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STUDENT PASSPORT JOB SHADOWING APPLICATION ITEMS: Job Shadowing Request Form with Selection Chart Student Observation Agreement Confidentiality Agreement Health History & TB Form Influenza Vaccination Form Job Shadowing Day, Privacy & Safety Guidelines (Keep this section available for quick reference and bring with your email confirmation on your Job Shadowing Day) Please print, complete all required items, and submit to Parkview Student Services for approval and confirmation. Items must be received at least 2 or more weeks prior to desired Job Shadowing date to allow for processing, approval, and appointment confirmation. Please submit completed forms to Parkview Student Services: Mailing Address: Student Services, 1919 W. Cook Rd. Fort Wayne, IN 46818 Fax: (260) 373-3168 Email: [email protected] Revised May 2018

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Page 1: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

STUDENT PASSPORT

JOB SHADOWING

APPLICATION ITEMS: Job Shadowing Request Form with Selection Chart

Student Observation Agreement Confidentiality Agreement

Health History & TB Form Influenza Vaccination Form

Job Shadowing Day, Privacy & Safety Guidelines (Keep this section available for quick reference and bring

with your email confirmation on your Job Shadowing

Day)

Please print, complete all required items, and submit to Parkview Student Services for approval and

confirmation. Items must be received at least 2 or more weeks prior to desired Job Shadowing date to

allow for processing, approval, and appointment confirmation. Please submit completed forms to Parkview Student Services:

Mailing Address: Student Services, 1919 W. Cook Rd. Fort Wayne, IN 46818 Fax: (260) 373-3168 Email: [email protected]

Revised May 2018

Page 2: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Job Shadowing Request & Information Form

This section is to be completed by the individual requesting Job Shadowing.

Is this Job Shadowing to help you explore a career you are interested in going to school for?

□ YES Continue filling out this form.

□ NO STOP! Job Shadowing must be for career exploration to be permitted.

Vendors should contact Parkview Supply Chain for Vendor observation process.

Name (please print)

Phone

Email

Home Address

Date of Birth

Have you Job Shadowed at Parkview Health before?

□ NO □ YES

Specify the date(s) & location(s) _______________________________ Current School (if applicable)

Career Interest(s) I would like to Job Shadow on the following date. Date:__________________

(mm/dd/yy)

□ 4 hours: 8am-12pm □ 4 hours: 12pm-4pm □ 8 hours: 8am-4pm

□ Special Evening/ Weekend hours: ________________

If the above date/time is not available, my SECOND choice: Date:__________________

□ 4 hours: 8am-12pm □ 4 hours: 12pm-4pm □ 8 hours: 8am-4pm

□ Special Evening/ Weekend hours: ________________

If above date/time is not available, my THIRD choice: Date:__________________

□ 4 hours: 8am-12pm □ 4 hours: 12pm-4pm □ 8 hours: 8am-4pm

□ Special Evening/ Weekend hours: ________________

Refer to the JOB SHADOWING Selection Chart Below to answer the following questions.

The PROFESSIONAL I would like to Job Shadow with is:

I would like to Job Shadow at the following LOCATION:

Is there a SPECIFIC person you would like to be assigned to? Indicate name.

I acknowledge by my signature that I have read and studied the information contained in this Student Passport

including the Job Shadowing Day, Privacy and Safety Guidelines.

Signature (Parent if under 18) _________________________________________________ Date ____________________

Please submit completed forms to Parkview Student Services: Fax: (260) 373-3168 Email: [email protected]

This section to be completed by STUDENT SERVICES

Approval: □ All forms completed □YES, by Dept. Leader: ________________________ □ NO: Reason __________________

Date___________ Time___________ Location/Dept._________________________ □ Email Confirmation sent to JS

Special Notes:______________________________________________ □ Email sent to MSS for Guest List Posting

Page 3: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Parkview Clinical Opportunities

Child Life Specialist

Parkview Regional Medical Center

Doctor or Physician

Parkview Physicians Group Office

Emergency Care Technician

Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

EMT/ Paramedic

Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Cardiac Pulmonary Rehab

Parkview Regional Medical Center

Exercise Specialist - Fitness

Parkview Health & Fitness Center Parkview Sports Medicine

Laboratory Technician

Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Wabash Parkview Whitley

Medical Assistant

Parkview Occupational Health Parkview Physicians Group Offices

Medical Coder

Parkview Randallia

Mental Health Counselor

Parkview Behavioral Health*

Occupational Therapist

Parkview Randallia Parkview Regional Medical Center Parkview Ortho Parkview Huntington Parkview LaGrange Parkview Noble Parkview Wabash Parkview Whitley Parkview Home Health & Hospice*

