Online Orientation

Physicians
Allied Health
Students
Vendors and Contractors
Emergency Dept. Scribes
Nursing Faculty
 East Tennessee Childrens Hospital
Please review the contents of this Learning Module. Each page you are
shown is valuable information that you are expected to incorporate
into your practice at Childrens Hospital.

Look for buttons that will guide your path through the content. Answer
questions or click those buttons that describe your role with us.

NOTE: If no button for you is present just continue to the next page.

Thank You.

Emer. Dept. Scribes Contractors/Vendors

 This module contains:
Instructions for module completion Pain Management
Mission, Vision, Philosophy & Core Values Child Life Program
Death & Dying
Ideal Patient Care
Documentation
Patient & Family-Centered Care Computer Downtime Procedures
Patient/Parent Rights Restraint Use
Patient Safety & Quality Workplace Safety
Lean Process Improvement MRI Safety
The Impaired Provider
Smoking Policy
Reporting a Concern
Medical Library
Code of Ethics and Conduct Clinical Students Only:
2015 National Patient Safety Goals Influenza Policy for Students
Infection Control Dress Code for Students
Parking Info
HIPAA
Compliance Form
Non Staff Presence During Surgery
No Information Patient Physicians and Allied Health Providers Only:
Emergency Codes & Fire Safety in Perioperative Area Medication Shortage Procedure
Rapid Response Point Of Care/Waived Testing
IMPACT Program
Population Specific Considerations
Compliance Form
Cultural Competence & Diversity
Organ Procurement
Child Abuse
Interpretive Services
Completion of this module

Carefully read through the entire module and

sign forms as directed as acknowledgment.

IMPORTANT: The orientation modules must

be completed and forms signed and submitted
prior to your arrival at Childrens Hospital.
 Our Vision

Leading the Way to Healthy Children

 Our Philosophy

Because Children are Special

they deserve the best possible health care given
in a positive, family-centered atmosphere of
friendliness, cooperation, and support
regardless of race, religion, or ability to pay.
their medical needs are closely related to their
emotional and informational needs; therefore,
the total child must be considered in treating any
illness or injury.
.their health care requires family involvement,
special understanding, special equipment, and
specially trained personnel who recognize that
children are not miniature adults.

.their health care can best be provided by a facility

with a well trained medical and hospital staff
whose only interest and concerns are with the
total health and well-being of infants, children
and adolescents.
 Our Mission

East Tennessee Childrens Hospital will improve

the health of children through exceptional,
comprehensive, family-centered care,
wellness and education.
 Core Values

Enthusiasm
Excellence
Integrity
Respect
Teamwork

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 Ideal Patient Care

Ideal Patient Care is comprised of quality, safe

care, lean processes, patient and family-
centered care, and service excellence.
 Destination Zero

Patient Safety
and Quality Management
 Destination Zero

Goal: Zero errors that cause harm to our

patients
Behavioral expectations for all:
Everyone makes a personal commitment to safety: 200
percent accountability.
Everyone is accountable for clear and complete
communication: We are one team.
Everyone supports a questioning attitude: I will question. I
will welcome being questioned.
Emer. Dept. Scribes Contractors/Vendors
Destination Zero Communication Tools
Stop and Resolve (issues at the time of occurrence)
STAR (Stop Think Act Review)
QVV (Qualify, Validate and Verify)
ARCC (Ask, Request Change, Chain of Command)
Name Game (Identify yourself and your role)

Destination Zero Goals:

Eliminate Serious Safety Events
A deviation from generally accepted performance standards that reach the patient and cause moderate to severe
harm
Eliminate Hospital Acquired Conditions
An undesirable situation or condition that affects a patient that arose during a stay at a hospital or medical facility.
Eliminate Cardiac or Respiratory Events outside critical care areas
Make Great Catches
When a error that may have caused harm which is discovered and resolved prior to reaching a patient.
Eliminate Employee Injury

Click here to learn more about Destination Zero.

 Patient Safety Plan
The Patient Safety Plan at Childrens outlines
processes to prevent errors, maintain and
improve the safety of our patients.
It outlines the process for reporting errors and
their evaluation.
The evaluation is focused on improving our
patient care systems and support systems.
Click here to view the Quality and Patient Safety
Management Plan.
 Lean Process Improvement
Every Patient, Every Time

Ideal Patient Care centers on every employee identifying

opportunities to provide the best outcome and experience
for every patient and family, every time they are in our
care. It is care that is:
Exactly what the patient needs, when and where they need
it, is defect free
Customized to address each patient and familys needs and
preferences
Immediate response to problems or changes
Safe physically, emotionally and professionally
Waste free to address any activity that prevents employees
and providers from providing Ideal Patient Care
 Patient Experience
For any communication issues with families and/or
patients, please contact the Office of Patient Experience for
assistance at 541-8724 or 541-8586. They are available to
help talk with families and provide you with additional
resources, if needed. You may also call if you feel you may
potentially have a situation that needs their attention. Our
goal is to prevent patients/families from leaving the
hospital while they still have questions or have a concern.

Click here to review the Complaint Resolution and

Grievance Policy. Please note Physician/Mid-level
Providers section.
Patient and Family Centered Care

Patient and Family Centered Care is an

approach to pediatric health care that focuses
on the family as a childs primary source of
strength and support. The philosophy shapes
policies, programs, facility design and staffs
day-to-day practices. It is visible in large and
small ways throughout hospitals that adopt
this approach.
 Patient and Family-Centered Care

The four key principles of Patient and Family

Centered Care are:
Respect and Dignity for the patient and
familys values, concerns and decisions
Information Sharing with the patient and
family
Participation in the childs care
Collaboration between the patient, family and
interdisciplinary members of the care team
 Service Excellence
Our promise. Our commitment. Our passion.

We strive to give extraordinary care and

service to our patients, their families,
members of the Childrens Hospital family, and
the communities we serve.
We take pride in our professions and feel
personal ownership and responsibility for
achieving the Childrens Hospital mission.
No Smoking Policy
 Childrens Hospital is a smoke-free facility. In order to
protect our childrens health from the damaging effects
of second-hand smoke, you will see many signs and
markers posted asking people not to smoke.

All staff, students, members of the healthcare team,

patients, and families will not be allowed to use
tobacco products on the hospital campus or its
affiliates.
If you arrive at ETCH and your clothing, hair, or body
smells of smoke, you will be asked to leave. Please
understand that this is in the best interest of our
patients.

