Student Orientation Information

Chapter 1

Welcome Behavioral Expectations

Our Accountabilities Dress code

Orientation Information for

Clinical Experiences

Welcome to PeaceHealth! Whether you are exploring potential careers in healthcare or looking for a clinical experience as part of an educational program, we invite you to browse the site for process information, application forms, and partnership requirements. The need for healthcare providers in the future continues to grow. New technologies and medical breakthroughs are broadening the skills need in the workforce. It is an exciting time to pursue a career in healthcare!! Thank you for considering PeaceHealth as part of your educational experience. We appreciate the opportunity to serve our community by encouraging and supporting the development of future healthcare workers! Kim Tyler, Director Learning and Development

The following material is to assist in orienting you to our organization prior to participating in a clinical experience. If you have any questions as a result of reviewing this information, please contact your placement coordinator or call 541-686-8527 for assistance. Again…Welcome!

Behavioral Expectations

A clinical experience with PeaceHealth assumes individual commitment to our standards of Behavioral Expectations that are based on our Mission and Core Values at all levels of organizational activity. I understand that I will be held accountable to these standards. I will invite and be receptive to others' observations in order to support my ongoing development. Therefore, I make a personal commitment to:

Respecting Individual Dignity and Worth

Treat all persons with respect

Expect high level of performance; encourage and exercise highest professional potential

Resolve conflicts openly and directly

Take a positive approach to problem-solving, avoid placing blame and acknowledge mistakes

Support an environment that fosters development of the individual

Give positive and constructive feedback to others

Listen and respond

Speak with sensitivity about the needs and feelings of others

Handle unanticipated events and crisis situations in a constructive manner

Participate in orientation and educational opportunities

Respect confidentiality of information

Stewardship

Make strategic decisions consistent with the PeaceHealth Mission and Core Values

Work to minimize duplicating services within the community

Respect the natural environment by conserving and recycling materials where possible

Work together to provide quality, cost effective services

Encourage responsible use of the resources needed to achieve the organization’s goals

Collaboration

Work to improve the quality of life in our community

Support organizational and community needs

Encourage a team approach in accomplishing objectives

Keep communication open, inviting criticism and new ideas from all sources

Involve all those affected in decision-making

Social Justice

Consider the needs of the individual, as well as the organization, when making decisions

Promote an environment which values opportunities for reflection on ethical behavior

Work to remove barriers to access for underserved and uninsured persons

Focus advocacy especially on those who are vulnerable and disadvantaged

Identify and address social causes of illness, such as poverty and unemployment

Our Personal Accountabilities

In addition, our Personal Accountabilities are a reflection of how we live out the behavioral expectations in order to promote a healing and compassionate care environment for our patients, families and staff. These ten accountabilities are: Everyone feels welcome and is treated in a loving and caring manner.

Smile, make eye contact, greet everyone, and introduce yourself.

Offer to escort anyone who looks lost or confused.

Offer assistance to people who appear in need or in distress.

Humor is valued.

Everyone is handled with care.

Knock and wait for response before entering a patient's room.

Use care when moving patients.

Honor cultural and spiritual differences as well as personal needs.

Maintain friendly and respectful elevator manners.

Patients and families are involved in their healing process.

Patients and families are always invited to share their goals and wishes.

Inform and seek consent before doing anything to anyone.

Advocate for and support patient needs.

Be responsive to emotional, physical, spiritual and relational needs of patients and families.

Our healthcare facilities are sacred spaces.

Promote and maintain a healing environment.

Recognize and honor that life-changing events occur in our facilities and act accordingly.

Ensure safety and seek to reduce noise, clutter, and chaos.

Create a restful, relaxing, safe, sacred space for all.

Privacy and confidentiality are safeguarded. Maintain security of all confidential information.

Share confidential information only on a "need to know" basis and in confidential space.

Demonstrate care in what is said to whom and where.

Comply with all policies and procedures of PeaceHealth regarding security, confidentiality, and privacy of information.

Insure that any discussions regarding the clinical experience do not include patient identifiers.

Everyone is part of the care giving team.

Practice healthy work communication by being honest, direct and respectful.

Solve problems in constructive ways.

Show appreciation for the contribution of each person regardless of roles or titles.

Recognize and take responsibility for your attitude and actions.

Continuous improvement is the way we do our work.

Seek opinions and ideas from each other, patients and families.

Take initiative to improve work processes.

Accept responsibility for learning.

Follow-up and follow through.

Ask the patient, family and others if their needs are being met and follow through.

Keep patient, family and others informed of what is being done to meet their needs.

Contribute to providing a seamless care experience for patients and families.

Everyone maintains a professional and caring appearance.

Identify yourself at all times and with all contacts.

Wear nametags and follow dress code guidelines.

Use appropriate verbal and non-verbal behaviors.

Resources are used responsibly.

Be cost-effective in use of supplies and equipment.

Manage time and breaks appropriately.

Delegate appropriately.

Dress Code Participants doing Clinical Experiences at PeaceHealth Oregon Region are expected to comply with guidelines that encourage professional attire while on site:

Photo badges/name tags provided by the school are to be worn (from the waist up) by participants at all times while on site.

Jewelry is limited to small rings, small earrings, small chain necklaces and wristwatches. All other ornamentation and piercings must be removed.

Hair is worn in a style that will prevent interference with patient care or possible contamination of food or sterile fields. Headbands, scarves, or decorative hair ornaments are not acceptable. Beards and mustaches should be clean and neatly trimmed.

Use of heavily scented perfumes, aftershaves, lotions and hair sprays are not allowed.

Nails must be trimmed and clean. Artificial nails are prohibited.

Discretion should be used as to length, size, and fit of clothing. Clothing material should be opaque and fit loosely enough that undergarments are not visible.

o Patient care areas: Colored (plain or print) scrubs may be worn. Large or flamboyant prints are not acceptable. Also, scrubs cannot be royal blue in color. If scrubs are not worn, then pants, dresses, skirts, culottes, or jumpsuits are to be solid white only.

o Non-patient care areas: Street clothes are acceptable, however, denim jeans of any color and shirts with institution names (other than school), emblems, comic designs or phrases are not acceptable. Conservative shoes, protective of feet (no open toes), and quiet and safe.

Specific unit policy supersedes this policy. Your assigned placement coordinator or your unit preceptor will provide this information.

