For our patients
PATIENT information
Includes
Heart
Healthy
Information
Your doctor is __________________________________.
Table of Contents
Page
Letter from President/CEO 2 Your Room and Guest Services Your Admission Your Room Security /Parking Lost and Found Communicating with Us Valuables Tobacco-­Free Policy For Your Protection ,GHQWL¿FDWLRQ%UDFHOHW Condition H (Help) Medications from Home Questions or Concerns Visiting Hours To Place Telephone Calls Incoming Telephone Calls Cafeteria Schedule Spiritual Dimensions Providence TV Guide to Satellite and Local Channels 6SLULWXDO%URDGFDVWLQJ&KDQQHO
Wi-­Fi instructions For Your Convenience 3URIHVVLRQDO$I¿OLDWLRQV$FFUHGLWDWLRQ
7 7
8
8 8
8
8
9 9
9
9 9
10
10
10
10
11
12
12 Safe Lifting Environment 13
Pain Management 14
Safe Use of Medications, Foods and Herbal Products 16 Patient Rights 18
SPEAK UP JCAHO 23
Patient Responsibilities 25
Patient Billing 26
Spiritual Care Services 28
Health Information 29
Hand Hygiene Advance Directives 32
34
See our Patient Care Pledge on the back cover. 3URYLGHQFH0HGLFDO&HQWHUGRHVQRWH[FOXGHGHQ\EHQH¿WVWRRURWKHUZLVH
discriminate against any person on the basis of race, color, national origin, disability, or age in admission to, participation in, or receipt of the services DQGEHQH¿WVXQGHUDQ\RILWVSURJUDPVDQGDFWLYLWLHVZKHWKHUFDUULHGRXWE\
Providence Medical Center directly or through a contractor or any other entity with which Providence Medical Center arranges to carry out its programs and activities.
This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, and 91.
If you are concerned about something whether it is your care, your room, your meals, your testing schedule, your visitors or anything else -­ please let us know ZLWKRXWGHOD\DQGZHZLOOWU\WRUHPHG\WKHVLWXDWLRQLPPHGLDWHO\%HDVVXUHGWKDW
\RXFDQVSHDNWR\RXUFDUHJLYHUVLQFRQ¿GHQFH,I\RXZRXOGUDWKHUQRWWDONDERXW
your problem with your nurse, you may meet with the supervisor or manager on \RXUXQLWIRUDFRQ¿GHQWLDOGLVFXVVLRQRI\RXUFRQFHUQ3OHDVHEHDVVXUHGWKDW
the presentation of a complaint or concern will not compromise your treatment. Our goal is to provide healthcare that is supportive of patient and family wishes, UHFRJQL]LQJWKDWVLWXDWLRQVDQGGHFLVLRQPDNLQJFDQDWWLPHVFDXVHFRQÀLFWVLQWKH
course of healthcare delivery.
Anytime your concerns are not resolved to your satisfaction or you have TXHVWLRQV\RXPD\DOVRFRQWDFW%UHQGD)DUZHOO6HFWLRQ&RRUGLQDWRU (913-­596-­4028)/(TTY 1-­800-­766-­3777). She will work with all hospital departments to investigate your complaint and assist you in handling your concern. In case of questions, please contact: Providence Medical Center, 913-­596-­4882.
1 X Patient Handbook
Letter from our President/CEO
Welcome to Providence Medical Center!
I want to take this opportunity to thank you for choosing Providence Medical Center. It is our goal to help you and your family live well into the future. This Patient Education Folder has been prepared to introduce you to our hospital and to answer the most commonly asked questions about our services. Our caring and competent staff will assist you in every way they can. If you have questions regarding your treatment or hospital procedures, please do not hesitate to ask your physician, caregiver or me.
At Providence we are committed to helping our patients on a journey of health and well-­
being with excellent clinical quality and exceptional service. This journey is supported by our underlying values: Compassion, Quality, Comprehensive, and Cost-­Effectiveness.
Providence’s commitment to excellence ensures that individuals who live and work in our community never need to travel far to obtain superior health care services. In cooperation with our physicians and staff, we are here for you.
Sincerely yours, Randall Nyp
President/CEO
Our Mission:
Prime Healthcare Services endeavors to provide comprehensive, quality healthcare in a convenient, compassionate and cost effective manner.
2 X Letter
HEART HEALTHY
Providence Medical Center cares about your health! In addition to the following heart healthy lifestyle recommendations, \RXZLOO¿QGRWKHULPSRUWDQWLQIRUPDWLRQUHJDUGLQJ\RXUVWD\DQGRXUIDFLOLW\
Please refer to the table contents for further assistance.
Heart Healthy Lifestyle
Your nurse and doctor are committed to helping you achieve the healthy lifestyle you desire and have prepared this information to help you get started. We will be happy to answer any questions you have about this information.
About Heart and Vascular Disease:
Heart and blood vessel disease is our nation's number one killer. They include the following:
Atherosclerosis. Also known as hardening of the arteries, arteriosclerosis occurs when the inside of the artery wall becomes narrow due to plaque build up. Blood clots can form that slow blood ÀRZDQGFDQOHDGWRKHDUWDWWDFNVRUVWURNHV
Risk for Heart Disease: Risk factors are traits and lifestyle habits that increase your risk of disease. These risk factors raise your risk for heart disease, can cause heart attack or indirectly raise your risk of stroke. Some risk factors can be controlled, treated or prevented such as:
• • • • • • High blood pressure Smoking High Cholesterol Physical Inactivity Obesity Diabetes
High Blood Pressure: Blood pressure is the force of the blood pushing against blood vessel walls. Normal blood pressure is less than 120/80. High blood pressure (also called hypertension) is a consistently elevated pressure of 140 systolic or higher and/or 90 diastolic or higher. You can have high blood pressure without knowing it, so it is important to see your doctor at least once a year to have your blood pressure checked. Untreated high blood pressure can lead to heart attack, stroke, hardening of the arteries and kidney disease. If you are taking blood pressure medication and your blood pressure remains consistently higher than 140/90, please discuss this with your physician.
Smoking: If you smoke, stop! If you don't smoke, don't start.
• • • • Cigarette smoking will shorten your life and can cause many illnesses. If you smoke, it is your greatest health problem. Ask you doctor or nurse about smoking cessation programs. Keep busy doing things that make it hard to smoke. Ask for support from your family and friends, and reward yourself when you're successful.
High Blood Cholesterol: Cholesterol is a soft, fat-­like substance. It's found in the blood and in all the body's cells. A high cholesterol level is bad because the cholesterol can build up in the walls RIDUWHULHVEULQJLQJEORRGWRWKHKHDUWDQGEUDLQ7KLVQDUURZVWKHDUWHULHVDQGUHGXFHVEORRGÀRZ
WKURXJKWKHP,IDEORRGFORWIRUPVRQWKHFKROHVWHUROEXLOGXSDQGEORFNVEORRGÀRZLWFDQFDXVH
a heart attack or stroke.
3 X Heart Healthy
HEART HEALTHY
Normal cholesterol levels:
• • • • Total Cholesterol less than 200 mg/dL Triglycerides less than 150 mg/dL HDL (good) greater than 45 mg/dL LDL (bad) less than 130 mg/dL
Physical Activity: Regular exercise can reduce your risk of heart attack, lower your blood pressure, and decrease your insulin needs if you're diabetic. Check with your doctor before beginning any exercise plan. Choose an activity you like and do it on regular basis. Exercise VKRXOGEHFRQVWDQWDQGORQJHQRXJKWRLQFUHDVHEORRGÀRZWR\RXUPXVFOHV6WDUWVORZDQGEXLOG
up as your heart gets stronger.
Obesity: People who have excess body fat, especially if a lot of it is in the waist area, are at higher risk for health problems. Change your eating habits. Ask your doctor, nurse, or nutritionist for help. Diet consultations are available in the hospital. Eat a diet low in animal fats. Avoid fried foods, butter, whole fat milk and cheeses, high-­fat meats, sauces, and gravy. Eat whole grain foods, fruits, and vegetables. Use egg whites instead of using the whole egg.
Diabetes Facts: Diabetes is a metabolic disorder in which the body can't properly use or make enough insulin. It is a serious medical condition that can be treated. An individual may have Type 2 diabetes for many years before noticing any symptoms. The good news is that the recently completed Diabetes Prevention Program study showed that people can prevent or delay the development of Type 2 diabetes by making changes in their diets and increasing their levels of physical activity.
If left untreated or ignored, high glucose levels over many years can lead to blindness, stroke, kidney disease, and amputations. If you have any of the symptoms below, talk to you health care professional:
• • • • • Excessive hunger or thirst Frequent urination Frequent infections of the skin, gums, vagina, or bladder Sexual problems Tingling or numbness in the legs, feet, or hands
• Feeling tired or run down • Sores or cuts that are slow to heal • Blurry vision • Dry itchy skin Risk factors you cannot control are:
• Increasing age • Gender • Race • Family medical history • Previous heart attack and stroke
Heart attacks: %ORFNHGDUWHULHVLQWKHKHDUWFDQFDXVHDKHDUWDWWDFN,IEORRGÀRZLVQRWUHVWRUHG
to the heart, the muscle begins to die, which is called a myocardial infarction (MI), or heart attack. Pain that goes to your shoulder, neck, or arms may also be present. Discomfort in your chest along with lightheadedness, sweating, nausea, shortness of breath, or fainting can also be signs of a heart attack. Women may or may not have chest pain. Women may experience less common VLJQVRIKHDUWDWWDFNLQFOXGLQJVWRPDFKSDLQGLI¿FXOW\EUHDWKLQJXQH[SODLQHGDQ[LHW\ZHDNQHVV
or fatigue. If you experience pain, heartburn, indigestion, pressure, squeezing or heavy pain in your chest that lasts for more than 5 to 10 minutes, CALL 911.