Emer. Dept. Scribes Contractors/Vendors

 Medical Library
and Continuing Education
 Resources
Our library is located on the 3rd floor of Koppel
Plaza and you may access the library at any time
by scanning your badge for entry.
There are computers in the library if needed.
Organizational Development and Learning
provides accredited education (CME and CNE).
Our Continuing Medical Education calendar can
be seen HERE, where you may view recorded
programs and also register for off-site viewing of
a live program through webex.
Code of Conduct and Ethics
 Code of Conduct and Ethics
Integrity is a vital part of the daily activities and culture of East Tennessee
Childrens Hospital. ETCHs Compliance Program, including the Code of
Conduct and Ethics, is intended to demonstrate in the clearest possible
terms the absolute commitment of this organization to the highest
standards of ethics and compliance
These standards apply to the Board of Directors, employees, Medical Staff,
Allied Health Professionals, and all other persons and entities acting or
providing services on behalf of ETCH.
Copies are available through the Medical Staff Office, Administration and
the Organizational Development and Learning Department.

Emer. Dept. Scribes Contractors/Vendors

Next, answer this question and choose below

Affiliate Staff ?
or
Active Community Staff ?

YES! No
Click HERE Click HERE
 Patient/Parent Rights

All families receive a copy of Patient/Parent

Rights and Responsibilities upon admission.
Click here to reference the policy.
National Patient Safety Goals
 The Joint Commission
The Joint Commission helps ensure quality
healthcare through the National Patient Safety
Goals (NPSGs).
These standards require that ALL healthcare
professionals work together to promote patient
safety.
The goals are reviewed, updated and published
every year by The Joint Commission
Failure to comply can result in the loss of
accreditation for a healthcare facility
2017 National Patient Safety Goals

1. Identify patients correctly

2. Improve staff communication
3. Use medications safely
4. Use alarms safely
5. Prevent infection
6. Identify patient safety risks
7. Prevent mistakes in surgery
 Identify patients correctly

Use at least two ways to identify patients,

such as name and date of birth. This ensures
that the correct patient receives the correct
treatment, blood or medication.
 Improve staff communication

Utilize Destination Zero communication tools

for patient handoffs
Report critical test and diagnostic results to
the right person within the appropriate time
frame.
 Use medicines safely
Before any procedure, label medicines that are not labeled, such as
those in syringes, cups and basins. Medications are to be labeled in
the area where medicines and supplies are set up.
Take extra care with patients who take medications to thin the
blood (anticoagulants).
Record and pass along correct information about a patients
medications, including what they have been taking at home, and
compare with any new medications that have been prescribed.
Provide the patient with any written information about the new
medication(s) and teach the importance of bringing an up-to-date
medication list each time a medical encounter occurs.
 Use alarms safely

Make improvements to ensure that alarms on

medical equipment are heard and responded
to promptly.
Never turn off or silence clinical alarms.
 Prevent infection
Utilize handwashing guidelines approved by the World Health
Organization (WHO) and the Centers for Disease Control
(CDC).
Use proven guidelines to prevent infections that are difficult
to treat (multi-drug resistant organisms).
Use proven guidelines to prevent infections of the blood
caused by central lines (CLABSI).
Use proven guidelines to prevent infection after surgery.
Use proven guidelines to prevent infections of the urinary
tract caused by catheters (CAUTI).

Emer. Dept. Scribes Contractors/Vendors

 Identify patient safety risks

Identify patients at risk for suicide and follow

hospital guidelines to ensure their safety.
 Prevent mistakes during surgery

Follow evidence-based best practices to

ensure that the correct surgery is done on the
correct patient and at the correct place on the
patients body.
Verify and mark the correct place that surgery
is to take place on the patients body
Utilize time-out procedure before the surgery
to make sure that no mistake is being made
Infection Control
At Childrens, we support a hospital environment
that is as free of infections as possible for
everyone, including patients, families and staff.
Our Infection Control Program includes an annual
Infection Control Risk Assessment that identifies
procedures and areas with the potential for
developing and/or transmitting infection.
Click here for Infection Control Policy.
Confidentiality and HIPAA
 What is HIPAA?
Protects patient privacy
Limits how protected health information (PHI) can be
used and informs patients of their rights
Improves healthcare
Standardizes information processing
Improves security when transmitting information
Allows patients to
Access health records easily
Make corrections to health records
Know how their private information is being or may
be used
Protected Health Information (PHI)

PHI refers to all types of health information

that is electronically transmitted or stored, in
paper form or through verbal communications
Failure to follow HIPAA guidelines can result in
fines on each offense up to $50,000 per year,
individual fines/prison time for offending
person
 When to use or disclose PHI?
When to share PHI with staff..
ONLY the minimum information needed to do your job
ONLY on a need to know basis
When to share PHI with patients/families
When they request the information themselves
When they give permission to share with family or friends
IF the Department of Childrens Services needs it to determine if the Privacy
Rule is being followed
If you are unsure, do not share but seek assistance
Do not let the Privacy Rule keep you from treating the patient properly
Privacy Rule DOES allow us to share PHI to effectively treat patients and
conduct proper billing

Patients and families have the right to restrict the use of disclosure of PHI
 A good rule to work by

When making a decision about sharing PHI

IF IN DOUBT..
DONT GIVE IT OUT!
Seek assistance if you are unsure!

Emer. Dept. Scribes Contractors/Vendors

Presence of Non-staff Members During Surgery

To ensure the privacy, confidentiality and

maintenance of personal dignity of the surgical
patient, it is the policy of Childrens Hospital that,
except for residents and medical, nursing and
other authorized categories of students, only
employee of the hospital or members of its
medical staff shall be allowed in the operating
room during surgery, unless authorized per
hospital policy.
If you have any questions regarding this policy,
please speak with Perioperative Leadership Staff.
 No Information Procedure

This procedure provides guidelines for

addressing No Information status on a
patient and outlines steps to initiate,
authorize, notify personnel and flag pertinent
records.
Everything is done on a need to know basis.
Responding to Requests for Information

Your response should always be

We have no information on a patient by that
name.
The Marketing department will respond to all
media requests for information.
Click here to review the No Information Patient
policy.
 Emergency Codes

Emer. Dept. Scribes Contractors/Vendors

 To report an emergency.

