1. family and parenting
2. children

Cook Children’s
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Safety Training
For
Volunteers*
*Please do not take the safety
test until AFTER your interview
with a Volunteer Program
Coordinator.
Cook Children’s
Why Safety Training Is
Important
• Keeps the patients and families in
your care safe.
• Keeps you safe as you volunteer.
• Avoids mistakes being made.
• Allows staff to rely on you in urgent
and emergency situations.
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HEALTH GUIDELINES
Do NOT come in if you are sick, have a rash,
or even suspect you may be coming down
with something.
Do NOT come in if you had a
fever within 24 hours
before your volunteer shift.
Cook Children’s
PART I - UNIVERSAL
PRECAUTIONS
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What are Universal
Precautions?
• There are processes set up to protect
patients, healthcare workers, and
caregivers from the spread of viruses
through blood, body tissues, and body
fluids.
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Universal Precautions
Continued
• Most Patient Care volunteer placements are
Category II: Tasks the volunteer performs
involve no potential exposure to blood, body
fluids, or tissues but the volunteer’s role may
require performing unplanned Category I tasks.
• Most Helping Hands volunteer placements
are Category III: Tasks involve no anticipated
exposures to blood, body fluids, or tissues.
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Hand washing or the use of alcohol
gel is the single most important
means of infection control!
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HAND WASHING TECHNIQUE:
• Leave rings on.
• Wash at least 15 seconds.
• Wash between fingers,
front/back of hand/wrists.
• Rinse thoroughly.
• Dry with paper towel using
towel to turn off faucets.
• Always wash before entering and after leaving a
patient care area.
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BLOODBORNE PATHOGENS
• Hepatitis B Virus (HBV), Hepatitis C Virus (HCV),
and Human Immunodeficiency Virus (HIV) are the
most significant blood-borne pathogens that health
care workers come in contact with.
• HBV poses the highest risk of exposure as it can
survive for up to 7 days in dried blood.
• HIV is very fragile, cannot survive long outside the
body, and is not transmitted through casual contact.
• Transmission routes of HBV, HCV, and HIV include,
but are not limited to, contact between broken skin
and infected blood/body fluids.
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Standard Precautions
• “Standard Precautions” means treating
blood and body fluids of ALL patients,
regardless of diagnosis, as potentially
infectious.
• Body fluids can include:
•
•
•
•
Runny nose
Urine/Feces
Drainage from a wound or stitches
Phlegm
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Standard Precautions
continued
• Protective gloves, gown, and/or mask
MUST be worn if you are participating in a
task where there is a chance of exposure,
like wiping a runny nose, changing a
diaper, changing used linens.
Cook Children’s
Personal Protective Equipment
(PPE)
1. Gown (ties in the back)
2. Gloves (fit over the cuff of the
gown)
3. Mask
Occasionally, shoe and hair
covers may be required.
Items are put on and removed in the
above 1-2-3 order.
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STANDARD PRECAUTION
POLICY
• Use gloves when
performing activities
involving potential
contact with blood/body
fluids.
• Wash your hands even
after wearing gloves.
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STANDARD PRECAUTION
POLICY
• Use gowns during
activities involving
exposure to blood/body
fluids (when patient is
spitting up, in isolation,
etc.).
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STANDARD PRECAUTION
POLICY
• Use masks (and
goggles) if there’s a
chance of blood or
fluids being splashed or
inhaled into mouth,
nose, or eyes.
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STANDARD PRECAUTION POLICY
• Discard used gown, mask, and
gloves in red container when
in isolation rooms.
• Dispose of soiled hospital
linens in a yellow biohazard
container. All linens should be
treated as though infectious.
• Never use the patient’s
bathroom for personal use.
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INFECTION CONTROL POLICY
• NO acrylic or artificial nails in
patient care areas. Nail polish
is fine.
• Use Cavicide disinfectant
spray or wipes to clean
surfaces, toys, and
equipment.
Cook Children’s
Toy Cleaning Procedure
• Put on gown and gloves.
• Spray Cavicide on all
surfaces to be cleaned.
• Wait 3 minutes.
• Dry surfaces with paper
towels.
• For infant toys that may be
mouthed (rattles, teethers),
rinse in water and dry again.
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Cook Children’s
Infection Control Policy
• All sharps (needles,
broken glass, staples, etc.)
go in a biohazard sharps
container.
• These are emptied by
nursing staff when 2/3 3/4 full.
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Sink Splatter Safety Zone
• Do not leave papers,
toys, food, or other items
within 18 inches of a sink
to protect from infectious
splatter.
Cook Children’s
Infection Control Policy
• Report ALL accidents involving exposure
to blood or body fluids, puncture wounds,
or injuries that break the skin to your
supervisor and to Occupational Health
682-885-3837.
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Before Entering a
Patient’s Room:
ROOM #
PATIENT’S NAME
1. Check the name.
2. Follow all precaution
instructions on wall plaque.
