Volunteers in Medicine: Jacksonville Volunteer Orientation

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Volunteers in Medicine JacksonvilleVolunteer
Orientation
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History of VIM

• An estimated 120,000 working Jacksonville
  citizens have no health insurance.
• VIM-Jax proposes to serve the working uninsured
  and their families by operating a volunteer-run
  clinic where patients will receive free primary
  medical care, counseling services and medications
  they need to live healthy productive lives.

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History Cont.

• The VIM model was created in 1994 by Dr. Jack B.
  McConnell in Hilton Head Island, South Carolina.
• VIMs ongoing success with the assistance of a
  grant from the Ortho-McNeil Pharmaceuticals is
  repeated daily in many volunteer run clinics from
  Florida to Oregon.

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Mission Statement

• The Volunteers in Medicine
• Jacksonville clinic is a volunteer run medical
  clinic that provides primary medical services to
  the working uninsured of Greater Jacksonville
• Operations are funded through
• private and corporate donations,
• grants, and on-going fundraising

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Staff

• Care is provided by volunteer physicians, nurses,
  nurse practitioners and non-medical community
  volunteers.
• Community partners providing specific services on
  an outsource basis
• A small paid staff to coordinate and effectively
  administer the clinic.

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Board of Trustees

• James N. Burt, MD
• Hope E. Brank
• Dorothy S. Dorion, RN, MS
• Guy Cuiddihee
• Li Loriz, PhD
• C.B. McIntosh, MD
• William Mercer

• Rev. Richard A. Petry
• George E. Ridge, Esq.
• Andrea Giggetts
• Sister DeSales Wisniewski, RN, MS
• Rev. Eugene M. Zimmerman

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VIM Objectives

• Provide free primary care medical and counseling
  services.
• Improve community health through education and
  preventative medicine.
• Encourage care providers and receivers to
  contribute to the communitys well being.
• Promote volunteerism and community spirit.

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Patient Criteria for Services

• Residency-patients live or work in Duval County
• Income-patients have an income level between
  13,000-23,925 per year for a single individual.
• Uninsured-patients are without private or
  government funded medical insurance.
• Employment-one or more family members are
  gainfully employed.

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Vision

• May we have eyes to see those rendered invisible
  and excluded open arms and hearts to reach out
  and include them healing hands to touch their
  lives with love, and, in the process, heal
  ourselves.
• Keys to Success
• Quality Management
• Efficient, Low-cost Operation
• Enthusiastic and Committed Volunteers
• Broad Base of Community Involvement and Support

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Clinical Volunteer Section

• Infection Control, HIPPA, HIV Fire Safety

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Infection Control

• OSHA is a regulatory agency that oversees
  occupational health and safety.
• Protection against blood borne pathogens
• You can help prevent the spread of infection by
  following three basic guidelines.

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Practice Optimal Hand Hygiene!

• Hand Hygiene is the single most important method
  of preventing the spread of infection.
• Hand Hygiene is a general term that includes
• Hand washing with plain soap or antiseptic soap
  and water.
• Use of waterless hand rub for routine hygiene.

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2. Perform Hand Hygiene

• When arriving at the clinical work area
• Before and after having direct patient care
  contact with the patients intact skin.
• Before performing invasive procedures or other
  sterile procedures, whether or not sterile gloves
  are worn.
• Before meals
• After coughing, sneezing, or blowing your nose
• After using the restroom
• When hands are visibly soiled

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3. Effective Hand washing Technique

• Wet hands with warm water
• Apply 3-5 ml (2-3 teaspoons) of soap to hands
• Rub hands together for at least 15 seconds,
  covering all surfaces of the hands and fingers
• Rinse hands with water and dry thoroughly
• Use towel to turn off the faucet

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Remember..

• Hand hygiene is the single most important method
  of preventing the spread of infection!

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HIV/AIDS

• What is HIV
• Human Immunodeficiency Virus is a retrovirus that
  causes AIDS.
• It destroys the essential conduction of the
  immune system
• The only way to determine whether HIV is present
  is through blood test.

