- Welcome to Mercy
- MMC Nursing Service Vision & Philosophy
- Download our Confidentiality Statement (pdf)
- Guidelines Governing Student Nurses at MMC
- View the Safety Practices Handbook
- Take the Safety Quiz
- Nursing Documentation
- Read the Ethical & Religious Directives
- HIPAA Self Study Packet
- HIPAA Quiz
- Code of Ethics & Information Security Forms
- Password Assignment Agreement
- Service Excellence Self-learn Packet
- Service Excellence Post–Test
Interested in gaining more experience while completing
your RN program?… find out more about our Nurse Intern program
- Required Paperwork Before Students Start Their New Year Of Clinicals at Mercy
- Faculty Overview and Directives for Nursing Students
- Compliance Verification Form
- Safety Quiz Key
- HIPAA Quiz Answer Key
- Download Code of Ethics & Information Security Forms
- Clinical Request Form (Excel)
- Service Excellence Post–Test Answer Key
The Division of Nursing Services is committed to continuously improve patient care by providing facilities, technologies and an enriching environment for healthcare professionals who choose to practice in any of our nursing units. We hope you enjoy your clinical experiences at Mercy and consider becoming a part of our team
Student nurses will be held to the standards of competent professional nurses when performing all nursing duties.
All students will be required to print off and sign a confidentiality statement found above under students to be given to your instructor and placed in your school file.
All students will be required to take the MMC Safety test above under students. Results and certificate will be printed off and given to your instructor for your file.
Ethical Religious Directive and Mission/Value Statement:
All students are required to read the Ethical and Religious Directives and the Mission/Value Statement found above.
The school of nursing student will wear appropriate uniform and ID badge while on duty in this hospital. Lab coats are permitted and ID badges are required when the student is picking up an assignment. Students are expected to follow the dress code policy of the hospital.
The charge nurse is responsible for the unit during the shift. If unable to come to clinical, call your unit and ask for the charge nurse. Give your name, school and instructor’s name and reason for absence.
- Patient Report – Students must receive a patient report to find out your patient’s needs, scheduled tests, lab results and condition. It is imperative that you notify the primary care nurse when there is a change in your patient condition, or a problem with equipment. You must report off to the primary care nurse when leaving the floor or at the end of your clinical day.
- Clinical Skills/Procedures – The instructor must be present if the student has not attained clinical competency in a procedure. Your instructor will provide guidance about which skills may be performed independently.
- Medications – Students are to demonstrate safe medication practices. This includes knowledge of the five rights to medication administration, medication action, safe dosage for adults, seniors and children, side effects and special considerations for administration.
Nursing instructors will check ALL medications prior to student administration. Select medications must be double- checked by two licensed individuals prior to administration. This may include the following medications but not limited to: insulin, anticoagulants or any weight-based medications.
ALL intravenous medications are to prepared and administered under the direct supervision of a licensed nurse.
Students may not hang IV chemotherapy.
- Documentation – Documentation must be by the clinical instructor prior to entry in the medical record. Student’s signature shall include the first initial and full last name, student status and school affiliation.
- Physicians Orders – Students are not permitted to receive telephone/verbal orders. Transcription of orders is permitted only in supervised preceptorship or management courses.
- Photocopying – Students may NOT photocopy any part of the patient’s medical record or have in their possession any individually identifiable health information belonging to a patient.
Student Parking Rules
Parking is provided for all students in the “Employee Parking Lot”. This is the lot behind Mercy Hall, located in the North end of the Medical Center campus.
- Read Administrative Policy 102.026, Parking/Access Control.
- Park only in the yellow-lined parking spaces.
- Do Not Park in the yellow-striped, no parking areas, in the grass or in any area or space that is not designated as a parking space. This includes the following areas:
- Visitor Parking Deck
- Surgery Deck
- Volunteer Lot
- Dialysis Lot
- Reserved Lots
- Child Kingdom Parking Area
- These restrictions apply seven days a week on a 24-hour basis. (On rare occasions when Employee Parking Lot is full, a sign will be posted at the front entrance of the Medical Center and students will be permitted to park on the fourth level of the Visitor’s Deck at no charge.)
- Visitor Deck Parking is allowed on the third and fourth level, at no charge, for students beginning their clinical experience after 6:00 pm, and who will be out of the deck by 8:00 am.
- On snowy days, when it is impossible to see the yellow lines, Security Officers will be on duty to direct drivers into the proper parking patterns. Any driver not following these directions will be in violation of the parking policy.
