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Facility Guide - Palomar Health
Palomar Medical Center Facility Guide Welcome. I would like to extend a warm welcome to you as we embark on this exciting journey at our new Palomar Medical Center. As we continue to pursue our vision of being the health system of choice, we recognize that it is our employees who are the driving force behind this goal. The new PMC has been built with the goal of providing a healing environment and features a green roof, natural lighting, outdoor terraces and patio seating in our café. These are just a few features that support our mission to heal, comfort, and promote health by following modern medical beliefs that patients heal faster with natural light and a connection to nature. In this Facility Guide, you will find useful information such as the hospital layout with maps, visitor and employee services, telephone directories, and much more. Keep this handbook close as it will not only serve to inform you, but it will help you to direct your patients and their families as they visit our new hospital for the first time. Ongoing patient-centric information and education is available through the Service Excellence Department, at 760.740.7361. From our management team to our volunteer staff, I want everyone at Palomar Health to believe in what we are doing and where we are going. As we continue to grow and transform our services, we remain committed to delivering on our promise of providing excellent customer service and the highest quality of care possible. I sincerely thank you for your commitment to Palomar Health. This is your house now; together let’s take pride in our new home. Welcome once again to the new Palomar Medical Center: Your Hospital of the Future. Sincerely, Table of Contents Important Information Directions.......................................................................................................... 5 Mission, Vision, & Values................................................................................ 5 Key Design Elements....................................................................................... 7 Department Names Before & After.............................................................. 8 Building Information & Directory Hospital Layout........................................................................................................ 11 Floor Color & Themes........................................................................................... 12 Floor Plans................................................................................................................. 13 Parking & Transportation.................................................................................... 18 Elevators.................................................................................................................... 20 Phone Directory....................................................................................................... 21 Visitor Information Visitor Services........................................................................................................ 27 Parking & Transportation.................................................................................... 29 Dining In and Around PMC.................................................................................. 30 Employee Information Employee Services................................................................................................. 33 Nurse Call Devices.................................................................................................. 34 Policies & Procedures............................................................................................ 35 Department Names in Clarity............................................................................ 36 Safety & Sustainability Michael H. Covert, FACHE Sustainability Flow Chart.................................................................................... 39 Safety & Codes.......................................................................................................... 41 Other Safety Points................................................................................................ 43 Important Information Important Information The Palomar Medical Center Facility Guide Directions Nor dah l Rd . 