Culture of Safety

2006 Non-Clinical Safety Program
(Based on Quality/Risk slide presentation 2006)

  • Focus on preventable medical errors
  • Focus on reporting close calls, unsafe incidents, unsafe conditions- not about blame
  • All incidents must be reported to volunteer's dept. supervisor and/or volunteer coordinator.
  • An Incident Report must be completed by staff. Volunteers report information to staff who will write the report.
  • All volunteers are obligated to report anything that is unsafe to appropriate staff.
  • All volunteers are part of the safety team.
  • "If a staff member has safety or quality of care concerns at Centennial Medical Center, they may report these concerns to the Joint Commission, without fear of disciplinary action being taken." –Trudi Lovinski, Director of Quality and Risk
  • Joint Commission is online under Joint Commission
  • Joint Commission annual safety goals e.g. orange bands and stars to identify patients with high risk for falls in order to reduce falls; follow proper hand washing and do not volunteer when sick to reduce patient's risk of healthcare acquired infections

CMC Safety Review 2012

  • Hand Washing - The most important infection control measure. Wash 10-15 seconds, all surfaces of hands, rinse and dry. Wash in-between all patients before and after enter room.
  • Right to Know - This is the OSHA law that says you have the right to know of any chemicals that you work with and their hazards. Each chemical has its own MSDS (Material Safety Data Sheet) to describe hazards and clean up for a spill.
  • Report to Supervisor, Security or Operator - This is the first step in response to any issue you encounter.
  • Safety Team - We are all part of Centennial's safety team and it is our responsibility to report anything unsafe.
  • Confidentiality - Everything you learn about a patient and any identifiable information about a patient must be kept confidential by law (HIPAA) and is on a need-to-know basis for your job.
  • Do not volunteer if you are sick, getting sick or contagious.
  • Orange Armbands or Stars on Doors - Means patient is a high risk for falls and volunteers will check with staff before assisting these patients.
  • No Lifting Patients - Volunteers will not lift patients and bear their weight; get staff.
  • No Transporting Lab Specimens - Volunteers will not carry lab specimens.
  • Do not enter isolation/precaution patient rooms - Volunteers should not enter isolation/precaution patient rooms. Look for signs. Ask staff if any help is needed.

CMC Emergency Codes

Code Delta - Disaster (internal and external)-Overhead Announcement-Follow Instructions. Remain in your volunteer location unless instructed to assist in a gathering location.

Code Pink - Infant/Child Abduction-Announcement "Code Pink + Gender + Age". If you see anything suspicious, call Security at 342-2844. You may be asked to monitor an exit, stairway or elevator.
Secure all exits. Check area for people with objects (bags, cases, coats and carts) large enough to smuggle infants or children out of the building. Report results of search to Security at 2844.

Code Silver - Active Shooter - When an active shooter is in your vicinity, quickly determine the most reasonable way to protect your life. Response to active shooter is RUN, HIDE, FIGHT.

Code Red - Fire - R.A.C.E.

R-Rescue - anyone in immediate danger
A-Alarm - sound the alarm at nearest pull station
C-Contain - all corridor doors should be closed
E-Evacuate - assist with evacuation process

  Download the Culture of Safety document

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