Organizational Orientation Information

Chapter 2

Mission Core Values

Vision History

Sacred Heart Medical Center at RiverBend Springfield, Oregon, 2009

Sacred Heart Hospital Eugene, Oregon, 1936

MISSION

We carry on the healing mission of Jesus Christ by promoting personal and community health,

relieving pain and suffering, and treating each person in a loving and caring way.

CORE VALUES

Respecting Individual Human Dignity and Worth

We respect the dignity and appreciate the worth of each person as demonstrated by our compassion, caring, and acceptance of individual differences.

Stewardship

We choose to serve the community and hold ourselves accountable to exercise ethical and responsible stewardship in the allocation and utilization of human, financial and environmental resources.

Collaboration

We value the involvement, cooperation and creativity of all who work together to promote the health of the community.

Social Justice

We build and evaluate the structures of our organization and those of society to promote the just distribution of health care resources.

Our Vision

Every PeaceHealth patient will receive safe, evidence-based, compassionate care;

every time, every touch

Vision Elements 2012

To achieve this vision, we agreed on five strategic priorities or areas where we wish to focus our combined efforts to become …

One System Serving Many Communities

Mission, Culture and People: As a team of inspired caregivers, we will deliver high value exceptional medicine and compassionate care

Safe and Clinically Effective Care: We will do no harm and deliver the best possible outcomes.

Clinician Partnership and Planned Care: We will promote clinician partnership and coordinated care in the delivery of patient-centered team medicine across the continuum.

Growth and Innovation: We will assure our continuity through growth, innovation, and financial strength.

High Value: We will deliver our Promise of Exceptional Medicine and Compassionate Care at a reasonable cost.

Safe, effective care must be number one. Our patients and our communities

expect nothing less.

Our History: Margaret Anna Cusack

“A Christian must have a very vocal political character, seek out justice, make peace…feed the hungry to live out the Gospel of Jesus Christ.” Sister Margaret Anna Cusack was born to an aristocratic family of English origin in Coolak, County Dublin, Ireland. Her father was a doctor who was dedicated to the service of the poor. She was raised under the precepts of the Church of England and viewed social justice through Christian concepts. In 1853 she joined the Anglican Sisterhood. She quickly became disillusioned with the petty concerns of the group. Upon leaving five years later she wrote, "I do not believe in offering the gospel of talk to starving people." In 1858 she became a convert to the Roman Catholic Church. One year later she entered the Order of Poor Clare nuns and took the name Mother Francis Clare. The year 1861 brought Mother Clare to Kenmare in Ireland where she founded the first convent of the Poor Clares in the west of Ireland. A talented writer, she published on the issues of social injustice. Her writings and actions focused on advocacy of women's rights including equal pay, equal opportunity for education and legal reform to give women control of their own property. The Irish Famine of 1879 plunged the country into crisis. Margaret Anna responded by raising great sums of money to feed the poor. By now her outspoken ways and success at feeding the poor made her the target of government and church leadership. Church and public resistance forced her to shut down her Famine Relief Fund and look to England for support of her vision. Her next effort was to establish another convent and to propose development of an industrial school for women...complete with a day center for their children. In 1884 Margaret Anna founded the Sisters of St. Joseph of Peace. Seeking funds to support her sisters' work with women and children, in 1885 she set off for America. Soon after arriving, she established a home for migrant women who, upon arrival in New York, often found themselves to be homeless and jobless. The success of the Sisters of St. Joseph of Peace spread. By 1890 the Sisters were being asked to go west to serve the needs of frontier settlements springing up in the Pacific Northwest. It was in August of this year that four Sisters set off from Jersey City, New Jersey on what was to be the beginning of PeaceHealth, and the continuation of the vision of Margaret Anna Cusack.

Margaret Anna Cusack

Foundress of the Sisters of

St.. Joseph of Peace

The Sisters of St. Joseph of Peace Historical Timeline

Date Event

1884 Margaret Anna Cusack founds the Sisters of St. Joseph of Peace in Nottingham England

1885 Sisters come to America (New Jersey) committed to alleviating injustices, providing health care to the sick and injured, and educating young women

1890 Two sisters go west to Fairhaven, Washington (now Bellingham)

1891 St. Joseph Hospital opened in Fairhaven, Washington (now Bellingham)

1896 Mater Misericordiae Hospital founded in Rossland, British Columbia (closed 1969)

1901 Sacred Heart Hospital founded in Greenwood, British Columbia (closed 1918)

1916 Seward General Hospital established in Seward, Alaska (closed 1919)

1916 St. Anthony’s Hospital established in Wenatchee, Washington (Sold in 1974 to Central Washington Deaconess and is now Central Washington Hospital)

1922 Little Flower Hospital founded in Ketchikan, Alaska

1936 Sacred Heart General Hospital established in Eugene, Oregon

1943 St. John’s Hospital established in Longview, Washington

1963 Ketchikan General Hospital leased from the City of Ketchikan, Alaska

1976 Hospitals incorporated under the Sisters of St. Joseph of Peace, Health and Hospital Services Corporation- later to be renamed PeaceHealth System.

1984 St. Helen's Hospital, St. Helen's Oregon (discontinued in 1990)

1984 Snoqualmie Valley Hospital, Snoqualmie, Washington (discontinued in 1991)

1986 Marianwood established, Issaquah, WA. (transferred to the Sisters of Providence Health System in 1996)

1989 Peace Harbor Hospital, Florence Oregon

1999 Cottage Grove Community Hospital, Cottage Grove, OR

2000 El Salvador Health Mission

2005 Building began at RiverBend, Springfield, Oregon

2008 Sacred Heart Medical Center at RiverBend opened in Springfield, Oregon

2009 PeaceHealth officials announce they have signed a purchase agreement on a 22-acre site near Friday Harbor Airport where they plan to build a new Integrated Medical Center and Critical Access Hospital, scheduled to open in the summer of 2012

1923 graduating class of the St. Joseph School of Nursing. At the time this photo was taken, Sisters were not allowed to be photographed, and were therefore not included in this photo.

A rich heritage and mission dating back to the late 1800’s stands behind PeaceHealth. The timeline below summarizes the evolution of the health care ministry of the Sisters of St. Joseph of Peace in the Pacific Northwest.