Heart Failure: Refers to a condition that occurs when your heart does not pump blood as well as it should to the rest of your body. When the heart doesn't pump well, the rest of the body does not 4 X Heart Healthy
HEART HEALTHY
get the oxygen and nutrients it needs. Heart failure also causes blood to back up into the lungs DQGRWKHUWLVVXHVRIWKHERG\FDXVLQJÀXLGEXLOGXSDQGFRQJHVWLRQ6\PSWRPVRIKHDUWIDLOXUH
include shortness of breath and swelling (also known as edema) in the feet, ankles, and legs.
Symptoms of Heart Failure:
• Shortness of breath
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• Sudden weight gain with swelling in feet, ankles, legs, or abdomen
• Fatigue with everyday activities
• Less frequent urination
• Increased urination at night
• Coughing
Activity Guidelines: Daily walking is encouraged. Start slowly and increase time and level of activity gradually. If you experience more shortness of breath or fatigue than usual, chest discomfort, dizziness, palpitations, nausea or any symptoms that worry you during exercise, you need to slow down and rest and then resume at a slower pace. Seek medical attention if the symptoms do not go away with rest. Planned rest periods throughout the day are important to maintain optimal health.
Daily Weight: Weigh yourself at the same time each day wearing the same amount of clothing. Call your doctor if you gain 1 pound per day for 3 days, or 3 pounds in one day.
Diet Education: Follow a low sodium (salt) diet as directed. If there is too much sodium in WKHIRRG\RXHDW\RXUERG\ZLOOUHWDLQÀXLGZDWHUPDNLQJ\RXUKHDUWZRUNKDUGHU,I\RXKDYH
TXHVWLRQVDERXW\RXUGLHWSOHDVHFRQWDFWWKHGLHWLFLDQWKURXJK\RXUGRFWRU
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Call your doctor if you: Feel short of breath, gain weight, have increased swelling in legs or ankles, develop a cough, have to sleep with extra pillows, notice your symptoms getting worse or you do not feel well, have tightness or pain in your chest, have dizzy spells or you faint, notice increased fatigue, begin urinating less frequently, or notice increased urination at night.
Medication: Most people with heart failure take several medications to decrease the workload on WKHKHDUWDQGWRKHOSWKHERG\JHWULGRIH[FHVVÀXLG%HFDXVHWKHKHDUWLVSXPSLQJEHWWHU\RX
may feel better. If you feel lightheaded, dizzy, or weak after starting any medication you should contact your doctor. Do not stop or change your medications without consulting your doctor. You may take these medications for the rest of your life. Check with your doctor before taking any new medications (including over the counter or prescribed medications).
Smoking Cessation: It is important to quit smoking or remain a non-­smoker and to avoid second hand smoke.
Stroke and TIA.
Stroke or TIA (transient ischemic attack or stroke warning) occurs when a blood vessel leading to the brain becomes clotted or bursts. The vessel clotting or bursting causes the part of the brain fed by the vessel to stop working and also affects the part of the body the brain controls. Strokes can be caused by high blood pressure, diabetes, smoking, and atherosclerosis. CALL 911 immediately if you have any of the following warning signs:
Sudden numbness or weakness of the face, arm, leg, especially on only one side of the body
• Sudden confusion, trouble speaking, or understanding
• Sudden trouble seeing out of one or both eyes
• Sudden trouble walking, dizziness, loss of balance, or lack of coordination
• Sudden severe headache with no known cause
5 X Heart Healthy
A Patient Guide to Clots in Leg Veins (Venous Thrombosis) and Lung Arteries (Pulmonary Embolism)
How does blood circulate through the body?
• The heart pumps blood through vessels in the body.
• The blood supplies oxygen and nutrients to the tissues of the body.
• The blood returns to the right side of the heart and goes to the lungs for a fresh supply of oxygen.
• Oxygen-­rich blood is then pumped from the left side of the heart for another cycle through the body.
What is a blood clot?
• A solid mass of material that forms inside a blood vessel.
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• $OVRFDOOHGDWKURPEXVRUWKURPERVLV
What is a helpful blood clot?
• ,IDEORRGYHVVHOLVFXWEORRGÀRZVRXWRIWKH
vessel where it comes into contact with powerful substances that stimulate blood clotting, and the leak is sealed.
• The plug forms a scab, during which time the blood vessel is repaired.
What is a harmful blood clot?
• Blood clotting is harmful when it occurs inside blood vessels.
• It can block veins or arteries.
• It can break off and travel downstream (an HPEROLVP
What are the major risk factors for a clot in a vein ("venous thrombosis")?
• Major surgery
• Major trauma to legs and pelvis
• Prolonged bed rest and immobility
• Cancer
• Age
• Family predisposition
• Previous venous thrombosis
What are other risk factors for venous thrombosis?
• Estrogens
• Pregnancy
• Heart failure
• Chronic Illness
• Varicose veins
• Obesity
What about airplane travel?
• Airplane travel is a very minor risk factor for clotting.
• The risk of developing clots is highest in travelers ZKRKDYHRWKHUULVNIDFWRUVDQGZLWKÀLJKWVWKDW
are 6 hours or longer. Two other risk factors are:
• Prolonged sitting.
• 1RWGULQNLQJHQRXJKÀXLGV
How can venous clot be prevented during air travel?
• ([HUFLVHWKHOHJVDQGGULQNORWVRIÀXLGV
• High-­risk patients should wear elasticized stockings.
• For very high-­risk patients, a subcutaneous injection of low-­molecular-­weight heparin a few KRXUVEHIRUHÀLJKWWLPHLVUHFRPPHQGHG
What are the common symptoms of venous clots?
• Pain and swelling in the leg may occur.
• If the clot breaks off and travels to the lungs, chest pain or shortness of breath may occur.
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• Pain, tenderness, or swelling of the calf or thigh.
• Red or blue discoloration of the calf or thigh.
• Symptoms of pulmonary embolism (lung clot). (See below for the common symptoms).
• Long-­term swelling and leg discomfort.
What is a lung embolism?
• A venous clot that breaks off and ends up in the blood vessels of the lungs. If the embolus is large, LWFDQEORFNEORRGÀRZLQWROXQJDUWHULHV
• ,WFDQFDXVHVHYHUHEUHDWKLQJGLI¿FXOWLHVDQGFDQ
even be fatal.
• With time, emboli usually break up and disappear.
What are the most common symptoms of lung embolism?
• 'LI¿FXOW\EUHDWKLQJ
• Sharp chest pain
• Blood in sputum
• For very large emboli, light-­headedness, fainting, and unconsciousness 6 X Heart Healthy
HEART HEALTHY
Resources for More Information
ZZZDPHULFDQKHDUWRUTRU$+$86$ZZZVWURNHDVVRFLDWLRQRUTRU6752.(ZZZGLDEHWHVRUJRU',$%(7(6
www.lungusa.orq or 800.LUNGUSA;; www.hsfa.org;; www.quitline.orq or 800.639.QUIT.
If you are at risk or have been diagnosed with heart disease, stroke, or diabetes, you can improve your health. Making changes in your lifestyle now can help.
Patient Information
Your Room and Guest Services at Providence Medical Center Welcome to Providence Medical Center. We are pleased you have chosen our hospital for your health care needs. Our goal is to make your stay as comfortable as possible. We recognize that being in the hospital can cause inconveniences for you, and we want you to NQRZWKDWRXUÀH[LEOHVWDIILVZLOOLQJWRGRZKDWHYHUZHFDQWRDVVLVWLQ
creating a positive experience for you, your family and your visitors. The following information about your room accommodations and other guest services is designed to make your stay more comfortable. Please feel free to contact us LI\RXKDYHDQ\TXHVWLRQVRUFRQFHUQV:HZDQW\RXWREHFRPSOHWHO\VDWLV¿HGZLWK\RXUVWD\DW
Providence. And, as always, we wish you the very best.
Your Admission
You will stay on a hospital unit specially designed for the type of care you will need while you are at the Medical Center. Your doctor will prescribe your meals, activity, treatment and medication.
Your Room • Patients can expect care providers at Providence to knock before entering your room and to acknowledge you upon entry.
• Your room will be cleaned daily between the hours of 7 a.m. and 3:30 p.m. The staff takes pride in cleaning your room with professionalism and in a polite manner. Should you need additional housekeeping assistance or if you would like the housekeeper to focus on a particular area of your room, please dial extension 4070 between the hours of 7 a.m. and 4 p.m.
• Should there be a need for additional toiletries such as shampoo, toothpaste or tooth brush or for extra towels, bedspread, pillows, etc., please contact the nurse station for assistance.
• :HVWULYHWRHQVXUHHYHU\WKLQJLQ\RXUURRPLVZRUNLQJSURSHUO\6KRXOG\RX¿QGVRPHWKLQJ
that is in need of repair, please contact the Plant Operations department at extension 4075 or inform your nurse.
• $WWDFKHGWRHDFKEHG\RXZLOO¿QGDUHPRWHFRQWUROQXUVHFDOOGHYLFH7KHUHDUHEXWWRQVWR
adjust the television channels and sound level as well as a call button that will ring to the nursing station. If you have any questions on how to use this device, please ask your nurse for assistance. When you need help for any reason, please do not hesitate to push the call button. The person answering your call will contact the right care team member. (A television channel guide is included in this folder.) • If you bring any personal electrical appliances into our hospital (i.e. radio, electric razor, hair dryer or other small electric appliances), for safety reasons prior to use: 1) the items must be FKHFNHGE\WKH3ODQW2SHUDWLRQVGHSDUWPHQWDQG\RXUQXUVHVKRXOGEHQRWL¿HG(OHFWULF
blankets are not permitted.
