Adena Health System is …

More than 2,800 employees and physicians

10 Regional Sites including:

Adena Medical Center

Adena Greenfield Medical Center

Adena Pike Medical Center

Western Avenue Health Center

Waverly Health Center

Jackson Health Center

Oak Hill Health Center

Circleville Health Center

Integrated Services including:

Adena Home Care

Adena Rehab & Wellness

Counseling Center

The Adena Medical Group represents more than

170 partnered physicians. In total, Adena features

over 290 physicians that include both integrated

physicians from the Adena Medical Group and community-based physicians.

We serve more than 400,000 people in more than 13 counties, including Ross, Highland,

Jackson, Pike, Vinton, Hocking, Pickaway, Adams, Fayette and Scioto counties.

Adena’s Mission

A PROMISE TO BE THE BEST.

Welcome to Adena!

Our Values

We believe our actions and decisions must reflect our

commitment to our core values in good times and in bad.

We act with the utmost honesty, respect, sincerity and

ethics. We expect the same of those with whom we work.

We believe that meaningful relationships are built upon

effective communication and the giving and receiving of the

right information to the right people at the right time.

We are straightforward in our messages and we are

compassionate in our interactions, showing a genuine

concern and care for others.

We believe that only by working together can we

achieve our common goals. We work to create a

climate in which people want to do their best.

We recognize that no one person can have success

on their own.

We believe that the introduction of new ideas and processes

makes us stronger. Excellence is achieved by our ability to

put creativity to work in delivering the best possible

healthcare experience.

INTEGRITY

COMMUNICATION

TEAMWORK

INNOVATION

"Doing the right thing, at the right time, always."

All patients, employees, volunteers, physicians and visitors

deserve to be treated with dignity, respect and compassion.

The purpose of the compliance program and the Code of Conduct is to reinforce Adena’s commitment to the

highest ethical standards and to help us comply with all applicable laws and regulations.

We will treat all patients with dignity, respect and compassion.

We will seek to resolve all conflicts fairly and objectively.

Potential conflicts of interest will be disclosed.

We will invoice patients or third parties only for services actually provided to patients.

We will provide assistance to patients seeking to understand the cost relative to their care.

Confidential information will not be shared or accessed in an unauthorized manner.

Each employee of Adena Health System has an individual responsibility for reporting any activity by a

colleague, physician, subcontractor or vendor that appears to violate applicable laws, rules or regulations.

AHS makes every effort to maintain, within the limits of the law, the confidentiality and identity of the

person who reports any possible misconduct. The Compliance Director and Administration do not tolerate

retribution or discipline for anyone who reports a possible violation in good faith.

What to do if you spot a problem?

Immediately Contact:

your direct supervisor

your supervisor’s supervisor

Human Resources

Senior Leadership

Corporate Compliance Officer

o Pat Roam

ext. 28780

proam@adena.org

or

The Corporate Compliance Alert Line, Toll Free - 1-877-373-0124

No supervisor, manager or employee is permitted to engage in retaliation, retribution or any type of harassment

against an employee for reporting a compliance-related concern in good faith.

Organizational Ethics

At Adena, we are all caregivers.

Customers who come to Adena deserve to be treated just like we and our families want to be treated. Important

customer needs include feeling welcome, being informed, knowing what will happen next and being treated

with courtesy and respect.

Communication Expectations

Introduce yourself to your customers. Use AIDET.

Use easy to understand language when giving customers information.

Avoid technical language, professional jargon and acronyms.

Reinforce verbal instructions with educational and other written materials, when possible.

Watch non-verbal communication (body language) as it can speak louder than your verbal

communication.

Provide directions or assistance when and where necessary- demonstrate that you are eager to assist our

customers/patients.

Provide a welcoming environment by respecting all individuals.

Deliver compassionate care to our patients.

AIDET

AIDET is the framework for Adena staff to communicate with patients, their families and visitors as well as

with each other.

