Epworth Richmond - Agency Staff Orientation Booklet MAY 2016

7/26/2019 Epworth Richmond - Agency Staff Orientation Booklet MAY 2016

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Table of Contents

Agency Staff


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WELCOME TO EPWORTH HEALTHCARE 4

SECTION 1GENERAL INFORMATION

Nurse Resource Team Office 6

Pay Information 6

Occupational Health and Safety

Safe Moves 7

Emergency Response Codes 8

SECTION 2PATIENT INFORMATION

Patient Admissions 9

Discharges 9

Discharge Lounge 10 Visiting Hours 10

Bedside Handover 10

Patient Rounding 12

Whiteboards 12

Care Guides 13

The 3Ps and the 4Rs 13

AIDET 21

Risk Assessment 21

Progress Notes 22

Point of Care 22

SECTION 3ACUTE WARD INFORMATION

Oncology Area 23

Medical / Surgical Areas 23

Neurology Areas 23

Orthopaedic Areas 24

Intensive Care Unit 24

Emergency Department 24

Cardiac Areas 24

Paediatrics 25

Perioperative 25

Epworth Allergy Specialists 25

Hospital in the Home 25

SECTION 4HOSPITAL INFORMATION

Patient Enquiries 26

Electronic Systems 26


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MET System 28

Code BluePaediatric 28

Hospital Medical Fellow 28

Infection Control 29

Staff Injury 29

Risk Management 29

SECTION 5EPWORTH RICHMOND FACILITIES

Food Facilities

CafeteriaEpi Centre 31

Hudsons Coffee Shop 31

Other Facilities

Slades Pharmacy 31

ATM 31

Car Parking 32

Public Transport to Epworth Richmond

Trams 32Trains 32


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General Information

Agency StaffOrientation Booklet 4

Welcome to Epworth HealthCare

Epworth HealthCare is a not for profit organisation and has been caring for patients since

1920, when it was first opened as a community hospital with 25 beds and 5 employees.

Today, Epworth is the largest not for profit hospital in Victoria with seven sites; Epworth

Richmond, Epworth Freemasons, Epworth Eastern, Epworth Cliveden, Epworth Hawthorn,

Epworth Camberwell and Epworth Brighton delivering excellent care to our patients. In

2016, the doors of Epworth Geelong will open.

Epworth strives to deliver excellent patient care at all times. The values and behaviours of

Epworth HealthCare are:


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General Information


Epworth Richmond

The Epworth Richmond site has both acute and rehabilitation beds. Epworth Richmond

specialises in:

Cardiac services

Orthopaedic surgery

Colorectal surgery

Vascular surgery

General surgery

Urology

Neurology and neurosurgery

Breast

Head and neck

Oncology

The Epworth Richmond also has available:

Emergency department (24 hour)

Intensive care unit (ICU)

Hospital in the home (HITH)

Our Commitment to You

Our Commitment to you means that we aim to:

Provide service and care with respect, compassion and integrity

Maintain your confidentiality and privacy

Resolve issues to your satisfaction Respond to your needs and expectations

Work collectively to enhance the quality of service we deliver

Section 1General Information

Your Agency will give you an orientation checklist to complete on your first shift at Epworth

Richmond. You will need to read this booklet to confidently complete the checklist. Once

completed please return a copy to your Agency and a copy to the Epworth NRT department.


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General Information


Nurse Resource Team Office

The nurse resource team (NRT) office is located on level 2, behind the Business office.

Office hours are:

MondayFriday 0700 - 2130

Public Holidays 07301730

Weekends 08301630

Jo McTaggart is the Nurse Unit Manager (NUM) of NRT. If you have any concerns of issues

please come and speak to Jo or a member of the team.

Contact Details for Jo McTaggart

Email: [email protected]

Telephone: 9426 6585 or 9426 6783.

Pay Information

Agency Dockets

To ensure you will receive payment for your time worked, it is imperative to:

Get your docket signed at the ward you are working on o

By the person in charge of shift

oEnsure you document correct ward and hours worked o

Leave copy on the ward worked

Occupational Health and Safety

Safe Moves

Epworth is committed to providing a safe environment for employees and minimizing the

risks associated with the manual handling of patients.

