epworth richmond - agency staff orientation booklet may 2016
Post on 03-Mar-2018
291 Views
Preview:
TRANSCRIPT
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
1/33
Table of Contents
Agency Staff
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
2/33
WELCOME TO EPWORTH HEALTHCARE 4
SECTION 1GENERAL INFORMATION
Nurse Resource Team Office 6
Pay Information 6
Occupational Health and Safety
Safe Moves 7
Emergency Response Codes 8
SECTION 2PATIENT INFORMATION
Patient Admissions 9
Discharges 9
Discharge Lounge 10 Visiting Hours 10
Bedside Handover 10
Patient Rounding 12
Whiteboards 12
Care Guides 13
The 3Ps and the 4Rs 13
AIDET 21
Risk Assessment 21
Progress Notes 22
Point of Care 22
SECTION 3ACUTE WARD INFORMATION
Oncology Area 23
Medical / Surgical Areas 23
Neurology Areas 23
Orthopaedic Areas 24
Intensive Care Unit 24
Emergency Department 24
Cardiac Areas 24
Paediatrics 25
Perioperative 25
Epworth Allergy Specialists 25
Hospital in the Home 25
SECTION 4HOSPITAL INFORMATION
Patient Enquiries 26
Electronic Systems 26
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
3/33
MET System 28
Code BluePaediatric 28
Hospital Medical Fellow 28
Infection Control 29
Staff Injury 29
Risk Management 29
SECTION 5EPWORTH RICHMOND FACILITIES
Food Facilities
CafeteriaEpi Centre 31
Hudsons Coffee Shop 31
Other Facilities
Slades Pharmacy 31
ATM 31
Car Parking 32
Public Transport to Epworth Richmond
Trams 32Trains 32
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
4/33
General Information
Agency StaffOrientation Booklet 4
Welcome to Epworth HealthCare
Epworth HealthCare is a not for profit organisation and has been caring for patients since
1920, when it was first opened as a community hospital with 25 beds and 5 employees.
Today, Epworth is the largest not for profit hospital in Victoria with seven sites; Epworth
Richmond, Epworth Freemasons, Epworth Eastern, Epworth Cliveden, Epworth Hawthorn,
Epworth Camberwell and Epworth Brighton delivering excellent care to our patients. In
2016, the doors of Epworth Geelong will open.
Epworth strives to deliver excellent patient care at all times. The values and behaviours of
Epworth HealthCare are:
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
5/33
General Information
Agency StaffOrientation Booklet 5
Epworth Richmond
The Epworth Richmond site has both acute and rehabilitation beds. Epworth Richmond
specialises in:
Cardiac services
Orthopaedic surgery
Colorectal surgery
Vascular surgery
General surgery
Urology
Neurology and neurosurgery
Breast
Head and neck
Oncology
The Epworth Richmond also has available:
Emergency department (24 hour)
Intensive care unit (ICU)
Hospital in the home (HITH)
Our Commitment to You
Our Commitment to you means that we aim to:
Provide service and care with respect, compassion and integrity
Maintain your confidentiality and privacy
Resolve issues to your satisfaction Respond to your needs and expectations
Work collectively to enhance the quality of service we deliver
Section 1General Information
Your Agency will give you an orientation checklist to complete on your first shift at Epworth
Richmond. You will need to read this booklet to confidently complete the checklist. Once
completed please return a copy to your Agency and a copy to the Epworth NRT department.
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
6/33
General Information
Agency StaffOrientation Booklet 6
Nurse Resource Team Office
The nurse resource team (NRT) office is located on level 2, behind the Business office.
Office hours are:
MondayFriday 0700 - 2130
Public Holidays 07301730
Weekends 08301630
Jo McTaggart is the Nurse Unit Manager (NUM) of NRT. If you have any concerns of issues
please come and speak to Jo or a member of the team.
Contact Details for Jo McTaggart
Email: jo.mctaggart@epworth.org.au
Telephone: 9426 6585 or 9426 6783.
Pay Information
Agency Dockets
To ensure you will receive payment for your time worked, it is imperative to:
Get your docket signed at the ward you are working on o
By the person in charge of shift
oEnsure you document correct ward and hours worked o
Leave copy on the ward worked
Occupational Health and Safety
Safe Moves
Epworth is committed to providing a safe environment for employees and minimizing the
risks associated with the manual handling of patients.
The Safe Moves policy states that Manual lifting of all or a significant proportion of a
patients body weight is to be eliminated in all but exceptional or life threatening situations.
