Orientation/Reorientation - apps.dhs.lacounty.gov

1 Orientation/Reorientation Handbook Los An geles Co unty Depar tment of He alth Servi ces 2018 This Handbook was prepared as collaborative effort of many individuals. We appreciate their contributions. CONTRIBUTORS Benjamin Ovando Administration Shawn Phipps, PhD, MS, OTR/L, FAOTA Administration Rochessa Washington Administration Wendy Burton, MS, CCC-SLP Communication Disorders Derek Johnson, MBA Information Security & Privacy Coordinator Bryan Kakehashi, Director, Pharmacy Services Anna Carpena Human Resources Priscilla Alfonso, RN, MSN-ED Quality Resources Management Sandra Villalobos Safety Officer Stefan Bughi, MD Patient Safety Officer Lily Wong, MA, MBA Language & Culture Resource Center Cheryl Brink, MSN, RN Nursing Education Anita Muller, MSN/NED, RN.

2 CRRN Nursing Education Angelica S. Lopez, MSN, RN, CNS, CCRN Nursing Education Laura Del Val, MSN, RN, AGNP Nursing Education Arlesia Preyer, RN, MSN, CIC Infection Prevention and Control Cristina Martinez, RN, BSN Risk Management Sandra Ruiz Supply Chain Operations Charmaine Dorsey, MSW, LCSW Clinical Social Work Chief Leilani Hermosura, RN, NP-c, MS Employee Health Services Dori Smith Food and Nutrition Francis Tang Information Management Systems Nina Vassilian, MPH, MCHES Office of Diversity & Cultural Competency La Tonya Calloway DHS HR, Regulatory Compliance DHS Human Resources Office of Regulatory Compliance Publication Support Irma Urzua Revised July 2018 Quick Reference Rancho Los Amigos national Rehabilitation Center 7601 East Imperial Highway Downey, CA 90242 (562) 385-7111 (562) 385-8450 TTY/TDD DEPARTMENT CONTACT PERSON PHONE Administration (562) 385-7022 Interim Chief Executive Officer Aries J.

3 Limbaga, MSN, MBA, RN, CRRN, RNP (562) 385-7022 Chief Operating Officer Benjamin Ovando, Sr., MBA, FACHE (562) 385-7025 Acting Chief Nursing Officer Michelle Sterling, MFN, ADNS-BC, RN (562) 385-7911 Chief Medical Officer Barry D. Jordan, MD, MPH (562) 385-7161 Chief Clinical Officer Gilbert Salinas (562) 385-8298 Chief Financial Officer Robin Bayus, BA (562) 385-7327 Chief Quality Officer Shawn Phipps, PhD, MS, OTR/L, FAOTA (562) 385-7022 Chief Information Officer Francis Tang (562) 385-7117 Public Information Officer Rochessa Washington (562) 385-7622 ADA Coordinator Lily Wong, MA, MBA (562) 385-7428 Admissions Agnes Bedran, RN (562) 385-6554 Adverse Drug Reaction (ADR) (562) 385-6050 Outpatient Care Services Dennis Wong, MD (562) 385-6260 Audiology Arturo Villegas (562) 385-8258 CART (562)

4 385-6800 Caf Amigos (562) 385-6152 Catering (562) 385-7154 Snack Bar 500 (562) 385-8203 Call Center Gayle Killman (562) 385-7357 Case Management (562) 385-7164 Cashier s Office (562) 385-7493 Central Services Processing (562) 385-7956 Central Clinic I Joseph Quinsay, RN (562) 385-8291 Central Clinic II Mario Ramirez, RN (562) 385-8260 Central Clinic III Wan Hee Cho, RN (562) 385-6828 Central Clinic IV Elizabeth Molina, RN (562) 385-6218 Communication Disorders Wendy Burton, MS, CCC-SLP (562) 385-7687 Compliance Officer Benjamin Ovando, Sr., MBA, FACHE (562) 385-7025 Dentistry Konita Wilks, DDS (562) 385-7251 Facility Police LA County Sheriff Sergeant Michelle Hall (562) 385-7042 Finance (562) 385-7327 DEPARTMENT CONTACT PERSON PHONE Employee Assistance Program (EAP) (213) 738-4200 Employee Health Services Leilani Hermosura, RN, NP-c, MS (562) 385-6016 Environmental Services Anthony Davis (562) 385-7566 Facilities Management Anthony Davis (562) 385-7291 Work Orders (562) 385-7600 Food and Nutrition David Yasutake (562) 385-7151 Foundation Debbie Arroyo (562) 385-7053 Health Information Management Annette Simmons (562)

5 385-7660 HIPAA Privacy Manager Derek Johnson, MBA (562) 385-7565 Human Resources (562) 385-7511 HR Administrator Anna Carpena (562) 385-7311 Employee Relations Karen Hughes (323) 914-8130 Family Medical Leave (323) 914-7892 Return to Work (DHS Risk Mgmt) Angela Day (323) 914-8221 Payroll Sonia Recinos (323) 914-7884 Performance Management Nick Christofer (323) 914-7549 Infection Prevention and Control Arlesia Preyer, RN, MSN, CIC (562) 385-7447 Information Management Services Francis Tang (562) 385-7117 Help Desk (562) 385-4357 Laboratory/Pathology (562) 385-8991 Language and Culture Resource Center Lily Wong, MA, MBA (562) 385-7428 Rancho Research Institute Phil Requejo (562) 385-8111 Linen Service (562) 385-6575 Mail Room (562) 385-7858 Medical Administration Barry D.

