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Occupancy Manual YOUR GUIDE TO THE NEW MISSION BERNAL CAMPUS Occupancy Manual | i Information deemed reliable thru March 2019 © Sutter Health June 2018 i | Occupancy Manual Welcome to the New Mission Bernal Campus We hope you are as excited as we are to begin work at Mission Bernal campus! This detailed Occupancy Manual is designed to be your “go-to guide” to help orient you to our new campus. Retaining the “heart” of what we do The opening of the new Mission Bernal campus is the culmination of years of hard work, commitment and anticipation. It will continue the legacy of being the neighborhood hospital in the Mission District and retain the “heart” that has made St. Luke’s special for patients, staff, physicians and volunteers alike. Balancing safety, comfort and sustainability The new building balances the safety and technical needs of staff, physicians, and volunteers with the comfort and safety of our patients. The modernized campus is seismically safe and certified as Leadership in Energy and Environmental Design (LEED), a globally-recognized symbol of sustainability. The layout of the building is built with a front of house (on stage) and back of the house (off stage) concept. Front of the house refers to all areas that patients and visitors will see, and where we are “on stage” and help create a positive environment for our patients and visitors. Back of house includes staff only hallways and elevators. This design will help us put our best foot forward. Mission Bernal Campus will open on August 25, 2018. We are so pleased to be able to create the next generation in healthcare services for San Francisco. -Your CPMC Leadership and New Hospital Transition Team Occupancy Manual | ii Table of Contents General Safety and Security Equipment and Furnishing Important Contacts. . . . . . . . . . . . . . . . . . . . . . . . X Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Ergonomics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Building Hours and Entrances . . . . . . . . . . . . . . . X Emergency Department . . . . . . . . . . . . . . . . . . . . X Office Space & Furniture. . . . . . . . . . . . . . . . . . . . X Badges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Door Alarms & Stairwell Access . . . . . . . . . . . . . X Kronos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Elevator Usage . . . . . . . . . . . . . . . . . . . . . . . . . . . X Crash Carts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Staff Lockers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Automated External Defibrillator (AED). . . . . . . . . X Multi-Function Printers . . . . . . . . . . . . . . . . . . . . . X Shared Spaces. . . . . . . . . . . . . . . . . . . . . . . . . . . X Crisis Management . . . . . . . . . . . . . . . . . . . . . . . X Fax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Conference Room Reservations. . . . . . . . . . . . . . X Emergency Operations Plan (EOP) . . . . . . . . . . . X PBX and Telephone Operating System. . . . . . . . . X Conference Rooms. . . . . . . . . . . . . . . . . . . . . . . . X Hospital Command Center. . . . . . . . . . . . . . . . . . X HIPAA – Confidential Document Containers . . . . X Department and Divisions by Floor . . . . . . . . . . . X Communications in Disaster. . . . . . . . . . . . . . . . . X Sustainable Waste Removal . . . . . . . . . . . . . . . . X LEED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Fire Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Wayfinding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Building Reminders. . . . . . . . . . . . . . . . . . . . . . . . X Emergency Codes. . . . . . . . . . . . . . . . . . . . . . . . . X Vocera. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Injuries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Nurse Call System. . . . . . . . . . . . . . . . . . . . . . . . . X Workplace Violence . . . . . . . . . . . . . . . . . . . . . . . X Temperature Monitoring . . . . . . . . . . . . . . . . . . . . X MRI Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Patient Lift System and Mobile Lifts. . . . . . . . . . . X ADA Information . . . . . . . . . . . . . . . . . . . . . . . . . . X Pneumatic Tube System. . . . . . . . . . . . . . . . . . . . X Parking & Transportation Public Transportation . . . . . . . . . . . . . . . . . . . . . . X CPMC Shuttle Schedule and Routes. . . . . . . . . . X Parking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X • Staff Parking . . . . . . . . . . . . . . . . . . . . . . . . . . . X Hand Hygiene. . . . . . . . . . . . . . . . . . . . . . . . . . . . X Service Dogs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . X • Visitor Parking. . . . . . . . . . . . . . . . . . . . . . . . . . X Services Support Services . . . . . . . . . . . . . . . . . . . . . . . . . X Department Phone Directory . . . . . . . . . . . . . . . . X Volunteers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Spiritual Care and Chaplaincy Services. . . . . . . . X Interpreters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Respiratory Etiquette . . . . . . . . . . . . . . . . . . . . . . X Wheelchairs and Gurneys. . . . . . . . . . . . . . . . . . . X Lost and Found. . . . . . . . . . . . . . . . . . . . . . . . . . . X Patient Relations. . . . . . . . . . . . . . . . . . . . . . . . . . X Newborn Connections . . . . . . . . . . . . . . . . . . . . . x iii | Occupancy Manual Supplies and Restocking Loading Dock / Deliveries. . . . . . . . . . . . . . . . . . . x Amenities Supply Chain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . x Information Desks. . . . . . . . . . . . . . . . . . . . . . . . . X Supply Chain and Medical Gas Area . . . . . . . . . . x Waiting Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Supply Chain Stat Request. . . . . . . . . . . . . . . . . . x Restrooms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x Bicycle Locker & Showers . . . . . . . . . . . . . . . . . . X Equipment Cleaning . . . . . . . . . . . . . . . . . . . . . . . x Water Bottle Refilling Stations . . . . . . . . . . . . . . . X Aeroscout Asset Management. . . . . . . . . . . . . . . x Dining Services. . . . . . . . . . . . . . . . . . . . . . . . . . . X Staff Duress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x Catering Services . . . . . . . . . . . . . . . . . . . . . . . . . X Durable Medical Equipment (DME). . . . . . . . . . . . x Room Reservation. . . . . . . . . . . . . . . . . . . . . . . . . X Linen Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . x Patient Entertainment. . . . . . . . . . . . . . . . . . . . . . X How to Order Forms and Brochures. . . . . . . . . . . x Lactation Lounges . . . . . . . . . . . . . . . . . . . . . . . . X Ambassador Services Suite . . . . . . . . . . . . . . . . . X Guest Internet Access. . . . . . . . . . . . . . . . . . . . . . X GENERAL BUILDING INFORMATION Occupancy Manual • General Building Information | 1 Telephone Numbers Emergency. . . . . . . . . . . . . . . . . . . . 415-641-6625 Main Hospital. . . . . . . . . . . . . . . . . . 415-600-6000 Security . . . . . . . . . . . . . . . . . . . . . . 415-600-0837 General Information Telephone Numbers Hours and Entrances Badges Elevators Lockers Shared Spaces Conference Rooms Department Divisions LEED Reminders 2 | Occupancy Manual • General Building Information Abuse Hotline (Adult). . . . . . . . . . . . . 800-814-0009 Abuse Hotline (Child). . . . . . . . . . . . . 800-856-5553 Admitting. . . . . . . . . . . . . . . . . . . . . . 415-641-6951 Administration. . . . . . . . . . . . . . . . . . 415-641-6536 Ambassador Suite. . . . . . . . . . . . . . . 415-600-2600 Bed Control. . . . . . . . . . . . . . . . . . . . 415-850-7123 Breast Health. . . . . . . . . . . . . . . . . . . 415-641-6545 Cashier . . . . . . . . . . . . . . . . . . . . . . . 415-641-3333 Cardiac Cath Lab . . . . . . . . . . . . . . . 415-600-5990 Cardiology (Non-Invasive) . . . . . . . . . . . . . 415-641-6570 Case Management . . . . . . . . . . . . . . 415-641-6534 Central Distribution. . . . . . . . . . . . . . 415-641-6626 Chaplain . . . . . . . . . . . . . . . . . . . . . . 415-641-6527 Clinical Lab . . . . . . . . . . . . . . . . . . . . 415-641-6533 CT . . . . . . . . . . . . . . . . . . . . . . . . . . . 415-641-6545 Diabetes Center. . . . . . . . . . . . . . . . . 415-600-0506 Dialysis (in-patient) . . . . . . . . . . . . . . 415-641-3427 Emergency. . . . . . . . . . . . . . . . . . . . . 415-641-6625 ER Registration. . . . . . . . . . . . . . . . . 415-641-6698 Food & Nutrition . . . . . . . . . . . . . . . . 415-641-6594 Hospitalists . . . . . . . . . . . . . . . . . . . . 415-912-8469 Imaging . . . . . . . . . . . . . . . . . . . . . . . 415-641-6545 Information/Lobby. . . . . . . . . . . . . . . 415-641-6512 Information Services. . . . . . . . . . . . . 888-888-6044 Interpreter Services. . . . . . . . . . . . . . 415-600-1077 Main Hospital . . . . . . . . . . . . . . . . . . 415-600-6000 Medical Staff Office. . . . . . . . . . . . . . 415-600-6285 Medical Records. . . . . . . . . . . . . . . . 415-641-6515 MRI . . . . . . . . . . . . . . . . . . . . . . . . . . 415-641-6545 Newborn Connections. . . . . . . . . . . . 415-600-2229 Nursing Admin. . . . . . . . . . . . . . . . . . 