- Disabled students may be granted permission to park in a reserved lot with approval from the Health Services Office.
- Emergency phones, designated by signs, are located on 4 poles (2 each), along the East and West perimeters of Employee Parking Lot. These dial directly to the Security Office. Video surveillance and patrols are maintained ongoing
- Locking vehicles and placing valuables out of view will enhance security.
- Security Escorts are available, as needed, by calling the Security Office at extension 1250. Students are encouraged to walk with other persons to the parking lot. If they cannot find someone else to walk with, especially after dark, calling for an escort is encouraged.
This new Corporation proposes a broad window of opportunity for advancing Catholic health care services. A vision of long-term commitment to the missions of our four hospitals is considerably brightened by the prospects now possible. The Ethical and Religious Directives for Catholic Health Care Services will continue to be observed in our hospitals. The Directives were revised by the National Conference of Catholic Bishops in November, 1994.
Briefly, the purpose of the Directives is:
“First to reaffirm the ethical standards of behavior in health care that flow from the Church’s teaching about the dignity of the human person; second, to provide authoritative guidance on certain moral issues that face Catholic health care today.” (Taken from Directives, copyright 1995 United States Catholic Conference, Washington, DC. Used with permission.)
The Directives has six sections:
- The Social Responsibility of Catholic Health Care Services
- The Pastoral and Spiritual Responsibility of Catholic Health Care
- The Professional-Patient Relationship
- Issues of Care for the Beginning of Life
- Issues in Care for the Dying
- Forming New Partnerships with Health Care Organizations & Providers
The document is beautifully written and straightforward in its application to our Mission of health care. What follows is a brief explanation of each Section of the Directives.
Section 1: Social Responsibility
“Catholic health care ministry is rooted in a commitment to promote and defend human dignity; this is the foundation of its concern to respect the sacredness of every human life from the moment of conception until death. The first right of the human person, the right to life, entails a right to the means for the proper development of life, such as adequate health care.” (Page 6 of Directives: used with permission.)
As you read the Directives in this section, you will be reminded of the values and standards of service that are integral to our operations: respect for the patients, their families and for one another; care for the poor, the uninsured and the underinsured; responsible stewardship of health care resources; equal employment opportunities and just treatment of employees; responsibility of employees to respect and uphold the religious mission of the hospital; and the relationship of the hospital to the wider Church.
It is important that we take time to reflect on what we are all about, why we choose to work in a Catholic health care facility, and what it means to continue the healing ministry of Christ. Becoming more knowledgeable about the Directives will help us to do this.
Section 2: Pastoral and Spiritual Responsibility
Pastoral Care is an integral and vital part of Catholic health care. Therefore, the terms of our new corporation guarantee that an adequately staffed Pastoral Care Department will continue in each of our hospitals. It is the role of Pastoral Care to ensure that the spiritual nature of persons be recognized and nurtured. The Directives state that “Without health of spirit, high technology focused strictly on the body offers limited hope for healing the whole person.”
In accordance with the Directives, each of our hospitals has a Pastoral Care department which includes a full-time director, certified chaplains, a priest chaplain and many lay volunteers who are trained as Eucharistic Ministers and patient visitors. The presence of a priest ensures that the sacraments, especially the Eucharist and Anointing of the Sick, are available to patients, families and staff. A chapel, with Blessed Sacrament present exists in all four of our hospitals. Each Pastoral Care staff member works closely with local clergy of all denominations to ensure that the religious beliefs and affiliations of all patients are respected. Certified chaplains, as an integral part of the health care team, respond to the spiritual and religious needs of patients, families and staff. Chaplains have input on all committees that are vital to the life of the hospital i.e., Mission/Philosophy, Ethics, Continuous Quality Improvement.
The Directives call for pastoral caregivers to be creative in responding to the needs of persons. Each department in the CSA Health System has responded uniquely to this mandate. Projects initiated by Pastoral Care include parish nurse programs, ministry to the homeless and elderly, nursing home ministry and a variety of other activities that address the needs of the communities in which each of our hospitals is located. As you know, the Sisters of Charity of St. Augustine and the CSA Health System have established new foundations that continue to expand such services.
Section 3: The Professional/Patient Relationship
The professional health care provider enters into a relationship with the person requiring health care. This relationship must be one of “mutual respect, trust, honest and appropriate confidentiality.” The interdisciplinary team of doctor, nurse, nutritionist, therapist, social worker, chaplain and others needs to maintain these parameters.
The health care providers assist in preserving life and promoting health of body, mind and spirit. This professional-patient relationship incorporates Catholic health care guidelines that promote medical decisions in ways that respect the dignity of the person and the relationship with health care professionals. The Directives give guidance regarding the following:
- Respect for the human dignity of each person, regardless of the nature of the health care problem or social status, must be respected;
- Patient’s rights and advance directives information;
- Informing patient regarding the treatment plan, its risks and benefits, etc.;
- Respect for the privacy of patients and confidentiality;
- Medical and genetic experimentation;
- Responsibilities of the health care professional in abuse and reportable situations;
- Ethical issues and ethical consultation;In summary, “the faith that inspires Catholic health care guides medical decisions in ways that fully respect the dignity of the person and the relationship with the health care professional.” (Page 14)
Section 4 Issues in Care for the Beginning of Life
“Issues in Care for the Beginning of Life” are perhaps among the most sensitive of all considerations. Services at hospitals within our system are strictly guided by “the Church’s commitment to human dignity, (which) inspires an abiding concern for the sanctity of human life from its very beginning… The Church’s defense of life encompasses the unborn child and the care of women and their children during and after pregnancy.” The Directives provide guidance in areas of contraception, infertility and abortion. “While we rejoice in the potential for good in (new) technologies, we cannot assume that what is technically possible is always morally right.” Artificial fertilization techniques, sterilization and abortion are, as we all know, never permitted in Catholic Health Care Institutions.
The Directives provide very clear guidelines regarding the ethical principles for formal and material cooperation. The principles are explained in the Directives, and we encourage you to familiarize yourself with them. Beyond this, your Ethics Committee is available to provide further information and/or educational programs.
Section 5: Care for the Dying
Catholic health care institutions promote respect, love and support to patients and their families throughout life’s continuum to the time of death. Health care professionals care for people even when there may be no cure.A Brief Synopsis of the Ethical and Religious
One of the main purposes of medical treatment is to control pain and suffering. Physicians and their patients must evaluate medical technology and determine, in light of serious chronic conditions, whether further medical interventions may be futile and serve only to prolong the dying process. At times, this decision becomes confusing and/or controversial to those who are caring for the suffering and dying. We have procedures that are not beneficial or are excessively burdensome. This section of the Directives provides guidance on caring lovingly and reverently for each person as their life comes to a close.
Each hospital has an Ethics Committee, which provides an Ethics Consult service. Members of the Ethics Committee are available to provide advice, clarification of issues, conflict resolution and emotional support for patients, family members, physicians and other health care professionals. Our hospitals strive to be a community of care. In keeping with the Directives, pain management centers are being explored to alleviate the suffering of those patients challenged by chronic pain.
Section 6 Forming New Partnerships with Health Care Organizations
“Partnerships can be viewed as opportunities for Catholic health care institutions and services to witness to their religious and ethical commitments and so influence the healing profession… New partnerships can help to implement the Church’s social teaching… (They) can be opportunities to realign the local delivery system in order to provide a continuum of health care to the community; they can witness to a responsible stewardship of limited health care resources; and they can be opportunities to provide to poor and vulnerable persons a more equitable access to basic care.” -p.25, Directives
A copy of the Directives is available to you in your department. Please feel free to contact any member of your Ethics Committee for further information and assistance in regard to the Directives. In addition, the Ethics Committee would welcome your suggestions for education programs regarding the Ethical and Religious Directives and/or other areas of interest pertinent to ethical issues.
You will be able to
- Identify what the HIPAA law covers.
- Understand patient rights addressed by this law
- Understand y our responsibilities as part of the “workforce” of Mercy Medical Center
HIPAA stands for Health Insurance Portability and Accountability Act. This law was passed to provide protection to you and your ability to obtain health insurance when you moved from one company to another company. In addition this law has two Rules; The Privacy Rule and the Security Rule. This self-study packet will address the Privacy Rule, which went into affect April 14, 2003.
Understanding and enforcing HIPAA, Confidentiality and Privacy is everyone’s responsibility. Hospitals, Physician Offices, Nursing homes, Pharmacies and anyone else who works in a Health care setting are required to follow this law. One option that the law permits is for the hospital or other agencies to designate themselves as “Organized Health care arrangement”. This allows everyone who is taking care of the patient in an “organized health care arrangement” to share patient information as long as it is for Treatment, operations or payment. (TOP).
The law requires that the hospital have
- Policies on privacy practices for written, oral and electronic communication (Policies are on Mercy Net)
- Designate a privacy officer
- Provide education to all members of the workforce (this includes students, volunteers, employees and physicians)
- Provide Patients with a notice of the hospital’s privacy practices. Copies of The Notice of Privacy Practices (NOPP) must also be placed in the lobbies of the Medical Center and at the off-sites.
There are potential heavy civil and criminal fines for deliberate violations of the law
Patients have the right to:
- Access their own records
- Have information kept confidential
- Request an amendment to their records
- Ask not to be put in the hospitals directory
- Request that they not receive marketing or fund-raising material
- Auditory and visual privacy (do not expose patients)
Avoid using waiting rooms or public areas to interview patients or brief family members. Do not discuss patients in the cafeteria, elevators, hallways or outside in the picnic areas. Occasionally a coworker will be hospitalized. Use extra care in protecting their confidentiality. Do not discuss their medical condition with fellow employees or mutual friends. Physicians and nurses may discuss patient information in the nurse’s station.
Sharing information with the patient’s family:
Information about the patient’s condition may be shared with the family if the patient gives permission (can be verbal), the patient is unconscious or confused, or if it is in the best interest of the patient.
Fax Machines, Computers
Information technology such as Fax machines is a major security risk. Make sure that the fax you are sending is going to the correct office or person. All patient information that is being thrown away must be placed in the hospital shredder boxes. Avoid using speakerphones unless you are sure that someone else can not hear the conversation. Do not share you computer password with anyone else. You could be held responsible if it is misused. Your access to computer information in the hospital is based on the minimum necessary amount of information you need to do the job you were hired/ volunteer to do. You may not review patients chart (PHI-protected health information) unless your position in the hospital requires you to review this information for to do your job.
Includes patient name, room number and condition only. If you receive a call asking for a patient by name this information may be given to them.
HIPAA policies are on Mercy Net. As a physician, employee, student or volunteer you will be instructed by your Director/Manager in the HIPAA policies that affect you in your position.
If you have any questions you may contact the privacy officer, Dan Lane, RN, MSN, at this email address.
Dear Program Director/Faculty of College/School Affiliating at MMC:
Following are guidelines/directives to facilitate processes involved with student clinical experiences at MMC. Please refer to the directions attached to all forms/calendars, etc.
- Orientation to MMC New faculty must have a walk-through orientation and unit specific orientation. Faculty is to contact the unit director to arrange for a preceptor. New faculty may tour MMC with one of the experienced faculty.
- Self-Learn Safety Module and Quiz and HIPAA quiz Faculty are to review all information on the Safety test found on the web (www.mercynurse.com). The faculty member will collect the Safety Test from the students to place in their file. The student will access the Safety Test to print on the web. The student needs to pass with 84% competency (can miss up to 4 questions). The new HIPAA material and quiz is available for the student to print off and take and provide you with a copy for their files.
- Confidentiality Statement/Signed Affadavit of completion of orientation requirements Faculty are to give a unit specific orientation to their students highlighting information regarding student roles. Student Orientation Unit Specific Competency can be assessed through web (www.mercynurse.com). A signed Affadavit will then be sent back to Mercy Medical Center addressed to the attention of Steve Baker, administrative shift manager. This will be your verification that all students have signed Confidentiality Statements, completed healthwork requirements, completed the Safety Test, read the Ethical Religious Directives and Mission/Value statements and completed the HIPAA quiz.
- Computer access For the student to be able to document electronically. MMC needs to have a list of the students that will be participating in a clinical rotation. The list must contain the students full name with middle initial, last four digits of their social security number and start and stop dates. Each student needs to read and sign the Code of Ethics form. An original was provided to the Dean/Nursing Director of the program. All the above information must be sent to Steve Baker, administrative shift manager, prior to the students access password for the computer. Computer demonstrations are available for the faculty by contacting Steve Baker at 330-330-489-1140.
Clinical Request Forms will be available on the web (www.mercynurse.com) and are to be submitted to firstname.lastname@example.org by May 30 for September – December, clinicals and by September 30 for January – August clinicals. Clinical requests cannot be guaranteed if the requests are not submitted by the time frame indicated. You may also send an e-mail for the request but you must indicate: unit requested, number of students, level of students, start date, stop date, time and any exception dates.
