0 기본 업무 지침

Main ideas / lessons conveyed

• The video explains basic hospital work guidelines focused on patient safety, infection prevention, emergency response, evacuation procedures, and patient service compliance.
• It emphasizes knowing procedures in advance so staff can respond quickly and accurately during emergencies.

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Learning objectives (stated at the start)

1. Perform accurate patient identification
2. Know the timing and methods of hand hygiene and practice it
3. Explain contact/notification methods for each emergency situation
4. Explain how to respond to fires
5. Identify shelters for severely ill/critically ill patients during fires
6. Provide guidance on smoking cessation and complaint handling procedures

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1) Patient identification (patient safety)

Two-step verification method

• Step 1: Open-ended question (ask name)
  • Ask the patient directly using an open-ended question, e.g.:
    • “What is the patient’s name?”
• Step 2: Registration number verification
  • Tell the patient the process, e.g.:
    • “To ensure accurate patient identification, we will verify the name and registration number on the bracelet.”
  • Compare:
    • The patient’s name bracelet (name + registration number)
    • With the information on the patient label
  • Repeat the confirmation aloud with the patient participating, e.g.:
    • “12345678 Kim Bok-dong has been confirmed.”

Key principles

• Encourage patient participation during verification.
• Accurate verification prevents identification errors.

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2) Hand hygiene timing and principles

Perform hand hygiene at 5 major points

1. Before patient contact
   • Before direct contact such as:
     • Measuring vital signs
     • Changing position
     • Physical assessment
2. Before clean/sterile procedures
   • Before aseptic tasks such as:
     • Wound dressing
     • Immersion procedures
     • Mucosal contact
     • Before opening medical devices
3. After exposure/risk of body fluids
   • After exposure or risk, such as:
     • Section care
     • Wound dressing
     • Excretion management
     • Drainage tube separation
     • Specimen handling
4. After patient contact
   • After finishing contact such as:
     • Measuring vital signs
     • Changing position
     • Physical assessment
5. After contact with the patient’s surrounding environment
   • To prevent cross-infection after touching areas around the patient, such as:
     • Making the bed
     • Cleaning the bedside
     • Adjusting IV fluid rates
     • Touching the monitor

Cleaning/disinfection rule based on visibility

• If there is visible contamination:
  • Wash with water/soap for 40–60 seconds
• If there is no visible contamination:
  • Use alcohol-based sanitizer for 20–30 seconds

Special case: spore-forming bacteria (e.g., C. difficile)

• Wash with water thoroughly by rubbing (the subtitle references rubbing with water and related technique).
• The core instruction is: use thorough hand washing rather than alcohol.

Gloves do not replace hand hygiene

• Even when wearing gloves, perform hand hygiene according to the schedule regardless of glove use.

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3) Step-by-step hand hygiene methods

A) Soap and water handwashing (40–60 seconds total)

1. Wet hands under running water
2. Take sufficient soap and rub palms together
3. Rub the back of each hand with the opposite palm
4. Interlace fingers and rub
5. Rub backs of fingers against palms
6. Curl thumbs and rub in a rotating motion
7. Rub fingernails against palms
8. Rinse under running water
9. Dry with a disposable paper towel
10. Use the paper towel to turn off the faucet

B) Alcohol-based hand sanitizing (20–30 seconds total)

1. Cup hands and apply sufficient sanitizer to entire palm surface
2. Rub hands following the same coverage steps as handwashing:
   • Palms
   • Backs of hands
   • Interlocked fingers
   • Backs of fingers
   • Thumbs
   • Fingernails
3. Wait until hands are completely dry

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4) Emergency notification/communication procedures (codes)

Hospital internal number and code broadcasting

• If a CPR situation occurs:
  • Call internal number 777
  • Broadcast Code Blue
  • Reporting location:
    • Adults: “Code Blue A location”
    • Children ≤ 8 years: “Code Blue C location”
• If a fire occurs:
  • Call 777
  • Broadcast Code Red
  • Real situations: indicates the actual location of the code
  • Training: indicates the training scenario’s code location
• In a disaster:
  • Broadcast Code Black
  • Report to 777
• In situation 6:
  • Report to 1 or 2
  • Broadcast Code Pink
• If there is a violent assault or riot:
  • Call 112 immediately

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5) Fire response procedure (three steps)

Step 1: Discover/report and spread the word

• Detect fire by any of:
  • Smell burning
  • See smoke/flames
  • Hear someone shout “Fire!”
• Immediately:
  • Call 777
  • Press the nearest fire alarm button
  • Inform nearby employees so they can respond quickly

Step 2: Initial suppression (if possible)

• If the fire source is clearly identifiable:
  • Attempt initial suppression using the nearest fire extinguisher
  • Staff must know extinguisher locations in advance
• If the source is unknown or suppression is difficult:
  • Evacuate patients immediately to a safe place

Step 3: Evacuation guidance

• Evacuation timing is decided by:
  • Emergency standby team instructions
  • Hospital announcements
  • Staff judgment
• Evacuation order:
  1. Fire location area
  2. Patients
  3. Patients with minor injuries
  4. Patients with severe injuries
  5. Staff
• Evacuation routes:
  • Move along corridors away from the fire to designated evacuation sites
• Movement by patient type:
  • Normal/mild ward patients:
    • Move out of the building to 1st floor or evacuation floor
  • Severe patients:
    • Move to a designated evacuation shelter
  • Outpatients and basement patients:
    • Use emergency stairs to exit

Fire extinguisher use instructions

• Pull out the safety pin
• Point the hose at the fire
• Firmly grip the lever
• Spray downward and to the left/right/up, sweeping around the area below the fire source

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6) Evacuation shelters for critically ill patients (fire in specific zones)

Key concept

• There are designated evacuation shelters for each zone.
• Staff must know evacuation routes/shelters for their assigned department in advance to avoid confusion.