415-641-6536 Occupational Therapy. . . . . . . . . . . . 415-641-6560 Outpatient Surgery . . . . . . . . . . . . . . 415-641-6889 Patient Relations. . . . . . . . . . . . . . . . 415-600-6634 Pharmacy . . . . . . . . . . . . . . . . . . . . . 415-641-6505 PT/OT/ST. . . . . . . . . . . . . . . . . . . . . . 415-641-6560 Respiratory Therapy . . . . . . . . . . . . . 415-641-6565 Security. . . . . . . . . . . . . . . . . . . . . . . 415-600-0837 Support Services. . . . . . . . . . . . . . . . 415-600-7900 Volunteer Services. . . . . . . . . . . . . . . 415-641-6490 Nursing Stations 3rd Floor ACU. . . . . . . . . . . . . . . . . . 3rd Floor OR . . . . . . . . . . . . . . . . . . . 3rd Floor PACU. . . . . . . . . . . . . . . . . 4th Floor ICU. . . . . . . . . . . . . . . . . . . 4th Floor PCU . . . . . . . . . . . . . . . . . . 5th Floor Med Surg. . . . . . . . . . . . . . 6th Floor Med Surg. . . . . . . . . . . . . . 7th Floor L&D . . . . . . . . . . . . . . . . . . 7th Floor Nursery. . . . . . . . . . . . . . . . 7th Floor Postpartum . . . . . . . . . . . . 415-641-6889 415-641-6635 415-641-6638 415-641-6612 415-641-6610 415-641-6690 415-641-6710 415-641-6630 415-641-6655 415-641-6650 Hours of Operation Cesar Chavez Entrance 7am–7pm Everyday Badge after hours 27th St. Plaza Entrance 24 hours a day Open Everyday Emergency Entrance 24 hours a day Open Everyday Cafeteria 1st Floor 6:30am–6:30pm Monday–Friday Closed on weekends Closed after hours Mail Room 1912 Building 24 hours a day Open Everyday Peet’s Coffee Cart Monteagle Building 7:30am–3pm Monday–Friday Closed on weekends Walgreens Pharmacy Monteagle Building 9am–6pm Monday–Friday Closed on weekends Newborn Connections Monteagle Building 9am - 6pm Monday–Thursday 9am - 4pm Friday Closed on weekends Loading Dock/ Delivery Hours 5am–8pm Monday–Friday Other hours by appointment only Cesar Chavez Blvd Main Hospital Valencia St Plaza Guerrero St 1970 Building 1957 Building 1580 Valencia St 1912 Building Monteagle Building 27th St Hartzell Building Parking Garage ADA Entrance Entrance ER Entrance Public Transit Occupancy Manual • General Building Information | 3 Visitor Badges Visitors and vendors who are coming to the hospital will be required to wear Visitor Badges between 8 pm and 7 am. They may sign-in and receive badges at the Security Desk on Floor 2 Photo identification is required for those 18 years and older. Children without an ID will also receive a badge as long as they are accompanied by an adult. Patients/visitors going to appointments in the Medical Office Building will not require a badge. If someone needs assistance to enter the building Should an individual arrive after hours at the Cesar Chavez St. entrance and need assistance (ADA accommodation), he/she should use the phone at the entrance to contact Security. A security officer will then assist the individual into the building. Personnel Identification Badges General Entry Examples: Providers, staff and volunteers must wear their hospital Badge Access identification badges while on campus. Badges are All exterior doors with card readers required for identification and to gain access to nonAll back of house space (hallways, etc.) public areas and devices. Multidisciplinary / Conference Rooms Staff must tap their badge to the respective device, to Consult Rooms activate the corresponding system. Bicycle Storage Registry staff is required to show registry ID before Locker Rooms being issued a badge. Hospital issued badges must be Emergency Department return to the charge nurse at the end of the shift. Imaging Entrance Internal stairwells may be used for exiting the Patient Floors (unless otherwise specified) building; however badge access is required on the ground floor for re-entry. Service elevators You will need your badge if you are moving from one floor to another. Do not let anyone use your badge. Pay attention to your surroundings when badging in and ensure that no one enters behind you. If you forgot your badge, please go to the Security Desk for a temporary badge. Restricted Area Examples: Badge Clearance Required Administrative Suite Admitting Biomedical Engineering Clean/Soil Utility Room Clinical Lab Food & Nutrition Area Materials Mgmt/Supply Chain Medical Equipment Rooms General Information Telephone Numbers Hours and Entrances Badges Elevators Lockers Medrooms Morgue MRI Suites Nourishment Rooms Shared Spaces Nursery/SCN Conference Rooms PBX Department Divisions LEED Pharmacy Reminders PT/OT Area Security SPD, OR, PACU/ACU 4 | Occupancy Manual • General Building Information Elevators Staff Lockers Shared Spaces There are two sets of elevators on the campus. Please yield to patients being transported. Lockers are available for staff use in department areas (see table below). Mission Bernal is designed as a shared work space. Four public (green) elevators are available for patients and visitors. Badge access is not required. All lockers will be day use only, unless otherwise designated by management. Three transport/service (orange) elevators are for staff, volunteers and patient transport. Badge access is required to activate elevator. Lockers accept padlocks and are two or three high. Department managers are responsible for handling locker buddy assignments and distribution. Department Lockers Cesar Chavez Entrance Public Lobby Location Pharmacy Floor 1 Kitchen Floor 1 Materials Mgmt, EVS, Biomed, Engineering Floor 1 Emergency Department Floor 2 Imaging Floor 2 Surgery, Prep/Recovery, PACU, CSPD Floor 3 Service Elevators Public Elevators Lab Floor 3 ICU Floor 4 Med/Surg Floors 4, 5, 6 Respiratory Therapy Floor 4 LDR Floor 7 Multi-disciplinary workrooms are conferencestyle type rooms on patient care floors. These rooms accommodate ten people sitting around a rectangular conference table and may be used for small group meetings, education sessions, and so forth. The rooms are equipped with a large wall monitor and teleconferencing. Inter-disciplinary workrooms are individual computer workstations in a shared workroom environment. Workstations are not to be “claimed” for any specific individual use. Practice shared workspace etiquette; keep the volume down, no eating and clean up after yourself. Consult rooms are designed for providers to have private conversations with patient family member(s) and significant others. Rooms may be locked; request keys from the charge nurse. Please clean the room after every use. Family rooms are public areas for family members to sit and gather, outside the patient room. There are two On-Call rooms, 5361 or 5359, available for scheduling. Contact Support Services at 415-6007900 or use the Online Room Scheduling Portal at http://dcpwdbs405/virtualems/ to reserve a room up to a week in advance. Same day or after-hours requests can be directed to the hospital Operator or the Nursing Supervisor. Staff Lounges are for non-physician staff. Nursing staff is responsible for cleaning the coffee maker. Occupancy Manual • General Building Information | 5 Conference Room Reservations Conference Rooms There are conference rooms on the 1 and 2 floors, available for hospital and public use. Conference Rooms A & B (1st floor) and Room 2910 (2nd floor).To reserve a conference room, go to the online room scheduling portal at http://dcpwdbs405/virtualems/. Conference rooms are available on the patient care floors for patient care team use. st nd Each room is equipped with large monitors and teleconferencing. Rooms will be locked after hours, by Security, and re-opened by Security. There will be video displays outside of these rooms that will provide meeting schedules. Floor conference rooms are dedicated to the floor. Oversight and scheduling of these rooms lie with the Nurse Manager. In general, these can be used for small classes, inservices, and department meetings. Department and Divisions by Floor Mission Bernal Campus is a seven-story, 120 bed, full service medical center with an emergency department and supporting services, including imaging services, and laboratory. The building is thoughtfully designed to enhance patient comfort, be environmentally conscience, seismically safe, and support current and future technologies. A department phone directory is on page 2. Floor 7 Post Partum (14) Telephone Numbers LDRP (6) C-Section (2) Nursery Floor 6 Med-Surg (34) Non-Invasive Cardiology (IP) Floor 5 Med-Surg / ACE (34) PT/OT/SP Floor 4 General Information Antepartum (2) ICU (10) Floor 3 Surgery (5) PACU(8) Floor 2 ED (16) Patient Access Floor 1 Loading Dock / Mat Mngt EVS, Plant Ops, Biomed Med-Surg (20) ACU (12) Clinical Lab Nursing Admin Ambassador Suite Hours and Entrances Badges Elevators Lockers Shared Spaces Conference Rooms Department Divisions LEED Reminders 6 | Occupancy Manual • General Building Information Meditation Area Pharmacy Conference (24/24, seated) Imaging [CT (1), MRI (1), U/S (2), Xray (1)/Fluoro (1), Dexa (1)] Physician Dining Kitchen / Cafeteria Conference Room B Conference Room A First Floor Main Areas Cesar Chavez Entrance Bicycle Storage Biomed Cafeteria Cesar Chavez Entrance Central Distribution Conference Rooms A & B Security Loading Dock EVS Volunteer Loading Dock Locker Rooms & Showers Public Lobby Pharmacy Physicians Dining/Lounge Central Distribution PBX Public Public