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18-CPMC-Occupancy Manual © Sutter Health 2018

Occupancy Manual
YOUR GUIDE TO THE NEW MISSION BERNAL CAMPUS

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 health care services for San Francisco.

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

Parking & Transportation

Workplace Violence .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Temperature Monitoring .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Public Transportation .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

MRI Safety. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Patient Lift System and Mobile Lifts.  .  .  .  .  .  .  .  .  .  . X

CPMC Shuttle Schedule and Routes.  .  .  .  .  .  .  .  .  . X

ADA Information .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Pneumatic Tube System.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Parking .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Hand Hygiene.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

•Staff Parking . .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Service Dogs. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

•Visitor Parking.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Supplies and Restocking
Loading Dock / Deliveries.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Amenities

Supply Chain. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Services

Information Desk.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Supply Chain and Medical Gas Area .  .  .  .  .  .  .  .  .  . x

Support Services .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Waiting Areas .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Supply Chain Stat Request. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Department Phone Directory .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Restrooms. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Pharmacy .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Volunteers.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Bicycle Locker & Showers .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Equipment Cleaning .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Spiritual Care and Chaplaincy Services.  .  .  .  .  .  .  . X

Water Bottle Refilling Stations .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Aeroscout Asset Management.  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Interpreters . .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Dining Services.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Staff Duress .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Respiratory Etiquette .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Catering Services .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Durable Medical Equipment (DME). .  .  .  .  .  .  .  .  .  .  . x

Wheelchairs and Gurneys.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Room Reservation. . . . . . . . . . . . . . . . . . . . . . . . . X

Linen Services. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Lost and Found.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Patient Entertainment.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

How to Order Forms and Brochures. .  .  .  .  .  .  .  .  .  . x

Patient Relations.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Lactation Lounges .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

Newborn Connections .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . x

Ambassador Services Suite .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X
Guest Internet Access. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . X

iii | Occupancy Manual

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. Visitor
Badges will become void after 8 - 12 hours and will
need to be reissued.
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 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
M/S, L&D and M/S 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; requests
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 x77900
(415-600-7900) 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.

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.

There will be video displays outside of these rooms that will provide
meeting schedules.

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

Pediatric Ambulatory 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
Nurse
Station
5A

Gurney
Shower On Call
Rooms

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
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. Shuttle service is available every 30
minutes, Monday – Friday, 6:00 a.m. to 6:00 p.m.
Patients and visitors may also obtain additional information on public transportation and shuttle timetables
at the Information Desk. Staff and providers may visit
our Intranet for additional public transportation and
shuttle service information.

CPMC Shuttle Schedule
and Routes
Additional inter-campus shuttles are available to staff,
providers, patients and their families. In general,
shuttle service is available every 30 minutes, Monday
through Friday, 6:00 a.m. to 6:00 p.m. For more
specific information and pickup locations check:
cpmc.org/visiting/shuttle.html.
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

Transportation

JG

Japantown Garage to Pacific Campus

GG

Geary Garage to California Campus

SAC

1825 Sacramento to Civic Center
BART station

Public Transit
CPMC Shuttes
Parking

MBC24

16 | Occupancy Manual • Transportation and parking

Mission Bernal Campus to Davies
Campus

Mission Bernal Campus to 24th St.
Mission BART Station

Parking
Staff Parking
In addition to the Cesar Chavez Street Garage, two
other offsite parking lots have been made available to
provide 40 more parking spaces during business hours.
These parking lots are within a five minutes walking
distance. Security escorts are available if needed. The
Cesar Chavez Street Garage is available to staff after
hours and on weekends.

g
n
ki

Parking is limited, so please take public transportation
whenever possible.

Visitor Parking
Visitor parking is available for patients and their
families. The entrance to the parking structure is on
San Jose Ave.
Payment machines are on every level, by the elevators.
Payment machines accept cash and credit cards. Please
pay before exiting; cashiers are not stationed at the exit
gates.

