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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