I understand that the Free Clinic of Meridian may request a Background Check through the Lauderdale this County I Sheriff's Department and/or the Meridian Police Department, and I give my permission for this to occur.

MEDICAL STAFF / VOLUNTEERS COVID-19 PROCEDURES

Clinic Days

1. The door handles to the front door, bathroom door (if used), and door to the back MUST be cleaned between patients. (front office volunteers will wipe the door handles after the patient enters the clinic, medical staff/volunteers will wipe the door handles after the patient leaves the clinic)

2. Once the patient is checked in, the paperwork will be brought to the back. The staff/volunteer will bring the paperwork to one of the designated rooms and then go to the front door and take the patient's temperature outside (this will be when a mask is given to the patient if they do not have one If the patient's temperature is above 100.2, the appointment will need to be rescheduled. Inform the front desk and complete a triage form for the provider.

3. If the patient is afebrile, the patient will be weighed and then brought directly to one of the designated patient rooms and the door will be closed. The patient will be informed to stay inside the room for the duration of their appointment. The patient will be given the necessary paperwork to complete in the room.

4. Vital signs will be taken in the room and medications will be reviewed.

5. Labs will be drawn in the patient room (if a urine sample is needed, it will be collected before the patient leaves in the waiting room bathroom

6. Once the appointment is completed, the provider will place the patient in check-out status and the patient will return their paperwork to the front desk in the lobby and obtain their next appointment at that time.

7.The door handles will be cleaned and the waiting room bathroom wiped down if the patient used it to give a urine sample.

8. The patient rooms will be THOROUGHLY cleaned between patients and room placements will be staggered so that there is always an empty room between patients (Ex. Rooms 1&3 used and then 2&4

9. Vital sign machines must also be removed from the room and cleaned thoroughly after vital signs are obtained on each patient.

Things to Remember:

• Masks must be worn at all times.
• One vital sign machine in each patient room.
• Please remove it and clean it after leaving the room. Wash your hands frequently.

Handbook Acknowledgment

This handbook describes important information about The Free Clinic of Meridian (TFCM), and I understand that as a volunteer I should consult with the clinic director regarding any questions not answered in the handbook. I acknowledge that either TFCM or I can terminate the volunteer relationship at will, with or without cause, at any time, SO long as there is no violation of applicable federal or state law. Since the information, policies, and benefits described here are subject to change, I acknowledge that revisions to the handbook may occur, which may supersede, modify, or eliminate existing policies. TFCM will make every effort to communicate in writing regarding any changes in this handbook of TFCM's policies or procedures, but reserves the right to implement changes without advance notice. Furthermore, I acknowledge that this handbook is neither a contract of employment nor a legal document. I understand that it is my responsibility to read and comply with the policies contained in this handbook and any revisions made to it.

Patient Privacy and HIPAA Acknowledgements

As a volunteer at The Free Clinic of Meridian (TFCM), I acknowledge the confidentiality of patient health care information that I may have access to. Patient and volunteer information from any source and in any form, including oral communication, audio recording, and electronic display, is strictly confidential. Access to confidential information is permitted only on a need-to-know basis. Violations of HIPAA policy include, but are not limited to:

• Accessing information that is not within the scope of your job;
• Disclosing, misusing without proper authorization, or altering information;
• Leaving a secured application unattended while logged on; and
• Attempting to access a secured application without proper authorization.

Violations of this policy may constitute grounds for disciplinary action, up to and including termination of volunteer status, as well fines and jail time in accordance with federal and state laws. I shall maintain the confidentiality of patient and volunteer information, and in doing so shall comply with all applicable state and federal laws and regulations. My agreement to maintain the confidentiality of Confidential Patient Information shall survive the termination of my volunteer time at (TFCM I also acknowledge that I have participated in training on this policy.

Medical Volunteers Only Bloodborne Pathogen Acknowledgement

I hereby acknowledge that I have read the Bloodborne Pathogens policy as established by The Free Clinic of Meridian. I also acknowledge that I have received and participated in training on this policy during which various bloodborne pathogens were discussed, along with education on techniques to eliminate or reduce the risk of exposure to bloodborne pathogens. I understand that if I do not use safe techniques, I increase the chance of contracting and/or transmitting bloodborne pathogens.

Attire

Medical assistants help promote the health care environment as a safe, clean space by choosing appropriate attire and being well-groomed. Professional attire for medical assistants might include clean scrubs, clean shoes. Keep hair pulled back from the face; avoid excessive jewelry and perfume. Some patients arrive at the doctor's office feeling nervous or worried but seeing a professionally attired medical assistant can provide some visible assurance.

Communication

Workplace professionalism also involves communication for medical assistants. Communication with patients should be courteous and respectful; avoid addressing patients as "honey" or "sweetie" even when you're trying to build rapport. Never attempt to diagnose a patient; this could have legal as well as professional repercussions. Follow directions from physicians and physician assistants with efficiency and tact to set patients at ease.

Examples of Inappropriate Attire:

• Sundresses (spaghetti strap, laced) and miniskirts.
• Visible body piercing (to include tongue bars and nasal piercing) other than earrings
• Tattoos and body art should remain as covered as possible.
• Lewd or explicit markings may not be exposed.
• Unnatural hair colors (i.e., pink, purple, green, etc.)
• Nails must be short.

• Labs are drawn:
  • White sheets are put in the specimen bag side pocket
  • Yellow sheets are placed in the accordion file in the nursing area to wait for the
  • Faxed results

• Labs sit for 10 minutes then (gel) spun for 10min
• Lab courier picks up: Mondays, Tuesdays, Wednesdays, Thursday
  • Put specimens into lockbox on the back of the door with ice packs

• When the faxed results come in:
  • Check to make sure all results are there
  • IF THERE ARE RESULTS THAT ARE ABNORMAL- NOTIFY THE PROVIDER that is working, THEN WRITE ON THE LAB SHEET THE PROVIDERS NAME THAT WAS NOTIFIED, AND THE DATE THE PROVIDER WAS NOTIFIED AND INITIAL ONCE NOTIFIED.

• If there are any reports still pending- leave the yellow sheet in the file with the labs paper clipped to the back of the sheet.

• IF THERE ARE ANY PANIC LABS REPORTED BY RUSH OUTREACH LAB -EITHER NOTIFY ONE OF THE PROVIDERS PRESENT- OR CALL THE ORDERING PROVIDER IF THERE IS NO PROVIDER AVALIABLE IN THE CLINIC.

• After all of the orders are completed on the yellow sheet and results are paper clipped to the back- make sure you initial and put in the yellow lab/x-ray folder in the "to be scanned" tray in the front office so the labs can be scanned into the patient's chart.