Acknowledge

o Call and identify the patient by name. Do not refer to patients by their room number

o Acknowledge visitors in the hallways, cafeteria or reception areas with a nod or a greeting

o Make eye contact and smile

o Stop whatever you are doing so your customers know they are important

Introduction/Welcome

o Welcome the patient or visitor to Adena Health System

o Tell the patient you are happy to assist them- you have the time

o State your name and title

o Explain your role in the patient’s care

o Share an interesting fact about Adena Health System as you take them somewhere

o Tell the customer that great customer service is very important to us.

Duration/Time Expectation

o Explain how long a procedure will take

o Explain how long the test or interaction will take

o Explain how long a patient should be expected to wait before getting the test results

Explanation

Adena Service Excellence

o Explain the role of involved medical staff

o Speak positively about your co-workers and physicians

o Explain the test or procedure

o Explain if the test or procedure will cause pain or discomfort

o Offer to answer any concerns or questions, or resolve any complaints

o Answer questions/take customer to locations when lost

o Explain and apologize for delays

Thank You

o Exercise courtesy by using the words “please” and “thank you” frequently in conversations

o Say “Thank you for choosing Adena Health System for your healthcare needs” when customers

are leaving us

o Indicate that you are pleased to assist customers with their needs

o Thank patients for allowing you to care for them during your shift

Service Recovery: HEART

Hear the Complaint:

o Use active listening. Introduce yourself, focus on the patient and the story they have to share

with you.

o Be attentive.

o Use eye contact, sit down, stop whatever else you are doing.

o Do not take what is being said personally.

Empathize:

This is the initial attempt to break down the barrier and help defuse emotions.

o Try to put yourself in the exact same situation and realize that person has other unspoken stresses

in his/her life. Acknowledge verbally what they went through and the difficulty involved.

o Use phrases like: “I can understand that you feel that way… are concerned… are upset… might

wonder…”

Apologize:

Make it sincere, personal, specific and immediate. Phrases to use include:

o “I am sorry you were left or made to feel that way.”

o “No one should feel that way, I’m sorry.”

o “I am sorry, I would not want to feel that way.”

o “I am sorry this happened to you but I appreciate you letting me know.”

o “I am sorry we did not meet your expectations.”

Respond: Tell them what you are going to do. The goal is to immediately respond and tell them what to expect.

Phrases to use include:

o “What can I do for you?”

o “How can I resolve this?”

o “How can I help?”

o “What should I do first?”

Thank Them:

“For bringing this to our attention.” “For sharing their concerns.” “For taking the time to make me

aware.” Phrases to use include:

o “Thank you for giving me the opportunity to address this issue.”

o “We are always looking for ways to improve our service. I appreciate you sharing this with me.”

We want you to own the complaints patient and families share with you. Your active listening will assist them

on the road to recovery. It is better for us to address their issues while they are here. We want them to go home

with the feeling they received excellent care.

Corporate Dress Code

Adena Health system recognizes that employees’ manner of dress has a direct impact on patient experience.

Therefore, employees must present themselves in a professional manner at all times, understanding that

unprofessional attire causes patients, their families, our coworkers and guests unnecessary anxiety and stress.

Your Adena ID Badge:.

All contractors, visitors, salespeople and students must have visitor or ID badges.

School Badges should also be worn to identify your college/university.

All badges must be worn at all times.

The badges must be worn mid-chest or higher and cannot be on a lanyard.

Staff/student photographs on identification badges must be worn face out with no defacement

Badge should not be worn in public on non-working time.

Badges must not be left on hospital premises even when placed in locked and secured locker, desk,

office, etc. during non-working time.

Badges must not be left in staff/student vehicles and must be secured at all times.

Badges MUST be turned in to the supervisor at the end of your visit/rotation

Good hygiene is expected, including clean fingernails. Fingernails with decorations/art, artificial nails or

excessively long nails are not permitted for care providers.