2185 Citracado Parkway Escondido, CA 92029 442.281.5000 E. M issio n Rd . Com merc ial S t. Mission, Vision, & Values OUR MISSION The mission of Palomar Health is to heal, comfort, and promote health in the communities we serve. OUR VISION Palomar Health will be the health system of choice for patients, physicians and employees, recognized nationally for the highest quality of clinical care and access to comprehensive services. OUR VALUES Patient’s Well-Being – We passionately give and support heartfelt care that encourages patient comfort and safety. Professionalism – Each of us takes pride in teamwork, self-discipline, our skills and trustworthiness. Highest Quality – We are each accountable for providing the safest, most effective and innovative care. PATIENT CENTRIC CULTURE We strive to provide the ideal patient care experience for every one of our patients and their families. In order to achieve this, Palomar Health has identified four patient centric standards: The patient will experience effective communication. Every patient receiving service will be told the name and role of the staff member, what is being done and why it is being done. 5 The patient will receive timely service. Every patient service will be provided on time, within 15-30 minutes of their scheduled event. THIS BUILDING WAS DESIGNED WITH OUR COMMUNITY IN MIND Way Park Auto W. Citracado P ark wa y Ginger Way 78 Ent erpr ise St. Rose Dr. W ay Alpin eW ay Auto Park From Interstate 15: Exit Valley Parkway and head west. Make a right on Auto Parkway and a left on Citracado Parkway. The patient’s needs will be anticipated and responded to. Caregivers will round on their assigned patients hourly to assess and respond to the patient’s needs related to pain, position, personal needs and presence. Dole Lee Pl. Aero Way DIRECTIONS From Highway 78: Exit Nordahl Road and head west. Make a right on Citracado Parkway. The patient will be actively listened to. Every patient will have their most important need of the day identified and addressed. The 740,000 square feet hospital is an 11-story building with 288 private, singlepatient rooms and more than 800 parking spaces. It houses 50 emergency & trauma rooms, 12 operating rooms and 6 interventional radiology suites just on the 1st and 2nd levels alone! On each level, patients, families and employees can enjoy 3 outdoor terraces adorned with patio seating and live trees, flowers and shrubs. As the community grows and develops, Palomar Medical Center has the ability to expand to twice the size! The green roof is a 1.5-acre wavy rooftop directly above the Surgery and Procedures area and is the largest of its kind in Southern California. The roof is “green” with vegetation that has been planted across the entire area which will contribute to energy efficiency and follows modern medical beliefs that patients heal faster with natural light and a connection to nature. All south-facing west wing rooms overlook the green roof. MINIMIZING OUR CARBON FOOTPRINT The issue of sustainability is of great importance at Palomar Health. In our efforts to reduce the amount of waste created, certain measures have been implemented at the new facility. Recycling collection bins are in centralized public areas for recyclable waste which includes glass, aluminum, plastics and cardboard among other wastes. Composters will be used to dehydrate food wastes to prepare for landscape use on campus. Our Sani-Pak system will convert medical hazardous waste to solid waste that will then be disposed of properly. For more information on the various waste streams and how to dispose of waste appropriately, please see the Sustainability Flow Chart on page #. TOBACCO FREE All Palomar Health campuses are tobacco-free facilities. For more information, please see Lucidoc procedure # 25912. For assistance to stop smoking, please call 1-800-QUIT-NOW. 6 Important Information The Palomar Medical Center Facility Guide Key Design Elements Palomar Medical Center Before & After HEALING ENVIRONMENT New Names of Units and Departments The healing environment is evident throughout the campus. Atriums and garden terraces are on every floor for patients, visitors and staff to enjoy the natural climate of Southern California. The walking garden on the north end of the facility serves as a place of respite for all. Within the walls of the facility, the healing environment is apparent with decreased noise levels on inpatient floors into patient rooms, allowing doors to remain closed and noise levels to be controlled. Patient rooms, including in the Emergency Department and Pre-op/ Recovery areas, are larger to allow for family members to be present. Patients have the ability to control inpatient room climates with the touch of a button. LOCATION BEFORE AFTER LOCATION 1st level Java City Starbucks 1st level lobby 2 level Cafeteria Garden Terrace Café 3rd level east MD Lounge Physician Dining Room 3rd level east Health Information Services Medical Records 2nd level west Trauma ICU Surgical & Trauma ICU 4th level west Interventional Radiology Surgery & Procedure 2nd level west Radiology/Ultrasound Imaging 1st level west Patient Access Registration 1st level west Laboratory Laboratory Collection Station Laboratory 1st level west Lower level west Catheterization Lab Operating Room Pre-Op Surgery & Procedures 2nd level west PACU Recovery (in Surgery & Procedures) 2nd level west Ortho/Neuro/Stroke Orthopedic Acute Care Neurosciences Acute Care 7th level east nd 3 level rd SAFETY All patient rooms are “same handed”, with hand rails from the bed to the bathroom for ambulation safety. The bathrooms feature double wide doorways and built in showers so patients don’t have to step over a tub side. Patient lifts aid staff in lifting and avoiding back strains. 