Welcome to HealthSouth Rehabilitation Hospital of Austin

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• Welcome to HealthSouth Rehabilitation Hospital of
  Austin
• Nursing Student Orientation

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• We are thrilled to have you complete your nursing
  rotation with us and we look forward to having
  you participate in the exceptional care and
  rehabilitative services that we provide to our
  patients.

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Agenda

• The agenda for this presentation
• Welcome
• Mission Statement
• Environment of Care and Culture of Safety
• HIPAA Privacy Acknowledgement
• Tests and Forms
• Environment of Care
• HIPAA Acknowledgement
• Confidentiality Agreement

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Our Mission Statement

• Getting people back to work, to play and living.

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Environment of CareRicky Nevels, Director of
Plant Operations and Safety
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General Safety GuidelinesA copy of the Safety
Manual is Located in each Department

• Report any unsafe condition immediately to your
  supervisor.
• Any foreign matter on the floor should be removed
  or mopped up immediately.
• Report all injuries, however slight, to first
  responder and secure first aid.
• Report all patient problems and complaints to the
  supervisor in charge.
• Walk dont run in the building, use caution at
  all corners.
• Open all swinging doors carefully.
• Observe all warning signs.
• Never engage in horseplay or practical jokes,
  they can have tragic consequences.
• Know your duties during a fire and disaster.

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Hazardous Materials and Waste Management

• Removal of Medical Waste housekeeping staff
  removes the waste from each floor daily and the
  company (Texas Environmental Services) removes
  the waste from the facility Monday, Wednesday and
  Friday.
• The Material Safety Data Sheets (MSDS) will be
  reviewed annually. Any and all chemicals used in
  the facility must be reviewed prior to use.
  Appropriate committees must approve all cleaning
  agents used to clean and sanitize the patients
  rooms prior to use.
• MSDS manuals are located in the nursing station
  on each floor and in each department.

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Fire Prevention Management

• Fire drills are conducted 1 per shift each
  quarter.
• Keep all areas clean and free of clutter.
• Doors and halls must be kept free of obstructions
  at all times.
• Doorstops are not authorized for use in the
  facility.
• Check power cords on equipment no torn/frayed
  or tape should be on cords.
• NO SMOKING is allowed anywhere within the
  facility. Austin city ordinance requires no
  smoking within 15 feet of any entrances. The
  designated smoking areas for staff are located
  out the door by the elevators and on the east-end
  of the facility
• Keep all items at least 18 from ceiling.

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HEALTHSOUTHEmergency Codes
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Code Red Fire

• Fire Drills - 1 per shift each quarter
• Fire Response R.A.C.E.
• Fire extinguisher use P.A.S.S.

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Fire ResponseR.A.C.E.

• Rescue anyone in immediate danger if it can be
  done safely
• Alert/activate alarm system
• Confine area
• Extinguish if possible or evacuate horizontal
  then vertical

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Fire Extinguisher UseP.A.S.S.

• Pull the pin
• Aim nozzle at base of fire
• Squeeze the handle
• Sweep side to side

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Code Zero - Internal Disaster

• Prepare for evacuation but do not evacuate unless
  
• directed by the Administrator, Administrator on
  Call
• (AOC), safety officer or local authorities.
  Preparations
• include
• consolidating patient medical records, patient
• medications, patient care items, blankets, etc.

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Code Brown - External Disaster

• Code Brown Policy
• Initiated in response to a disaster outside the
  facility
• Administrator/Administrator on Call will initiate
• Command post will be set up inside the Cafeteria
  Annex
• Triage Team will be in Outpatient Gym, 1st Floor
• Treatment Team will be in Day Hospital
• Manpower Team will be in cafeteria
• PBX will notify staff over paging system
• Specific duties are listed in the Emergency
  Preparedness (EOC EP.406.02)

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Code Yellow - Bomb Threat

• The person receiving the call should gather as
  much
• information from the caller as possible.
• Remain calm
• notify maintenance or security staff
• check areas for any suspicious objects or boxes
• If the facility must be evacuated, it will be
  done only at the direction of the Administrator,
  AOC, Safety Officer or local authorities.

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Code Blue Cardiac Arrest

• Cardiac or Respiratory Arrest
• Appropriate staff will respond immediately to
• the location and provide care as needed.
• Emergency services will be contacted
• at 911 and person transported to the
• nearest hospital as needed.

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Code Grey Disruptive Behavior

• This code is used in the event someone becomes
  aggressive towards staff or patients. The
  appropriate staff member should try
• to talk with the person to calm them
• down and diffuse the situation as
• quickly as possible.
• Maintenance and security staff will
• immediately respond to the location to provide
  assistance.