• Rest is essential for recuperation. As you or your guests enter patient care areas, please speak softly and lower the volume on cell phones and other electronic devices. We want to ensure you have a restful and quiet setting for your recovery. If there are concerns with noise levels near your room please notify your care team member by pushing the nurse call button. 7 X Your Room/Guest
Security/Parking Our goal is to provide safe, convenient and friendly service to Providence patients, visitors and staff.
Should you or your family need security assistance and/or a security escort to your car after hours, please contact the hospital operator at extension 4000.
Parking is free. Free courtesy shuttle service is available 8 a.m. to 4 p.m.;; if you need on-­campus shuttle assistance, call 913-­208-­7184.
Lost and Found While Providence does not assume responsibility for lost articles, we will make every effort to help \RXLQ¿QGLQJVXFKSURSHUW\/RVWDQG)RXQGLWHPVDUHORFDWHGLQWKH(QYLURQPHQWDO6HUYLFHV
GHSDUWPHQWRQWKHJURXQGÀRRU&DOOH[WHQVLRQ4070, Monday thru Friday, 8 a.m. to 4 p.m. for more information.
Communicating with Us In the event there are environmental concerns (housekeeping, security, safety, maintenance) that you or family members would like to voice, the Administrative Director of Support Services is available at extension 4072 WRGLVFXVV\RXUQHHGV6KRXOG\RXKDYHVSHFL¿FTXHVWLRQVUHJDUGLQJ
your health, please notify your care team member by pushing the nurse call button.
A note pad is included in your Patient Information Folder. Feel free to write down questions for your health care team. Your nurse can share these questions with your physician or others involved in your care.
Special Services for Patients with Hearing, Speech, or Visual Impairments or Other Disabilities
The hospital has telecommunication devices for the deaf, as well as combination telephone/
typewriter devices, (TDD/TTY.) The Kansas Relay Center provides call assistance 24 hours a day, seven days a week by dialing 1-­800-­766-­3777. Televisions are also available with closed captioning and close up viewing for sight and hearing impaired patients. Please ask a staff member if you would like to use any of these devices during your stay.
If you have a disability that affects your ability to communicate or to access or manipulate written materials or if you need another communication aid or service, staff will consult with the you to determine what aids or services are necessary to provide effective communication.
Interpreters
For our patients whose primary language is not English, an interpreter service will be provided free of charge upon request. The hospital provides interpretation services for a large number of foreign languages. Ask a staff member for assistance.
Valuables
Please bring only the items you will need while you are at the Medical Center. Please do not bring your checkbook, money, credit cards, jewelry or other valuables with you. There will be times when you will need to leave your room for tests or surgery. Providence cannot be responsible for lost or stolen articles or money left in your room.
You may either send your valuables and money home with relatives, or deposit them with Security for safekeeping when you come to the hospital. Security will give you a receipt for your valuables, and you may get your items back when you leave the hospital. You may also withdraw any or all of these items during your hospital stay. Please notify your care team member by pushing the nurse call button.
8 X Your Room/Guest
You are responsible for personal items such as dentures, eyeglasses, contact lenses and hearing aids. If you wear dentures, we will provide a special container to protect them from damage or loss when you are not using them. When not using your dentures, always keep them in this special container. Do not wrap dentures in tissue, clothing or any other item, or place them under your pillow. Please take special care to safeguard your glasses, contact lenses and hearing aids. Once again, Providence cannot be responsible for lost or stolen articles.
Tobacco-­free policy
As an organization that promotes health, Providence has a Tobacco-­Free campus. Our Tobacco Free policy prohibits the use of tobacco products (cigarettes, cigars, pipes and smokeless tobacco) on both indoor and outdoor areas of Providence and campus. This also includes the Doctors’ Building and personal vehicles. We can provide our patients, guests, employees and others with information about resources to help them quit tobacco on a permanent basis. Information about classes to help those wanting to quit smoking is available from our free Class Registration line at 913-­281-­7777 or 1-­800-­281-­7777.
For Your Protection
• Some areas of the hospital have limited access and special security measures. Please observe these restrictions.
• Providence promotes an active safety program for your protection. Occasionally, the hospital ZLOOFRQGXFW¿UHGULOOV'RQRWEHDODUPHG)ROORZWKHQXUVHV¶LQVWUXFWLRQVGXULQJWKHVHGULOOV
• To contribute to a quiet and healing environment, cell phones and pagers are to be set to silent or vibrate mode in public areas. Personal cell phone photography and video are not permitted within the facility. • You may bring some personal electrical items to the Medical Center such as hair dryers or razors. Before you use any of these items, please have your nurse check with Plant Operations on the safety of your items.
• Please do not try to get in or out of a wheelchair by yourself. Nursing staff will be glad to help.
• Your doctor may order side rails on your bed for your protection. Please do not try to climb over the rails to get out of bed. A member of our staff will help you if you need to get out of bed. Feel free to call for assistance. • The nurse call system contacts the nurses at their work station. Simply press the call button and the nurse will respond.
• Hospital staff wear name badges identifying their professional status.
,GHQWL¿FDWLRQ%UDFHOHW
<RXZLOOZHDUDSDWLHQWLGHQWL¿FDWLRQEUDFHOHWGXULQJ\RXUVWD\7KLVKHOSVHQVXUHWKDW\RXZLOO
receive the proper tests, treatment and medications. Condition H (Help):
Condition H or otherwise know as Condition help is available to patients and/or the patient's family. Condition H can be initiated by the patient and/or the patient's family in the case of an HPHUJHQF\$QHPHUJHQF\ZRXOGEHGH¿QHGDVDQRWLFHDEOHFKDQJHLQWKHSDWLHQW
VFRQGLWLRQRQH
that you would normally call 911 for at home) and you are unable to get the attention of the health FDUHSURYLGHU7RDFWLYDWH&RQGLWLRQ++HOSSOHDVH'LDODQGVD\&RQGLWLRQ+HOS,QHHG
WKH5DSLG5HVSRQVH7HDPDQGJLYHWKHSDWLHQW
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operator will alert a team of medical professionals who will arrive at the patient's room to assess the situation.
9 X Your Room/Guest
Medications from Home Please do not bring medications from home to the hospital, unless your doctor instructs you to do so. If your doctor tells you to bring your medications, the nursing staff will store them and give them to you when needed. You should bring a complete list of the medications you are currently taking including over-­the-­
counter medications. Please include doseage and how often you take your medicine. If you take any herbal or vitamin supplements, you should let your doctor or nurse know what those are. This is important because in some cases these supplements may interact with medications your doctor prescribes. Questions or Concerns
A number of health care professionals will visit you while you are in the hospital. Please feel free to ask them questions about your care.
Visiting Hours
Children under age 12 should be with an adult at all times while in the Medical Center. Children under 12 may visit in patient care areas (except Emergency Room) with an adult, provided the patient’s condition allows. Please check with the nurse on the unit before bringing a child to visit a patient.
General Patient Area: 1 to 8:30 p.m.
Maternity: Siblings over the age of one are welcome to visit between the hours of 8:30am and 8:30pm. They must be accompanied by a responsible adult (not to be the patient). All other children under the age of 12 will not be allowed to visit within the unit.
Surgery: Family may be with the patient the day of surgery.
Pediatrics: Parents and grandparents are encouraged to visit throughout the day.
Labor/Delivery/Recovery (LDR): Two to three visitors at a time are allowed during labor and delivery;; we encourage the presence of husband or support person during delivery. Siblings are allowed to visit after the baby is born. Intensive Care: Visiting hours are open except between 6:30 to 7:30 a.m. and 6:30 to 7:30 p.m. GXHWRFKDQJHRIVKLIWDQGWRSURWHFWSDWLHQWFRQ¿GHQWLDOLW\GXULQJVWDIIUHSRUWV
Emergency Room: 1 Visitor per patient at a time so that the patient care team can focus on delivery of care with minimal distractions.
To Place Telephone Calls
Local Calls: Dial 9, wait for the dial tone and dial the telephone number.
Long Distance Calls: Inside the 913 area code, dial 8 — wait for the dial tone — then dial 0 plus the telephone number. If calling outside the 913 area code, dial 8 — wait for the dial tone — dial 0 plus the area code, plus the telephone number. When the operator answers, please give billing instructions. Long distance calls can be made collect, charged to your home telephone number or charged to your telephone credit card.
For Directory Assistance: Dial “0” for the Medical Center operator.
Incoming Telephone Calls
Your family and friends may call you directly without going through the main hospital switchboard.
<RXUSHUVRQDOL]HGSKRQHQXPEHULVRQ\RXUWHOHSKRQH7KLVQXPEHULQFOXGHVWKHSUH¿[³´
followed by the digit “4” and then your bed number.
You may receive direct calls between 7 a.m. and 10 p.m.
Patient room phones will not accept incoming calls after 10 p.m.
For hearing impaired patients, we offer the use of a TDD unit and phones with volume control, available through the Telecommunications department, ext. 4002.
10 X Your Room/Guest
Cafeteria schedule
9LVLWRUVDUHZHOFRPHWRHDWLQWKHFDIHWHULDRQWKHJURXQGÀRRU7KH&DIHWHULDLVRSHQDPWRSP
Home Station -­ Hot entress close at 2 p.m. Deli Sandwiches & Personal Pizza Grill Station -­ Stays open until 5:30 p.m. Made to order Soup & Salad bar open until 6 p.m.