S
P
A

St

f
f
a

r
a
P

M

Level P1 has van accessible spaces and spaces for
oversized vehicles.

Occupancy Manual • Transportation and parking | 17

SUPPORT SERVICES

Occupancy Manual • Support Services | 19

MISSION BERNAL?

Support Services
Telephone Directory
Volunteers

Support Services

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
(page 7)

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.

Volunteers

Lost patient items (coordinate an investigation,
conduct a follow-up, facilitate reimbursement)

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.

Assist with difficult patient/family incidents

The Mission Bernal Volunteer Office is located in the
1912 Bldg. See page xxx. The telephone number is
415-641-6490.

Meet with patients/families to de-escalate issues
before they become grievances

Spiritual Care and
Chaplaincy Services

Patient experience (facilitate trainings and
in-services to help staff improve the experience)

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..

Respiratory
Etiquette Stations

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.

Wheelchairs and
Gurneys

Call 415-641-6527 to request a Chaplain visit.

Spiritual Care
Interpreter Services

Lost and Fount
Patient Relations
Newborn
Connections

20 | Occupancy Manual • Support Services

The Patient Relations team can address:

Coordinate patient grievance issues to align with
regulatory standards
Coordinate ADA concerns

Round on patients (in addition to nursing
leadership rounds)

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

Department Telephone Directory

Wheelchairs and Gurneys

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.

The Microsoft Outlook Address Book is application to
access the Employee Department Phone Directory for
all CPMC and Sutter Healthcampuses. 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.

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.

A list of Important Department phone numbers in
Mission Bernal Campus can be found on page X.

For patient lost and found items, please direct them to
Security or contact Patient Relations at 415-600-6634.

Hours are Monday – Thursday, 9 a.m. to 6 p.m., Friday,
Use the advanced search on the address book for quick
9 a.m. – 4 p.m. Closed Saturday and Sunday. The
lookups.
telephone number is 415.600-2229.

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.

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.

Occupancy Manual • Support Services | 21

SAFETY AND SECURITY

Occupancy Manual • Safety and Security | 23

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.

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.

Door Alarms & Stairwell Access
JIM B TO PROVIDE COPY..Leave space for two paras
JIM B TO PROVIDE COPY..Leave space for two paras
JIM B TO PROVIDE COPY..Leave space for two paras

Security stations are located at key main entrances to
JIM B TO PROVIDE COPY..Leave space for two paras
include the ED and loading dock.
JIM B TO PROVIDE COPY..Leave space for two paras
Staff Duress buttons on Aeroscout RFID tags worn
by staff

Security Awareness:
Be aware of your surroundings.
If you see something – say something

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
24 | Occupancy Manual • Safety and Security

JIM B TO PROVIDE COPY..Leave space for two paras
JIM B TO PROVIDE COPY..Leave space for two paras

Crash Carts

Crash carts are strategically
located throughout the
Mission Bernal Campus
Keep your personal property especially purses, brief- in the event of a medical
cases and bags locked and secure.
emergency for patients,
visitors or staff.
Pay attention to person(s) who look suspicious or
look like they don’t belong.
For emergency situations (other than Code Blue)
dial 4-4444.

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 x60837 (415-6000837).

Automated External
Defibrillator (AED)
AEDs are in two locations
on the first floor of the
campus:
Outside the Conference
Rooms A and B
Outside the Cafeteria

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

Conference
Room A

Security

The purpose of confirming the message is so that
CPMC knows that you have received the message.

Volunteer

Having accurate contact information is critical for
Everbridge to work effectively and staff to receive
emergency information. In some cases, personal
contact information such as cell and home are inaccurate or missing in Lawson. Everbridge pulls from
Lawson and unless your personal information is
accurate you may not receive emergency notifications.
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.

Cesar Chavez
Entrance

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 | 25

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)

“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.”

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 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
“Code Lime - initiate (EPIC, PACS, other) downtime procedures.”