It is expected that you:
Are able to competently carry out safe moves procedures
Use the risk controls (equipment) provided by Epworth
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
7/33
General Information
Agency StaffOrientation Booklet 7
Do not act in a manner that endangers the health and safety of yourself or others
Principles of Safe Moves:
Always carry out a patient risk assessment before any patient manual handling
Use the bed mechanics to work at a safe height
Encourage the patient to participate in their movement where ever safe to do so
Use slide sheets for on bed movement, push / pull using the weight transfer
technique
Avoid twisting of the spine whilst applying a force
Utilise the correct aids (lifting machine, hover matt, hoverjack etc)
All employees must be accountable for their own safety using all equipment and aids
Patient Transfer/ Mobility Risk Assessment:
Every patients mobility must be assessed on admission and a MR 46R or MR 46S
must be completed, reassessed and documented daily
The patients level of risk and any equipment required to assist with movement are
to be recorded as per the codes on the form and the whiteboard
All Epworth clinical employees are expected to undertake induction training on safe moves
and complete a practical safe moves competency annually.
Each unit has trained certain employees to be Safe Moves Facilitators which means they
are a local means of manual handling support, and are responsible for assessing annual safe
move competencies. The Epworth safe moves guidelines are available on the Intranet (Go
to S.A.F.E.; Manual Handling)
Please note:
Each unit will have safe moves information that is specific and pertinent for their practice.
Safe MovesRichmond
OHS Trainer: Tracy Brennan
Email: tracy.brennan@epworth.org.au
Telephone: 9426 8168
Emergency Response Codes
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
8/33
General Information
Agency StaffOrientation Booklet 8
In the event of an emergency the following codes and phone numbers should be called and
processes implemented.
Code Red Fire and Smoke Break glass alarm and dial 555
Code Orange Evacuate as directed Check all rooms and assemble
Code Purple Bomb threat Dial 555 and notify senior person
Code Black Personal threat Dial 555 and notify senior person
Code Grey Patient threat Dial 555 and state location
Code Blue Medical emergency Dial 555, state location, start BLS
Code Yellow Internal emergency Dial 555, notify senior person, andawait instructions
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
9/33
Patient Information
Agency StaffOrientation Booklet 9
Section 2Patient Information
Patient Admissions
Most elective patients will be admitted through Day of Surgery Admissions (DOSA), however
occasionally some will be admitted directly to the wards. Patients may also be admitted
through the Emergency Department or transferred directly from other health care facilities.
On admission the following must be completed and documented in the patient notes
Full Patient admission (MR 9), all risk assessments (MR 46) and ensure x-rays are
with patient
X2 ID bands (red for patients with allergies) applied, as per Epworth policy
Baseline observations, weight and urinalysis documented on the MR12
Consent form, theatre paperwork signed and pre-operative preparation if required,
i.e. anaesthetic record
Check pathology & radiology
Ensure patient has understanding of the procedure/reason for admission and is
orientated to the ward / bed area
Notify admitting consultant of patient arrival, if not already aware
Discharges
Discharge time is 09.30am
To assist with bed allocations, please use the discharge lounge service, if possible.
Discharge planning commences on admission, however most discharge plans develop
during the period following surgery and are dependent on the individual patients progress.
Documentation for discharge
Discharged to Documentation required Other information to be returned
or forwarded
Patient going directly home Discharge Information
form (MR75)
Return x-ray, belonging and all
patient medications.
Transfer to another Epworth site
(Rehab Richmond, Camberwell,
Hawthorn or Brighton)
Transfer form (MR75B) Collate history and ensure scanned
onto BOSSNET as soon as possible.
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
10/33
Patient Information
Agency StaffOrientation Booklet 10
Patient transfer to other health care
facility
(Rehab, respite, nursing home)
Transfer form (MR75B) Photocopy recent pathology,
radiology reports, observation chart,
current medication chart (make sure
all medications are signed.
Discharge Lounge
The Discharge lounge is located on level 2 near the entrance to Erin Street and is open:
MondayFriday 08301630 hours
The lounge is a comfortable area where patients are able to wait for their transport,
whether this is a care, taxi or an ambulance. The lounge is for patients who have been seen
by a Doctor and are medically ready to go home. Patients are transported to the Discharge
lounge after having a telephone handover. Please ensure that arm bands are not removed
before the patient arrives in the Discharge lounge
Visiting Hours
At Epworth Richmond it is expected that visitors will respect the allocated visiting hours.