Elevators Morgue Limited Cafeteria Guest Restroom Staff Restroom Food & Nutrition Services Pharmacy EVS Engineering MD Dining Lounge Water Fountain KRONOS Service Elevators Biomedical Engineering Lockers & Showers Bike Public Elevators Occupancy Manual • General Building Information | 7 Second Floor Main Areas 27th Entrance ER Entrance Ambulance Entrance Imaging Conference Room Ultra Sound Admitting/Cashier/Request of Information Rad Gown Wait Radiology Rad/Fluoro Nurse Work Area Patient 2C Holding Information Desk Meditation Room Reception MRI Vending Machines CT Scan Equip Storage Emergency Water Meditation Room Waiting Area Staff Lounge Treatment Equip Public Office Limited Guest Restroom Staff Restroom Nourish Treatment Cardiac Water Fountain General Information Telephone Numbers Hours and Entrances Badges Elevators Lockers KRONOS Trauma Service Elevators Public Elevators Shared Spaces Conference Rooms Decon Shower Physcn Wr Rm Equip Storage Nurse Station 2B Soiled Wk Rm Clean Storage Med Prep Physician Charting Infection Isolation LEED 8 | Occupancy Manual • General Building Information Vending Public Elevators Info Desk Admitting/ Cashier/ROI Peds Treatmnt Waiting Area Triage 27th St Plaza Entrance Security Desk Department Divisions Reminders Nurse Station 2A Treatment Ambulance Entrance Emergency ER Entrance PACU Staff Lounge ACU Third Floor Main Areas Ambulatory Care Unit (ACU) Operating Rooms Nurse Station 3A Soiled Med Work Room Prep Clean Storage Post Anesthesia Care Unit (PACU) Nurse Station 3B Sterile Processing ACU Equip Room Nursing Administration Nurse Station 3C Ambassador Services Clinical Lab/Blood Bank ACU Equip Room Staff Lounge Operating Room 1 Staff Lockers Nurse Control Check-in Operating Room 2 Staff Lockers Public Anesthesia Operating Room 3 Operating Room 4 ACU Waiting Area Equip Room Minor Procedure Limited Guest Restroom Pathology Freezer Section Staff Restroom Nursing Admin Water Fountain Offices KRONOS Operating Room 5 Ambassador Services Suite Decontamination Service Elevators Public Elevators Cart Staging Prep/Pack Clinical Lab / Blood Bank Occupancy Manual • General Building Information | 9 Fourth Floor Main Areas Intensive Care Unit (ICU) - 10 Beds Conf. Room Patient Rm ICU Progressive Care Unit (PCU) - 20 Beds Respiratory Care Call Room Nurse Station 4E Patient Rm ICU Public Patient Rm ICU, Airborne Limited Guest Restroom Hours and Entrances Badges Elevators Lockers Shared Spaces Conference Rooms Department Divisions Public Elevators Patient Rm PCU Nurse Station 4C Respiratory Care PCU Wait Room Conf. Room KRONOS Service Elevators Work Room Nourish Soiled Work Rm Technology Room Water Fountain Telephone Numbers Clean Storage ICU Wait Room Staff Restroom General Information Nurse Station 4D Patient Rm PCU Patient Rm PCU Nourish Soiled Consult Nurse Med Clean Equip Station 4B Prep Storage Storage DME Patient Rm PCU 10 | Occupancy Manual • General Building Information Work Room Nurse Station 4A Staff Lounge LEED Reminders Staff Lounge Conf. Room Patient Rm M/S Fifth Floor Main Areas Med/Surg - 34 Beds PT/OT Exercise Room Dialysis Workroom Patient Rm M/S Airborne PT/OT Exercise Room Nourish Med Prep Nurse Station 5B Patient Rm M/S Work Room Offices Dialysis Work Room Patient Rm M/S Lockers Equip Room Staff Lounge Public Activity Room Limited Wait Room Gurney Shower On Call Rooms Nurse Station 5A Lactation Lounge Guest Restroom Staff Restroom Water Fountain KRONOS Service Elevators Patient Rm M/S Physician Workroom Soiled Workroom Equip Storage Clean Storage Equip Room Public Elevators Nourishment Patient Rm M/S DME Patient Rm M/S Occupancy Manual • General Building Information | 11 Sixth Floor Main Areas Med/Surg - 34 Beds Non-Invasive Cardiology (Inpatient) Ante Room Ante Room Airborne Infection Tech Stress WkRm Test Office Dietitian Non-Invasive Cardiology Nourish Med Prep Work Room Nurse Bed Station Storage Soiled 6B Work Room Patient Rm M/S Equip Storage Patient Rm M/S Lockers Equip Room Public Conf. Room Patient Rm M/S Staff Lounge Conf. Room Limited Guest Restroom Nurse Station 6A Staff Restroom Water Fountain General Information Telephone Numbers Hours and Entrances Badges Elevators Lockers Shared Spaces Conference Rooms Work Room KRONOS Med Prep Clean Storage Service Elevators Public Elevators Patient Rm M/S Physician Workroom Soiled Workroom Department Divisions Equip Room LEED Reminders DME Equip Storage 12 | Occupancy Manual • General Building Information Wait Room Patient Rm M/S Nourish Patient Rm M/S Seventh Floor Main Areas Conf. Room Patient Rooms Post Partum Antepartum/Postpartum - 16 Beds C-Section Labor and Delivery - 6 Beds Special Care - 4 Beds Nurse Station 7C Patient Rooms Post Partum Lactation Consulting Nursery & Special Care Well Baby Nursery - 4 Beds Nurse Station 7D Equip Storage Soiled Workroom Patient Rooms Post Partum OB Triage Antepartum Testing Public Limited Nurse Station 7A Patient Rooms LDRP Nurse Station 7B Guest Restroom Staff Lounge Equip Storage Med Nourish Prep Call Rooms Call Rooms Staff Restroom Water Fountain KRONOS Service Elevators C-Section Room C-Section Room Public Elevators Staff Locker Rooms C-Section Recovery Anes. Work Room Occupancy Manual • General Building Information | 13 Sustainability Building Reminders The campus is Leadership in Energy and Environmental Design (LEED) certified, a globally recognized symbol of sustainability. The building is constructed to lower greenhouse gas emissions by reducing the use of energy and water. Help us create a positive environment for our patients and visitors. Please remember that we are moving into a brand new hospital that we want to keep as beautiful and tidy as the day we move in. A new pedestrian plaza is designed to be an urban oasis with shade trees and plantings and to help with water drainage. Approximately 360,000 gallons of storm water will annually be diverted from the City’s water system. In addition, about 50,000 gallons of rainwater will be diverted to help dissipate heat from the heating, ventilation and air conditioning (HVAC) system at the building’s rooftop cooling towers. Bottle water refilling stations (pg. X) and the sustainable waste removal program (pg. X) are other examples of ongoing sustainable processes. Remember you are “on stage” in front of house areas (areas that patients and visitors will see) No moving furniture or equipment in the building No hanging things on the wall (art and bulletin boards provided) No fish or pets of any kind will be permitted, with the exception of service animals (pg. xxx) Personal packages will no longer be accepted at the campus. Materials Management will not sign for it. Ordering food for delivery—Staff are responsible to come down to the second floor Security Desk to pick up food. Food delivery will not be allowed to come to the care department. General Information Telephone Numbers Hours and Entrances Badges Elevators Lockers Shared Spaces Conference Rooms Department Divisions LEED Reminders 14 | Occupancy Manual • General Building Information TRANSPORTATION AND PARKING Occupancy Manual • Transportation and parking | 15 Public Transportation and CPMC Shuttles CPMC encourages visitors and staff to follow San Francisco’s Transit First policy and use alternative modes of transportation whenever possible. The Mission Bernal Campus is easily accessible by a combination of rail, bus, shuttle, ferry and/or bicycle. Visit 511.org for a comprehensive list of transit options to spare the air and keep our campuses safer for you and your families. Complimentary shuttle services to and from Mission Bernal Campus to 24th St. Mission BART station is available for staff, physicians, volunteers, patients and their families. To connect with other CPMC campuses, additional shuttles are available. In general, shuttle service is available approximately every 30 minutes, Monday – Friday, 6:00 a.m. to 6:00 p.m. For more specific times, and pick-up information go to: cpmc.org/visiting/shuttle.html. Patients and visitors may also obtain additional information on public transportation and shuttle timetables at the Information Desks. Staff and providers may visit our Intranet for additional public transportation and shuttle service information. Transportation Public Transit CPMC Shuttes Parking 16 | Occupancy Manual • Transportation and parking Ask your shuttle driver regarding courtesy stops. Shuttle Routes B Civic Center BART station to Pacific Campus C California Campus to Pacific Campus D Davies Campus to Pacific Campus K Kabuki Hotel to Pacific Campus MBC JG SAC MBC24 Mission Bernal Campus to Davies Campus Japantown Garage to Pacific Campus 1825 Sacramento to Civic Center BART station Mission Bernal Campus to 24th St. Mission BART Station Parking Parking is limited, so please take public transportation whenever possible. Level 1 has van accessible spaces and spaces for oversized vehicles. Vehicle charging stations are located in the garage on Level 1. Payment machines are on level 1, by the elevators. Payment machines accept cash and credit cards. Please pay before exiting; cashiers are not stationed at the exit gates. g n ki f f a Staff Parking In addition to the Cesar Chavez Street Garage, two other offsite parking lots have been made available to provide more parking spaces during business hours. These