review and post test - The Medical Center of Central Georgia

MCCG Clinical Affiliation
Orientation Recap
Offered by the Learning Center
• Operation Excellence/
Corporate Compliance
Environment of Care (EOC)
• Parking and Security
• Equipment Updates and Safety Devices
• OSHA – Blood borne Pathogens & TB
• Post – Test
The Medical Center is one of 148
hospitals in the world to earn
Magnet status.
This designation makes the
hospital part of the American
Nurses Association's Magnet
Recognition Program.
The Georgia Heart Center,
Neurological, & Orthopedic
programs have each
earned a 5 star
national rankings.
ONLY dedicated
Children’s Hospital
in Central and South Georgia
The area’s ONLY
Level I Trauma Center
– one of only four in the state of Georgia
• Off-campus Services:
– Urgent care centers – Med Centers North, East and Northwest
– Neighborhood Healthcare Centers
– The Wellness Center & Macon Health Club
– Heartworks cardiac rehab
– Central Georgia Diagnostics
– Central Georgia Fertility Institute
– Anderson Health Clinic
Refer to your PINK Cards
Our Mission
• To enhance the health status of those we serve
• Partner with medical staff and community
• Provide wellness services, health education and training, and
access to safe, high quality health care.
Our Vision
• To be a national leader in providing the safest, highest quality
community-centered health care and wellness services
Our Values
Excellence - We continually strive to provide the highest quality
service at the lowest possible cost, with the best utilization of
our resources
Diversity – We value and respect the uniqueness and dignity of
all individuals
Compassion – We respond through a caring environment to the
holistic needs of those we serve
Medical Waste
• Contaminated with blood, body fluids & infectious
– Check for leaks
– Dispose in Red bag trash
– Handle with gloved hands
– Keep bags away from uniform
– Place Non-disposable equipment in a labeled
“biohazard” bag
Bloodborne Pathogens
• Micro-organisms (germs) that are present in blood and certain
body fluids of an infected person and can be transmitted from
one person to another causing disease
• Common pathogens:
– HIV – causes decreased immune system
– Hepatitis B (HBV) or Hepatitis C (HCV) – causes
significant liver damage
Standard Precautions
• Assume all body substances are potentially infected
• Use Personal Protective
Equipment including:
– Eye or Face Shield
– Gown
– Shoe Covers
– Mask
– Gloves
Transmission-Based Precautions
– Airborne Precautions TB, Varicella (chicken Pox)
• Patients placed in negative air pressure rooms
• Healthcare providers wear respirator mask
• Patients must wear surgery mask when leaving room
• Students assigned to patients with these precautions
must obtain “fit-test” of mask with Employee Health
Transmission-Based Precautions
• Droplet Precautions
– Influenza & streptococcal pneumonia
– Infection spread by coughing and
respiratory secretions
• Contact Precautions
– Symptomatic with enteric or gastrointestinal
– Gown & glove.
Bed Linens
Clean Linens
Stored in a closet or covered rack
Wash your hands before taking linens
Avoid contact with uniform
Place on a clean area in the patient’s room
Take ONLY what is needed
Dirty Linens
– Place in a hamper or bag
– NEVER on the floor
Sharps Use & Disposal
Use Safety Devices
Dispose in
Sharps Container
YOU are the face the public sees!!
PLEASE be sensitive and responsive to our patients, visitors,
and other staff members
One-on-One encounters
Smile, make eye contact & look approachable.
Ask if we can help if someone appears lost
Stand to one side before boarding the elevator
Make the extra effort to determine the answer or solution
when an answer to a question or concern is not known.
Stay to one side when walking in the hallways in order to
facilitate the flow of “people traffic”
Ask “Is there anything else I can do for you?”
Respectful Care
Patients have different cultures, values & beliefs
• Every Patient has the right to receive care:
– Equally
– Respectfully
– With Kindness & Compassion
– To the best of our ability
– With confidence &
trust in caregivers
– Without expectation that they should
be exposed to our own beliefs and
• MCCG is a:
– Tax-exempt organization
– Participate in government programs
– Strive to act honestly and ethically in all relationships.
7 Disciplines of EOC (refer to PINK cards)
Emergency Management
Medical Equipment
Hazardous Materials
Fire Prevention
General Safety
(Refer to PINK Cards)
• Patient Care staff or faculty member will inform you as needed
• Do not become alarmed or panic.
• Refer to your Pink EOC card for CODES
• Access the Code System by dialing: Extension 1600
CODE Blue or Blue PALS
(Refer to PINK Cards)
In the event you are with a patient at the
time of “arrests” or medical emergency:
Stay with the patient.
Call for immediate assistance (use all options):
• Use the nurse call signal
• Contact the hospital operator at EXT. 1600 – tell them exactly
where you are & the situation
Tell the Code teams, when they arrive, exactly what you observed
that prompted you to “call the code”.