Sacred Heart Hospital Eugene, Oregon, 1936

The original building of the Sacred Heart complex was built in 1924 by the International Bible Association, an affiliation of the Churches of Christ. The hospital was called Pacific Christian Hospital, and it included a nursing school. The hospital was hit hard by the great depression and a group of physicians took over the management. Eventually, the physicians and the Archbishop of Portland invited the Sisters of St. Joseph of Newark to consider buying the hospital. On July 1, 1936, the Sisters took over the hospital and renamed it Sacred Heart General Hospital. The Sisters discovered they had acquired a busy institution. During the first year, the 75 beds were constantly full and over 3,000 patients were treated. Plans for expansion led to a major addition in 1941 of 100 more beds; many other additions followed over the next five decades. Today Sacred Heart has become a regional medical center located on two campuses (University District and RiverBend), and is part of an integrated health care delivery system which also includes two acute care rural hospitals (Peace Harbor Hospital in Florence and Cottage Grove Community Hospital in Cottage Grove), several multi-specialty practices (PeaceHealth Medical Group in Eugene, South Lane Medical Group in Cottage Grove, and Peace Health Medical Group in Florence), and allied health care professionals providing a range of crucial medical services.

PeaceHealth Systems and Regions Founded in 1976

OREGON

PeaceHealth Systems and Regions

Facilities Orientation Information

Chapter 3

Maps

Sacred Heart Medical Center at RiverBend Sacred Heart Medical Center at University District

Office of Learning and Development PeaceHealth Medical Clinics

RiverBend Annex Cottage Grove Community Hospital

South Lane Medical Group

Sacred Heart Medical Center at RiverBend (RB) Map

Driving Directions to Sacred Heart Medical Center at RiverBend 3333 RiverBend Drive, Springfield; 541/222-7300

From I-5/Heading North or South: Exit 195A and head east on Beltline Rd. Curve right onto Martin Luther King Jr. Parkway (0.76 mi.). Left onto Cardinal Way (0.2 mi.). From I-105/Hwy 126/Heading East: Exit Springfield City Center. Turn left onto Pioneer Parkway East. Drive to roundabout intersection with Hayden Bridge Way. (0.71mi.) Stay in outside lane; exit onto Martin Luther King Jr. Parkway. Right onto Cardinal Way (0.74) From I-105/Hwy 126/Heading West: Exit Springfield City Center and turn left. Immediate right onto Pioneer Parkway East. Drive to roundabout intersection with Hayden Bridge Way (0.71mi.) Stay in outside lane; exit onto Martin Luther King Jr. Parkway. Right onto Cardinal Way (0.74) From Hwy 99/Heading North or South: Take Beltline Rd. East. Curve right onto Martin Luther King Jr. Parkway (6.86mi.). Left onto Cardinal Way ((0.2mi.).

Sacred Heart Medical Center University District (UD) Map

Driving Directions to Sacred Heart Medical Center University District 1255 Hilyard St., Eugene; 541/686-7300

I-5/From the North Exit 194B to Eugene. Head west on I-105. Take Exit 2, following signs to U of O. Stay in left lane as the road crosses the river and curves left onto E. Broadway (becomes Franklin Blvd.). Turn right on Patterson St. and follow signs to hospital parking. I-5/From the South (Interstate 5) Exit 192 to Eugene. Follow Franklin Blvd 0.8 mi. Bear left onto 11th Ave. Turn left on Patterson St. Follow signs to hospital parking. I-105/Hwy 126/From the East Follow Hwy 126 west and cross I-5 (Hwy 126 merges with I-105). Continue 1 mi. and take Exit 2, following signs to U of O. Stay in left lane as the road crosses the river and curves left onto E. Broadway (becomes Franklin Blvd.). Turn right on Patterson St. and follow signs to hospital parking. I-105/Hwy 126/From the West Follow Hwy 126 east into Eugene (becomes 11th Ave.) and turn right on Garfield St., then left on 13th Ave. Continue east two miles, cross Patterson St. and follow signs to hospital parking.

Hwy 99/From the Northwest Follow Hwy. 99 into Eugene, continuing east on Seventh Ave. after the highway splits. Get into right lane as Seventh Ave. passes through downtown, curves right and becomes E. Broadway (later becomes Franklin Blvd.). Turn right on Patterson St. and follow signs to hospital parking.

Office of Learning and Development at UD

The PeaceHealth Learning and Development (L&D) office is located on the third floor of the Support Services Building at Sacred Heart Medical Center: University District, in the Human Resource Suite. Our contact information is:

PeaceHealth Learning and Development Student Placements 1255 Hilyard Street Eugene, OR 97401

Ph: 541.686.8527 Fax: 541.349-5503

Entrance

L&D

L&D

Limited metered parking available under Support Service Building

PeaceHealth Medical Clinics Map

Directions to PeaceHealth Medical Group clinics Barger Medical Building 4010 Aerial Way, Eugene From Highway 99, turn west on Barger Drive, then right on Altimont. Parking is free. Coburg Road 1800 Coburg Road, Eugene From the south (downtown Eugene) go north over the Ferry Street Bridge and continue north on Coburg Road. From the north (Beltline Highway) take Coburg Road south. Parking is free. Downtown Eugene, including Optical Shop. 1162 Willamette St., Eugene In downtown, one block south of the downtown LTD transit station, between 11th and 13th avenues and between Olive and Willamette streets. Optical Shop is across the alley in the annex building. Parking is free. Hilyard Street 1200 Hilyard St., Suite S-200, Eugene Across Hilyard Street from Sacred Heart Medical Center in the Physicians & Surgeons-South building. Clinic is on the second floor. Park in the South Parking Garage. Parking will be validated at the clinic. Junction City 430 W. Seventh Ave., Junction City In Junction City (about 12 miles north of Eugene on Highway 99) turn west on Seventh Avenue off Highway 99. Parking is free.

Nurse Midwifery Birth Center 353 Deadmond Ferry Rd. Springfield, OR 97477. (541) 222-7750.

Located next to Sacred Heart Medical Center RiverBend.

South Eugene 3299 Hilyard St., Eugene On Hilyard Street south of 30th Avenue. Parking is free. Springfield 175 West B St., Springfield Adjacent to Island Park; from I-105, take the Springfield City Center exit, follow Pioneer Parkway West and turn right on B Street. Parking is free.

RiverBend Annex

Directions:

From Interstate 5, take exit 195 heading east on Beltline Highway. Turn left (north) on Gateway Street, then right at the light on International Way. Go through the roundabout and continue east on International Way. RiverBend Annex is on the right at 123 International Way.