Acceptable Attire Includes: Unacceptable attire includes:

Shoes-clean and appropriate. Open-toe and/or Jeans-unless approved by HR for specific occasion

open-heeled shoes are permitted in non-patient areas See-through garments -- unless worn over a tank top

T-shirts bearing the Adena Logo Athletic or sportswear including: sweatpants, shorts,

Capri pants or gauchos stretch pants, muscle shirts, mesh fabric

Jackets and/or vests Extremes in hair color or style, grooming and attire

Dresses Hats, caps or do-rags

Denim skirts, dresses, jumpers and shirts Unhemmed clothing

Scrub or other type of uniforms Pants or shirts with holes

Seasonal attire such as holiday sweaters or Stirrup pants, skorts and mini-skirts

Shirts with appliqués are permitted Low-cut tops

Halter tops, off-the-shoulder tops and tube tops

Drooping or sagging pants

Flip-flops, beach shoes, shower shoes and athletic sandals

Graphics, prints or logos other than the Adena logo

“Crocs” and other brand similar (shoes with holes) are

prohibited for patient care providers

Fabric stethoscope covers

Visible piercings other than in ears

Overpowering/strong perfume or cologne

Visible tattoos or body art

Adena supervisors reserve the right to send people home for improper dress, including missing ID

badges.

Work Rules & Policies

HIPAA (Health Insurance Portability and Accountability Act)

Three primary components:

Continuity of health insurance coverage between jobs (portability).

Filing of Electronic claims-Administrative simplification and fraud enforcement (accountability).

Protection of patient’s privacy and confidentiality (protected health information – PHI).

The privacy rule applies to all protected health information (PHI) regardless of the medium. It can be

electronic, paper-based or oral communication.

All workforce members must take reasonable steps to safeguard PHI from any intentional or unintentional use

or disclosure. This includes but is not limited to:

Not discussing the reason for a patient’s visit in waiting areas or in front of other patients or people.

Being aware of others

Making a habit of speaking to patients regarding their healthcare in private offices or exam rooms.

Confidential Information (PHI) CANNOT be left as a message with spouses, children, other family

members, employers or friends. Never leave a detailed message on an answering machine.

Do not leave a patient’s chart or medical record unattended in an area where members of the public may

see it.

Never remove a patient file from AHS.

Dispose of paper waste properly.

Employees may NOT access their own medical records or those of family members.

Workforce members should only have access to the minimum amount of information needed to perform their

job.

Adena Health System is committed to and will take appropriate disciplinary measures against workforce

members who violate any policy or procedure concerning the privacy of patient information.

Confidentiality

Confidential information includes:

All patient information

o Patient information is limited to those employees and physicians involved in the care of that

patient.

Employee information

Adena Health System Strategic and Financial information

A violation of confidentiality occurs when there is unauthorized release or sharing of confidential information

or when authorized confidential information is released or shared with individuals who do not need to know the

information to perform their job.

Solicitation & Distribution

Employees may not solicit or distribute literature either verbally or by written communication at any

time for any purpose in any patient care or work areas in the health system, or on any Health System

property.

Persons not employed by the Health System may not solicit or distribute literature either verbally or by

written communication on Health System-owned property at any time except for persons engaged in

Health System approved, bona fide Health System-related activities

Non-employee violations should be reported immediately to Administration or Security.

Drugs & Alcohol

Our goal is to provide our patients with safe care, and all employees with a safe work environment and safe

operation of equipment and vehicles.

No employee is to report to work or to continue to work with the presence of drugs or alcohol in his/her

system.

Possession, use, manufacture, purchase, sale, distribution and arrangement of sale or distribution of

drugs or alcohol on Adena property is strictly prohibited.

This policy does not prohibit the proper use of prescribed medication under the direction of a physician.

However, abusing or being under the influence of prescription drugs during working hours that compromise the

ability to safely perform work duties is prohibited.

