Mandatory Education Self Study - Avera Health

Mandatory Education Self Study

1000 West 4th Street, Suite 9 Yankton, SD 57078 (605) 668-8475 Fax: (605) 668-8483

E-mail: averasolutions@

? 2013 by Avera Education & Staffing Solutions

GOAL: This mandatory self-study will review

the training topics required on an annual basis.

TARGET AUDIENCE: All Temporary Staff

OBJECTIVES: Upon completion of this self-

study, the participants will have reviewed the following topics:

? Fire Prevention and Response

? Emergency Procedures & Preparedness

? Infection Control and Prevention

? Accident Prevention and Safety Procedures

? Proper Use of Restraints

? Patient and Resident Rights

? Confidentiality of Patient or Resident Information

? Incidents and Diseases Subject to Mandatory Reporting Procedures

? Care of Patients or Residents with Unique Needs

? Dining Assistance, Nutritional Risks, and Hydration Needs of Patients or Residents

INSTRUCTIONS: All Avera Education &

Staffing Solutions temporary employees are required to complete a minimum of yearly education covering topics mandated by the governing bodies overseeing the healthcare facilities we serve.

Topics covered are indexed at the beginning of this education packet.

Carefully review all the information provided in this document.

When finished with your review of the materials, please complete the post-test. An answer sheet is provided. You may wish to print the post-test and answer sheet prior to reviewing the material. You may send us the answer sheet only, or you may answer the questions directly on the posttest.

The completed post-test or answer sheet must be returned to the AESS offices in order for you to receive credit for completing yearly mandatory education requirements.

If at anytime you experience any difficulties opening this document, or have any questions about the information being presented, please call the AESS Temporary Staffing Coordinator.

? 2013 by Avera Education & Staffing Solutions

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INDEX OF TOPICS

SECTION 1

Fire Safety Causes of Fire Responsibilities of a Health Care Facility RACE PASS Oxygen Safety

SECTION 2

Emergency Preparedness Disasters Weather Responsibilities of a Health Care Facility Winter Weather Bomb Threats

SECTION 3

Infection Control Chain of Infection Transmission Protection Handwashing Bloodborne Exposure Mandatory Reporting What to Report

SECTION 4

Accident Prevention and Safety Procedures Body Mechanics Ergonomics Material Safety Data Sheets (MSDS) Hazard Communication Lockout/Tagout Workplace Violence

SECTION 5

Resident Rights Patient and Resident Rights Confidentiality Employee Confidentiality Privacy Restraints Abuse and Neglect

SECTION 6

Clients with Unique Needs Hearing Impaired Visually Impaired Stroke Victim Age Specific Needs

SECTION 7

Dietary Needs of Residents Nutrition and Hydration Assisting a Patient/Resident Recognizing and Reporting Consequences Interventions

SECTION 8

Corporate Compliance

POST TEST ANSWER SHEET

? 2013 by Avera Education & Staffing Solutions

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FIRE SAFETY

CAUSES OF FIRE ? Smoking and matches ? Defects in heating system ? Improper rubbish disposal ? Misuse of electricity ? Spontaneous ignition Fire is a possibility anywhere at anytime in a healthcare facility, and providers always need

to be on the lookout for possible causes of fire; be ready to intervene immediately to prevent a fire from starting. Listed above are some common causes of fire in the workplace. The most common cause of fire is from smoking and matches. Healthcare facilities by law are smoke free; residents, patients, visitors, and staff all need to utilize the designated smoking location outside of the building. Just because the smoke free policy is in place, does not mean that a resident or a patient will not try to smoke!

The maintenance department is responsible for the heating system, anytime a problem or a smell of something burning is noted, report it immediately so maintenance can investigate before a fire breaks out. Follow facility protocols when throwing certain items away such as aerosol cans and batteries. These items can be an explosion risk especially if the facility uses an incinerator.

In addition, always watch for frayed cords or exposed wires in electrical cords and discontinue use of the equipment until repaired. Never use a piece of equipment if it shocks or sparks when plugging in or turning it on. Mark it with a lockout tagout indicator and send it for repairs. Extension cords should not be used or run across floors or under carpeting. If an extension cord is needed for a short period of time make sure the cord is in good repair and has a three prong grounding connector.

