Collegiate Nurse Educators Clinical Orientation …

1 Copy right 2016 by Collegiate Nurse Educators of Greater Kansas City Kansas City Area Nurse Executives Clinical Orientation MANUAL Collaborative Project of Collegiate Nurse Educators of Greater Kansas City and Kansas City Area Nurse Executives 2016 2017 Copy right 2016 by Collegiate Nurse Educators of Greater Kansas City Kansas City Area Nurse Executives INTRODUCTION Changes in the health care delivery system, i ncluding managed care, shorter hospital s tays, acuity of inpatients, and availability of c linical s ites for nursing education, have mandated changes in Clinical nursing education. The Collegiate Nurse Educator s of G reater K ansas City (CNE) and Kansas City Area Nur se Executives (KCANE) established a joi nt Task Force i n 1994 to explor e i ssues of common concern and int erest, i ncluding the impact of t hese changes on nursing education and practice. One major a rea of concern whi ch impacted both nursing education and the practice setting was faculty and student competency and Orientation required in the Clinical s etting.

2 The practice of i ndividual c linical partner Orientation and documentation requirements was costly in terms of both time and money. Consequently, t he joi nt T ask Force developed both a generic Clinical Orientation agreement and an Orientation handbook. The agreement includes a description of a ssumptions regardi ng faculty and staff rol es in clini cal education, documentation and record keeping requirements f or f aculty and students, as well as Clinical partner specifi c and faculty Orientation expectations. The Orientation handbook i s a generic Orientation based on The Joi nt C ommission on Accreditation of H ealthcare Organizations (Joi nt Commission), Occupational Safety and Health Admini stration (OSHA) and Medicare regul ations and recommendations from the Association of Professional I nf ection Control ( APIC) for f aculty use with students. This manual does not take the place of any policies or procedures of a specific institution.

3 Students and faculty are expected to follow the policies and procedures of the institution where Clinical activities are occurring. This handbook is designed to be used at t he beginning of t he Clinical education pr og ram with review and retesti ng for competency on an annual basis thereafter. Student s and faculty are expected to demonstrate 90% competency annually prior t o Clinical experiences. Test r esults will be kept on file at the nursing pr og ram. Thi s document w ill be updated on an annual basis. The Greater K ansas C ity Area N ur se Executives will suggest r evisions to the Chair of t he Collegiate Nurse Educator s of G reater K ansas C ity. It w ill be the responsibility of each Clinical partner to assure t hat updated versions of t he document a re being used by those prog rams who are not members of C ollegiate Nurse Educator s. Thi s joi nt endeavor i nv ol ving education and practice w ill prov ide multiple benefits i n terms of educational, staff, and clerical time and costs and Joi nt C ommission competency documentation.

4 In addition, by m ini mizing time spent on Orientation , students will have mor e time at t he bedside to prepare for t he workfor ce. Client and patient a re used int erchangeably in thi s manual. For further i nf or mation, contact the Kansas City Area Nur se Executives and/or t he Collegiate Nurse Educator s of G reater K ansas C ity. Copy right 2016 by Collegiate Nurse Educators of Greater Kansas City Kansas City Area Nurse Executives ACKNOWLEDGEMENT Many people have contributed to the development of t he Clinical agreement and handbook. In particular, thanks go to the members of t he Kansas City Area Nurse Executives (KCANE), t he members of t he Collegiat e Nurse Educators of G reat er K ansas City (CNE), t he Association of Professional Infection Control , Orientation modules from a variety of health care agencies, Johnson County Community College f or the preparation of the manuscript , and Mary D ailey (KCANE) and Susan Fetsch (CNE) w ho chaired this e ffort.

5 The i nvolvement of so many people i n education and practice is i ndeed a model of collaboration. Copy right 2016 by Collegiate Nurse Educators of Greater Kansas City Kansas City Area Nurse Executives Collegiate Nur se Educators Clinica l Orientation Handbook Table of C ontents Hospital Safety .. 1-3 Fire Safety .. 3-4 Electrical Safety .. 5 Radiation Safety .. 7-8 In fection Prevention and Control Objectives .. 9-16 OSHA Regulat ions for Bloodborne Pathogens .. 17-19 Multiple Drug Resistant Organisms (MDROs) and Other Microorganisms of Concern in Health Care Settings (including MRSA, VRE and Clostridium difficile) .. 21-23 In fection Control Recommendations for Home Care Patients .. 25-26 Hazardous Communications .. 27-29 Risk Management .. 30-32 Disaster Pre pare dness .. 33-3 5 Utility .. 37-38 Patient Rights and Pro fessional Ethics .. 39 2016 Critical Access Hospital National Patient Safety Goals.

