Cook Children’s 1 Safety Training For Volunteers* *Please do not take the safety test until AFTER your interview with a Volunteer Program Coordinator. Cook Children’s Why Safety Training Is Important • Keeps the patients and families in your care safe. • Keeps you safe as you volunteer. • Avoids mistakes being made. • Allows staff to rely on you in urgent and emergency situations. 2 Cook Children’s 3 HEALTH GUIDELINES Do NOT come in if you are sick, have a rash, or even suspect you may be coming down with something. Do NOT come in if you had a fever within 24 hours before your volunteer shift. Cook Children’s PART I - UNIVERSAL PRECAUTIONS 4 Cook Children’s 5 What are Universal Precautions? • There are processes set up to protect patients, healthcare workers, and caregivers from the spread of viruses through blood, body tissues, and body fluids. Cook Children’s 6 Universal Precautions Continued • Most Patient Care volunteer placements are Category II: Tasks the volunteer performs involve no potential exposure to blood, body fluids, or tissues but the volunteer’s role may require performing unplanned Category I tasks. • Most Helping Hands volunteer placements are Category III: Tasks involve no anticipated exposures to blood, body fluids, or tissues. Cook Children’s 7 Hand washing or the use of alcohol gel is the single most important means of infection control! Cook Children’s 8 HAND WASHING TECHNIQUE: • Leave rings on. • Wash at least 15 seconds. • Wash between fingers, front/back of hand/wrists. • Rinse thoroughly. • Dry with paper towel using towel to turn off faucets. • Always wash before entering and after leaving a patient care area. Cook Children’s 9 BLOODBORNE PATHOGENS • Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and Human Immunodeficiency Virus (HIV) are the most significant blood-borne pathogens that health care workers come in contact with. • HBV poses the highest risk of exposure as it can survive for up to 7 days in dried blood. • HIV is very fragile, cannot survive long outside the body, and is not transmitted through casual contact. • Transmission routes of HBV, HCV, and HIV include, but are not limited to, contact between broken skin and infected blood/body fluids. Cook Children’s 10 Standard Precautions • “Standard Precautions” means treating blood and body fluids of ALL patients, regardless of diagnosis, as potentially infectious. • Body fluids can include: • • • • Runny nose Urine/Feces Drainage from a wound or stitches Phlegm Cook Children’s 11 Standard Precautions continued • Protective gloves, gown, and/or mask MUST be worn if you are participating in a task where there is a chance of exposure, like wiping a runny nose, changing a diaper, changing used linens. Cook Children’s Personal Protective Equipment (PPE) 1. Gown (ties in the back) 2. Gloves (fit over the cuff of the gown) 3. Mask Occasionally, shoe and hair covers may be required. Items are put on and removed in the above 1-2-3 order. 12 Cook Children’s 13 STANDARD PRECAUTION POLICY • Use gloves when performing activities involving potential contact with blood/body fluids. • Wash your hands even after wearing gloves. Cook Children’s 14 STANDARD PRECAUTION POLICY • Use gowns during activities involving exposure to blood/body fluids (when patient is spitting up, in isolation, etc.). Cook Children’s 15 STANDARD PRECAUTION POLICY • Use masks (and goggles) if there’s a chance of blood or fluids being splashed or inhaled into mouth, nose, or eyes. Cook Children’s 16 STANDARD PRECAUTION POLICY • Discard used gown, mask, and gloves in red container when in isolation rooms. • Dispose of soiled hospital linens in a yellow biohazard container. All linens should be treated as though infectious. • Never use the patient’s bathroom for personal use. Cook Children’s 17 INFECTION CONTROL POLICY • NO acrylic or artificial nails in patient care areas. Nail polish is fine. • Use Cavicide disinfectant spray or wipes to clean surfaces, toys, and equipment. Cook Children’s Toy Cleaning Procedure • Put on gown and gloves. • Spray Cavicide on all surfaces to be cleaned. • Wait 3 minutes. • Dry surfaces with paper towels. • For infant toys that may be mouthed (rattles, teethers), rinse in water and dry again. 18 Cook Children’s Infection Control Policy • All sharps (needles, broken glass, staples, etc.) go in a biohazard sharps container. • These are emptied by nursing staff when 2/3 3/4 full. 19 Cook Children’s 20 Sink Splatter Safety Zone • Do not leave papers, toys, food, or other items within 18 inches of a sink to protect from infectious splatter. Cook Children’s Infection Control Policy • Report ALL accidents involving exposure to blood or body fluids, puncture wounds, or injuries that break the skin to your supervisor and to Occupational Health 682-885-3837. 21 Cook Children’s 22 Before Entering a Patient’s Room: ROOM # PATIENT’S NAME 1. Check the name. 2. Follow all precaution instructions on wall plaque. 