to access the
information in order to perform their job function.
5. When sharing information with people who have a right to access the information in
order to perform their job function, I will ensure that I am in a private setting where
others cannot hear or see the confidential information.
6. I will follow all University, Medical Center, Hospital and department rules of conduct
whenever I use e-mail.
7. I will password protect any personal digital assistant device that contains patient (or
confidential) information.
8. I will not disseminate confidential patient information from my home computer without
appropriate authorization for release of information.
9. I will dispose of confidential information properly in accordance with all applicable
policies.
10.I understand that audits will be performed on computer usage to ensure compliance with
all computer related policies and this confidential agreement.
11.I will follow other specific confidentiality rules for special situations. When departments
have standards more stringent than this statement, I will abide by their standards.
12.I will comply with the enterprise electronic signature policies and protect my electronic
signature when issued to me from use or theft by others.
13.I understand that my employer has the right to take disciplinary action up to and
including termination of my employment for breaches of confidentiality.
________________________________________________________________
Signature/Date
This form is kept on file with UK Health Care Information System Security.
FAX: 859.257.5253
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Identification Badge Assignments
Clinical Area/Unit: _____________________________________________
Clinical Rotation Start – End Dates: ________________________________
Faculty Member Name: __________________________________________
School Affiliation: _______________________________________________
Student Name
Social Security Number
UK ID Badge Number
Please Submit to Hospital Security
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