Occupational Therapy Assistant

Parkview Regional Medical Center Parkview Ortho Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley Parkview Outpatient Rehab Randallia Parkview Outpatient Rehab PRMC

Patient Care Technician

Parkview Randallia Parkview Regional Medical Center

Parkview Clinical Nursing Opportunities

Cardiac Cath Lab

Parkview Regional Medical Center

Cardiac Intensive Care

Parkview Regional Medical Center

Cardiac Unit

Parkview Regional Medical Center

Constant Care Unit

Parkview Randallia Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Diagnostic Imaging or X-Ray

Parkview Regional Medical Center

Emergency Department**

Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Education

Parkview Randallia Parkview Regional Medical Center Parkview Ortho Parkview Behavioral Health* Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley Parkview Home Health & Hospice*

Extended or Long Term Care

Parkview Randallia

Home Health & Hospice

Parkview Home Health & Hospice*

Nurse Assistant/ CNA

Parkview Randallia Parkview Regional Medical Center Parkview Ortho Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Medical Unit

Parkview Regional Medical Center

Medical Surgical Combined Unit

Parkview Randallia Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Mental Health

Parkview Behavioral Health*

Parkview Non-Clinical Opportunities

Administration Director

All Locations

Manager

All Locations

Chaplain

Parkview Randallia Parkview Regional Medical Center Parkview Behavioral Health*

Dietitian

Parkview Regional Medical Center Parkview Behavioral Health* Parkview Huntington Parkview LaGrange Parkview Noble Parkview Randallia Parkview Whitley

Finance

Parkview Corporate Office Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Wabash Parkview Whitley

Human Resources Professions

Parkview Corporate Office Parkview Education Center Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Wabash Parkview Whitley

IS Analyst

Parkview Business and Technology Center Parkview Corporate Office Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Wabash Parkview Whitley

Legal

Parkview Corporate Office

Marketing/ Communication Relations Specialists

Parkview Corporate Office

Security Officer

Page 4: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Pharmacist & Pharmacy Technician Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Physical Therapist & Assistant Parkview Randallia Parkview Regional Medical Center Parkview Ortho Parkview Huntington Parkview LaGrange Parkview Noble Parkview Wabash Parkview Whitley Parkview Home Health & Hospice Parkview Outpatient Rehab Randallia Parkview Outpatient Rehab PRMC Parkview Sports Medicine

Physician Assistant

Parkview Physicians Group Office

Radiologic Technology or Diagnostic Imaging Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Wabash Parkview Whitley Parkview Physicians Group Office

Respiratory Therapist Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Speech Language Pathologist Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Surgical Technician Parkview Ortho

Unit Assistant Parkview Randallia Parkview Regional Medical Center Parkview Ortho Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Neonatal Intensive Care+

Parkview Regional Medical Center

Neuro Unit

Parkview Regional Medical Center

Obstetrics Intensive Care

Parkview Regional Medical Center Parkview LaGrange Parkview Noble Parkview Whitley

Occupational Health

Parkview Occupational Health

Oncology

Parkview Regional Medical Center

Pediatrics+

Parkview Regional Medical Center Parkview Physicians Group Office

Operating Room

Parkview Ortho Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Physician Office or Clinic

Parkview Occupational Health Parkview Physicians Group Office

Rehab Unit

Parkview Randallia

Surgery Admission & Recovery

Parkview Randallia Parkview Regional Medical Center Parkview Ortho Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Surgical Intensive Care Unit

Parkview Regional Medical Center

Surgical Unit

Parkview Randallia Parkview Regional Medical Center

Wound Care

Parkview Regional Medical Center Parkview Randallia

Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Whitley

Social Work

Parkview Behavioral Health* Parkview Randallia Parkview Regional Medical Center Parkview Huntington Parkview LaGrange Parkview Noble Parkview Wabash Parkview Whitley

*It is required that you be at least 18 to shadow at Parkview Behavioral Health & Parkview Home Health & Hospice

**It is required that you be college age or older and obtaining a degree in a Health Care Profession to shadow in the Emergency Department

+You must be at least 16 to shadow in Neonatal Intensive Care & Pediatrics Units

Page 5: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Instructions for Completing the Student Observation Agreement

Please complete the Student Observation

Agreement by including the following details on the

form:

1.Name 2. Address

3.Department Name and Parkview Location Please include both the name of the department and the specific name of the Parkview facility.