Dates for preceptorship requests can be sent through an e-mail to Steve Baker. Please include qualifications. Fliers containing all pertinent information potential preceptors need to know can be submitted. These will be copied and distributed to the participating units by the coordinator, so they can be posted to better advertise and recruit. Sign-up sheets for those eligible and willing to be preceptors will be attached. Decisions regarding communication protocol between faculty, managers, preceptors and the coordinator will be on an individual basis as determined by the involved program director and coordinator. We will do our best to assist in providing this very worthwhile experience. Preceptorship placements will be contingent upon availability of volunteer preceptors and units. All students precepting must meet the above requirements as well as those following.
Unit Specific Calendars and Information:
Unit calendars denoting student assignments will be sent to the managers by Steve Baker approximately 2 weeks prior to student experience. Faculty are to submit goals, objectives and other pertinent information to the managers, prior to clinical experience.
Faculty are to assign lockers to all students. Please keep a record of the locker numbers assigned to specific students. Students must use lockers unless given permission by a nurse manager to use a unit facility. Each program has a block of lockers assigned to them. The coordinators or directors of the schools will maintain the locker numbers and combinations and share this information with their faculty as indicated. A master list of locker numbers assigned to various schools and locker combinations will be maintained by Steve Baker (330-489-1140).
Contracts will be distributed yearly to the programs for review and re-signing. Please keep Jan DeHoff, Administrative Secretary informed of the person(s) responsible for reviewing and signing the contract for your facility. If you have any questions, etc., contact Jan DeHoff at 330-489-1008.
Health Care Requirements:
A Verification of Faculty and Student Compliance with the Health Care Requirements of Mercy Medical Center form is to be completed and returned to Steve Baker, administrative shift manager, prior to clinical experiences yearly.
Faculty Evaluations of Student Learning Environment:
Faculty, please complete Faculty Evaluations of Student Learning Environment twice per year for each unit utilized, January through August and July through December. Submit to Steve Baker, administrative shift manager. As this information is tabulated, the coordinator will act on it and share this information with you as appropriate.
ID badges must be obtained and worn by all faculty and students while attending clinical assignments at MMC. MMC ID badges will allow access to restricted and controlled areas. They are not to be used by anyone other than the person the ID badge has been assigned to. The badge identifies the holder. Abuse of this privilege may result in termination of clinical experience privileges. To initiate the issuance of ID badges, yellow access control cards will be included with the student and faculty orientation information that is sent to your facility. They are also available from MMC’s Security Department. All information applicable must be completed by students and faculty. Faculty are to submit the cards and list of students to Security at least one week prior to beginning clinical experience. This will allow preparation time. One week after submitting the cards and list, Security asks that you call them at (330) 489-1250 to assure availability of ID badges. It is the faculty’s responsibility to insure students pick up these ID badges. This can be done individually or as a group. If done as a group, please call in advance. If the badge is not returned then the student will be charged a $10.00 fee.
Fingerprinting and background checks are required for any student performing Home Health Care visits unaccompanied by a Mercy Medical Center employee. (This primarily involves RN to BSN students). Faculty/Students need to call Security at (330) 489-1250 to make an appointment. Cost to the Students/Faculty at this time is $39.00 for fingerprinting/criminal record checks. These take approximately 60 days to be processed and returned. Results must be received by us prior to clinical experience, so please schedule appointments accordingly.
All Mercy Nursing Students are required to sign and return a Confidentiality Statement. The text of this agreement is as follows:
I understand and agree that, in the performance of my duties in a clinical affiliation at Mercy Medical Center, I must hold medical information in confidence. I further understand that my intentional or involuntary failure to maintain the confidentiality and security of the Medical Center’s medical records may result in my dismissal from the program and in possible legal action as may be imposed by State and Federal legislation which action might include possible fine or imprisonment.
The Nurse Intern position offers an exciting opportunity for nursing students who have successfully completed their first clinical rotation and skills lab. The Nurse Intern will be permitted to perform those skills that have been demonstrated and successfully performed during clinical rotation with the patients that they are assigned on a nursing unit. The Nurse Intern will be under the direct supervision of a Registered Nurse. This position allows the student nurse an opportunity to perfect those nursing skills before graduating.
An example of the skills that may be performed independently:
- Catheter Insertion
- Blood glucose checks with the Glucometer
- NG tube insertion
- Dressing changes
Nurse Interns may only perform skills and duties that can be delegated from a Registered Nurse to unlicensed assistive personnel as defined by the Board of Nursing and the Nurse Practice Act of the State of Ohio.