4th level EFFICIENCY Staff and visitors can find their way through the building with ease using our Wayfinding Kiosks, dedicated visitor elevators and dedicated staff and service elevators. Critical care floors house procedure rooms and the Emergency Department has a dedicated CT scanner for increased efficiency of patient care. Our Food and Nutrition Services provide Room Service, which gives patients the opportunity to order foods they want when they want them. 5th level 7th level west Observation Short Stay Unit 9th level east (shelled) Telemetry Cardiovascular Acute Care 5th level east Intensive Care Unit Medical ICU Cardiovascular ICU Cardiovascular Acute Care 6th level west 5th level west 5th level west Respiratory Pulmonary 1st level west Intermediate Care Unit Pulmonary Medical Acute Care Pulmonary Acute Care 6th level east 6th level west Medical Oncology Medical Oncology Acute Care 8th level east 8 level Medical Surgical Medical Acute Care Surgical Acute Care 8th level west 4th level east/west -- -- Central Monitoring Room 3rd level west 6th level TECHNOLOGY The new facility has wireless infrastructure and fiber optic capability, which increases the speed of digital information exchange for staff, patients and guests. The single beam span in Surgery & Procedures creates larger open spaces in the department while providing flexibility for redesign in the future. 7 level th SUSTAINABILITY The 1.5 acre wavy green roof is covered with water-wise plants across the entire area which will contribute to energy efficiency by providing a cooling effect on the Surgery & Procedures equipment. Irrigation is done using recycled water. The lights throughout the facility are LED low voltage. 7 th 8 Building Information & Directory Building Information & Directory The Palomar Medical Center Facility Guide Hospital Layout Floor Colors & Themes North (78 Freeway) East Wing West Wing 10th Shelled LEVEL 5: WILDFLOWER LEVEL 11 South (Stone Brewery) Helipad Shelled 111 Diagnostic & Treatment WEST WING 11th LEVEL 11: SKY EAST WING (Future: Community Room) LEVEL 10: ALPINE 10 LEVEL 4: GRASS 8th 7th 4 LEVEL 4 LEVEL 10 9th 5 LEVEL 5 Unassigned Shelled Medical Acute Care Medical Oncology Acute Care Neurosciences Acute Care LEVEL 9: TROPICAL 9 LEVEL 3: SUCCULENT 3 CAFE LEVEL 9 Orthopedic Acute Care E L 6 th North – Pulmonary Acute Care South – Medical ICU E Pulmonary Medical Acute Care V A 5th Cardiovascular ICU T Cardiovascular Acute Care LEVEL 8: FOREST O 8 LEVEL 2: ZEN GARDEN 2 PHARMACY LEVEL 8 R 4th 3rd North – Surgical Acute Care South – Surgical & Trauma ICU Mechanical area, Remote Monitoring Outdoor Terrace, Wavy Green Roof 2nd 1st Surgery & Procedures, Recovery, IR/Cardiac Cath, Endoscopy, Pre Admission, Medical Staff, Administration Emergency, Registration, Cardiology, Imaging, Laboratory Collection Station, Medical Records, Pulmonary S Surgical Acute Care Garden Terrace Café, Physician Dining LEVEL 7: WATER 7 11 CONFERENCE CONFERENCE ROOM A LEVEL 7 Pharmacy, Inpatient Rehab (Future: Chapel & Resource Center) Main Lobby, Financial Services (Future: Retail area, Business & Conference Center) LEVEL 6: SHADE 6 Kitchen, Morgue LEVEL 6 LL LEVEL 1: ROCK LEVEL LL: ROOT LL LABORATORY Facilities, EVS, SPD, Supply Chain, Mail Room, Laboratory 12 Building Information & Directory The Palomar Medical Center Facility Guide Lower Level Floor Plan 1st Level AMBULANCE ENTRY EVS PNEUMATIC TUBE INTERCHANGE SUPPLY CHAIN MGMT. FACILITIES RESPIRATORY THERAPY STERILE PROCESSING COURTYARD EMERGENCY SERVICES IMAGING CARDIO DIAGNOSTICS LAB MORGUE LOBBY FOOD SERVICE MAIN HOSPITAL ENTRY FINANCIAL COUNSELING 13 14 Building Information & Directory The Palomar Medical Center Facility Guide 2nd Level 3rd Level INTERVENTIONAL SERVICES IR/CATH OPERATING ROOMS PATHOLOLGY WAVY GREEN ROOF TERRACE TERRACE PRE/POST OP WAITING AREA OUTDOOR TERRACE GARDEN TERRACE CAFE INPATIENT REHAB PHARMACY 15 16 Building Information & Directory The Palomar Medical Center Facility Guide 4th – 9th Level Parking & Transportation 24 BED UNIT EMPLOYEE PARKING STAFF/PATIENT ELEVATORS VOLLUNTEERS OUTDOOR TERRACE LOADING DOCK CLERGY PUBLIC