3. Knock. Wait for a response.
4. Wash hands or gel in.
Ask nursing staff for
assistance when in doubt.
PPE is located on a cart
outside the patient’s room or
in the ante-room to the left or
right of the patient’s door.
I
&
O
H
I
C
TYPE OF
ISOLATION
K
M
INFORMATION
A
N
LATEX
ALLERGY
N
P
O
L
I
N
E
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Isolation Precautions
TYPES OF
ISOLATION
Gown
Gloves
Mask
CONTACT
X
X
(X)
DRAINAGE/
SECRETION
X
X
(X)
(X)
X
STRICT
X
X
X
REVERSE
X
X
X
RESPIRATORY
TB PRECAUTIONS
PREGNANT
CAREGIVER
Hair Cover
Shoe
Covers
X
X
DO NOT ENTER
Do not enter if you are or may be pregnant.
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OTHER
TERMINOLOGY:
• I & O - Intake and Output
• Medical staff are measuring how much the patient
is eating/drinking and voiding.
Intake:
• Make a note of how much the patient eats and
drinks using percentages (%) and ounces.
• Example: The baby drank 3 ounces(oz.) of her bottle.
• Example: Jody ate 50% of a hot dog, 100% of the fries
and 75% of the applesauce.
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Terminology Continued…
Output:
• Make sure the patient uses his/her own bathroom
as there is a measuring device in their commode to
catch voiding.
• If the child cannot get back to their room, use the
nearest bathroom. Use the call button to call the
nurse to let him/her know. DO NOT FLUSH!
Nursing will give you instructions on what to do.
• For infants, nursing staff will weigh the used diaper.
Do not throw it in the trash.
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Terminology Continued…
• NPO - Nothing by Mouth!
• The patient absolutely cannot have
anything to eat or drink! No exceptions!
• No foods, beverages, ice, candy, gum, etc.
• Patients who are NPO are on special diets,
awaiting testing, or having a procedure or
surgery. It is very important that they have
nothing in their stomachs.
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Terminology Continued…
• Hickman Line
• Also known as a Central Line
• It is an intravenous (I.V.) line that is placed
right above the patient’s heart.
• As with all patients hooked up to an I.V.
machine, volunteers must be sure to keep the
patient close to the I.V. pole at all times to
avoid pulling apart the line.
• If the I.V. does pull apart, immediately call
nursing staff for assistance.
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Dietary Restrictions
• Some children may have no posted dietary
restrictions however, you should NOT assume
that this means they can eat or drink
everything.
• Some patients can eat solid foods but will
choke on liquids.
• Others are on special diets like no salt, low
fat, low carb, etc. because of their diagnosis.
• NEVER give a patient ANYTHING to eat or
drink without checking with the nurse first!
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Tuberculosis (TB) Screening
• Required annually for all volunteers and staff.
• Offered free at Cook Children’s Occupational
Health Clinic, Monday-Friday, 7-11AM – 1-5PM.
• Must be completed before volunteering.
• Two-part process:
1. Receive the shot.
2. Have the site checked by a nurse/doctor 4872 hours after receiving the shot.
• Forms should be faxed or mailed to Volunteer
Services. Results are confidential.
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Flu Vaccination
• Annual flu vaccination
is mandatory for all
volunteers and staff.
• Free at Cook
Children’s
Occupational Health
Cook Children’s
PART II - SAFETY
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ENVIRONMENTAL SAFETY:
Report any unsafe
conditions you see (spills,
drips, carpet pulled up,
sharp edges, etc.).
Report all accidents and
seek immediate medical
assistance.
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PATIENT SAFETY
Report any unusual visitors and
inappropriate/persistent questions
regarding patients!
Never release a child to any
unauthorized person!
- Authorized persons MUST be wearing
their Cook Children’s badge (like
those pictured at right).
- Authorized persons MUST be a family
member that you already know.
- Verify ID with staff if you are unsure.
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Cook Children’s
SECURITY RESOURCES
•30 officers patrol 24/7
•Can be reached at ext.51047
•Provide escorts
•Should be called if you see
someone with a weapon (not a
police officer).
•Can unlock your work area
(playroom, library, etc.)
•Cannot unlock offices or cabinets.
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SDS Safety Data Sheets
• SDS sheets give information about specific hazardous
chemicals (name, ingredients, physical and health
hazards, spill or leak clean up procedures).
• Hazardous chemicals can cause burns,
difficulty breathing, even cancer.
• First aid for exposure=flushing with water.
• If a spill/leak occurs, your first priority is to remove people
from the area.
• All hazardous chemicals should have a
warning label.
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PROPER
BODY
MECHANICS
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TRANSPORTING YOUNG
PATIENTS SAFELY
•Small patients in wagons.
•Pad bottom.
•Patients must be seated
or laying deep in wagon.
•Wide, slow turns to avoid
tipping.
