Self-Study Orientation Guide&Information HandbookPutting Patients FirstTreating Everyone With Dignity and RespectRevised 9-10

Table of ContentsMission, Values, Professional Performance Standards - Page 3Organizational Leadership - Page 4Chapter 1 - Programs and InitiativesPages 5 - 7Improving Organizational PerformanceCultural DiversityCode of ConductPatient Abuse and NeglectPatient Rights and ResponsibilitiesAdvance Healthcare DirectivesCompliance ProgramConfidentiality/HIPAAChapter 2 - Key Policies and HighlightsPages 8 - 10ParkingIdentificationTelephone UsageSmokingHarassmentPersonal Hygiene/Dress CodeViolence In The WorkplaceWeaponsInmates/Person’s in CustodyDrug and Alcohol Free WorkplaceIllness/InjuriesSafe CaféDress CodeChapter 3 - Environment of CarePages 11 - 14Doors, Hallways, Emergencies (Codes)Fire SafetyElectrical SafetyPersonal Protective Equipment (PPE)Hazardous MaterialsChapter 4 - Infection Control & Patient Care in IsolationPages 15 - 19Body Substance Isolation (BSI)Hand WashingProviding Patient Care in IsolationChapter 5 - Health RequirementsPages 20 - 21ImmunizationsHealth InsuranceRespiratory Fit TestBloodborne PathogensChapter 6 - Patient SafetyPages 22-232010 National Patient Safety GoalsChapter 7 - Confidentiality Agreement Page 24Student AffiliationRevised 09/102

Our Mission To enhance the health and well being of the communities we serve.Our Core Values Putting Patients First Treating Everyone with Dignity and RespectProfessional Performance StandardsCompassionate Care and Communication – Exceed expectations andanticipate the needs of patients while enhancing the quality of care and thequality of the work environment.Teamwork – Unselfishly work with others toward common goals andvisions.Respect – Consistently treat patients, families and co-workers withpatience, consideration and dignity.Honesty and Integrity – Commit to truthful and open conduct in all aspectsof work and workplace relationships.Student AffiliationRevised 09/103

ORGANIZATIONAL LEADERSHIPThe Board of Hospital TrusteesBasil Chyrssos M.D., ChairPeter Livermore, Vice-ChairJo Saulisberry, SecretaryClifton Maclin, Jr, 1st Assistant SecretaryDon Hattaway, 2nd Assistant SecretaryJames Gibson, TreasurerAndrea Weed, DO, Chief of StaffEd Epperson, CEO/TrusteeRex Baggett, M.D., TrusteeJeffery Upton, M.D., TrusteeBruce Park, TrusteeJon Miller. TrusteeJeff Upton, M.D., TrusteeCaleb Mills, TrusteeAdministrationEd Epperson, President/Chief Executive OfficerCathy Dinauer, R.N., MSN, VP Patient Care ServicesAnn Beck, VP Financial ServicesRichard Lawley, VP Human Resources & Support ServicesAnthony Field, M.D., VP Medical Staff AffairsDepartmentsLegal Counsel & Risk ManagementAnn Dahl, DirectorPatient Financial ServicesGayle LarsenSurgical ServicesCindy Kuperus, RNPlant OperationsChris O’HigginsCancer CenterZita Waclo, R.N.Inpatient Behavioral Health ServicesChristina SapienNursing ServicesKathy Molina, R.N.Rehab & Outpatient ServicesLeighanne Shirey, RNFacilities ServicesKim MasonControllerKurt DisneyCritical Care ServicesAnnette PatellosDirector of DevelopmentCheri GlocknerOmbudsmanKitty ChamberlainIntegrated Care ManagementCarson Tahoe Physician ClinicsJim HineyCarson Tahoe Surgery Center (MicaDrive)Carson Tahoe Imaging (GBI)Student AffiliationRevised 3-114