Visiting hours 11002000 hours
Patient rest period 13001500 hours
Wards will discourage visitors during the rest period, however if a family member wishes to
visit during this time it will be allowed. For patients in shared accommodation, it may be
necessary to restrict the number of visitors at a time to ensure that other patients in the
same room are not being disturbed.
Bedside Handover
Handover is a concise summary and plan of patient care and should be logical and flowing,
delivered at the patients bedside and include the patient. ISOBAR is a great tool to ensure
you are systematic and do not miss anything.
There are four minimum standards for all clinical handover situations; at Epworth these are:
1. Preparation for handoverThe employees are introduced and have a shared
understanding of the purpose and process, as well as their roles and responsibilities
in handover. The required information, the environment and the patient are well
prepared in advance.
2. Patient participationWhen appropriate, clinicians provide the patient (and/or
carers) with the opportunity to participate in the handover process. For example,
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
11/33
Patient Information
Agency StaffOrientation Booklet 11
ensure you handover in front of the patient so they can hear, introduce staff, invite
the patient to ask questions, confirm or clarify information.
3. Transfer of informationAll information relevant to the safe delivery of ongoing
care for the patient is included in the handover. This will include verbal,
documented and clinical results related information.
Verbal communication will use the handover communication toolISOBAR (adapted
to the context)
Identify Identify yourself, your designation, check and confirm the
patient's name and diagnosis (check ID badges).
Situation
Information on the current status, i.e. why patient is here, anychange in status and treatment of the patient, may include the
urgency of the situation. Check the environment is safe (O2 &
suction working and call bell in reach). Is the patient NFR.
ObservationsCurrent clinical vital signs, clinical assessments and test results
including all attachments (IV lines, PCA ICC etc).
BackgroundBackground issues and relevant history including investigation
findings, previous MET or Code Blue calls.
Assessment Assessment of the current situation, relevant to the
current presentation, patient response to treatment or
interventions
Recommendations /Requests Planned actions, escalation of plan variance, ongoing care
and timeframes
All related documents must be complete and accurate. A checklist specific to the handover
situation should also be used to assist the transfer of care documents, for example an inter
hospital transfer form or discharge from PACU checklist should be used and filed in the
record.
4. Transfer or accountability and / or responsibilityThe receiving clinicians indicate
their understanding of care needs and accept responsibility for the ongoing care and
for managing clinical risks. Sufficient time must be allowed for clinicians to complete
the required safety and document checks and to clarify unclear or incomplete
information (for example, the escalation plan, who is doing what and when).
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
12/33
Patient Information
Agency StaffOrientation Booklet 12
All staff need to double check medication charts for what has been given or not given and
ensure all medications have been signed for, check fluid balance charts,observation and
multi-Day risk assessment form. All infusions need to be checked by the nursing staff at
bedside handover and neurovascular observations and epidural assessments also done at
this time.
Patient Rounding
Hourly Rounding is the best practice in providing safe & quality care tour patients. The
Bedside Hourly Rounding Log (MR46EE) is to be completed hourly from 0700 2200 and 2
hourly from 24000600. Some areas have Point of Carethis allows rounding to be
documented on the point of care system at the bedside. It is an expectation that our
patients are seen by their nurse every hour during the day and every two hours overnight.
With every round
Communicate when you will return
I will be back in about 1 hour
Close with key words
Before I go is everything you need within reach, is there anything else I can do for
you?
Document your round
On the round log record your rounding activity.
Whiteboards
Each patient has a whiteboard near their bed. The whiteboard is utilised to communicate
key care to the patient, family and health care team. Furthermore it identifies key members
of the health care team responsible for caring for the patient during their current shift.
The white board should highlight key risk reduction strategies such as:
1. Date, Day and Month
2. Falls risk Reduction Strategies
3. Thrombosis Reduction Strategies
4. Pressure Injury Reduction Strategies
5.
Pain Management
6. Food & Nutrition
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
13/33
Patient Information
Agency StaffOrientation Booklet 13
7. Discharge Plan
8. Care Plani.e Procedures / Tests
Whiteboards are updated at the start of each shift by the oncoming nursing staff once
clinical bedside handover has taken place and as required during shift.
Care Guides
Epworth Healthcare has moved to a Care Guide based model of care and is a day-
byday plan developed for a specific surgical procedure or patient condition. Each
shift is expected to document in the progress notes utilising a body systems
framework.