•Maneuver with caution.
Cook Children’s
TRANSPORTING OLDER
PATIENTS SAFELY
• Choose a wheelchair that is
appropriate for the size of
the patient.
• Use the brakes when
patient gets in/out of the
wheelchair.
• Use the seat belt if the W/C
has one.
• Move footrests out of the
way as patient gets in/out of
wheelchair.
• Move with caution.
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OTHER SAFETY TIPS
• Check in/out with the patient’s nurse so she knows
you are with/leaving a child or infant.
• Never give a patient anything to eat/drink without
asking the nurse about the patient’s dietary
restrictions (no salt, thickened liquids, low-fat, no
sugar, choking issues, etc.).
• Check with the nurse before repositioning a patient
or moving a bed.
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• Keep bed rails up unless
interacting directly with patient at
bedside.
• Do not walk long distances with
a child in your arms.
• Ask questions when in
doubt!
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PART III - EMERGENCY
PREPAREDNESS
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To Report All Emergencies…
1. Dial ext. 51111 to contact the operator. DO
NOT dial “0”.
2. Give the Code Color of your emergency.
3. Give the name of the building you are in.
4. Give the number of the floor you are on.
5. Give the room number and/or room name.
Example: “Code Blue, main building, 5th floor,
room 5417”
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CODE RED: SMOKE or FIRE
The Operator:
“Code Red” announced using
the overhead paging system.
The Volunteer’s Response:
Listen for the location
Clear the halls of equipment
Close doors
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R.A.C.E.
Volunteer’s Response to finding smoke or
fire:
Rescue those in danger
Alarm Sound the alarm at a pull
station AND call ext. 51111.
Confine the fire
Extinguish or Evacuate
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P.A.S.S.
Pull the pin
Aim the nozzle at the base
of the fire
Squeeze the trigger
Sweep from side to side
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ALL CLEAR
• The “All Clear” is announced when
a Code has ended.
• All Codes remain in effect and
your role is not over until the All
Clear is announced.
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CODE GREEN:
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FIRE DRILL
KNOW the location of the...
Nearest pull station
Nearest fire extinguisher
Nearest fire exit route
...in the area where you volunteer.
KNOW how to report a Code Green:
Use the same response as for Code
Red.
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Fire Safety Basics
• The three elements needed to start a fire are:
Fuel
Oxygen
Heat
• Door stoppers can NEVER be used to prop open
fire doors.
• Preventing fires can be as simple as:
Keeping work area free of clutter/trash.
Following tobacco-free campus policies.
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CODE YELLOW:
EXTERNAL or INTERNAL DISASTER
The hospital is expecting a
lot of patients at once.
Volunteers should:
1. Stay in their area unless
instructed otherwise.
2. Listen to overhead paging
for instructions.
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CODE GRAY:
Severe Weather Preparation
Watch: Potential for High Winds, Hail,
Tornado.
Volunteer’s role: Close drapes & blinds.
Be ready for the weather situation to
worsen.
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CODE BLACK:
Severe Weather
Warning: High Winds, Hail, Tornado Sited.
Volunteer’s role: Help move patients, families,
and visitors into interior hallways, away from
windows.
Do not leave the building.
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CODE PINK:
Missing Child
To report a missing child:
Immediately dial ext. 51111
Give race, age, location, & child’s name
(if over 2 years old)
Stay with parent until help arrives.
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When you hear a Code Pink announced:
•Assume the child has been abducted
and not just lost.
•Cover the nearest exit in your area.
•Ask those exiting to open large bags &
purses if an infant is missing.
•Ask children matching the description,
their names and who they are with.
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CODE BLUE:
Life-threatening medical emergency
in the medical center or clinic building
(respiratory failure or cardiac arrest)
MED ALERT:
Need medical help in the medical center or clinic, but not lifethreatening
CAMPUS ALERT:
Life and non-life threatening incident that occurs in other
buildings or the outside grounds
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Don’t Hesitate !
Take action:
When anyone is or appears to be
in physical distress, immediately
call in a Code Blue or Alert to
x51111.
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CODE SILVER:
VIOLENT SITUATION
•Dial ext.51111
•Tell the operator Code Silver
and give the location
•“Clear & Disappear” behind
closed, locked doors
•Stay put until the All Clear is
announced
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Threatening Calls
Properly Document and Notify Security, x51047
Bomb Threats
Keep talking as long as possible.
Write a note to get help.
Ask where and when the bomb will explode.
Complete the bomb threat checklist
immediately.
Notify operator and supervisor.
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Emergency Code Summary:
Volunteers can and should initiate the
appropriate Emergency Code by dialing 51111.
Volunteers should listen for and respond
appropriately to all Emergency Codes paged
overhead.
Emergency Codes are listed on the back
of all ID badges.
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Safety Test
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Please exit the
Power Point
presentation
and proceed to
the safety test.
Thank you!