The cafeteria is closed 10:30 to 10:45 a.m. to prepare for lunch. Food and beverage items are available at all times in the vending machines in the cafeteria and in other locations throughout the hospital, such as near the Emergency Room and ICU. Spiritual Dimensions
The Chapel, located in the main lobby, is open to people of all faiths for personal meditation DQGSUD\HU7KH6SLULWXDO&DUHVWDIIPLQLVWHUVWRSHRSOHRIDQ\IDLWKUHVSHFWLQJDQGDI¿UPLQJDOO
beliefs. Chaplains can also arrange for a visit from the minister of your faith. Any patient or family member can call Spiritual Care by dialing “0” for the operator and asking to speak to a Spiritual Care staff member, or by asking a nurse to call. Please see pages 28 for additional resources.
Providence TV Guide to Satellite and Local Channels
In a continued effort to serve the needs of our patients, Providence provides a variety of television satellite capabilities. The following is a current guide to television listings available in your room:
Channel 03 04 05 09 10 11 12 13 15 16 17 18 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 38 39 43 Call Letters Description
In-­house In-­house
WDAF (Ch 4) Fox
KCTV (Ch 5) CBS
KMBC (Ch 9) ABC
KSHB (Ch 41) NBC
KCPT (Ch 19) PBS
KYFC (Ch 50) Independent
KSMO (Ch 62) WB
KCWE (Ch 29) UPN
KMCI (Ch 38) Independent / Family Greats
Discovery Science / Technology
Learning Ch. Education / for all ages
AMC American Classic Movies
AHN America’s Health Network
CNN 24-­hour news / information
Headline News 24-­hour news headlines
TNT Variety / movies / sports
Cartoon Network Cartoon entertainment
USA Variety / movies / sports
Weather Ch. 24-­hour weather info.
TBS Atlanta Super station
ESPN 24-­hour Sports Programming
ESPN-­2 24-­hour Sports Alternative
FAM Family Channel
ESPN News 24-­hour Sports News
ESTN CL 24-­hour Sports Classic
GALA Gala Vision Spanish
UNI Uni Vision Spanish
Birthing 3rd Floor Only – English
Birthing 3rd Floor Only – Spanish
Spiritual Care Channel
11 X Your Room/Guest
Spiritual Care Channel
The Spiritual Care department broadcasts regular worship services on the Spiritual Care Channel, Channel 43. When worship services are not being broadcast, Continuous Ambient Relaxation Environment (C.A.R.E.) programming is available on Channel 43. Patients and families who access Channel 43 can enjoy:
• Spiritual Care programming 24 hours a day, seven days a week. • Providence worship services aired daily in real time.
• Beautiful nature images and soothing instrumental music to provide patients with a healing environment (available when worship services are not being broadcast). • $VSHFLDOQLJKWWLPHVWDU¿HOGIRURYHUQLJKWEURDGFDVWVXSSRUWLQJSDWLHQWUHVWDQGVOHHS
Wi-­Fi ... Click to Connect
At Providence Medical Center, we recognize how important it is for you to be able to connect with your friends and family while you are here. That is why we have created a wireless network just for you. In keeping with the hospitals’ faith-­based mission, access to potentially offensive content is blocked. But, you do have access to social networking sites such as Facebook, LinkedIn and Twitter.
,I\RXH[SHULHQFHGLI¿FXOW\DFFHVVLQJWKHQHWZRUNFRQWDFWWKH0,6+HOSGHVNDW913-­596-­4840 for limited support. The hospital’s Management Information Services cannot offer technical computer assistance to guests.
To access the network from your laptop PC with built-­in wireless:
1. Be sure you are in a wireless access area. This includes any patient room, waiting area, the hospital lobby or cafeteria.
2. Double click on the wireless icon, located at the bottom right-­hand corner of your laptop screen.
3. When the “Choose a Wireless Network” screen appears, select the “Providence Public Wireless Network.”
4. Once connected, launch Internet Explorer to access the Web.
For Your Convenience
7KH*LIW6KRSLVRSHQGDLO\RIIHULQJÀRZHUVFDQG\PDJD]LQHVJLIWLWHPV
and sundries. 7KH6KRSLVLQWKHPDLQOREE\RQWKHVHFRQGÀRRU+RXUVDUH0RQGD\
through Friday, 9 a.m. to 8 p.m.;; Saturday from 10 a.m. to 5 p.m.;; and Sunday from noon to 5 p.m. 1HZVSDSHUPDFKLQHVDUHDYDLODEOHLQWKHPDLQOREE\VHFRQGÀRRUDWWKH
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Volunteers deliver mail to patients daily, Monday through Friday. Volunteers DOVRGHOLYHUÀRZHUVWRSDWLHQWVZKRUHFHLYHWKHPDWWKH0HGLFDO&HQWHU
1RWDULHVDUHDYDLODEOHGXULQJZHHNGD\EXVLQHVVKRXUV&RQWDFWWKH&DVKLHU¶V2I¿FHH[W
Television service is free while you are in the hospital. To turn the set on, push the channel select button on the pillow speaker/call device. If you have any problems with the television, contact a member of the nursing staff. Security patrols the Medical Center’s parking areas for your safety. Parking is free at Providence. You may park in any of the non-­reserved areas.
12 X Your Room/Guest
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• • • • • • • • • • • • • • Providence Medical Center is a Prime Healthcare Services hospital.
The hospital is fully approved by The Joint Commission. Providence is a member of the American Hospital Association and the Catholic Health Association.
3URYLGHQFHLVOLFHQVHGE\WKH6WDWHRI.DQVDV'HSDUWPHQWRI+HDOWKDQGFHUWL¿HGE\WKH8QLWHG6WDWHV
Department of Health and Human Services for participation in Medicare.
Providence's Cancer Program is accredited by the American College of Surgeons Commission on Cancer. Providence's Sleep Disorders Center is accredited by the American Academy of Sleep Medicine. UnitedHealth Premium® Specialty Center for Total Joint Replacement [3-­Stars Quality Designation]
UnitedHealth Premium® Specialty Center for Surgical Spine [3-­Stars Quality Designation]
UnitedHealth Premium® Specialty Center for Cardiac Care, Cardiac Surgery & Heart Rhythm Disorders [3-­Stars Quality Designations In All Three Areas]
Blue Distinction Center for Knee & Hip ReplacementSM Blue Distinction Center for Spine SurgerySM Blue Distinction Center for Cardiac Care® Providence has accreditation for Intersocietal Commission for the Accreditation of Echocardiography Laboratories.
Joint Commission’s Gold Seal of Approval™.
Discharge from Hospital Your physician will make arrangements for your discharge from Providence through the nursing staff and in cooperation with the case management and/or social work service staff. Please be sure to take all of your personal items with you when you leave the hospital.
Prior to discharge, members of your health care team will discuss discharge plans with you and provide information on follow-­up appointments, medications and other “going home” instructions.
So that you and your family members can plan accordingly, your physician or nurse will discuss with you in advance the date of your planned discharge.
Everyone involved in your care at Providence Medical Center is committed to providing you with the best possible medical treatment and services during your hospital stay. We thank you for selecting Providence.
Safe Lifting Environment
Providence Medical Center is proud to offer a safe lifting environment throughout our facility. 7KLVLVDFFRPSOLVKHGWKURXJKRXU0LQLPDO/LIW
3URJUDP
What is Minimal Lift? Performing a patient handling activity using the least amount of manual lifting by utilizing lift assist devices
WHY?
-­ It is safe practice for all of our patients
-­ It will prevent staff injury
-­ There are sicker patients in the hospital
-­ There is an aging work force
-­ There is an increase in number of back injuries among nursing staff
Equipment used for safe lifting: • mechanical lift devices
• gait belts
• air pals
• slide sheets
• slide boards
• and more...
13 X Discharge /Safe Lifting
Managing your pain during your hospitalization
What is pain:
Pain is the body’s way of warning your brain that something may be wrong. People experience several types of pain, such as headache or pain after surgery;; a few people experience pain as the result of a chronic condition such as cancer or arthritis. Pain is different for everyone. Pain is a personal experience: and treatment for pain is designed around an individual’s needs.
Rights and responsibilities:
• • • • • • The staff of Providence Medical Center and Saint John Hospital believes that treating your pain is a vital part of returning you to your best level of health. Your physicians and nurses want you to be as comfortable as possible. Below are yours rights and responsibilities concerning pain management.
• You have the right to have your pain managed. You have the right to have your reports of pain believed by the health care team
You have the right to have your pain managed to a level of comfort when possible
You have the right to prompt treatment for your pain, using state of the art methods provided by trained professionals.
You are responsible for reporting your pain in a timely and accurate manner.
You are encouraged to report your pain to a health care professional before it is out of control
You are responsible for telling the health care staff about any pain management treatment you are currently receiving, this includes all medications, treatments and complimentary methods (massage, acupuncture etc) you use for pain management. Describing and reporting your pain
Everyone feels and reacts to pain differently. How you feel pain can depend on your past experiences with pain, your anxiety level and your possible uncertainty about what causes your pain. The members of your health care team will work with you during your hospitalization to keep you comfortable. The member of the health care team will ask you about your pain several times during your hospitalization. The pain scale is the tool we use to describe and monitor pain. We use a number rating system, 0 equals no pain and 10 equals the worst possible pain. 0 1 2 3 4 5 6 7 8 9 10
MILD MODERATE SEVERE
The members of your health care team will also ask you the location of your pain. Point to the area or explain where it hurts. We also want to know how the pain feels, some of the words frequently used to describe pain are sharp, dull, achy, throbbing, burning and shooting.
When asked about your pain please remember the following.
• Be honest. You are the only one that knows how your pain feels.
• Controlling your pain is an important part of your recovery, and if you do not let the health care team know about your pain, you may suffer needlessly.
