Faculty Orientation Handbook

This handbook will provide you with a helpful overview of important
information at Saint Joseph Health System and key safety policies

Revised July 2010

Welcome to Saint Joseph Health System (SJHS). We take great pride in the care we
provide our patients and families. SJHS embraces students and our role in the
education of healthcare professionals as we live out the system vision. Your students
are our future. Therefore, we want their experiences here to be such that they gain as
many tools as possible for them to become confident and secure in their new roles.
Thank you for giving us the opportunity to participate in the development of their future.
Please let us know how we can further assist you and your students in order to make
the experience as valuable as possible.


The mission of SJHS and Catholic Health Initiatives is to nurture the healing ministry of
the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the
Gospel urges us to emphasize human dignity and social justice as we move toward the
creation of healthier communities.

The vision of SJHS, a faith based organization, is to be recognized as the region’s
leading provider of healthcare through partnering, performance, and growth.

To achieve this vision and remain patient centered, we must meet the following critical
success factors:
   1. Achieve customer loyalty.
   2. Attract, develop and retain highly skilled and competent staff.
   3. Create and use evidence based knowledge to optimize resource utilization to
      improve patient care processes and outcomes.
   4. Become the premier provider of quaternary care.

                                 Patient Care Standards

Collaboration               Empowerment and Accountability                     Patient
Continuum of Care           Patient/Family Centered Care                       Risk-Taking
Visionary Planning          Research-Based Practice
                                  General Information

This Faculty Orientation Handbook has been developed to ensure that all instructors
who have students in clinical sites at SJHS have the information necessary for meeting
the orientation requirements for supervision of students in the hospital environment. A
review of the Faculty Orientation Handbook is required of all faculty annually and as
requested by the Hospital. Please read this information carefully. If you have additional
questions, please notify Margie Fuller, RN, Student/Faculty Coordinator at 859/313-
4493 or email, marjoriefuller@catholichealth.net

This handbook supplements the SJHS website which provides a general orientation for
faculty who utilize the SJHS clinical sites:


          o   Select Saint Joseph Hospital
          o   Select additional services. From drop-down, select educational services
          o   Select faculty/student orientation on the left side of the screen

Unit specific orientation must be arranged with the Unit/Department Manager for any
new faculty to the institution. Each new faculty member is required to spend personal
orientation time on a unit shadowing prior to commencing orientation for his/her clinical

Faculty instructors are required to provide an orientation for their students to review,
expand upon, and answer any questions regarding the information provided for the
students in the Student Orientation Handbook. It is the responsibility of each faculty
instructor to obtain and distribute the Student Orientation Handbook. These handbooks
have been developed to ensure that orientation is provided prior to the students’ first
clinical experiences. The student handbook introduces the students to the expectations
and standards set forth by SJHS. The handbooks are to be given to all undergraduates
and graduate Nursing students, Paramedic, Surgical Technology, Radiology,
Respiratory Care or other healthcare professional students by each faculty instructor.
The student handbooks can be printed from the education site on the hospital Intranet
or Internet. For any specific unit orientation, please contact the Unit Manager or Clinical
Educator for the area.

                       Documentation for Orientation Completion
A form on the last page of both the Faculty Orientation Handbook and the Student
STUDENT AND THE FACULTY INSTRUCTOR during their initial orientation to the
clinical site. The forms should be removed from the handbooks and returned to Margie
Fuller, Student/Faculty Coordinator, no later than two (2) weeks after clinical rotations
                       Review of the Clinical Placement Process

Coordination of Students
Nursing student placement begins with the activities of the Bluegrass Planning
Consortium. This organization meets biannually and is comprised of representatives of
all schools of Nursing and Clinical Agencies within the Central Kentucky Bluegrass
area. Each academic program requests student placement for the following semester
and agencies agree on what can be accepted. Practicums and MSN student approval
is tentative based on preceptor availability and will be finalized closer to the start of the
semester. The Student/Faculty Coordinator within the Education Department is
responsible for coordination of all nursing student placements within SJHS.

Other health care professionals may coordinate with individual departments once they
have finalized an Educational Affiliation Agreement with the SJHS legal department.