The Safe Moves policy states that Manual lifting of all or a significant proportion of a

patients body weight is to be eliminated in all but exceptional or life threatening situations.

It is expected that you:

Are able to competently carry out safe moves procedures

Use the risk controls (equipment) provided by Epworth


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General Information


Do not act in a manner that endangers the health and safety of yourself or others

Principles of Safe Moves:

Always carry out a patient risk assessment before any patient manual handling

Use the bed mechanics to work at a safe height

Encourage the patient to participate in their movement where ever safe to do so

Use slide sheets for on bed movement, push / pull using the weight transfer

technique

Avoid twisting of the spine whilst applying a force

Utilise the correct aids (lifting machine, hover matt, hoverjack etc)

All employees must be accountable for their own safety using all equipment and aids

Patient Transfer/ Mobility Risk Assessment:

Every patients mobility must be assessed on admission and a MR 46R or MR 46S

must be completed, reassessed and documented daily

The patients level of risk and any equipment required to assist with movement are

to be recorded as per the codes on the form and the whiteboard

All Epworth clinical employees are expected to undertake induction training on safe moves

and complete a practical safe moves competency annually.

Each unit has trained certain employees to be Safe Moves Facilitators which means they

are a local means of manual handling support, and are responsible for assessing annual safe

move competencies. The Epworth safe moves guidelines are available on the Intranet (Go

to S.A.F.E.; Manual Handling)

Please note:

Each unit will have safe moves information that is specific and pertinent for their practice.

Safe MovesRichmond

OHS Trainer: Tracy Brennan

Email: [email protected]

Telephone: 9426 8168

Emergency Response Codes


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General Information


In the event of an emergency the following codes and phone numbers should be called and

processes implemented.

Code Red Fire and Smoke Break glass alarm and dial 555

Code Orange Evacuate as directed Check all rooms and assemble

Code Purple Bomb threat Dial 555 and notify senior person

Code Black Personal threat Dial 555 and notify senior person

Code Grey Patient threat Dial 555 and state location

Code Blue Medical emergency Dial 555, state location, start BLS

Code Yellow Internal emergency Dial 555, notify senior person, andawait instructions


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Patient Information


Section 2Patient Information

Patient Admissions

Most elective patients will be admitted through Day of Surgery Admissions (DOSA), however

occasionally some will be admitted directly to the wards. Patients may also be admitted

through the Emergency Department or transferred directly from other health care facilities.

On admission the following must be completed and documented in the patient notes

Full Patient admission (MR 9), all risk assessments (MR 46) and ensure x-rays are

with patient

X2 ID bands (red for patients with allergies) applied, as per Epworth policy

Baseline observations, weight and urinalysis documented on the MR12

Consent form, theatre paperwork signed and pre-operative preparation if required,

i.e. anaesthetic record

Check pathology & radiology

Ensure patient has understanding of the procedure/reason for admission and is

orientated to the ward / bed area

Notify admitting consultant of patient arrival, if not already aware

Discharges

Discharge time is 09.30am

To assist with bed allocations, please use the discharge lounge service, if possible.

Discharge planning commences on admission, however most discharge plans develop

during the period following surgery and are dependent on the individual patients progress.

Documentation for discharge

Discharged to Documentation required Other information to be returned

or forwarded

Patient going directly home Discharge Information

form (MR75)

Return x-ray, belonging and all

patient medications.

Transfer to another Epworth site

(Rehab Richmond, Camberwell,

Hawthorn or Brighton)

Transfer form (MR75B) Collate history and ensure scanned

onto BOSSNET as soon as possible.


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Patient Information


Patient transfer to other health care

facility

(Rehab, respite, nursing home)

Transfer form (MR75B) Photocopy recent pathology,

radiology reports, observation chart,

current medication chart (make sure

all medications are signed.

Discharge Lounge

The Discharge lounge is located on level 2 near the entrance to Erin Street and is open:

MondayFriday 08301630 hours

The lounge is a comfortable area where patients are able to wait for their transport,

whether this is a care, taxi or an ambulance. The lounge is for patients who have been seen

by a Doctor and are medically ready to go home. Patients are transported to the Discharge

lounge after having a telephone handover. Please ensure that arm bands are not removed

before the patient arrives in the Discharge lounge

Visiting Hours

At Epworth Richmond it is expected that visitors will respect the allocated visiting hours.