The 3Ps and the 4Rs
ADAPT each question to patient needs.
Pain Evaluate the patients level of pain. When rounding on pain, it is
important to adapt the question to the patient, ie; if they are self-
caring and due for discharge you will need to discuss pain
management at home and medications.
Use the whiteboards to communicate pain management plans.
Pan / Personal Hygiene Offer help using the toilet. This is the time to discuss bowelmanagement, fluid balance requirements.
Position Ask whether the patient is in a comfortable position of needs helprepositioning. For ambulant patients and selfcaring patients:
Pressure Ulcer Prevention is also about nutrition discussions,
request the patient move regularly and explain the importance of
mobility.
Rx. Provide any needed medication, inform the patient of anytreatment they may require. Discuss medication management for
patients near discharge; explain why medications are being given.
Appointments: Follow-up care for wound management, etc.
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
14/33
Patient Information
Agency StaffOrientation Booklet 14
Reach Make sure that the patients essential needs (call bell, phone,reading material, etc.) are within easy reach. What is important
for that individual patient?
Respond Ask if there is anything else the patient needs, or they have anyquestions. Listen carefully and respond to any concerns the
patient may have. If you are unsure find out and return with the
answer.
Reassure Express care and concern during your visit. Remind the patientthat someone from the nursing staff will check on them again in
one hour, and tell them at what time that will be.
Hourly Rounding
Why we ask about the 3 Ps and the 4 Rs
Regular monitoring & assessment of pain levelsWhat happens or might happen when a
patient has poorly managed pain / Inadequate relief.
Physical
Discomfort / pain
Delayed wound healing
Restricted movementincreased risk of DVT and / or PE
Restricted breathing if abdominal or thoracic pain leading to increased risk of
pneumonia
Increased stress response learning to hypertension
Reduced appetite
Poor sleeping pattern
Psychological
Lack of trustnurses
Frightened / scared
Angry
Lack of control
Perception that poor pain control equals poor quality of care
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
15/33
Patient Information
Agency StaffOrientation Booklet 15
What Other Problems?
Inability to attend / participate in therapy
Unable to meet therapy goals Increased length of stay in hospital
Higher rates of complication and associated costs
Increase risk of chronic pain development with consequent health care costs
Ward at risk of poor reputation with both patients and doctors
Regular Changing of Patient Position
Physical factors and areas to consider
Mobility
Type of rehabilitation
Continence
BMIunderweight / overweight
Age
Medications
Current analgesia requirements
Nutritional intake
Co-morbidities e.g. diabetes, rheumatoid arthritis
High risk anatomical areas
Buttocks
Sacral crease
Back
Heels
Earparticularly if 02 mask or prongs in use
What happens if pressure is not relieved.
Continual unrelieved pressure leads to:
Decreased tissue perfusion
Ischaemia
Friction / shear force skin tears
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
16/33
Patient Information
Agency StaffOrientation Booklet 16
Stage 1 pressure ulcernon-blanchable redness that does not subside after
pressure is relieved
Increased length of stay
Risk of pressure sore worsening
It is important to ensure that patient moves / changes position (relieves pressure in key
areas) regularly. Those with mobility issues need to be assisted / supervised to change.
Patients who are able to mobilise themselves must be told what to do and how frequently
e.g. stand up out of the chair for 2 minutes every hour. Use whiteboards to instruct.
Pressure relieving mattresses are not a substitute for appropriate pressure relieving
regime. Prevention is easier than the cure- pressure sores are painful and slow to heal!
Pan / Personal Needs (Toileting)
Physical factors to consider
Age of patient (over 80 rulehigh fall risk)
Mobility & dexterity
Type of rehabilitation
Continence
Urinary frequency
Medications e.g. diuretics / sedatives
Current analgesia requirements
Co-morbidities and limitations e.g. rheumatoid arthritis, Parkinsons balance and gait
Aids & safety
Footwear
Equipment
Room free of trip hazards
Why do we need to regularly review toileting:
Bowel and urinary incontinence is associated with increased risk of patient falls
Urinary incontinence increases risk of skin deterioration
Some patients embarrassed to ask for assistance and may endeavour to take
themselves to the toilet unassisted
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
17/33
Patient Information
Agency StaffOrientation Booklet 17
Need to assess bowel foundation i.e. anticipate and avoid constipation
If catherer in-situ we need to assess:
o
Output o
Colour o
Draining freely
o Patient
understands
how to
perform
catheter toilet
or provide
assistance if
patient is
unable
Stomas: Bag patent and no leakage
Incontinent patients wearing pads or nappies: changed when wet to prevent skin
excoriation
RxMedications / Treatment as required
Things to considermedication
Are any medications due?