Chapter 1 - Programs and InitiativesImproving Organizational PerformancePerformance Improvement at Carson Tahoe Regional Healthcare and its Affiliates (CTRH) is aboutPutting Patients First. We strive for excellence in all we do, patient safety, quality care and comfortfor our patients and their families. The organization is committed to continually improving theperformance of our health care delivery and financial systems. In the dynamic world of health care,change is the only constant and achieving quality care is a never ending cycle of continuousimprovement and the ongoing effort by all of those involved to identify opportunities for improvement.The Plan for Improving Organizational Performance lays the groundwork and provides the frame workfor identifying opportunities for improvement; prioritizing improvement activities; implementing andmaintaining a comprehensive ongoing and integrated system for well designed process and processimprovement; and communicating those activities. The Plan outlines responsibilities for PerformanceImprovement activities.Opportunities for improvement can be identified in many ways, for example:Patient surveys, physician or employee surveys, Quality Review Tracking Forms, brainstorming,when you think “there must be a better or easier way.”CTRH utilizes various methods to evaluate systems and process. The Failure Mode EffectsAnalysis (FMEA) is a proactive approach to identify steps in a process and potential failures. Thenaction plans for improvement can be developed.The Root Cause Analysis (RCA) is a retroactive approach to unexpected events and outcomes todetermine underlying causes of the event and to develop an action plan to prevent reoccurrences.Data collection is the basis for Performance Improvement activities and provides a means to makeinformed objective decisions. Interpretation transforms data into meaningful information so thatoutcomes can be monitored over time. Changes are managed; performance is improved; outcomesare achieved and sustained; and the process is documented.Cultural DiversityAs a patient care provider it is necessary to consider every patient’s culture when giving care.Patients deserve to be treated as individuals and have their values and beliefs considered whenreceiving care. Awareness of cultural factors can improve patient and family education. You may beasked to review and complete an education module on Cultural Competencies through the Educationdepartment.Student AffiliationRevised 3-115

Patient Abuse and NeglectIt is the goal of CTRH to protect patients in our care by preventing, prohibiting and/or identifyingcases of suspected or actual abuse or neglect. In compliance with Nevada law, all potential or actualcases of verbal, sexual, physical or mental abuse are reported for investigation. Reporting ismandatory for patients 18 or 60 years of age. Should patient behavior or statements lead you tobelieve that abuse may exist you must report this information at once to your preceptor. TheEducation Department may require, dependent upon the length of your internship that you completean education module on Abuse,Patient Rights and ResponsibilitiesPatients are informed upon admission of the Patient’s Bill of Rights and Responsibilities. Below is anoutline of the Patient’s Bill of Rights. A complete copy of this document is available from Admissionsor our Patient Advocate Ombudsman, Kitty Chamberlain (775) 445-8008 (ext 8008).As a patient, you have rights regardless of age, race, color, ancestry, language, creed, religion, gender, sexualorientation, marital status, citizenship, veteran status, physical or mental disability, cultural, economic,educational background or the source of payment.I. As a patient you have the right to:a.b.c.d.e.f.g.h.i.j.k.Receive considerate and respectful care Actively participate in your healthcare Receive information regarding continuing health care after leaving the hospital Receive information regarding rules and policies that apply to your conduct whilea patient Refuse treatment or leaving the hospital against the advice of physicians, to the extent permitted by law Refuse to participate in research projects, clinical trials or experimentation Freedom from restraints and seclusion of any form used as a means of coercion, discipline, convenience orretaliation by staff Assessment and appropriate management of pain.You have the right to resolution of issues or complaintsFile a grievance/complaint about care, service or discrimination File a complaint with the Bureau of Licensure & Certification II. As a patient you have the responsibility to:a. Ask questions, make informed decisions and fully understand, the documents you may be asked to sign b. You do not have to receive treatment and service that are considered medically unnecessary orinappropriate c. Provide accurate and complete information including medical history d. Show respect and consideration for other patients e. Respect the property of others and of the hospital.f. Follow the treatment plan, tell your doctor if you believe you cannot follow the treatment plan g. Recognize the effect of lifestyle on your personal health h. Find out about and accept the consequences of refusing treatment i. Follow rules and regulations j. Meet financial commitments.Student AffiliationRevised 3-116