Visiting hours 11002000 hours

Patient rest period 13001500 hours

Wards will discourage visitors during the rest period, however if a family member wishes to

visit during this time it will be allowed. For patients in shared accommodation, it may be

necessary to restrict the number of visitors at a time to ensure that other patients in the

same room are not being disturbed.

Bedside Handover

Handover is a concise summary and plan of patient care and should be logical and flowing,

delivered at the patients bedside and include the patient. ISOBAR is a great tool to ensure

you are systematic and do not miss anything.

There are four minimum standards for all clinical handover situations; at Epworth these are:

1. Preparation for handoverThe employees are introduced and have a shared

understanding of the purpose and process, as well as their roles and responsibilities

in handover. The required information, the environment and the patient are well

prepared in advance.

2. Patient participationWhen appropriate, clinicians provide the patient (and/or

carers) with the opportunity to participate in the handover process. For example,


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Patient Information


ensure you handover in front of the patient so they can hear, introduce staff, invite

the patient to ask questions, confirm or clarify information.

3. Transfer of informationAll information relevant to the safe delivery of ongoing

care for the patient is included in the handover. This will include verbal,

documented and clinical results related information.

Verbal communication will use the handover communication toolISOBAR (adapted

to the context)

Identify Identify yourself, your designation, check and confirm the

patient's name and diagnosis (check ID badges).

Situation

Information on the current status, i.e. why patient is here, anychange in status and treatment of the patient, may include the

urgency of the situation. Check the environment is safe (O2 &

suction working and call bell in reach). Is the patient NFR.

ObservationsCurrent clinical vital signs, clinical assessments and test results

including all attachments (IV lines, PCA ICC etc).

BackgroundBackground issues and relevant history including investigation

findings, previous MET or Code Blue calls.

Assessment Assessment of the current situation, relevant to the

current presentation, patient response to treatment or

interventions

Recommendations /Requests Planned actions, escalation of plan variance, ongoing care

and timeframes

All related documents must be complete and accurate. A checklist specific to the handover

situation should also be used to assist the transfer of care documents, for example an inter

hospital transfer form or discharge from PACU checklist should be used and filed in the

record.

4. Transfer or accountability and / or responsibilityThe receiving clinicians indicate

their understanding of care needs and accept responsibility for the ongoing care and

for managing clinical risks. Sufficient time must be allowed for clinicians to complete

the required safety and document checks and to clarify unclear or incomplete

information (for example, the escalation plan, who is doing what and when).


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Patient Information


All staff need to double check medication charts for what has been given or not given and

ensure all medications have been signed for, check fluid balance charts,observation and

multi-Day risk assessment form. All infusions need to be checked by the nursing staff at

bedside handover and neurovascular observations and epidural assessments also done at

this time.

Patient Rounding

Hourly Rounding is the best practice in providing safe & quality care tour patients. The

Bedside Hourly Rounding Log (MR46EE) is to be completed hourly from 0700 2200 and 2

hourly from 24000600. Some areas have Point of Carethis allows rounding to be

documented on the point of care system at the bedside. It is an expectation that our

patients are seen by their nurse every hour during the day and every two hours overnight.

With every round

Communicate when you will return

I will be back in about 1 hour

Close with key words

Before I go is everything you need within reach, is there anything else I can do for

you?

Document your round

On the round log record your rounding activity.

Whiteboards

Each patient has a whiteboard near their bed. The whiteboard is utilised to communicate

key care to the patient, family and health care team. Furthermore it identifies key members

of the health care team responsible for caring for the patient during their current shift.

The white board should highlight key risk reduction strategies such as:

1. Date, Day and Month

2. Falls risk Reduction Strategies

3. Thrombosis Reduction Strategies

4. Pressure Injury Reduction Strategies

5.

Pain Management

6. Food & Nutrition


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Patient Information


7. Discharge Plan

8. Care Plani.e Procedures / Tests

Whiteboards are updated at the start of each shift by the oncoming nursing staff once

clinical bedside handover has taken place and as required during shift.

Care Guides

Epworth Healthcare has moved to a Care Guide based model of care and is a day-

byday plan developed for a specific surgical procedure or patient condition. Each

shift is expected to document in the progress notes utilising a body systems

framework.