parking lots are within five minutes walking distance to the hospital. However they are only available to staff who currently hold monthly permits. Security escorts are available if needed. The Cesar Chavez Street Garage is available to staff after hours and on weekends. S P A St r a P M Visitor Parking Visitor parking is available for patients and their families. The entrance to the parking structure is on San Jose Ave. Occupancy Manual • Transportation and parking | 17 SUPPORT SERVICES 18 | Occupancy Manual • Support Services Support Services Volunteers Patient Relations Support Services are comprised of CPMC departments such as Environmental Services, Facilities, Engineering, Biomedical Engineering, Materials Management, and Nutrition & Food Services. At Mission Bernal, they are located on the First Floor, see page 6. At the Mission Bernal Campus, volunteers help at the Information Desk, provide hospitality, escort patients, and help with selected non-clinical patient care activities. CPMC offers volunteer opportunities to students and adults. Patients are at the center of everything we do. If a patient or a family member has a question or concern about their hospital stay, they are encouraged to tell their care team. They may also contact Patient Relations at 415-600-6634 or ask a nursing supervisor. The Mission Bernal Volunteer Office is located in the 1912 Bldg. See page 3. The telephone number is 415-641-6490. The Patient Relations team can address: Department Telephone Directory The Microsoft Outlook Address Book is an application to access the Employee Department Phone Directory for all CPMC and Sutter Health campuses. The standard process for adding / changing staff locations will synchronize with the address book to keep the directory accurate without additional administrative work. Department Phone Directory by campus is located in our Intranet. Use the advanced search on the address book for quick lookups. A list of Important Department phone numbers in Mission Bernal Campus can be found on page 2. Spiritual Care and Chaplaincy Services The CPMC Spiritual Care Team provides spiritual care to patients, families and staff inclusive of all religious traditions, cultural backgrounds and spiritual expression. The Spiritual Care Team offers or arranges for the practice or experience of religious sacraments and rituals such as baptism, blessings, communion, sacrament of sick, confessions, chanting.. In addition, the team is available to support’ families and loved ones. The Spiritual Care Team is available to visit patients 24/7 on all four campuses. Lost patient items (coordinate an investigation, conduct a follow-up, facilitate reimbursement) Assist with difficult patient/family incidents Coordinate patient grievance issues to align with regulatory standards Coordinate ADA concerns Meet with patients/families to de-escalate issues before they become grievances Round on patients (in addition to nursing leadership rounds) Patient experience (facilitate trainings and in-services to help staff improve the experience) Call 415-641-6527 to request a Chaplain visit. Support Services Telephone Directory Volunteers Spiritual Care Patient Relations Interpreter Services Respiratory Etiquette Stations Wheelchairs and Gurneys Lost and Fount Newborn Connections Occupancy Manual • Support Services | 19 Interpreter Services Our Interpreter Services Program offers the following services: In-person interpreting by professionally trained medical interpreters Video interpreting via an iPad Telephonic interpreting via a dual handset phone system A dual handset interpreter phone is stored in the nurse server in every Med/Surg patient room These services are available to all departments at no cost. Please access Interpreter Services by calling x61077 or 415.600-1077. Newborn Connections Newborn Connections is a community resource new to Mission Bernal campus that offers support and education from pregnancy through early parenting. Located in the Monteagle Building, the program includes prenatal classes, massage services, breastfeeding support, and support groups, as well as breastfeeding, baby, and lactation supplies. Support Services Telephone Directory Volunteers Spiritual Care Patient Relations Interpreter Services Newborn Connections Respiratory Etiquette Stations Wheelchairs and Gurneys Lost and Fount 20 | Occupancy Manual • Support Services Respiratory Etiquette Stations To prevent the transmission of respiratory infections, complimentary respiratory etiquette stations with gloves, antibacterial gel, and masks are available in the main registration areas and on each floor. Wheelchairs and Gurneys Wheelchairs and gurneys are available for general patient use and are tagged with Aeroscout RFID (GPS tracking devices) to facilitate ease of location for patient use. Equipment will be cleaned after each patient use by clinical or transport staff. Lost and Found Lost and found is located in the 1912 building on the 3rd floor. Please contact Security at 415-600-0837 if you have a missing item that cannot be located. Hours are Monday – Thursday, 9 a.m. to 6 p.m., Friday, For patient lost and found items, please direct them to Security or contact Patient Relations at 415-600-6634. 9 a.m. – 4 p.m. Closed Saturday and Sunday. The telephone number is 415.600-2229. SAFETY AND SECURITY Occupancy Manual • Safety and Security | 21 Security Awareness: Be aware of your surroundings. If you see something – say something For emergency situations (other than Code Blue) dial 4-4444. Keep your personal property especially purses, briefcases and bags locked and secure. Pay attention to person(s) who look suspicious or look like they don’t belong. Make sure vendors have a vendor badge. Wear your hospital badge. Be alert when you are in areas or around people that are unfamiliar to you. For general security concerns or for an escort to your vehicle, contact Security Dispatch at 415-600-0837. Safety and Security Security Station Security Awareness ED Team Door Alarms & Stairwell Access Crash Carts Automated External Defibrillator (AED) Emergency Management EOP Hospital Command Center Communications in a Disaster Fire Safety Standardized Emergency Codes Code Team Workplace Violence MRI Suite Safety ADA Information Hand Hygiene Service Dogs 22 | Occupancy Manual • Safety and Security Security Station Emergency Department Team The main Security Station for the Mission Bernal Campus is located on the second floor at the 27th Street main entrance / Emergency Department (ED) entrance. Security enhancements include: The ED team will respond to all non-patient emergencies in the main hospital. For example, if a visitor collapses in the cafeteria. A metal detector at the ED entrance. Panic alarms are located in identified high risk areas; when activated, a silent alarm is sent to Security Dispatch. Security stations are located at key main entrances to include the ED and loading dock. Staff Duress buttons on Aeroscout RFID tags worn by staff Door Alarms & Stairwell Access Crash Carts Crash carts are strategically located throughout the Mission Bernal Campus in the event of a medical emergency for patients, visitors or staff. Automated External Defibrillator (AED) The new hospital has public and staff only areas. In the event of a fire, all persons in the building must be able AEDs are in two locations on the first floor of the to exit the building by the emergency stairwells. There- campus: fore, we cannot lock interior doors, but we can alarm Outside the Conference doors to notify security when a person has entered Rooms A and B an authorized hospital staff only area. Signs reading Outside the Cafeteria “Authorized Hospital Staff Only, Alarm will Sound” and “Emergency Exit Only, Alarms will Sound” are posted on doors that alarm when entered. To prevent the alarm from sounding, hold your employee badge up to a card reader located near the door. Stairwells are exit only to the public. In order to re-enter a floor from the stairwell, staff must hold their employee ID badge to a card reader located on the door. On the women and children floor, the stairwell doors have a sign which reads “KEEP PUSHING. THIS DOOR WILL OPEN IN 15 SECONDS. ALARM WILL SOUND”. Only specific authorized staff, can use their employee ID badge to deactivate these alarms. These doors are part of our infant security system. In case of fire, push on door and it will open in 15 seconds. Emergency Management / Emergency Operations Plan Emergencies, disasters and other catastrophic events pose a significant threat to the ability of a health care organization to maintain operational capability and provide care, treatment, and services to its community. CPMC has implemented a comprehensive All-Hazards Emergency Operations Plan to respond to the medical needs of the community in the event of an emergency, disaster situation, or a mass casualty incident. The All-Hazards Emergency Operations Plan is an organization-wide program that incorporates all services and sites of care under the CPMC license. This plan applies to staff, licensed independent practitioners, contract workers, volunteers and others as appropriate and indicated throughout this document. The All-Hazards Emergency Operations Plan complies with the elements of the National Incident Management System (NIMS), incorporates the Hospital Incident Management System (HICS), and addresses the six critical areas mandated by Joint Commission standards: Communications Resources and assets Safety and security Staff responsibilities Utilities management Patient clinical and support activities The full plan is located on the CPMC Intranet Communications in a Disaster Hospital Command Center Sutter Health affiliates use Everbridge Mass Notification System to communicate to all staff simultaneously in an emergency. Everbridge has been implemented to improve the efficiency and effectiveness of communications. The system-wide notification system enables CPMC staff to receive and respond to critical safety and business impact information in a timely manner. The hospital uses the Hospital Incident Command Structure (HICS) to manage emergency events and if the situation warrants the Emergency Operations Plan would be activated via Code Triage. Everbridge allows CPMC to communicate with staff via multiple contact paths including home phone, email, mobile phones and other communication devices during an emergency event. What to do when a notification is received: Read (when received via email) or listen to the message carefully for directions “Confirm the Message” when asked by clicking on the link provided in the email, or “press 1” if the message is received via phone. If Code Triage is initiated, the Hospital Command Center (HCC) will be activated and is located on the first floor in Conference Room A and B. If additional resources are needed to manage the event, the Labor Pool will be activated and is located in the hospital cafeteria. Hospital Command Center Conference Room B The purpose of confirming the message is so that CPMC knows that you have received the message. How to update your personal contact information: Check the Lawson e-Self Service site on the Intranet Portal to confirm your personal contact information is correct. Having accurate personal contact information is critical for Everbridge to work effectively and staff to receive emergency information. Everbridge pulls from Lawson and if information is inaccurate you may not receive emergency notifications. Cesar Chavez Entrance Conference Room A Security Volunteer Public Lobby First Floor Please direct questions regarding Everbridge to the Safety Department at 415-600-4620 or email sforzok@sutterhealth.org. Occupancy Manual • Safety and Security | 23 Standardized Emergency Codes Code Definition and Announcement Blue Cardiac or respiratory arrest Gray Combative Person Orange Hazardous Material Spill Pink Infant Missing or Abducted (up to the age of 2) Purple Child/Adult Missing or Abducted (over age 2) Red Fire “Code Red - location” Silver Person with a Non-Firearm Weapon or Hostage Situation “Code Blue (Adult, Maternity, Neonate, Pediatric, or V.A.D.) - location” “Code Gray - location” “Code Orange - Hazardous Materials Spill/Release - location” “Code Pink last seen - location [insert description, age, gender, race, clothing, and description of individual that may be with, if available.” “Code Purple (child or adult) - last seen - location and description.” “Code Silver - location. A security threat exists at location. All persons should immediately move away from that location if it is safe to do so. If it is not safe to move away, seek shelter or remain in a room with the door closed until an all clear has been announced.” Silver Active Shooter “Code Silver - active shooter - location. A security threat involving a firearm exists at location. All persons should immediately move away from that location if it is safe to do so. If it is not safe to move away, seek shelter or remain in a room with the door closed until an all clear has been announced.” Lime Electronic Health Record is down Sepsis Patient is in septic shock and needs emergent attention Yellow Bomb Threat / Suspicious Device “Code Lime - initiate (EPIC, PACS, other) downtime procedures.” “Code Sepsis - location.” “Code Yellow - location.” Disaster/MCI/Patient Surge event. Activate Emergency Operations. Plan for internal Triage, Internal/External, or external incident. “Code Triage Internal/External -Alert - describe situation.” OR “Code Triage Internal/External -Activate Alert/Activate - describe situation. The emergency operations plan has been activated” When applicable the following should be added to the announcement: “Incident management team members should proceed to the location for a briefing.” * NOTE: Plain language should be used to describe the situation. 24 | Occupancy Manual • Safety and Security Code Team The Code Team will respond to all patient medical emergencies in the main hospital and will respond to non-patient emergencies only if requested Code Blue (5-5555) is called. The Code Team is a multi-disciplinary, made up of ICU physicians, nurses, respiratory therapists, security, and a nursing supervisor. Code Blue or Other Medical Emergency If you witness a patient, visitor or staff member who is in cardiac and/or respiratory distress, or having a medical emergency, immediately seek medical-nursing assistance by calling for help–and by dialing 5-5555 from a hospital phone. Patient care areas should also use the Code Blue alarm system and alert the hospital Operator by dialing 5-5555. For other types of urgent medical situations (Rapid Response) and non-medical emergencies (Code Red, Code Gray, etc.), dial 4-4444 from an in-house phone, provide nature of emergency, your name and location. Outside of the Hospital For patient and non-patient emergencies in 1912 or Monteagle Buildings, call 911. Code Gray Code Pink Code Purple Will be initiated for any event with aggressive, hostile, combative, or potentially combative behavior from a patient, visitor, or staff member, without the display of weapons. Code pink is initiated when an infant or child less than 2 years of age is discovered missing or has been abducted. Is initiated when a child/adult over the age of 2 is discovered missing or has been abducted. Response Procedures At the first indication of a perceived Code Gray: Dial the emergency number 4-4444 Describe the incident to the operator, including the specific location Security will determine when an “All Clear” will be announced. Post Incident Security will conduct a post investigation debriefing. You will be interviewed to gather incident specific information. Staff response to a missing or abducted infant/child Call the emergency number 4-4444 the moment an infant/child is confirmed missing or abducted. State an infant/child is missing or abducted and provide: Your name and the location where the infant/child was last seen. The infant/child’s name and physical description (age, gender, race, etc.). Any additional details about the abduction or absence (e.g. description of the abductor). Complete the Workplace Violence Incident Report and, if applicable, an electronic Report of Injury (eROI), Patient Safety Report (PSR) and Quality Risk Assessment. Staff Response to a Code Pink Announcement Immediately stop all non-critical work and proceed to your department’s pre-assigned area(s) to observe stairwell door, elevator areas and exit doors. If outside of your department, monitor the nearest exit. Continue monitoring until “Code Pink” – All Clear” Infant / Child Security Identify and report suspicious individual(s) to the emergency number 4-4444. There is an Infant Security System installed in Women’s and Infant Center (Labor & Delivery, Nursery) to protect our infants and prevent infant abductions. Code Pink and Code Purple are used in the event of a missing infant or child. Respectfully engage anyone who is carrying an infant or may be concealing an infant. Explain the situation and request to inspect objects. If the suspected abductor flees, do not forcibly restrain them. If safe to do so, follow them taking note of their appearance, what they are wearing and how the exit the building. Staff should initiate a “Code Purple” when the missing child/adult: Is a minor. May have been removed from the facility against their will. Has a central line, IV, PICC Line, catheter, etc. Is awaiting Psychiatric Emergency Service evaluation. Poses a danger to themselves or others as documented by physician. Is on a conservatorship. Anytime a clinician has concerns with the patient leaving the facility. Staff response to a missing or abducted child/adult: Call the emergency number the moment a child/adult is confirmed missing or abducted. State a child/adult is missing or abducted and provide: Your name and the location where the child/adult was last seen. The child’s/adult’s name and physical description (age, gender, race, etc.). Any additional details about the abduction or absence (e.g. description of the abductor). Staff response to a Code Purple Announcement: Immediately stop all non-critical work and proceed If the suspect abductor reaches the parking lot and to your department’s pre-assigned area(s) to observe attempts to leave by car, take note of the vehicle’s make, stairwell doors, elevator areas and exit doors. If model, color and license plate. outside of your department, monitor the nearest exit. Continue monitoring until “Code Purple – All Clear” is announced. (Continued on Next Page) Occupancy Manual • Safety and Security | 25 Identify anyone matching the description of the missing child/adult and call the emergency number. Medical Alerts Respectfully engage anyone who is carrying a child or may be concealing a small child. Explain the situation and request to inspect small objects. Alerts Identify anyone in obvious distress (struggling, needing assistance, appearing lost/confused, etc.) and call emergency number. If the suspect flees, do not forcible restrain them. If safe to do so, follow them taking note of their appearance, what they are wearing and how they exited the building. If the suspect abductor reaches the parking lot and attempts to leave by car, take note of the vehicle’s make, model, color and license plate. Definition and Telephone Operator Announcement C-Section A pregnant patient needs an emergent C-Section “Medical Alert: C-Section - location” ECMO A patient needs an emergent extracorporeal life support “Medical Alert: ECMO (infant, child, or adult) - location” Imminent A pregnant patient in advanced stages of labor cannot be transported to the Labor & Delivery Delivery Unit prior to delivery and needs emergent attention “Medical Alert: Imminent Delivery - location” Massive Blood Transfusion A patient emergently needs a massive blood transfusion “Medical Alert: Massive Blood Transfusion - location” A patient with early signs of clinical deterioration needs emergent attention to prevent respiraRapid Response tory or cardiac arrest “Medical Alert Rapid Response - location and description.” Safety and Security Security Station Security Awareness Sepsis “Medical Alert: Sepsis - location” ED Team Door Alarms & Stairwell Access Crash Carts Automated External Defibrillator (AED) Emergency Management EOP Hospital Command Center Communications in a Disaster Fire Safety Standardized Emergency Codes Code Team Workplace Violence MRI Suite Safety ADA Information Hand Hygiene Service Dogs 26 | Occupancy Manual • Safety and Security A patient has severe sepsis and needs urgent attention STEMI A patient with myocardial infarction and ECG evidence of ST elevation needs emergent percutaneous coronary intervention “Medical Alert: STEMI - location” Fire Safety General Fire Safety Never block access to pull stations, fire extinguishers and medical gas value boxes. Corridors should be clear except for crash cards, isolation carts or “in use equipment.” If the fire alarm is activated, make sure corridors are clear. During an actual fire or smoke event, do not use elevators. Follow exit signs to the nearest, safest exit stairwell. Do not open doors if they are hot to touch, or if you can see smoke. If you become trapped in a room, and cannot exit safety, keep the door closed and seal off any cracks. Call hospital operator at 4-4444 and report your exact location. If a door feels cool to the touch, open it cautiously. Be prepared to slam the door shut if the corridor is full of smoke or if you feel heat when opening the door. If the corridor is clear, proceed with evacuation. If you are caught in smoke or heat, stay low until you reach a safe area such another smoke compartment. Fire Safety Guidelines Smoking is prohibited in all buildings and vehicles. Check cords and equipment. Report problems. Know where pull stations and fire extinguishers are located. Know evacuation routes – stop and look – where are the exit signs. Fire Response = RACE Rescue – Rescue/remove person(s) from the immediate danger. MRI Suite Safety Alarm – Active the nearest fire alarm pull station, then call 4-4444 and/or 911. For security and safety reasons, access to MRI suite is limited to MRI personnel and security and is controlled. The MRI spaces are zoned to protect staff, patients and families. Zoning is noted as follows: Confine – Confine fire and smoke by closing all doors in the area. Zone II: Unscreened MRI patients, personnel and visitors Extinguish or Evacuate – extinguish a small fire by using a portable fire extinguisher or use to escape from a large fire. Evacuate the building ONLY upon order of the Incident Commander or the Fire Department. Zone IV: Screened MRI patients, personnel and visitors under constant supervision of trained MR personnel How to Use a Fire Extinguisher Zone III: Screened MRI patients, personnel and visitors Any metallic, electronic, magnetic or mechanical implants, devices, or objects are hazardous in the MRI Suite and cannot be allowed in the area. Follow and respect instructions from the MRI technologist. The MRI suite has a special designated EVS closet with non-metallic supplies and equipment. Regardless, EVS staff should never enter the MRI suite without supervision from an MRI technologist. Finally, to ensure all zone protocol is followed, always check with MRI technologist before entering the suite. What to do if you get injured? Employees are required to report all work related injuries and/or illnesses to their supervisor or the on-duty supervisor immediately and complete an Electronic Report of Injury Form (eROI) by the end of shift in which the injury or illness occurred. The forms are located on the CPMC intranet under Frequently Reviewed Forms - Environment of Care. Upon completion and submission of the form, an incident analysis will be completed by the employee’s manager to determine what caused the incident and actions needed to be taken to prevent the incident from reoccurring. Occupancy Manual • Safety and Security | 27 Workplace Violence Reporting Hand Hygiene Effective April 1, 2017, employees working in inpatient and outpatient settings and clinics on hospital licenses are required to report workplace violence incidents into the Midas Workplace Violence Incident Report. Through our Aeroscout Hand hygiene system, we Assistance for the hearing, listening, visually and will be able to monitor and record our hand hygiene speech impaired are available and contact information events, including number of hand washing and can be found below: location in patient care areas over Wi-Fi. Hand hygiene MySutter Portal: Interpreter Services & Multilinbenefits: gual Resources http://mysutter/SHWBR/CPMC/ Resources/MoreResources/Pages/InterpreterSerEnables Infection Control and Process Improvement vices.aspx staff to focus on compliance, education and data analysis. For American Sign Language Interpreter Services, (sign language only, not languages such Spanish, Does not disrupt routine patient care workflows. Chinese, etc.) To schedule an ASL interpreter: Providing automated data collection and reporting. Use the Online Interpreter Scheduling system or Drives accountability down to the caregiver level. Call our ASL vendor at 1-800-975-8150 Adopted on October 20, 2016, certain health care facilities as defined by the new Cal/OSHA Workplace Violence Prevention Plan standards, Section 3342, California Code of Regulations Title 8, are required to maintain a log of all incidents of workplace violence by April 1, 2017. The purpose of the new standard is to protect employees, physicians, volunteers, and contracted personnel from aggressive and violent behavior. For example, physical and/or verbal assault, sexual assault, threats, and violation of a restraining order. In addition, if an employee is injured in a workplace violence incident they must complete an Electronic Report of Injury (eROI) Form AND a Workplace Violence Incident Safety and Security Report. Security Station Security Awareness ED Team Door Alarms & Stairwell Access If a patient is injured, the employee must go to the Hospital Midas Tools Page and complete a patient injury form. Crash Carts Automated External Defibrillator (AED) Emergency Management EOP Hospital Command Center Communications in a Disaster Safety, security, human resources, risk management, and operations management will coordinate a post incident investigation. Fire Safety Standardized Emergency Codes Code Team Workplace Violence MRI Suite Safety ADA Information Hand Hygiene Service Dogs 28 | Occupancy Manual • Safety and Security ADA Information For Assistive Listening Systems (Pocket Talkers), call campus security at 415-600-0837 or ext. 60837. For an Amplified Telephone Handset, call 74000 or 888-888-6044. Closed caption decoders - Closed captioning feature is available on all TVs in patient areas. In patient rooms, closed captioning can be activated by pressing the pillow speaker “CC” button. For a braille, large print or audio format provider, call LightHouse for the blind and visually impaired at 415-694-7358 (braille) and 415-694-7312 (audio) or by email at ais@lighthouse-sf.org. Service Dogs Service dogs don’t require proof of certification or medical documentation to enter public patient care areas. If you are unsure if the animal is a service dog, you may ask the following: 1. Is the dog required because of a disability? 2. What work or tasks has the dog been trained to perform? No other questions about a person’s disability or the dog are permitted. Remember Always ask permission to approach the service dog. Address the person directly. Do not draw unnecessary attention to the person with the service dog. Ask how to accommodate the dog during the medical appointment or hospital stay. If necessary, ask who is designated to care for the dog during the medical procedure or hospital stay. In an Emergency If the patient can communicate, ask who they want to care for their dog to determine how best to care for the patient and service dog. If the patient is unable to communicate: Look for identifying information on the dog’s harness or collar to determine if the dog came from a school or training program. Contact the school or training program. If no information is available, contact family members or friends. Contact animal control after all options are exhausted. Please contact ADA Coordinator or Safety Officer at 415-600-4620 with any questions or concerns. Occupancy Manual • Safety and Security | 29 BUILDING AMENITIES 30 | Occupancy Manual • Building Amenities Information Desks Bicycle Storage The Mission Bernal Campus Information Desk is located on the first and second floors off the Plaza Entrance. The Information Desk staff provides the following services: Bicycle parking is available on a first come, first serve basis. The bicycle storage is located on the first floor in room 1388, accessible via first floor 27th Street or Cesar Chavez front entrance (through conference center corridor). General information Directions and wayfinding Shuttle schedule information Taxi and transportation services information Waiting Areas Waiting areas and lobbies area available throughout the hospital. See General Building Information page 6. For safety reasons and to prevent accidental blocking of the retractable fire doors, do not rearrange furniture in the waiting areas. Badge access is required. Reserved bicycle space may be available. Contact the Parking Office, 415-600-1986 to register to use this facility and to program your badge for access. Additional bicycle racks are available at the 27th St. and Cesar Chavez entrances. Dining Services Several choices for food and beverages are available during regular business hours. The Cafeteria and Grab and Go are on the first floor, to the left of the elevators and are open Monday – Friday, from 6:30 a.m. – 6:30 p.m. They are closed after hours and on weekends. Cesar Chavez Entrance Snack and beverage vending machines are located on the second floor near the public elevators. Security Volunteer Public Lobby Catering Services Public Elevators Cafeteria Room Reservations To reserve a room, complete Online Conference Room Request form, http://dcpwdbs405/virtualems/ Plumbed coffee makers with hot water dispensers are available on certain floors. Ice makers are available in patient nourishment rooms (not in staff lounges). Lactation Lounge A dedicated lactation lounges for staff and physicians only is located on the Fifth Floor, Room 5357 (page 11). Badge access is required. Mission Bernal Campus is a sustainable and LEED certified building. To reduce the use of disposable bottles, water fountains are available on each floor near the elevators. Bottle filling locations are in the Emergency Department, Cafeteria, and Surgical Waiting Room. First floor lockers are available, however only while utilizing the shower facilities. Day use lockers are available on department floors. Restroom Locations Public restrooms and water fountains are located on every floor near the public elevators. Staff Only restrooms require badge access and are generally near staff lockers, lounges and conference rooms. Water Cooler/Bottle Filling Stations Food & Nutrition Services Lockers & Showers MD Dining Lounge 27th St 1st Floor All catering requests must be submitted to the Food & Nutrition Services Department three days in advance of the meeting or event. Amenities Use Catertrax, the ordering platform to order food for meetings. Place catering orders on www.cpmc-stlukes.catertrax. com. For training on Catertrax, go to https://catertrax-1.wistia.com/medias/ ojoa2vlyhm#. Bicycle Storage Information Desk Waiting Areas Restroom Locations Lactation Lounge Room Reservations Bottle Fill Stations Dining Services Catering Services Patient Education Ambassador Service Suite Guest Wi-Fi Bike Storage Occupancy Manual • Building Amenities | 31 Patient Entertainment / Education (Powered by Sonifi) Rooms are equipped with a multi-purpose media system capable of providing patient education, communication and entertainment features: Access the full complement of TV Programming Review assigned educational content Complete questionnaires Order patient meals View care team information Access patient medical schedule Interact with their care team Use convenient controls and Volume Integrated into Pillow Speaker Ambassador Services Suite The Ambassador Services Suite is a hospitality space located on the third floor near Nursing Administration. It is our way of saying “thank you” to our most generous philanthropic donors, as well as volunteers with 500 or more hours of service per year to CPMC. Amenities Information Desk Waiting Areas Restroom Locations Lactation Lounge Room Reservations Bicycle Storage Bottle Fill Stations Dining Services Catering Services Guest Internet Access (Wi-Fi) Mission Bernal Campus offers complimentary internet access. To connect, select “SHGUESTNet” as the wireless network. Follow the prompts on the device, including accepting the “Terms and Conditions of Use.” Patient Education Ambassador Service Suite Guest Wi-Fi 32 | Occupancy Manual • Building Amenities EQUIPMENT AND FURNISHING Ergonomics Kronos Time Clocks Telephone System Ergonomic chairs and keyboard trays are fully adjustable. For assistance on proper chair and keyboard adjustment, please contact Safety Department at 415-600-4620 or email sforzok@sutterhealth.org. They will send materials regarding self-assessments and if needed will direct you to complete the online ergonomic assessment. New InTouch wall clocks are located throughout the campus, conveniently positioned near: Cisco Voice over IP (VoIP) phones are used at Mission Bernal Campus, including desk, wall and wireless phones. In addition to the standard features of traditional phones (hold, speaker phone, call forwarding, conferencing, muting), the Cisco phones offer: Equipment Ergonomics Office Spaces Kronos Time Clocks Multi-Function Printers VOIP Telephones Fax Machines Phone Exchange Vocera Nurse Call System HIPPA Containers Sustainable Waste Temperature Monitor Pneumatic Tube Patient Lift Office Spaces Office spaces include the following: Ergonomic chairs Ergonomic keyboard trays Electric sit/stand desks Monitor arms Electrical outlets on the desktop for device charging Mobile personal storage - keys will be provided for assigned locations Task lighting 34 | Occupancy Manual • Equipment and Furnishing Elevator lobbies Main corridors Lab & Pharmacy Some Staff Lounges Web App will also be available for some users Refer to Floorplans (page 6) for specific locations. Multi-Function Printers (Scan, Print, Copy) Multi-function networked printers are located throughout the facility and can function as copiers, scanners and printers. Print jobs can be retrieved by tapping your badge on the sensor located on the printer of your choice. Some workflows will default to specific printers (such as in the ED). For copier and printer support, call Sutter Health Service Desk at 888-888-6044 or by going to is.sutterhealth.org Cisco Unity voicemail Connects to the Vocera badge application, allowing calls can be made between telephones and Vocera badges. Informacast for paging and broadcast messaging Emergency red phones will be installed in key locations. Fax Machines Most faxing will be done using RightFax. There will be a limited number of traditional fax machines on the campus in areas where electronic faxing is not possible. Faxes will be received into an electronic inbox, can be read online, and can be saved or printed. Use the RightFax application to send faxes by scanning and sending. Sutter EHR will fax records automatically as required by clinical workflows. PBX/Phone Operating System Hospital Operators will be located at both the Van Ness and Mission Bernal Campuses. Hospital Operators will have Nurse Call and other alarm panels to assist in routing alerts. Vista Point Enterprise Operator Services System (phone console) will support the hospital operator workflows and assist in the management of call queues, routing and call handling statistics. Vocera The Vocera badge delivers hands-free, real-time voice communication between the wearer and other staff members. This communication system weighs less than two ounces, allowing users to keep their hands free without the burden of carrying a smartphone. Nurse Call System The Nurse Call Rauland Responder 5 system is an application which allows the patient to alert staff from the bedside, among other patient locations. Identified alerts will integrate with other applications in order to produce hospital-wide communications and notification acknowledgement and generates a number of reports. The system utilizes devices at the bedside and in the patient room to accomplish three primary functions: HIPAA - Confidential Document Containers Confidential document containers are located throughout the hospital and are emptied every two weeks by the shredding company. If the containers need to be emptied prior to the regularly scheduled pick-up, call Support Services 415-600-7900 to arrange for EVS assistance. Mission Bernal is dedicated to being a green facility, so please remember to “Think before you ink.” Sustainable Waste Removal Mission Bernal is designed to be a green hospital. This includes recycling, composting, red-bag (biohazard), pharmaceutical and toxic waste management and medical equipment reuse. In office spaces and public areas, receptacles are provided for co-mingled recycling (blue) and regular trash (black). In the staff lounges and conference rooms there are receptacle for co-mingled recycling (blue), regular trash (black), and composting (green). It serves as a code required system for patient safety & security. It provides a patient alert-communication system (for hospital staff) which assists patients and allows for increasingly efficient hospital operations. It interacts with other systems to provide access to patient entertainment and education. Occupancy Manual • Equipment and Furnishing | 35 Temperature Monitoring Pneumatic Tube System Mission Bernal Campus uses a combination of two systems to monitor and alert if an equipment temperature goes out of range - the AeroScout system ( in the refrigeration units) and the MobileView system. The pneumatic tube system will assist with transporting medications, lab specimens and blood products to/from patient care areas, to expedite patient care. The system has an enhanced “secure send” functionality which will only allow appropriately licensed staff to send and receive medication and blood products. When a device’s temperature goes out of range during department hours of operation: Equipment Ergonomics Office Spaces Kronos Time Clocks Multi-Function Printers VOIP Telephones Fax Machines Phone Exchange Vocera Nurse Call System HIPPA Containers Sustainable Waste Temperature Monitor Pneumatic Tube Patient Lift 36 | Occupancy Manual • Equipment and Furnishing A primary alert is sent to the department through MobileView A secondary alert is sent to Plant Operations. Patient Lift System and Mobile Lifts When a device’s temperature goes out of range when Patient lift systems are available in med/surg and ICU the department is closed, primary and secondary alerts patient rooms. Patient lifts are a safety feature to assist are sent to Plant Operations. in patient mobility and reduce the risk of associated employee injuries. In addition, mobile lifts are available for use in patient care areas, to assist with patient mobility, where ceiling lifts are not available. SUPPLIES AND RESTOCKING Loading Dock / Unloading Supply Chain & Medical Gas Area Pharmacy The Mission Bernal Campus loading dock is located off The supply chain area is located on Level 1, room Cesar Chavez St. on Level 1. Interior access is adjacent number 1522, adjacent to the loading dock. Staff, to the service elevator. supplies, and receiving will be staged here to support a Low Unit of Measure (LUM) Just in Time (JIT) distribution model. Supply Chain Overview Supply chain staff will monitor supply levels and the automated supply system will generate refill requisitions to order inventory. Supply Chain will receive delivery from our primary distributor at 8PM Monday through Friday. Supply Chain will remove corrugated cardboard at the loading dock as per infection control policies and deliver supplies to the Pyxis and supply cart areas throughout the hospital. Supplies/Restocking Loading Dock/ Unloading Supply Chain Overview Nurse Server carts are department specific and are non-standard storage options some departments use. Supply Chain does not manage or replenish supplies on these carts. Supply Chain & Medical Gas Area Supply Chain Stat Requests Pharmacy Asset Management Equipment Cleaning Staff Duress Durable Medical Equipment Linen How to Order Forms, Stationery & Brochures The Supply Chain team is responsible for the replenishment of medical gases, housed in the Medical Gas storage room on Level 1, accessed directly off the loading dock in room 1518. The Code Blue Cart quick reference guide can be found here: tinyurl.com/CPMC-CrashCart Broselow quick reference guide can be found here: tinyurl.com/GuideCrashCart Supply Chain Stat Requests Par Levels for supplies on the units will be calculated for four days of inventory on hand. Supply Chain Staff will manage the restocking and storage of Code Blue/ Broselow resuscitation and isolation carts. Supply Chain staff will be onsite between the hours of 7 a.m. to 4:30 p.m., Monday - Friday. For supply needs during evening and weekends, follow current process and contact the Nursing Supervisor who has access to the distribution storage area. Normal Business Hours Central Distribution: x86626 Normal Business Hours Receiving: x86901 Supply Chain Intranet requests: http://apps. insidecpmc.org/CPMC_SRQ/servlet/LoginServlet?cpmc_role_id=180 The Pyxis Supply management system will be used in a combination of locked and unlocked cabinets. Pharmacy staff will make twice daily medication deliveries to inpatient units, and once daily deliveries to ancillary departments, including new Pyxis Anesthesia carts. Controlled substances are mostly filled in Pyxis, but may be picked up at the Pharmacy by Nursing for one-time medications. Pharmacy staff will make daily rounds to remove discharged orders. Asset Management AeroScout is the chosen RFID (Radio Frequency Identification) equipment location system. Essential equipment that moves will be targeted for RFID tracking. Items that will have RFID locating include but are not limited to: Beds Bladder Scanners Defibrillators EKG machines Gurneys IV pump brains & modules Other infusion pumps (mobile) Patients, infants or child (HUGS System) PCA pumps Portable imaging machines SCD Vital sign monitors Wheelchairs 38 | Occupancy Manual • Supplies and Restocking Equipment Cleaning Staff Duress Linen There is a central medical equipment cleaning process for the following types of equipment Staff will be able to silently notify Security for assistance. Security will be able to locate the staff in need, via the RFID tag. Linen will be managed and delivered by EVS at Mission Bernal Campus just as it has been managed at St. Luke’s. Clean linen will be stored in Room 1404, next to the Materials Management area adjacent to the loading dock. PCA Pumps Sequential Compression Devices AeroScout Tag and who wears it? The categories of caregivers who will wear the tag will be identified by the Operations Group. Infusion pump modules Infusion pump control units Seizure pads Feeding pumps Equipment will be preliminarily wiped down by EVS before leaving the patient room, and temporarily placed in the soiled utility room. The medical equipment cleaning team will round on floors and follow the process outlined here: 1. Single Patient Use 2. Clinical Staff takes equipment to soiled hold 3. AM clean delivery rounds to stock to par levels (scan) 4. AM Soiled Pick Up rounds (scan) 5. Put on PPE at each location / Pre-soak / Bag Equipment and place on cart 6. Central cleaning location 7. Clean / Operational test / Send to Biomed for PMs (scan) 8. PM Delivery rounds (scan) 9. PM soiled pick-up rounds (scan) The badge is used for Staff Duress and it works in conjunction with Vocera. Durable Medical Equipment (DME) The DME process will be the same as currently in place with consigned inventory available in certain closets near patient care areas in the ED (Room 2334), OR/PACU (Room 3201) and Inpatient Units (Rooms 4334, 5334, and 6334). DMEs will be replenished by our DME partner Pacific Medical. Soiled linen will be stored in room 1308 and will exit the building through the designated “Soiled” exit pathway as shown in the diagram below. Clean linen will enter through the “Clean” entrance as shown below. Cesar Chavez Entrance Clean Dock Soiled Dock Central Distribution Clean Linen Rm 1404 Soiled Linen Rm 1308 10. Cleaning at central location / Repeat cycle next day (scan) “Clean Sticker” Clean Equipment is identified with a “Clean” Sticker N CLEA Occupancy Manual • Supplies and Restocking | 39 How to Order Stationery, Forms, and Brochures on the Intranet For customized stationery and Rx pads: order through SmartWorks. For Forms: Order forms through Standard Register, which you can access through Lawson. Here are the steps: Go to All Services, then Requisition Center, Shopping, enter your requesting location (sa five digit number). Go to Find/Shop icon, then OneSource; scroll down to Standard Register. See icons on top – click on browse catalog icon and find Sutter CPMC forms. Or, for quick search, enter the form number and/or name. Supplies/Restocking Loading Dock/ Unloading Supply Chain Overview Supply Chain & Medical Gas Area Supply Chain Stat Requests Pharmacy Asset Management Equipment Cleaning Staff Duress Durable Medical Equipment Linen How to Order Forms, Stationery & Brochures 40 | Occupancy Manual • Supplies and Restocking Specify your quantity and complete your order for approval. For Brochures and Various Marketing Materials Order brochures, fact sheets, folders, marketing materials, logos, photos, artwork etc. from Sutter Health through Workamajig. Go to the Sutter Intranet marketing page (mysutter/ marketing) Fill out the Workamajig request form If you don’t have a Workamajig account, send an email to linten@sutterhealth.org. Occupancy Manual • Supplies and Restocking | 41 18-CPMC-Occupancy Manual © Sutter Health 2018 Occupancy Manual | i
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