      Nursing Clinical Group Placement Guidelines:
        Only one clinical group can be on a unit at a time (practicum students
        Only two clinical groups can be on a unit within a 24-hour period.
        Prior to the semester, the clinical instructor should confirm the units, dates,
         times, and number of students with Margie Fuller, RN, Student/Faculty
         Coordinator, 859/313-4493 or marjoriefuller@catholichealth.net. If you do not
         plan to use a unit that was originally requested and placement granted,
         please forward that information as soon as possible.
        Faculty is responsible for determining student assignments after discussion
         with nursing staff. An assignment form should be posted on the clinical unit
         as soon as assignments are made. Students coming in for pre-clinical
         assessments may do so at a time when there are no other student nurses on
         the unit. This time must be approved through Bluegrass Planning.
        As a courtesy to patients, please let the patient know that she/he will be
         having a nursing student with faculty supervision.
        Objectives for the clinical experience should be shared with the Unit Manager
         prior to the first clinical experience.
        The faculty member is expected to be CONTINUOUSLY AVAILABLE to
          non-precepted undergraduate students during clinical hours and to provide
          DIRECT supervision for techniques that are unfamiliar to the student.
Practicum Student Placement
Definition: Any student placed with a preceptor employed by Saint Joseph
    Health System is considered a practicum student. Non-nursing preceptorships may
    be arranged directly with the Unit Manager.

    *To assist in the accommodation of the high request of nursing practicums,
    all Nursing Faculty should contact Margie Fuller, RN, Student/Faculty
    Coordinator, with their school’s complete requests. Preceptors will be
    assigned and the nursing program will be notified.
Preceptor Undergraduate Students
Faculty is expected to meet with the student and preceptor on a REGULAR basis
during the semester. Expectations of the faculty for preceptor involvement in the
evaluation process should be shared at the first student/faculty/preceptor conference.
The faculty member will negotiate availability of the faculty as a resource during student
clinical hours with the preceptor, student, and manager of the unit. Objectives for the
clinical experience should be shared with the Unit/Department Manager and Preceptor
prior to the first clinical experience.
Graduate Students
The graduate faculty member responsible for the graduate student’s clinical experience
will submit, at least one week prior to the clinical experience, a written copy of the
objectives, clinical hours, and plan for student orientation to the unit to the
Unit/Department Manager. Graduate students on a unit are expected to inform the
person in charge when they first arrive on the unit and communicate their objectives.
They may do their clinical while a clinical group is on the unit if approved by the
Unit/Department Manager. They should receive and give patient report and
communicate any problems to the healthcare professional responsible for the patient.

                                Behavioral Standards
                      Patient Rights and Patient Confidentiality
It is important for you and your nursing students to be familiar with and adhere to the
SJHS’s Behavioral Standards in Patient Care listed below:

   1. Each patient shall be treated as a whole, irreplaceable, unique, and worthy
   2. The patient’s safety, health, or welfare shall be protected and shall not be
      subordinated to organizational, staff, educational, or research interests or to any
      other end.
   3. The privacy of the patient and the confidentiality of every case and record shall
      be maintained.
   4. The patient and/or responsible family member shall be informed at all stages of
      care about attending personnel, treatment plans, activities, facilities, and other
      services available to the patient and family.
   5. Behavior reflecting dignity, responsibility, and service orientation of health care
      professionals who are worthy of the public’s respect and confidence shall be
      practiced by all individuals.
   6. Each patient shall have a responsible attending physician or dentist.

Patient Confidentiality and Privacy
The Hospital treats patient information as confidential. In recognition of the patient’s
rights, the Hospital treats operating room logs, schedules, and all medical records as
confidential information. Unless otherwise authorized, they are available only to
Hospital staff who are involved in the patient’s course of treatment. Unless you have
specific authorization:
 Do not discuss the diagnosis, condition, treatment, or prognosis, of any patient
  within the hospital.
 Do not ask staff members for patient information.
 Do not read the patient’s medical record or otherwise access patient information.

Appropriate Behavior
The Hospital values its patients, visitors, employees, volunteers, and students. As a
result, sexual harassment and/or abusive, obscene, derogatory, or profane language
are prohibited. In addition, please refrain from jokes or other behavior that may be
offensive to others. The Hospital asks that professionals and students refrain from
expressing personal problems, frustrations, or negative comments.

Unit/Department Manager
The Unit/Department Manager is accountable for patient care of their unit(s). The
clinical instructor who will be utilizing a specific unit should make initial contact with the
Unit Manager. Please communicate with the Unit Manager routinely to discuss special
student needs, student objectives, and problem resolution for that specific unit. A listing
of the Unit Managers with phone numbers and email addresses is provided (See
resource for Unit Manager/Resources).