Cottage Grove Community Hospital & South Lane Medical Group Map

Directions

Cottage Grove Hospital and Clinics is at 1515 Village Drive in Cottage Grove. From Interstate 5, about 20 miles south of Eugene, take exit 174 and follow signs to Row River Road. Turn left on Jim Wright Way, then left on Village Drive. Creswell Clinic is at 98 W. Oregon Avenue in Creswell. From Interstate 5, about 10 miles south of Eugene, take exit 182 and go west on Oregon Avenue. The clinic is two blocks west of Highway 99.

Safety Orientation Information

Chapter 4

General Security and Safety Experience-related injuries/exposures

Hand Hygiene Personal Protective Equipment

Hazardous Materials Electrical Safety

Codes Fire Procedures

Emergency Preparedness/Disaster Plan Body Mechanics

General Security and Safety

Objectives

Introduce information regarding our security and safety programs that ensures the safety of patients, visitors and caregivers.

Know how to locate security and safety policies and procedures.

Describe the procedure for documenting incidents or accidents.

Understand your role in identifying security and safety hazards.

Security

Participants should make sure to secure all personal valuable (purses, etc.) while on site. Leave valuables not required for the performance of duties at home. If you have a security issue, contact our Regional Security Communication Center

Emergency: 222-7111

Non-emergency: 222-6555

Safety Programs

PeaceHealth has a safety program in place to ensure a safe environment for patients, visitors and caregivers. This program is in compliance with federal and state laws in addition to our national accrediting organization – the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission). Our Employee Safety & Health Department oversees these safety programs.

Each unit/department has a safety representative and a safety notebook that contains all region-wide and unit specific safety policies and procedures. Check with your unit preceptor for the location of this information.

Response for Experience-related Injuries And Exposures to Blood and Body Fluids

If you sustain an injury or exposure, follow these steps:

Treat the injured area immediately. If further evaluation and treatment is needed, go to the Emergency Department or Urgent Care. Services from these departments will be delivered at established Clinical Facility charges.

Report the injury immediately to your direct supervisor of the clinical area you

are assigned and to your instructor, whether or not medical attention is required.

Instructors: Notify Learning and Development at 686-8527 of any injuries or incidents as soon as possible. Leave your name, school affiliation, students name, type of injury and any treatment needed. Clinical placement coordinators will follow-up with you and the student.

Follow-up will be directed by PeaceHealth Learning and Development in collaboration with the student, instructor, affiliate and others as necessary.

Hand Hygiene

The single most important measure to reduce transmitting microorganisms.

Health care students should demonstrate accurate knowledge that touching body secretions, excretions, non-intact skin and wounds of patients can contaminate their hands. They can also become contaminated by touching intact skin of patients and environmental surfaces in the immediate vicinity of the patients.

Hand washing Alcohol-based hand rubs

Required if hands are visibly contaminated, i.e. Blood, body fluids, etc.

More effective in reducing number of viable bacteria and viruses*.

Required after caring for patients with diarrhea.

After use of the restroom

More accessible at the point of care, i.e. inside and outside every patient room, in hallways of patient care areas, etc.

Done before eating Causes less hand irritation and dryness

*Exception: Clostridium difficile must wash with soap and water. Students must use appropriate techniques when cleansing their hands. To be optimally effective, an appropriate volume of alcohol-based hand rub or soap must be applied to cover all surfaces of the hands and fingers.

Hand washing

Alcohol-based hand rubs

Scrub with friction for 15 seconds before rinsing.

Cleanse before and after: contact with patients, contact with patients’ environment, and using gloves.

Use paper towel to turn off hand operated faucet.

Rub hands together for 15 seconds until dry.

Hand hygiene is a must to prevent infections in patients, visitors and healthcare providers - including yourself!

Personal Protective Equipment

Personal Protective Equipment (PPE) protects you from contact with potentially infectious materials. The appropriate type of

protective equipment for a given task depends on the degree of exposure anticipated. Under normal work conditions, PPE must

not allow potentially infectious materials to contact your work clothes, street clothes, skin, or mucous membranes.

PeaceHealth will provide you with PPE and in addition, will clean, repair, replace, or dispose of PPE at no cost to you.

Types of protective gear include:

1. Gloves – wear gloves any time contact with blood, other body fluids, mucous membranes or nonintact skin is likely.

2. Masks, Face and Eye Protection – use these when splashes or sprays of blood or other body fluids are likely. Use respiratory protection when caring for patients who have or may have an infection that can spread through the air. Students- including nursing

students- are NOT to be assigned patients with airborne infections!

3. Gowns and Protective Apparel – if splashing of blood or other body fluids is likely, wear a gown and appropriate apparel, such as boots or leg coverings.

Proper Use of Personal Protective Equipment: Be sure to use PPE correctly for maximum protection.

You must use appropriate protective equipment each time you perform a task. Your gloves and other PPE must fit properly.

Your equipment must be free of physical flaws that could compromise safety. If, when wearing equipment, your equipment is penetrated by blood or other potentially infectious materials, remove it as soon as possible.

Before leaving the work area, remove all protective equipment and place it in a designated area or container for washing, decontamination, or disposal.

Hazard Communications (MSDS) Material Safety Data Sheets

Objectives

Know how to locate information on hazardous substances in your work area Know what specific information you need to review and remember from the MSDS

Know what OSHA requires regarding container labeling

MSDS

Information provided on the MSDS includes: - Product name - Hazardous ingredients - Physical & chemical data - Health hazard data - Fire, reactivity & explosive data - Primary routes of entry - Permissible exposure limits - Cancer hazards - Precautions, spill/leak procedures - Personal Protective Equipment (PPE) - First aid & emergency procedures

Participant Responsibilities

Required to read unit appropriate MSDS policies when necessary Remember information that is pertinent to materials handled frequently

Know location of unit MSDS manual

Electrical Safety

Bio-Med/PHMG Engineer Inspection All electrical equipment brought into the facility by staff or patients (radios, hair dryers, fans, heaters, etc.) must be checked out by the unit Safety Representative prior to its use. When it has been approved for use, a dated and signed sticker is affixed. Any electrical equipment purchased for patient care use must be checked out by Bio-Med or PHMG Engineering Staff. Lock-Out Tag If any electrical equipment malfunctions or shocks someone, Bio-Med or the PHMG Engineers will place a LOCK-OUT/tag out label on it. Do not remove a LOCK-OUT/tag out label or use any equipment that has been tagged as a LOCK-OUT. Medical Safety Device Act (MSDA) A medical device is broadly defined to include nearly everything that we use to care for or treat patients, for example, gauze pads, lasers, and CAT scanners. Participant responsibilities in the event of an injury caused by a medical device:

Remove faulty equipment from service and send it for repair before it can cause an injury.