All patients’ rights and responsibilities apply to the person who may have legal responsibility to makedecisions regarding medical care on your behalf.Advance DirectivesAn Advance Directive is a document that identifies the patient’s wishes for health care in the eventthat the patient becomes incapacitated to make those decisions. The Advance Directive must be inthe medical record. All patients are asked on admission if an Advance Directive is on file and aregiven the opportunity to complete one if they wish. If you have questions about Advance Directives,contact the patient’s caregiver or the Ombudsman ext. 8008.Compliance ProgramCTRH has adopted a Compliance Program to demonstrate our commitment to ethical and legalbusiness practices; compliance with laws, regulations and accreditation standards; and ensuringservice of the highest level of integrity and concern.All reported issues will be investigated promptly and appropriate corrective action taken. CTRHprohibits retribution, retaliation, or harassment for making a good faith effort to report such issues.Should you have questions regarding compliance, please contact the Compliance Officer,Apryl Lucas, at 445-8776.Code of ConductThe Code of Conduct is an important component of the CTRH Compliance Program. It providesguidance in carrying out our duties within appropriate ethical and legal standards. These obligationsapply to our relationships with patients, providers, payers, regulators, vendors, contractors, businesspartners and one another.The policies set forth in the Code of Conduct are mandatory and are included in the Hospital Policiesand Procedures found on the intranet. Copies of the Code are also available in the Compliance andAuditing department.Confidentiality/HIPAAHIPAA – Health Insurance Portability and Accountability Act of 1996As an employee, clinical student or contract service of CTRH, any private information that you see,hear or say, is considered confidential and must be kept confidential and can only be used ordisclosed for specific purposes related to: a) an individual's treatment; b) payment of services; c)the operations of the health care organization. During clinical rotations you may be required to use oraccess that amount of patient information that is minimally necessary to complete a task,responsibility or function. You are responsible to only use and access information on patients forwhom you are providing supervised care.Any questions or concerns can be directed to the Privacy Officer, April Lucas at 445-8776 orext 8776.Student AffiliationRevised 3-117

Chapter 2 – Key Policies and HighlightsParkingGeneral parkingLocated at the front and east side of the main building.Physician ParkingLocated at the north of the main building between the medical center and thecentral plant building.Employee ParkingLocated in the northwest and northeast parking areas.Yellow zoneIn front of the main entrances and ER is only for commercial deliveries and dropoff or pick up of patients and limited to 20 minutes or less.Law EnforcementDirectly outside ER. Extended period law enforcement vehicle parking should bein the public parking lot.Sierra Professional ComplexAlong the west side fence or in the Adams House parking area.IdentificationAll students are required to wear a CTRH identification badge while on hospital property which mustbe accompanied by a photo identification. CTRH badges are issued by the Education Departmentupon completion of all the mandatory documents and proof of required immunizations.Telephone UsageEmployees are expected to be polite and courteous when answering telephone calls. Whenanswering a call, you must identify yourself and your department. Hospital telephones may be usedonly for transactions of hospital business. In case of an emergency, personal calls may be made orreceived. Public telephones are available throughout the hospital for employee’s personal calls.SmokingSmoking is not allowed on any CTRH campus.HarassmentCTRH is committed to providing an environment that is free of discrimination and unlawfulharassment. Actions, words, jokes or comments based on an individual’s sex, race, ethnicity, age,religion or any other legally protected characteristic will not be tolerated. Sexual or other unlawfulharassment or discrimination (both overt and subtle) is a form of misconduct that is demeaning toanother person, undermining the integrity of CTRH and is strictly prohibited. If you experience anyform of harassment, or behavior that may be construed as harassment, it is your responsibility toreport this to your preceptor immediately.Student AffiliationRevised 3-118

Personal Hygiene/Dress CodeGood grooming is essential to the professional image and atmosphere of any hospital. Due to closecontact with patients and the public, your personal appearance has a direct relationship to the totalcharacter of CTRH. Special emphasis on personal hygiene is a vital requirement as well as safe andappropriate dress. (For detailed hospital Dress Code, Refer to CTRH Policy MA 2.1020 10-0-1009)In consideration of our patients and visitors, hospital attire and appearance should be in good taste,clean and appropriate for a hospital setting. Any attire of blue-colored denim material is notacceptable except when in attendance at off-shift meetings or training programs where no patientcontact is anticipated. Check with your preceptor for unit specific requirements.Violence In the WorkplaceCTRH is firmly committed to providing an environment free from acts of violence or threats ofviolence. In keeping with this commitment, we have established a strict policy that prohibits anyperson from threatening or committing any act of violence in the hospital workplace; while on duty,while participating in a student affiliation, while on company related business, or while operating acompany vehicle owned or leased by the hospital. This policy applies to all anyone associated withCTRH and includes, but is not limited to verbal abuse, threats to do harm, stalking, causing physicalinjury to another person, intentionally damaging employer property or the property of another personor possession of a weapon. If you observe any form of violence, or behavior that may be construedas violent, it is your responsibility to report this to your preceptor immediately.WeaponsWeapons will not be allowed in any CTRH facility or office (excepting federal, state, county or city lawenforcement personnel). Private security agents, collection agents, bail bondsmen, and individualswith concealed weapons permits are not peace officers and will be required to remove their weapons.Any type of gun, knife, chemical agent (mace, pepper spray), or other item that is a threat or potentialthreat to another person must be removed from the facility, or taken into CTRH possession for safekeeping until the owner leaves the property. Weapons held will be handled as any valuable belongingto a patient. If you observe any weapons, or suspected weapons, it is your responsibility to report thisto your preceptor immediately.Inmates/Persons in CustodyInmates (persons in the custody of city, county, state or federal law enforcement personnel) are attimes accepted at CTRH for medical treatment. All such inmates will remain under constant,(sometimes armed) guard. No one is to enter an inmate’s room, under any circumstances includingmedical emergencies, without the attending officer/guard. (Students on clinical rotation are never toenter into an inmate’s room, or attempt to care for inmates, without first consulting with theirpreceptor(s).)Drug and Alcohol Free WorkplaceCTRH prohibits the unlawful manufacture, distribution, possession, use or being under the influenceof any controlled substance or alcohol in the work place.Student AffiliationRevised 3-119