6 41-4 5 Hospital Core Measure s .. 47 ANA Code of Ethics .. 49 Policies and Pro cedure s .. 49-50 Personal Conduct Policy .. 50-51 Organizational Compliance .. 51 HIPAA, Privacy and Security .. 53-55 Social Media/Technology Guidelines .. 55-56 Computer Guidelines/I nformation Security .. 57-58 References .. 59 APPENDIX A - Evaluations .. 61-69 APPENDIX B - CNE/KCANE Orientation Competency Examinatio n .. 69-78 APPENDIX C - CNE/KCANE Orientation Competency Exam Key .. 79 APPENDIX D - Amendment A .. 81-87 APPENDIX E - Sample - TB Symptom Screening Questionnaire .. 89 APPENDIX F - Hepatitis B Waiver .. 91-92 APPENDIX G - CNE/KCANE Confidentiality Stat ement .. 93 APPENDIX H - Criminal Background 95-97 APPENDIX I - Part icipating Education Partners and Clinical Partners .. 99 Copy right 2016 by 1 Collegiate Nurse Educators of Greater Kansas City Kansas City Area Nurse Executives HOSPITAL S AFETY General Safety Rules 1.

7 Use approv ed procedures for a ll job functions. 2. Report a ll accidents/incidents t o the appropriate person. 3. Know and compl y with safety rul es and use t he safety equipment prov ided. 4. Report a ll unsafe or hazardous conditions. 5. Obey safety signs and notices. 6. No smok ing is allowed on hospital g rounds. 7. Know personal r esponsibilities in the event of a fire or ot her disaster. 8. Keep personal w or k areas neat and clean. 9. Refrain from horsepl ay. 10. When in doubt, ask the person in charge. Safety Statement It i s t he goal and int ent of Clinical partners t o do all t hat i s r easonabl e t o prov ide a safe and healthy environment. Active cooperation and commitment at a ll l evels are necessary ing red ients i n atta ini ng and maint aini ng thi s goal. Safety Philosophy Safety should never be considered a priority because priorities get shift ed around as t he institution demands.

8 Rather, safety should be considered a v alue associated with every one of t he activities in a wor k routine. Regardl ess of w ork priorities or e mpl oy er demands on a parti cular day, safe practices should occur. Safety should become an aspect of each routine that i s never questi oned, never compr omised. General Safety Lifting and Carrying Lifti ng is so much a part of everyday routine that m ost persons g ive i t little advance thought . Thi s sometimes results in pulled muscles, strains, and sprains of t he back. Many back injuries can be pr evented by pr oper utilization of body mechanics to avert s train when lifting and carrying heavy or bulky m aterials. The following pr ocedure i s designed to make safe use of t he body as a perfect and safe lifting device. Befor e lifting, t hi nk about t he load you ll be lifting. Ask y ourself t he following : C an I lift i t a lone? Do I need mechanical help?

9 Is i t t oo awkward for one person to handle, or should I ask f or help? If t he load is manageable, use t he following techniques t o avoi d injury: 1. Tuck your pelvis by tightening your s tomach muscles you can tuck your pelvis which will help your back s tay in balance while you lift. 2. Bend your k nees Bend at y our k nees instead of at y our w aist. Thi s helps you maint ain your center of g ravity and lets t he strong muscles in your l egs do the lifting. 3. Hug the load Try to hold the object y ou re lifting as c lose t o your body as possibl e, as you gradually straight en your l egs t o a standing Copyright 2016 by Collegiate Nurse Educators of Greater Kansas City Kansas City Area Nurse Executives 4. Avoi d twisting twisting can overload your spine and lead to serious injur y. Make sur e your feet, knees, and tor so are pointed in the same direction when lifti ng . 5. Make sur e t hat y our f ooting is firm when lifting and that y our path is clear.

10 Use the same t echniques when you set y our l oad down. It t akes no mor e time t o do a safe lift t han it does t o do an unsafe lift. Handling Material s All hospital personnel w ho handle any type of materials should: Wipe off g reasy, wet, slippery, or dirty objects befor e trying to handle t hem. Keep hands free of oil and grease and wear prot ective gloves when applicable. Always use appropriate equipment f or material handling such as hand trucks, dollies, carts, etc. Get a firm grip on the object. Keep fing ers away from pi nch point s. Be alert t o the possibl e hazard of burns associated with the handling of hot applications. Avoiding Cuts and Punctures People who practi ce the following simpl e measures spare t hemselves cuts and punctur es: Put away sharp tools when not i n use. Avoi d trying to catch a sharp object or g lass object i f i t s tarts t o fall. Dispose of brok en glass and crockery immediately.