Sepsis

Patient is in septic shock and needs emergent attention

Yellow

Bomb Threat / Suspicious Device

“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.
26 | Occupancy Manual • Safety and Security

Code Gray
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.
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.
Complete the Workplace Violence Incident Report
and, if applicable, an electronic Report of Injury
(eROI), Patient Safety Report (PSR) and Quality Risk
Assessment.

Infant / Child Security
There is an Infant Security System installed in Women’s
and Infant Center (Labor & Delivery, Nursery, NICU
& Pediatrics) to protect our infants and prevent infant
abductions. Code Pink and Code Purple are used in
the event of a missing infant or child.

Code Pink

Code Purple

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.

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).
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”
Identify and report suspicious individual(s) to the
emergency number (4-4444).
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:

Staff response to a Code
Purple Announcement:
Immediately stop all non-critical work and proceed
to your department’s pre-assigned area(s) to observe
stairwell doors, elevator areas and exit doors. If
outside of your department, monitor the nearest exit.
Continue monitoring until “Code Purple – All Clear”
is announced.
Identify anyone matching the description of the
missing child/adult and call the emergency number.
Respectfully engage anyone who is carrying a child or
may be concealing a small child. Explain the situation
and request to inspect small objects.
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.

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).

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.

Occupancy Manual • Safety and Security | 27

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.
Note: For patient and non-patient emergencies in the
1912 or Monteagle Bldgs, call 911.

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.

Medical Alerts
Alerts

Definition and 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.”

Sepsis

A patient has severe sepsis and needs urgent attention
“Medical Alert: Sepsis - location”

STEMI

A patient with myocardial infarction and ECG evidence of ST elevation needs emergent
percutaneous coronary intervention
“Medical Alert: - location.”

28 | Occupancy Manual • Safety and Security

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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 44444 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.
How to Use a Fire Extinguisher

Zone III: Screened MRI patients, personnel and
visitors
Zone IV: Screened MRI patients, personnel and
visitors under constant supervision of trained MR
personnel
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 is 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 | 29

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,

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.

ADA Information

Does not disrupt routine patient care workflows.
Providing automated data collection and reporting.
Drives accountability down to the caregiver level.

Door Alarms &
Stairwell Access

c
i
h

If a patient is injured, the employee must
go to the Hospital Midas Tools Page and
complete a patient injury form.

e
t
a

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
30 | Occupancy Manual • Safety and Security

Call our ASL vendor at 1-800-975-8150

For an Amplified Telephone Handset, call 74000 or
888-888-6044.

p
a
r

Security Station
ED Team

Use the Online Interpreter Scheduling system or
For Assistive Listening Systems (Pocket Talkers), call
campus security at 415-600-0837 or ext. 60837.

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 Awareness

(sign language only, not languages such Spanish,
Chinese, etc.) To schedule an ASL interpreter:

d
p
U

G

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 Tim Hern, ADA Coordinator at
415-561-1304 with any questions or concerns.
Occupancy Manual • Safety and Security | 31

BUILDING
AMENITIES

Information Desk

Bicycle Storage

The Mission Bernal Campus Information Desk is
located on the second floor 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 pages X-XX.
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.

Amenities
Information Desk
Waiting Areas
Restroom Locations
Bicycle Storage
Bottle Fill Stations

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
All catering requests must be submitted to the Food &
Nutrition Services Department three days in advance
of the meeting or event.

Public Elevators

Food &
Nutrition
Services

Catering Services
Room Reservations

Lactation Lounge
Ambassador
Service Suite
Guest Wi-Fi
34 | Occupancy Manual • Building 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#.

Cafeteria

Dining Services

Patient Education
Powered by Sonifi

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 physicians and staff only is located on the Fifth
Floor, Room 5357 (page xxx). 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 showers 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. See pages
X-XX.