6 Jordan, MD, MPH (562) 385-7161 Medical Imaging Amelia Bernabe (562) 385-7535 CT Scan (562) 385-8985 Ultrasound (562) 385-7472 Vascular (562) 385-6772 Medical Library Robert Kelley (562) 385-7696 Medicine Sylvia Shaw, MD (562) 385-8060 Neurology Amytis Towfighi, MD (562) 385-8964 Nursing Administration Aries Limbaga, MSN, MBA, RN, CPRN, RNP (562) 385-6886 Nursing Education Michelle Sterling, MFN, ADNS-BC, RN (562) 385-6214 Occupational & Recreation Therapy Bertha Cabral, BS, OTR-L (562) 385-7464 Pastoral Care (562) 385-7256 Patient Advocate Christopher Blakely (562) 385-7036 Patient Financial Services Helen Soto (562) 385-7338 DEPARTMENT CONTACT PERSON PHONE Patient Safety Officer Konita Wilks, DDS (562) 385-7251 Pharmacy Bryan Kakehashi, (562) 385-7237 Inpatient Pharmacy Lawrence Louie (562) 385-7234 Outpatient Pharmacy Nam Nguyen, (562) 385-7236 Physical Therapy Lilli Thompson, PT (562) 385-7061 Psychology Fernando Gonzalez, (562) 385-8181 Quality Resource Management Priscila Alfonso, RN, MSN-ED (562) 385-7900 Recreation Therapy Christina Webster, RT (562) 385-6323 Referral Office (562) 385-6535 Risk Management Cristina Martinez, RN, BSN (562)

7 385-7842 Safety Officer Sandra Villalobos (562) 385-6672 Sheriff Department Sergeant Michelle Hall (562) 385-7042 Social Work Venise Russ (562) 385-6227 Supply Chain Operations Sandra Ruiz (562) 385-7266 Transportation (562) 385-7858 Urology (562) 385-7441 Volunteer Services Debbie Tomlinson (562) 385-7651 HOTLINES ADA Information (800) 514-0301 Child Abuse .. (800) 540-4000 DHS Compliance .. (800) 711-5366 DHS Patient Safety .. (213) 989-7233 DHS Quality Improvement .. (800) 611-4365 Elder/Dependent Abuse/Adult Abuse .. (877) 477-3646 Fraud (LA County) .. (800) 544-6861 Intimate (Domestic) Partner Violence.

8 (800) 978-3600 Pharmacy .. (562) 385-7234 Poison Center .. (800) 411-8080 Risk Services (24 Hours/After Hours) .. (562) 492-1800 Safely Surrender Baby (SSB) .. (877) 222-9723 Sheriff s Department .. (562) 385-7042 Suicide Prevention .. (877) 727-4747 Rancho Los Amigos national Rehabilitation Center Table of Contents Rancho Los Amigos national Rehabilitation Center 1 Introduction ..1 Rancho s History ..1 Rancho Los Amigos Mission, Vision & Values ..2 Los Angeles County Strategic Plan ..4 Customer Service 5 Customer Service Philosophy ..5 Teamwork ..6 The Joint Commission 10 The Joint Commission s Shared Vision, New Pathways.

9 10 Survey Process .. 10 Accreditation Participation Requirements ( ) .. 11 Patient Safety Program 12 Just Culture .. 14 national Patient Safety Goals .. 14 Deteriorating Patient Condition .. 16 Fall Prevention and Response .. 17 Staff Rights and Responsibilities 20 DHS County Emergency Protocol .. 20 Staff Rights .. 21 DHS Compliance Program and Code of Conduct .. 21 Procurement Process .. 25 Training and Competency .. 26 Professional Credentials (License/Registration/Certification/Perm it) .. 27 Criminal Background Checks .. 28 Professional Appearance .. 29 Attendance/Tardiness .. 29 Health Screening.

10 29 Smoking Policy .. 30 Substance Abuse .. 30 Employee Assistance Program (County Employees Only) .. 30 County Policy of Equity .. 30 Acknowledgement of Employee Responsibilities .. 36 Cultural and Linguistic Competence .. 36 Workforce Behavioral Expectations .. 40 Threat Management Zero Tolerance .. 40 Abuse Prevention, Sexual Abuse, Sexual Coercion (Inappropriate Behavior Toward a Patient) .. 42 Reporting of Abuse/Neglect Incidents .. 43 Reporting Suspicious Injuries .. 44 Safely Surrendered Baby (SSB) Law .. 44 Americans with Disabilities Act (ADA) .. 45 Rancho Los Amigos national Rehabilitation Center Patient Rights and Services 46 Patient Rights and Responsibilities.