ELEVATORS RECEPTION/ WAITING AREA SERVICE ELEVATORS MAIN ENTRANCE AMBULANCE & EMERGENCY RESPONDER PARKING PATIENT/VISITOR PARKING STAFF ELEVATORS ER ENTRANCE 30 BED UNIT 15 MIN PARKING PATIENT/ VISITOR OUTDOOR TERRACE PATIENT/ VISITOR PARKING N PHYSICIAN PARKING East / West End EMPLOYEE PARKING EMPLOYEE PARKING DRAWING KEY: Palomar Medical Center Central Utility Plant Employee Parking Patient/Visitor Parking Physician Parking Employee/Physician Route Patient/Visitor Route Employee/Physician Walking Employee/Physician Entrance OUTDOOR TERRACE 17 SHUTTLE PARKING STAFF LOUNGE & LOCKERS 18 Building Information & Directory The Palomar Medical Center Facility Guide Elevators NCTD: RIDE WITH YOUR BADGE FOR ROUTE 353 North County Transit District has provided a BREEZE Bus Route 353 that all Palomar Health employees are able to ride for free with a Palomar Health badge. The route begins at Palomar Health Downtown Campus and ends at the new PMC via the Escondido Transit Center. Route 353 operates every 30 minutes on weekdays and hourly on Saturdays. No service on Sundays or holidays. For more information, please visit www.GoNCTD.com or call the BREEZE hotline at 855.287.6283. PMC CURBSIDE SHUTTLE SERVICE A golf cart shuttle service is available to escort visitors and staff members between the hospital entrances and the parking lot. ENTRANCES Main Lobby Entrance: Patients and visitors can use this entrance where a reception desk attendant can assist them in finding their destinations. The Main Lobby entrance is open from 0600 to 2030 every day. After Hours Entrance: Patients and their families who arrive to PMC after hours can enter the facility through the ER Entrance on the 1st floor. Employee Entrances: There are two employee entrances, both of which are badgeaccessible only. One is located just east of the ER on the 1st floor; the other is located on the back end of the Main Lobby on the 1st floor. 19 LEVELS SERVICED LOCATION ELEVATORS USERS Central PA1-PA4 (4 elevators) Families & Visitors only LL - 11 PA7 (1 elevator) ● Staff & Service LL - 11 PA8 (1 elevator) ● Staff & Service LL - 11 - Helipad PA9 (1 elevator) ● Staff & Services LL - 11 SE1 - SE2 (2 elevators) Staff & Services LL - 11 SE3 (1 elevator) SPD - Clean LL - 2 SE4 (1 elevator) SPD - Clean LL - 2 West End PA10 (Helipad Trauma) ● Trauma LL - 11 - Helipad Surgery & Procedures PA11 (1 elevator) ● ED to Cath Lab 1-2 East Tower SE6 (1 elevator) FANS LL - 3 (no stop on 2) PA12 (1 elevator) Café Shuttle LL - 3 (no stop on 2) SE7 - SE8 (2 Elevators) Staff & Service LL - 9 West Tower All elevators are connected to emergency power. Elevators marked with ● are able to be overridden by Code Blue Emergency 20 Building Information & Directory The Palomar Medical Center Facility Guide Palomar Medical Center Directory DEPARTMENT LOCATION/LEVEL PHONE NUMBER Palomar Medical Center Main Hospital Number 2185 Citracado Parkway Escondido, CA 92029 442.281.5000 Administation 2nd level west wing 442.281.1000 Benefits (HR) 456 Grand Ave. Escondido, CA 92025 BioMedical Engineering DEPARTMENT LOCATION/LEVEL PHONE NUMBER Garden Terrace Café 3rd level east wing 442.281.3203 HELP desk/Information Technology (IT) 15255 Innovation Drive San Diego, CA 92128 858.613.HELP (4357) 760.740.6336 760.740.6337 Home Health 975 S. Andreasen Drive Escondido, CA 92029 760.796.6800 442.281.1020 Hospitality Call Center (Room Service) Lower level east 442.281.3201 Human Resources (HR) 456 Grand Ave Escondido, CA 92025 760.740.6311 (main) Imaging (CT/Diagnostics/MRI/ NucMed/Ultrasound/Xray) 1st level west wing Infection Control 9th level east wing 442.281.3456 M-F 8-1630 After hours, call PBX Inpatient Rehab (Occupational/ Physical/Speech Therapies) 2nd level east wing 442.281.1100 Interventional Radioloby (IR) 2nd level west wing 442.281.3102 Kaiser Member Services 2 level west wing Laboratory, Central Processing Lower level west wing 442.281.1503 Laboratory, Chemistry Lower level west wing 442.281.1504 Laboratory, Admin Office Lower level west wing Laboratory, Hematology Lower level west wing 442.281.1505 442.281.1502 Blood Bank Lower level west wing 442.281.1501 Cardiac Cath Lab 2 level west wing 442.281.3101 Cardiology Services 1st level west wing 442.281.3300 Cardiovascular Acute Care 5th level east wing 442.281.2550 nd Cardiovascular ICU 5th level west wing 442.281.2500 Chaplain 2nd level east wing 442.281.3333 Chemistry Laboratory Lower level west wing 442.281.1504 Clinical Care Extenders (Pipeline Career Services) 642 East Grand Ave. Escondido, CA 92025 760.739.2149 Compliance Officer 15255 Innovation Dr. San Diego, CA 92128 858.675.5259 Emergency Department 1st level west wing 442.281.2000 858.613.6280 Employee Health 15611 Pomerado Road, Poway, CA 92064 120 Craven Road San