Dial 333 or 4444 depending on Code

Report location and type of emergency
Be very specific!
Emergency Plans located in each work area
 Code Red

Dial 333 and report exact location of fire

Shout Code Red
Utilize the RACE approach:
Rescue
Alert
Confine
Extinguish using PASS:
Pull Aim Squeeze Sweep
 Code Pink Missing Infant/Child
Dial 333 to report
When announced overhead you will hear
Code Pink Infant (< 1 year of age) Location
Example: Code Pink, Infant, NICU
or
Code Pink Age and gender of child (> 1 year)
Location
Example: Code Pink, 6, Girl, 2nd Floor
Security will secure all exits
Implementation of hand held radios
ALL access in and out of ETCH thru ED
Report anything suspicious!
 Code E

Dial 333 to report

Evacuation
3 levels
Code E-1: area or unit evacuation
Code E-2: hospital wide evacuation
Code E-3: community evacuation
Return to work area and wait for directions
from manager
Follow designated evacuation routes
 Code Blue

Dial 333 to report

Medical Emergency
BLS certified staff can begin CPR if needed
Non BLS certified staff will call code and seek
nursing/medical assistance
Code Team will respond and will be in charge
of situation
 Code Gray

Dial 333 to report

Tornado Warning (sighting of a tornado)
Move patients and visitors to center of
building away from windows
Remain calm speed is essential
Close blinds, drapes and doors
 Dial 333 to report:
Code Yellow Code Orange
Any mass casualty Any mass casualty
incident that threatens incident involving nuclear,
the integrity and function biological and/or
of the institution and chemical injuries, and
requires mobilization of that threatens the
all hospital resources integrity and function of
Initiate Disaster Plan the institution and
requires mobilization of
all hospital resources
Initiate Disaster Plan
 Code Shooter
Dial 4444 to report
Active Shooter: any person with a visible gun who is
threatening to shoot or is actively firing shots
anywhere on campus
How do I respond when an active shooter is in my
area?
Avoid the shooter (Run)
Barricade yourself into a room, silence all devices (Hide)
Fight only as a last resort (Fight)
Call 4444 or 911 when it is safe to do so. Security will
activate Code Shooter
 Code Purple

Dial 4444 to report

Hostage/Internal Lockdown required
Local Law Enforcement/SWAT will arrive and
work with ETCH Security
Will engage quickly attempting to overcome target
Make rounds with ETCH Security and staff from
the affected area
High target areas: Pharmacy and Emergency
Department
 Code Black

Dial 4444 to report

Bomb Threat
Report to your work area and wait for
instructions
Stay calm and alert!
Report anything suspicious

Emer. Dept. Scribes Contractors/Vendors

Fire Safety Procedures in the Perioperative Setting

All perioperative personnel should be familiar with the emergency response plan and be
able to describe their individual roles and functions in an emergency.

All perioperative personnel are responsible for:

Becoming aware of risks posed by various flammable materials and ignition sources
Enforcing fire prevention and control measures which maximize patient and personnel safety
Ongoing observation for potential hazards in and out of direct patient care areas

Personnel will be instructed in the safe use of all equipment, with individual compliance
monitored. AORN Standards, Recommended Practices and Guidelines are incorporated
into departmental policy concerning:
Electrosurgery Drapes and Gowns
Preoperative Skin Preparation Laser Safety
Identification of Potential Hazards Product Evaluation and Selection

Electrical safety standards, equipment inspection and preventive maintenance will be in

effect. All personnel will be familiar with the process for prompt removal of defective
equipment from the patient care areas.
Any questions regarding this, should be directed to Peri-operative Leadership Staff.
 Your Role in an
Emergency/Code Situation

Stay in your assigned area

Report to the person in charge
Wait for instructions

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 Rapid Response is a team that brings critical care to non-critical care units
when requested by families, caregivers, hospital or medical staff.
Rapid Response goal is to bring that care within 5 minutes of notification.
The team will perform a prioritized systematic patient assessment with
the patients nurse, develop a plan of care, and implement interventions.

Patients generally exhibit signs and symptoms of deterioration prior to an

arrest. Rapid response teams decrease Code Blue calls in non-critical care
areas, decrease transfers to ICUs and decrease deaths.
 When to call and Who can call
These are not absolute requirements to activate the RRT, but indications
where they may be called:

A family member or caregiver is worried about the patient.

A staff member is worried about the patient.
The patient has an acute change in heart rate, respiratory rate, or blood pressure outside the
normal range for age.
The patients heart rate, respiratory rate or blood pressure is trending toward an abnormal
range for age.
There is an acute change in oxygen saturation to less than 90% despite supplemental oxygen.
There is an acute increase in oxygen need of greater than 10%.
The patient has increased work of breathing such as increased retractions, wheezing, stridor,
or grunting.
There is an acute change in level of consciousness.
There is an acute change in perfusion such as change in peripheral pulses, color, temperature
and/or capillary refill.
 How to activate
Activation by Phone:
8911 using an in-house telephone
541-8911 if calling from a cell phone
The caller will be asked for patient name, room number, actual location (if different), name of
the person placing the call, and relationship to the patient.

Activation by Paging:
Activate the team by Wave paging Rapid Response Team. When using Wave,
also include the patient name, room number, actual location, and the name of
the person paging.

In either option above all the additional information you are asked for will help our RRT
find and treat the patient quickly and effectively.
 Who is on the Rapid Response Team?

PICU Registered Nurse (RN)

Respiratory Care Partner (RCP)
Care will be delivered by a PICU RN and an RCP,
each having differing but shared responsibilities.
The RN is responsible for communicating with the
patients primary physician and completion of all
documentation.
 Role of the Rapid Response Team
Assessment of the patient.
Perform initial stabilization interventions per protocol as needed.
May include the following:
Application of cardio-respiratory monitor
Application of pulse oximeter
Suctioning
Administration of oxygen
Aerosol therapy
Perform an ABG/CBG
Capillary blood glucose
Obtain IV access
Administer fluid bolus
Obtain portable chest x-ray
 Role of the Rapid Response Team
Develop an initial plan of care, which may include the following interventions:
Monitoring
Airway/breathing
Circulation
Screening

Communication with the patients physician using the SBAR method.

Situation, Background, Assessment, Recommendation

Documentation using the Rapid Response Team record.

Follow up report to the individual who initiated the call (phone or Meditech e-mail).

Quality Improvement process including data on:

Codes per 1,000 discharges
Codes outside critical care areas
Utilization of the RRT (number of calls)
Response time of the team
Patient outcome
 Rapid Response Policy

The policy can be found on ETCHnet:

RAPID RESPONSE TEAM ACTIVATION AND DELIVERY OF CARE

Patients generally exhibit signs and symptoms of deterioration

prior to and arrest. Rapid response teams decrease Code Blue
calls in non-critical care areas, decrease transfers to ICUs and
decrease deaths.
 Rapid
Response
Algorithm
 Population Specific Competence
Population specific staff competence is critical to
providing a safe environment for our patients.
At Childrens Hospital, the pediatric age groups
serve as the primary focus of our staff
competency. However, in addition to the childs
age and developmental stage, their healthcare is
also affected by their socio-cultural and
geographical factors. Their care is also influenced
by the living situation, family dynamics, diagnosis
and acuity.
 Age specific interventions
Skills you use to give care that meets
each patients unique needs.