4.Date Job Shadowing begins 5.Date after Job Shadow (allows for 24-hour period).

6.Signature 7.Initials 8.Date 9.Birthdate 10.Parent’s signature if under age 18.

Please submit completed forms to Parkview Student Services: Fax: (260) 373-3168 or Email: [email protected]

Page 6: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

STUDENT OBSERVATION AGREEMENT

BY AND BETWEEN

Parkview Health System, Inc. d/b/a Parkview Physicians’ Group, Parkview Occupational

Health Centers, Inc., Parkview Hospital, Inc., Huntington Memorial Hospital, Inc. d/b/a Parkview

Huntington Hospital, Whitley Memorial Hospital, Inc. d/b/a Parkview Whitley Hospital, Community

Hospital of Noble County, Inc. d/b/a Parkview Noble Hospital, Community Hospital of LaGrange

County, Inc. d/b/a Parkview LaGrange Hospital and The Orthopedic Hospital at Parkview North LLC

(collectively or individually “the Facility”)

AND ________________________________, whose address is _____________________________

(Student/Individual)

WHEREAS, the Facility is organized for the purpose of operating a health care facility, including the

operation of a ______________________________ department; and,

In consideration of the mutual understanding that the student observation experience will be offered to

allow the Student/Individual to gain in-depth knowledge about a specific health career and that the experience

will consist of observational experiences only:

Section 1. Relationship of Parties Observation Student/Individual shall not be deemed to be an employee or agent of Facility or of Parkview Health, Inc. ("PH").

Section 2. Responsibilities of the Student/Individual With respect to the Program identified in this Agreement,

the Student/Individual agrees that he/she:

(a) Has read and understands the accompanying Guide for Shadowing Experience including information on Occupational Health and Safety Administration ("OSHA") Blood-Borne Pathogen Regulations, Hazardous Materials, Fire Safety/Codes, Infection Control and Infectious Waste;

(b) May be required to wear gloves, masks/face shields or other protective clothing;

(c) Submits a signed "Confidentiality Agreement" to the Facility representative; agrees to dress in the appropriate manner for the professional environment (no jeans, shorts or sandals);

(d) Will act in a professional manner in their observational role while at the Facility.

The student will be solely responsible for expenses incurred during the observation educational experience

regardless of whether such expenses are:

(a) For health care services provided by Facility, or

Page 7: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

(b) Otherwise incurred in connection with the observation educational experience.

Section 3. Responsibilities of the Facility Representative

With respect to the Program identified in this Agreement, the Facility representative shall:

(a) Serve as a health care representative which Observation Student(s)/Individual(s) may be allowed to watch in selected roles, and assure that the experience is limited to only observation activities;

(b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects of patient care.

Section 4. Term

It is understood and agreed that the term of this Agreement shall be from _______________ to

_______________.

The parties have caused this agreement to be executed and limited to the later day and year written below.

“FACILITY” “STUDENT/INDIVIDUAL”

Parkview Health System, Inc. d/b/a Parkview Physicians’ Group, Parkview Occupational Health Centers, Inc., Parkview Hospital, Inc., Huntington Memorial Hospital, Inc. d/b/a Parkview Huntington Hospital, Whitley Memorial Hospital, Inc. d/b/a Parkview Whitley Hospital, Community Hospital of Noble County, Inc. d/b/a Parkview Noble Hospital, Community Hospital of LaGrange County, Inc. d/b/a Parkview LaGrange Hospital and The Orthopedic Hospital at Parkview North LLC

By: ____________________________ By: ___________________________

Its: ____________________________ Its: ____________________________

Date: __________________________ Date: __________________________

Birthdate: ________/______/_______

By: ____________________________ Parent’s signature if student/individual is under age of 18.