Have any medications been missed?
Does the patient or family need education about self administration of medications
post discharge?
Does the patient or family need additional education about self administration of
Clexane?
How close to discharge are theyhave discharge medications been ordered by their
Doctorif not do they need to be?
How close to discharge are theyhave they had education about their discharge
medications?
Do they require a Webster pack?
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
18/33
Patient Information
Agency StaffOrientation Booklet 18
Do they need additional education about discharge medications?
Things to considerOther treatments
Are any tests or scans due e.g. GGS or X-ray
Are any procedures happening todaydoes patient need to prepare in any way e.g.
fasting or bowel prep?
Allied health interventionstherapy times / follow-up exercises from allied health
that need to be continued on ward
Are any dressings due to be done this shift? Plan an approximate time with the
patient when this will happen
How close to discharge are theywhat discharge education do they need
Consider:
ReferralsRDNS, etc
Wound and dressing management
Drain management
Nutrition
Communicate treatment on the whiteboards
Reach
Why do we need to check that everything the patient needs are within reach?
May have physical limitations e.g. arthritis, restricted movement post surgery
Impaired balance
Physical impairment due to equipment e.g. SCDs, I.V. pump, Charnley pillow, bed
rails
Reduce risk of falls
Vision impaired
Nausea and vomiting
What is important to the individual patient?
Call bell
Telephone
Over-bed table with drinks, magazines and tissues etc.
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
19/33
Patient Information
Agency StaffOrientation Booklet 19
Urinal
Vomit bowl
Walking aids
Respond
Why should we ask the patient if they need anything else or have any questions?
Reduces the likelihood of them using call bell before your next round
Patient feels you care about their wellbeing
Builds a rapport with the patient
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
20/33
Patient Information
Agency StaffOrientation Booklet 20
Reassurance
What is the goal of reassurance?
The patient believes you care and have concern for them
They feel safe
They trust you
They have an approximate time of when you will be back
Reduces the likelihood of them using call bell before your next round
Provides the patient the opportunity for feedback regarding their progress e.g.
rehab goals
Effective Communication: Keeping patients informed using the white boards
The purpose of the white boards is to promote patient safety and enhance effective
communication in conjunction with bedside handover and hourly rounding.
Patients who are kept informed are less anxious and better able to participate in their care
needs and keep themselves safe.
Guidelines:
1.
The information on the white boards in individualised for each patient, they are
updated at least daily in consultation with the patient / carer
2. Updated at bedside handover with the patient and updated when the plan of care
changes
3. Written in language the patient understands, abbreviations may be used if the
patient understands when it means.
4. Template standardised across Epworth Richmond and based on research, patient
and staff feedback.
Patient Call Bells
Reduce call bells and reclaim staff time. Out patients satisfaction results indicate call bells
are increasingly controlling the nurses time. Rounding on the patient for safety and
comfort by proactively addressing the reasons why they use the call bells will reduce the
frequency of the call bells, save staff time and creating a less reactive environment.
According to both international and national research on reasons patients use the call bell:
there are 5 common reasons:
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
21/33
Patient Information
Agency StaffOrientation Booklet 21
1. Pan
2. Pain
3. Proximity
4.
Position
5. Equipment
Globally hospitals have had great success with proactively managing the reasons patients
use the call bell through hourly rounding. The American journal of Nursing (AJN Sept 2006)
reveals that nursing rounds every 1 to 2 hours are associated with:
Reducing call bell usage by 37.8%
Reducing patient falls by 50%
Reducing skin breakdowns by 14% and
Improving patient satisfaction by 12 mean points
Time saved by nurses (based on average of 4 minutes spent in response to each call bell)
equates to 32 minutes a day of extra time.
Excessive call bells distract, break concentration and workflow; this all adds pressure on the
nursing staff. These distractions and perceived work pressure are contributing factors for
staff in making errors.
Time can be saved by being proactive instead of reactive. Proactively addressing the
common reasons patients use the call bell will mean staff will be more in control of their
time.
AIDET
In order to deliver on Epworth Excellence and to provide a consistent, professional and
caring approach, Epworth Healthcare has adopted a practice that must be consistently
carried out - known as AIDET - Acknowledge, Introduce, Duration, Explanation and Thank
you.