It is critical to remember that each patient is

an individual with his or her own.
Likes and dislikes
Feelings
Limitations and abilities
Experience
Strategies to enhance coping at each stage:

Newborns: Toddlers:
Pacifier, blanket, Pre/post procedural play,
soothing sounds, touch, give one direction at
music, parental time, explanations in
involvement when terms of what will see,
appropriate, parents or hear, allow choices
adult in infants line of when possible,
sight, familiar objects distractions such as
bubbles, Child Life
Strategies to enhance coping at each stage:

Preschoolers: School Age:

Bubbles, counting, Deep breathing,
holding a hand, music, computer games,
explanations in simple imagery, explain in
terms, demonstrate correct terms,
procedure, tell that encourage
procedure is not participation, choices
punishment, praise, when appropriate,
rewards provide privacy
Strategies to enhance coping at each stage:

Adolescents:
Deep breathing exercises, music/computer
games, imagery, encourage questions, provide
privacy, discuss after effects such as scars,
etc. May be regression or resentment of
authority.
 Appreciating Cultural Differences
The Diversity Coalition defines diversity as
encompassing the following categories:
ability and disability, age, color, ethnicity, religion,
gender, job category, class status, national origin,
race and sexual orientation.

Source: http://ww.diversitycoalition.org/general_diversity_resources
 Important terms to know:
Environmental Control:
Refers to perceptions that a
person has about the ability
to direct factors in the
environment and the
systems and processes that
are part of it. Health
behaviors and disease
patterns differ with cultural
groups.
Communication:
Written and oral language,
gestures, facial expressions,
and body language are the
means by which culture is
transmitted and preserved.
Healthcare providers should
recognize common cultural
patterns, but not assume
that all members of a
cultural group use the same
means of expression.
 Important terms to know:
Personal space:
the area surrounding a
persons body, including the
space and objects within that
designated area. Differs with
culture and is important to
know and respect when
providing physical care.
Time:
May be perceived as concrete
or abstract. Cultural groups
can differ according to time
orientation or behavior is
related to the past, present or
future.
Social organization:
Patterns of behavior that
people of various cultures
exhibit during such life events
as birth, puberty, childbearing,
illness, and death. Health
providers need to understand
the profound impact of these
beliefs and their associated
effect on rituals and traditions.
 Diversity at Childrens Hospital
Patients at Childrens Hospital represent many
different cultures
Highest volume of our patients are:
Hispanic/Latino
Appalachian
It is your responsibility to:
Offer culturally competent care
Respect differences
Maintain confidentiality
Know and use your resources
Ensure patient appropriate communication
 Patient/Family Boundaries

Appropriate professional boundaries:

Interactive relationships with a patient/family that
are caring, clear, positive and professional.
Provide clear guidelines for involvement with
patients and families so that it is rewarding for the
patient, family and caregiver.
Results in empowerment of the patient/family as
well as the caregiver.

Emer. Dept. Scribes Contractors/Vendors

 Is it OKAY?
Be cautious!
Receiving gifts from families
Gifts should be items that can be given or shared with the
unit/department and not an individual caregiver
1. If you question the appropriateness of the gift, consult your
immediate supervisor or instructor.
2. Acknowledge the familys gesture and share the gift with the
rest of the team if possible, or acknowledge the familys
gesture and, if appropriate donate the gift to the hospital.
DO NOT
Give gifts to patients. The Child Life Department should be
notified for special events such as birthdays so that the
event can be appropriately acknowledged.
Pain Assessment and
Management
 Philosophy

The staff at Childrens Hospital believes that pain is

a negative experience best measured by the
individual in pain
Compassionate care includes the assessment of
pain on admission and regularly during the visit,
accompanied by effective interventions
Effective pain management focuses on minimizing
the pain and the adverse psychological and
physiological effects of unrelieved pain
 Pain Assessment
At Childrens, pain is evaluated by:
Assessment on admission
Pain history
Pain description and intensity using the Numerical Pain
Scale or the Wong- Baker Faces Scale
Assessment before, during and after pain producing
events
Each new report of pain
Before and after each pain management intervention:
pharmacological and non-pharmacological
Pain Management & Supportive Relief

Pharmacologic measures as ordered by

physician
Provide non-pharmacologic relief measures
including;
Behavioral techniques such as breathing,
relaxation, rocking
Cognitive techniques such as positive thoughts,
distractions, medical play, repositioning and
sensory interventions such as hot/cold therapy
 Resources for Pain Management
Anesthesia Department
Sedation Team for minor procedures such as dressing changes
or I & Ds
Staff Psychologist
Child Life
Utilization of topical anesthetics for IM injections, IV insertion,
and some chemotherapy

Click here for more information on Pain

Management
 Child Life Program
The Child Life Program helps children and families manage the stresses
associated with hospitalization and illness. Each Child Life Specialist has a
unique role as the member of the health care team who focuses on the
childs individual developmental and emotional needs.

The Child Life Team is composed of professionals trained to help children

and families understand the hospital experience and related feelings.
Whether a child is going to a doctors appointment, having surgery, staying
overnight in the hospital or being seen in the Pediatric Emergency
Department, a Child Life Specialist provides emotional support to the
pediatric patient and his/her family.

Child Life Specialists help take away stress and anxiety by providing age
appropriate education and coping techniques to help patients through
difficult experiences.
The Child Life Department at Childrens Hospital is responsible for:
Coordinating play opportunities for patients as a way of helping children cope with
their hospitalization.

Doing what is most therapeutically appropriate for the child. In other words, it
may be play, but it has a very important purpose.

Providing activities and opportunities for patients to gain a sense of control over
their hospital experience to facilitate self-expression, learning, continued growth
and development.

Advocating as a voice for patients while they are in the hospital. They
communicate patients individual and developmental needs, coping styles and
other assessments to caregivers family members.

Offer support to parents and encourage the need to be involved, informed and
active in their childs care.
 Death and Dying

Caring for Children Nearing the End

of Life
 Principles for End of Life Care

Respect the patient and family goals, wishes

and choices
Care for the entire family
Use resources and skills from different team
members
Listening and attending to the concerns of the
caregiver
Build systems of support
 Ethical Considerations

We may not agree with the care a patient is

receiving from the family, care team or physician.
Click here to view the policy on Ethical Patient
Care Issues.
Should you feel you are in a situation that puts
you in direct conflict with your own ethics, please
discuss with your supervisor or instructor to
resolve the issue.
 Organ Donation
Saving and Enhancing Lives
 Who is Tennessee Donor Services?

Tennessee Donor Services (TDS) is a not-for profit federal designated

Organ Procurement Organization (OPO) and is responsible for recovering
organs and tissue for donation and transplantation.

TDS is regulated by the Centers for Medicare and Medicaid Services (CMS),
the United Network for Organ Sharing (UNOS), and other regulatory
bodies.