Page 8: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

PARKVIEW HEALTH

CONFIDENTIALITY AGREEMENT

I understand that in the performance of my duties as an affiliating student or faculty member of affiliating

school that during my participation in the clinical education program at Parkview Health System, Inc.

(“Facility”) I may have access to and may be involved in the processing of verbal, written, computer generated,

computer accessed, filmed, and/or recorded information related to patients, physicians, employees and business

information, all identified as “Confidential Information”, as defined by the Parkview Health Confidentiality

Policy. I understand that I am required to protect and maintain the confidentiality of this Confidential

Information at all times.

I acknowledge that if my position requires application of an electronic signature code, it is the equivalent of my

legal handwritten signature. I understand that if I disregard the confidentiality of my electronic signature code,

use the code of another person, or fail to comply with these confidentiality requirements, I will be committing

an illegal and/or unprofessional act.

I understand that a violation of these confidentiality considerations may result in disciplinary action, up to and

including termination of my participation in the clinical education program at Facility or legal action.

I certify by my signature that I have knowledge of the provisions of the Parkview Health Confidentiality Policy.

I agree to adhere to and uphold Parkview Confidential Information.

Name: _________________________________________________

(please print)

Signature: ______________________________________________ Date: ________________

Parent Signature: ________________________________________ Date: ________________

(if under age 18)

Email Address: _________________________________________

Page 9: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

HEALTH HISTORY and TB FORM Print name: Last ________________________________________First____________________________Middle________

Date of birth: ___________________

(mm/dd/yyyy)

Telephone number:

Email Address:

Home address: _________________________________________________________________________________________ Street City State Zip Code

College/University/School if attending: _________________________________________________

*If you have current health vaccination history on file at your school, please check the box to the right and sign

below. □

Student Signature School/Department Date

*If you do not have current health vaccination history on file at your school, please complete the below information.

HEALTH VACCINATION HISTORY The following are REQUIRED VACCINATIONS for students in direct patient care areas:

Measles/Mumps/Rubella vaccine: Date #1 _________ Date: #2 _________

Chicken Pox (Varicella) vaccine: Date #1 __________ Date #2 _________ Titer (date drawn): ____________

Did you have the chickenpox? Y or N

Tetanus or Tetanus Diphtheria: Date: _____________ Polio Vaccine: Date: ____________

Hepatitis B Vaccine: Date: #1_________ #2_________ #3__________ Titer (date drawn): ___________

or initial the following statement:

I understand that I will be at risk of accidental exposure to blood and/or body fluids and therefore the risk of Hepatitis B, a serious disease. Hepatitis B vaccine protection prior to this experience has been recommended to me." Initials:________

Comments regarding vaccinations:

Page 10: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

HEALTH HISTORY and TB FORM

TB (Tuberculosis) TEST

Will your learning experience take place partially or entirely at Parkview Randallia or Parkview LaGrange?

□ YES - a TB Test is REQUIRED for these sites. □ NO – a TB Test is optional

TB Test (Mantoux, PPD, or TST) (within last 12 mo.)

Date: ____________ Please attach copy of TB test results.

If positive reactor, a Chest X-ray is required.

Date: ___________ Please attach copy of X-ray results.

TB Skin Tests can be obtained at area Parkview Occupational Health Centers, other urgent care centers, clinics, or private physician offices for a cost of approximately $20-25.Parkview does not cover this expense for students or observers at our facilities. Please present this form to the agency when obtaining a TB Test. A return visit to the agency is required 48-72 hours after the TB skin test is administered to have the results read

I hereby affirm that the health vaccination history and TB test information given on this form is accurate and complete.

Signature (Applicant or Parent) Date

Page 11: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Healthcare Personnel, Volunteers, and Students

Influenza Vaccination Status

All employees, licensed independent practitioners, volunteers, students and job shadow Participants age 18 and older are required to complete this form.

Name: _______________________ Department: _____________________ Date: _____

Facility: __________________________________________________________________________

Have/will you work at this healthcare facility for at least 1 day between October 1 and March 31?

No; Stop Here

Yes

Have/will you work in the Inpatient Rehab department for at least 1 day between October 1 and March 31?

No Yes

Have you received a flu vaccination at any Parkview Occupational Health site this season

No; Continue Yes; Choose one and stop here: Allen County Occupational Health

PHH Occupational Health

PLH Occupational Health

PNH Occupational Health PWH Occupational Health

Have you received a flu vaccination ELSEWHERE since it became available this season?

No; Continue Yes; Choose one and stop here: Other Hospital

Primary Physician

Retail Pharmacy

Other Employment

Other Clinic

Other Source

Have you declined to receive the influenza vaccine this season?

No Yes, Please Explain:

Note: If your vaccination status changes during the flu season, such as you declined the vaccine, then chose to receive the vaccine later, provide an updated status form with explanation.

Page 12: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Please Keep the Following Section for Personal Review

Page 13: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Keep this section available for quick reference and bring with your email confirmation on your Job

Shadowing Day.

Job Shadowing Day, Privacy & Safety Guidelines DRESS CODE

Our patients and families deserve and expect professional appearance from everyone they

encounter at Parkview. Make sure your clothing is well-selected, clean and wrinkle-free so you look

your personal best.

Dress code for the day is “BUSINESS CASUAL.” Examples may include clothing such as slacks, khakis, sweaters, collared or polo shirts, and other items that would be worn in professional settings or places of worship.

You MAY NOT wear jeans, shorts, sweatshirts/pants, clothing with holes, or any clothing that is inappropriate in a professional work environment.

Footwear must be closed-toe, with safe non-skid soles. No sandals or flip-flops. Athletic shoes are OK.

Please avoid displaying extremes in clothing, hair styles, jewelry, visible tattoos, and body piercings.

CHECKING IN

You MUST have your PRINTED email confirmation form when you arrive in order to complete your job shadow.

If you do not have your confirmation form, you will NOT be allowed to complete your job shadow.

When you arrive to your facility, please report immediately to the Information Desk in the front lobby and present your confirmation form.

SUGGESTIONS

It is highly recommended that you eat a meal prior to arriving. You may be exposed to situations that can make you feel queasy. A good meal will help prevent this! Additional food items and beverages are available for your purchase in designated dining and vending areas at each facility.

If you feel uncomfortable, dizzy or ill at any time, please let your staff member know immediately. Do not hesitate. We understand that new experiences in the hospital can be overwhelming at times.

Stay attentive and engaged in your observation and maintain professional behavior at all times. You are welcome to ask our staff questions as appropriate. Please remember that your experience is observation only, and you will not be participating in hands-on activities.

FOR ADDITIONAL ASSISTANCE

If you need additional assistance, please contact [email protected]

Page 14: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

PARKVIEW MISSION, VISION, & VALUES

MISSION

Parkview Health will improve the health and well-being of our communities.

VISION

Parkview Health will be your partner in health.

VALUES

Trust - We have mutual respect and confidence in others.

Quality - We put trusted care into action through technology, education, and best practices in medicine. Flexibility - We accept change in innovative and proactive ways.

Teamwork - Working together, we actively and respectfully listen to each other’s’ ideas. We communicate openly, honestly, and constructively.

Stewardship - We manage the care of our patients as if they were members of our family and we manage financial and material resources as if they were our own.

PRIVACY: CONFIDENTIALITY - What does it mean?

Confidentiality means “keeping information private.” In a hospital or healthcare setting, all patient information is

considered confidential. We follow HIPAA guidelines. Any information about patients that is spoken, on paper, or on

computer is to be kept private. You cannot tell your family, friends, or anyone else (who is not taking care of the

patient) about this information.

Examples of confidential information include:

If you share any of these types of information with

people who do not need to know, you have broken

confidentiality and you have broken the law! This can

lead to fines and potential jail time.

In addition to patient information, confidentiality must also include privacy of:

business-related information

fellow employee personal and employment information

Please agree to keep patient information confidential and remember… “A slip of the lip-pa violates HIPAA.”

Confidential Items

Name

Address

Age

Social Security Number

Whether someone is in the

hospital

Diagnosis or reason why a

person is in the hospital

Treatments and medications

Past health conditions

Page 15: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Fire and Security Information All fire information is available in your unit’s Emergency Preparedness Manual. Please check with your department Manager/Supervisor as to your responsibilities in a Code Red situation.

FIRE (Code Red)

Know where the fire pull stations are in your area. Know where the fire extinguisher is in your area.

Know what the evacuation plan is for your area. If you see or suspect a fire: RACE

R Rescue

A Alert (Dial 1-911)

C Contain

E Extinguish

How to Use a Fire Extinguisher?