Employees may be required to take an appropriate test to determine the presence of drugs or alcohol. Tests may

be administered by Occupational Health or the Emergency Department:

If an employee is involved in an accident while on the job or while operating a Health System vehicle

If an employee is injured on the job

If there is reason to believe that an employee has reported to work or is working with the presence of

drugs or alcohol in his or her system

Employees may be asked to allow inspection of their vehicles, lockers, desks, offices and person belongings on

Health System property. Any employee who fails to and/or refuses to permit such an inspection when requested

will be subject to discipline up to and including termination of employment with the Health System.

Sexual and Other Harassment Policy

No supervisor shall threaten or insinuate, either explicitly or implicitly, that an employee’s refusal to submit to

sexual advances will adversely affect the employee’s employment, evaluation, wages, advancement, assigned

duties, shifts, or any other condition of employment or career development, or that an employee’s acceptance of

such sexual advances will have a positive effect on the employee’s employment.

Other sexually harassing conduct in the workplace, whether committed by supervisors or non-supervisory

personnel, is also prohibited

The policy against sexual harassment is also applicable to harassment in other areas protected by laws, such as

age, race, color, religion, national origin, disability or veteran status.

General Usage

You are permitted to drink around the computer if you use a spill-proof container.

Do not eat over the keyboard.

If you log in to a computer or system with your personal login, be sure to log out when you are finished.

If you need to leave the computer, be sure to lock the screen so no confidential information is visible.

The Information Technology (IT) department is constantly working to minimize threats. There are some things

that you can do to help:

Do not open e-mail attachments sent to you if you do not know the person sending the e-mail. Viruses,

spyware or adware could be included and cause a threat to the organization. All e-mail is checked before

it is sent or received to ensure:

o political correctness

o that there is no profanity

o programs are appropriate and approved

o there are no viruses

o there are no inappropriate images.

There may be times when an e-mail is blocked from being sent or received. If this occurs, contact the IT

department.

Do not download programs onto the computer. IT will assist you in installing needed programs on your

computer

Passwords

Do not share your passwords with anyone. If there is a program that you need to access, contact the IT

department for assistance.

IT provides usernames and passwords for Windows and Meditech if needed.

The IT Access Form must be completed and sent to IT to authorize computer access.

IT Internet Policy (100.038) – Not the entire policy

Adena Health System (AHS) has software and systems in place that can monitor and record all Internet

usage. Our security systems are capable of recording each World Wide Web site visit for each user.

The display of any kind of sexually explicit image or document on any AHS system is a violation of

Adena’s sexual harassment policy.

Work time is for work. Unreasonable and/or excessive personal use of the internet and e-mail system or

use which interferes with, compromises or violates the rights of others or is unprofessional is prohibited

and will subject the offender to serious disciplinary action.

IT Intranet Policy (100.039) – Not the entire policy

Employees may not use the Intranet for personal use.

It is inappropriate to reveal AHS confidential customer, financial or strategic information.

Information Technology

Despite their best intentions, health professionals sometimes cause harm to their patients by spreading infection

to them. Ensuring compliance with strategies to prevent infections is of paramount importance. Performing

hand hygiene, using gloves, gowns and masks appropriately, and cleaning equipment are vitally important.

Who is responsible for reducing healthcare associated infections? Anyone who:

Touches a patient

Performs sterile or clean procedures

Cleans patient care areas

Prepares medication

Stores patient care supplies

Uses patient care supplies

Uses equipment on more than one patient

Prepares and serves food

Handles soiled linen

Interacts with visitors

You have a responsibility to:

Understand your role in preventing Healthcare Associated Infections. If you aren’t sure….ask.

Perform hand hygiene before and after every patient contact.

Listen and respond appropriately to your patients if they ask you to perform hand hygiene.

Use Personal Protective Equipment (PPE) and evidence-based practices to minimize the risk of

infection.

Clean, disinfect and sterilize equipment as appropriate.

Coach, remind and encourage your coworkers and other providers to do the right things.

Speak Up

Patients are encouraged to “speak up” and ask their care providers if they have cleaned their hands. Employees

are expected to respond politely and perform hand hygiene in front of the patient.