3. Knock. Wait for a response. 4. Wash hands or gel in. Ask nursing staff for assistance when in doubt. PPE is located on a cart outside the patient’s room or in the ante-room to the left or right of the patient’s door. I & O H I C TYPE OF ISOLATION K M INFORMATION A N LATEX ALLERGY N P O L I N E Cook Children’s 23 Isolation Precautions TYPES OF ISOLATION Gown Gloves Mask CONTACT X X (X) DRAINAGE/ SECRETION X X (X) (X) X STRICT X X X REVERSE X X X RESPIRATORY TB PRECAUTIONS PREGNANT CAREGIVER Hair Cover Shoe Covers X X DO NOT ENTER Do not enter if you are or may be pregnant. Cook Children’s 24 OTHER TERMINOLOGY: • I & O - Intake and Output • Medical staff are measuring how much the patient is eating/drinking and voiding. Intake: • Make a note of how much the patient eats and drinks using percentages (%) and ounces. • Example: The baby drank 3 ounces(oz.) of her bottle. • Example: Jody ate 50% of a hot dog, 100% of the fries and 75% of the applesauce. Cook Children’s 25 Terminology Continued… Output: • Make sure the patient uses his/her own bathroom as there is a measuring device in their commode to catch voiding. • If the child cannot get back to their room, use the nearest bathroom. Use the call button to call the nurse to let him/her know. DO NOT FLUSH! Nursing will give you instructions on what to do. • For infants, nursing staff will weigh the used diaper. Do not throw it in the trash. Cook Children’s Terminology Continued… • NPO - Nothing by Mouth! • The patient absolutely cannot have anything to eat or drink! No exceptions! • No foods, beverages, ice, candy, gum, etc. • Patients who are NPO are on special diets, awaiting testing, or having a procedure or surgery. It is very important that they have nothing in their stomachs. 26 Cook Children’s 27 Terminology Continued… • Hickman Line • Also known as a Central Line • It is an intravenous (I.V.) line that is placed right above the patient’s heart. • As with all patients hooked up to an I.V. machine, volunteers must be sure to keep the patient close to the I.V. pole at all times to avoid pulling apart the line. • If the I.V. does pull apart, immediately call nursing staff for assistance. Cook Children’s 28 Dietary Restrictions • Some children may have no posted dietary restrictions however, you should NOT assume that this means they can eat or drink everything. • Some patients can eat solid foods but will choke on liquids. • Others are on special diets like no salt, low fat, low carb, etc. because of their diagnosis. • NEVER give a patient ANYTHING to eat or drink without checking with the nurse first! Cook Children’s 29 Tuberculosis (TB) Screening • Required annually for all volunteers and staff. • Offered free at Cook Children’s Occupational Health Clinic, Monday-Friday, 7-11AM – 1-5PM. • Must be completed before volunteering. • Two-part process: 1. Receive the shot. 2. Have the site checked by a nurse/doctor 4872 hours after receiving the shot. • Forms should be faxed or mailed to Volunteer Services. Results are confidential. Cook Children’s 30 Flu Vaccination • Annual flu vaccination is mandatory for all volunteers and staff. • Free at Cook Children’s Occupational Health Cook Children’s PART II - SAFETY 31 Cook Children’s ENVIRONMENTAL SAFETY: Report any unsafe conditions you see (spills, drips, carpet pulled up, sharp edges, etc.). Report all accidents and seek immediate medical assistance. 32 Cook Children’s PATIENT SAFETY Report any unusual visitors and inappropriate/persistent questions regarding patients! Never release a child to any unauthorized person! - Authorized persons MUST be wearing their Cook Children’s badge (like those pictured at right). - Authorized persons MUST be a family member that you already know. - Verify ID with staff if you are unsure. 33 Cook Children’s SECURITY RESOURCES •30 officers patrol 24/7 •Can be reached at ext.51047 •Provide escorts •Should be called if you see someone with a weapon (not a police officer). •Can unlock your work area (playroom, library, etc.) •Cannot unlock offices or cabinets. 34 Cook Children’s 35 SDS Safety Data Sheets • SDS sheets give information about specific hazardous chemicals (name, ingredients, physical and health hazards, spill or leak clean up procedures). • Hazardous chemicals can cause burns, difficulty breathing, even cancer. • First aid for exposure=flushing with water. • If a spill/leak occurs, your first priority is to remove people from the area. • All hazardous chemicals should have a warning label. Cook Children’s 36 PROPER BODY MECHANICS Cook Children’s 37 TRANSPORTING YOUNG PATIENTS SAFELY •Small patients in wagons. •Pad bottom. •Patients must be seated or laying deep in wagon. •Wide, slow turns to avoid tipping. •Maneuver with caution. Cook Children’s TRANSPORTING OLDER PATIENTS SAFELY • Choose a wheelchair that is appropriate for the size of the patient. • Use the brakes when patient gets in/out of the wheelchair. • Use the seat belt if the W/C has one. • Move footrests out of the way as patient gets in/out of wheelchair. • Move with caution. 