The 3Ps and the 4Rs

ADAPT each question to patient needs.

Pain Evaluate the patients level of pain. When rounding on pain, it is

important to adapt the question to the patient, ie; if they are self-

caring and due for discharge you will need to discuss pain

management at home and medications.

Use the whiteboards to communicate pain management plans.

Pan / Personal Hygiene Offer help using the toilet. This is the time to discuss bowelmanagement, fluid balance requirements.

Position Ask whether the patient is in a comfortable position of needs helprepositioning. For ambulant patients and selfcaring patients:

Pressure Ulcer Prevention is also about nutrition discussions,

request the patient move regularly and explain the importance of

mobility.

Rx. Provide any needed medication, inform the patient of anytreatment they may require. Discuss medication management for

patients near discharge; explain why medications are being given.

Appointments: Follow-up care for wound management, etc.


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Patient Information


Reach Make sure that the patients essential needs (call bell, phone,reading material, etc.) are within easy reach. What is important

for that individual patient?

Respond Ask if there is anything else the patient needs, or they have anyquestions. Listen carefully and respond to any concerns the

patient may have. If you are unsure find out and return with the

answer.

Reassure Express care and concern during your visit. Remind the patientthat someone from the nursing staff will check on them again in

one hour, and tell them at what time that will be.

Hourly Rounding

Why we ask about the 3 Ps and the 4 Rs

Regular monitoring & assessment of pain levelsWhat happens or might happen when a

patient has poorly managed pain / Inadequate relief.

Physical

Discomfort / pain

Delayed wound healing

Restricted movementincreased risk of DVT and / or PE

Restricted breathing if abdominal or thoracic pain leading to increased risk of

pneumonia

Increased stress response learning to hypertension

Reduced appetite

Poor sleeping pattern

Psychological

Lack of trustnurses

Frightened / scared

Angry

Lack of control

Perception that poor pain control equals poor quality of care


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Patient Information


What Other Problems?

Inability to attend / participate in therapy

Unable to meet therapy goals Increased length of stay in hospital

Higher rates of complication and associated costs

Increase risk of chronic pain development with consequent health care costs

Ward at risk of poor reputation with both patients and doctors

Regular Changing of Patient Position

Physical factors and areas to consider

Mobility

Type of rehabilitation

Continence

BMIunderweight / overweight

Age

Medications

Current analgesia requirements

Nutritional intake

Co-morbidities e.g. diabetes, rheumatoid arthritis

High risk anatomical areas

Buttocks

Sacral crease

Back

Heels

Earparticularly if 02 mask or prongs in use

What happens if pressure is not relieved.

Continual unrelieved pressure leads to:

Decreased tissue perfusion

Ischaemia

Friction / shear force skin tears


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Patient Information


Stage 1 pressure ulcernon-blanchable redness that does not subside after

pressure is relieved

Increased length of stay

Risk of pressure sore worsening

It is important to ensure that patient moves / changes position (relieves pressure in key

areas) regularly. Those with mobility issues need to be assisted / supervised to change.

Patients who are able to mobilise themselves must be told what to do and how frequently

e.g. stand up out of the chair for 2 minutes every hour. Use whiteboards to instruct.

Pressure relieving mattresses are not a substitute for appropriate pressure relieving

regime. Prevention is easier than the cure- pressure sores are painful and slow to heal!

Pan / Personal Needs (Toileting)

Physical factors to consider

Age of patient (over 80 rulehigh fall risk)

Mobility & dexterity

Type of rehabilitation

Continence

Urinary frequency

Medications e.g. diuretics / sedatives

Current analgesia requirements

Co-morbidities and limitations e.g. rheumatoid arthritis, Parkinsons balance and gait

Aids & safety

Footwear

Equipment

Room free of trip hazards

Why do we need to regularly review toileting:

Bowel and urinary incontinence is associated with increased risk of patient falls

Urinary incontinence increases risk of skin deterioration

Some patients embarrassed to ask for assistance and may endeavour to take

themselves to the toilet unassisted


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Patient Information


Need to assess bowel foundation i.e. anticipate and avoid constipation

If catherer in-situ we need to assess:

o

Output o

Colour o

Draining freely

o Patient

understands

how to

perform

catheter toilet

or provide

assistance if

patient is

unable

Stomas: Bag patent and no leakage

Incontinent patients wearing pads or nappies: changed when wet to prevent skin

excoriation

RxMedications / Treatment as required

Things to considermedication

Are any medications due?