Exposure Control Program

The Exposure Control Program is available to all employees via the Intranet. It contains information about our

organizational plan to reduce the risk of exposure including:

Standard precautions

Safe work practices

Engineering controls & sharps safety

Personal protective equipment

Housekeeping & environmental issues

Hepatitis B vaccine program

Post-exposure treatment

If you are exposed to blood or body fluids - report your exposure as soon as possible to the supervisor in the

area where you are working or call the Exposure Nurse Line at extension 27407

Confidential treatment is provided at no cost to you by Occupational Health.

Infection Control

Alcohol hand sanitizers kill germs very rapidly and the emollients in them help keep your skin healthy.

♦ Apply alcohol gel to hands, nails, between fingers, fingertips and wrists. ♦ Rub fingertips against the palms of your hands, to assure that fingertips aren’t missed. ♦ Rub hands together until dry. ♦ Do not wipe or rinse off with water.

♦ Did you know? Alcohol hand sanitizers are less drying to the skin than soap & water washing! Soap and water handwashing is done for 10–15 seconds, applying friction to all surfaces of the hand, in between

fingers, underneath nails and rings. Turn off the water faucet using a paper towel to prevent re-contaminating

hands.

When to perform routine hand hygiene:

Perform a 10- to 15-second soap and water hand wash upon arriving at work each day, after using the

restroom, before eating, and whenever your hands are visibly soiled.

You must use soap and water handwashing when caring for patients with Clostridium difficile (C DIFF).

At all other times it’s okay to use alcohol hand sanitizer.

Before having patient contact – each and every time!

Before gloving to insert indwelling urinary catheters, peripheral or central catheters, and ET tubes.

After contact with a patient’s skin (e.g., when taking a pulse or blood pressure, lifting a patient, etc).

After contact with body fluids, excretions, mucous membranes, non-intact skin and wound dressings.

Between “contaminated” body sites and “clean” body sites on the same patient.

After contact with potentially contaminated equipment, objects, bedding or environmental surfaces.

Standard Precautions Standard Precautions require that employees use the same infection control precautions all of the time,

regardless of the diagnosis of the patient. In deciding what personal protective equipment to wear, you should

assess the risk that a particular task or procedure could result in exposure rather than making assumptions about

patients’ infection status.

Hand Hygiene Hand Hygiene

• Cleanse hands before and after every patient contact! • Use alcohol hand sanitizer regularly • Wash hands with soap & water when visibly soiled

or if the patient has Clostridium difficile (C diff) diarrhea! • Monitoring of healthcare workers is performed by Infection

Control

Standard Precautions

Use the same infection control precautions all the time Assess the risk of exposure or transmission of infection during patient care. DO NOT assess the risk of a given patient being infectious. Wear Personal Protective Equipment (PPE) appropriate to the task PPE use is not optional!

Alcohol hand sanitizers kill germs very rapidly and the emollients in them help keep your skin healthy.

Apply alcohol gel to hands, nails, between fingers, fingertips and wrists.

Rub fingertips against the palms of your hands, to assure that fingertips aren’t missed.

Rub hands together until dry.

Do not wipe or rinse off with water.

Personal Protective Equipment (PPE)

PPE is not optional – it must be worn when there is risk of exposure to blood, body fluids or potentially

infectious materials.

Gloves must be worn once, then discarded as soon as possible after they are become soiled or

contaminated. Avoid touching anything until contaminated gloves are removed.

Contact Infection Control for questions regarding isolation or communicable disease:

Adena Medical Center ext. 27568 or 27261

Adena Greenfield Medical Center ext. 19268.

After hours - Adena Bed Management Coordinator ext. 27575

or AGMC House Supervisor ext. 19238

Transmission-based precautions are used in addition to Standard Precautions as needed. A sign will be

placed on the patient’s door to indicate the appropriate kind of transmission-based precaution.

Transmission-based precautions include droplet precautions, contact precautions and airborne precautions.

You must stop and follow the directions on the sign before entering the patient’s room.