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Dr. Stat Patient Elopement

• This code is used in the event a patient cannot
  be found.
• Staff will respond to the location and
  immediately begin a search of the facility and
  surrounding area.

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Code Twist Inclement WeatherSevere

• Severe weather anywhere in the local area.
• Patients and staff should be moved to a secure
  area away from glass or flying debris.

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Code Triage Bio-terrorism Readiness

• Healthcare facilities may be the initial site of
  recognition and response to bioterrorism events.
  
• If bioterrorism event is suspected, immediately
  contact Administrator, AOC, Infection Control.
• Disaster preparedness drills held at each
  facility on an annual basis

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Code Down Patient/Visitor Down

• The purpose is to notify appropriate medical
  staff during non-emergency situations.
• If an unknown medical emergency occurs other than
  Code Blue, dial 71 and announce CODE DOWN and
  location.
• The first staff members to arrive should be any
  physician, Nurse Manager, Risk Manager, Director
  of Clinical Services and Maintenance.

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Emergency Preparedness

• The in-house phone extension is 77 and is used
  to report all emergencies.
• Extension 71 can be dialed from any in-house
  phone to activate the hospitals public address
  system.

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• Patient Safety

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Patient Safety Program

• A new focus by JCAHO (Joint Commission) has been
  placed on the
• patient safety program. This focus includes the
  review of the following
• goals
• How to insure proper patient identification.
• How to implement a verbal order read-back policy.
• How to verify the correct site, correct patient
  and correct procedure (related to more surgical
  hospitals).
• How to make sure your alarm systems are in proper
  working order (nurse call, pumps, bed alarms,
  etc. patient care items).
• The proper documentation of these must be
  recorded and forwarded to appropriate committees.
• All patient equipment must be properly cleaned
  prior to the next patient use.

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• Please complete the
• Environment of Care Test Culture of Safety Form

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• HIPAA
• Health Insurance Portability And Accountability
  Act
• Nursing Student Orientation

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HIPAA Privacy Training

• Health Insurance Portability and Accountability
  Act
• What is this?

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HIPAA Privacy Training

• Confidentiality and Privacy mean that the
  patients have the right to control who will see
  their protected health information. With the
  enactment of the Health Information Portability
  and Accountability Act of 1996 (HIPAA), a
  patients right to have his/her health
  information kept private, secure and confidential
  became more than just an ethical obligation of
  healthcare providers it became a federal law.

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HIPAA Privacy Training

• Protected Health Information (PHI) includes
  patient identity, address, age, social security
  number and any other personal information that
  patients are asked to provide. In addition,
  protected health information includes why a
  person is sick or in the facility, what
  treatments and medications he/she may receive,
  and other observations about his/her condition or
  past health conditions.

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HIPAA Privacy Training

• Healthcare providers use information about
  patients to determine what services they should
  receive. Ask yourself before looking at any
  protected health information
• Do I need this in order to do my job and provide
  quality care?
• What is the least amount of information I need to
  do my job?
• Depending on your task, if you do not need to
  know confidential patient information, then you
  should not access it.

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HIPAA Privacy Training

• Healthcare providers use information about
  patients to determine what services they should
  receive. Ask yourself before looking at any
  protected health information
• Do I need this in order to do my job and provide
  quality care?
• What is the least amount of information I need to
  do my job?
• Depending on your task, if you do not need to
  know confidential patient information, then you
  should not access it.

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HIPAA Privacy Training

• Ways to protect a patients privacy include
• Keep discussions about patient care private if
  reasonably possible by closing doors, pulling
  curtains and conducting discussions so that
  others cannot overhear.
• Keep medical records locked and out of public
  areas.
• If you find that you are overhearing someone else
  discuss patient information, politely remind the
  individual of the privacy policies and let them
  know they can be overheard.
• Do not release any patient information, unless
  authorized by the patient.
• Do not leave messages on answering machines
  regarding patient condition or test results.
• If there are persistent problems regarding the
  breach of confidentiality or you have any
  questions, please notify or contact your
  supervisor.

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HIPAA Privacy Training

• Please sign the
• HIPAA Volunteer and Nursing Student
  Training/Orientation Form

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Nursing Student Orientation

• We are happy to have you in our hospital as a
  nursing student and wish you the very best for
  your future.
• We would love to have your feedback about our
  facility. Our goal is to make
• HealthSouth Rehabilitation Hospital the Employer
  Of Choice in the Austin area.

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Confidentiality

• Please sign the
• Confidentiality Agreement Form

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Nursing Student Orientation

• Please address your comments to any of the
  following
• Bob R. Prehn, CEO 479-3525
• Lisa Kunz, Director of Nursing 479-3517
• Marilyn Jennings, Director of HR 479-3541