Have any medications been missed?

Does the patient or family need education about self administration of medications

post discharge?

Does the patient or family need additional education about self administration of

Clexane?

How close to discharge are theyhave discharge medications been ordered by their

Doctorif not do they need to be?

How close to discharge are theyhave they had education about their discharge

medications?

Do they require a Webster pack?


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Patient Information


Do they need additional education about discharge medications?

Things to considerOther treatments

Are any tests or scans due e.g. GGS or X-ray

Are any procedures happening todaydoes patient need to prepare in any way e.g.

fasting or bowel prep?

Allied health interventionstherapy times / follow-up exercises from allied health

that need to be continued on ward

Are any dressings due to be done this shift? Plan an approximate time with the

patient when this will happen

How close to discharge are theywhat discharge education do they need

Consider:

ReferralsRDNS, etc

Wound and dressing management

Drain management

Nutrition

Communicate treatment on the whiteboards

Reach

Why do we need to check that everything the patient needs are within reach?

May have physical limitations e.g. arthritis, restricted movement post surgery

Impaired balance

Physical impairment due to equipment e.g. SCDs, I.V. pump, Charnley pillow, bed

rails

Reduce risk of falls

Vision impaired

Nausea and vomiting

What is important to the individual patient?

Call bell

Telephone

Over-bed table with drinks, magazines and tissues etc.


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Patient Information


Urinal

Vomit bowl

Walking aids

Respond

Why should we ask the patient if they need anything else or have any questions?

Reduces the likelihood of them using call bell before your next round

Patient feels you care about their wellbeing

Builds a rapport with the patient


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Patient Information


Reassurance

What is the goal of reassurance?

The patient believes you care and have concern for them

They feel safe

They trust you

They have an approximate time of when you will be back

Reduces the likelihood of them using call bell before your next round

Provides the patient the opportunity for feedback regarding their progress e.g.

rehab goals

Effective Communication: Keeping patients informed using the white boards

The purpose of the white boards is to promote patient safety and enhance effective

communication in conjunction with bedside handover and hourly rounding.

Patients who are kept informed are less anxious and better able to participate in their care

needs and keep themselves safe.

Guidelines:

1.

The information on the white boards in individualised for each patient, they are

updated at least daily in consultation with the patient / carer

2. Updated at bedside handover with the patient and updated when the plan of care

changes

3. Written in language the patient understands, abbreviations may be used if the

patient understands when it means.

4. Template standardised across Epworth Richmond and based on research, patient

and staff feedback.

Patient Call Bells

Reduce call bells and reclaim staff time. Out patients satisfaction results indicate call bells

are increasingly controlling the nurses time. Rounding on the patient for safety and

comfort by proactively addressing the reasons why they use the call bells will reduce the

frequency of the call bells, save staff time and creating a less reactive environment.

According to both international and national research on reasons patients use the call bell:

there are 5 common reasons:


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Patient Information


1. Pan

2. Pain

3. Proximity

4.

Position

5. Equipment

Globally hospitals have had great success with proactively managing the reasons patients

use the call bell through hourly rounding. The American journal of Nursing (AJN Sept 2006)

reveals that nursing rounds every 1 to 2 hours are associated with:

Reducing call bell usage by 37.8%

Reducing patient falls by 50%

Reducing skin breakdowns by 14% and

Improving patient satisfaction by 12 mean points

Time saved by nurses (based on average of 4 minutes spent in response to each call bell)

equates to 32 minutes a day of extra time.

Excessive call bells distract, break concentration and workflow; this all adds pressure on the

nursing staff. These distractions and perceived work pressure are contributing factors for

staff in making errors.

Time can be saved by being proactive instead of reactive. Proactively addressing the

common reasons patients use the call bell will mean staff will be more in control of their

time.

AIDET

In order to deliver on Epworth Excellence and to provide a consistent, professional and

caring approach, Epworth Healthcare has adopted a practice that must be consistently

carried out - known as AIDET - Acknowledge, Introduce, Duration, Explanation and Thank

you.