Illness/InjuriesIf you should incur an injury or become ill during your student clinical rotation it must be reported toyour preceptor immediately. In the event of an onset of illness or injury of a student or instructorduring the clinical experience at CTRH, emergency care will be provided to the student or instructor attheir own expense. CTRH shall not be held responsible for any illness/injuries sustained by student orinstructor during the clinical experience.Sage CafeThe Sage Cafe is located on the first floor, northeast section of the building.Dress CodeThe hospital has a strict dress code policy which includes jewelry, piercings, tank tops, crop tops,blue jeans, shoes, etc. Jewelry needs to be restricted to small, stud type earrings, nothing danglingthat can get caught or snagged. No loose bracelets like charm bracelets. No visible piercing jewelryare allowed. No tank tops, crop tops or blue jeans. Shoes should be closed toe (no sandals) andspecific departments, like OB and Pediatrics, require shoes to be white. Some departments issuescrubs. Some may require you to wear your own scrubs or accept office casual type wear. You willneed to inquire with your mentor before beginning your rotation or shadow experience to be certainyou are properly attired for their specific department.Student AffiliationRevised 3-1110

Chapter 3 – Environment of CareBlocking AccessDue to the stringent safety controls a hospital is put under it is necessary to maintain open entry andescape routes for the building and property. No closing of these routes may occur without advancednotification and rerouting of traffic. In no case will it be permissible to block any hall, door, entryway,exit discharge, stairway, driveway, parking access, or walkway without the prior knowledge andapproval of the Safety Officer and Engineering Department.Doors, Halls, Emergency ExitsThe exterior doors in the hospital are locked at various times during the night. In no case can doors,halls or exits be closed, locked, or blocked in such a manner as to prevent emergency exit. In theevent it is necessary to close or block a hall, Engineering and the Hospital Safety Officer must becontacted and re-routing arranged prior to closure. If doors need to be unlocked for access duringclosed hours then schedule with Engineering prior to the date needed or if necessary contactSecurity.EmergenciesCTRH has an emergency preparedness program covering most major situations. The following codesystem is used internally to notify those within the hospital of situations and is here for yourawareness.Code Black - EvacuationThis code is called when a problem has made it necessary to remove patients from thebuilding or from a part of the building. Instructions will be given by Hospital Staff.Code Blue - Medical EmergencyInstructions will be given by Hospital Staff if you need to clear the area.Code Gray - Security AssistanceCalled when Hospital Staff need assistance from Security Personnel.Code Red - FireCalled when there is a fire or drill. STOP WORK. Wait in the nearest hallway for furtherinstructions. The building has fire suppression and doors will automatically close when the firealarm system is activated. Do not walk through these doors unless specifically instructed to doso by the hospital staff. Hallways must be cleared (and should always be kept clear) ofequipment and materials. Wait in the area you are working in for instructions from staff. Whenthe code is cleared work may resume.Code Orange - Internal Hazardous Material Release.Instructions will be given by Hospital Staff.Code Yellow - Disaster AlertThis code is used to notify hospital staff that a situation outside the hospital has occurredwhich will effect hospital operationsCode White - Bomb Threat.Instructions will be given by Hospital Staff.Code Noelle – Maternal HemorrhageInstructions will be given by Hospital Staff.Student AffiliationRevised 3-1111