Housekeeping should ensure cleaning chemicals are stored appropriately in a well ventilated area. Spontaneous ignition could occur if fumes are allowed to mix. In summary, fire safety is the responsibility of everyone.

RESPONSIBILITIES OF A HEALTHCARE FACILITY ? Know the floor plan of the facility ? Know the exit routes ? Know the location of fire alarms and fire extinguishers ? Know how to report a fire ? Know the facility's plan and your role The healthcare facility will have a fire plan in place and it is the responsibility of each

employee to be familiar with the plan and know how to respond and report in the event of a fire. Whenever a healthcare provider is in a new facility, check the location of all of the exit routes; be aware of where the fire pull stations and fire extinguishers are located. It is easy to "think" one can locate these items; however this may need to be done in a dark, smoke filled hallway with only memory and familiarity of the facility to guide the employee. Many healthcare facilities will have a sticker on the phones to tell one where to call in the event of a fire; however, do not rely on this! Review the policy and know if the facility utilizes a specific phone

? 2013 by Avera Education & Staffing Solutions

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FIRE SAFETY

number, or a specific code phrase such as "Code Red" or "Code Orange" followed by an announcement of a location. Finally, always review the fire plan of the facility. In general, most will follow the RACE plan; know each department's role in this plan.

Routinely look for situations that could cause harm to a resident or hamper the notification or evacuation process. For example, if a resident or a patient is sitting in the direct line of a fire door, move that resident to one side or the other. Fire doors close quickly and with great force which could seriously injure someone in its path. Keep in mind fire doors can shut with a power surge or loss of electricity, not just with the activation of the fire pull station. Do not park equipment or food carts, wheelchairs, housekeeping carts, etc. directly under a fire pull box or fire extinguisher. Equipment should not be stored in the hallway if at all possible. The more clutter in the hallway, the increased risk of blocked exit routes in the event an evacuation is necessary.

Always think and be prepared for a fire. They can happen at a moment's notice anywhere, anytime of the day!

RACE

R = Rescue anyone in danger

A = Activate the alarm

C = Confine or contain the fire

E = Extinguish or evacuate

If the decision has been made to fight the fire, remember the acronym PASS to help utilize the extinguisher.

PASS

P = Pull the safety pin A = Aim at the base of the fire S = Squeeze the trigger handle S = Sweep from side to side

Most extinguishers will be the ABC or "all-purpose" extinguishers that are compatible with any type of fire; normal combustibles like paper and fabric, grease or oil fires, electrical fires or chemical fires. The all-purpose fire extinguisher contains foam to help suffocate the oxygen from the fire.

Most extinguishers will last only 3-20 seconds depending on the size of the extinguisher. If the extinguisher empties and the fire is still burning, drop the extinguisher and get to safety! Remember, things can be replaced, but people cannot!

? 2013 by Avera Education & Staffing Solutions

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FIRE SAFETY

OXYGEN SAFETY ? No smoking or open flames ? Adequate space around concentrators ? Appropriate procedure when "cracking" portable tank ? Aware of what can start a fire when oxygen is in use (electricity sparks, static) ? Keep portable tanks upright and secure in vehicles Oxygen is worked with on a daily basis; therefore knowledge of oxygen safety is crucial.

Remember that oxygen itself is not flammable; the danger is when the oxygen is accompanied by a heat source and a fuel source to complete the fire triangle recipe. The oxygen will help to feed the fire and sustain its duration while it finds more fuel to burn and increase in size. Therefore, eliminating the oxygen source is the best way to stop a fire. If possible, one should shut the oxygen off and shut windows and doors to cut down on the air flow to minimize or eliminate the fire.