Acronym What Why

A ACKNOWLEDGE

the patient / family by name

Make them feel importantthat they

are an individual


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Patient Information


I INTRODUCE

yourself and your role

So they understand who you are and

what part you may play in their

recovery

D DURATION

Explain how long the session, activity

will take

Give the patient an idea of how long

you will be with them / how long an

activity make take

E EXPLANATION

Explain the treatment, activity or

therapy

So the patient understands what is

about to happen and can ask

questions or raise concerns

T THANK-YOU

to the patient / family

Closure of the interaction

Risk Assessment

All patients have risk forms that need to be filled out to ensure the patient is assessed and

given the appropriate care necessary. The following are the risk forms that are used

regularly on the unit.

Alert Card A1alerts the clinician to any potential allergies

Multi-DayRisk Assessment formMR46RThis form includes patients mobility

status and equipment needed, Falls risk status and preventative strategies, Pressure

injury risk and preventative strategies. This form must be completed daily and when

a patient has a change in condition i.e post operatively.

Progress Notes

At least once a shift as early as possible, post assessment

On return to the ward following a procedure

Any change in patient status

On admission, please include why the patient was admitted and where

Dischargeincluding destination and how the patient was being transported


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Patient Information


EACH ENTRY MUST BE CLEARLY LEGIBLE, DATED AND SIGNED

ENSURE PATIENT LABEL ATTACHED

Point of Care

Commencing in 2016, Epworth Richmond will be installing the Point of Care (POC) system,

which is currently implemented at Epworth Eastern. Utilising state of the art touch screen

technology, the terminals provide a range of entertainment, education and information

services for our patients.

The implementation of POC at Epworth Eastern has seen a number of outcomes including:

Improved patient satisfaction

Reduction in length of stay

Decrease in the number of Stage 3 and 4 pressure injuries

Decrease in the number of falls

Electronic hourly rounding using a measured and accountable framework to increase

time spent at the patient bedside.

For further information on Point of Care see the Epworth intranet site.


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Acute Ward Information


Section 3Acute Ward Information

All Epworth Richmond acute wards are located in the Cato building, Erin Street and Lee

Wing. For further instructions on how to access your allocated shift please contact Main

Reception on level 2.

Oncology Area

4ES (Erin Street)

4ES is a 50 bed oncology and medical ward.

DMU (Day Medical Unit)

DMU is a purpose built facility for day treatments.

24 Oncology treatment chairs

16 Dialysis treatment chairs.

3 Sleep study rooms (Monday

Wednesday)

At times, we utilise DMU as a 23 hour short stay facility, when other wards are at full

capacity

Medical and Surgical Areas

5ES (Erin Street)

5ES is a 44 bed ward which specialises in surgical, vascular/thoracics and maxillofacial.

6ES (Erin Street)

6ES is currently a 30 bed acute medical ward, with the capacity to increase to 42 beds.

7ES (Erin Street)

7ES is a 44 bed ward general surgical unit specialising in ENT, General Surgery, Urology and

Gynaecological procedures.

Neurology Areas

4CA (Cato Wing)

4CA is a 33 bed ward comprising of both neurology and neurosurgical patients.

4LE ( Lee Wing)

The 4LE ward will be opening in early April with 39 beds available.


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Orthopaedic Areas

3NS (Normanby South)

3NS is a 24 bed orthopaedic unit. The procedures range from total joints, to knee scopes and

shoulder surgery.

4NC (Normanby Centre)

4NC is a 14 bed short stay orthopaedic unit.

5LE (Lee Wing)

5LE is a 37 bed ward specialising in orthopaedic surgery.

6LE (Lee Wing)

6LE is a 35 bed ward specialising in orthopaedic surgerymajor joints and spinal surgery.

3CA (Cato Wing)

3CA is a short stay orthopaedic unit with 30 beds available.

Intensive Care Unit

Ground Lee Wing

Our Intensive Care Unit is located on the ground level of Lee Wing and currently has 26 beds

available.

Emergency Department

Lower Ground Lee Wing

The Emergency Department is located on the lower ground floor of Lee Wing and currently

has 35 cubicles including 2 resus cubicles, 4 fast track and 2 negative pressure rooms andpaediatrics.

