Welcome To Kaiser Permanente Southern California - KPNursing

SOUTHERN CALIFORNIA (SCAL)Regional Policy and ProceduresPolicy Title: Student Unpaid Field Experience and TrainingPolicy Number: SC.QRM.PCS.026Regional Business Owner Title: Vice President, Regional Patient Care ServicesOriginal Effective Date: 05/11/2018Regional Custodian Title: Director, Regional ProfessionalDevelopment and EducationMedical Center Business Owner Title: MCAT/MSAATMedical Center Custodian Title: Chief Nurse Executives;Education DirectorRevision Effective Date:Page: 6 of 85.7.4If the injured Program Participant is not near a KP Medical Facility equipped to provide thenecessary emergency care or first aid is stable for transport, KP personnel will make arrangementsto transport the Program Participant to the nearest KP Emergency Department.5.7.5If the injured Program Participant needs immediate emergency care, KP Personnel will call KP’sRapid or Ambulatory Response Team or 911.5.7.6All significant or unusual incidents during the unpaid field experience and training must be reportedimmediately: Faculty/School, KP Charge Nurse (if applicable), Department Manager, andAcademic Liaison and/or Sponsor5.7.7KP’s UOR must be completed by the KP Sponsor or appropriate department or unit manager.5.7.8The Academic Liaison and/or Sponsor shall notify the SCAL Regional Senior Contracts Manager ofthe UOR.5.7.9The Regional Senior Contracts Manager shall notify the Revenue Cycle Personnel of the incidentand inform them not to bill the Program Participant for the emergency care or first aid provided perKP Policy.5.7.10 The Regional Senior Contracts Manager shall notify KP Legal and KP Risk Management of .1.1 The Joint Commission, HR.01.02.07 EP5 (www.jointcommission.org)6.1.2 Centers for Disease Control and Prevention (www.cdc.gov)6.1.3 Advisory Committee on Immunization Practices (www.cdc.gov/vaccines/acip/index.html)

Appendix A1.0SOUTHERN CALIFORNIA (SCAL)Regional Policy and ProceduresOnboarding Process1.11.2Page 1 of 4All participating Schools agree to adhere to a standardized process for ProgramParticipant prerequisites.1.1.1Student/Faculty prerequisites website address:http://kpnursing.org/ l1.1.2Refer to Nursing Pathways website for Medical Center specific requirements.Prior to the start of unpaid field experience and training, the School will verify and attest toKP in writing that the following information is on file for assigned Program Participants:1.2.1Criminal Record Search (Background Check): A criminal record check (felonyand misdemeanor) encompassing the seven (7) years preceding the start of theirunpaid field experience and training will be conducted for all Faculty and ProgramParticipants unless a greater or lesser search period is permitted or required bystate law as per KP policy. If a Program Participant is convicted of a crime duringtheir unpaid field experience and training, it is the School’s responsibility to notifyKP within five (5) business days. The Program Participant’s return to the unpaidfield experience and training will be determined by KP. Background screeningperformed by the vendor is valid for 90 days. See also 1.2.71.2.2Drug Testing: Faculty and Program Participants will be tested for the followingsubstances: amphetamines, benzoylecgonine (cocaine), cannabinoids, opiates,phencyclidine (angel dust), barbiturates, benzodiazepines, propoxyphene,methadone, oxycodone, and meperidine (Demerol). Drug testing is valid for 90days. from the start of the Program. See also 1.2.71.2.3If a Program Participant shows signs of being under the influence during theirunpaid field experience and training in a KP Facility, the incident must be reportedimmediately to the Faculty/School and the KP Department Manager or Sponsor.The Faculty will remove the Program Participant from the patient care area andfollow necessary school protocol to dismiss the Program Participant from thepremises.1.2.4Factors which may establish a reasonable suspicion include, but are not limited to:1.2.4.1 Sudden unexplained changes in behavior which adversely impact workperformance.1.2.4.2 Discovery of presence of alcohol or drugs in a Program Participant’spossession or near the Program Participant’s workplace.1.2.4.3 Odor of alcohol and/or residual odor suspicious for alcohol or drugs.