Water Cooler/Bottle
Filling Stations

Lockers &
Showers

Bike Storage

MD
Dining
Lounge

27th St
First Floor

Room Reservations
To reserve a room, complete Online Conference Room
Request form, http://dcpwdbs405/virtualems/

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 Service Suite
The Ambassador Services Suite is a hospitality space
located on the third floor near the Clinical Lab/Blood
Bank of Mission Bernal Campus. It is our way of
saying “thank you” to our most generous philanthropic
donors, as well as volunteers with more than 500 hours
of service per year to CPMC.

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.”

Occupancy Manual • Building Amenities | 35

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:

Office Spaces
Office spaces include the following:
Equipment
Ergonomics
Office Spaces
Kronos Time Clocks
Multi-Printers
VOIP Telephone
Fax Machines
Phone Exchange
Vocera
Nurse Call System
HIPPA Containers

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

Sustainable Waste
Temperature Monitor
Pneumatic Tube
Patient Lift
38 | Occupancy Manual • Equipment and Furnishing

Elevator lobbies
Main corridors
Lab & Pharmacy
Some Staff Lounges
Web App will also be available for some users

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
(x67900) to arrange for EVS assistance.
Mission Bernal is dedicated to being a green facility,
however, 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 | 39

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.Temperature Monitoring

When a device’s temperature goes out of range during
department hours of operation:
A primary alert is sent to the department through
MobileView
A secondary alert is sent to Plant Operations.

Equipment
Ergonomics
Office Spaces
Kronos Time Clocks
Multi-Printers
VOIP Telephone
Fax Machines
Phone Exchange
Vocera
Nurse Call System
HIPPA Containers
Sustainable Waste
Temperature Monitor
Pneumatic Tube
Patient Lift
40 | Occupancy Manual • Equipment and Furnishing

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
Ergonomics
Office Spaces
Kronos Time Clocks
Multi-Printers

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.

VOIP Telephone
Fax Machines
Phone Exchange
Vocera
Nurse Call System
HIPPA Containers
Sustainable Waste
Temperature Monitor
Pneumatic Tube
Patient Lift

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

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.

Par Levels for supplies on the units will be calculated
for four days of inventory on hand. Supply Chain Staff Items that will have RFID locating include but are not
will manage the restocking and storage of Code Blue/
limited to:
Broselow resuscitation and isolation carts.
Beds
Supply Chain staff will be onsite between the hours of
Bladder Scanners
7 a.m. to 4:30 p.m., Monday - Friday. For supply needs
Defibrillators
during evening and weekends, follow current process
EKG machines
and contact the Nursing Supervisor who has access to
the distribution storage area.
Gurneys
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

IV pump brains & modules
Other infusion pumps (mobile)
Patients, infants or child (HUGS System)
PCA pumps
Portable imaging machines
SCD
Vital sign monitors
Wheelchairs

42 | Occupancy Manual • Supplies and Restocking

Equipment Cleaning
There is a central medical equipment cleaning process
for the following types of equipment
PCA Pumps
Sequential Compression Devices
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.

STAFF DURESS
Staff will be able to silently notify Security for assistance. Security will be able to locate the staff in need,
via the RFID tag.
AeroScout Tag and
who wears it?
The categories of caregivers
who will wear the tag will be
identified by the Operations
Group.

Linen
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.

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
MISSING GRAPHIC
place with consigned inventory available in certain
RE Cleaning Process. Supposedly sent from Tran 5/2
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.

Occupancy Manual • Supplies and Restocking | 43

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).

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.

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

Specify your quantity and complete your order for
approval.

Ergonomics
Office Spaces
Kronos Time Clocks
Multi-Printers
VOIP Telephone
Fax Machines
Phone Exchange
Vocera
Nurse Call System
HIPPA Containers
Sustainable Waste
Temperature Monitor
Pneumatic Tube
Patient Lift

44 | Occupancy Manual • Supplies and Restocking

Manage your health on
the go with the new
My Health Online app



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