Fire AlarmSmoke detectors and pull stations are located through out the facility. In the event a fire starts in anarea you are working in do not hesitate to pull the alarm. In the event that a fire is put out before thealarm system is activated it is mandatory that engineering and security be informed. The firedepartment will be contacted. Only the fire department may declare a fire out, no matter how small.Fire ManualThe complete Fire Manual/Policy is available for review in the Nursing Office, EmergencyDepartment, Security office and in the Quality Department.The basics of a Code Red - Fire Alert are:R.A.C.E.RemoveRemove anyone in immediate danger.AlarmPull alarm, DIAL 5555 at the Regional Medical Center, and clearly say“CODE RED” and the location (REPEAT TWICE)ContainClose doors to confine fires. Attempt to extinguish a small fire with proper equipment.Extinguish/EvacuateExtinguish when safe to do so. When you hear “CODE BLACK” overthe speaker, prepare patients for evacuation.To use a Fire Extinguisher, remember:P.A.S.S.PullPull the pin on the extinguisher.AimAim the extinguisher nozzle towards the fire.SqueezeSqueeze the trigger of the extinguisherSweepSweep the extinguisher from side to side at the base of the flames. Besure to overlap sweeps.Electrical SafetyElectrical safety is everyone’s responsibility. Before using cords you should check for frayedinsulation and bent or missing pins in the plugs. Wall outlets should also be checked.Electrical safety is basically common sense. If it doesn’t look right, get it checked out.Notify Engineering or Bio-Med departments for equipment that needs to be repaired.Student AffiliationRevised 3-1112

Electrical Safety “DO’s” ChecklistDO make sure to check all electrical equipment before use.DO report any damage electrical equipment to the hospital engineering department.DO ensure when entering a patient’s room and before touching the patient that the floor is dry, yourhands are dry and the patient and his/her bed are free of wetness and moisture.DO avoid static electricity shocks to patients by grounding yourself to the metal bed frame or metalsink before touching the patient.DO make sure you are never touching a patient and a piece of electrical equipment at the same time.Personal Protection Equipment (PPE)PPE will be supplied by CTRH. PPE needs are designated by a letter of the alphabet. The letterswhich represents the type of PPE needed is designated on a white rectangle label. All departmentsare required to maintain charts within the workplace describing this system which is as follows:LETTERPERSONAL PROTECTION EQUIPMENTASafety glassesBSafety glasses, rubber glovesCSafety glasses, rubber gloves, rubber apronDFace shield, rubber gloves, rubber apronESafety glasses, rubber gloves, dust respiratorFSafety glasses, rubber gloves, rubber apron, dustrespiratorGSafety glasses, rubber gloves Vapor RespiratorHSplash goggles, rubber gloves, rubber apron, vaporrespiratorISafety glasses, rubber gloves, vapor respiratorJSplash goggles, rubber gloves, rubber apron vaporrespiratorKAir supplied mask, rubber glove rubber suit, rubberbootsXAsk supervisor for guidanceStudent AffiliationRevised 3-1113

Hazardous MaterialsYour rights To Hazard Communication Information are as a result of the issuance by OSHA of:The HAZARD COMMUNICATIONS STANDARD / 29 FR Part 1910 1200The purpose of this standard is to ensure that the hazards of all chemicals produced or imported bychemical manufacturers or importers are evaluated, and that information concerning their hazards aretransmitted to affected employers and employees within the manufacturing sector. This transmittal ofinformation is to be accomplished by means of comprehensive hazard communication programs,which are to include container labeling and other forms or warning, material safety data sheets andemployee training.Report spills, exposure or other concerns or questions regarding hazardous materials to yourpreceptor immediately.Student AffiliationRevised 3-1114