These signs are displayed on the next page.

AIRBORNE PRECAUTIONS VViissiittoorrss –– SSeeee NNuurrssee bbeeffoorree eenntteerriinngg

N-95, Negative Pressure Room w/ Door Closed, Hand Hygiene

REQUIRED

CONTACT PRECAUTIONS VViissiittoorrss –– SSeeee NNuurrssee bbeeffoorree eenntteerriinngg

Gloves, gown, hand hygiene

REQUIRED

Clean equipment with bleach upon

removing it from the room.

C Difficile CONTACT PRECAUTIONS VViissiittoorrss –– SSeeee NNuurrssee bbeeffoorree eenntteerriinngg

Gloves, Gown and Soap/Water Handwashing

REQUIRED

Clean equipment with bleach upon

removing it from the room.

CONTACT PRECAUTIONS WITH MASK

VViissiittoorrss –– SSeeee NNuurrssee bbeeffoorree eenntteerriinngg

Gloves, Gown, Hand Hygiene

REQUIRED Mask for close contact (3 feet)

Clean equipment with bleach upon

removing it from the room.

DROPLET PRECAUTIONS VViissiittoorrss –– SSeeee NNuurrssee bbeeffoorree eenntteerriinngg

.

Mask and hand hygiene

REQUIRED

Computer Passwords and Access Control

Safety Program

Adena is committed to providing a clean, safe working environment. The cooperation of all contracted

employees is important to maintain established safety standards for work areas. You may help in preventing

injury by observing the following rules:

Avoid accidents by eliminating identified hazards.

Report unsafe conditions identified immediately to the appropriate personnel.

♦ Wet or slippery floors

♦ Defective equipment

♦ Dangerous situations

♦ Use of combustible materials near open flames

♦ Equipment left in halls or in walkways

♦ Careless handing of equipment

Never operate electrical equipment with wet hands.

Employees should correct any unsafe conditions they can, such as paper on the floor or any other small

items they can handle.

Environment of Care Manual

This is Adena Health System’s Safety Manual

All policies that relate to Joint Commission (JCAHO) standards in regard to the hospital environment,

life safety, and what to do in an emergency situation are in the Environment of Care Manual

The Environment of Care Manual is located on the Adenanet (Intranet)

There are seven chapters:

o Safety Plan

o Life Safety Management Plan

o Utility Systems Plan

o Security Plan

o Emergency Materials Plan

o Medical Equipment Management Plan

What if there is an Injury Incident?

Report the incident immediately to your supervisor and complete an Incident Report as soon as possible

– located on Adenanet.

Occupational Health, Urgent Care facilities and Emergency Departments are available to employees

who are injured on the job.

When in doubt fill it out! For more information contact your supervisor.

General Safety

Safe Medical Device Act

Employee Responsibility:

Remove the device immediately leaving all types and wires, etc. in place.

Save packaging (when applicable).

Apply defective sticker label.

Notify Risk Management, Unit Director & Bio-Med as soon as possible.

Complete an Incident Report as soon as possible.

Complete a Clinical Engineering Work Order request through Meditech.

Parking Lot Safety

Pay attention to surroundings.

Walk in lighted areas.

Watch for unsafe conditions in the parking lots or paved areas.

Lock your vehicle.

Do not leave valuables in view (purses, presents, laptops, etc.).

Do not stop/talk to strangers.

Contact Security or Law Enforcement in the event of a suspicious person.

Exit after hours with a partner.

Smoking

The use and smoking of tobacco products is a fire and health hazard, therefore smoking and tobacco use is

prohibited throughout the Health System premises, including parking lots.

Workplace Violence

Adena strictly prohibits violence in the workplace by any individual in any form. Violence can be defined as

any physical assault, threatening behavior or verbal abuse occurring in the work setting or related to the

workplace.