Cardiac Areas

2LE (Lee Wing)

The Cardiac unit is located on the 2LE and currently has 39 beds including a 10 bedded CCU.

Cardiac bed capacity will increase in mid 2016.

2CA (Cato Wing)

2CA opening on 18th

April will be a 34 cardiology ward.


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Paediatrics

2TH (Thomas Wing)

The paediatric wing has currently 10 beds and will be increasing to 19 beds later this year

Perioperative

3 Lee Wing

The 6 theatres available on Lee Wing are located on level 3.

Danks Wing

There are 7 theatres and 3 endoscopy units available on level 3 Danks Wing.

SymeNormanby Building

There are 4 theatres available in Syme, located on level 4 in the Normanby Building.

Erin Street

There are 8 theatres located on level 3 in Erin Street.

Epworth Allergy Specialists

Epworth Allergy Specialists care for both adults and paediatric patients. The clinic is located

on level 2, Thomas Wing and operates Monday to Friday from 8.00am to approximately

5.00pm. The clinic is closed weekends and public holidays.

Hospital in the Home

Epworths Hospital in the Home Unit is designed to substituteacute home care for patients

who would otherwise need treatment in a traditional hospital bed. The unit is located on

level 2 in Erin street and maintains a 24 hour, 7 day on call service to accept new patients

and to manage any problems with their admitted patients.


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Hospital Information


Section 4Hospital Information

Patient Enquires

The maintenance of patient privacy is paramount. It is preferable that all patient enquires

are directed to the patient themselves. Portable phones are available for this purpose. No

information about the patient should be given over the phone unless you have the patients

consent.

Electronic Systems

There are computers located around the ward for staff and can be used to access the

following electronic systems

BOSSnet An online patient management system through which you canaccess all pathology and radiology reports as well as all previousadmission paperwork

CARPS Acentralised system for patient transfers and pick up/transferof items throughout the organisation and can be booked on line

Email Accessible from the desk top under microsoft outlook. Asimportant information will be communicated to employees via

email it is a requirement to check your emails on a regular

basis.

E-mims Accessible from the desk top of all hospital computers

Intranet Accessible through internet explorer on the hospitals homepage. Allows access to hospital departments including human

resources, quality and risk management, library, e-phone list

and care resources (care guides).


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Inpatient

Management

(IPM)

Inpatient Management (IPM) is an IT system (live database)

which is one of our main patient management systems.

It is has the following capabilities:

- Admission and discharge information and bookings

- Diet codes

- Document tracking

- Patient appointments

- Reporting

- Theatre views and ward views

- Patient location

-

Printing patient labels- Checking patient information

- Caring doctors

Please confirm your access requirements with your unit

manager

Protocols and

Policies

Accessible via either the computer desk top utilising the

symbol below. Ensure you familiarise yourself with all

Epworth policy and procedures

X-ray Reports Can be accessed by the Epworth Medical Imaging

inteleViewer program located on the desktop.

Access to this is via AutoLogon

MET System

Please see Epworth policies for the full details


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Code BluePaediatric

As Epworth is expanding its range of services to patients and Doctors, we are now admitting

paediatrics for day and overnight cases from small procedures to larger orthopaedic and

cardiac cases. If there is an emergency with a child and Code Blue needs to be calledthe

registered nurse (RN) caring for the patient needs to state CODE BLUE PAEDIATRIC.

The code team will consist of Emergency Department Doctors and nurses instead of ICU

Doctors. The team will arrive with emergency equipment suitable for the use of a child. If

you are carding for a child of your shift, there should be emergency equipment available for

you on the ward.

Hospital Medical Fellow

Any concerns about your patient should be raised in the first instance with the consultant. A

Medical Fellow is available to review unstable patients at the request of the consultant.

Remember that if the patient meets MET call criteria you must call a MET call. The Medical

Fellow can be contacted on pager no 6140 and mobile 0400 751 083.

Infection Control

Infection Control supports Epworth in providing support to patients and staff with the main

objective to prevent the transmission of infection. Other department functions include


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management of staff and patient needs relating to transmissible diseases, actioning global

and local health alerts and relevant legislative changes.

If you have a splash or sharps incident, please contact the NUM on the ward immediately

and they will contact Infection Control who will follow up all incidents. Infection Control

can be contacted on 9426 8342.