Marcos, CA 92078 760.510.7373 Laboratory, Microbiology Lower level west wing Endoscopy 2 level west wing 442.281.3102 Laboratory, Outpatient 1 level west wing Environmental Services (EVS) Lower level west wing 442.281.1200 Laboratory, Pathology Escondido Surgery Center 343 East 2nd Ave. Escondido, CA 92025 760.480.6606 Facilities/Maintenance Lower level west wing 442.281.3250 Financial Services General: 1st level east ED: 1st level west 442.281.1999 442.281.1900 Food and Nutrition Services (FANS) Lower level east wing 442.281.3200 21 nd nd st 442.281.1500 Mail Room Lower level west wing Maintenance/Facilities Lower level west wing 442.281.3250 Medical Acute Care Unit 8 level west wing 442.281.2850 Medical ICU 6 level west wing south 442.281.2650 Medical Oncology Acute Care Unit 8th level east wing 442.281.2800 th th 22 Building Information & Directory The Palomar Medical Center Facility Guide Palomar Medical Center Directory (continued) DEPARTMENT LOCATION/LEVEL Medical Records 1 level west wing Medical Staffing Office 2nd level west wing Morgue Lower level east wing Neurosciences Acute Care Unit 7th level west wing Nursing Administration 2nd level west wing PHONE NUMBER DEPARTMENT LOCATION/LEVEL PHONE NUMBER Security & Police Office 1 level ED 442.281.4444 Sterile Processing (SPD) Lower level west wing 442.281.1040 Supply Chain Lower level west wing 442.281.3499 442.281.2750 Surgery & Procedures Waiting room 2nd level west wing 442.281.1002 Surgical & Trauma ICU 4th level west wing south 442.281.2450 Surgical Acute Care 4 level east wing and 4th level west wing north 442.281.2400 442.281.2450 st 442.281.1005 Nursing Staffing st th Operating Room (OR) 2nd level west wing 442.281.3000 Orthopedica Acute Care Unit 7th level east wing 442.281.2700 Villa Pomerado Skilled Nursing 15616 Pomerado Road Poway, CA 92064 858.613.4545 Palomar Continuing Care Center (PCCC) 1817 Avenida Del Diablo Escondido, CA 92029 760.739.2000 Volunteers Office 9th level east wing 442.281.1920 Palomar Medical Center Downtown Campus MAIN HOSPITAL NUMBER 555 East Valley Parkway Escondido, CA 92025 760.739.3000 Payroll (HR) 456 Grand Ave. Escondido, CA 92025 760.480.7996 or 760.480.7920 Pharmacy 2nd level east wing 442.281.1300 Pomerado Hospital MAIN HOSPITAL NUMBER 15615 Pomerado Road Poway, CA 92064 858.613.4000 Pre Admission 2nd level west wing 442.281.1800 Pre Op/Recovery 2 level west wing 442.281.1400 Pulmonary Acute Care Unit 6 level west wing north 442.281.2650 Pulmonary Medical Acute Care Unit 6th level east wing 442.281.2600 Recovery/Pre-Op 2nd level west wing 442.281.1401 Registration 1st level west wing 442.281.1900 Registration for Surgery & Procedures 2 level west wing 442.281.1800 Rehab Gyms th Neuro: 6 level central Ortho: 7th level central 442.281.1092 442.281.1095 Respiratory Therarpy Main Office 1st level west wing 442.281.1601 Respiratory Therapy Work Rooms 5th level 7th level 9th level 23 nd th nd 24 Visitor Information Visitor Information Visitor Services ATM (Bank) ATMs are located (locations). There is a fee of (fee) for non-customers of (bank). GIFT SHOP OR CVS PHARMACY Located on the 1st level by the main lobby, the gift shop is open (days/hrs) and the offerings include (offerings). Contact information for the gift shop can be found in the Telephone Directory. Contact: Sheila Brown INTERPRETERS Spanish interpreters are available for translation. Clinical Care Extender (CCE) interpreters volunteer 7 days a week from 7am until 11pm and are available at extension _____. If a CCE interpreter is not available, check with your supervisor about dual role employee interpreters. PUBLIC PHONES Pay phones are located (locations). The charge per call is (charge). Courtesy phones available? RELEASE OF PATIENT INFORMATION For release of patient information, please visit Medical Records on the 2nd level west wing. They are open (days/hrs) and can assist visitors in filling out the appropriate forms for release of information. It takes about (length of time to get info) to receive requested information. Contact information for Medical Records can be found in the Telephone Directory. RESTROOMS Public restrooms are available on every level and most are centrally located next to the public bank of elevators. ROOM SERVICE Room service is a meal service we use to meet the special needs of our patients with considerations for diagnosis, diet restrictions, medication management and overall patient care. Breakfast is available during all service hours, from 6:30am7:00pm. Lunch and dinner are available from 10:30am-7:00pm. Menus are available in patient rooms and on inpatient units. A physician-ordered diet is required for all patients prior to receiving nourishment. FANS will provide “Moonlight Meals” (boxed lunches) daily