• If you are having pain please tell a member of your health care team. Do not wait for them to ask. Your nurse will ask you to rate your acceptable level of pain and to identify this level using the same pain scale. The acceptable level of pain is what you feel that you would be able to do activity such as walking, sitting up in the chair or resting comfortably. Remember that after surgery or procedures some pain is expected. Your pain relief goal is used by members of the health 14 X Pain Management
care team to provide you with optimal SDLQPDQDJHPHQW,I\RX¿QGWKDW\RX
reached what you thought was your acceptable level of pain and still have not reached a comfortable level let the members of your health care team know, we will work with you to adjust your acceptable level. When you are comfortable you are better able to participate in activities that help your recovery.
PAIN RATING SCALES
Pain management methods
There are many methods used to manage pain. For some patients medication alone is very HIIHFWLYHRWKHUV¿QGWKDWPHWKRGVVXFKDVUHOD[DWLRQWHFKQLTXHVGLVWUDFWLRQRUWKHXVHRIFROG
DQGKHDWKHOS0RVWSDWLHQWVEHQH¿WIURPDFRPELQDWLRQRIWKHUDSLHV3DLQLVHDVLHUWRPDQDJH
when it is mild, rather than waiting until the pain becomes severe. While pain cannot always be completely relieved it can be managed to a degree that you are able to do activities with mild discomfort. Medications for pain management
Medications used to manage pain are designed to treat the many causes of pain. You may need more than one type of medicine to manage your pain. It is important that you discuss this with your doctor:
• Any pain medications you had that did or did not work well for you in the past.
• Any side effects that may have occurred when you took medications for pain
• Any medicines or herbal preparations that you have been taking at home for the treatment of your pain.
This information will assist the doctor in choosing the right medication, the right amount of medication and the best method for the administration of the medication. Pain medications may be given in a variety of ways, usually they are given by mouth in the form of a tablet or liquid, for some patients right after surgery they maybe given in an IV or by an epidural infusion, occasionally for patients that require pain medication for a long period of time they maybe given in a patch placed on the skin
Types of medications used to manage pain 1RQVWHURLGDODQWLLQÀDPPDWRU\GUXJV16$,'V)-­Ibuprofen, acetaminophen, aspirin work to reduce swelling and soreness. They relieve mild to moderate pain. There is a limit to the amount of these medications that you can take in one day.
Opioids-­Morphine, codeine and other opioids are often used for the treatment of moderate to severe pain. They do not cause addiction when used correctly.
Local anesthetics-­Local anesthetics are given in a variety of ways, they may be injected in surgery in the area of your incision, they may also be given via a small tube in the area of your incision. For some patients they are given through a small tube in the back to block pain signal through the nerves.
Antidepressants-­Some antidepressants are used in the treatment of chronic pain. Taking an antidepressant for chronic pain done not mean that you are depressed or have a mental illness.
Please inform a member of your health care team as soon as possible if you have any side-­effects from your pain medications. The most common side-­effects are constipation, nausea, vomiting, itching. 15 X Pain Management
Non-­medication methods for managing pain:
There are many other ways to help relieve your pain in addition to pain medications. These are called non-­pharmacological methods. Most of these techniques help you to relax. The mind is a very powerful tool in helping to manage pain, when you are relaxed, your muscles are not as tense and this helps with the management of your pain. Here are several non-­
pharmacological methods to help manage your pain.
• Positioning yourself comfortably in bed.
• Place a pillow gently against your incision site to support it. This is especially helpful when breathing deeply and coughing after surgery.
• Breathing in and out slowly and deeply helps to relax muscles. This is especially helpful when getting up out of bed or up to the chair. Take a deep breath in and slowly exhale as you start to get up.
‡ 6RPHSDWLHQWV¿QGWKDWOLVWHQLQJWRVRIWPXVLFKHOSVWRGLVWUDFWWKHPIURPWKHSDLQ
‡ 6RPHSDWLHQWV¿QGWKDWWDONLQJKHOSVWKHPUHOD[<RXUQXUVHZLOODVVLVW\RXLQFRQWDFWLQJIDPLO\
friends, Spiritual Care or a social worker.
Other non-­pharmacological methods for managing pain use physical methods. Here are several physical methods for managing pain.
• Applying cold or warm packs to the area
• Electrical stimulation
• Massage
• Gentle stretching
• Physical therapy
• Acupuncture used for chronic pain. Thoughts to remember
You are the most important person when it comes to managing your pain.
Communicating your concerns to the doctor and/or nurse is important to effectively manage pain.
Pain support information
American Chronic Pain Association, P.O. Box 850, Rocklin, CA 95677 Phone: 916-­632-­0922 Web site: www.theacpa.org
HospiceLink 800-­331-­1620
Safe Use of Medications, Foods and Herbal Products
Medicines treat and cure many health problems. However, they must be taken properly to make sure that they are safe and effective. Many medications when mixed with certain foods, other medications or herbal products can have dangerous effects. It is important to understand the possible danger of mixing certain types of medications. Mixing your Medicine with Herbal, Vitamin and Natural Products
The use of “herbal” and “natural” products to treat many types of illness is increasing. Often herbal and natural products are reported to be safe and effective without the side effects of traditional medications. It is important to keep in mind that most herbal and natural products contain substances that work exactly like prescription medications. There are many reports of herbal and natural products interacting with prescription medications with dangerous and even deadly results.
16 X Pain / Medication
Examples would be:
Ginkgo type products can cause an increase in the risk of bleeding if you are on other types of blood thinners (anticoagulants) like warfarin (Coumadin), Plavix, Ticlid or aspirin.
The herbal product St. John’s Wort, sometimes used for depression, has been reported to have caused serious heart and blood pressure problems if it is mixed with other depression medications.
Important tips on the use of herbal, vitamin and natural prod-­
ucts:
If you take any prescription medications, DO NOT use any herbal or natural SURGXFWVZLWKRXW¿UVWWDONLQJZLWK\RXUGRFWRUQXUVHRUSKDUPDFLVW&HUWDLQ
herbal products are known to cause serious problems with drugs used to treat blood pressure, diabetes, blood clots and heart disease. Sometimes with serious reactions.
Keep in mind that herbal and natural products can have serious side effects in some people. “Natural” does NOT mean they are safe for everyone. Read or ask your doctor, nurse or pharmacist questions before taking any over-­the-­counter product. When you are asked about your medicines, remember to list herbal, natural and vitamin products you are also taking, and carry a list with you. This can save your life.
Written information is available about herbal and natural products from the hospital, ask your nurse.
Mixing Food and Drugs with Your Medicine
Some foods can react with medications you are taking, preventing them from working the way it should. Food and drug interactions can occur with medications given to you by your doctor and with over-­the-­counter products, including antacids, vitamins and iron pills.
Not all medications are affected by food, but MANY drugs can be affected by what you eat and when you eat it. Sometimes, taking medication at the same time you eat can affect the way your stomach absorbs the medicine. Other medicines are sometimes recommended to be taken with food.
Examples would be:
Foods high in vitamin K (dark green leafy vegetables, green tea, mayonnaise, soybean oil and canola oil) can interact with the blood thinner warfarin (Coumadin) and can make your dose less effective. It is important to eat these types of foods in moderation and avoid drastic changes in your diet.
Grapefruit and grapefruit juices contain a chemical which can affect the way your liver breaks down drugs. Cholesterol drugs like Zocor, Lipitor and the seizure drug carbamazipine (Tegretol) can be affected. You should avoid or limit your intake of grapefruit and grapefruit juice while taking these medications.
What you should remember about food and Drug Interactions
Read the label on your prescription containers. If you do not understand something, ask your pharmacist. Look for or ask about reactions with food.
Read or ask about the directions, warnings and precautions on all medicine labels. Even over-­
the-­counter medicines can cause problems with certain foods.
If you visit a dietitian, be sure to tell them all of the medications that you take.
Do not stir your medicine into your food, hot drink or take capsules apart (unless directed by your doctor). This can change the way your medicine works or is absorbed.
17 X Medication
Take your medicine with a full glass of water. Never take medicine with alcoholic drinks.
Other important information about interactions Between Foods, Herbal Products and Your Medication:
Make sure you understand all of the information and labels that are attached to your medication bottle.
Read the label before leaving the pharmacy (drug store) to make sure you understand the directions.
Talk to your pharmacist, nurse or doctor about any questions you have about your medications.
If you take prescription medications, talk to a pharmacist, nurse or doctor before taking any over-­
the counter drugs, vitamins or herbal products.
)RUDGGLWLRQDOLQIRUPDWLRQDERXWWKHVDIHXVHRISUHVFULSWLRQKHUEDORUYLWDPLQSURGXFWV
visit these reliable internet sites:
The U.S. Food and Drug Administration (FDA) web site at www.fda.gov
The Institute for Safe Medication Practice (ISMP) at www.ismp.org
Providence Medical Center recognizes and promotes the following rights of each patient:
Patient Rights Access to Medical Care and Services
You or your representative have the right to:
Medical care and services within the Medical Center’s capability. Participate in the development and implementation of your plan of care. Participate in the development and implementation of your pain management plan.
Participate in the development and implementation of your discharge plan.
Access protective services and advocacy services.
Respect and Dignity
You or your representative have the right to:
Considerate and respectful care. This includes consideration of psychosocial, spiritual and FXOWXUDOYDULDEOHVWKDWLQÀXHQFH\RXUSHUFHSWLRQVRILOOQHVV7KLVLVUHJDUGOHVVRIUDFHFUHHG
gender, sexual orientation, national origin, age, disability or sources of payment for care. Receive care that improves your comfort and dignity if you are dying. This includes treatment of primary and secondary symptoms and effective pain management.