38 Cook Children’s 39 OTHER SAFETY TIPS • Check in/out with the patient’s nurse so she knows you are with/leaving a child or infant. • Never give a patient anything to eat/drink without asking the nurse about the patient’s dietary restrictions (no salt, thickened liquids, low-fat, no sugar, choking issues, etc.). • Check with the nurse before repositioning a patient or moving a bed. Cook Children’s • Keep bed rails up unless interacting directly with patient at bedside. • Do not walk long distances with a child in your arms. • Ask questions when in doubt! 40 Cook Children’s 41 PART III - EMERGENCY PREPAREDNESS Cook Children’s 42 To Report All Emergencies… 1. Dial ext. 51111 to contact the operator. DO NOT dial “0”. 2. Give the Code Color of your emergency. 3. Give the name of the building you are in. 4. Give the number of the floor you are on. 5. Give the room number and/or room name. Example: “Code Blue, main building, 5th floor, room 5417” Cook Children’s 43 CODE RED: SMOKE or FIRE The Operator: “Code Red” announced using the overhead paging system. The Volunteer’s Response: Listen for the location Clear the halls of equipment Close doors Cook Children’s 44 R.A.C.E. Volunteer’s Response to finding smoke or fire: Rescue those in danger Alarm Sound the alarm at a pull station AND call ext. 51111. Confine the fire Extinguish or Evacuate Cook Children’s 45 P.A.S.S. Pull the pin Aim the nozzle at the base of the fire Squeeze the trigger Sweep from side to side Cook Children’s 46 ALL CLEAR • The “All Clear” is announced when a Code has ended. • All Codes remain in effect and your role is not over until the All Clear is announced. Cook Children’s CODE GREEN: 47 FIRE DRILL KNOW the location of the... Nearest pull station Nearest fire extinguisher Nearest fire exit route ...in the area where you volunteer. KNOW how to report a Code Green: Use the same response as for Code Red. Cook Children’s 48 Fire Safety Basics • The three elements needed to start a fire are: Fuel Oxygen Heat • Door stoppers can NEVER be used to prop open fire doors. • Preventing fires can be as simple as: Keeping work area free of clutter/trash. Following tobacco-free campus policies. Cook Children’s 49 CODE YELLOW: EXTERNAL or INTERNAL DISASTER The hospital is expecting a lot of patients at once. Volunteers should: 1. Stay in their area unless instructed otherwise. 2. Listen to overhead paging for instructions. Cook Children’s 50 CODE GRAY: Severe Weather Preparation Watch: Potential for High Winds, Hail, Tornado. Volunteer’s role: Close drapes & blinds. Be ready for the weather situation to worsen. Cook Children’s 51 CODE BLACK: Severe Weather Warning: High Winds, Hail, Tornado Sited. Volunteer’s role: Help move patients, families, and visitors into interior hallways, away from windows. Do not leave the building. Cook Children’s 52 CODE PINK: Missing Child To report a missing child: Immediately dial ext. 51111 Give race, age, location, & child’s name (if over 2 years old) Stay with parent until help arrives. Cook Children’s 53 When you hear a Code Pink announced: •Assume the child has been abducted and not just lost. •Cover the nearest exit in your area. •Ask those exiting to open large bags & purses if an infant is missing. •Ask children matching the description, their names and who they are with. Cook Children’s 54 CODE BLUE: Life-threatening medical emergency in the medical center or clinic building (respiratory failure or cardiac arrest) MED ALERT: Need medical help in the medical center or clinic, but not lifethreatening CAMPUS ALERT: Life and non-life threatening incident that occurs in other buildings or the outside grounds Cook Children’s 55 Don’t Hesitate ! Take action: When anyone is or appears to be in physical distress, immediately call in a Code Blue or Alert to x51111. Cook Children’s CODE SILVER: VIOLENT SITUATION •Dial ext.51111 •Tell the operator Code Silver and give the location •“Clear & Disappear” behind closed, locked doors •Stay put until the All Clear is announced 56 Cook Children’s 57 Threatening Calls Properly Document and Notify Security, x51047 Bomb Threats Keep talking as long as possible. Write a note to get help. Ask where and when the bomb will explode. Complete the bomb threat checklist immediately. Notify operator and supervisor. Cook Children’s 58 Emergency Code Summary: Volunteers can and should initiate the appropriate Emergency Code by dialing 51111. Volunteers should listen for and respond appropriately to all Emergency Codes paged overhead. Emergency Codes are listed on the back of all ID badges. Cook Children’s Safety Test 59 Please exit the Power Point presentation and proceed to the safety test. Thank you!
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