and store in the unit pantry refrigerator to be used when Room Service is not in operation. If a guest tray is requested, the guest may call the Hospitality Call Center to place their order for a fee. Contact information can be found in the Telephone Directory. For more information, please see Lucidoc procedure #44933 27 The Palomar Medical Center Facility Guide ROOM SERVICE DELIVERY SCHEDULE (non-select trays only) AREA SERVICES BREAKFAST LUNCH DINNER 8-West Medical 8:00 12:00 17:45 8-East Medical Oncology 8:00 12:00 17:45 7-West Neurosciences 7:30 12:30 17:00 7-East Ortho 7:30 12:30 17:00 6-West South Medical ICU 8:00 12:00 17:45 6-West North Pulmonary 8:00 12:00 17:45 6-East Pulmonary 8:00 12:00 17:45 5-West Cardiovascular ICU 7:45 11:45 17:30 5-East Cardiovascular 7:45 11:45 17:30 4-West North Surgical 8:00 12:00 17:00 4-East Surgical 8:00 12:00 17:00 4 – West South Surgical & Trauma ICU 8:00 12:00 17:00 SPECIAL SERVICES Services such as financial services, grief counseling, chaplaincy, case management and durable medical equipment liaison services are available, as well as many more. Please see your supervisors for contact information. VISITING POLICIES Visitors will be given a badge to wear that will indicate their destination within the hospital. A maximum of 4 visitors per patient during day time hours is allowed. One family member or visitor may stay at night with “Quite Time Guidelines” observed from 9pm to 6am. No food preparation or outside appliances are permitted in the facility. Service animals and the Pet RX program are the only animals allowed in the facility. VOLUNTEERING Volunteer services include but are not limited to: Escort and Shuttle Services, Family Waiting Services, Gift Shop Services, Café Services, Library, Lobby and Information Desk Services and Patient Helper. WAYFINDING KIOSKS Free-standing kiosks are available to patients and visitors on the 1st and 2nd levels for self-direction. In addition, visitors can use kiosks for online bill pay, media, and Foundation donations. WIRELESS ACCESS No password is needed to access Wi-Fi within the building. The user just needs to accept the terms of use on the home page to utilize the wireless access. 28 Visitor Information The Palomar Medical Center Facility Guide Parking and Transportation VISITOR PARKING & ENTRANCES Complimentary valet services are available for all visitors. The valet station is located at ____ and is open __ through ___ from 00:00 to 00:00. Patients and visitors can enter the parking lot through the main entrance from Citracado Parkway. In addition to the general visitor parking, there are 4 stalls in front of the ED entrance (15 minute parking only) and 7 stalls at the turnaround by the main entrance hours for any parking lot area? Are certain lots closed at night? Public v staff EMPLOYEE PARKING Dining in and around Palomar Medical Center VOLLUNTEERS LOADING DOCK CLERGY DINING LOCATION OFFERINGS SERVICE HOURS Garden Terrace Café 3rd level east wing Pizza, Pasta, Deli Sandwiches, Hot Foods, Carving Station, Soup & Salad, Grab & Go, Beverages Breakfast: 6a-10a Lunch: 11a-2p Dinner: 5p-7p 3rd Shift: 11p-1a Starbucks 1st level main lobby Hot & Cold Beverages, Pastries, Deli Sandwiches Sheila Brown to convey info Stone Brewery 1999 Citracado Pkwy Escondido, CA (Just west of PMC) Food & Beverages Sunday-Thursday: 11a-11p Friday-Saturday: 11a-12a MAIN ENTRANCE AMBULANCE & EMERGENCY RESPONDER PARKING PATIENT/VISITOR PARKING ER ENTRANCE “No scrubs” policy for Stone Brewery? 15 MIN PARKING PATIENT/ VISITOR PATIENT/ VISITOR PARKING N PHYSICIAN PARKING EMPLOYEE PARKING EMPLOYEE PARKING DRAWING KEY: Palomar Medical Center Central Utility Plant Employee Parking Patient/Visitor Parking Physician Parking Employee/Physician Route Patient/Visitor Route Employee/Physician Walking Employee/Physician Entrance SHUTTLE PARKING 29 30 Employee Information Employee Information The Palomar Medical Center Facility Guide Employee Services Nurse Call Devices STAFF BREAK ROOMS Our new nurse call system has been designed to efficiently route calls to the right staff member so that the patient’s needs can be met more readily. Break rooms are scattered within each department at Palomar Medical Center. Specifically on the inpatient nursing units, the break rooms are located on the far ends of each wing. Intended as a place of respite and gathering, all staff members are welcome to use any break rooms. Lockers are for “shift use” and locks are not ; Please do not attach anything to the lockers with tape. CAFÉ The Garden Terrace Café on the 3rd level offers employees who wear their Palomar Health badge free coffee, iced tea and hot tea. Please see “Dining In and Around Palomar Medical Center” for more information on café offerings and