While working with oxygen tanks and oxygen concentrators, always think of safety. If one is not sure how to "crack" a tank or refill a tank, read the procedure and ask for help. When tanks are incorrectly "cracked" a tank could become a projectile missile and cause injury if it should be dropped or knocked over. The oxygen concentrators should be monitored closely to ensure that there is at least one foot of clearance all around the perimeter of the machine to provide the best circulation of the room air, which is absorbed and concentrated then delivered to the patient or resident. One should be observant of any bed linens, curtains, walls or furniture that is pushed up next to the concentrator. Finally, follow the facility protocol regarding shutting off the concentrators when not in use. Some facilities ask that the machines remain on at all times because once turned off, the concentrators need 10-15 minutes to reach therapeutic levels and a resident could become very short of breath and anxious during this time.

? 2013 by Avera Education & Staffing Solutions

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EMERGENCY PREPAREDNESS

Healthcare facilities need to be prepared for any type of a disaster including natural disasters, man-made disasters, fire, or threats of terrorism. The following section will discuss the above types of disasters and how a healthcare facility should prepare for such a disaster.

Whenever a situation or a question should arise while you are working in a facility, refer to the policy manual or the Emergency Preparedness Manual.

DISASTER A disaster is a natural or man-made event that significantly disrupts the environment of

care, such as damage to the facility and grounds due to severe weather or fires. Also included are events that disrupt care due to loss of utilities, civil disturbances, floods, accidents or emergencies in the facility or community.

The definition of a disaster in accordance with Emergency Preparedness refers to an event that prevents the normal routine of care from being carried out.

There are two types of disasters, an external disaster and an internal disaster.

EXTERNAL DISASTER ? An event which requires expansion of facilities to receive and care for a higher than normal number of victims. External disasters cause little or no damage to the facility or staff, such as: ? Plane crash ? Food poisoning ? Industrial accident

If you are working in a long-term care facility, chances are that an external disaster will not hold much impact. You still must refer to the facility policy to determine your role in the event of an external disaster.

If you are working in a hospital, you could see the biggest impact of an external disaster because of the need to put the Emergency Plan into action. Depending on the severity of the external disaster the facility could receive a large number of casualties and injuries at one time. It may be necessary to call in extra staff and triage the injuries.

? 2013 by Avera Education & Staffing Solutions

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EMERGENCY PREPAREDNESS

While it is not expected for temporary staff to know the Emergency Preparedness Plan for each facility, please locate the facility's policy manual or Emergency Preparedness manual for review and referral.

INTERNAL DISASTER ? An event which causes or threatens to cause damage and injury to the medical facility, staff, patients and residents. ? Fire ? Tornado ? Flooding ? Bomb Threat/Explosion

The internal disaster could affect any type of facility by destroying all or part of the physical structure of the building. A hospital will have the biggest challenge if an internal disaster occurs as it will likely be receiving victims of the disaster for medical treatment. Patients in the hospital and/or the residents in a long-term care facility may need to be evacuated to another healthcare facility. Refer to the facility's emergency preparedness policy for an outline of the disaster plan.

WEATHER RELATED TERMS ? Weather Watch: Conditions are favorable for severe weather. Used to increase public awareness about where severe weather is most likely to occur (time of preparedness). ? Weather Warning: Issued when severe weather has been reported by weather spotters or radar. Indicates imminent danger to life and/or property to those in the path of the storm (time of action).

The above terms should not be anything new; however, some individuals confuse the two phrases. These phrases refer to spring and summer severe weather only. The National Weather Service will issue a severe weather watch (tornado or thunderstorm) when the atmosphere has the right ingredients for producing a storm. For example, the day may be a hot, humid day with lots of sunshine and strong winds, ideal conditions for strong storms to develop.

The weather watch is the time of preparedness when the person in charge should review the policy and give assignments to personnel according to the policy. During this time, curtains should be closed, windows shut, pillows and blankets gathered for all residents/patients, visitors and staff. Chairs for ambulatory residents/patients should be placed in the hallway outside the room and special provisions should be made for those with special needs. For example, portable oxygen tanks should be ready for those needing oxygen as well as ensuring all pumps and lifesaving equipment are plugged into the emergency generator outlets, in most facilities the red outlets.

? 2013 by Avera Education & Staffing Solutions

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