We Save and Enhance Lives!

 Facts About Organ Donation
1 person can save up to 8 lives through organ donation

There are over 116,000 people in the United States are waiting for a life
saving organ transplant
Over 1,700 of those are children
2,500 of those people live in Tennessee

Approximately 18 people die each day waiting for a life saving transplant
A new name is added every 10 seconds to the waiting list.

optn.transplant.hrsa.gov
The following organs can be
recovered for transplantation:
Heart
Lungs
Liver
Kidneys (five year waiting time)
Pancreas
Small Bowel 6-year-old kidney
recipient, Jackson, is now
able to enjoy his Vols!!
 Organ Donation at the End of Life

Life-Saving
Efforts

As health care providers, you know that it is the hospitals number one
priority to save lives.
After all medical efforts have been exhausted, only then is organ donation
a possible option.
 5 or Less Call TDS

Life-Saving Referral
Efforts

Indicators for a potential organ donor:

When a patient is on a ventilator
Has a severe neurological injury or insult
And their Glasgow Coma Score is 5 or less

Call TDS within 1 hour of a GCS of 5 or less

Nurses are responsible for calling TDS. Doctors orders are not needed to
make a referral to TDS.
 Referral and Evaluation

Life Saving Referral &

Efforts Evaluation

Please do not mention TDS or donation to the family. If the subject is

mentioned too early or without TDS present, there might be a
perceived conflict of interest. Also, not every patient is medically
suitable for donation, bringing up the topic too early might give false
hope.

Per your hospitals policy, a TDS Organ Recovery Coordinator is

responsible for determining suitability .
 Effective Request Process

Life Saving Referral & Approach

Efforts Evaluation

According to Federal regulations, the family of each potential donor is to be

informed of their loved ones right to donate. Per your hospitals policy, TDS is the
designated party responsible for presenting the opportunity of donation. TDS will
work with the bedside nurse and attending physician to coordinate an
appropriately timed discussion with the patients legal next-of-kin.
After a family accepts the grave prognosis, they may be ready to discuss the next
steps. It is crucial, at this point, to help to protect the donation process.
 Effective Request Process

Life Saving Referral & Approach

Efforts Evaluation

The following language might aid in creating the time needed for hospital
partners and TDS to prepare for a sympathetic donation discussion.
There are so many things to consider after you have made the decision to transition
from full support to comfort care. We have a team that specializes in working with
families in your situation. They are on their way to meet with you.
We understand just how difficult this news must be and our hospital wants to make
every resource available to you. Please give us some time to get this in place.
TDS must be notified prior to withdrawal of support. The option of organ
donation is no longer viable if a patient is extubated.
Tissue Donation:
Enhancing Lives
Tissues for Transplantation

Cornea/Eyes (sight)

Heart Valves (bypass patients)

Skin (burn victims)
Bone (spinal injuries)

Tendons (sports injuries)
Veins (dialysis patients)

 Tissue Process

Cardiac Death

Call TDS within 1 hour of cardiac death, regardless of past medical history,
age or race.
Some information TDS will ask for:
Name
Date of Birth
Time of Death
Cause of Death
Phone numbers to reach the next of kin over the next six hours
It is a Medicare Condition of Participation that EVERY death is reported to TDS.
 Tissue Process

Evaluation &
Cardiac Death Body
Maintenance

TDS will determine medical suitability for tissue donation.

Do not release the patient to the Medical Examiner or funeral home until TDS has
notified the hospital of whether or not the family wishes to donate.
Your assistance in properly cooling the patient saves the option of donation.
Cooling should start immediately after time of death to preserve donation
outcomes.
Document any times that the cooling process is interrupted (i.e. transport, M.E.
viewing, replenishing of ice).
 Tissue Process

Evaluation &
Body Approach
Cardiac Death
Maintenance

According to Federal regulations, the family of each potential donor is to

be informed of their loved ones right to donate. Per your hospitals policy,
TDS is the designated party responsible for presenting the opportunity of
donation.
TDS will have continuous communication with families, funeral homes,
medical examiners and hospital staff.
 Tissue Process

Evaluation &
Cardiac Death Body Approach Donation
Maintenance

Should the family consent to donation and all appropriate paperwork is

completed, TDS will activate a Tissue Recovery Team.
If family gives consent for transport, the patient will be relocated to the
TDS tissue facility for completion of recovery process. If transport consent
is not given, the recovery will take place at your hospital. (Currently this
option is only applicable in Nashville and the immediate surrounding area)
Valid identification must be on the wrist and/or toe tag. Identification on
the morgue bag is not sufficient identification for tissue recovery to
proceed.
Dont believe the myths!
Know the facts!
Fact: Your Life is Always First
If youre taken to a hospital after an accident or injury, it is the hospitals number
one priority to SAVE YOUR LIFE! A individuals status as a donor is not even
presented to your family until every effort has been made to try to save your life
and all medical efforts have been exhausted.
Fact: All Faiths Agree
ALL major religions in the United States support organ and tissue donation and
consider it a generous act of caring. Where a religion does not have a written
statement actively supporting donation it supports an individuals personal choice.
Fact: You can have an open casket
Organ and tissue donors can still have an open casket and TDS works with the
funerals homes to ensure donation will not delay the funeral.
Fact: Everyone has potential to donate
Your age or health should not prevent you from registering to be an organ or
tissue donor. Most health conditions do not prevent donation and age is not a
factor the oldest organ donor was 93!
Fact: Brain death is death
Brain death is death and irreversible. It is not a coma or a vegetated state, which are
recoverable conditions. After brain death the body is kept on a ventilator in order to
keep organs healthy, not to keep the patient alive.
Child Abuse
 Four Forms of Abuse

Physical Abuse
Physical Neglect
Sexual Abuse
Abuse/Neglect
 Reporting Abuse
All 50 states have MANDATORY reporting laws for child abuse
In Tennessee, the state agency that deals with child abuse or
neglect is the Department of Child Services (DCS)
Anyone who suspects child abuse or neglect MUST report it
At Childrens Hospital staff reports any suspicions to the Social
Work Department

Emer. Dept. Scribes Contractors/Vendors

Interpretive Services
 Childrens Hospital provides assistance to its patients
and families for dealing with communication barriers.
May include: live interpreters, telephone interpretive
services, printed materials, Braille on internal signage,
and video remote interpretation.
All language services are still subject to HIPAA
guidelines and a patients right to privacy
For more information on our interpretation policies
please contact our Social Work and Interpretive
Services Department.
For more information on Interpretive Services Policy,
click here.
Documentation
 Remember