Patient Care Deliverer
Patients cared for by students are assigned to a staff nurse as well. This staff nurse will
provide your students with a report on the patients if your clinical begins after the shift
report. Students should communicate any questions they have about their patient(s) or
any problems their patient(s) may be having to the staff nurse. Students should give
the staff nurse report on their patient(s) prior to leaving the unit. The staff will
serve as a resource to facilitate communication with other departments and services.
Students should communicate patient-related and staff/hospital-related concerns to their
Clinical Educators
Clinical Educators function as educational experts in the development and
implementation of educational programs for patient care areas. Each Clinical Educator
is responsible for several areas within the hospital. Faculty may want to contact the
Clinical Educator for additional specific unit orientation, information or to facilitate the
varied systems resources within SJHS. (See Resource Listing.)
Ethical Issues
If you are aware of an ethical issue with a patient or family, notify the preceptor or
person in charge so that they may contact the chaplain and ethics committee.
Parking tags are attached at the end of this faculty handbook. Please put the beginning
and ending dates of the clinical rotation on the tag. The tag must be hung from the
rearview mirror or placed in the driver’s side window of the dashboard. Security does
monitor the parking lots/garage and will have automobiles without proper identification
or parked in an unauthorized area towed.
     West Campus—Students must park in the parking structure connected to the
       Saint Joseph Office Park at Building D. A map is attached. Faculty may park in
       the parking garage. *(See attached Map and Pass).
     East Campus—Students and faculty are to park in the employee parking lot, it is
       located to the left of the hospital if you are facing the building. You can access it
       only from Blazer Drive. The front parking lot is reserved for visitors. (Parking
       Pass attached)
Dress Code:
SJHS has a dress code, designed to ensure that appropriate image, infection control,
and safety are maintained. No artificial nails are to be worn by students or faculty.
If special attire is required; please contact the Unit Manager for instructions for obtaining
the items to be worn. Students are expected to wear the uniform designated by their
school, unless otherwise instructed. No jeans, shorts, or other similar type of casual
clothes are allowed. Students are encouraged to leave valuables, books and money
at home and to bring only minimal items with them while in the clinical setting.
Backpacks should not be brought to the clinical setting.
Health Requirements:
All students must meet the required SJHS requirements:
    1) Negative PPD within the last six months to the start of the clinical. If positive, a
       written statement from a physician that the individual does not have active TB is
    2) If born in 1957 or later: two MMR vaccinations since the age of one, or
       documentation by the individual’s physician that he/she has had mumps,
       measles, and rubella or negative titers for mumps, measles, and rubella.
    3) Hepatitis B vaccine is recommended.
    4) All faculty and students must demonstrate immunity to Chicken Pox either by
       history of the disease, demonstrated antibody titer, or varicella vaccine (two
       injections, one month apart.)
                                   HIPAA PRIVACY
Health Insurance Portability and Accountability Act (HIPAA)
A federal law imposed on all health care organizations including hospitals, physician
offices, home health agencies, nursing homes, and other providers, as well as health
plans and clearinghouses.
     Requires organizations to take measures to safeguard patient information in every form
      including written, electronic, and verbal.
    Requires organizations to train workforce on patients’ rights to privacy and control over
      their health information.
Punishes individuals and organizations that fail to keep patient information confidential.

What is confidential? (Information about a patient in any form, (written, electronic, or
verbal) is protected health information (PHI) including:

Name                          Address               Medical History      Diagnosis
Medications                   Age                   SS #                 Observations of
Medical Record #              Phone #               E-mail Address

The fact that the patient is in the hospital and more…

Protecting Patient Privacy:
    Do not look at or access information about a patient unless it’s necessary to do your job.
    Do not discuss what you overhear about a patient or share information gained in the
      course of work with people such as family and friends.
    Do not discuss patients outside of the unit in public areas such as elevators, hallways, or
      cafeterias where individuals outside the healthcare team may hear you.
    Use treatment and consultation rooms when talking with or about patients and family.
    Do not use your work access privileges to view/obtain information about friends, family
      members, neighbors, church members, etc.
    Do not use your work access privileges to view or print your own health
    Do not share information about the patient with their family members or outside agencies
      unless you are authorized to do so.
    Dispose of patient information by shredding it or placing it in a locked confidential
      storage container located in your department. Documents placed in these containers
      are picked up weekly and shredded on-site to protect patient privacy.
    If you see an individual without identification in a confidential or secure area, do not
      leave them unattended. Ask if they need assistance and for identification if necessary.
    If you are not involved in the care of the patient or the welfare of the family, remove
      yourself from the area of confidential patient discussions.
    Put phone calls on hold (after asking them to please hold) to prevent others from hearing
      background conversations about other patients.
    Knock and pause before entering the patient’s room.
    Expose only parts of the body necessary for treatment.
    Leave the patient’s room while visitors are with the patient.
    Ask visitors to step out of the room if exposing the patient during a procedure.
      Use mobile screens, drapes, shades, closed doors, or other appropriate measures and
       provide someone of the same gender to be present at the patient’s request to maintain
       privacy during treatment.
      Remember that inappropriate access or sharing of patient information will result in
       disciplinary action up to and including termination the clinical assignment
      Don’t leave patient records lying around.

