Student Orientation

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Student Orientation

• Sandy Heresa
• Manager Staff Development
• KSMC
• 8/06

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Mission

• Preserve and improve our patients health
• Provide high quality, affordable care
• Provide excellent customer service
• Partnership to achieve an excellent work
  environment

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Who We Serve

• Salem to the South
• Longview/Kelso to the north
• Clark County of SW Washington
• Division/Rockwood to the East
• Beaverton/Hillsboro to the west

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Who We Serve

• 454,000 members in NW
• 171,000 KP Dental members in 15
• clinics

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Pain Management

• All patients assessed and documented for
  acceptable level of pain on a 0-10 scale
• Each patients response to pain intervention is
  documented in medical record
• Annual training related to pain management

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Pain

• Pain is what the patient tells us
• Assess for acceptable level of pain and document
• Pain---the 5th Vital Sign

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Medical Legal
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Medical Legal Documentation Issues

• Do not
• Document incident report completed
• Do not
• Tell patient or family member that everything
  will be taken care of.Kaiser is responsible

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Medical Legal Documentation Issues

• Do Not
• Alter the medical record after the fact,
  trying to clarify or protect yourself
• Late notation is ok if noted as such
• Do not use white-out or mark out a notation in
  the chart

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INFECTION CONTROL

• ITS EVERYONES BUSINESS

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ROUTES OF TRANSMISSION

• Contact
• 1. direct
• 2. indirect
• 3. droplet
• Vehicle
• Airborne
• Vector

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DIRECT CONTACT

• Person to person spread
• Actual physical contact between source and
  patient.

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INDIRECT CONTACT

• Patient comes in contact with contaminated
  intermediate object.
• Intermediate object is passively involved in
  transmission.

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DROPLET

• Large particles that rapidly settle out on
  horizontal surfaces.
• Brief passage of infectious agent through the air
  (usually a distance of 3 ft or less).
• Infected person and susceptible host need to be
  relatively near each other (e.g. talking,
  sneezing, or coughing).

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AIRBORNE

• May involve varying distances between source and
  susceptible host.
• Organism contained within droplet nuclei or dust
  particles.
• Organisms suspended in air for extended periods
  thus may be spread through ventilation systems.

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HAND HYGIENE

• The most important measure you can use to prevent
  the spread of infection

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STANDARD (UNIVERSAL) PRECAUTIONS

• Consider all patients potentially infectious
• Use appropriate barrier precautions at all times

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WEAR GOWNS

• During procedures that are likely to generate
  splashes of blood or other body fluids

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WEAR GLOVES

• When touching blood, body fluids, mucous
  membranes, or non-intact skin of all patients
• When handling items or touching surfaces
  contaminated with blood or body fluids
• Wash hands after removing gloves

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WEAR MASKS andPROTECTIVE EYEWEAR

• During procedures that are
• likely to cause splashes of blood or other
  body fluids (to protect the mucous membranes of
  the eyes, nose, and mouth)

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SAFE HANDLING OF NEEDLES AND SHARPS

• Use appropriate sharps containers
• Discard used sharps immediately
• Avoid recapping needles
• Active safety device

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BLOOD/BODY FLUID EXPOSURES

• First aid
• Report exposure to supervisor
• Fill out Employee Accident Investigation form
• Call Employee Health

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National Patient Safety Goal (JCAHO) Improve
Communication

• Follow do not use list of abbreviations
• Follow established time frames for reporting
  critical lab test results
• Implement a standardized approach to hand offs
  allowing for opportunity to ask and respond to
  questions (SBAR-our tool)

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Communication---SBAR

• S-----Situation
• B------Background
• A------Assessment
• R------Recommendation

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Body Mechanics
Squat when lifting Be aware of posture Turn
dont twist Use legs when lifting not the
back Hold object close to center of body
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Fire Extinguisher

• P Pull
• A Aim
• S Squeeze
• S Sweep at
• base of fire