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HIPPA/OSHA
What you need to know for NCH
• What does HIPPA stand for?
• When was HIPPA created?
• Involves privacy to all patients, and security
for electronic billing.
– Increases patient rights
– Provider responsibilities
• Re: health care info
• Benefits:
– Reduces inappropriate use of and the disclosure
of information.
– Patients learn of their rights.
– Includes Disclosure Rights (who get the info)
• Must have a signed authorization
SN – How Does This Affect You?
• Be careful of who you
give info to.
– Never assume it is the
parent or legal guardian
in the child’s room or on
the phone.
– Ask who you are
speaking to and identify
carefully visitors in
patient rooms.
– Don’t look up info on
computers
Your Role in HIPPA
• Use info carefully.
• Verify the identity of
any person seeking
info.
• Report any violations
to instructor or
compliance officer.
• Be sure to shred old
worksheets
• No printing of any
patient information.
HIPPA Violations
•Doctor - suspended for
two weeks and
completed further HIPPA
training.
•Unit secretary - fired.
Protected Info
Includes the following:
•
•
•
•
•
Name
Social Security Number
Dates of Service
License Number
Birthday
• Diagnosis
(including pictures)
• Test Results
• Meds
Who gets the info?
•
•
•
•
Parents/Legal Guardians
NCH it is complicated
Use of Code Word
Be extra careful - so
many visitors (aunts,
uncles, siblings,
grandparents)
Your Role
• Never share your password/log off
• Be careful in casual conversations
• All policies are on intranet
Is It Reasonable?
• It helps us get our work done and protects patients
but it has it’s disadvantages.
• Disabled
• Long distance
• Caring neighbors, etc
• Be sure to refer to parents for info.
• Occupational Safety and Health
Administration
• Formed in 1970’s to protect employees in the
work place.
• No eating, drinking, or applying cosmetics
(even chapstick) in patient care areas.
– Includes nurses station, hallways,etc
– No artificial nails, including gel nails
– No painted nails
• Protective gear in
patient rooms.
• Wear gloves always
• Report all blood/body
fluid spills
• Infection Control
• Signs outside patient
rooms-contact, droplet,
etc
• Red bags for infectious
waste
Handwashing
• The best way to prevent infection
o How long?
o Use gel or soap
o At NCH it is a must!
o Gel in/Gel out EVERY time:
Between procedures
No gloves on computers
NO SMOKING
• This is a no brainer for most of us, but NCH
allows no smoking anywhere on campus.
– Mt Carmel SN’s
Requirements
• All SN’s must have flu shot and annual TB
testing
• If an incident occurs-must fill out computer
report and it is a big deal!
– Be careful
SECURITY
• Escort/shuttle services
• Dangerous Area
• 722-2128
Safety
• Safety: SAFE
–
–
–
–
Secure
Alert
Foil
Educate
• Fire: RACE
–
–
–
–
o
Rescue
Alarm
Contain
Evacuate
Code red 23333
SAFETY
• Know where alarms and extinguishers are on
your unit.
– PASS
•
•
•
•
Pull the pin
Aim at the fire base
Squeeze the handle
Sweep from side to side
SAFETY
• Severe Weather:
– Tornado Watch-Possible
• Close all blinds and doors
– Tornado Warning-Spotted
• Evacuate to halls
SAFETY
•
•
•
•
•
•
•
•
Code Adam
Social Networks
Code Grey
Code Black
Medical Assist
ACT
Code Blue
Abandoned Newborn
Safety
•
•
•
•
•
Moving children
Side rails
Lines (IV’s, cords, feeding tubes, etc )
Choking hazards
Medications