Confidentiality Agreement
By signing you agree to:
   • Dispose of health information properly.
   • Follow the organization’s policies and procedures.
   • Use computers and information systems only for performing job duties.
   • Use confidential information only to perform job duties.
   • Share confidential information only with those who need the information to do their jobs.
   • Handle health records carefully to protect individual privacy.
Penalties for Breaking the HIPAA Privacy Rule:
    Criminal penalties under HIPAA: Maximum of 10 years in jail and a $250,000 fine for
       serious offenses.
    Civil penalties under HIPAA: Maximum fine of $25,000 per violation.
    Organization actions: Employee disciplinary actions including suspension or termination
       for serious violations of organization’s policies and procedures.

                        Safety and Infection Control Information

Standard and Other Precautions
Students must follow standard universal precautions when caring for patients. If the
patient is on other infection control precautions, such as transmission precautions, a
sign will be posted on the patient’s door. This information is also reviewed in depth in
the student handbook.
Follow infection control precautions, as posted on door of the patient’s room. See the
nurse to obtain personal protective equipment if you must enter the patient’s room or
have other contact with the patient.
If a patient needs to be placed in transmission precautions, there is a Transmission
Precautions Manual on every unit with resource information as well as the signs to be
placed on the door.

Needlestick Prevention
To avoid a Needlestick, think SAFETY!
    Place needles and other sharps in a sharps container immediately.
    Do NOT recap needles.
    Do NOT place needles in trash or linen.
    Do NOT leave needles in bed or on bedside tables.
    Do NOT overfill sharps container.
    Utilize ALL needleless components.
Occupational Exposure

An occupational exposure is defined as direct contact with potentially infectious material
such as a patient’s blood and/or body fluids or instruments that have come in contact
with a patient’s blood or body fluids. This may occur from a needle-stick or cut with a
contaminated instrument, a splash, or contact with a break in the skin barrier.
In the event of an occupational exposure:
     Exposure to blood (needle stick, splash, or spray) should be reported
       immediately. A variance report should be completed.
     Report to the laboratory for post exposure testing.
SJHS is not responsible for any health care expenses incurred by occupational
exposures of students or its faculty.

Paging Codes
The Hospital uses specific codes to alert staff about hazards or potential hazards in the
area and call designated staff to action. These codes are designed to communicate
information to those that need it without unduly alarming patients and visitors.
For your information and convenience, a list of pertinent codes is outlined below:
Code Red – Fire
Code Blue – Cardiac or Respiratory Arrest of adult or child
Code Green– Ante-partum Emergency mother or child (SJE only)
Code Grey – Uncontrolled Patient
Code Yellow – Internal/External Disaster
Code Orange – Hazard Communication
Code Pink – Missing Child
Code Silver- Weapon in house
Code Black- Bomb threat
Designated people have assigned roles in response to these codes. These codes are
reviewed more in-depth in the student handbook. You are responsible for looking up
these policies in our computer manuals and being familiar with your role. It will also be
your responsibility to assure that students fulfill their responsibilities.

Infant/Child Security
To protect the safety of newborns, it is vital that special care be taken to assure these
young patients are released only to the mother or person legally responsible for their
A new infant security system has been installed in the Nursery at SJE. Please see
the Unit Manager for the Mother/Baby Unit regarding specifics of this system. Be
aware that no baby may be transported by anyone not wearing a special pink ID
Always be aware that there is a risk of a child being abducted. When having students in
the nursery and post partum areas, be observant of individuals loitering, persons in
uniform without appropriate identification, and any other suspicious individual. Question
people without proper identification - who they are and why they are on the unit. Direct
any suspicions to the Charge Nurse. If you suspect that an infant or child is missing,
immediately notify the Charge Nurse. A Code Pink overhead page indicates that an
infant or child is missing and for all staff to man hallways, stairways and elevators.
Life Safety Information
Saint Joseph Health System has a life safety program to protect patients, visitors, and
staff from the dangers of fire. As a part of your unit orientation, you will need to provide
your students with information about location of fire alarms and extinguishers and
evacuation routes specific to the area to which you are assigned.
Fire Notification
If fire, smoke, or excessive heat is detected within the Hospital, the fire notification
system is activated. You will hear over the paging system: Code Red and the location
of the fire.
When an alarm is activated, smoke and fire doors throughout the building close. In
addition, staff and students are to close doors to patients’ rooms, clear corridors, and
implement other response procedures.