ALL orders and chart entries must be dated,

timed and signed
When making corrections on a chart, DO NOT
write over words for corrections. Line or X
out errors
Be familiar with ALL do not use
abbreviations
For more information on Approved Abbreviations,
click here.
 Computer Downtime Procedure

During scheduled or unscheduled computer

downtime, documentation of clinical patient
care is done on downtime forms. These forms
are available in the clinical areas. See Health
Unit Coordinator or the Charge Nurse for
assistance.
Restraints
 Definition

A restraint is any action or manual method,

physical or mechanical device, material or
equipment that immobilizes or reduces the
ability of a patient to move his or her arms,
legs, body or head freely.
 Restraints

Restraining devices are used ONLY when

alternative measures to provide for the
physical safety of the patient, staff or others
are ineffective. They are NEVER used to
threaten, coerce, discipline the patient or for
staff convenience or retaliation.
The Joint Commission Guidelines on Restraints

Apply to all patients of any age who are:

Hospitalized as inpatients at Childrens Hospital in

order to receive medical or surgical services
In the emergency department
Awaiting transfer from med/surg care unit to
psychiatric hospital
In medical observation beds
Undergoing same-day surgical or other ambulatory
care procedures, rehab procedures as an impatient or
outpatient.
Non-Physical Restraint Alternatives
Provide dialogue with Pain control (if applicable)
patient/family to give Environmental
information/support modification (lower bed,
Diversional activity (see lighting)
Child Life) Gloves to prevent picking
Parent/adult family at tubes or dressing
member available on a Diapers or underwear to
continuous basis (not prevent pulling at
applicable to PICU or catheters
NICU patients) Positioning/repositioning
 Application of Restraints

Only certain hospital personnel may apply

restraints
There must be a physician order for
implementation of any type of restraint.
PRN orders for restraints are NOT PERMITTED!
 IMPORTANT!

Patient rights, including the right to be free

from unnecessary seclusion and restraint and
to receive the least restrictive treatment
possible, must be protected and upheld for
patients secluded and restrained, in postural
and safety support devices, and requiring
routine treatment immobilization.

For more information on Restraints, click here.

 Equipment and Utilities
Telephones managed by our Information Systems department
Our phone system has a battery back-up and the hospital emergency generators. We also
have a crisis link which sends the incoming calls on these phones to an emergency recording.
Mobile phones may be used except in areas indicated by signs. Cell phones also may NOT be
used within 3 feet of patient care medical devices. Please be aware of these locations.
Elevators
One elevator at each location will still operate in the event of loss of KUB power.
When the Fire Alarm System is activated elevators will be captured and stop on the ground or
first floor depending on the location of the fire. The doors automatically open.
Fire Protection System
Includes the sprinkler system, smoke detectors, alarm pull stations, audio and visual alerts.
To activate an alarm pull station, use the pendulum to break the glass. Pull out and down on
the white alarm handle.
In the case of excessive heat due to flame or other source, the sprinkler system will
automatically activate.
When a fire alarm pull station is activated, a smoke detector senses smoke or the sprinkler
system is activated, audio alarms will sound and flashing strobe lights will activate. Fire doors
will close. Air handling systems shut down to avoid spreading smoke to other areas.

If you have any concerns or notice any equipment failures, report them immediately to your
Instructor, or the Childrens staff you are working with.
 Safety in the Workplace
Preventing back pain and injury
Include physical activity in your daily routine
Pay attention to posture
Minimize fall hazards such as removing anything that
could cause tripping, wear low-heeled and non-slip
shoes
Lift properly, bending your knees and not your back
Modify repetitive tasks
Listen to your body
Address stress
 Safety in the Workplace
Security officers are on duty on a 24-hour basis
Any acts of violence, intimidation, harassment, or
coercion (physical or psychological) will not be tolerated
ETCH has a Management Response Team who is
responsible for implementation of the Workplace
Violence Policy. Click here for more information.
Safety Precautions & Exposure to Hazardous Conditions:
Be familiar with Safety Data Sheets (SDS) in your area, usually
kept at the nurses station
Report any risks to your supervisor or instructor
Fill out safety report for any incident
 MRI Safety

Magnetic Resonance Imaging

 MRI Safety

The MRI machine/magnet is always on!

Never go into or bring anything or anyone
into the MRI room without checking
everything with a hand magnet!

Any unapproved object can be a very

dangerous projectile and can hurt you or a
patient!
 The Impaired Provider

The provider is ANYONE who

provides ANY type of care or service
to our patients and families
 What is impairment?

Impairment is defined as being any source of

major distraction that may be harmful to
patients.

8-14% of healthcare workers in Tennessee either

have abused or are currently abusing some
substance. Source: TN-Professional Assistance Program (TN-PAP)

Emer. Dept. Scribes Contractors/Vendors

 7 Major Types of Impairment

Drug Abuse
Alcoholism
Anxiety
Depression
Obsessive Compulsive Disorder (OCD)
Disruptive Behavior
Lack of Sleep/Fatigue
 Characteristics of Impairment
Drug Abuse:
Always wears clothing with pockets, long
sleeves, sweaters
Band-aids on hands, arms
Pupils constricted or dilated
Runny eyes or nose with clear mucous
drainage
Too many controlled drugs spilled or vials
appeared altered
Patients complaining of ineffectiveness of
pain medications
Incorrect/inconsistent narcotic counts
Thin but rarely athletic or physically fit
Lies/tells inconsistent stories
Alcoholism:
Odor of alcohol lingers
Excessive use of coffee/cigarettes
Bloodshot eyes
Spider veins (usually around nose)
Prone to auto accidents
Drinks before parties, drinks alone, sneaks
drinks
Sensitive to comments about alcohol
Demonstrates high tolerance to alcohol
Anxiety:
Difficulty controlling worry
Difficulty concentrating
Restless
Sleep disturbances
Irritability
Isolation
 Characteristics of Impairment
Depression Obsessive Compulsive Disorder
Little pleasure/interest in enjoyed Intrusive/inappropriate persistent
activities thoughts
Significant weight loss/gain without Repetitive behaviors
trying Symptoms take up more than an
Too much or not enough sleep hour a day
Excessive guilt
Feeling worthless Disruptive Behavior
Thoughts of suicide Threatening/abusive language
Humiliating someone in front of
Lack of Sleep/Fatigue others
No sleep for 17+ hours Eye rolling
Increased errors Ignoring conversations
Intimidating
Refusing to help others
 Reporting Impairment

Being under the influence at work, including legal

prescriptions that affect job safety, is prohibited by
ETCH policy.

If you or a coworker are experiencing any symptoms of

impairment, it is your duty to report it.
If you suspect substance abuse in a coworker, take your
concerns to your manager or HR.