3ULYDF\DQG&RQ¿GHQWLDOLW\
You or your representative have the right to:
• Personal privacy which includes during personal hygiene activities (such as toileting, bathing, dressing), during medical or nursing treatments and when requested as appropriate.
• Privacy concerning your medical care. Staff will conduct case discussion, consultation, H[DPLQDWLRQDQGWUHDWPHQWFRQ¿GHQWLDOO\DQGGLVFUHWHO\7KRVHQRWLQYROYHGLQ\RXUFDUHPXVW have your permission to be present during these discussions.
• Review information or have a copy of your medical record within a reasonable amount of time :HWUHDWDOOFRPPXQLFDWLRQVDQGUHFRUGVSHUWDLQLQJWR\RXUFDUHDVFRQ¿GHQWLDO
18 X Medication / Patient Rights
• Wear appropriate personal clothing and religious or other symbolic items as long as they do not interfere with your medical care.
Personal Safety and Restraints
You have the right to receive:
Safe care through the Medical Center's practices and its environment. This includes safety from mental, physical, sexual or verbal abuse or harassment, neglect and exploitation. Medical care free from restraints and seclusion not medically necessary, or used as a means of coercion, discipline, convenience, or retaliation by staff. Restraint use in accordance with your care plan. Access to protective and advocacy services as needed and/or requested.
Staff Identity
You or your representative have the right to:
Know the identity and professional status of individuals providing service to you.
Know which physician or other health care professional is primarily responsible for your care. Know the existence of any professional relationships among individuals who are treating you. This includes the relationship to any other health care or educational institutions involved in your care.
Information
You or your representative have the right to:
Obtain current and complete information from your physician about your diagnosis, treatment, outcomes of care (including unanticipated outcomes) and prognosis in terms you can understand. When it is not medically advisable to give such information to you, we will make the information available to your representative. Communication
You or your representative have the right to:
Have visitors and to communicate with people outside the Medical Center. Communication aids if you have physical impairments that require assistance for effective communication. An interpreter if you do not speak or understand English. This service is available at no charge to translate information about your care. +DYHDIDPLO\PHPEHURUDUHSUHVHQWDWLYHDQG\RXURZQSK\VLFLDQSURPSWO\QRWL¿HGRI\RXU
admission to a hospital.
Consent
You or your representative have the right to:
Information from your physician necessary to give informed consent before the start of any procedure and/or treatment. Except in emergencies, such information for informed consent VKRXOGLQFOXGHEXWQRWQHFHVVDULO\EHOLPLWHGWRWKHVSHFL¿FSURFHGXUHDQGRUWUHDWPHQWWKH
PHGLFDOO\VLJQL¿FDQWULVNVDQGEHQH¿WVLQYROYHGDQGWKHDPRXQWRIWLPH\RXZLOOQHHGWRUHFRYHU
Request information about medical alternatives. Know the name of the person responsible for your procedures and/or treatment. Be informed if the Medical Center plans to perform human experimentation or other research/
educational projects affecting your care. 19 X Patient Rights
Consultation
You have the right to:
Consult with a specialist or request another opinion at your own expense.
Request or Refusal of Treatment
You or your representative have the right to:
Refuse treatment to the extent the law allows and to be informed of the medical consequences of such decisions.
Request a treatment that is medically necessary for your condition or illness.
Leave the hospital even against the advice of your physician. Transfer and Continuity of Care
You or your representative have the right to:
Expect a prompt response to a request for patient services. The Medical Center will provide evaluation, service and/or referral based on the urgency of your case. When medically permissible, you may be transferred to another facility only after you have received complete information and an explanation concerning the need for and alternatives for a transfer. 7KHLQVWLWXWLRQ\RXZDQWWRWUDQVIHUWRPXVW¿UVWDFFHSW\RXIRUWUDQVIHU
Be informed by the health care provider responsible for your care, or their delegate, of any continuing health care needs following discharge from the hospital.
Advance Directives
You or your representative have the right to:
Be informed about and to formulate an advance directive regarding your health care and have hospital staff and practitioners who provide care in the hospital comply with those directives (to the extent provided by state laws and regulations and by the Ethical and Religious Directives for Catholic Health Care Services).
Receive information on the Medical Center’s policies and procedures regarding advance directives. The Medical Center will inform your physician about the availability of your advance directive for care planning. Please see page 33-­34 for additional information.
3OHDVHSURYLGHXVZLWKDFRS\RI\RXU$GYDQFH'LUHFWLYHIRUWKHPHGLFDOUHFRUG
Ethical Concerns
You or your representative have the right to:
+HOSZLWKGLI¿FXOWGHFLVLRQVUHODWHGWROLIHDQGRUHQGRIOLIHLVVXHV7KLVKHOSLVDYDLODEOHWKURXJK
the Ethics Committee. You can get more information about how to access the Ethics Committee from your nurse or social worker.
Medical Center Charges
You or your representative have the right to:
Examine and receive an explanation of your bill, regardless of the source of payment. You may receive two (2) bills for some of the services you receive at the Medical Center. The Medical Center bill represents the technical fee for the use of facilities, equipment, supplies and personnel. Bills from the pathologist, radiologist, emergency department physician and anesthesiologist are professional fees for services provided during your hospital stay.
20 X Patient Rights
Medical Center Rules and Regulations
You or your representative have the right to:
Know what Medical Center rules and regulations apply to your conduct as a patient. Information about how the Medical Center’s handles patient complaints.
Know that Providence is committed to high standards of care, safety and hospitality for patients and their families.
Patient Complaints
Providence Medical Center protects and assures the rights of each patient as guaranteed to you under Federal and State law. Our commitment is to provide you with quality care. Please be assured our goal is to meet your needs during your hospital stay.
You and your representative have the right to complain without fear or retribution about the care or services given and request that the Medical Center address these issues. If you, your representative, and/or any member of your family have a complaint we encourage you to speak up. We value your input and welcome the opportunity to resolve your complaint within a timely manner. You have the right to contact any or all of the following at any time with a complaint or grievance: • Your Providence caregiver, the unit Director and/or a member of the Providence administrative team by calling 913-­596-­4882.
The governing body of Providence approves and is responsible for the effective operation, including review and resolution of grievances, unless it delegates the responsibility in writing to a grievance committee. The governing body has delegated this responsibility to the Administrator/CNO, Director of Performance Improvement, Director of Risk Management, Director of the unit involved or their designee and other staff members as deemed appropriate. $&RPSODLQWLVFRQVLGHUHGUHVROYHGZKHQWKHSDWLHQWLVVDWLV¿HGZLWKWKHDFWLRQVWDNHQRQWKHLU
behalf. If a verbal complaint cannot be resolved at the time by staff present, is postponed for later resolution, is referred to other staff for later resolution, requires investigation and/or requires further actions for resolution, then the complaint is a grievance. A grievance will be reviewed, investigated, and resolved within a reasonable time frame;; generally within seven calendar days.
$JULHYDQFHLVGH¿QHGDVDIRUPDORULQIRUPDOZULWWHQRUYHUEDOFRPSODLQWWKDWLVPDGHWRWKH
hospital by a patient, or the patient's representative, regarding the patient's care (when the complaint is not resolved at the time of the complaint by the staff present), abuse or neglect, issues related to the hospital's compliance with the CMS Hospital Conditions of Participation (CoP's), issues related to alleged discrimination based upon race, color, national origin, disability, or age, or a Medicare EHQH¿FLDU\
VELOOLQJFRPSODLQWUHODWHGWRULJKWVDQGOLPLWDWLRQVSURYLGHGE\&)5$SDWLHQW
may ask to view Interdepartmental Policy ADM133 Patient Complaints and Grievances for additional information).
• Kansas Department of Health and Environment (KDHE) (Hotline: 1-­800-­842-­0078). You may also ¿OHDFRPSODLQWLQZULWLQJWR.'+(%XUHDXRI+HDOWK)DFLOLW\5HJXODWLRQ6:-DFNVRQ6XLWH
200, Topeka, KS. 66612-­1365.
• Medicare (785-­273-­2552 or 800-­432-­0770). Medicare patients who have a complaint about the quality of care or being dismissed from the hospital too early may submit concerns to Director of Case Management and/or notify the Peer Review Organization authorized by Medicare to review your concerns at the Kansas Foundation for Medical Care, 2947 SW Wannamaker Drive, Topeka, KS. 66614-­4193.
• 86'HSDUWPHQWRI+HDOWKDQG+XPDQ6HUYLFHV2I¿FHIRU&LYLO5LJKWVYRLFHRU
7''$FRPSODLQWRIGLVFULPLQDWLRQRQWKHEDVLVRIKDQGLFDSPD\DOVREH¿OHGZLWK
WKH86'HSDUWPHQWRI+HDOWKDQG+XPDQ6HUYLFHV2I¿FHIRU&LYLO5LJKWV(DVWWK6WUHHW
Room 353, Kansas City, MO 64106.
• The Joint Commission (1-­800-­994-­6610). Written complaints may be sent to The Joint Commission by visiting www.jointcommission.org/General Public/Complaint.
21 X Patient Rights
Non-­Discriminatory Treatment/Room Assignments
You or your representative have the right to: • Impartial access to treatment or accommodations available or medically indicated. This is regardless of race, creed, sex, national origin, disability, age or sources of payment for care.
Patient Visitation Rights
You or your representative have the right to:
• be informed in writing of the following: • patient’s visitation rights;;
• patient’s right to receive the visitors whom he or she designates, including but not limited to, a spouse, a domestic partner (including a same sex domestic partner), another family member, or a friend;; • patient’s right to withdraw or deny such consent at any time;; and ‡-XVWL¿HG&OLQLFDO5HVWULFWLRQVZKLFKPD\EHLPSRVHGRQDSDWLHQW¶VYLVLWDWLRQULJKWV
All visitors designated by the patient (or Support Person where appropriate) shall enjoy visitation privileges that are no more restrictive than those that immediate family members would enjoy.