Role in Fire Response
In all cases, your primary role is to ensure the safety of yourself and others in the area.
If you discover a fire in the area:

Remember R-A-C-E:
   Rescue people who are in immediate danger by moving them away from area.
   Alarm. Pull the alarm and call hospital emergency number. Tell the operator
    Code Red and location.
   Contain the fire. Close all doors. Reassure patients who stay in their rooms.
   Extinguish/Evacuate. Fight the fire only if it is small and contained, like a
    wastebasket fire. Use the proper fire extinguisher to put out the fire. Be sure that
    you have a clear exit path for escape. Evacuate as instructed.

To use a fire extinguisher, think P-A-S-S:
    Pull the pin. Twist the pin to break the plastic tie.
    Aim at the base of the fire.
    Squeeze the trigger.
    Sweep from side to side continuing to aim at the base of fire.
Hazardous Materials
Depending on the assignment at the Hospital, faculty and students may use or work
around hazardous materials, such as cleaning supplies and chemicals. These materials
may adversely affect one’s health if they are not handled safely and properly. In the
hospital, hazardous materials are labeled to alert staff to the potential dangers. In
addition, Material Safety Data Sheets (MSDS), which provide more detailed information
and emergency response and spill procedures, are filed in the Hazard Communications
Manual in the work area. Faculty is responsible for knowing and sharing with students
information about the hazardous materials which are common to a specific unit.

Medical Waste
Dispose of any waste that is wet with body fluids or blood in a red bag. Do not put other
types of waste in the red bags. Large volume liquid wastes such as chest tubes and
suction canisters are to be placed in the red barrels. Sharps are disposed of in the
sharps disposal containers.

Chemotherapy Waste
Although students will not be giving chemotherapy, please make them aware of the
precautions associated with the disposal process. All IV bags and tubing must be
placed in zip-locked yellow chemo bags and placed in a specific chemotherapy trash
canister. The canister must be double lined with red bags. Needles and other sharps
can be disposed of in the regular sharps container if they are empty. Syringes with
remaining chemotherapy must be disposed of in a separate plastic container labeled
―chemotherapy only‖. Please become familiar with policies related to a chemotherapy
spill or chemotherapy exposure.

External Disaster Plan (Code Yellow)
If a “Code Yellow Standby” is paged, your students should report directly to you.
Notify the Charge Nurse of how many students are available to help. All students
should stay on the unit to which faculty is assigned unless reassigned elsewhere.
Precepted students’ availability should be reported to the Charge Nurse by the

If a weather warning is announced:
 Move ambulatory patients away from windows to an inside corridor.
 If a patient cannot be moved, turn him away from the window and cover patient with
 Close all room and fire doors.
Bomb Threat (Code Black)

   Remain calm, note time, record and prolong conversation-stay on the line.
   Note background noises and any characteristics of the caller.
   Ask caller to describe where the bomb is, what kind of bomb, when it is to explode.
   Call hospital emergency number after the caller hangs up.

Electrical Safety

The hospital is an environment that has multiple electrical hazards as a result of the
amount of electrical equipment necessary for patient care as well as being a setting for
care of the electrically sensitive patient. This results in a potential for accidental injury
ranging from severe burns to electrocution. The most immediate life-threatening
consequences of severe electrical shock are ventricular fibrillation and respiratory

All electrical equipment used in Saint Joseph Health System must be inspected by
Clinical Engineering before it is used. This includes patient, employee, and hospital
owned equipment.

Equipment that is safe to use in patient care areas is tagged with an inspection sticker
and must be within the annual inspection date of the label.

Patient-owned electrical equipment is prohibited in patient care areas except when its
use is essential to patient care. Exception: up to date razors and hair care equipment
may be used.

Responsibilities of caregivers when using electrical equipment:

   Make sure the equipment is labeled with an inspection sticker and is within the
    inspection date.
   Check the equipment for signs of damage or malfunction. If either is present, unplug
    the equipment and give to staff for appropriate reporting.
   Remember that electricity and water do not mix!
   Do NOT touch electrical equipment, plumbing, or metal fixtures when touching
    another appliance.
   If several pieces of equipment are attached to a patient, they should all be plugged
    into the same group of outlets.
   All equipment in patient care areas must have a 3-prong plug and a 3-wire
    grounding cord. Patients may use radios, etc. using a battery but may not plug such
    equipment into outlets.
Equipment Failure

    Inspect medical equipment each time you use it.
    If you have a problem:
     1. Take it out of service.
     2. Complete an equipment failure tag. Do not change any settings.
     3. Call Clinical Engineering and describe the problem.
     4. Complete a variance form including the SJHS property number (silver ID tag)
Federal Law states that healthcare facilities must report any incident in which there is
reason to believe that a medical device caused or contributed to the death, serious
illness, or serious injury of a patient.

