OR - Training and Orientation of Operating Room Staff PDF

1 OR - Training and Orientation of Operating room StaffPDFDISCLAIMER LEGAL NOTICE: This PDF was requested on 10/22/2019 11:11:38 and will be made available in theLucidoc application until midnight on the requested day. PDFs should not be used as official documentation. Contents ofofficial documents are subject to change without notice. Lucidoc makes no representation or warranty whatsoeverregarding the completeness, accuracy, "up-to-dateness", or adequacy of the information or materials contained refer to Lucidoc for the most up to date LEGAL NOTICE: This PDF may contain confidential information and is intended solely for theaddressee. The information may also be legally privileged. This transmission is sent in trust, for the sole purpose ofdelivery to the intended recipient. If you have received this transmission in error, any use, reproduction, or disseminationof this transmission is strictly prohibited. If you are not the intended recipient, please immediately notify the sender andpermanently delete this 1 - 2019/10/22 18:18:13 Document Title: OR - Training and Orientation of OperatingRoom StaffOwner: Susan J Dempsey Ortega, RN Clinical Nurse SpecDepartment: Operating RoomType: Policy & ProcedureRevision Number: 4 Document ID: 11175 Revision Note:Triennial review: repaired links; updated references; minor formatting.

2 No practice or process changes. Extendingreview date per policy.[Owner changed from Spruce, Kevin to Laing, Brenda by Silva, Natalie on 14-MAY-2018][Ownerchanged from Laing, Brenda to Dempsey Ortega, Susan J by Silva, Natalie on 28-FEB-2019]Document Links:(Page 6) OR OSL - SA(Page 11) OR OSL - PCA(Page 16) Competency Assessment Validation Program(Page 21) Employee Educational Training - Mandatory(Page 26) OR - Reference Statement(Page 28) Role-Based Patient Care by Scope of Practice(Page 33) Orientation Of Patient Care Providers(Page 37) OR - ORT Orientation & Training (Page 39) OR - RN Orientation & Training (Page 41) OR - UAP, PCA , ST, SPA etc. Orientation & Training (Page 43) OR - Anesth Tech, Anesth LVN, SPA, Orientation & Training (Page 45) OR OSL - RN(Page 52) OR OSL - ORT(Page 57) OR OSL - Unit Clerk(Page 62) OR OSL - Anesthesia Tech(Page 68) OR OSL - SPA(Page 73) OR OSL - Housekeeping(Page 76) OR OSL - Nurse ExternPage 2 - 2019/10/22 18:18:13OR - Training and Orientation of Operating room StaffPolicy & Procedure Number11175 Policy ManualOperating RoomTypePolicy & ProcedureDocument OwnerDempsey Ortega, Susan JEffective Date02/22/2017 Next Review Date01/31/2020 Application Scope (Applies to)CCMC Surgery CRMC Surgery FHSH Surgery Status / Rev #Official (Rev 4)Keywordsorientation, trainingI.

3 PURPOSEA. To guide Staff , educators, preceptors and management in providing an appropriate Orientation and Training programfor Staff new to the Operating room (OR).II. POLICYA. Newly hired employees in the OR are to participate in a consistent, role-specific Orientation and Training Clinical standards and skill competencies are to be in alignment with unit-specific OR policies of Community MedicalCenters, recommended practices of the Association of peri-Operative Registered Nurses (AORN), and otherresources as detailed in the OR Reference Ongoing Training and competency assessment are to be done consistent with corporate Human Resources PROCEDUREA. Refer to the attached flow charts for a visual graph of the general flow of Orientation and Training bylicensure, scope of practice and job Registered Nurse (RN)2. Operating room Tech(ORT)3. Unlicensed Assistive Personnel - PCA, SPA, ST, Anesthesia Tech and Anesthesia LVNB. All newly hired OR personnel are to attend Corporate Orientation and Clinical Staff Orientation , as applicable to theirjob See Patient Care policy, Orientation of Patient Care Orient the new employee to the physical unit, unit safety precautions and expectations, and overallunit routines.