In the event of an injury, notify your immediate supervisor and instructor.

Keep the involved device set up for further review (keep the item set up exactly as it was when the event occurred).

LOCK -OUT

Emergency Codes Critical Information! Know these code designations. Please feel free to cut these out, place them back-to-back, and create a pocket card to keep with you at all times.

Infant/Pediatric abduction

· When calling the code, give approximate age of child.

· Go to your assigned position.

· Ask suspects to stop, do not physically detain.

· Report description and direction to security.

· Remain at your post

until all clear.

Fire

· Take fire extinguisher and go to the location

· Call 7111 and cancel the alarm OR...

· Rescue those in danger.

· Alarm: confirm at 7111 or pull a red fire alarm pull station.

· Contain the fire: close

doors, windows and shut off medical gases.

· Extinguish and/or

prepare to Evacuate.

Cardiac/Pulmonary Arrest

· Get help.

· Begin CPR

· Special code team responding to call will assume ACLS role.

Patient or Visitor

· Leave the room.

· Shut hallway and patient doors · Call 7111

Code Gray-Patient

Code Gray-Patient Team responds which includes house supervisor, charge nurse ,security and others

Code Gray-Visitor for all

individuals who are NOT patients

Security responds

Code Amber Code Red Code Blue Code Gray

Dial 7111 (and/or, for fire, pull a red fire alarm station).

Give the code and location.

STAY ON THE LINE and confirm the code and location.

Most codes are announced in this format: Code and Location. Code Amber includes the child’s age.

Examples: Code Red, 4 Main Code Amber, 2 (child’s age), Pediatrics.

To call a code:

Bomb threat.

· If NOT on your unit, do NOT go to the location.

· If on your unit, be available to aid in a search.

· Security responds and directs the search.

Radiation/Hazmat

· Do NOT attempt clean up.

· Shut hallway and patient doors.

· A Hazmat team will respond.

Internal or External

Internal; inside hospital

such as flooding or power outage

External;

catastrophic event outside hospital such as plane crash, earthquake

· Called only by a House

Supervisor.

· Know your unit disaster

plan.

· Come to work at your normal time unless called.

· Report to your supervisor.

· Don’t “call in” to get information.

Trauma Alert

· Can only be called by the ED Charge Nurse or House Supervisor.

· Trauma Team responds.

Code Purple Code Orange Disaster Plan Trauma Alert

Weapon/Hostage

· Leave the room.

· Shut hallway & patient doors.

· Security responds.

Code Silver

Fire Procedures

General Instructions

1. ―Code Red‖ is the code used for a fire, smoke, or the smell of something

burning.

2. All persons must be familiar with the location of fire alarm pull boxes, indicator panels, fire fighting equipment, and medical gas control valves in their working area. Participants should also be aware of the evacuation route in their work area.

3. All persons are expected to participate in monthly fire drills by closing all doors that enter corridors and familiarizing themselves with the fire procedures at their facility. Doors are to remain closed until the “ALL CLEAR” is given.

4. The senior person takes charge until Fire Response Team or Eugene Fire Department personnel arrive.

5. Avoid use of telephone and elevators.

6. Do not use elevators in building where fire is suspected under any circumstance until the “ALL CLEAR” is given.

7. Send one person with an extinguisher to assist if the fire is in a patient care area in an adjacent unit or department. If you have only one extinguisher in your department you are exempt from this support requirement. ―Adjacent‖ includes the floors above, below, and on either side. Personnel sent should remain on the scene until the “ALL CLEAR” is given or the person in charge releases personnel.

8. Personnel not assisting at the scene of a fire should remain in the work areas until the “ALL CLEAR” is announced.

9. The fire alarm system will automatically page the location of an alarm. The page will contain a dual announcement tone, repeated three times, followed by a location announcement, repeated three times. The page will emanate from both the red fire alarm speaker/strobe units and the hospital paging system volume controls will affect the volume of that part of the fire announcement.

Fire Safety – “Code Red” If You See Significant Smoke or Fire:

RACE

R = Rescue all people in immediate danger. Always evaluate the risk and

determine if you can rescue the victim without becoming a victim yourself. Rescue and Alarm can happen simultaneously. If you are involved in a detailed Rescue,

be sure someone sends an alarm to get the help you need quickly.

A = Alarm: pull a Red Fire Alarm Pull Station (if it has not already been pulled),

or call 7111 (or your location’s emergency phone number) to confirm the event. If possible, perform this step at the same time as the Rescue. Alert your co-workers in the area by using the term “Code Red.” Do not shout, “FIRE!”

C = Contain the fire by closing doors and windows, and shutting off Medical

Gas (oxygen, air, nitrogen, and nitrous oxide). Attend to patients who need oxygen. Shut off the medical gas only for the room in which fire or smoke appears. A manager,

the local fire department, EMS, or someone from the hospital’s Incident Command System will turn off larger medical gas valves located in hallways.

E = Extinguish the fire if it is small (e.g., a small trash can fire in a patient’s

room). or Evacuate: If the fire is too large to extinguish, evacuate yourselves,

visitors, and patients from the area. Administrative (non-patient care) areas should be evacuated in the presence of an

ongoing alarm, significant smoke, or fire. Patient care areas should be made ready for evacuation ordered by a manager, the local

fire department, EMS or someone from the hospital’s Incident Command System.

How To Initiate A Fire Alarm (Code Red) Pull a Red Fire Alarm Pull Station, OR call 7111 (or your location’s emergency phone number) and tell the operator there is (or could be) a fire at your location. If you smell smoke, investigate before you initiate an alarm. STAY ON THE LINE and confirm the code with the operator.

Alarms can also be initiated automatically or accidentally: A child or prankster pulls a pull alarm. Sensors detect smoke, but the smoke is from a benign source (e.g., popcorn

burned in the microwave). Smoke detectors react to excessive dust. Someone accidentally knocks a sprinkler head.

How to Respond: If the Code Red alert is in your unit or department: Grab a fire extinguisher. Go to the location of the alert. Investigate.

At SHMC RiverBend: If the alert is from an adjacent unit (above, below, in front, in back, to the left or right of your unit), send one person with a fire extinguisher to assist. At SHMC University District: If the alert is from another unit (anywhere on the UD campus), send one person with a fire extinguisher to assist. Note: At either campus, if your unit has only one fire extinguisher, your unit is

exempt from this requirement.

