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for Volunteers*

Safety Training

*Please do not take the safety test until AFTER your interview

with a Volunteer Program Coordinator.

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Training Contents: • Importance• Volunteer Health

Guidelines• Universal Precautions• Safety

• Environmental• Patient• Personal

• Volunteer Role in Emergency Preparedness & Response

• Zero Harm• Test

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Why Safety Training Is Important: Keeps the patients and families safe while in your care. Keeps you safe as you volunteer. Avoids mistakes being made. Allows staff to rely on you in urgent and emergency situations.

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VOLUNTEER HEALTH GUIDELINES:Do NOT come in if you are sick, have a rash, or even suspect you may be coming down with something. You must be 100% well!

Do NOT come in if you had a fever within 24 hours before your volunteer shift.

DO bring a doctor’s release if you’ve had surgery, a long illness, or an injury while a volunteer.

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Volunteer Health: Tuberculosis (TB) Screening• Required every year for all volunteers and

staff.• Offered free at Cook Children’s

Occupational Health Clinic, Monday-Friday, 7AM-11:30AM – 1PM-5PM.

• No appointment needed.• Must be completed at orientation or before

volunteer’s start date.

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TB Screening ContinuedTwo-part process:

1. Receive the shot.2. Have the shot site

checked by a nurse, doctor, or Volunteer Services staff 48-72 hours after receiving it

• TB forms should be returned to Volunteer Services. Results are kept confidential.

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Volunteer Health: Flu Vaccination

• Annual flu vaccination is mandatory for all volunteers and staff.

• Free for volunteers at Cook Children’s Occupational Health.

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PART I - UNIVERSAL PRECAUTIONS

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What are “Universal Precautions”?

• They are processes set up to protect patients, health care workers, volunteers, and caregivers from the spread of viruses through blood, body tissues, and body fluids.

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Universal Precautions Continued

• Most “Patient Care” volunteer placements are Category II: Tasks the volunteer performs that involve no potential exposure to blood, body fluids, or tissues but the volunteer’s role may require performing unplanned Category I tasks.

• Most “Helping Hands” volunteer placements are Category III: Tasks that involve no anticipated exposure to blood, body fluids, or tissues.

Cook Children’s 11Hand washing or the use of alcohol gel is the single most important

means of infection control!

Handwashing/gelling also helps build trust when parents and caregivers observe it.

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HAND WASHING TECHNIQUE:• Leave rings on.• Wash at least 15 seconds.• Wash between fingers,

front/back of hand/wrists.• Rinse thoroughly.• Dry with paper towel using

the towel to turn off faucetsand open bathroom door.

• Always wash before entering and after leaving a patient care area.

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OFTEN-MISSED AREAS:

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BLOODBORNE PATHOGENS• Hepatitis B Virus (HBV), Hepatitis C Virus (HCV),

and Human Immunodeficiency Virus (HIV) are the most significant blood-borne pathogens that health care workers come in contact with.

• HBV poses the highest risk of exposure as it can survive for up to 7 days in dried blood.

• HIV is very fragile, cannot survive long outside the body, and is not transmitted through casual contact.

• Transmission routes of HBV, HCV, and HIV include, but are not limited to, contact between broken skin and infected blood/body fluids.

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• “Standard Precautions” means treating blood and body fluids of ALL patients, regardless of their diagnosis, as potentially infectious.

• Body fluids can include:• Runny nose (mucus)• Urine/Feces• Drainage from a wound or stitches• Phlegm• Vomit

Standard Precautions

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Standard Precautions continued

• Protective gown, gloves, and/or mask MUST be worn if you are participating in a task where there is a chance of exposure:• Entering an isolation room• Wiping a runny nose or spit up• Changing a diaper (nursing staff normally takes

care of this)

• Changing used bed linens• Cleaning used toys

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Personal Protective Equipment* (PPE):1. Gown (ties in the back)2. Gloves should fit snuggly and

go over the cuff of the gown to hold it in place

3. Mask (loops over ears)*Occasionally, shoe and hair covers may

also be required.** Items are put on and removed in the

above 1-2-3 order **

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STANDARD PRECAUTIONPOLICY

• Use gloves when performing activities involving potential contact with blood/body fluids or contaminated objects. • Gloves should fit without wrinkles.• Wash your hands even after wearing gloves.

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• Use gowns during activities involving potential exposure to blood/bodyfluids (when patient isspitting up, in isolation,etc.).

STANDARD PRECAUTIONPOLICY

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• Use masks if there is a chance of blood or fluids being splashed or inhaled into mouth, nose, or eyes.

Goggles are sometimes worn by staff in addition to the mask.

STANDARD PRECAUTIONPOLICY

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STANDARD PRECAUTION POLICY • Discard used gown, mask, and

gloves in red container when in isolation rooms. Discard in regular trash can otherwise.