Chapter 4 - Infection Control / Patient Care in IsolationPreventing the spread of infection to Healthcare workers and among patients is critical in the hospitalsetting. The system of isolation used at CTRH is Body Substance Isolation (BSI). The key elementsof Body Substance Isolation include: Frequent and thorough hand washing. Hand washing at least 10 seconds with liquid soap andrunning water. Wearing gloves when you expect to have contact with blood, secretions, mucous membranes,non-intact skin or moist body substances. Changing gloves between patients. Using other appropriate barriers, (personal protective equipment) when the patient is inisolation or when splashing or soiling of clothes is possible.Other safety measures to minimize your risk to exposed blood and body fluids are: Dispose of all sharps in designated containers. Do not bend or break contaminated needles or other sharps. Avoid recapping needles, but if necessary, use the one-handed scoop technique. Do not eat, drink, or apply cosmetics in patient care areas, this includes the nurses’ stations. Dispose of infectious waste in appropriate infectious waste containers, such as the red bags. Dispose of sharps containers when they are 3/4 full. Do not place food in medications refrigerators.Infection Control Manual is located on the CTRH IntranetHANDWASHINGIntroductionProper hand washing can be a matter of health and maybe even life and death for you and yourpatients in this facility.What you’re about to read examines the reasons why hand washing is so important. It shows howyou can protect yourself and your patients through this simple and effective infection control measure.Infection is EverywhereInfectious microorganisms that are invisible to the naked eye, but cause disease, ngiStudent AffiliationRevised 3-1115

Infectious microorganisms may be present in:1.2.3.BloodOther body fluids and secretion saliva, sputum, nasal and vaginaldischarge.ExcretumIf these materials come in contact with your skin, especially your hands, you are at risk of infection.Infectious microorganisms may get on your hands when you care for an infected patient or touch acontaminated object or surface such as: roomsBathroomsTrash cansInvasive medical devicesDirty laundryDisease TransmissionStudies have shown that healthcare workers’ hands are the most common transmitters of disease inhealthcare facilities. Once your hands are contaminated, infection can enter your body if:1.2.You touch the mucous membranes of your mouth, eyes or noseYou have any open cuts, nicks or abrasions on your skin, even dermatitis and acneYou can also transfer infection to patients. Microorganisms on your skin that may be harmless to you,can cause serious infection in some patients, especially: elderlyNewbornsPatients with weak of undeveloped immune systemsPatients with surgical incisions, catheters, breathing tubes, and other passageways intothe bodyHandwashing BasicsHand washing is the single most important procedures for preventing the spread of infection. Handwashing also keeps you from transferring contamination to other areas of your body and to patients orthe environment. If infectious material gets on your hands, the sooner you wash it off, the less chanceyou have of becoming infected.Student AffiliationRevised 3-1116

To be effective, hand washing must include several components:1.Lather hands with soap and water. Use non-abrasive soap, liquid, granules or foam, for mostroutine hand washing. Detergents are also acceptable. Both suspend easily removable soil andmicroorganisms or inhibit their growth and are sometimes required.2.Vigorously rub together all surfaces of lathered hands for 10 - 15 seconds. Friction helpsremove dirt and microorganisms. Wash around and under rings, under fingernails, and includewrists. Keep splashes to a minimum and try not to touch the sink itself.3.Rinse hands thoroughly under a stream of water. Running water carries away dirt an debris.Point fingers down so water and contamination don’t drip towards the elbows.4.Dry hands completely with a clean paper towel. Discard in a waste container,More Hand Washing TipsConsider the entire sink, including the faucet controls, contaminated. To avoid further contaminatingyour hands:1.2.Avoid splashing or touching the sink.Use a dry paper towel to turn the faucet off. Discard the used towel.To keep soap from becoming a breeding place for microorganisms:Thoroughly clean soap dispensers before refilling with fresh soap or use disposable containers.When hand washing facilities are not available at a work site, we will provide an appropriate antiseptichand cleanser as a temporary measure only. You should still wash your hands with soap and runningwater as soon as possible.Using hand lotion may prevent dermatitis cause by frequent hand washing and wearing of latexgloves. In some situations, lotions may promote the growth of harmful microorganisms, andpetroleum-based lubricants may deteriorate latex gloves.If you have dermatitis that is caused or aggravated by wearing gloves, you might also try wearingcotton glove liners or hypoallergenic gloves. Be sure to notify Infection Control.When in Doubt, WASHYou may be at risk when performing routine patient-care activities. The best rule of thumb is: when indoubt, wash your hands. Become familiar with our specific hand washing policies and procedures(Chapter 3 of the Infection Control manual).Student AffiliationRevised

Chapter 3 - Environment of Care Pages 11 - 14 Doors, Hallways, Emergencies (Codes) Fire Safety Electrical Safety Personal Protective Equipment (PPE) Hazardous Materials Chapter 4 - Infection Control & Patient Care in Isolation Pages 15 - 19 Body Substance Isolation (BSI) Hand Washing Providing Patient Care in Isolation