If the event is clearly NOT a fire emergency (e.g., smoke from burned popcorn), call 7111 (or your location’s emergency phone number) and tell the operator what you see.

If you are not sure there is a fire emergency, call 7111 (or your location’s emergency phone number) and tell the operator what you see.

If the event clearly IS a fire emergency (you see flames or a significant amount of smoke), then R A C E.

Evacuation Under most circumstances, evacuation from a unit or department is extremely

unlikely. However, you should always be prepared with a plan, and know your evacuation route!

The ―R‖ in R A C E (Rescue, Alarm, Contain, Extinguish or Evacuate) involves evacuating anyone in immediate danger.

A manager (or their designee), the local fire department, EMS or anyone from the hospital’s Incident Command System can call for evacuation.

Non-patient care areas should evacuate immediately in the presence of an ongoing alarm, fire, or significant smoke.

If you hear an evacuation order, evacuate ―horizontally‖ first, to an adjacent ―smoke compartment.‖

Adjacent Smoke Compartment ―Smoke Separation‖ is a building design that breaks the building up into ―Smoke Compartments.‖ If you see double doors between units, you know you are in separate ―smoke

compartments.‖ Fire stops, firewalls, and fire doors are intended to contain a fire, thus limiting the spread of fire and smoke for a limited period of time. If smoke is penetrating through smoke compartments, evacuate ―vertically‖ down stairwells.

1. Evacuate ambulatory patients and guests first. 2. Use special equipment called ―stair sleds‖ to evacuate non-

ambulatory patients. If you are in an adjacent unit, begin to prepare patients for evacuation until you

hear an ―all-clear.‖ This means taking action to prepare for evacuation without compromising patient safety.

1. Avoid using the phones, if possible. 2. Avoid using the elevators. If fire or smoke is detected within a few feet

of the elevators, they immediately go to the ground floor. Only fire crews can reactivate them.

Fire Extinguishers Remember PASS when using a fire extinguisher:

P = Pull the pin A = Aim S = Squeeze S = Sweep

Pull the pin. Some fire extinguishers may require you to release a lock or to press a puncture lever. Hold the extinguisher upright and pull. Aim. Stand back from the fire. Aim at the base of the fire. If there are several fires, work on the one closest to you. Squeeze. Keep the extinguisher upright. Squeeze the handles together to discharge. Sweep. Sweep the spray from side to side. Focus on spraying the base of the fire.

Move in closer as the fire is extinguished, but avoid scattering burning materials or liquids.

When the fire is out, back away and watch for re-ignition. Things to remember about extinguishers:

1. Use a fire extinguisher only if you have been trained to use one. Contact Facilities Management to arrange this training.

2. Use an extinguisher only to fight small fires. The rule of thumb is: ―Extinguish if the fire is the size of a waste paper basket or smaller.‖

3. Have an unobstructed escape route.

4. Avoid skin contact with the extinguisher's nozzle.

5. Only employees trained in the use of an extinguisher should use one.

6. Let the fire department fight the fire if you doubt your abilities.

7. In your unit or department, know where these are: − Red Fire Alarm Pull Station − Fire Fighting Equipment − Indicator (Annunciator) Panels − Medical Gas Control Valves − Your unit or department’s evacuation route.

Emergency Preparedness/Disaster Plan Participant Responsibilities On Site:

Hospitals 1. Remain on duty until excused. 2. Report to person in charge of department for assignment. 3. Department heads and others with specific HEICS (Hospital Emergency

Incident Command System) responsibilities assume roles.

Medical Groups and Clinics 1. Urgent Care may need to accommodate larger numbers of patients with

minor illnesses or injuries. 2. Physicians may need to report to the hospital if requested by the medical

director. 3. All others will respond as needed. PHMG is not designated to receive

disaster victims. During an emergency, remember to:

1. Use stairways. 2. Know where exits are and what the posted evacuation plan is for your area. 3. Limit use of phones as much as possible. 4. Wear ID badge.

If not on site:

1. Listen to the Emergency Broadcast System for updates and instructions. 2. Do not come in unless called and instructed to do so. 3. Otherwise, report at the next scheduled time.

Disaster Drills

The Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) requires Sacred Heart Medical Center to have two disaster drills per year and these are announced in Connections.

Body Mechanics The Basic Six

Considerations of Stable Body Mechanics

ALIGNMENT Alignment has to do with the way the various parts of the body stack up on each other. In neutral alignment, our three largest structures, the head, the chest and the pelvis, are well balanced and supported by each other, and the spinal structures are relieved of strain.

WEIGHT SHIFT The use of lower extremity strength to move a stable spine within the base of support (BOS) thereby decreasing strain on the back.

BRACING

Using muscles to control movement in some part of the body. The lower abdominal muscles can act as a brace to position and protect the lower back during activity.

BASE OF SUPPORT (BOS)

The stable foundation from which movement is initiated. In standing, it is our legs and feet, in sitting it is our pelvis and thighs on the seat and our feet on the floor, and in reaching it may include a hand for additional support.

HIP HINGE The ability to bend and straighten though the hip joints without moving through the back or neck. When using the hips as the axis of motion, the trunk can remain relaxed in neutral alignment.

FACE THE ACTIVITY Think of your trunk as a triangle with the top at the center of the chest, and bottom two corners at your pelvis. The front of the triangle always

faces the activity.

Body Mechanics Fact Sheet

1. Bend at your knees and not your back.

2. Hold the load close to your body when possible.

3. Lift with your legs! Don’t lift with a forward flexed low back and neck. Don’t bend and twist in combination.

4. Tighten stomach muscles – tight abdominal muscles support your spine! (This is why back belts are not encouraged – they contribute to lazy stomach muscles.)

5. Use devices to assist whenever possible (gait belts, slider boards, mechanical lifts).

6. Plan ahead and ask for help if help is indicated for a safe lift or transfer!

7. Avoid twisting your back when you lift.

8. Push rather than pull. You can push twice as much as you can pull with less risk of back strain.

9. Work at good physical conditioning – exercise regularly.

10. Use your head to save your back! Handle things mentally before you handle them physically!

11. Change stressful positions often

12. Avoid slumped sitting and work stations that are too high or too low.

13. Back injuries usually occur gradually over time.

14. The underlying causes of back pain are poor posture, poor body mechanics, a stressful lifestyle, a loss of flexibility and a lack of overall fitness.

