Lee Memorial Health System Introduction 2014 LMHS

Lee Memorial Health System Introduction 2014

LMHS MOTTO “Creating comfort through compassion and competence. "

LMHS VISION “To become the best patient centered health system in the State of Florida. This vision will be accomplished through recognition of nursing as a focus of excellence while supporting an environment that fosters interdisciplinary collaboration with all members of the health care team. ”

HISTORY OF THE LEE MEMORIAL HEALTH SYSTEM First opened 1916 n 6 hospitals, 4 campuses n Over 9000 employees n Over 3400 Volunteers n Over 1000 Physicians on Staff n n Over 1, 000 patient visits a year!

LEE MEMORIAL HOSPITAL CAMPUS n n n n n First hospital in the system 367 beds Level II Trauma Center Rehabilitation Hospital & Orthopedics Neurosciences & Stroke Oncology Services Infectious Disease PCU, ICU & SICU No inpatient pediatrics or obstetrics

LMH FAST PASS Security System n Fast Pass secure stations will be maintained in the Hospital Lobby, the MOC (Medical Office Center) Lobby and the Emergency room entrance. n All visitors/students will pass through the Fast Pass, showing their state identification card and receiving a photo ID, to gain entrance into the building. n All visitors must give the room or the reason for their visit. n Photo passes will be good for 1 entire day only.

CAPE CORAL HOSPITAL CAMPUS n n n Served the community for more than 20 years before merging with LMHS in 1996 291 Beds, all private Largest Emergency Department in Lee County Low risk obstetrics & Special Care Nursery orthopedics, urology, endocrinology, gastroenterology, ICU and Neuroscience Unit.

HEALTHPARK MEDICAL CENTER CAMPUS Anyone know why it looks like this…?

HEALTHPARK MEDICAL CENTER CAMPUS Opened in 1991 n 360 beds, all private n Heart & Vascular Institute n Neurovascular Intervention Unit n Obstetric and High Risk Obstetric Center n Neonatal Intensive Care / NICU n Pediatrics / PICU n SWF Children's Hospital n

GULF COAST MEDICAL CENTER CAMPUS n n n 349 Beds Emergency Department 43 beds Comprehensive cardiovascular care, including cardiology, cardiac surgery, angioplasty, cardiac catheterization The area’s only kidney transplantation center (shortest wait time in Nation for transplantation!!!!!) Other services include: orthopedic surgery, neurosurgery & spine surgery, neurology and stroke care, general and vascular surgery, general medicine, and intensive care units.

What is DNV? n DNV-accreditation organization n DNV stands for “Det Norske Veritas” translated “The Norwegian Truth” n Others surveyors include: n CMS-Centers for Medicaid & Medicare Services, n AHCA-American Healthcare Association

What is HCAHPS? n n n Hospital, Consumer, Assessment of Healthcare Providers and Systems Survey of patients hospital care tied to reimbursement 27 Questions about recent hospital stay n Q’s related to hospital experience? n Communication & responsiveness of hospital staff, toileting needs met, call lights answered, pain management, cleanliness, quietness, education, and overall hospital experience n Explain to patient exactly what you are doing! www. hospitalcompare. hhs. gov

EHR is Here!! One patient/one record, standardized design processes, fully integrated, based on current science! EHR Electronic Health Record n EPIC name of our new computer system n CPOM Computerized Physician Order Management n

REFERENCE MATERIALS n LMHS support digital media for referencing. Computer available on every unit at every hospital and in Medical Libraries. n Examples include on Intra. Lee: n n Integrated Services Manual (Policies and Procedures) Micromedex (Patient Education & Clinical Resources) Library databases (Dynamed, Natural Standard, Ovid, etc. ) Ebooks (such as Clinical References)

The ANA Code of Ethics for Nurses

DELIVERING CARE FROM THE HEART n n Why did you choose your profession? Using a holistic approach to your care: n Attending to physical needs n Attending to emotional needs n Attending to spiritual needs n Attending to the needs of the family

HONORING DIVERSITY n Respect for diverse needs and beliefs: n Generational n Cultural n Socioeconomic n Educational n Religious

“ZERO TOLERANCE” n n LMHS promotes Respect, Dignity & Equal Opportunity LMHS does NOT tolerate: Discrimination, Any type of Harassment, Retaliation or a Hostile work environment n n This applies to all employees, physicians, vendors, c patients, visitors and any individual on premises!! Report up the Chain of Command, Compliance # or HR Employee Relations.

NEVER FORGET. . . Nursing is a vocation as well as a profession. n Your heart is as important as your clinical expertise in creating comfort for our patients and their families. n Lead the Safety Journey. n

We are all responsible for leading the Safety Journey…

Gold Card Expectation… Always have a LMHS Gold Card in your badge holder while in the clinical setting.

