Orientation and Annual Inservice Self Study Module

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Orientation and Annual Inservice Self Study
Module

• Linda Matranga QI Showcase 2009

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The Problem

• Providing annual mandatory inservices to all
  employees
• Providing accurate and consistent info
• Cost
• Past methods had issues

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The Solution

• A self study module
• Can be distributed annually
• Can be updated annually
• Save cost in wages
• Print ourselves
• Gets all managers involved

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Development

• Researched the Web
• Began with a draft from info found on the web
• Used content from past inservices
• Asked all department managers to review and
  provide input on content

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Development

• Each draft (6) reviewed by Directors or Managers
• Developed a Process for distributing, testing,
  and documentation of completion
• Developed Test Questions
• All was reviewed by managers

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Content

• Overview
• Mission/Vision/Values
• Strategic Goals
• Leadership
• Types of Care

• Providing the Best Healthcare Experience Possible
• PMC Staff Expectations
• Professional Etiquette

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Content

• Key Policies and Highlights
• Quality Improvement
• Corporate Compliance
• Patient and Resident Confidentiality
• Resident Rights
• Cultural and Religious Diversity

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Content

• Chapter Three Key Policies and Highlights
• Age Specific Guidelines
• Patient Abuse Recognition and Reporting
• Long Term Care Resident Abuse
• Reporting Suspected LTC Resident Abuse
• Employee Policies and Benefits

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Content

• Environment of Care
• Emergency Management
• Fire Safety
• Hazardous Materials
• Worker Safety

• Healthy Back
• Security
• Utilities
• Medical Equipment
• Event Reporting

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Content

• Standard and Transmission based Precautions
• Drug Resistant Organisms
• Tuberculosis
• Blood Borne Pathogens
• Work Restrictions When You Are Sick

• Infection Control
• Hand Hygiene
• Personal Protective Equipment (PPE)
• Decontamination
• Annual Flu Vaccine

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Annual Inservice -The Process

• Human Resources will produce and distribute
  modules and answer key to managers.
• Manager/designee will distribute modules to their
  employees. Post Test will be due back to the
  manager within two weeks.
• Employees will read the module and complete the
  Post Test.
• Employee will return the Post Test to their
  manager.
• Managers will correct each test. A passing grade
  is 90 (0-3 answers incorrect).

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Annual Inservice -The Process

• If the employee receives a passing score, the
  manager will notify the employee.
• If the test score is less than 90 (4 or more
  incorrect), the test will be returned to the
  employee for review and correction. The manager
  may review and correct the test with the
  employee.
• The manager will document the employee name and
  date of completion on the Orientation and Annual
  Inservice Employee Completion spreadsheet
  located in G/Orientation.
• Documentation of module completion will be due
  one month from distribution of the modules. When
  all employees in the department have completed
  the module and documentation in the spreadsheet
  is also complete, notify HR via email.

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Annual Inservice -The Process

• In the event an employee is unable to complete
  the module due to seasonal employment, leave of
  absence or medical leave, etc., then the manager
  will retain the module for completion upon the
  return of the employee. The manager will make a
  note pending in the date column for that
  employee on the spreadsheet.
• Completed tests may be discarded once completion
  is documented on the spreadsheet.
• Human Resources will monitor the Orientation and
  Annual Inservice spreadsheet for completion.

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Orientation-The Process

• The module will be part of the hiring process.
• Human Resources (HR) will distribute modules to
  newly hired employees upon hire. Post Test will
  be due back to HR within two weeks.
• Employees will read the module and complete the
  Post Test.
• Employee will return the Post Test to HR.
• HR will correct each test. A passing grade is 90
  (0-3 answers incorrect).

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Orientation-The Process

• If the employee receives a passing score, HR will
  notify the employee.
• If the test score is less than 90 (4 or more
  incorrect), the test will be returned to the
  employee for review and correction. The HR may
  review and correct the test with the employee.
• The HR will document the employee name and date
  of completion on the Orientation and Annual
  Inservice Employee Completion spreadsheet.

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Next Step

• Implement
• Analyze
• Survey Staff

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Questions?