Acronym What Why
A ACKNOWLEDGE
the patient / family by name
Make them feel importantthat they
are an individual
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
22/33
Patient Information
Agency StaffOrientation Booklet 22
I INTRODUCE
yourself and your role
So they understand who you are and
what part you may play in their
recovery
D DURATION
Explain how long the session, activity
will take
Give the patient an idea of how long
you will be with them / how long an
activity make take
E EXPLANATION
Explain the treatment, activity or
therapy
So the patient understands what is
about to happen and can ask
questions or raise concerns
T THANK-YOU
to the patient / family
Closure of the interaction
Risk Assessment
All patients have risk forms that need to be filled out to ensure the patient is assessed and
given the appropriate care necessary. The following are the risk forms that are used
regularly on the unit.
Alert Card A1alerts the clinician to any potential allergies
Multi-DayRisk Assessment formMR46RThis form includes patients mobility
status and equipment needed, Falls risk status and preventative strategies, Pressure
injury risk and preventative strategies. This form must be completed daily and when
a patient has a change in condition i.e post operatively.
Progress Notes
At least once a shift as early as possible, post assessment
On return to the ward following a procedure
Any change in patient status
On admission, please include why the patient was admitted and where
Dischargeincluding destination and how the patient was being transported
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
23/33
Patient Information
Agency StaffOrientation Booklet 23
EACH ENTRY MUST BE CLEARLY LEGIBLE, DATED AND SIGNED
ENSURE PATIENT LABEL ATTACHED
Point of Care
Commencing in 2016, Epworth Richmond will be installing the Point of Care (POC) system,
which is currently implemented at Epworth Eastern. Utilising state of the art touch screen
technology, the terminals provide a range of entertainment, education and information
services for our patients.
The implementation of POC at Epworth Eastern has seen a number of outcomes including:
Improved patient satisfaction
Reduction in length of stay
Decrease in the number of Stage 3 and 4 pressure injuries
Decrease in the number of falls
Electronic hourly rounding using a measured and accountable framework to increase
time spent at the patient bedside.
For further information on Point of Care see the Epworth intranet site.
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
24/33
Acute Ward Information
Agency StaffOrientation Booklet 24
Section 3Acute Ward Information
All Epworth Richmond acute wards are located in the Cato building, Erin Street and Lee
Wing. For further instructions on how to access your allocated shift please contact Main
Reception on level 2.
Oncology Area
4ES (Erin Street)
4ES is a 50 bed oncology and medical ward.
DMU (Day Medical Unit)
DMU is a purpose built facility for day treatments.
24 Oncology treatment chairs
16 Dialysis treatment chairs.
3 Sleep study rooms (Monday
Wednesday)
At times, we utilise DMU as a 23 hour short stay facility, when other wards are at full
capacity
Medical and Surgical Areas
5ES (Erin Street)
5ES is a 44 bed ward which specialises in surgical, vascular/thoracics and maxillofacial.
6ES (Erin Street)
6ES is currently a 30 bed acute medical ward, with the capacity to increase to 42 beds.
7ES (Erin Street)
7ES is a 44 bed ward general surgical unit specialising in ENT, General Surgery, Urology and
Gynaecological procedures.
Neurology Areas
4CA (Cato Wing)
4CA is a 33 bed ward comprising of both neurology and neurosurgical patients.
4LE ( Lee Wing)
The 4LE ward will be opening in early April with 39 beds available.
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
25/33
Acute Ward Information
Agency StaffOrientation Booklet 25
Orthopaedic Areas
3NS (Normanby South)
3NS is a 24 bed orthopaedic unit. The procedures range from total joints, to knee scopes and
shoulder surgery.
4NC (Normanby Centre)
4NC is a 14 bed short stay orthopaedic unit.
5LE (Lee Wing)
5LE is a 37 bed ward specialising in orthopaedic surgery.
6LE (Lee Wing)
6LE is a 35 bed ward specialising in orthopaedic surgerymajor joints and spinal surgery.
3CA (Cato Wing)
3CA is a short stay orthopaedic unit with 30 beds available.
Intensive Care Unit
Ground Lee Wing
Our Intensive Care Unit is located on the ground level of Lee Wing and currently has 26 beds
available.
Emergency Department
Lower Ground Lee Wing
The Emergency Department is located on the lower ground floor of Lee Wing and currently
has 35 cubicles including 2 resus cubicles, 4 fast track and 2 negative pressure rooms andpaediatrics.