Page 2 of 41.2.4.4 Personality changes or disorientation.1.2.4.5 Violation of safety policies, involvement in an onsite accident or nearaccident, in combination with any of the above factor(s).1.2.5All significant or unusual incidences during the unpaid field experience and trainingmust be reported to the Department Manager, the Academic Liaison/Sponsor, anddocumented on the KP Unusual Occurrence Report (UOR) system.1.2.6Regional Contracts Manager for KPSC School Agreements must be notified of theUOR.1.2.7The initial background check and drug screening will satisfy the screeningrequirement during continuous matriculation of the Faculty and ProgramParticipant for the duration of their participation in the unpaid field experience andtraining. If the Faculty/Program Participant discontinues participation in theprogram for more than one consecutive semester, a new background check anddrug screening will be required.1.2.8A current American Heart Association (AHA) Basic Life Support (BLS) certificationis required.1.2.9Immunizations are current to include:1.2.9.1 Tuberculosis Screening (TB) - Screening may include the following:Tuberculin Skin Test (TST) or Interferon-Gamma Release Assays (IGRA)which encompasses QuantiFERON-TB Gold (QFT) and T-SPOT.Program Participants must present proof of documented negative or nonreactive TST or IGRA history. TST requires two (2) negative or nonreactive results dated within the previous 12 and 24 months of assignmentto a Facility. A single negative IGRA within 12 months is also acceptable.If neither is available, then a 2-step TST or IGRA is required. ProgramParticipants with a history of positive or reactive TST are required topresent documentation of positive screening test or history of INH or otherTB therapy and a written report of a negative chest x-ray within one (1)year of the beginning of their current academic program and proof thatProgram Participants have completed annual TB questionnaires. They arenot required to have follow up chest x-rays unless there is a positiveresponse to the symptom review on the annual TB questionnaire. Morerecent screening may be required if clinically appropriate.1.2.9.2 Measles, Mumps, and Rubella (MMR) - A documented positiveserological immunity or two (2) documented immunization records signedby a qualified health provider is required per the Centers for DiseaseControl and Prevention (CDC) guidelines and the Advisory Committee onImmunization Practices (ACIP) recommendations. Vaccination ismandatory if non-immune or no vaccine record.

Page 3 of 41.2.9.3 Varicella Zoster - A documented positive serological immunity or two (2)documented immunization records signed by a qualified health provider isrequired per CDC guidelines and ACIP recommendations. Vaccination ismandatory if non-immune or no vaccine record.1.2.9.4 Hepatitis A - Hepatitis A is required for Program Participants whose mainduties involve food preparation or serving food within any KP Facilities.Immunity demonstrated by positive Hepatitis A antibody titer ordocumentation of two (2) vaccinations as required per CDC guidelinesand ACIP recommendations1.2.9.5 Hepatitis B - Immunity demonstrated by a positive Hepatitis B antibodytiter or documentation of three (3) Hepatitis B vaccinations as required perCDC guidelines and ACIP recommendations.1.2.9.6 Seasonal Flu Vaccine - Proof of Flu Vaccination during the current FluSeason must be presented to Kaiser Facilities by Program Participantbefore starting the program. If current seasonal flu vaccine is not availableat the start of the rotation (July or August), documentation must beprovided as soon as the current season’s flu vaccine is received.1.2.9.7 Pertussis (Whooping Cough) - A TDaP immunization record signed by aqualified health provider must be provided to Kaiser Facilities by ProgramParticipant before starting the program as required per CDC guidelinesand ACIP recommendations.1.2.9.8 Other - Other immunizations and health screenings, as required by law orreasonably requested by Kaiser Entities in accordance with KaiserEntities’ applicable policies and procedures, may be unilaterally amendedby Kaiser Entities by a written notice to the School.1.2.9.9 Declinations - Immunization declinations will not be accepted at anyKPSC Facility.1.3Faculty whose classifications require current California professional licensure orcertification must provide proof to KP in writing.1.4KP HealthConnect Access – Program Participants, who are expected to document in thepatient’s electronic medical record, must submit the Common Provider Master (CPM) formto KP at least four (4) weeks prior to the start of the unpaid field experience and training toobtain access to the HealthConnect documentation system.1.5KP HealthConnect Training – The School will facilitate access to approved KPHealthConnect training.

Page 4 of 41.6Program Participants will read, complete, and submit all prerequisites prior to the start ofthe unpaid field experience and training.1.7Faculty must verify the completion of the prerequisites as stated in this policy. KP mayvalidate compliance by auditing Student files.