Emer. Dept. Scribes Contractors/Vendors

 Seeking help

If you are struggling with any of these issues,

you are encouraged to voluntarily seek
counseling and rehabilitation before problems
lead to corrective action.
For further information, contact Human
Resources or Employee Health and Wellness.
 Reporting Concerns
Do you have a complaint Contact The Joint
about the quality of care Commission by email at:
at a Joint Commission- complaint@jointcommission.org
accredited organization? Or by mail at:
If you have gone through Office of Quality Monitoring
the appropriate channels The Joint Commission
without resolution, The One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Joint Commission can be
Fax: (630) 792-5636
a resource. Phone: (800) 994-6610
Next, answer this question and choose below

Student,
Resident, Fellow, Intern or Emergency Dept. Scribe?

YES! No
Click HERE Click HERE
 Medication Shortages

For information on shortages and substitutions

contact Pharmacy or go to
http://www.accessdata.fda.gov/scripts/drugshortages
 Point of Care & Waived Testing
Click here to view information on Waived testing privileges
guidelines.

Examples include:
Whole blood glucose testing
PTT
Guiac

Competency and quality control procedures are

required.
 Influenza Policy

Childrens Hospital requires all students,

residents and fellows rotating with us
between October and March to have an
annual flu shot.

Proof of current immunization must be on file at

your home institution.
 General Dress Code for Students ,
Residents, Contractors and Vendors at Childrens Hospital

Students/Residents/Interns who are in the building to pre-plan or for other

school-related tasks must be dressed appropriately and be properly identified
Students/Residents/Interns should be in school uniforms when in the hospital.
Identification as a student (school name and ID badge) must be visible at all
times! Uniforms should be neat, clean and not interfere with your work.
Hair must be neat and well groomed. No hairstyle that detracts from the
ability to carry out your responsibilities will be allowed. Mustaches and beards
must be well groomed and neatly trimmed.
Students/Residents/Interns must maintain a clean body, free of odors.
Fingernails must be clean, neatly trimmed and no more than inch in length.
Due to infection control concerns, the use of artificial nails and /or extenders
is prohibited for students/residents/interns in clinical areas. The use of
perfumes, colognes, aftershave and other scented items must be avoided.
Feet must be covered with hose or socks at all times. Shoes must be clean.
Sandals, open-backed shoes and canvas shoes are not permitted for clinical
areas.
 Dress Code
Jewelry should be appropriate. Earrings and jewelry should
not be excessive. Female students should wear no more
than two earrings per ear, male students should refrain
from wearing earrings while in the clinical area.
The following are NOT allowed: Jeans, leather skirts or
pants, sweat pants, shorts or tight-fitting pants or leggings,
mini-skirts, halter or spaghetti strap tops, sleeveless tops,
tight-fitting or sheer tops, airbrush or screen printed T-
shirts.
Students/Residents/Interns MUST always be easily
identified by wearing visible school ID/badge when on
campus!
Emer. Dept. Scribes Contractors/Vendors
 Come Prepared!

Come in dress code! Wear your student ID!

Due to very limited storage space, bring as
little with you as possible. Do not bring large
backpacks, coats, etc!
Leave your valuables at home!
Students are not allowed to use cell phones in
patient care areas!
 Staff/Instructor Responsibility

Clinical instructors and/or a hospital

employee/staff member will supervise
students at all times while patient care,
treatment and services are being provided.
The hospital staff maintains responsibility for
the provision of patient care at all times.
 Instructor/Student Parking
Public Parking is available at Thompson Cancer Center & Fort Sanders Hospital
for a minimal daily charge. Both are walking distance to Childrens Hospital.

Medical students, residents, fellows and E.R. PAs will be given parking directions
by their preceptor or attending physician.

Childrens Hospital Parking Garages are for patients and visitors ONLY!
Students may not park in Childrens Parking Garages even when willing to pay.

YES! No
Click HERE Click HERE
ETCH Online Faculty
Orientation
This Program is Designed to

Facilitate your role as an instructor by clearly

defining ETCH policies, procedures and
expectations regarding students in this facility.
Provide information to assist you in providing
the best possible pediatric experience for your
students.
Information Covered Includes

New faculty member

Clinical rotation requests / conference rooms
Submitting Student Health Requirements
Communication
ID Badge use
Technology
Medication Administration
Post - ETCH rotation surveys
Student Orientation / Parking
All RNs new to the faculty role must

Complete the Clinical Nursing Instructor

Information Form and return to
Organizational Development and Learning
(ODL)
Complete the ETCH Faculty Orientation
Program before instructing a student group
Faculty requirements

New faculty who are also employees of ETCH are

required to complete the Faculty Orientation Module
and shadow a nursing instructor for four (4) hours.
All instructors who are new to the facility must
complete a minimum of four (4) hours shadowing an
ETCH staff nurse and complete computer training.
This may be coordinated through the ODL
Department.
Please allow a minimum of four (4) weeks to
schedule orientation time.
Clinical Rotation Requests

Requests may be submitted in writing to

Organizational Development and Learning by
Deans and / or Clinical Coordinators of the colleges.
Requests must be submitted by the established
request deadline in order to be considered
Deadline for Summer Requests: February 15
Deadline for Fall Requests: April 15
Deadline for Spring Requests: October 15
Clinical Rotation Requests

All changes in scheduling must be submitted to

Organizational Development and Learning
Department (ODL)
Changes must be approved by ODL
Final clinical schedules will be prepared and
forwarded to schools and all appropriate hospital
management and departments before the beginning
of the semester.
Clinical Rotation Requests

Once final schedules have been distributed, only

occasional and minor changes in the schedule will
be approved.
All DAY SHIFT rotations are asked to report to the
floor no later than 7:00 a.m.
Observation sites will vary with start times. Please
refer to observation site reminders.
Scheduling Conference Rooms
Conference Rooms are available on the 2nd,
3rd, 4th and 5th floors for post-clinical
conferences. These rooms must be scheduled
through either the Nurse manager or the
Health Unit Coordinator.
Conference Rooms in Koppel Plaza must be
scheduled in advance through ODLs AV
Specialist (865-541-8703)
Student Nurse Faculty Meeting

