Agency Orientation

Thanks for helping our facility in these trying times! Please review these topics prior to your shift:

1. 1. Emergency Preparedness
    a. Blue – Medical Emergency
    i. Report to the location of the emergency to assist as needed
    b. Purple – Pandemic Episode
    i. Report to Station 2 to receive instructions
    c. Gray – Workplace Violence / Threat of Violence
    i. Report to Station 2 to receive instructions
    d. Brown – Nuclear Power Plant
    i. Report to Station 2 to receive instructions
    e. Orange – Hazardous Material / Waste Spill / Release
    i. Report to Station 2 to receive instructions
    f. White – Terrorist Attack
    i. Report to Station 2 to receive instructions
    g. Yellow – Suspicious package bomb threat
    i. Report to Station 2 to receive instructions
    h. Pink – Missing Resident
    i. Report to Station 2 to receive instructions
    i. Black – Utility Outage
    i. Report to Station 2 to receive instructions
    j. Red – Fire Emergency
    i. Report to Station 2 to receive instructions
    
    ii. RACE
    1. RESCUE anyone in immediate danger of harm in a fire.
    2. ALARM pull a fire alarm or notify the appropriate people of the disaster.
    3. CONTAIN the fire by closing all fire doors to prevent the spread of fire and smoke.
    4. EXTINGUISH any fire the size of a trash can or EVACUATE if the fire is larger.
    
    iii. PASS
    1. PULL the pin on the top.
    2. AIM the nozzle at the base of the fire, NOT the flames.
    3. SQUEEZE the trigger or handle.
    4. SWEEP the nozzle back and forth to envelope the fire in the extinguisher’s output.
    k. Green – Severe Weather / Natural Disaster i. Report to Station 2 to receive instructions
    l. Each of the above codes corresponds to a section of a red emergency book on station 2 if you need further information/instructions
    m. If there is an outage of power or other critical utilities, please call one of the emergency contacts in the emergency book or reference book
    
    2. Reference Books
    a. There is a reference book at each station detailing information that might be important.
    b. The book contains important information, phone numbers to frequently contacted companies and agencies, as well as staff phone numbers
    
    3. PCC Charting
    a. We use Point Click Care for charting. This can be found by going to: https://login.pointclickcare.com/home/userLogin.xhtml
    b. A login should have been set up for you already
    i. Username: first letter of your first name + your last name
    ii. Password: Welcome1!
    c. If you are unable to login, please call Steven at 602-754-4181
    
    4. Policies and Procedures
    a. Our policies and procedures are available for review online from one of the facility computers: https://archstonecare.sharepoint.com/_layouts/15/sharepoint.aspx
    b. Click on Archstone Care Center Team Site.
    c. Click on Documents
    d. Double click on “01-Policies and Procedures”
    
    5. What to do in cases of abuse?
    a. Remove the alleged abuser from the scene
    b.Report it to the charge nurse, who will then report it to Steven, DON at 602-754-4181
    
    6. Dining room
    a. There is a list of residents who get up to the dining room. As well as a list of residents that night shift must be gotten up by night shift.
    b. It is your responsibility to ensure that as many residents go to the dining room that want to. Ideally we should have 100% of the unit in the DR.
    c. If you are assigned to the dining room to feed, then you must go, regardless of how many staff are on the floor, the nurses are required to handle things while you’re gone. The nurse can also choose to go to the dining room on your behalf to feed residents.
    
    7. Assigned Duties and Responsibilities as a CNA
    a. Must have patience, tact, cheerful disposition, and enthusiasm as well as willingness to handle difficult patients.
    b. Must possess the ability to make independent decisions when circumstances warrant such action.
    c. Must be knowledgeable of nursing practices and procedures as well as the laws, regulations, and guidelines governing nursing functions in the post-acute care facility.
    d. Must have the ability to implement and interpret the programs, goals, objectives, policies, and procedures of the nursing department.
    e. Must perform proficiently in all applicable competency areas.
    f. Maintains professional working relationships with all associates, vendors, etc.
    g. Maintains confidentiality of all proprietary and/or confidential information.
    h. Must understand and follow company policies including harassment and compliance procedures.
    i. Must be able to lift, turn, move, position, and transport patients.
    j. Must be able to assist patients with baths, showers, personal grooming, feeding, and toileting.
    k. Must be able to accurately document and chart patient care.
    l. Must be able to respond to call lights promptly.
    m. Must be able to provide physician-ordered exercises to each patient.
    n. Must exhibit excellent customer service and a positive attitude towards patients.
    o. Must be able to assist in the evacuation of patients.
    p. Must demonstrate dependable, regular attendance.
    q. Must be able to concentrate and use reasoning skills and good judgement.
    r. Must be able to communicate and function productively on an interdisciplinary team.
    s. Must be able to sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
    t. Must be able to read, write, speak, and understand the English language.
    u. Must be able to lift 35 lbs. floor to waist, lift 35 lbs. waist to shoulder, lift and carry 35 lbs., and push/pull 35 lbs.
    v. Must be able to take vital signs, including blood pressure, pulse, temperature, and respiration rate as requested by the nursing staff.
    w. Note observations of patient behaviors, including complaints or physical symptoms and report those observations to the nurse.
    x. Examine patients to detect issues requiring medical care, including open wounds, bruises or blood in urine and report those findings to the nurse.
    
    8. Chain of Command
    a. If there is an issue, please report it to the nurse assigned to your section.
    b. If there hasn’t been a resolution, report it to the charge nurse working that shift (the nurse who is responsible for the back rooms of station 2) i. If that is the same person as option a, please disregard and move on.
    c. If you still cannot resolve the issue, please call the DON, Steven at 602-754-4181