Reportable Occurrence

A variance report must be filled out for any happening, which is not consistent with the
routine operation of the hospital or the routine care of a particular patient. It may be an
accident or a situation which MIGHT result in bodily injury or property damage. Consult
the Charge Nurse and Unit Manager for assistance in completing this form if required.

Power Outage

Emergency electrical outlets are red. These are backed up by a generator. All critical
patient care equipment must be plugged into red outlets.

Assistance Please

If a patient or visitor becomes combative, you should immediately page for help.
    1. Dial hospital emergency number: call Code Grey.
    2. Follow instructions from team.
    3. If the patient or visitor has a weapon, call a Code Silver.

Smoking Restrictions

All SJHS facilities are tobacco-free. Tobacco products are not allowed on hospital

Banned Dangerous Abbreviations:

SJHS has adopted the JCAHO Standards and the Institute of Safe Medication Practices
to be used when ordering, dispersing or documenting medications. Please note the
attached form related to this issue and familiarize your students accordingly.
Hospital Policies and Procedures
These are located on the Intranet, the SJHS internal communication and resource site.
It can only be accessed from a computer inside either hospital. The medical library is
available with computers and printers. Available resources on the Intranet include: P &
P Seeker located on the left hand side of the home intranet page, Administrative,
Patient Care Services and many unit specialty unit policies are accessible. Standing
Orders/Consents, Education-Patient Care Information, Variance Reports, Clinical Care
Site/VSDS, Micromedex, Unit Specific Scope of Services…and much more can be
accessed from the home page.

Click on the big E (Explorer) on the hospital computers. This will take you to our hospital
Intranet not the Internet. From this home page, click on the appropriate link.

The Medical Library is located on the ground floor of the West Campus and is open
from 8:00 a.m.-4:30 p.m. M-F. Faculty and students are welcome to utilize our
resources within the library. Students may use the computers in the library for Intranet
access and Internet searches. There are also small TV/VCR’s that can be used for
training videos. Please contact Laurie Henderson, Medical Librarian, for questions or
assistance at 859-313-1677.

   Medical Library: Now available via SJHS Intranet: Go to intranet, click on
   departments and then click on Medical library.

                           SJHS Employment Opportunities
Please share with your students that SJHS offers several work-related opportunities
while they are in school. For students interested in working at SJHS, please have the
student contact Human Resources, 859-313-1768.
                                End of Clinical Rotation
At the conclusion of your clinical rotation, please access the faculty website and have
the students complete an evaluation of their clinical experience. We appreciate their
feedback – and yours!
                                       Thank you!
Once again, thank you for bringing your students to SJHS. We look forward to
providing them with an educational experience that will support our collaborative efforts.

Clinical Rotation Form          Parking Diagram                         Parking Permit
Phone List                      Banned Abbreviations
AcuDose Form (turn into Pharmacy)
                             Saint Joseph Health System
                             CLINICAL ROTATION FORM
  Facility: _______West Campus ________ East Campus ________Berea
  PROGRAM: __________________________________ LEVEL: __________________
  FACULTY PERSON:                                     UNIT ASSIGNED:
  HOME ADDRESS:______________________________________________
  PHONE#: WORK:              HOME: _________________
          PAGER: _____________CELL: __________________
  **PLEASE ATTACH and return the following to Educational Services before the
  end of your first clinical day. (Please make a copy of the Clinical Rotation Form
  and give to Unit Manager.)
            Copy of faculty KBN LICENSE- (Please use the SJHS Professional
            Licensure/Certification verification form)
            Copy of faculty CPR CERTIFICATION- (Please use the SJHS
            Professional Licensure/Certification verification form)
            Copy of current resume or CV including history as Clinical Instructor
            Clinical Objectives
  ARRIVAL DATE:                                COMPLETION DATE:

(Print Full Name)                                            PHONE #             Unit

  A copy of this form, your license and the course objectives go to the Unit
  Manager. All originals of the required documentation listed above must go to
  Educational Services.
   Saint Joseph Health System Automated Dispensing Cabinet User
                         [ ] Saint Joseph Hospital [ ] Saint Joseph East
                      [ ] Continuing Care Hospital [ ] Saint Joseph Berea

EMPLOYEE NAME____________________, ____________________, ______
                                      Last                     First          Middle Initial
UNIT                SHIFT

Check your appropriate position:
  Registered Nurse                            Registered Nurse Applicant
  LPN                                         Physician
  Patient Care Tech (OR tech, Rad Tech,       House Administrator
  Agency Nurse – Per Diem                     Other- Specify:
  Agency Nurse – Specify Contract Expiration Date:
  Instructor – Specify Expiration Date:

                            Password Verification Statement
                        for the Automated Dispensing Cabinets
I understand that my password, in combination with my User ID code, will be my electronic
signature for all transactions to the Automated Dispensing Cabinets (ADC). All of my
transactions on the ADC will be permanently recorded with my User ID and a time stamp and
date. These records will be maintained and archived as per the policies of the hospital and will
be available for inspection by the Drug Enforcement Agency (DEA), the State Board of Nursing,
and the State Board of Pharmacy, as is presently done with my hand written signature for
controlled substance records.
I also understand that to maintain the integrity of my electronic signature, I must not give my
password to any other individual. Sharing of passwords will result in disciplinary action, up to
and including termination.