4 Follow the "First Day Safety Documentation" as a Assess learning needs of the newly hired Staff , and provide Training with the help of one ormore assigned preceptor(s) for specific skill sets required in the Establish initial competencies using the role-specific Orientation skills Lists (OSL) as a OR OSL - RN2. OR OSL - OR Tech (ORT)3. OR OSL Unit Clerk4. Page 3 - 2019/10/22 18:18:134. OR OSL PCA5. OR OSL SA 6. OR OSL Anesthesia Tech7. OR OSL SPA 8. OR OSL Housekeeping9. OR OSL Nurse Extern F. Familiarize the newly hired Staff with their specific limitations and responsibilities by job description,licensure and role. See Patient Care policy, "Role-Based Patient Care by Scope of Practice."G. Orient the new employee to the availability and use of on-line Training resources, such as:1. Policies and Procedures - corporate and OR unit-specific2. Digital Training modules ( AORN, T3 by Medcom/Trainex, etc.)3. Healthstream Learning Center (HLC) modules4.

5 Lippincott Nursing skills modules as they apply to OR care of the patient 5. Others as applicableH. Consider organizing a rotation through the Sterile Processing Department as appropriate and Follow corporate policies for ongoing Training and annual competency validation. 1. Human Resources: Employee Education andTraining2. Human Resources: Competency Assessment Validation ProgramIV. DOCUMENTATIONA. Complete and submit in a timely manner, copies of the following to Human Resources:1. First Day Safety Orientation Check Off List Competency Evaluation2. New Employee Orientation to Department3. Orientation skills List4. Competency Assessment Validation formsB. Complete as assigned HLC learning modules and REFERENCESC omprehensive Accreditation Manual for Hospitals, Human Resources, *HR Tile XXILA ssociation of PeriOperative Registered Nurses. Guidelines for Perioperative Practice. Denver, CO: AORN; 2016. ReferencesReference TypeTitleNotesDocuments referenced by this documentReferenced DocumentsAnesthesia Tech and Anesthesia LVNR eferenced DocumentsCompetency Assessment Validation ProgramReferenced DocumentsEmployee Education and TrainingReferenced DocumentsOR OSL PCAOR OSL - PCAR eferenced DocumentsOR OSL SA OR OSL - SAReferenced DocumentsOR OSL - OR Tech (ORTPage 4 - 2019/10/22 18:18:13 Referenced DocumentsOR OSL - OR Tech (ORT)Referenced DocumentsOR OSL - RNReferenced DocumentsOR OSL a?)

6 ? Anesthesia TechReferenced DocumentsOR OSL a?? HousekeepingReferenced DocumentsOR OSL a?? NurseExternReferenced DocumentsOR OSL a?? PCAR eferenced DocumentsOR OSL a?? SPAR eferenced DocumentsOR OSL a?? Unit ClerkReferenced DocumentsOR Reference StatementReferenced DocumentsOperating room Tech(ORT)Referenced DocumentsOrientation of Patient Care ProvidersReferenced DocumentsRegistered Nurse (RN)Referenced DocumentsRole-Based Patient Care by Scope of PracticeReferenced DocumentsUnlicensed Assistive PersonnelPaper copies of this document may not be current and should not be relied on for official purposes. The current version is inLucidoc 5 - 2019/10/22 18:18:13 Document Title: OR OSL - SAOwner: Susan J Dempsey Ortega, RN Clinical Nurse SpecDepartment: Operating RoomType: FormRevision Number: 1 Document ID: 22710 Revision Note:Updated formatting and included universal service-line additions.[Owner changed from Spruce, Kevin to Laing, Brendaby Silva, Natalie on 14-MAY-2018][Owner changed from Laing, Brenda to Dempsey Ortega, Susan J by Silva, Natalie on28-FEB-2019]This document is listed as a link on the document "OR - Trainingand Orientation of Operating room Staff ".