Selection of Visitors
You or your representative have the right to:
6XEPLWDYHUEDOFRQ¿UPDWLRQWR3URYLGHQFHRILQGLYLGXDOVZKRVKRXOGEHDGPLWWHGDVYLVLWRUV
of the patient and individuals who should be denied visitation rights. Providence may record such information in the patient’s records for future reference. In the event the patient is a minor, the legal parent of the minor shall be given the opportunity to verbally designate the individuals permitted to visit the minor patient.
Selection of a Support Person
You have the right to:
Verbally designate a support person to exercise the patient’s visitation rights on his or her behalf, should the patient be unable to do so. Upon such designation by a patient, the legal status of the relationship between the patient and the designated Support Person shall be irrelevant. This designation of an individual as the patient’s Support Person however does not extend to a medical decision making. In the event the patient is unable to exercise his or her patient visitation rights, Providence shall recognize the Support Person’s verbal directive as to who should be admitted as visitors of the patient and individuals who should be denied visitation rights with respect to such patient.
Other -­-­ Incapacitated Patients
In the event a patient is unable to select visitors due to incapacitation and such patient has not designated a Support Person to exercise the patient's visitation rights, Providence may consider the following non-­exhaustive forms of proof to establish the appropriateness of a visitor or to designate a Support Person for the incapacitated patient when two or more individuals claim to be the incapacitated patient's Support Person capable of exercising the patient's visitation rights: (i) an advance directive naming the individual as a support person, approved visitor, or designated decision maker (regardless of the State in which the directive is established);; (ii) shared residence;; LLLVKDUHGRZQHUVKLSRIDSURSHUW\RUEXVLQHVVLY¿QDQFLDOLQWHUGHSHQGHQFHYPDULWDO
relationship status;; (vi) existence of a legal relationship (may be a legal relationship recognized in another jurisdiction, even if not recognized in Providence's jurisdiction, including: parent-­child, civil union, marriage, or domestic partnership);; (vii) acknowledgement of a committed relationship HJDQDI¿GDYLWRUYLLLZULWWHQGRFXPHQWDWLRQRIWKHSDWLHQW
VFKRVHQLQGLYLGXDOVHYHQLILWLV
not a legally recognized advance directive.
22 X Patient Rights
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restricting visitation rights, Providence shall explain to the patient (or Support Person as applicable) the reasons for the restrictions or limitations on the patient's visitation rights and how Providence's visitation policies are aimed at protecting the health and safety of all patients.
Providence shall not restrict, limit or otherwise deny visitation privileges on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation or disability.
PMC/SJH ADM160 policy
PMC/SJH ADM13 policy
PMC/SJH ADM 18 policy
Speak Up Information from The Joint Commission
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To prevent health care errors, patients are urged to SPEAK UP. Everyone has a role in making health care safe. That includes doctors, health care executives, nurses and many health care technicians.
Health care organizations all across the country are working to make health care safe. As a patient, you can make your care safer by being an active, involved and informed member of your health care team.
An Institute of Medicine report says that medical mistakes are a serious problem in the health care system. The IOM says that public awareness of the problem is an important step in making things better. The “Speak Up™” program is sponsored by The Joint Commission. They agree that patients should be involved in their own health care. These efforts to increase patient awareness and involvement are also supported by the Centers for Medicare & Medicaid Services. This program gives simple advice on how you can help make health care a good experience. Research shows that patients who take part in decisions about their own health care are more likely to get better faster. To help prevent health care mistakes, patients are urged to “Speak Up.”
Speak up if you have questions or concerns. If you still don’t understand, ask again. It’s your body and you have a right to know.
• • • • Your health is very important. Do not worry about being embarrassed if you don’t understand something that your doctor, nurse or other health care professional tells you. If you don’t understand because you speak another language, ask for someone who speaks your language. You have the right to get free help from someone who speaks your language.
Do not be afraid to ask about safety. If you’re having surgery, ask the doctor to mark the area that is to be operated on.
Do not be afraid to tell the nurse or the doctor if you think you are about to get the wrong medicine.
Do not be afraid to tell a health care professional if you think he or she has confused you with another patient. Pay attention to the care you get. Always make sure you’re getting the right treatments and medicines by the right health care professionals. Don’t assume anything.
• • • • • Tell your nurse or doctor if something doesn’t seem right.
([SHFWKHDOWKFDUHZRUNHUVWRLQWURGXFHWKHPVHOYHV/RRNIRUWKHLULGHQWL¿FDWLRQ,'EDGJHV$QHZPRWKHU
should know the person who she hands her baby to. If you don’t know who the person is, ask for their ID. Notice whether your caregivers have washed their hands. Hand washing is the most important way to prevent infections. Don’t be afraid to remind a doctor or nurse to do this.
Know what time of the day you normally get medicine. If you don’t get it, tell your nurse or doctor.
Make sure your nurse or doctor checks your ID. Make sure he or she checks your wristband and asks your name before he or she gives you your medicine or treatment. 23 XPatient Rights / Speak Up
Educate yourself about your illness. Learn about the medical tests you get, and your treatment plan.
• • • • • $VN\RXUGRFWRUDERXWWKHVSHFLDOWUDLQLQJDQGH[SHULHQFHWKDWTXDOL¿HVKLPRUKHUWRWUHDW\RXULOOQHVV
Look for information about your condition. Good places to get that information are from your doctor, your library, respected web sites and support groups.
Write down important facts your doctor tells you. Ask your doctor if he or she has any written information you can keep.
Read all medical forms and make sure you understand them before you sign anything. If you don’t understand, ask your doctor or nurse to explain them.
Make sure you know how to work any equipment that is being used in your care. If you use oxygen at home, do not smoke or let anyone smoke near you. Ask a trusted family member or friend to be your advocate (advisor or supporter).
• • • • • • • Your advocate can ask questions that you may not think about when you are stressed. Your advocate can also help remember answers to questions you have asked or write down information being discussed.
Ask this person to stay with you, even overnight, when you are hospitalized. You may be able to rest better. Your advocate can help make sure you get the right medicines and treatments.
Your advocate should be someone who can communicate well and work cooperatively with medical staff for your best care.
Make sure this person understands the kind of care you want and respects your decisions.
Your advocate should know who your health care proxy decision-­maker is;; a proxy is a person you choose to sign a legal document so he or she can make decisions about your health care when you are unable to make your own decisions. Your advocate may also be your proxy under these circumstances. They should know this ahead of time.
Go over the consents for treatment with your advocate and health care proxy, if your proxy is available, before you sign them. Make sure you all understand exactly what you are about to agree to.
Make sure your advocate understands the type of care you will need when you get home. Your advocate should know what to look for if your condition is getting worse. Your advocate should know what to look for if your condition is getting worse He or she should also know who to call for help.
Know what medicines you take and why you take them. Medicine errors are the most common health care mistakes.
• • • • • • • Ask about why you should take the medication. Ask for written information about it, including its brand and generic names. Also ask about the side effects of all medicines.
If you do not recognize a medicine, double-­check that it is for you. Ask about medicines that you are to take E\PRXWKEHIRUH\RXVZDOORZWKHP5HDGWKHFRQWHQWVRIWKHEDJVRILQWUDYHQRXV,9ÀXLGV,I\RX¶UHQRW
well enough to do this, ask your advocate to do it.
If you are given an IV, ask the nurse how long it should take for the liquid to run out. Tell the nurse if it doesn’t seem to be dripping right (too fast or too slow).
Whenever you get a new medicine, tell your doctors and nurses about allergies you have, or negative reactions you have had to other medicines.
If you are taking a lot of medicines, be sure to ask your doctor or pharmacist if it is safe to take those medicines together. Do the same thing with vitamins, herbs and over-­the-­counter drugs.
Make sure you can read the handwriting on prescriptions written by your doctor. If you can’t read it, the SKDUPDFLVWPD\QRWEHDEOHWRHLWKHU$VNVRPHERG\DWWKHGRFWRU¶VRI¿FHWRSULQWWKHSUHVFULSWLRQLI
necessary.
Carry an up-­to-­date list of the medicines you are taking in your purse or wallet. Write down how much you take and when you take it. Go over the list with your doctor and other caregivers.
Use a hospital, clinic, surgery center, or other type of health care organization that has been carefully checked out. For example, The Joint Commission visits hospitals to see if they are meeting The Joint Commission’s quality standards. 24 X Speak Up
• • • • Ask about the health care organization’s experience in taking care of people with your type of illness. How often do they perform the procedure you need? What special care do they provide to help patients get well? If you have more than one hospital to choose from, ask your doctor which one has the best care for your condition.
Before you leave the hospital or other facility, ask about follow-­up care and make sure that you understand all of the instructions.
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organization is “accredited.” Accredited means that the hospital or health care organization works by rules that make sure that patient safety and quality standards are followed. Participate in all decisions about your treatment. You are the center of the health care team.
• • • • • • • You and your doctor should agree on exactly what will be done during each step of your care.
Know who will be taking care of you. Know how long the treatment will last. Know how you should feel.
Understand that more tests or medications may not always be better for you. Ask your doctor how a new test or medication will help.
Keep copies of your medical records from previous hospital stays and share them with your health care team. This will give them better information about your health history.
Do not be afraid to ask for a second opinion. If you are unsure about the best treatment for your illness, talk with one or two additional doctors. The more information you have about all the kinds of treatment available to you, the better you will feel about the decisions made.