Appendix B1.0SOUTHERN CALIFORNIA (SCAL)Regional Policy and ProceduresDress Code and Hygienic Practices1.1Page 1 of 2Students are required to wear their approved School uniform. If the School does not havea uniform requirement they should wear appropriate professional attire:1.1.1Undergarments shall be selected with regard to color of outer clothing and noportion of the undergarments may be visible at any time.1.1.2No jeans, hoodies, low necklines or visible midriffs may be worn.1.1.3Hats, caps, and accessorized head coverings are not permitted.1.1.4Closed toe shoes appropriate for the clinical settings must be worn at all times.1.2Hair must be kept clean, neat, and well-groomed and should not obstruct eye to eyecontact or create a health /safety hazard. Long hair should be secured back. Hair color andstyles may not be extreme or serve as a distraction to others. Facial hair must be clean,neatly trimmed and sideburns must be no longer than the bottom of the earlobe.1.3Tattoos shall be covered.1.4Fingernails:1.51.4.1The natural nails of healthcare workers are to be kept short, i.e. not extendingbeyond the tips of the fingers. Any nail polish must be intact, not chipped.1.4.2All artificial nail enhancements including but not limited to: nail tips, jewelry, gels,wraps, etc. are prohibited for all health care workers and providers who providedirect, “hands-on” patient care, across the continuum of care, including but notlimited to: inpatient (including Perinatal services, Labor and Delivery, PostPartum, Nursery), ambulatory and home care, invasive or diagnostic proceduresor therapies, Laboratory Services, Perioperative Services, Sterile ProcessingDepartment, Intensive care units (adult, pediatric newborn), etc. Other workersinvolved in aseptic procedures or who have contact with the patient environment,etc. must also comply e.g. pharmacy, food handlers, EVS, Social Workers.Jewelry:1.5.1Only a wedding or simple ring is acceptable and must be limited to one per hand.1.5.2Single, short necklace appropriate for the healthcare setting.1.5.3No bracelets are permitted. Watches are acceptable.1.5.4Exposed pierced facial jewelry must not be worn.1.5.5Ear piercings are permitted as follows:

Page 2 of 21.5.5.1No more than two (2) studs per ear1.5.5.2Ear stretchers no greater than two (2) millimeters in diameter.1.5.5.3Unit protocol may supersede listed permissible items.1.6Personal cleanliness is required. Regular baths, showers, use of underarm hygienicproducts, clean teeth and nails are essential.1.7Perfumes, colognes, scented lotion, after shave lotion, and body sprays are not to beused.1.8Makeup must be appropriate and should not serve as a distraction. Artificial eyelashesare not permitted to ensure patient safety.1.9No food, gum/candy or drink allowed in patient care areas.1.10Kaiser is a no smoking campus including parking lots and campus sidewalks. Smokersshould refrain from smoking prior to any patient care.

Human ResourcesPolicy Title: Drug-Free WorkplaceOwner Department: Human ResourcesCustodian: Chair, National HR PolicyRoundtable1.0Policy Number: NATL.HR.030Effective Date: 8/1/17Page: 1 of 7Policy StatementKaiser Permanente (KP) is committed to protecting the safety, health and well-being ofemployees and other individuals in KP’s workplace and provides an environment that is freefrom the abuse of alcohol and drugs. KP recognizes that alcohol abuse and drug use pose asignificant threat to KP’s goals. KP also acknowledges that alcohol abuse and chemicaldependency may be chronic diseases that require rehabilitative treatment, counseling, and/oraccess to employee assistance programs.2.0PurposeThis policy is consistent with requirements of the federal Drug-Free Workplace Act of 1988,applicable state drug-free workplace requirements, and with KP’s obligation to provide a safework environment.3.0Scope/Coverage3.14.0This policy applies to all employees working in any of the following entities(collectively referred to as “Kaiser Permanente”):3.1.1Kaiser Foundation Hospitals and Kaiser Foundation Health Plan, Inc.(together, KFH/HP);3.1.2KFH/HP’s subsidiaries;3.1.3The Permanente Medical Group, Inc. (TPMG) [NOTE: This policy does notapply to physicians, podiatrists or Vice Presidents of TPMG, who are coveredby separate TPMG policies]; and3.1.4Southern California Permanente Medical Group (SCPMG) [NOTE: This policydoes not apply to physicians of SCPMG].3.2All organizations who supply temporary or registry personnel, students or trainees toKP will be held accountable for providing personnel who meet the same drug-freestandard imposed by KP on its own employees. Volunteers are also required to meetthis drug-free standard. Violation of applicable provisions or refusal to cooperate inthe implementation of this Policy can result in contract personnel or volunteers beingbarred from company premises or from working in its operations.3.3Employees whose jobs require them to drive KP fleet vehicles are subject to the drugand alcohol testing requirements in the applicable Fleet Management policies. Inaddition, employees whose jobs require commercial driver’s licenses are subject to adrug and alcohol testing program that fulfills the requirements of the U.S.Department of Transportation (DOT) Regulations. (See the Addendum toREGL.HR.02a and REGL.HR.02b, Drug and Alcohol Testing.)Definitions4.1Alcohol – means ethanol alcohol in any consumable form (e.g., beer, wine, liquor).Proprietary Information. Kaiser Permanente. All rights reserved.