Staff Injury

If you injury yourself whilst on duty, it is your responsibility to report it immediately to

person in charge of the area you are working. You will be required to complete an incident

report on Riskman. It is also important that you report to the Emergency Department to

check the extent of the injury.

Please also contact the Allocations Office on 9426 6261 if you have obtained an workplace

injury so we can manage the situation.

Risk Management

What is a risk?The potential for something good or bad to happen that could impact

on our patients, our employees or the business of the organisation.

Hazards / risks are around us all the time

Risks need to be identified

If not managed, risks can escalate and cause major disruption to patients, employees

and the organisation

What is an accident/incident?This is essentially something that has happened to a

patient, employee, visitor or contractor and the outcome could have harmful or potentially

harmful effects. Incidents to be logged include but are not limited to:-

Incorrect (with hindsight) decision or action

Not following an agreed protocol (without clinical justification)


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Incorrect protocol applied

Wrong treatment given

Injury to employees, visitors or patients

Medication errors

Falls

MET / Code blue calls

Patient pressure areas

Faulty equipment

Patient complaints / compliments

If the incident involves you (you witness it or it is one of your patients) or MET/ Code blue,

you will be asked to complete the RISKMAN as soon as possible following the incident You

will be shown how to use RISKMAN during your orientation. Please ensure you ask for

assistance on completing reports until you become familiar with reporting by yourself.

Log in information will be supplied by the NUM on starting work.

All MET calls and Code Blues need to be documented on RISKMAN


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Epworth Richmond Facilities and Further Information

Section 5Epworth Richmond Facilities and Further Information

Food Facilities

CafeteriaEpi Centre

The Epworth Richmond Cafeteria is open to all employees, patients and visitors.

Monday to Friday 06451900 hours

Saturday 07301830 hours

Sunday 08301830 hours

The cafeteria provides an array of hot and cold food including a sandwich bar and a

selection of hot and cold beverages, magazines, newspapers and an assortment of snacks.

Hudsons Coffee Shop

Hudsons coffee shop is located on level 1 near the Bridge Road entrance. Hudsons

provides hot and cold beverages and a selection of hot and cold food.

Monday to Friday 06001830 hours

Saturday 07001830 hours

Sunday 07301800 hours

Other Facilities

Slades Pharmacy

Slades Pharmacy is located at the entrance on level 1 on Bridge Road. The pharmacy

provides pharmacy services to Epworth inpatients 7 days a week and is also responsible for

providing discharge medications to patients, supplying medication on request and the

restocking of imprest. The pharmacy is open to the public:

7 days a week 08002200 hours

ATM


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There is an NAB ATM located the next to Slades Pharmacy, left at the entrance to the

hospital on Bridge Road.

Epworth Richmond Facilities and Further Information

Car Parking

Due to ongoing construction work, car parking is limited on site for safe. It is recommended

to catch public transport to work where possible. For employees wishing to drive, please

contact Jo McTaggart for further information in relation to parking and availability.

Public Transport to Epworth Richmond Trams

Epworth Richmond is fortunate enough to have two tram routes available on Bridge Road,

and the tram stops being close to the hospital entrance. The tram routes are 48 and 75.

48North BalwynVictoria Harbour Docklands

75Vermont SouthEtihad Stadium Docklands

For further information regarding the tram times, please check the website for Public

Transport Victoria (PTV)http://ptv.vic.gov.au/

Trains

Epworth Richmond is also located between two train stations, Richmond and West

Richmond.

Richmond Station is located on Swan Street and is a 10 minute walk to Epworth via the

Bridge Road entrance. West Richmond station is located on Highett Street and is a short 5minute walk to Epworth via the Erin Street entrance.

For further information regarding train timetables and disruptions please contact Metro

Trains on 1800 800 007 or visit their websitehttp://www.metrotrains.com.au/or the

website for Public Transport Victoria (PTV)http://ptv.vic.gov.au/
http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://www.metrotrains.com.au/http://www.metrotrains.com.au/http://www.metrotrains.com.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/http://www.metrotrains.com.au/http://www.metrotrains.com.au/http://ptv.vic.gov.au/http://ptv.vic.gov.au/

Documents

Epworth Richmond - Agency Staff Orientation Booklet MAY 2016