• Dispose of soiled hospital linens in a blue biohazard container bag. All linens should be treated as though infectious.

• Never use the patient’s bathroom for personal use.

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INFECTION CONTROL continued

• NO acrylic, gel, or artificial nails in patient care areas! Nail polish is fine.

• Use Sani-Cloth wipes to disinfect surfaces, toys, and equipment. Leave it on for one minute making sure the surface stays wet.

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Toy Cleaning Procedure:Put on gown and gloves.Rub Sani-Cloth wipes on all surfaces to be cleaned.Wait 2 minutes as surface air dries; surface must remain wet during that time!Infant items that may be mouthed (rattles, teethers) must be rinsed in water and dried again after using wipes.Items with visible dirt should be washed with soap and water before using Sani-Cloth.

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Toy Cleaning Continued• Toy cleaning is an important partof a volunteer’s role in all areas of service. • Toys MUST be cleaned betweenpatient use whether in patient rooms,waiting areas, or playrooms. • While toy cleaning may not be “fun”, it is a safety necessity to prevent the spread of infection. • ALL volunteers are expected to spend a portion of every shift cleaning toys/wagons in their area.

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Infection Control Policy• All sharps (needles,

broken glass, staples, etc.) go in a red biohazard sharps container.

• These are emptied by nursing staff when 2/3 -3/4 full.

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Sink Splatter Safety Zone • Do not leave papers,

toys, food, or any other items within 18 inches of a sink to protect from infectious splatter from hand washing and fluid or food disposal.

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• Report ALL accidents involving exposure to blood or body fluids, puncture wounds, or injuries that break the skin to your supervisor and to Occupational Health 682-885-3837.

Infection Control Policy

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1. Check to verify the name. 2. Read and follow all precaution

instructions on wall plaque every time you enter!

3. Knock and wait for a response.4. Wash hands or use gel as you

enter and leave. PPE (gowns, gloves, mask) is located on a cart outside the patient’s room or in the ante-room to the left or right of the patient’s door.

Ask nursing staff for help when in doubt!

Before Entering a Patient’s Room:

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Isolation PrecautionsTYPES OF ISOLATION Gown Gloves Mask Hair Cover Shoe

Covers

CONTACT X X X

DRAINAGE/SECRETION X X

RESPIRATORY X X X

STRICT X X X

REVERSE X X X X X

AIRBORNE DO NOT ENTER (TB precautions)

PREGNANTCAREGIVER Do not enter if you are or may be pregnant.

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Isolation Precautions-conclusion

It is vitally important that volunteers and staff use PPE (gown, gloves, mask) to protect, not only themselves, but also the next patient they interact with. Why? Because PPE prevents germs, viruses, and bacteria, from being carried room to room on your clothing and skin which could infect the next patient you see, putting them at great risk of harm.

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OTHER TERMINOLOGY

I & O - Intake and Output:• Medical staff are measuring how much the patient

is eating/drinking and voiding.Intake:• Make a note of how much the patient eats and

drinks using percentages (%) and ounces.• Example: The baby drank 3 ounces(oz.) of her bottle.• Example: Jody ate 50% of a hot dog, 100% of the fries

and 75% of the applesauce.

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Terminology Continued…Output:• Make sure the patient uses his/her

own bathroom as there is a measuring device in their commode to catch voiding.

• If the child cannot get back to his/her room, use the nearest bathroom. Use the nurse call button to call the nurse to let him/her know. DO NOT FLUSH! Nursing will give you instructions on what to do.

• For infants, nursing staff will weigh the used diaper. Do not throw it in the trash.

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NPO = Nothing by Mouth!• The patient absolutely cannot have

anything to eat or drink! No exceptions!• No foods, beverages, ice, candy, gum!• Patients who are NPO are on special diets,

awaiting testing, have a swallowing problem, or having a procedure or surgery. It is veryimportant that they have nothing in their stomachs.

• Be vigilant; they’ll eat anything! (including Play-doh)

Terminology continued

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Central Line:• An intravenous (I.V.) line that is placed right

above the patient’s heart.• As with all patients hooked up to an I.V. pump,

volunteers must be sure to keep the patient close to the I.V. pole at all times to avoid pulling apart the tubing that forms the line.

• If the I.V. does pull apart, immediately call nursing staff for assistance.

Terminology Continued…

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Dietary RestrictionsSome patients may have no posted dietary restrictions. However, you should NOT assume that this means they can eat or drink everything:• Some patients can eat solid foods but choke on

liquids.• Some have severe food allergies.• Some are on special diets like no salt,

low fat, no gluten, etc. because of their diagnosis.For patient safety, NEVER give a patient ANYTHING to eat/drink without checking with the nurse every time!