Current Overhead Announcement

New Plain Language Announcement

Code Red (Fire) Fire Alert • Emergency Tone + “Fire Alert” + location of fire

Code Green (Bomb Threat) Code Gray (Violent Behavior) Active Shooter Code Pink (Infant/Child Abduction)

Security Alert • Emergency Tone + “Security Alert” + “suspicious package-unknown

area” or “Suspicious package-security needed to (area)” • Emergency Tone + “Security Alert” “Security needed in (area)” • Emergency Tone + “Security Alert” “Active Shooter (area)” • Emergency Tone + “Security Alert” “Missing Infant/Child” or “Infant Child

a abduction”

Code White (Severe Weather) Weather Alert • Emergency Tone + “Weather Alert” + specific weather event

“Tornado Warning” “Thunderstorm Warning”

Code Blue (Cardiac Arrest) Rapid Response (PHH, PWB, PLH) Code Orange (Disaster) Code Yellow (IS System Failure)

Emergency Alert • No change in the Code Blue or Rapid Response announcement • Emergency Tone + “Emergency Alert” + type of disaster • Emergency Tone + “Emergency Alert” IS downtime (area) • Emergency Tone + “Emergency Alert” Failure of Essential Utilities

standby for further information

P Pull the pin

A Aim at the base of the fire

S Squeeze the lever

S Sweep quickly using side to side motion

1. Pull

pin

2. Aim at base of

fire

3. Squeeze lever 4. Sweep quickly using

side to side motion

Page 16: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

Preventing the Spread of Infection

Standard and Transmission-Based Precautions Infection is caused by germs. An infected person carries germs that he or she can spread to others. Even a person who doesn’t feel sick can still carry and spread germs. Many germs can travel on hands or other things that are touched. Some germs can travel a short distance on droplets when a person talks or coughs.

Standard Precautions These are practices that all health care workers must follow in the care of ALL patients. They apply to (1) blood, (2) all body fluids, secretions or excretions, (3) non-intact- skin, (4) mucous membranes. They do not apply to sweat.

GLOVES: Are to be worn when the staff member may have hand contact with blood or body

fluids, mucous membranes or non-intact skin of ALL patients and when handling contaminated items or surfaces.

MASK, EYE PROTECTION, FACE SHIELD: Wear during patient activities that are likely

to generate aerosols, splashes, sprays, etc., such as suctioning or intubating.

GOWNS: Wear a gown if splashing of blood or body fluids is likely:

SHARPS: Never recap, bend or break needles. Place used disposable needles and sharps in a

puncture-resistant container at the point of use.

EQUIPMENT: Clean equipment with the hospital approved disinfectant.

ENVIRONMENTAL CONTROL: Routinely clean and disinfect environment surfaces

such as side rails, over-bed tables, bedside tables and frequently touched surfaces.

LINENS: All used linen is considered contaminated. Bag in the standard linen bag at the site.

No other precautions are needed.

Hand hygiene

Wash and sanitize hands after touching blood, body fluids, secretions, excretions, and contaminated items, whether or not gloves are worn. Wash and sanitize hands immediately after gloves are removed, between patient contacts, and when otherwise indicated to avoid transfer of microorganisms to other patients or environments. It may be necessary to wash and sanitize hands between tasks and procedures on the same patient to prevent cross-contamination of different body sites.

Wash hands with an antimicrobial soap and water whenever hands are visibly soiled. An alcohol-

based waterless skin sanitizer is recommended when hands are not visibly soiled.

Page 17: STUDENT PASSPORT - Parkview Health Passport Job... · 2019. 4. 1. · (b) Retain ultimate responsibility for patient care, ensuring that Facility staff direct or supervise all aspects

What You Can Do

Follow all instructions when you visit.

Wash your hands before and after touching the patient, using the bathroom, when you cough or sneeze into your hands or a tissue, and when you leave the patient room.

Keep your hands away from your face.

What You Cannot Do

Visit ANY patient if you feel sick or have been exposed to an illness.

Use the patient’s bathroom.

Enter rooms with the following signs posted on the doors:

How can you prevent the spread of Infection?

Practicing protective measures such as Standard Precautions, and Personal Protective Equipment

(PPE) will reduce your risk of being exposed to bloodborne pathogens.