Lee Memorial Health System Expectations: Clinical faculty responsible for supervising students in the performance of procedures and patient care n LMHS Staff are responsible for the care of the patient n All medications administered must be co-signed by RN and/or Faculty. n

Lee Memorial Health System n Students MAY NOT: n Take telephone or verbal orders n Sign off orders on medical record n Act as a witness for any document or consent n Give any medication without the co-signature of the Faculty or a RN

Lee Memorial Health System n Students MAY NOT: n Give or regulate PCA’s, epidural medications or chemotherapy medications n Use auto transfusion devices or Hang Blood n Chart or Edit Electronic Assessments n Perform any invasive procedure on children under one year of age unless under the direct supervision of a staff RN from the department in which the child is a patient

What NOT to Bring in Patient Care Areas n NO cell phones in Patient Care Areas- technology that may any jeopardize a patients rights or violate confidentiality is absolutely NOT ALLOWED. Only during breaks in appropriate locations (i. e. lobby, outside, break rooms) n Cellular phone use must be 5 feet away from any medical equipment. n NO Text Books in Patient Care Areas n NO Food or Drink in patient areas (exception-bottled water with secured cap)

“Customer Service” n Students are NOT to park in the VISITOR Lots!!!!! If caught security will take down car tag info, look up names and school affiliation. It will be documented and may directly affect future employment with LMHS. PLEASE…Park in Employee Parking Areas ONLY Please! n Use the service elevators! LMHS administration is serious about this, as it hampers our ability to care for patients and families.

What the Nursing Staff Expects n No more than 2 students assigned to the patients of any staff nurse n Document all activity, AM or HS care, intake/ouput after meals, and bathroom assistance related to patient care in the electronic health record. n Vital signs are to be done timely per the unit routine. “Real Time Charting a must! ” is n Document at computers in the hall. Try not to utilize the staff nurse work area if possible

What the Nursing Staff Expects n n n Communicate significant findings or status changes immediately. Communicate to the primary nurse when you leave the unit for breaks or leave at the end of the day. (Include anything that has not been done) Students should not be congregating in hall or at nurses station.

No Students to be present in the room during Codes & MET calls n Although we realize the value in learning and observing Medical Emergency Team (MET) calls and Cardiac/Respiratory Arrest, it has been advised that it is distracting and too crowded for students to be present unless they were directly involved with the care of that patient.

ASSURING CONFIDENTIALITY n HIPAA laws and penalties n Access to patient information n Communications with peers n Communications outside of the hospital

COMPUTER USE ISSUES n Accessing your own computer medical records, or those of friends or family is STRICTLY PROHIBITED! n Employees should not use employee sign-on while functioning in the role of student at any time. n Internet use: n Personal e-mail n Non-work related internet sites

Social Networking… Social Networking is NOT permitted while at LMHS or on any LMHS Equipment. n For your protection DO NOT post any privileged, confidential, copyrighted or company issued documents. n Anything obscene, vulgar, defamatory, threatening, discriminatory, harassing, abusive, hateful, or embarrassing to a LMHS employee, patient or business partner is prohibited. n

Students are NOT to perform Blood Sugar Checks n n Students and Faculty are not to perform blood sugar checks with the Accucheck machines at any time on any Patients, Visitors or themselves-even if the nurse offers…DECLINE! USE OF THE GLUCOMETER WITHOUT TRAINING, OR USING THE METER WITH ANOTHER EMPLOYEE’S ID NUMBER IS CONSIDERED FRAUDULENT DOCUMENTATION, AND IS GROUNDS FOR DISCIPLINARY ACTION.

YOU ARE AN IMPORTANT MEMBER OF OUR TEAM! What is our #1 concern & core value her he LMHS?

YOUR ROLES ON THE TEAM n Assuring patient safety n Being a patient advocate n Communicating effectively n Representing the values of LMHS

IMPROVING THE ACCURACY OF PATIENT IDENTIFICATION Information on the Identi-print armband. n Two forms of patient identification used at LMHS Involve the Patient: NAME DATE OF BIRTH CSN-Contact Serial # n

It Takes Two n Verify 2 reliable identifiers every process every time! n This is a RED RULE!!!!! n Scanning is not considered a reliable identifier!!

Know Your Patient n Door Precaution Signs **BE SURE to UPDATE** n Color coded armbands: n Red = Allergy n Blue =Do Not Resuscitate (DNR Imprint)= No code n Green =Restrictive Resuscitation n Yellow (Fall Imprint) = Fall risk n Pink = Extremity use precaution n Purple = Anticoagulant precaution

PREVENTING INFECTION What are the most effective ways to reduce the transmission of infection? n Is using hand sanitizer considering a form of hand washing? n How long EXACTLY do we wash or gel hands for? n

YOUR ROLE IN REPRESENTING THE VALUES OF LMHS

Our profession has changed with time, but our values remain the same.

PROFESSIONAL BEHAVIORS n First impressions are important! n Look the part. n Think about how you sound to others.

PROFESSIONAL VALUES n Keep up to date with policies and procedures. n Enhance your knowledge and skills. n Ask for help when you do not know something.

REFLECTING LMHS IN YOUR COMMUNITY n Be meticulous about confidentiality outside the hospital. n Be a positive representative in the community. n You have an amazing opportunity to learn & grow at LMHS and we’re glad you are here!