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PART II – Environmental, Patient, & Personal Safety

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ENVIRONMENTAL SAFETY:Report any unsafe condition you see (spills, drips, carpet pulled up, sharp edges, light bulbs out, etc.) to staff.

Report all accidents, slips,trips, falls, etc. to supervising staff and seek immediate medicalassistance for yourself or others.

Cook Children’s 38Hazardous Drug Handling

• Standards for handling hazardous drugs protect health care staff, patients, and the environment.

• Medications used to treat cancer are one example of hazardous drugs.

• Drugs are classified as hazardous when they can impact DNA, genes or a fetus, cause cancer or organ damage.

• Exposure can occur through spills, patient care, and disposal.

• These medications have a “Hazardous Drug” warning label on them.

• Only qualified personnel can clean up a hazardous drug spill; not a volunteer.

• If exposure occurs, seek first aid and report the incident immediately.

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Patient IdentifiersUsing patient identifiers is an important safety procedure in a hospital setting!

To make sure you have the correct patient:1. Ask for the patient’s name and date of birthAND2. Check the patient’s hospital wrist band for the matching name and birthdate

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PATIENT SAFETY:We (staff and volunteers) are responsible for our patients’ safety while they are with us! Protect them by reporting to staff any unusual visitors, behaviors, and inappropriate or persistent questioning regarding a patient. Trust your instincts!

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PATIENT SAFETY:Never release a child to anyunauthorized person!• Authorized persons MUST be wearing

their Cook Children’s badge (pictured at right), name/photo side clearly visible.

• Authorized persons MUST be a family member that you have already met.

• Verify unknown family and visitor identification with staff.

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Safe Infant Sleep ProtocolFor Infants 0 – 12 Months• Place baby on its back for

sleep and naps.• Nothing in the crib or

isolette with the baby during sleep:• No blankets! Instead, sleep

sacks and footie pajamas are used for warmth

• No pillows or bumper pads!• No toys or stuffed animals!

• No swaddling!

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SECURITY RESOURCES• 41 armed officers patrol 24/7• Can be reached at ext. 51047• Provide escorts to/from garage or parking lots • Security should be called:

• if you spot someone with a weapon (not a police officer)• if you see suspicious activity or a suspicious person.• if you witness escalating conflict

• Can unlock your work area (playroom, library, etc.)

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• SDS sheets give information about specific hazardous chemicals (name, ingredients, physical and health hazards, spill or leak clean up procedures).

• Hazardous chemicals can cause burns, difficulty breathing, even cancer.

• First aid for exposure = flushing with water.• If a spill/leak occurs, your first priority is to remove people

from the area. Call the SDS Hotline for information about the chemical, if needed.

• Environmental Services staff handle clean up.

Hazardous Chemicals

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Hazardous Chemicalscontinued

• All hazardous chemicals should have a warning label that you should read before using.

• Corrosives, toxic agents, and flammable liquids are examples of hazardous chemicals and should be safely stored.

• Sani-Cloth wipes, liquid paper, and chemo are classified as hazardous chemicals.

• Gown, gloves and other protective covering should be worn when using hazardous chemicals.

• Working in a well-ventilated area with appropriate protective clothing reduces the risk of accidental exposure.

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PROPER BODY

MECHANICS

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TRANSPORTING YOUNG PATIENTS SAFELY

• Small patients in wagons• Pad the bottom• Patients must be seated or laying deep in wagon• Take wide, slow turns to avoid tipping• Maneuver with caution• Disinfect wagon after use.

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TRANSPORTING OLDER PATIENTS SAFELY

• Choose a wheelchair (W/C) that is appropriate for the size of the patient.

• Use the brakes on the sides when patient gets in/out of the wheelchair.

• Move footrests out of the way as patient gets in/out of W/C.

• Use the seat belt if the W/C has one.

• Move with caution.• Disinfect W/C after use.

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OTHER SAFETY MUSTS• Always check in and out with the patient’s nurse so

he/she knows you are with or leaving an alone child/infant.

• Make sure bed rails and crib rails are raised and securely locked in place on all sides when you leave or are not directly at the patient’s bedside or cribside.

• Do not use anything that has been dropped on the floor. It is considered contaminated.

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• Do not walk with a child in your arms. Use wagons or wheelchairs if they are not able to walk.

• Check with the nurse before repositioning a patient or moving a bed.

• Ask questions when indoubt...please!The only dumb question is the one that goes unasked. Help us feel smart and keep our patients safe by asking questions! Keep asking until you understand.

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PART III - EMERGENCY PREPAREDNESS

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To Report All Emergencies…1. Dial ext. 51111 to immediately reach the

operator. Memorize this number! (Do not dial “0” as this delays your call)

2. Give the name of the alert for your emergency.

3. Give the name of the building you are in.4. Give the number of the floor you are on.5. Give the room number and/or room name.Example: “Fire alarm activation, main building,

5th floor, room 5417!”

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The Hospital Operator announces:

“Fire alarm activation!” on the overhead paging system.

The Volunteer’s Response:

Listen for the location

Clear the halls of equipment

Close all doors

“FIRE ALARM ACTIVATION” SMOKE or FIRE detected

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Volunteer’s response to smoke or fire:

Rescue those in danger

Alarm Sound the alarm at a pull

station AND call ext. 51111.

Confine the fire

Extinguish or Evacuate

R.A.C.E.

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Our extinguishers work on all types of fires:

Pull the pin

Aim the nozzle at the base of the fire

Squeeze the trigger

Sweep from side to side

P.A.S.S.

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Know the location of the... Nearest pull station Nearest fire extinguisher Nearest fire exit route...in the area where you volunteer.

Know how to report a Fire Drill: Use the same response as for Fire Alarm Activation.

“FIRE DRILL”

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Fire Safety Basics• The three elements needed to start a fire are:

Fuel Oxygen Heat• Door stoppers can NEVER be used to prop open

fire doors in smoke zones. They are meant to stay closed to prevent the spread of smoke/fire.

• Preventing fires can be as simple as:Keeping work area free of clutter/trash.Following our tobacco-free, no smoking campus policy.

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An unexpected or sudden event that significantly disrupts the ability to provide care (like the power going out or a school bus crash where staff might be pulled away from their department to help).

As a Volunteer:1. Stay in your area unless instructed otherwise.2. Listen to overhead paging for additional instructions in case you are needed elsewhere. 3. Stay in the building until staff give the okay to leave.

“FACILITY ALERT”Emergency Plan Activation

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Watch Phase: Potential for High Winds, Hail, Tornado.

Volunteer’s role: Close drapes & blinds. Be ready for the weather situation to worsen.

“WEATHER ALERT”Severe Thunderstorm Warning

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Warning Phase: High Winds, Hail, Tornado Sited

Volunteer’s role: Help move patients, families, and visitors into interior hallways, away from windows as directed by staff.

Do not leave the building!

“WEATHER ALERT”Tornado Warning

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To report a missing child:

1. Immediately dial ext. 51111

2. Give operator the race, age, last location, & child’s name (if over 2 years old)

3. Stay with parent until help arrives.

“MISSING CHILD”

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When “Missing Child” is announced:•Assume the child has been abducted and is not just lost.

•Cover the nearest exit or elevator in your area.

•Search nearby restrooms, closets, etc.

•Ask those exiting the building to open large bags, boxes, & purses if an infant is missing.

•Ask children matching the description, their names and who they are with.

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“CODE BLUE”

Life-threatening medical emergency in the medical center or clinic building (respiratory failure or cardiac arrest).

“CAMPUS ALERT”:Life and non-life threatening incident that occurs in other buildings or the outside grounds

“MED ALERT”:Need medical help in the medical center or clinic, but not life-threatening

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Don’t Hesitate !Take action:

When anyone in the hospital is or appears to be in physical distress, approach, ask how they are feeling, and call in a Med Alert or Code Blue to x51111.

DO NOT call 911 inside the hospital!

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“SECURITY ALERT”Active Criminal Element

•Dial ext.51111

•Tell the operator “Security Alert” and give the location

•“Clear & Disappear” behind closed, locked doors

•Stay put until the “All Clear” is announced overhead

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Keep talking as long as possible.Write a note to get help.Ask where and when the bomb will explode.Complete the bomb threat checklist immediately.Notify operator and supervisor.

Threatening Call

Bomb ThreatProperly Document and Notify Security, x51047

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“ALL CLEAR”

• The “All Clear” is announced overhead when an alert has ended.

• All alerts remain in effect and your role is not over until the All Clear is announced.

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Emergency Alert Summary:• Volunteers can and should initiate the

appropriate Emergency Alert by dialing 51111.• Volunteers should listen for and respond to all

Emergency Alerts paged overhead. • R.A.C.E. is listed on the back of the

volunteer’s ID badge.• Calmly explain what the alert means if family

or visitors ask. We want them to be informed but not panicked.

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“Zero Harm” is a Cook Children’s plan to reduce errors and harm to patients.

The purpose is to work together, asking questions and confirming information when unsure to reduce harm for patients and improve safety in our facilities.

This network collectively works to reduce and prevent common hospital-acquired conditions by implementing a proper bundle of care consistently and in a standardized fashion.

Following all your safety information and training helps us to achieve Zero Harm.

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Thank you for completing Safety Training!

Please click the link to take the Safety Test:https://cookchildrens//safety.test

The safety information is available to you anytime you would like to review it.