Cardiac Areas
2LE (Lee Wing)
The Cardiac unit is located on the 2LE and currently has 39 beds including a 10 bedded CCU.
Cardiac bed capacity will increase in mid 2016.
2CA (Cato Wing)
2CA opening on 18th
April will be a 34 cardiology ward.
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
26/33
Acute Ward Information
Agency StaffOrientation Booklet 26
Paediatrics
2TH (Thomas Wing)
The paediatric wing has currently 10 beds and will be increasing to 19 beds later this year
Perioperative
3 Lee Wing
The 6 theatres available on Lee Wing are located on level 3.
Danks Wing
There are 7 theatres and 3 endoscopy units available on level 3 Danks Wing.
SymeNormanby Building
There are 4 theatres available in Syme, located on level 4 in the Normanby Building.
Erin Street
There are 8 theatres located on level 3 in Erin Street.
Epworth Allergy Specialists
Epworth Allergy Specialists care for both adults and paediatric patients. The clinic is located
on level 2, Thomas Wing and operates Monday to Friday from 8.00am to approximately
5.00pm. The clinic is closed weekends and public holidays.
Hospital in the Home
Epworths Hospital in the Home Unit is designed to substituteacute home care for patients
who would otherwise need treatment in a traditional hospital bed. The unit is located on
level 2 in Erin street and maintains a 24 hour, 7 day on call service to accept new patients
and to manage any problems with their admitted patients.
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
27/33
Hospital Information
Agency StaffOrientation Booklet 27
Section 4Hospital Information
Patient Enquires
The maintenance of patient privacy is paramount. It is preferable that all patient enquires
are directed to the patient themselves. Portable phones are available for this purpose. No
information about the patient should be given over the phone unless you have the patients
consent.
Electronic Systems
There are computers located around the ward for staff and can be used to access the
following electronic systems
BOSSnet An online patient management system through which you canaccess all pathology and radiology reports as well as all previousadmission paperwork
CARPS Acentralised system for patient transfers and pick up/transferof items throughout the organisation and can be booked on line
Email Accessible from the desk top under microsoft outlook. Asimportant information will be communicated to employees via
email it is a requirement to check your emails on a regular
basis.
E-mims Accessible from the desk top of all hospital computers
Intranet Accessible through internet explorer on the hospitals homepage. Allows access to hospital departments including human
resources, quality and risk management, library, e-phone list
and care resources (care guides).
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
28/33
Hospital Information
Agency StaffOrientation Booklet 28
Inpatient
Management
(IPM)
Inpatient Management (IPM) is an IT system (live database)
which is one of our main patient management systems.
It is has the following capabilities:
- Admission and discharge information and bookings
- Diet codes
- Document tracking
- Patient appointments
- Reporting
- Theatre views and ward views
- Patient location
-
Printing patient labels- Checking patient information
- Caring doctors
Please confirm your access requirements with your unit
manager
Protocols and
Policies
Accessible via either the computer desk top utilising the
symbol below. Ensure you familiarise yourself with all
Epworth policy and procedures
X-ray Reports Can be accessed by the Epworth Medical Imaging
inteleViewer program located on the desktop.
Access to this is via AutoLogon
MET System
Please see Epworth policies for the full details
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
29/33
Hospital Information
Agency StaffOrientation Booklet 29
Code BluePaediatric
As Epworth is expanding its range of services to patients and Doctors, we are now admitting
paediatrics for day and overnight cases from small procedures to larger orthopaedic and
cardiac cases. If there is an emergency with a child and Code Blue needs to be calledthe
registered nurse (RN) caring for the patient needs to state CODE BLUE PAEDIATRIC.
The code team will consist of Emergency Department Doctors and nurses instead of ICU
Doctors. The team will arrive with emergency equipment suitable for the use of a child. If
you are carding for a child of your shift, there should be emergency equipment available for
you on the ward.
Hospital Medical Fellow
Any concerns about your patient should be raised in the first instance with the consultant. A
Medical Fellow is available to review unstable patients at the request of the consultant.
Remember that if the patient meets MET call criteria you must call a MET call. The Medical
Fellow can be contacted on pager no 6140 and mobile 0400 751 083.
Infection Control
Infection Control supports Epworth in providing support to patients and staff with the main
objective to prevent the transmission of infection. Other department functions include
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
30/33
Hospital Information
Agency StaffOrientation Booklet 30
management of staff and patient needs relating to transmissible diseases, actioning global
and local health alerts and relevant legislative changes.