(signature of Automated Dispensing Cabinet user)                  (date)

(please print full name)

Access authorized by: _________________________ Date: __________
                 (Nursing Manager/Education Coordinator)

USER ID:                   __ USER INACTIVE DATE: ___________

Entered by:________________ Date entered:__________
Revised 3/02, 9/05, 6/07,6/08
                       Medication Errors and Dangerous Abbreviations

A major cause of medication errors is the use of dangerous abbreviations and dose
expressions. Underlying factors contributing to many of these errors are illegible or
confusing handwriting by clinicians. The SJHS Patient Safety Committee has
determined that several abbreviations and dose expressions are unacceptable. This
action is in concordance with recommendations of the Joint Commission on the
Accreditation of Health Care Organizations (JCAHO) 1 and the Institute of Safe
Medication Practices (ISMP)2.

BANNED                                REASON                                SJHC STANDARDS
Do not use ―U‖ as an abbreviation     ―U‖ can be confused with ―0‖ or       Write out the word “units”
for ―units‖                           ―4‖
Do not use ―ug‖ to indicate           Misinterpreted as ―mg‖                Write “mcg” for microgram.
Do not use trailing zeros             Potential for ten-fold dosing         Write numerals as 2 mg, not 2.0
                                      errors                                mg.
Do not use ―naked‖ decimals           Potential for ten-fold dosing         Write numerals as 0.1 mcg, not .1
                                      errors                                mcg
Do not use ―IU‖ (for international    Mistaken as IV (intravenous or        Write “international unit”
unit)                                 10 (ten)
Do not use ―Q.D.‖ or ―Q.O.D.‖         The period after Q can be             Write “daily” and “every other
(Latin for once daily and every       mistaken for an ―i‖ as in q.i.d.,     day”
other                                 and the O can be mistaken for ―i‖
day, respectively)
Do not use ―T.I.W.‖ (for three        Mistaken for three times a day or     Write “three times weekly” “3
times a week)                         twice weekly                          times weekly”
Do note use ―c.c‖ or ―c‖ (for cubic   Mistaken for U (units) when           Write “ml” for milliliters
centimeter)                           poorly written
Do not use ―L‖ for left and ―R‖ for   Mistaken for each other               Spell out the words “left” and
right                                                                       “right” on specimens, orders,
                                                                            consents, and schedules.

    JCAHO Sentinel Event Alert, Issue 23, September 2001, available at www.jcaho.org
    ISMP Medication Safety Alert, available at www.ismp.org
                       Unit / Department Manager Contact List