hours. OUTDOOR TERRACES Employees are welcome to enjoy all outdoor terraces and atriums at Palomar Medical Center. MAIL ROUTING How to send interoffice mail within PMC-West and between facilities? TIME CLOCKS Also called “API Machines” or “Badge Readers”, they are located within each department, usually in the designated break room. All staff members are required to use the API machine in their home unit to clock in and out. Nurse Console – One way staff can answer call lights is from the nurse console. Anyone can pick up the receiver and speak to the patient directly. There are two consoles located in the Multidisciplinary Rooms. Corridor Lights – Different colored lights on this device located above each patient door are a way to quickly tell the status of a patient room at a glance. From a simple patient call for water to a code blue emergency, many different statuses can be displayed for ease of communication. Patient Pillow Speaker – This device replaces the current bed remote. The patient can choose to press certain buttons to get quicker staff response for their needs such as “pain”, “toilet”, or simply “nurse”. Controls for television, lighting and blinds are also included on the pillow speaker. Staff Terminal – Situated on the walls outside of each patient room, this terminal is one way staff can communicate with each other with buttons to indicate specific situations such as “MD in Room” or “Food Tray Arrived”. Staff can call select departments and set patient rounding timers using the staff terminals. Wireless Phone – This handheld phone is a lifeline between staff and patients. Patient calls will be directly routed to this wireless phone. On monitored units, alarms will also be directly routed to the phone. In the future, the phones will have capability of receiving stat order and critical lab alerts. 33 34 Employee Information The Palomar Medical Center Facility Guide Department Names in Clarity UNIT DESCRIPTION UNIT DISPLAY Cardio Diagnostics Cardio PMCW Emergency Department ED NPMC ED Hold ED Hold PMCW Imaging Rad PMCW Pulmonary PULM PMCW IR/Endo & Special Procedures IR/ENDO/SP PMCW Cardiac Cath Cath PMCW Laboratory Lab PMCW Surgery & Procedures SURG PMCW Surgery Holding SURGH PMCW Post Anesthesia Care PACU PMCW 4 Southwest Critical Care 4SW CC PMCW 4 Northwest Surgical Acute Care 4NW SURG PMCW 4 East Surgical Acute Care 4E SURG PMCW 5 West Critical Care 5W CC PMCW 5 East Cardiovascular Acute Care 5E CARDIO PMCW 6 Southwest Critical Care 6SW CC PMCW 6 Northwest Pulmonary Acute Care 6NW PULM PMCW 6 East Pulmonary Acute Care 6E PULM PMCW 7 West Neuro Acute Care 7W NEURO PMCW 7 East Ortho Acute Care 7E ORTHO PMCW 8 West Medical Acute Care 8W MED PMCW 8 East Medical Acute Care 8E MED PMCW 9 East Observation Unit 9E OBS PMCW 35 36 Safety & Sustainability Safety & Sustainability The Palomar Medical Center Facility Guide Sustainability Flow Chart MUNICIPAL SOLID WASTE ■■ ■■ ■■ ■■ Packaging/Wrapping Emply I.V. bags Tubing Unit dose packaging except RCRA pharmaceuticals RECYCLABLE WASTE ■■ ■■ ■■ ■■ ■■ ■■ Glass, including empty bottles and vials defined as <3%, or as much fluid that can be removed by syringe (e.g., propofol containers) Aluminum Plastics Cardboard Laser/inkjet cartridges Beverage containers PHARMACEUTICAL WASTE LIQUID WASTE ■■ Solutions in I.V. bags containing only saline solution, lactate, nutrients (glucose, vitamins, and added salts like potassium, and or other electrolytes can be placed down the drain/toilet of Municipal Water System. ■■ ■■ ■■ ■■ CONFIDENTIAL WASTE RETURNABLE MEDICATION FOR CREDIT SOILED LINEN ■■ ■■ ■■ ■■ ■■ ■■ Papers or documents containing patient information Confidential hospital information Papers or documents containing employee information ■■ Soiled Linen ■■ ■■ Intact expired or unusable medications including controlled drugs Return to pharmacy via Pyxis return bins, locked or secured pharmacy pick up containers ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ RCRA HAZARDOUS PHARM WASTE BIOHAZARDOUS WASTE BIOHAZARDOUS SHARPS ■■ ■■ ■■ ■■ ■■ 39 Any device having acute rigid corners, edges, or protuberances capable of cutting or piercing, including, but not limited to: Culture dishes, other glassware, glass contaminated with medical waste Scalpels Needles – for shots or drawing blood, hypodermic, attached tubing Lancels, syringes, blades ■■ ■■ ■■ ■■ ■■ Any solid waste that is generated in the diagnosis, treatment or immunization of human beings, including. Blood-soaked bandages Discarded surgical gloves or instruments Cultures, stocks, swabs, used to inoculate cultures Removed body organstonsils, appedices, limbs, etc. ■■ ■■ ■■ ■■ ■■ ■■ ■■ Any pharmaceutical waste that is listed in 40 CFR 261 of the Fed. Regulations or is characteristically