Volunteer Orientation Introductory Survey
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Volunteer Orientation
Part I
Introductory Survey
Thank you for your interest in becoming a UNC Health Care volunteer. The first component of our orientation process is this introductory compliance survey. Once you have completed this online survey, you will be invited to attend an interactive orientation with topics more specific to your volunteer role, as well as an opportunity to meet with your specific coordinator. This survey addresses compliance issues such as immunization and health requirement, infection control and hospital safety. At the end of the survey you will be asked ten general questions relating to these issues. At the formal orientation, representatives from each compliance department will recap important guidelines and answer specific questions from the group. A final compliance test will be required as part of the volunteer onboarding process.
Occupational Health
Our Services
We provide:
•Care for Volunteers with workplace injuries,
illness, and exposures
•Required immunizations, Influenza vaccine
and annual TB screening
•Flu vaccines are mandatory and must be
received each year
•Hours: Mon-Fri ~ 7:30am-4:00pm
Steps to Follow • We ask that you obtain all immunization records from your Healthcare provider or school before you make your appointment. • Call OHS to schedule an appointment between the hours of 7:30am and 3:00pm. • If possible, FAX your records to OHS prior to your scheduled appointment. • A new screening takes approximately 15- 20 minutes
Required Vaccines • Measles, Mumps, Rubella (MMR)-2 vaccines or serological proof of immunity (birth before 1957 is exempt from vaccines) • Tuberculosis Screening (TST)-required unless documentation within past 12 months • Hepatitis B (if indicated for your job) • Chicken Pox (VARICELLA)-history of disease, 2 vaccines or serological proof of immunity • Tdap (Tetanus, Diphtheria, acellular Pertussis)-1 • Influenza- annually during flu season
Healthcare-associated Infections • 40 million persons are hospitalized every year • 5% (2 million) develop a health care associated infection • 4% (80,000) die either as a direct or indirect result of their healthcare-associated infection
Clean In, Clean Out • "Clean in, Clean Out" is UNC Hospitals' initiative to maintain our organizational goal of 90% hand hygiene compliance. • Each employee is responsible for cleaning in and cleaning out any time she/he enters and exits a patient’s room. • Each employee is asked to observe other employees and provide immediate feedback. • http://www.youtube.com/watch?v=nSek2nVUUxM
Other times to clean your hands: • If your hands become visibly dirty or contaminated • After removing gloves • Before eating • After using the restroom
Hand Hygiene Methods
• Hand washing with antimicrobial soap (e.g.CHG) and
water for 15 seconds
– When your hands are visibly dirty or contaminated with
blood or body fluids
– Before eating
– After using the restroom
– After patients on Enteric Contact Precautions
• Alcohol-based hand rubs when…
– Hands are not visibly soiled
– Hand washing facilities are not available
ECOLAB 2% or Other Hospital -
approved Antimicrobial Soap
• Wet hands with warm water
• Apply at least 2 pumps and rub for 15
seconds covering all surfaces of the
hands and fingers to include nail beds
and between fingers
• Rinse hands with warm water
• Dry thoroughly with a disposable
towel
• Use towel to turn off the faucetAlcohol-Based Hand Rubs • Apply at least 2 pumps of Purell hand sanitizer foam to the palm of one hand, and rub hands together • Cover all surfaces of hands and fingers, including areas around/under fingernails • Continue rubbing hands together until alcohol dries • It should take at least 10 -15 seconds of rubbing before your hands feel dry
Fingernails • Artificial nails have been linked to infections in patients • Nails should be kept short, less than ¼ inch long • Nail polish should not be peeling or chipped • Artificial nails and nail extenders are prohibited for direct care providers
Standard and Transmission Based
Precautions
• Standard precautions (SP) should be used to prevent
pathogen transmission during all procedures
• Standard precautions apply to exposure to blood, all
body fluids (except sweat), non-intact skin, and
mucous membranes
• Personal protective equipment should be used when
exposure to potentially infectious material is
anticipatedAIRBORNE
PRECAUTIONS
PRECAUCIONES DE TRANSMISIÓN
AÉREA
Perform hand hygiene
Llevar a cabo la higiene de las manos.
Respirator (N95) when entering room
Utilizar respirador (N95) al entrar a la habitación.
Keep door closed
Mantener la puerta cerrada.
Families and Guests
Familias y visitantes
Report to nurses station before entering room
Presentarse en la estación de enfermeras antes de entrar a la
habitación.
Clean hands upon entering and exiting room
Lavarse las manos al entrar y al salir de la habitación.
Wear a surgical mask and remove after exiting room
Utilizar mascarilla quirúrgica y quitársela después de salir de la
habitación.
Translated by UNC Health Care Interpreter Services, 04/14/15
Volunteers do not enterAirborne/contact precautions
AIRBORNE-CONTACT
PRECAUTIONS
PRECAUCIONES DE TRANSMISIÓN AÉREA Y POR
CONTACTO
Perform hand hygiene
Llevar a cabo la higiene de manos.
Respirator (N95) when entering room
Utilizar respirador (N95) al entrar a la habitación.
Keep door closed
Mantener la puerta cerrada.
Gown when entering room
Utilizar bata al entrar a la habitación.
Gloves when entering room
Utilizar guantes al entrar a la habitación.
Families and Guests
Familias y visitantes
Report to nurses station before entering room
Presentarse en la estación de enfermeras antes de entrar a
la habitación.
Clean hands upon entering and exiting room
Lavarse las manos al entrar y al salir de la habitación.
Wear a surgical mask, gown, and gloves and
remove upon exiting room
Utilizar mascarilla quirúrgica, bata y guantes y quitárselos al
salir de la habitación.
Translated by UNC Health Care Interpreter Services, 04/14/15
Volunteers do not enterDROPLET
PRECAUTIONS
PRECAUCIONES DE TRANSMISIÓN POR GOTAS
Perform hand hygiene
Llevar a cabo la higiene de manos.
Surgical mask while in room
Utilizar mascarilla quirúrgica en la habitación.
Families and Guests
Familias y visitantes
Clean hands upon entering and exiting room
Lavarse las manos al entrar y al salir de la habitación.
Wear a surgical mask while in the room and
remove upon exiting.
Utilizar mascarilla quirúrgica en la habitación y quitársela
al salir.
Volunteers do not enter
Translated by UNC Health Care Interpreter Services, 04/14/15Droplet/contact precautions
DROPLET-CONTACT
PRECAUTIONS
PRECAUCIONES DE TRANSMISIÓN POR GOTAS Y
POR CONTACTO
Perform hand hygiene
Llevar a cabo la higiene de manos.
Surgical mask while in room
Utilizar mascarilla quirúrgica en la habitación.
Gown when entering room
Utilizar bata al entrar a la habitación.
Gloves when entering room
Utilizar guantes al entrar a la habitación.
Families and Guests
Familia y visitantes
Clean hands upon entering and exiting room
Lavarse las manos al entrar y al salir de la habitación.
Wear a surgical mask, gown, and gloves and
remove before exiting room
Utilizar mascarilla quirúrgica, bata y guantes y quitárselos
antes de salir de la habitación.
Translated by UNC Health Care Interpreter Services, 04/14/15
Volunteers do not enterContact Precautions
• Adult and College Student Volunteers
only may enter Contact Precautions
CONTACT PRECAUTIONS
rooms
PRECAUCIONES DE TRANSMISIÓN POR
CONTACTO
Perform hand hygiene
• Some patients will be on Contact
Precautions for Multi-Drug Resistant
Llevar a cabo la higiene de las manos.
Gloves when entering room
Organisms such as MRSA or VRE
Utilizar guantes al entrar al cuarto.
Gown for direct patient care or
whenever clothing may contact
surfaces in the room
Uso de bata cuando se entre en contacto
directo con el paciente o cuando la ropa
pueda entrar en contacto con las superficies
• This sign will be placed on or near the
en la habitación.
Families and guests:
Familias y visitantes
Clean hands upon entering and exiting room
Lavarse las manos al entrar y al salir de la habitación.
Do not need to wear gowns or gloves
No es necesario el uso de batas ni de guantes.
door
Translated by UNC Health Care Interpreter Services, 04/14/15
• Follow direction on the sign before
entering the patient room.Applying PPE Prior to Entering
Patient’s Room
• Perform hand hygiene
• Put on yellow isolation
gown
• Put on gloves
• Gloves and isolation
gowns will be in a cart
or cabinet outside the
patient’s roomGuidelines for Patient Leaving the
Room
• Nursing staff will be responsible for having the
patient ready to leave the room
– Patient will:
• Wash hands
• Put on a clean yellow isolation gown
• Volunteer will remove soiled PPE, wash hands, and
put on clean PPE.
• Should remain on the patient’s unit and not enter
common areas such as nutrition rooms or waiting
areas.Removing Isolation Attire • Remove gloves and discard in trash • Remove gown, being careful not to touch the outside, and discard in the trash • Wash your hands
Clostridium Difficile
ENTERIC CONTACT
PRECAUTIONS
• Organism that effects
the GI tract and ENTERIC PRECAUTIONS
causes severe PRECAUCIONES DE TRANSMISIÓN ENTÉRICA
Perform hand hygiene before entering room or
cubicle and wash hands with SOAP AND WATER for
diarrhea 15 seconds before leaving the room.
Llevar a cabo la higiene de las manos antes de entrar a la habitación o al
cubículo y lavarse las manos con jabón y agua por 15 segundos antes de
• Lives on surfaces for a salir de la habitación.
Gloves when entering the room
long time Utilizar guantes al entrar a la habitación.
Gown for direct patient care or whenever
clothing may contact surfaces or equipment in
• Easily spread the room
Uso de bata cuando se entre en contacto directo con el
paciente o cuando la ropa vaya a estar en contacto con las
superficies en el cuarto.
• Must wash hands with Families and Guests
Familias y visitantes
Clean hands upon entering and wash hands with
soap and water (no soap and water upon exiting room
Lavarse las manos al entrar y lavarse las manos con jabón y
agua al salir de la habitación.
alcohol based hand Wear a gown and gloves while in the room and
remove before exiting room
Utilizar bata y guantes en la habitación y quitárselos antes de
rubs) salir de la habitación.
Translated by UNC Health Care Interpreter Services, 04/14/15Protective Precautions • Provides protection to patient from outside organisms • Private room with positive pressure • Patient room door should remain closed • Look for checked boxes for special instructions • Patient wears mask when leaving the room
Flowers, plants and food safety for
protective precautions
• Fresh flowers and their
water can harbor bacteria.
• Live plants or their potting
materials can contain molds
such as aspergillus.
• They are not allowed in
these rooms or on the
BMTU.
• No fresh fruits or vegetables
unless delivered by UNC
dietary.Disinfection of Environmental
Surfaces/Equipment
• Equipment that has direct contact with the patient or
handled with contaminated gloves must be
disinfected with a hospital approved disinfectant on
a routine basis and after use on a patient on
Contact/Enteric Contact Precautions.
• When cleaning surfaces: wet entire surfaces with
approved cleaner and allow to air dry (1 minute
contact time)Personnel with Communicable
Infections
• Personnel with the following should not have direct
patient contact until evaluated by Occupational
Health Service:
– Upper respiratory infection with fever
– Diarrhea
– Open lesions
– Oral herpes (cold sores)
– Conjunctivitis
– Herpes zoster (shingles)
– Varicella (chickenpox)INFECTION CONTROL RESOURCES • Hospital Epidemiology –room 1001 West Wing • Infection Control 7:30am-4pm 6-1638 • After hours: – Infection Control Preventionist on call 24/7 123-7427 • Infection Control Policies www.unch.unc.edu – click on policies – click on Infection Control
REMEMBER!
• InfectionPrevention
is…….
EVERYONE’S
responsibility!Your Personal Safety and Security
at UNC Health CareUNC Hospital Police Officers • Wear gray shirts with badges identifying them as UNC Hospital Police Officers • Carry weapons • Have arrest powers
Security Officers
• Wear blue shirts with
badges identifying them
as UNC Hospital Security
Officers
• Carry pepper spray and
Tasers
• Cannot make arrestsHospital Police Dispatch
• Report any suspicious activity
or persons to the Hospital
Police immediately (919-966-
3686 or 911)
• “If you see something, say
something”
• Officers are dispatched
through the hospital dispatch
center, 24 hours per dayYour Personal Property
• Please do not bring valuables to the
hospital
• Lock your purses, wallets, or other
personal items in the trunk of your
car, including cell phones
• Hospital Police operates a lost and
found office in the Neurosciences
Hospital lobbyPhoto ID Badges
• Your ID badge is an
important part of our
security management plan
• It is hospital policy that the
badge be worn at eye level
and visibly displayed at all
times while on hospital
propertyGoing To and From Your Vehicle
• Keep your car keys in hand and
walk with someone when going
to and from your vehicle in the
evenings
• A security shuttle is available to
take you to your car
• The shuttle leaves every 10 to
15 minutes from the Children’s
Hospital entranceEnvironmental Health and Safety
at UNC Health CareKnow Your Codes • Black - Utility Failure • Pink - Missing or Abducted Person • Yellow - Bomb Threat • Gray - Security Threat • Red - Fire/Mass Evacuation • Orange - Major Chemical Spill/Exposure • Green - Major Biological Exposure • White – Major Radiological Exposure • Triage – Multiple Casualty Incident • Weather – Severe Weather Event • Walker – Elopement • Silver - Hostage Situation or Active Shooter
Fire Safety
Fire Extinguishers
• Located every 75 feet or
less
• Most are Class ABC
• Class BC used in OR suites
and Labs
• Hands-on training is
offered periodicallyPASS
Site Specific Fire / Emergency Response Plan
• Posted in each
department
• Describes location of:
fire pull stations
fire extinguishers
exits
safe zones
• Identifies responsible
personsLife Safety • Corridors & stairwells cannot be used for storage • Do not block access to exits • Doors cannot be propped open
Microwave Oven Use
• A leading cause of
fires in the hospital
• A frequent source of
odor complaints
• Our policy: Never
leave a microwave
oven unattended
while in useFire / Electrical Safety
• Home cooking devices
such as electric frying
pans, toasters, &
crock pots are
prohibited
• Commercial grade
coffee makers onlySlips, Trips, and Falls • We average more than 100 falls per year • Wear appropriate footwear • Please report spills ASAP • Address hazards yourself when possible
Unsafe Work Practices • Please report unsafe work practices to your supervisor or EH&S • You may do so anonymously
Proper Lifting • Bend your knees, not your waist • Carry the load close to your body • Avoid twists and turns • Maintain a clear line of sight at all times
Hazardous Materials
• Hazard Communication
training
• Chemical Inventory
• Safety Data Sheets (SDSs)
• LabelingAccident/Injury Reporting
• Notify your volunteer liaison
• Notify Volunteer Services
• Complete Incident Report
• Go to the Occupational Health
Clinic for medical attention if
needed
• Follow medical adviceWheelchair Safety Please watch the video above on wheelchair safety.
Please complete and submit the volunteer prerequisite quiz here.
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