Required Orientation Clinical Topics for Clinical Staff

Required Orientation Clinical Topics for Clinical Staff

I acknowledge that I have received a copy of "Required Orientation Clinical Topics for Clinical Staff" including the following content areas:

Needs of the Dying Patient

Fall Reduction

Pain Management

Restraints and Seclusion

Abuse, Neglect and Exploitation

Reporting a Change in Patient Condition

Organ Donation

Impairment in the Workplace

Population Served

Infection Control

I agree that it is my responsibility to: Read this packet of information. Ask questions if I need additional information regarding any information covered in this packet.

Abide by and observe any policies and procedures of The Johns Hopkins Hospital which are generally outlined in this packet.

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This packet includes basic information on many important topics relevant to working at The Johns Hopkins Hospital (JHH). Where possible, references are provided. It is not meant to be an all-inclusive study. Your department, office or unit may require more extensive education in any of the above areas. Please see your manager for more information.

2016 version

Overview

Introduction

Most patients in the hospital die in the midst of an exacerbation of a chronic illness. Clinicians and families may not be prepared to address issues of dying because the patient came to the hospital for help to reverse the condition.

Careful symptom management and attention to psychosocial and spiritual issues will help both the patient and the family who will live out their lives with these final memories of their loved one.

Goals May Change

Goals

A patient may be admitted with the goal of curing or reversing a condition. As the illness progresses, however, the goals may change. New goals may include:

? rehabilitation

? prolonging life so the person may see a grandchild marry or graduate

? not prolonging dying

? or providing comfort in dying

Once these new goals are established, the particular treatments to meet the goals are decided in discussions between the team and the patient and family. Goals for cure and for palliation (i.e., symptom management) can be simultaneous.

Goals

Resources for Establishing Goals

Sometimes there are conflicts among clinicians or with clinicians and families regarding the goals of care. There are JHH resources to help address such conflicts.

? Adult Pain and Palliative Medicine

Service referrals can be ordered through EPIC or Ping. Pediatric Palliative Care consultation is available via PING.

? The JHH Ethics Service can be

paged for assistance when conflicts arise. The Ethics Service pager is 3-6104.

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