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Transmission of HIV

• Exposure to blood or other potentially infectious
  material
• IV drug users from needle sharing
• Homosexual contact
• Heterosexual contact

• Transfusion of blood or blood products
  contaminated with HIV
• Occupational needle stick injury and other blood
  exposures
• During pregnancy, during delivery and after birth

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You will not get HIV by the following

• Touching
• Social kissing
• Coughing
• Sneezing
• Contact with eating utensils, water fountains and
  toilet seats

• Using public facilities such as swimming pools
• Being close to other people or in crowded spaces

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Preventing the spread of HIV

• Not sharing needles or personal items which may
  be contaminated with blood.
• Protect open wounds from contact with blood and
  body fluids by properly covering any broken skin
  surfaces.

• Practice good hand hygiene
• Hand hygiene before and after patient contact,
  even if gloves are worn
• Use appropriate protective equipment, gloves,
  gown, masks, etc.

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OSHA/Blood Borne Pathogens

• Blood borne pathogens can potentially reside in
• Blood
• Semen
• Vaginal secretions
• Body fluid with visible blood
• Other body fluids

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Fire Safety

• There are three exits, the main entrance, a rear
  exit on the first floor and a rear exit on the
  second floor.
• A fire extinguisher is located on the first floor
  near the reception area. Extinguisher
  instructions
• 1. Pull ring pin
• 2. Stand 8 from fire
• 3. Aim at the base of the fire, use
  extinguisher upright.
• 4. Squeeze the lever, sweep from side to side

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HIPPA

• What is it? National Legislation passed by
  congress in 1996 that resulted in total reform.
• It was passed to guarantee that persons changing
  jobs would not lose coverage.
• It standardizes how medical information is shared
  and guarantees patient security and
  confidentiality.

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HIPPA Why is it important to VIM-Jax?

• All volunteers are going to be exposed to
  sensitive information.
• To protect the dignity and privacy of our guests,
  we need to respect their protected health
  information.

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What constitutes protected health information?

• Name and Address
• Phone and fax numbers
• Medical record numbers
• Insurance information
• Social Security numbers
• Certificate/license numbers
• Internet addresses

• Hospital records
• Identifying characteristics
• Vehicle ID Numbers
• Photographs
• Device identifiers
• Any medium with patient information.

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HIPPA Summary

• Treat guest information as if it was your own.
• Disclose the minimum amount of information
  necessary.
• Only give personal information to those directly
  relevant to care and treatment.
• Patients ultimately make the decision regarding
  the use and release of their information.

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Quiz

• The first step to take when there is an exposure
  to blood/body fluids is to
• A. Report immediately to the Emergency
  Department
• B. Complete an accident report
• C. Notify the clinic manager
• D. Wash the exposed area immediately and
  thoroughly.

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Quiz

• HIV can be spread by occupational needle stick
  injury, sexual contact, during delivery or an
  HIV mother to her baby.
• True or False

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Quiz Cont.

• It is acceptable to share patient information
  with other volunteers.
• A. True
• B. False

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Quiz Cont.

• 4. Which of the following is proper hand washing
  technique
• A. Rub hands together for 5 seconds
  under warm water.
• B. Wet hands with warm water, apply 3 ml of
  soap, rub hands together for 15 seconds
  covering all surfaces of the hands and fingers,
  rinse hands with water and dry thoroughly, use
  a towel to turn off the faucet.
• C. Use warm soapy water to wash palms and
  fingers, dry hands on jeans.

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Quiz Cont.

• Hand hygiene is the single most important way to
  prevent the spread of infection.
• A. True
• B. False

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Answers

• D
• A
• B
• B
• A

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References

• Volunteers in Medicine Institute. (2005).
  Volunteers in Medicine Institute. Retrieved
  April 4, 2005, from http//www.vimi.org
• Volunteers in Medicine Jacksonville. (2004).
  Volunteers in Medicine Jacksonville Brochure.
  Jacksonville, FL Author.
• Volunteers in Medicine Jacksonville. (2005).
  Retrieved April 4, 2005, from http//www.vim-jax
  .org
• www.improvingchroniccare.org/tools/index.html