Examples described for evacuation mapping

• Fire in the injection room on outer floor of A → evacuate to cardiovascular angiography room on 3rd floor
• Fire in the cardiovascular angiography room on 3rd floor → evacuate to injection room on 5th floor of outpatient clinic of A

(Multiple additional zone-to-destination examples were referenced in the subtitle, including specific departments/rooms and floor-level destinations.)

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7) Additional shelter guidance for fires in special departments / ICU areas

General rule

• Special departments have separate evacuation areas because evacuation may be more difficult or require specific equipment.

Specific examples mentioned

• Fire in Ward 3 and delivery room in Building A, or in ICU and NICU in Building A:
  • Evacuate to artificial kidney room on 5th floor of Outpatient Clinic A
• If fire is in ICU A:
  • Evacuation may also be possible to ICU on 5th floor of Building B
• If fire is in artificial kidney room (outer floor of A):
  • Evacuate to ICU on 5th floor of the non-discharged ward
• If fire is in ICU on the 5th floor of the non-discharged ward:
  • Evacuate to:
    • Artificial kidney room on 5th floor of Outpatient Clinic A
    • or ICU on 5th floor of the ward of A
• Fire in endoscopy room on 1st floor:
  • Evacuate to emergency room on 1st floor
• Conversely, fire in emergency room on 1st floor of Building A:
  • Evacuate to endoscopy room on 1st floor of Building B
• Operating room:
  • The endoscopy room on the 1st floor can be used as a refuge

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8) Daily evacuation plan system (document/process)

What it is

• A daily evacuation plan for each ward is a document for quick, safe evacuation during disasters (e.g., fire).

Where to access/print

• View/print by using the button at the bottom of the OCS screen.

How it is updated based on patient condition

• The plan reflects patient classification based on patient condition selection.
• On the nursing treatment screen:
  • In the “precautions/evacuation” item, select the patient condition.
  • The information automatically reflects in the evacuation plan.

Classification criteria

• Normal person
  • If nothing specific is selected
  • Evacuate on their own using walking first priority
• Mild patient
  • If “support” is chosen
  • Use wheelchairs in order
  • Evacuate with staff assistance
• Critically ill / severe
  • If a stretcher, oxygen equipment, or Ambu bag is selected
  • Labeled as critically ill in the subtitle
  • Severe patients are prioritized as the “third priority,” using beds
  • Requires staff assistance because they cannot move on foot

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9) Hospital no-smoking policy and handling violations

Policy

• Per the National Health Promotion Act, the entire hospital is a non-smoking area.
• Smoking is prohibited in all buildings/areas including:
  • R Square
  • Buildings A, B, C, D, I
  • Building 419 (3rd building)
  • Cheongyang Building first floor
• Since April 2017, there are no designated smoking areas inside.

Staff actions if a smoker is found

• Immediately stop smoking
• If you cannot stop or cannot handle it:
  • Report to the Security Office at 112 without delay
• All staff must:
  • Comply with the no-smoking policy
  • Actively cooperate to maintain a pleasant hospital environment

Smoking cessation guidance

• Included as part of the “basic work guidelines” objective (though detailed cessation steps aren’t provided in the subtitle).

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10) Patient complaint and grievance handling procedures

Purpose

• Complaints/grievances are opportunities to improve hospital services.

How patients are informed about the procedure

• Provided to patients via:
  • Hospital guidebook
  • Tablet PCs
  • Notices in wards and outpatient clinics
  • “A Integrated Guide reference screen” (as named in subtitles)

How to submit a complaint/grievance (methods)

• In person
  • Register through the Customer Consultation Office
  • Location: Admissions Team office, 1st floor of R Square
  • Time: 8:00 AM to 5:00 PM
• Via physical collection baskets
  • “Geonuiam Customer Love Baskets”
  • Total of 24 locations across wards and outpatient clinics
• Online
  • Via the internet homepage
• Phone
  • 02001004
• Fax
  • 020012117
• Mail
  • (Mail submission is mentioned, address not shown in subtitle)

Processing and follow-up

• Customer service center:
  • Analyzes submitted content
  • Shares it with the relevant department
  • Implements improvements and measures based on it
• Response timeline:
  • Reply to the patient within 48 hours with results of the complaint/grievance

Staff expectations

• Staff should be able to understand and guide patients through the process
• Goal: listen to patients’ voices and provide better medical services
• Use the procedure to increase patient satisfaction and trust

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Speakers / sources featured

• No individual speakers are identified in the subtitles.
• The video references institutional/regulatory sources:
  • National Health Promotion Act (used to justify the no-smoking policy)
  • Hospital internal codes/communication system (Codes Blue/Red/Black/Pink and internal number 777)
  • Hospital systems/documents (OCS screen, evacuation plan documents, Integrated Guide)