Regulatory Orientation Information

Chapter 5

Quality Care Patient Care Policies

Notice of Privacy Practices Regulatory Support Links Organizational Integrity

Quality Care

Every PeaceHealth Oregon Region patient will receive safe, evidence-based, compassionate care,

every time, every touch

All students will be expected to know how our quality and safety measures impact their clinical experiences and how they will be

responsible for supporting these measures while performing clinical practice at a PeaceHealth Oregon Region facility.

Quality and Safety

Locating Patient Care Policies

For information about safety policies and procedures or clinical policies and procedures, visit the hospital intranet site ―Crossroads.‖ In addition, some departments have unit-based policy and procedure. See Policies here:

Notice of Privacy Practices

The Notice of Privacy Practices (NPP) describes for patients how we use and/or disclose their health information. All PeaceHealth workforce members (employees, volunteers, students, etc.) with access to patient information must read this information.

Joint Notice of Privacy Practices Link

Our Responsibilities Regarding Patient Health Information

We are required by law to: maintain the privacy and security of patient health information; give patients this Notice of our legal duties and privacy practices with respect to the information we collect and maintain about them; and follow the terms of the Notice that is currently is effect. Students: To ensure privacy and security of patient health information, do not include any of the following patient identifiers in any paperwork you submit to your instructor or share in class: Names (initial are acceptable) Street address and/or city Birth date (age is acceptable) Admission and/or discharge dates, as well as date of death Telephone numbers Electronic mail addresses Social Security numbers Medical Record numbers Account numbers Full face photographic images or any comparable images

Joint Commission Surveys

The Joint Commission is an independent, not-for-profit organization. The Joint Commission accredits and certifies more than 17,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.

The surveys are unannounced. They can come anytime, so we need to always maintain preparedness.

Typically use a tracer methodology. Surveyors will conduct 10-12 patient tracers during the onsite survey. Tracers make up 70-80% of survey activities and involve observing and interviewing all staff- possibly students.

The surveyors will choose complex patients from an active patient list and trace their care through the hospital using the medical record as a roadmap.

From the chart, surveyors identify the different patient care areas the patient visited and the different tests, treatments, and services the patient received.

Any staff members who provide services to our patients may be interviewed, not just nurses and doctors. That means social workers, housekeepers, pharmacists, dietitians, security employees and possibly students- yes, students- just to name a few.

No departments, employees, or shifts are automatically excluded from the survey!

What the surveyors may ask you or observe- it’s all about safety and quality as related to your work providing patient care, treatment and/or services.

Environment of Care Physical condition of the department and patient areas Equipment maintenance and safety Infection control (hand washing and alcohol gel use) Hazard identification and management Life Safety Measures (disaster plan, fire safety, utility system failure) Medication security and labeling

Continuous improvement efforts The National Patient Safety Goals as they relate to your work How we involve patients and families in the care

Communication and teamwork How we communicate with patients, families, and other caregivers

How well our teams work together to provide safe patient care Education and training Orientation and training you received to do your work How you perform a particular task, such as preparing medications How you maintain competency in your work.

Protection of patients rights Same high level of care is provided without regard for the ability to pay Right to privacy Providing for patients and families with limited English proficiency

Patients and families have a right to communicate in a language they understand

Interpreter Services (IS) are provided free of charge and are initiated with a simple call to IS

Providing for patients and families with hearing impairment LAMP- Look at me please. This symbol and acronym alerts staff that

the patient is hard of hearing With their permission, place sign on their room door to remind staff to

make eye contact and speak slowly Hearing assistive devices are available to units from admitting

Providing for patients and families with visual impairment Provide large button phones and nurse call Use large print forms Supply magnifiers if needed

Tips for talking to a surveyor

Remain calm Surveyors are generally friendly, courteous and helpful They are just asking you a question about your work Be ready, willing and confident in providing answers Take time to think before answering Accuracy is more important than promptness in your responses Don’t need to memorize policies/procedures but do know where they are

located Make sure you understand the question so you can give an accurate

response Ask the surveyor to repeat the question (gives you time to think) Ask for clarification. Paraphrase what you heard and check for

understanding If you know the answer:

Answer to the best of your abilities Don’t elaborate or offer too much information- just answer the question If you don’t know the answer:

Don’t guess or give an answer just to say something Say where and how you would find the answer. Elaborate and explain

who would be able to provide the information or where specifically the answer can be found

Examples: o ―Let me show you the policy‖ o ―I’d ask my charge nurse‖ o ―I’ll show you where we document that in Carecast‖

Use the buddy system. Help each other answer questions

Joint Commission & Regulatory Support Links Students – Please read information provided at these links

JC National Patient Safety Goals Link

"Do Not Use Abbreviations" Link

(Accurate communication between caregivers ensures safe patient care. Some abbreviations, acronyms, and symbols may cause confusion. The above is a list of abbreviations that should not be used at PHOR)

Organizational Integrity Email

PeaceHealth E-mail system users shall use PeaceHealth’s e-mail in an ethical, lawful, respectful, and appropriate manner. E-mail messages are subject to other PeaceHealth policies, including those relating to harassment and discrimination.

Users should consider that e-mail messages can be forwarded, intercepted, printed, and stored by persons other than intended recipients.

Misdirected e-mail communications containing confidential information shall be reported to your preceptor, instructor and the Department of Learning and Development immediately.

PeaceHealth’s e-mail shall not be used in a manner that is inconsistent with its mission and values, or violates PeaceHealth policies. Unacceptable uses include any use to:

Harass, intimidate, or threaten another person.

Access or transmit copyrighted materials, trade secrets, proprietary financial information, or confidential information including protected health information without proper authorization. Sending confidential information outside the PeaceHealth system is prohibited unless the encryption system is utilized.

Further unlawful or inappropriate uses such as commercial purposes, personal gain, or the advancement of individual views.

Bypass or breach security measures, or attempt to intercept an e-mail without proper authorization.

Impersonate another user or mislead a recipient about your identity.

Access or distribute obscene, sexually explicit, abusive, libelous, or defamatory material, in graphic or text form.

Solicit, initiate, or transmit chain e-mail, except as provided for by PeaceHealth and regional policies. E-mail will not be used for private or commercial business, benefit, or gain.

Engage in a use that interferes with the operation of PeaceHealth computer network services, with work performance, or the operation of a department.