Ask your doctor to recommend a support group you can join to help deal with your condition. People in these groups may help you prepare for the days and weeks ahead. They may be able to tell you what to expect and what worked best for them.
Talk to your doctor and your family about your wishes regarding resuscitation and other life-­saving actions.
Patient Responsibilities
Provision of Information
You or your representative have the responsibility to:
• Provide accurate and complete information about your present health, past illnesses, hospitalizations, medications, and other matters relating to your health. • Report unexpected changes in your condition to your doctor or nurse. • Tell us whether you clearly understand the planned course of treatment and the expected outcome. • 5HSRUWDQ\SHUFHLYHGRULGHQWL¿HGVDIHW\LVVXHVUHODWHGWR\RXUFDUHRUWKHSK\VLFDO
environment.
• Ask questions if you do not understand directions and procedures. Or, tell your physician if you are having problems following the plan of care.
Compliance with Instructions
You or your representative have the responsibility to:
• Follow the treatment plan your physician recommends. • Follow the instructions of nurses and allied health personnel as they carry out your plan of care and follow physicians’ orders, or as they enforce the applicable hospital rules and regulations.
• Keep appointments and to notify the practitioner or the hospital if you are unable to do so.
Refusal of Treatment
You or your representative have the responsibility for:
• The medical consequences if you refuse treatment, or do not follow your physician’s instructions.
25 X Patient Responsibilities
Medical Center Charges
You or your representative have the responsibility to:
• Provide the hospital with the necessary information for insurance processing. • Arrange for payment of your Medical Center bill. • &RPPXQLFDWHDQ\GLI¿FXOWLHVUHJDUGLQJELOOSD\PHQWZLWKWKH%XVLQHVV2I¿FHDW 913-­596-­4816.
Medical Center Rules and Regulations
You or your representative have the responsibility to:
• Follow Medical Center rules and regulations affecting your care and conduct.
Respect and Consideration
You or your representative have the responsibility to:
• Be considerate of the rights of other patients and Medical Center personnel. • Assist in the control of noise and the number of visitors. • Be respectful of the property of other persons and the Medical Center.
Patient Complaints
You or your representative have the responsibility to:
• Communicate your concerns to the appropriate staff in a timely manner. (Refer to the Patient Rights section on Patient Complaints.)
Patient Billing...,QIRUPLQJRXUSDWLHQWVDQGSURYLGLQJRSWLRQV
Exceptional Care
Providence Medical Center strives to provide exceptional care for our patients, including our billing and collection practices. This information is provided to inform you of the procedures related to the processing of individual accounts. Health care billing can be confusing and health care expenses PD\FDXVH¿QDQFLDOGLI¿FXOW\IRUVRPH,WLVWKHLQWHQWRI3URYLGHQFHWRSURYLGHRSWLRQVWRRXU
SDWLHQWVLQPHHWLQJWKHLU¿QDQFLDOUHVSRQVLELOLWLHV
Pre-­Admission
Providence provides two methods of registering for services. For all scheduled procedures, an admission staff representative will call to verify demographic and insurance information before you receive medical services. Upon arrival, signatures for the Consent for Treatment and Financial Responsibility forms will be obtained.
If there is not adequate time for pre-­admission, please arrive at the Inpatient/Outpatient 5HJLVWUDWLRQDUHDVRXWKHQWUDQFHRQWKH¿UVWÀRRURIWKHIDFLOLW\7KHLQIRUPDWLRQSHUVRQQHOZLOO
help direct you to the appropriate area to complete registration.
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3URYLGHQFHUHFRPPHQGVWKDWSDWLHQWVYHULI\HOLJLELOLW\DQGEHQH¿WVZLWKWKHLULQVXUDQFHFRPSDQ\
prior to receiving services. Not all hospital services are covered by all insurance carriers. Providence is not responsible for informing patients of insurance coverage.
Third Party Billing
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Consent for Treatment form authorizes the hospital to release information to your insurance carrier DQGDVVLJQVWKHSD\PHQWRIEHQH¿WVWR3URYLGHQFH7KLVIRUPLVVLJQHGDWWKHWLPHRIUHJLVWUDWLRQ
We allow the insurance company 60 days from the date the claim is submitted to process the 26 X 5HVSRQVLELOLWLHV%LOOLQJ
claim and make payment. If your insurance company delays payment beyond the 60 day time limit, the guarantor of the account (you) will be billed. It is at this time the hospital requests that the subscriber contact the insurance company requesting payment on the account.
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Thirty days from the submission of the claim the guarantor (you) will be billed. It is at this time the hospital requests that the subscriber of the secondary insurance contract the insurance carrier to verify payment of the account.
Patient Responsibility
Once the balance is deemed patient responsibility, the balance is requested in full upon receipt of the statement. Non-­covered procedures must be paid in full or an agreed upon deposit is made prior to receiving services.
Any payment that needs to be made prior to services can be made in the Registration area. The &DVKLHU
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can be made by check, cash or credit card. Providence accepts Visa, Mastercard and Discover.
If you do not have insurance coverage, Providence provides a free service to assist you. The free service is provided by Health Care Financial Services (HCFS). The staff from HCFS will contact you to screen and research programs that might be available for you to apply for medical coverage.
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913-­596-­4816. The staff will help you to determine the method of payment appropriate for your situation.
Financial Assistance
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by calling 913-­596-­4816 to request a Financial Assistance Form. Upon receipt of the requested LQIRUPDWLRQDQDO\VLVRI\RXU¿QDQFLDOSRVLWLRQEDVHGRQ3URYLGHQFH
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your eligibility for assistance in the payment of your account will be determined. Delinquent Accounts
Providence will provide periodic statements indicating the status of your account. Payment in full is due upon receipt of the statement. You are encouraged to satisfy your obligation as promptly as possible. This allows us to continue to provide you with health care services in the future. If you have questions regarding your account, please call Patient Accounting at 913-­596-­4816 between 8 a.m. and 5:30 p.m., Monday through Friday, or you can leave a message, and we will return your call within two business days.
&ROOHFWLRQRIDFFRXQWVLVKDQGOHGXQGHUYHU\VSHFL¿FJXLGHOLQHV7KHVHJXLGHOLQHVDOORZIRU
delinquent accounts to be placed for recovery with a professional collection agency or attorney.
Professional Fees
Fees of professional physicians who care for you or interpret the results of tests provided at Providence are not included in the hospital charges. These services will be billed to you or your insurance carrier separately. Questions related to these charges should be directed to the DSSURSULDWHSK\VLFLDQRI¿FH
27 XPatient Billing
Spiritual Care
Prayer and faith can help many patients and their families cope with pain, ¿QGFRPIRUWLQWLPHVRIWURXEOHDQGFRPHWRWHUPVZLWKLOOQHVV
The Providence Spiritual Care Department is available 24 hours a day, 7 days a week, 365 days a year to help meet the spiritual needs of our patients and their families. In the tradition of the Catholic Church, we value human life and promote the health and healing of the whole person. We believe spiritual care is an integral part of the healing process and that God's healing love is made present through us.
We are pleased to be of service to patients and families of all faiths, and to those without a particular faith tradition. 7KH6SLULWXDO&DUHWHDPRIIHUVYLVLWDWLRQDQGSUD\HUKHOSZLWKGLI¿FXOWGHFLVLRQV
encouragement and comfort;; support to family and friends;; a listening ear during stressful times;; and, for Catholic patients, celebration of the Sacraments.
If we cannot meet a patient’s spiritual needs, we will make every effort to FRQWDFWDQDSSURSULDWHIDLWKOHDGHURUWR¿QGVRPHRQHHOVHZKRVKDUHVD
patient’s faith traditions.
If you are worried about surgery, dealing with a long-­term illness, having a hard time communicating with your family or just want someone to listen, the Providence Spiritual Care team can help. Spiritual Care Services
The Liturgy of the Eucharist is celebrated in the Providence Chapel on Thursdays and Fridays at 11:30 a.m. and on Sundays at 1:30 p.m. Liturgy of the Word with Holy Communion is celebrated on Mondays, Tuesdays and Wednesdays at 11:30am.
The Sacraments of Reconciliation and Anointing of the Sick are available for Catholic patients by request at 913-­596-­4300.
The Providence Chapel is available to people of all faiths for personal mediation and prayer. It is ORFDWHGQHDUWKHPDLQOREE\RQWKHVHFRQGÀRRUQHDUWKHJLIWVKRS
The Spiritual Care Department can be reached at 913-­596-­4300.
A Patient’s Prayer
Good and loving God, during my stay in Providence Medical Center, I place myself in Your hands. The experience of Your presence calms me. All healing comes from you.Please heal me! Give me wholeness through the skills You have given my doctors, nurses, technicians and everyone dedicated to me and to my care. The medicine and technology that aid in my healing are Your gifts to me. I know all good things come from You. Thank You for the many blessings You have given me and the persons whom I love. Amen.
Psalm 23
The Lord is my shepherd;; there is nothing I lack.In green pastures you let me graze;; to safe water you lead me;; you restore my strength.You guide me along the right path for the sake of your name.Even when I walk through a dark valley, I fear no harm for you are at my side;; your rod and staff give me courage.You set a table before me as my enemies watch. You anoint my head with oil;; my FXSRYHUÀRZV2QO\JRRGQHVVDQGORYHZLOOSXUVXHPHDOOWKHGD\VRIP\OLIH I will dwell in the house of the Lord for years to come. The New American Bible
28 XSpiritual Care
Emergency Numbers in Faith
• • • • • • • • When you seek safety, go to, Psalm 91 When in sorrow and alone, read, John 14
When you need faith, turn to, Hebrews 11 When you need forgiveness, read, