Slide 1: Welcome to 2N -
Med Surg!!!
Background : Background What you need to know …
MedWest : MedWest MedWest provides a full spectrum of care for counties across WNC.
The whole system includes 3 hospitals – Harris Regional, Haywood Regional, & Swain Medical.
Each includes many doctors’ offices and clinics that are part of this system
We are governed by a Board of Trustees, which is drawn from community leaders in each of the primary counties it serves.
Harris Regional : Harris Regional Dates back to 1925 when it was established on Courthouse Hill
Was purchased by The Duke Endowment & Col. C.J. Harris and then donated to the community.
86-bed acute care facility
Departments – MedSurg, ICU, Ortho, 3East (Women’s & Children’s), Mother-Baby, Labor & Delivery, ASU, OR, PACU.
About Us : About Us
2 North : Med-Surg : 2 North : Med-Surg Wide range of patients
Unit Manager - Christie Festa (2N, ICU, Ortho)
Clinical Coordinator
Charge Nurse
Admission Nurse
Registered Nurses
Certified Nurses Assistants
Secretaries
Telemetry Technicians
Our Healthcare Team : Our Healthcare Team Doctors –
Hospitalists – MD’s, NP’s
Pulmonologists
Cardiologists
Orthopedists
Surgeons
EENT’s
Pediatricians
OB-GYN’s
Healthcare Team, Cont. : Healthcare Team, Cont. Discharge Planning
Palliative Care
PT, OT, ST
Dieticians
Environmental Services
Maintenance
IS
Dietary
Intranet Intro : Intranet Intro
Intranet : Intranet Icon will say “Intranet”
This page includes… : This page includes… Swank Modules
Phone Directory – contact all employees
Cafeteria Menu & Hours
MDsyncNET
MSDS
Policies & Procedures
IS Support Desk
BioMed
…..any many more!!!!
Swank Modules : Swank Modules
Phone Directory : Phone Directory
MDsyncNET : MDsyncNET
iCare : iCare
Policies & Procedures : Policies & Procedures
Dress to Impress : Dress to Impress ID Badges – AT ALL TIMES!
Above waist!!!
Dress Code
Clean & Neat
No provocative or inappropriate
clothing – we are professionals!!!!
No capri’s or cropped pants
Clothes must fit you, not you into the clothes!
Shoes – no open-toed, closed heel, and clean!
Dress to Impress, cont. : Dress to Impress, cont. Jewelry – appropriate, not in the way
No piercings other than ears (exc. for religious purp.)
Makeup – tasteful
Fragrances – Light!
be courteous to our patients, please do not wear strong scented fragrances
Tattoos – allowed if appropriate
If it’s provocative, keep it hidden
Cell Phones : Cell Phones Use RESPECT for patients & coworkers
Use them on your breaks or when away from patient care or business areas (i.e. breakrooms, bathrooms).
Off or on vibrate when:
Caring for patients
In a meeting
Absenteeism : Absenteeism Be responsible & reliable
If you can’t be there – notify the charge nurse 2 hours prior to start of your shift
No Call/No Show
Policy – 1st occurence: Written Warning & 90 day Probationary Period
If the 1st offense occurs within a 90-day probationary period = TERMINATION!!
2nd occurrence & No Probation = TERMINATION!!!
Chain of Command : Chain of Command
Computer Extras : Computer Extras
Webmail : Webmail
Webmail : Webmail Be Professional!
Access regularly – especially the days you are working!
Not for personal, outside-of-work use
Make sure to do your Webmail Module!
Internet : Internet You have it, but don’t abuse it
Not for personal use –
E-mail, Facebook, Chatting, etc.
Lexi-Comp : Lexi-Comp
Shortcut Organizer : Shortcut Organizer
Shortcut Organizer : Shortcut Organizer Here you can add icons to your desktop
Different tabs contain different icons
If something isn’t showing up on your desktop, you probably need to select it from Shortcut Organizer
You can add things like
Webmail
Lexicomp
Microsoft Office
Core Measures : Core Measures Be aware …
Core Measures : Core Measures Care processes defined by JCAHO
Some common core measures you will find are:
Acute myocardial infarction
Community-acquired pneumonia
Congestive heart failure
Stroke
VTE
Codes : Codes What are they?
Rapid Response : Rapid Response Pt is in distress & might progress to a code situation
Dial “4444”, “Rapid Response & Room #”
Be available for anything needed
Have crash cart available in case of Code Blue!
Code Blue : Code Blue Cardiac or Respiratory Arrest
Pt status is declining…FAST!!
Pull Blue switch behind bed
Dial “4444” and say “Code Blue & Rm #”
Make sure crash cart is at the Room!!
Be available for whatever the team might need you to do – i.e. Compressions.
Remember… : Remember… The back of your
badge has
every code
and what
It means…
Don’t
Forget!
Other Code Situations… : Other Code Situations… Code Brown – Radiation
Code Child – Infant/Child Abduction
Code Delta – Disaster
Code Gray – Severe Weather/Tornado
Code Red – Fire….RACE
Code Security – Security Emergency
Code Yellow – Bomb Threat
And always… : And always… If you come across a code situation:
DIAL 4444 First!!!!
How-To Guide : How-To Guide
Medication Variance : Medication Variance Medication Variance Forms
Incident Reports : Incident Reports Incident Reports
Fall Reports : Fall Reports Fall Reports
Paycheck Stubs : Paycheck Stubs Paycheck Stubs
Slide 51: Productivity
THE END!! : THE END!! Feel free to ask any questions!!!!!