If you have a splash or sharps incident, please contact the NUM on the ward immediately
and they will contact Infection Control who will follow up all incidents. Infection Control
can be contacted on 9426 8342.
Staff Injury
If you injury yourself whilst on duty, it is your responsibility to report it immediately to
person in charge of the area you are working. You will be required to complete an incident
report on Riskman. It is also important that you report to the Emergency Department to
check the extent of the injury.
Please also contact the Allocations Office on 9426 6261 if you have obtained an workplace
injury so we can manage the situation.
Risk Management
What is a risk?The potential for something good or bad to happen that could impact
on our patients, our employees or the business of the organisation.
Hazards / risks are around us all the time
Risks need to be identified
If not managed, risks can escalate and cause major disruption to patients, employees
and the organisation
What is an accident/incident?This is essentially something that has happened to a
patient, employee, visitor or contractor and the outcome could have harmful or potentially
harmful effects. Incidents to be logged include but are not limited to:-
Incorrect (with hindsight) decision or action
Not following an agreed protocol (without clinical justification)
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
31/33
Hospital Information
Agency StaffOrientation Booklet 31
Incorrect protocol applied
Wrong treatment given
Injury to employees, visitors or patients
Medication errors
Falls
MET / Code blue calls
Patient pressure areas
Faulty equipment
Patient complaints / compliments
If the incident involves you (you witness it or it is one of your patients) or MET/ Code blue,
you will be asked to complete the RISKMAN as soon as possible following the incident You
will be shown how to use RISKMAN during your orientation. Please ensure you ask for
assistance on completing reports until you become familiar with reporting by yourself.
Log in information will be supplied by the NUM on starting work.
All MET calls and Code Blues need to be documented on RISKMAN
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
32/33
Agency StaffOrientation Booklet 32
Epworth Richmond Facilities and Further Information
Section 5Epworth Richmond Facilities and Further Information
Food Facilities
CafeteriaEpi Centre
The Epworth Richmond Cafeteria is open to all employees, patients and visitors.
Monday to Friday 06451900 hours
Saturday 07301830 hours
Sunday 08301830 hours
The cafeteria provides an array of hot and cold food including a sandwich bar and a
selection of hot and cold beverages, magazines, newspapers and an assortment of snacks.
Hudsons Coffee Shop
Hudsons coffee shop is located on level 1 near the Bridge Road entrance. Hudsons
provides hot and cold beverages and a selection of hot and cold food.
Monday to Friday 06001830 hours
Saturday 07001830 hours
Sunday 07301800 hours
Other Facilities
Slades Pharmacy
Slades Pharmacy is located at the entrance on level 1 on Bridge Road. The pharmacy
provides pharmacy services to Epworth inpatients 7 days a week and is also responsible for
providing discharge medications to patients, supplying medication on request and the
restocking of imprest. The pharmacy is open to the public:
7 days a week 08002200 hours
ATM
-
7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016
33/33
There is an NAB ATM located the next to Slades Pharmacy, left at the entrance to the
hospital on Bridge Road.
Epworth Richmond Facilities and Further Information
Car Parking
Due to ongoing construction work, car parking is limited on site for safe. It is recommended
to catch public transport to work where possible. For employees wishing to drive, please
contact Jo McTaggart for further information in relation to parking and availability.
Public Transport to Epworth Richmond Trams
Epworth Richmond is fortunate enough to have two tram routes available on Bridge Road,
and the tram stops being close to the hospital entrance. The tram routes are 48 and 75.
48North BalwynVictoria Harbour Docklands
75Vermont SouthEtihad Stadium Docklands
For further information regarding the tram times, please check the website for Public
Transport Victoria (PTV)http://ptv.vic.gov.au/
Trains
Epworth Richmond is also located between two train stations, Richmond and West
Richmond.
Richmond Station is located on Swan Street and is a 10 minute walk to Epworth via the
Bridge Road entrance. West Richmond station is located on Highett Street and is a short 5minute walk to Epworth via the Erin Street entrance.
For further information regarding train timetables and disruptions please contact Metro
Trains on 1800 800 007 or visit their websitehttp://www.metrotrains.com.au/or the
website for Public Transport Victoria (PTV)http://ptv.vic.gov.au/
http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://www.metrotrains.com.au/http://www.metrotrains.com.au/http://www.metrotrains.com.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://www.metrotrains.com.au/http://www.metrotrains.com.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/
top related