Report all incidents of workplace violence immediately.

o For Main Campus – Contact Security/Human Resource Development to report threatening

behavior.

o Call 27555, state “CODE Violet” and location for violent/potentially violent or escalating

behavior.

o For satellite facilities – Contact the Site Manager and the Main Campus Security Officer on duty

or Human Resource Development to report threatening behavior.

o Call 911 for violent/potentially violent or escalating behavior.

If you are in an isolated area and are unable to reach a phone, use whatever is available to draw attention

to yourself, i.e., pull an alarm box, etc.

If you are aware of potential workplace violence (i.e. restraining order or incidence of violence outside

the workplace), notify your department director and the Main Campus Security Officer on duty.

All staff must have an Adena ID badge.

All contractors, visitor, salespeople, and students must have visitor badges.

Prohibition of Deadly Weapons

Ohio has a law that permits you to carry a concealed weapon.

Part of the law also permits businesses to exclude concealed carry weapons on their property. This includes

personal vehicles on Adena property.

Adena exercises that right.

Your Right: Our Right:

To possess a concealed carry permit. To prohibit deadly weapons in our facilities and in

personal vehicles.

Exclusion: On-duty law or correction officers.

Emergency Codes Code RED Fire

Code Gray Severe Weather

Code Brown Missing Adult Patient

Code Blue Adult Medical Emergency

Code Pink Pediatric Medical Emergency

Code Violet Violent Situation

Code Adam Child Abduction

Code Orange Hazardous Material Spill

Code Yellow Level One Disaster (Mass Casualty)

Code Yellow Level Two Disaster (Mini Disaster)

Code Black Bomb Threat

Code Silver Weapon/Hostage Situation

Code Red - FIRECode Red - FIRE

• What’s my responsibility?

– Departments above, below, and adjacent to area should report to all Code Red announcements.

– Report incident to Security immediately.

– Know you department’s evacuation plan.

– Department specific training provided during department orientation.

Race to SafetyWhat you do during the first 2 to 3 minutes

of a fire is more important than what you

do over the next 2 to 3 hours. To respond

rapidly, remember “RACE”:

R:R: Rescue people in the fire area

A:A: Activate the Alarm (pull box)

C:C: Contain the fire (close windows)

E:E: Evacuate (people from the area)

PASS the ExtinguisherKnowing how to operate an extinguisher is very

important in containing a fire. Following the

acronym “PASS” can help you remember how to

operate the extinguisher properly.

P:P: Pull the pin

A:A: Aim the nozzle at the base of the fire

S:S: Squeeze the trigger

S:S: Sweep from side to

sideEvacuation

In the event of a natural disaster or fire, it may be necessary to evacuate your workplace.

- Illuminated exit lights

- Keep routes free of equipment or clutter

- Know your departments specific plan

To report a Code Red

Site Communication Protocol

Due to the different sites and different monitoring companies; communication protocol will

vary from site to site. Listed below are the site-specific phone numbers and

communication protocols.

Adena Regional Medical Center/Medical Office Building/Health Pavilion

Dial 27555 and state location of fire

Greenfield Area Medical Center:

Dial 20 and page “CODE RED; ZONE____”; (repeat x3)

Chillicothe area sites ( Other than Western Ave.)

Go to nearest GREEN EMERGENCY phone. ***.

Dial 9-911 and state location of fire

*** If any other phone is used, the 911 Operator will assume the call is coming from the main campus because all

phones except for GREEN phones are routed through the main switchboard. In the event that any other phone is

used, staff will need to remain on the line and give the 911 Operator the facility name, address and location. Only

the GREEN phones will indicate the site that the phone call is coming from.

Adena Urgent Care-Western Avenue:

To access overhead paging system: Dial 3; let it ring once; press 1 – page “Code Red” and location (repeat x3).

Waverly Health Center- Urgent Care:

To access overhead paging system: Dial 30 - page “Code Red” and location (repeat x3).

Jackson Health Center-Urgent Care:

To access overhead paging: Dial 34 and page “CODE RED” and location (repeat x3).

Hazardous Material Spill - Code Orange Hazardous Material Spill - Code Orange

• You are responsible for :

– Knowing what products are used or generated in your work area.