Any other use that is determined to be contrary to the mission and values of PeaceHealth or violations of any laws or regulations.

All messages and documents created, sent, received, and stored on PeaceHealth e-mail are the property of PeaceHealth. PeaceHealth reserves the right to access and monitor electronic communications, including e-mail communications.

Students who engage in unacceptable practices while using PeaceHealth’s e-mail system, or who violate policies relating to personal use, may be subject to corrective/disciplinary action up to and including discharge from clinical experience.

Internet use

PeaceHealth provides Internet access as a business tool to connect users to the most current work-related information, to facilitate access to knowledge resources, and to improve job performance. Internet access and use shall be consistent with PeaceHealth’s mission and values, and comply with regional and system-wide policies.

Unacceptable Uses. Internet access shall not be used in a manner that is inconsistent with PeaceHealth’s mission and values, or violates PeaceHealth policy. Unacceptable use of PeaceHealth access to the Internet includes, but is not limited to:

a. Messages, documents and images from Internet sites that may contain, but are not limited to, sexually suggestive or explicit material, racial slurs, or content that may be harassing, or offensive to a person’s gender, age, sexual orientation, religious beliefs, political affiliation, national origin, disability, veteran’s status and any other basis prohibited by local, state, or federal law.

b. Sending (uploading) or receiving (downloading) confidential information, copyrighted materials, trade secrets, proprietary financial information, or similar materials without prior authorization by department Manager or Director.

c. Sending protected health information (PHI) that is not encrypted. Until encryption is commonly available for transmission of information sent outside the PeaceHealth system, confidential information shall not be sent over the Internet. Communications sent to the Centers for Medicare and Medicaid Services shall be encrypted in accordance with HCFA Internet Security Policy.

d. Any use for personal benefit or gain, sales purposes, or the advancement of individual views including partisan political views, using your PeaceHealth affiliation. An example is running a private business using PeaceHealth resources including time.

e. Use that interferes with work performance or the operations of a department.

f. Unauthorized downloading of software.

Violations. Students who access Internet sites in a manner that is inconsistent with limited personal use, or contrary to PeaceHealth’s mission, values, and policies, or productivity expectations, will be subject to corrective/disciplinary action, up to and including dismissal from clinical experience.

Confidentiality information

The delivery of high quality patient care and the maintenance of an efficient healthcare organization requires the accumulation, transmission, and reporting of a wide variety of information. PeaceHealth's core values direct us to safeguard the confidentiality of this information. Information related to patients, employees, providers, financial data, and /or any other information pertaining to PeaceHealth business or proprietary information is to be considered strictly confidential unless specified otherwise. Access to confidential information is permitted only on a need-to-know basis and as permitted by law.

1. Access to clinical patient information shall be limited to the time period during which the user is directly involved in the patient’s care, or as otherwise or necessary for their job duties.

2. When accessing confidential information, access should be limited to the minimum necessary to perform the intended task.

3. Special considerations and/or precautions may be required related to certain types of protected information as defined by state and federal law. These include, but are not limited to: HIV, mental health, chemical dependency, and genetic testing.

4. Confidential information released to third parties should be limited to the minimum necessary to accomplish the intended purpose.

5. All students whom have access to PeaceHealth confidential information are required to comply with all applicable procedures and related policies of PeaceHealth that support, implement and enforce this policy.

6. Even with written authorization, access to any person’s online health information, except your own, is prohibited other than for purposes related to legitimate work-related tasks. This applies to family members’ or friends’ information, and that ―surfing‖ online health records for supposedly educational purposes are prohibited.

PeaceHealth confidential information is contained in different media including, but not

limited to:

Paper records

Microfilm/microfiche

Verbal communications

Audio or video recordings

Electronic Displays and electronically-generated reports

You will want to read this!

Way back in the 20th century, maybe 15 years ago, health care workers didn’t have nearly as

many opportunities to say something that could cost them $50,000, or even their jobs.

Not so in the age of Facebook, YouTube, LinkedIn, Plaxo, Twitter, MySpace, delicious, Google Buzz, sports blogs, political blogs, mommy blogs and all the other Internet social networking

soap boxes that stand ready to record your every rant for the whole world to read. Again, and again, and again — 24/7.

So here’s an important reminder: Every PeaceHealth caregiver, contractor and student is obligated by PeaceHealth policy and the federal Health Insurance Portability and

Accountability Act (HIPAA) to protect the confidentiality of patient information. Here are some things to think about before unloading onto your Facebook page (or any other social

networking forum):

Although access to specific Facebook pages may be limited to “friends,” be aware that

the content you post can easily be copied and redistributed widely.

Angry patients and family members can go to Facebook, indicate that they are employed by PeaceHealth and then get a listing of all PeaceHealth employees with a Facebook page.

If PeaceHealth becomes aware of content posted on a social networking site by a

PeaceHealth employee, contractor or student that can be determined to apply to a specific patient, it will be pursued as a breach of confidentiality.

If a patient learns about a specific posting and complains to the federal Office for Civil

Rights, the OCR is obligated to conduct a thorough investigation.

If you are found to have violated HIPAA privacy regulations by posting patient

information on social networking sites (even without names!), you are personally liable for fines up to $50,000 for each violation.

Even if a specific HIPAA violation is not found, you are still at risk for a civil lawsuit if

patient identity can be guessed from a specific posting.

Speaking of civil lawsuits, statements made on Facebook or other social networking

websites are not privileged and, therefore, not protected from discovery in a lawsuit. Such statements can be used against the offending person and against the

hospital as evidence of breach, negligence or whatever wrongful conduct is being claimed in the lawsuit.

Our Code of Conduct addresses our need to be stewards of PeaceHealth’s reputation. Caregivers may be viewed as ambassadors of PeaceHealth even in off-duty hours in those

situations where a caregiver’s behavior directly connects to their work life and/or reflects negatively on PeaceHealth.

Please think carefully before discussing workplace issues and events on FaceBook and other social networking sites. Maintaining professional discretion is the right thing to do, and it’s

what our patients and coworkers expect of us. ALSO:

Your personal cell phone should be off duty while you are on a unit or in a department. Unless you are on a break, use of a personal cell phone — for conversation, texting, updating your Facebook page or whatever — is not allowed. Thank you for taking the time to read the orientation material. While in a PeaceHealth facility, you will be responsible for this information at any time. If you have any questions, please ask your instructor first before calling us at 541-686-8527.

We hope you enjoy your clinical experience. Good luck!