7 Page 6 - 2019/10/22 18:18:13 Orientation skills / Competency Verification Surgical Services Surgical Assistant Employee Number:_____ Name:_____ Date Completed:_____ Date Original sent to HR:_____ We have a learning organization where the process of self-assessment and continuous improvement is ongoing. This skills list is both a self assessment and a verification of your skills . This determines what you feel you need to learn in order to do your job! 1. Read through the skills checklist 2. Under the "Self Evaluation" section, check the appropriate column next to each statement. Sign and date the last page when you have completed the "Self Evaluation" column. This column is to be completed by the end of the 2nd day of department Orientation . 3. Validate that you reviewed the educational material and policy/procedure by placing their initial and date in the "Orientee Validation" column 4.

8 The preceptor validates that you have verbalized or observed the skill by placing their initial and date in the "Verbalized and/or Observed the Procedure" column 5. The preceptor validates that you have demonstrated the ability to independently perform the skill by placing their initial and date in the "Demonstrated Procedure" column. Task/Skill Self Evaluation Orientee Validation Preceptor Validation Able to Perform Needs Some Direction Reviewed Educational Material and/or Policy/Procedure Verbalized and/or Observed the Procedure Demonstrated Procedure Corporate Corporate Orientation First Day Checklists Clinical Staff Orientation Department Overview Tour Dress code Manual location Meetings Phone Mailbox Locker Keys Badge Access Parking Check My "Timecard" Forum SharePoint Surgical Services Pneumatic Tube System (PTS) Interpreter Use Page 7 - 2019/10/22 18:18.

9 13 Orientation skills / Competency Verification Surgical Services Surgical Assistant Interdepartmental Communication/pagers HIPPA IRIS OR Etiquette/ Customer Service Resource Management Ordering supplies Patient Safety Body Mechanics Safe Pt Handling/ Emp. Injury Latex Allergy Universal Protocol * SCIP Measures/ NPSG Infection Control Hand washing Body Substance Precautions Personal Protective Equipment Hazardous Waste Disposal (Sharps/ Red Bag) Isolation Precautions (Contact, Respiratory, TB) Exposure Control Plan and follow-up, ( needle stick) Performance Improvement Unit Specific Indicators/PI Projects Notification Forms Patient Satisfaction Customer Service Customer Complaints Patient Protocols Technical Partner (General Information) Unit education/competencies (Code Blue ed.) Call Procedure Requests for day off, change in schedule and vacations CPR Manual Location Unit specific Patient Care Lippincott Procedures book Human Resources Safety Infection control Page 8 - 2019/10/22 18:18.

10 13 Orientation skills / Competency Verification Surgical Services Surgical Assistant Medical Staff directory Medical Staff Privilege Binder SS hazardous materials list SS safe practice list Job description/performance evaluations Competencies Yearly Competencies Team Leader procedure Absence/attendance reporting Surgical Assistant Didactic Training Transport Patient transfer (bed to bed) Positioning/Positioning devices OR table and attachments Shave preps Specimen handling Sterile technique Surgical hand scrub Gowning and gloving Autoclave operation and monitoring Sterile supplies: storage, shelf life, and rotation The Steris System Laparoscopy: instrumentation, video equipment room cleaning/turnover Basic Technical Partner skills Stocking Stock returns Picking cases routine Postmortem care Assisting with spinal anesthesia Latex free procedures Blood transport Customer relations Patient confidentiality Transporting patients Chart pack assembly Addressographing OR records Biopsy cases Equipment Care and Location Storage areas Sticker outdates Page 9 - 2019/10/22 18:18:13 Orientation skills / Competency Verification Surgical Services Surgical Assistant Bovie Fracture table OR furniture Microscopes Positioning equipment Anesthesia monitors Anesthesia machines Instruments: sterile & nonsterile Tourniquets Video equipment Pneumo-tanks.