HIPAA 101: Privacy and Security Basics§Facility Directories – PHI can be used tocreate directories that include patientnames, room locations, general medicalconditions, and religious affiliation. Roomlocation, and general medical conditionmay be disclosed to any person who asksfor the patient by name. All of thisinformation, including religious affiliation,may be disclosed to members of theclergy, if the patient has not restricted thisdisclosure. Patients have the right toobject to the use and disclosure of someor all of this information; if so, KP will notdisclose the information to visitors or othermembers of the public.Other uses and disclosures require prior writtenauthorization. If you are not sure about whetheror not you can use or disclose PHI, check withyour manager/supervisor, compliance officer,or privacy and security officer.What Uses or Disclosures of PHI areProhibited by Law and KP Policy?§ When you stop doing work for KP — eitheras a KP employee, vendor or contractor—you may not remove, make copies of orcontinue to use, access, receive, or discloseKP PHI. Doing so is a violation of the lawand KP policy.§ If you are a contractor, you may not copy,use, or disclose KP PHI for any purposeother than specifically allowed in yourBusiness Associate contract. If youinadvertently access or disclose PHI in waysnot allowed in your contract, the law requiresyou to immediately report the disclosure toyour supervisor or contract manager, andyour company to report the breach to KP.3 kp.org/complianceHow Can I Help Prevent Breaches ofPHI?A breach is the unauthorized acquisition,access, use, or disclosure of PHI thatcompromises the privacy or security of the PHI.We are all responsible for protecting ourmembers’ and patients’ confidentialinformation. If a breach occurs, immediatelynotify your manager/supervisor, complianceofficer, or privacy and security officer.Do Not Peek§ No matter how curious you might beregarding the health of a coworker, a friend,a celebrity, or a family member, do notaccess a medical record unless you areauthorized to do so.§ Never access or discuss a fellowemployee’s PHI unless it is for purposesallowed by law and required for your jobThink Twice When You Talk About PHI§ Do not discuss patient information at homeor outside of work, including who you saw asa patient.§ Avoid discussing PHI in public areas,including talking on a cell phone whereothers may overhear.§ Lower your voice when you must share PHIin areas where others might overhear.§ If possible, close the door when consultingwith patients and/or family members orwhen dictating.§ Be sure to ask the patient in advance if it isacceptable to speak with his or her familymembers.

HIPAA 101: Privacy and Security BasicsPrevent Unauthorized Access to Facilitiesand Secure Areas§ When you are at work, wear your KP IDbadge and be sure it is prominentlydisplayed.§ Notify Security if you notice someonewithout an ID/card badge in a restrictedaccess area. Ask the individual, “May I helpyou?” or “You seem to be lost”, and thendirect them to Security to obtain a temporarybadge.§ Keep doors locked and restrict access toareas where sensitive information orequipment is kept.§ Do not post keypad access codes.§ Shield the key strokes when entering anaccess code to prevent others from seeingthe code.§ Follow the same guidelines for facilityaccess as you would for password, includingchanging codes periodically; using complexcodes that are not obvious; not sharing youraccess code or access badge; and, notallowing others to use your access rights toenter a facility or secure area.§ Do not allow others to “tailgate”, or followyou into a restricted area. Each employeemust have a badge to enter restricted areas,or otherwise be directed to Security to obtaina badge.§ Turn in your badge and keys to yoursupervisor or HR when you leave KP, or aretransferred to another KP job where yourcurrent ID badge will not be re-used.4 kp.org/complianceProtect the Privacy of PHI in Printed orWritten Documents§ Check to make sure that you are giving thecorrect paperwork to the right

within a Kaiser Permanente facility. 3.0 Scope/Coverage 3.1 This policy applies to all Progr am Participants who arepar ticipating in unpaidfield experience and training in any of the following entities: 3.1.1 Kaiser Foundation Health Plan, Inc. (KFHP) and Kaiser Foundation Hospitals (KFH); 3.1.2 Southern California Permanente Medical Group .