Meeting will be held three (3) times a year to

discuss rotations and any changes in policies or
procedures.
These meetings are routinely scheduled for March,
July and October.
At least one (1) representative from each school
should be present at each meeting.
Student Health Requirements
Students are required to have appropriate immunization and
screening evaluations / records that comply with hospital
policies and other regulatory requirements. Each student must
have on file at their educational institution:
Influenza (Flu) Vaccination
Measles/mumps/rubella (MMR) - proof of immunity required
Proof of Liability Coverage
Tuberculosis (TB) Tests
Varicella (Chicken Pox) - proof of immunity is required
Orientation and Compliance
Each student must view the online student
orientation before their first day of clinical at ETCH.
The orientation reviews corporate compliance, and
code of conduct and ethics.
Compliance forms are signed electronically.
ETCH does not require a paper copy of the form
An electronic record is created upon completion.
Communication
Faculty members are expected to demonstrate
professional communication techniques with
students and facilitate appropriate chains of
command.
Communication Chain of Command
Every effort should be made to address the issue
with the involved party at the time of any incident.
If this is not possible, or unsuccessful, address the
issue with either the shift leader or Nurse Manager.
You may, at any time, call the Student Coordinator in
ODL to discuss issues.
Communication Reminders
Students/faculty are expect to follow all ETCH
policies and procedures
Students should not bring personal items or
valuables into the facility
No food or drink is allowed in patient care
areas, including at the nurses station
Cell phones and camera are not allowed for
use or possession in any patient area.
Communication Reminders
Students should not come to their clinical
assignment if they are ill
Injuries and illnesses should be reported to
the clinical instructor
Any exposure to blood/bodily fluids is to be
reported immediately and managed according
to ETCH policy and procedure
Social Media
Remind students often that Due to the
inappropriate use of social media, some nurses have
lost their jobs, been discipline by the Board of
Nursing and have been criminally charged.
https://www.ncsbn.org/NCSBN_SocialMedia.pdf
Please address any social media concerns/questions
with the Student Coordinator immediately
Faculty Identification Badges
Faculty badges are issued by ETCHs Human
Resources/Personnel Department
Badges are bar coded to allow users to access
2nd floor, 3 West, and 4th floor Supply Rooms
PICU, NICU and ED
Employee /C Elevator
Door between 4 East/4 West after 8:00pm
Hospital Entrance Doors
Medical Office Building basement door
Hospital Crosswalk after 9:00 p.m.
Faculty Identification Badges
Do not punch holes in the badge as this will render it
ineffective
Initial badges are free to instructor. However,
replacement badges cost $10. So please ensure your
badge is not lost, stolen or mutilated.
Your school affiliated ID badge should be worn in
addition to the ETCH ID badge
Meditech Computer Access
Meditech User ID is requested from Information
Systems upon receipt of the Clinical Nursing Instructor
Information form.
Computer training, including BMV/eMar must be
scheduled through Clinical Informatics: 541-8138
Email address: Vcolliins@etch.com or MVBently@etch.com
Training is held on the 1st and 3rd Thursdays from
2:30pm 3:30pm.
Please allow four (4) weeks when scheduling
computer training.
Meditech for Existing Staff
Any faculty member that is also an employee
of ETCH will use the same Meditech User ID,
but will need to choose Instructor in the
drop down menu when signing on. This User
ID must be used only when the employee is at
ETCH in the role of a Faculty Member .
Documentation
Students do not document in the computer system
Students document their observations on paper form
entitled Student Nurse Documentation Form
All notes must be reviewed and co-signed by clinical
instructor
Notes must be correctly labeled with patients name
and placed in corresponding chart.
Vital signs are to be recorded on Vital Sign form,
signed by instructor and given immediately to the
PCA assigned to that patient for the day
Documentation Reminders
Nursing documentation is a critical component in
high quality patient care and safe, effective nursing
practice that is legally and ethically sound
Adhere strictly to all organizational policies and
procedures regarding documentation.
When documenting, assert your need to be free of
distractions to the greatest extent possible.

www.rn.com Professional Documentation: Safe,

Effective, and Legal
FACT Criteria Documentation
Use as an outline to assess your
documentation
F = Factual
A = Accurate
C = Complete
T = Timely
Remember, unless it is documented it was not
done
Medication Administration
Students may administer the following medications under the
direct supervision of their clinical instructor
Oral (PO)
Intramuscular (IM)
Subcutaneous (SQ)
Nasogastric (NG)
Gastrostomy tube (GT)
Topical
Instructors must take care when preparing and
administering medications with students.
Medication Administration
Students must check the dosage, calculation,
preparation, and administration with an instructor
when giving any medication.
To ensure instructors have ample time to spend
teaching about the medications and supervising
administration, ETCH asks that only three (3)
students administer medications per day
Medication Administration
Please do not ask staff nurses to assist
students in administering medications
Staff nurses often serve as preceptors for new
staff or may still be in orientation themselves
We want students to have a positive rotation
at ETCH, however, Patient Safety is ALWAYS
our first priority!
Post-Clinical Evaluations
Post clinical evaluations are to be completed by all
students on the following link
https://www.surveymonkey.com/s/NursingStudentRotationEvaluation
In order for the information to be as accurate and
useful as possible, we ask that you reiterate the
importance to students
Faculty evaluations are also encouraged
This information is used to improve our program and
to evaluate performance, thus, it is invaluable to our
facility.
Thank you in advance for your evaluation
Student Orientation Information
All schools will be provided ETCH specific orientation for
their clinical groups via a link to the ETCH orientation
module.
The module includes topics and information students
need before a clinical rotation at ETCH. Completion of
the orientation module includes electronic signature of
the compliance form. *This must be completed prior to
clinical.
The centralized student orientation program ensures all
students receive consistent and accurate information
about ETCH.
Thank You for your dedication to the
development of tomorrows pediatric
nurses!
Please complete the following Clinical Nursing Instructor
Information form.
 References
American Nurses Association. (2011, September). Principles for social
networking and the nurse. Silver Spring, MD: Author.
National Council of State Boards of Nursing. (2011, August). White Paper: A
nurses' guide to the use of social media. Chicago, IL: Author.
www.NursingWorld.org
The American Nurses Association (ANA) has released its Principles for Social
Networking and the Nurse: Guidance for the Registered Nurse, a resource
to guide nurses and nursing students in how they maintain professional
standards in new media environments.
http://www.nursingworld.org/socialnetworkingtoolkit

Please Click
here to
finish
 Thank You For Your Time
We do appreciate your time as you reviewed
this content.
We are glad you have chosen to spend time
with us at Childrens Hospital.
We do hope you see what a great place
Childrens Hospital is.
If you have any other questions or concerns
please contact either the Medical Services
office, or your Instructor.
Almost done!
Orientation Compliance Statement

On the next page, choose the appropriate box

to access the acknowledgement.
Complete the Childrens Hospital Orientation
Compliance statement by entering your name
and any additional information requested.
This form must be completed.
 Time to Finish
Please read the choices and pick your path based on your role here at Childrens

Are you a Student, Resident, Are you a Physician or Allied

Fellow or Intern? Health Professional?

YES! YES!
Click HERE Click HERE

Are you an Emergency Are you a Contractor or Product

Department Scribe? Vendor?

YES! Yes!
Click HERE Click HERE