Other Codes related Patient Care
(Refer to PINK Cards)
• Code Lift
• Code Green
• Code Purple
(Refer to PINK Cards)
• Don’t prop doors open – COMPARTMENTALIZE
• If a door is warm to the touch DO NOT OPEN
• Do not use elevators during an alarm
Fire Drills: If asked to participate in a fire drill, take action
Fire Safety (Refer to PINK Cards)
R - Rescue anyone in immediate danger
A - Alarm pull nearest fire alarm station call 1600
C - Contain fire by closing all doors/windows
E - Extinguish use fire extinguisher
– P.A.S.S. - pull pin, aim, squeeze, sweep
Codes related to Security
(Refer to PINK Cards)
• Code B
• Code Gray
• Code Baby Pink
Parking & Security
Park in Lot # 7
• Located on the corner of Arch Street & Second St
Display “hang tag” from the rear view mirror of your car
• To be obtained by Faculty
DO NOT park in undesignated, time limited, or “no parking” areas.
• There is the possibility of damage to your car
• Police do give tickets & tow offenders.
Call hospital police at 633-1490 to request an escort.
Medical Equipment
Maintained by Clinical Engineering
Broken or Malfunctioning equipment should be “tagged”
Inspection stickers
(Tell when the equipment is
due for service)
Medical Equipment
Alaris Medley Pump
– Used for IV infusions administered over a given timeframe or
in a specific dosage per body weight
– Guardrails Drug Library
– Always “PLUG EM’ IN”
Student Role:
- Administer IV
medications with
- Complete Check off
Utility Systems
Cellular Phone Policy
• Use of cellular phones is strictly prohibited
within 6 feet of patients on medical
• Use of RF (radio-frequency) transmitters, (i.e.
walkie talkies, two-way radios, etc.) is
prohibited when in close proximity to patients
on medical equipment.
MCCG Operation Safety
• Based on JCAHO National Patient Safety Goals
Who is responsible for patient safety?
Safe Medication Administration
All medications should be verified by 2 patient identifiers at the
bedside PRIOR to administering the medication.
Patient Identifiers include:
• Name
• Date of Birth
• MR #
Safe Medication Administration
Select medications must be double checked by 2 licensed
individuals prior to administration.
These include:
– I.V. Digoxin
– I.V. or S.C. insulin
– Anticoagulants
– I.V. sedatives/narcotics
– I.V. potassium
Safe Medication Administration
• Students may NOT hang Chemo:
– You may monitor patients receiving such treatments.
• Students may NOT hang blood or blood products.
– You may monitor vital signs
Other Safety Measures
Audible Clinical Alarms
• Assure alarms are audible to be heard over
competing noise
Time Out
• Prior to surgical or invasive procedure
• Confirm correct:
– Patient
– Procedure
– Site
Other Safety Measures-Approved Abbreviations
Do Not Use
Write Instead
“mcg” or “micrograms”
“Mg or MgSO4”
“Mag Sulfate” or “Magnesium Sulfate”
“MS or MSO4”
“International units”
“Q.D. or QD or qd”
“daily” or “every day”
Other Safety Measures Approved Abbreviations
Do Not Use
Write Instead
“Q.O.D. or QOD or qod”
“every other day”
“three times a week”
sargramostim or Leukine®
filgrastim or Neupogen®
Other Safety Measures
Hand Hygeine
• Wash Hands before & after patient contact
• Use Alcohol Based Sanitizers
• Nails - NO longer than 1/4 inch from fingertip
• Artificial Nails are NOT permitted
Incident Response
If an error occurs:
– Immediately notify your faculty &
– Assist in completing a Confidential
Incident Report for patients
– Forward Report to Risk Management
Refer to Incident Response area on PINK card
Injury Reporting
If an injury occurs:
– Report to your instructor
– Document on a MCCG
Confidential Incident Report for
– Seek medical attention in the EC
(Treatment will be at the
expense of the individual)
Refer to Incident Response area on PINK card
• Drive slowly on MCCG property, in parking lots, parking
• Observing the smoke-free policy
• Reporting untidy, unsafe, or unsanitary conditions to the
charge nurse
• Know emergency codes
• Be mindful of noise levels
(Health Insurance Portability and Accountability Act)
– Written
– Verbal
– Visual
– Electronic
– Printed
• While patient medical record information may be needed to
assess, treat, and manage a patient's medical condition, all
patient information, regardless of how obtained, is confidential
and should be discussed only with other health care
professionals directly involved in the patient's care.
• Students and faculty are not permitted to copy or remove
elements of the patient’s medical record or printouts
No Press No Information
• ANY patient may choose the status
• Hospital police may initiate
“I’m sorry, we do not have a patient by that name”
“They have chosen their identity here be confidential.”
Click on Post Test button. Print test, complete and return to your
clinical instructor (80% score is necessary)
Post Test