hazardous. Includes: Partial undiluted ampules/vials of Epinephrine & Nitroglycerin Nitroglycerin ointment (partial tubes) Pourable flammables (rubbing alcohol, tinctures, flexible colloidon) Inhalers (partially used &/or metered dose) Warfarin and its unit dose package wrapper Chloralhydrate Un-reusable, non-intact, soiled tablets, half tablets or partial I.V. solutions that contain additional ingredients in addition to electrolytes and/or dextrose including: Non-intact, damaged, contaminated or unwanted medications Pharmaceuticals that cannot be returned to a reverse distributor for credit from manufacturer Half tablets/capsules Antibiotics Used duragesic patches Propofol Bo-Tox Liquids that cannot be returned for credit Partial tubes of creams Ointments Used eye/ear drops Partial vials Herbals Over the counters NARCOTICS & CONTROLLED SUBSTANCE WASTE ■■ ■■ ■■ ■■ Requires 2 RN signature documentation to waste A drug or other substance, or immediate precursor, included in Schedule I-V of Title 21 CFR 1308 Un-reusable, non-intact, soiled tablets, partial I.V. solutions including: Lorazepam, Merperidine, Midazolam, Morphine, Oxycontin, Dilaudid (hydromorphone), Duragesic (fentanyl) patches, Percocet 40 Safety & Sustainability The Palomar Medical Center Facility Guide Safety & Codes In case of a fire, remember RACE CODE DESCRIPTION ALERT TYPE Code Blue Adult Medical Emergency Overhead page housewide Code Red Fire Overhead page and Alarm for affected level, one level above and one level below Strobe lights housewide R Rescue Move patients and others from immediate danger A Alarm Pull the alarm box in your area and then call the hospital’s fire number ______, per hospital policy. C Contain/Confine Contain the fire and smoke by closing all windows and doors. E Extinguish/Evacuate If the fire is small and you feel you can safely try to put it out, get a fire extinguisher. Otherwise, evacuate. Code Pink Infant Abduction Overhead page housewide Code Purple Child Abduction Overhead page housewide Code Yellow Bomb Threat Supervisors to notify staff Code Orange Hazardous Material Spill/Release Overhead page housewide Code Gray Combative Person Overhead page house wide P Pull the pin Code Silver Person with a Weapon/Hostage Situation Overhead page house wide A Aim the nozzle Code Green Patient Elopement/Missing High Risk Patient Overhead page house wide S Squeeze the handle Disaster Procedures Overhead page house wide S Sweep from side to side at the base of the fire. Code Triage 41 To operate a fire extinguisher, remember PASS 42 Safety & Sustainability The Palomar Medical Center Facility Guide Other Safety Points Locate fire alarm pull stations, fire extinguishers, fire doors, medical gas shut off valves, evacuation equipment, stairwells and emergency exits in your area. Remember locations of the safety equipment. SECURITY DEPARTMENT The security and police office is located on the 1st floor next to the ED waiting room. Security officers are available 24 hours a day to assist visitors and employees with services such as car escort, parking lot assistance calls and new badges. Please see the telephone directory for contact information. HAZARDOUS MATERIALS & WASTE MANAGEMENT PLAN All hospital employees run the risk of exposure to hazardous materials, and if they are not disposed of properly, they can pose a risk to the general public as well. Hazardous materials include but are not limited to: Medical and infectious waste, sharps waste, radioactive waste, chemical waste, chemotherapeutic waste and RCRA pharmaceutical waste. For more information on hazardous materials and waste streams, please refer to the Annual Competency & Safety Manual 2012 Edition (pages 12-16). FIRE DOORS Fire doors are embedded within the walls of each department and automatically close when the fire alarm sounds. If you need to get past a closed fire door, there is a push bar you can use to open it. EVACUATION TIPS In case of a fire, use stairwells to exit, do not use elevators. Evacuation signage is posted at elevators, next to stairwell doors and at predetermined intervals in all hallways. The decision to evacuate the facility is made by the Administrator or Incident Commander in conjunction with the Fire Department. Evacuation routes are based on the location and extent of the fire and will impact the destination of the patients and staff. The Command Center/Fire Department determines the location of the assembly area. One of the following methods of evacuation should be utilized depending on the urgency of the situation and the condition of the patient: Assisted Ambulation Chair carry Two-man carry Wheelchair, gurney or bed transfer Evac-Chair Med Sled Blanket drag 43 44 2185 Citracado Parkway | Escondido, CA 92029 | 442.281.5000