    Department             Name                   E-Mail Address            Phone
     OR (SJH)          Jody Smejkal            smejkjs@sjhlex.org          313-1586
      OR (SJE)        Tiffany Lowther           lowthet@sjhlex.org         967-5668
   PACU (SJH)           Holly Moore           mooreha@sjhlex.org           313-1245
 PACU/SDS(SJE)            Lee Clark            leeclark@sjhlex.org         967-5401
     OPS (SJH)       Sherry Simmons          simmonsp@shlex.org            313-1760
   2 East (SJH)        Anna Roehm           annaroehm@sjhlex.org           313-1731
   3 East (SJH)      Rosemary Dailey           daileyrc@sjhlex.org         313-4651
   3rd Tele (SJE)       Becky Rose            brownbe@sjhlex.org           967-5696
      3A (SJH)        Lesly Arrasmith        larrasmith@sjhlex.org         313-1516
      3B (SJH)       Becky Peterson            petersrl@sjhlex.org         313-2731
      4A (SJH)          Pat Jessen            jessenpr@sjhlex.org          313-1946
     4IC (SJH)             Vacant                                          313-2765
      5A (SJH)         Sherry Mason           masons@sjhlex.org            313-3053
      5B (SJH)         Trena Stocker     trenastocker@catholichealth.net   313-1948
    6-Onc (SJH)      Georgia Bowman           GBowman@sjhlex.org           313-1406
   4th M/S (SJE)       Dianna Davis          diannadavis@sjhlex.org        967-5717
PRNU/Endo (SJH)           Eric Little    vernonlittle@catholichealth.net   313-2050
PRNU/Endo (SJE)           Eric Little    vernonlittle@catholichealth.net   967-5618
 ICU-N&S (SJH)         Tricia Powers           ppowers@sjhlex.org          313-1624
        3-ICU        Darren Meunier       michaelmeunier@sjhlex.org        313-3389
     ICU (SJE)         Laura Hanley          laurahanley@sjhlex.org        967-5691
     CCU (SJH)      Melissa Richardson         richardm@sjhlex.org         313-2043
    CTVU (SJH)         Brian Merrick        brianmerrick@sjhlex.org        313-1904
      ED (SJH)            Kelly Ray             kellyray@sjhlex.org        313-4680
      ED (SJE)          Patti Creed            creedpa@sjhlex.org          967-5792
      ED (SJJ)         Dan Andrews         danielandrews@sjhlex.org        887-6760
 NBN/NICU(SJE)        Vicki Stephens       vickiestephens@sjhlex.org       967-5089
  L&D/PP (SJE)       Carol O’Connell       carolo’connell@sjhlex.org       967-5642
   Home Health         Cher Bradley            BradleyC@sjhlex.org         313-2650
  Cath Lab (SJH)     Shannon Evans         shannonevans@sjhlex.org         313-1141
  Cath Lab (SJE)         Paula Fox               foxpa@sjhlex.org          967-5223
CCH (SJH & SJE)      Regina Masters        reginamasters@sjhlex.org        967-5248
 Radiology (SJH)      Cassie Overby             ovebycj@sjhlex.org         313-4640
 Radiology (SJE)      Sheila Roberts        sheilaroberts@sjhlex.org       967-5200
 Pharmacy (SJH)       Marla Whitaker          mwhitaker@sjhlex.org         313-2056
     Chaplaincy       Barbara Means        barbarameans@sjhlex.org         313-1242
 Rehab Services      Vickie Heierman          vheierman@sjhlex.org         313-1068
 Respiratory Care     Marlene Riggle            rigglem@sjhlex.org         313-1602
                                     Clinical Educator List

        Department                Name                E-Mail Address          Phone
ICU N&S, CCU, 3-ICU, 2E,       Karen Cooper         cooperk@sjhlex.org       313-2794
    SJE Tele, SJE M/S
 CTVU, 3E, 4IC, SJE ICU,       Cheryl Watson        watsoncl@sjhlex.org      313-1190
         SJE Tele
 2E, 4IC, 5A, SJE 3rd Floor       Vacant
3A, 3B, 4A, 5A, 5B, 6-Onc,    Tracey McFarland      mcfarltm@sjhlex.org      313-2257
      Women’s Care              Elaine Smith       elainesmith@sjhlex.org    967-2263
     SJH, SJE, SJJ ED         Chrystal Hackney      hacknecb@sjhlex.org      313-4935
  Cath Lab/Heart Institute    Margaret Kramer       kramerms@sjhlex.org      313-5052
          OR SJH              Melody Edwards     melodyedwards@sjhlex.org    313-2135
  Endo, PRNU & OR SJE         Danielle Thomas    daniellethomas@sjhlex.org   967-5320
    SJE M/S, ICU, Tele              TBA
                             Student/Faculty Parking

SJH Main Campus:
Parking for students and faculty is located in the PARKING GARAGE behind the 700
Bob-O-Link building (Lexington Clinic Sports Medicine). The roof level of the garage
connects to Building D of the SJHS Office Park via a pedway. Continue to take this
pedway around to Building A where it connects to the first floor of the hospital near the

Outside street level parking adjacent to Building D is reserved for patients only!

SJE Campus:
Please park in the employee parking lot located off of Blazer Drive and to the left.
Saint Joseph Health System


                           Acknowledgment of Orientation

I have read the orientation handbook and received additional information and
instruction, as it pertains to my assignment, about SJHS policy, procedure, and practice.
I have read through faculty orientation via the SJHS website, completed the unit
orientation, and am aware of the policies, procedures and resources available at SJHS.

I have read and agree to abide by the Behavioral Standards and Patient Confidentiality

I understand the expectations, and I agree to abide by Hospital policy, protocols, and
standards of practice during by assignment at SJHS.

Name: _____________________________________ Date: _____________________
     (Faculty signature)

Dates/Times on Unit: ________________________

This form must be returned with the appropriate signatures to:

Margie Fuller, BSN, RN
Educational Services
Saint Joseph Health System
1451 Harrodsburg Road
Building D, Suite 402
Lexington, KY 40504
Fax: 859/313-3104

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