– Knowing where the Material Safety Data Sheets (MSDS) are kept for your department and what they say

– Knowing where spill kits are located in your area.

– Evacuating your area immediately, if necessary.

– Information located on Adenanet.

• Clean up of spills are coordinated by the persons most knowledgeable of the product. .

Code Yellow

Level I and II Disaster Plans

Developed to prepare for an influx of patients that affect the operations of the hospital.

.

Level I (Mass Plan) - may require staff to report to the hospital. Level II (Mini Plan) - may require assignment of staff on duty.

You are responsible for knowing what to do in the case of a disaster. . Disaster plans are located in the Environment of Care Manual located on the Intranet. Make sure your home # is current with your manager

Severe Weather – Code Grey Severe Weather – Code Grey

• • Tornado Watch: Tornado Watch: For the county or surrounding counties, be prepared to move to the center of the facility, stairwell or if available, a basement.

• • Tornado Warning: Tornado Warning: Immediately relocate occupants to the center of the facility, close all blinds and do not leave the building.

• Review the Tornado Response Plan in the Environment of Care section on the

Intranet .

Code Adam

Infant/Child Abduction

– All staff respond to their assigned exit or to the nearest exit to assist. . – Request that no one exit the building until the all clear page is announced. .

– Notify the command center (Hopewell Room) if someone does not cooperate

and exits the building. – The command center at GAMC is the Emergency Room.

– Code Adam “ all clear ” will be announced once the situation is under control.

For Code Blue – Medical Emergency

Adena Regional Medical Center:

Notify the operator of a “Code Blue” by dialing 27555 and giving the exact location.

Push code buttons in areas where available.

Adena Greenfield Medical Center:

Dial “20” and page “CODE BLUE”.

Non-clinical staff that are uncertain if a code blue response is appropriate should err on the

side of caution and implement a code blue call.

Code Violet Code Violet

• Violent Patient/Combative

– Your safety and the safety of others is very important.

– Calm the individual if at all possible.

– The Security Officer is the primary contact of law enforcement.

– Pull the fire alarm if you are in an isolated area and are confr onted by a threatening individual.

• Report the incident to Security and your supervisor immediately.

– If the person has a weapon or there is a hostage situation, a Co de Silver should be called.

Additional Emergency Codes

It is your responsibility to know these codes.

Code Black - Bomb/Bomb Threat

Code Blue - Medical Emergency (Adult)

Code Pink - Medical Emergency (Pediatric)

Code Brown - Missing Adult Patient

The Adenanet is Adena’s Intranet site. Several important components are illustrated in the following screen

shot, including:

Hot Buttons

Search Function

Quick Key

All of these features will assist you in finding the page and information you need.

Adenanet - Intranet

ADENANET

On-line learning classes

and important

information about

education

Pictures of

construction

updates

Documents that

can be printed

Important employee information

such as My Self-Service

All Policies and

Procedures of AHS

On-line Incident

Reports

Search Function

Type in the keywords

for your search

Hot Buttons

Please feel free to use the center for all of your educational needs.

Hours of Operation

Monday-Friday 7:30-4:30

Wifi

Public wifi is available throughout the building

Choose AHS_PMEC

Enter email address into logon

Learning Commons

Computer lab

Vending machines

Quite place to study

CORE Library

Located in the front office.

Open to all Medical Students and Residents during hours of operation.

Students

PACCAR proudly educates students from various schools in Ohio, Tennessee, Pennsylvania, Florida,

Arizona, Illinois, Kentucky, Michigan, New York, and West Virginia.

We educate medical students, medical assistants, medical therapists, nurses, nurse practitioners,

physician assistant, etc.

Paccar Medical Education Center

Student Expectations

Don’t forget to discuss with your preceptor:

1. Expectation of you - what does the department want from you. You should receive a departmental

orientation.

2. Your expectations, that is, what are your objectives for your student experience.

Here. For Life.