Garden City Hospital Emergency Services Orientation

Developed by

Kelly Banasky, RN, , BSN,TNCC, ENPC

Emergency Services Educator

Entrances

Elmwood Entrance Ambulance Entrance

Parking

During the Day shift, parking is limited. It is hospital policy that all staff park in designated areas which are located:

Behind the hospital in the hospital parking areas At the Harrison Parking Lot Afternoon shift has a designated parking lot located

off of Inkster road Do NOT park on the side streets surrounding the

hospital or on the neighborhood streets. We strive to maintain respect with our neighbors.

If security or staff requests for you to move your vehicle to the correct parking area, please comply

Harrison Lot

The Harrison Lot is located on Hartel Street, between Maplewood and Cambridge.

Shuttle Service is provided from 5:30am to 8pm There is no shuttle service on legal holidays Drop-off is at the chapel door entrance at the hospital.

The chapel door faces Inkster Road. When dropped off at the chapel door, enter through

the main hospital entrance and see information, they will direct you to the Emergency Department.

Please have your badge visible for staff

Appearance Please arrive to the clinical area on time, and in professional

uniform dress. Uniform should be neat, pressed and clean, shirts tucked in. Artificial nails are not allowed at GCH per infection

prevention policy There is a room available for backpacks and jackets. Please

have your name badge/ID badge visible at all times in the hospital.

Your badge should be placed on your left chest area where it can be easily seen and identified by security.

If you arrive to clinical without a badge, you will be directed to security for a visible Pass for patient and staff identification.

LunchesLunches:

There is a refrigerator, microwave and a toaster available for your use. The Hospital Cafeteria is available at various times throughout the day The Garden Café is open from 7am to 7pm There is a vending machine area called Fast Track in the main hospital

that has vended sandwiches and snacks. Please when going to break, inform your preceptor

Start of Clinical Day Upon arrival to the Emergency Department. Ask to see the

Clinical Coordinator or Charge nurse. If you do have not done clinical’s at GCH before, ask

where the sign in book is at. Inform them of your level of practice, eg. Basic, etc. so

they may assign you to a preceptor. Check in immediately with your preceptor Introduce yourself and your level of practice If unfamiliar with equipment, please ask. Bring your evaluation sheets with you and have your preceptor

sign off on them at the end of your clinical day. The preceptor is to sign you out of the log book at the end of

your shift.

Dinamaps Are blue and there

are approximately 2 in each zone

Capabilities: BP HR Temp

Oral Rectal

Pulse Ox

Manual BP CUFFS Are on the walls in

the patient care areas

BP CUFFS

Adult Pediatric/Infant

Thermometer ProbesThere are two types Oral (BLUE) For use on Adults/Children who are able to tolerate, cooperate with the oral probe. If the

patient is prone to biting, seizing, has any condition that risks the patient, or the probe being broken do NOT use.

Rectal (RED) For use on infants, intubated patients, or any patient that can NOT tolerate the oral probe. Probe must be have surgi-lube applied prior to use.

A Temporal Scanner available for use, please ask the staff to demonstrate how to use this instrument

Thermometer Probes

KEY POINTS: All thermometer probes must have a disposable probe cover

for every patient use Dispose of probes after each use Before using a rectal probe, see the RN or Tech Partner.

Safety must be in place when using these probes NEVER use a RED probe for anything other than a rectal temp NEVER use a BLUE probe for a rectal temp

Pulse Oximetry There are two types of Pulse

Oximeter probes Pediatric

Resembles a band-aid Adult

Non-Disposable

Vital Sign Requirements for GCH

All patients must have a full set of vital signs At triage Every 2 hours PRN And for medications that affect a patients hemodynamic status

Any drug that has the ability to affect HR, BP, RR, T, SPO2 1 hour before discharge or transfer to the floor or unit When patients can not tell us their pain, GCH uses the Wong-

Baker Scale

Definition of VITAL SIGNS for GCH

Blood Pressure Heart Rate Respiratory Rate Temperature Pain level Pulse Ox

KEYPOINT: if any of the patients vital signs are not within normal limits, you need to notify the nurse

Bio-Hazard Bins & Hoppers Bio-hazard Bins Found throughout

department and in dirty utility room

Items saturated with body fluids or blood should be disposed of in these bins

Hopper NEVER throw towels or

Maslin towels in the hopper. Only body fluids or liquids.

IV CARTS & Sharps Containers

IV Carts

All used needles are to go into sharp’s containers No paper products, gloves, gauze or labels are to go into the

sharp containers Do not attempt to force sharps in if container is full GCH has a company that maintains our sharps containers. NEVER reach into a sharps container ALWAYS use caution with a sharps container

Sharps Containers

Drawer 1 & 2 Phlebotomy Angiocaths

Phlebotomy supplies Vacutainer adapters

Drawer 3 & 4 Chloraprep Butterfly sets 18G needles Band-aids Betadine swabs Needles adapters

•Syringes•Pre-filled Saline Syringes•2 x 2 Gauze pads•Tegaderms•Vacutainers•Silk Tape•Blood CultureVacutainers•Tourniquet's

Drawer 5 & 6 Saline locks IV tubing Blood Identification Bands

IV start Kits Secondary medication sets

Crash Carts

Adult Pediatrics

Intubation Kits

Patient Care Area

Trauma Bay GT/OBS/FT

Resources If you have any questions or concerns, please let the charge

nurse or coordinators know. Additionally, you can leave a voicemail for the educator,

Kelly at 734-458-3231 or email her at kbanasky@gchosp.org Thank you for coming to our facility to complete your clinical

rotation, we look forward to helping you be successful in your future

MAES REQUIREMENT Must have completed this orientation before doing any clinical

rotations at GCOH Print the next page, completely fill out, turn into staff to file Eligible for GCOH clinicals

Certificate of Completion

I have completed a review of the Garden City Hospital EMT & Paramedic Clinical Orientation.

Date: _________Name:_______________Signature:_______________Date Received by Staff______ Staff Initials___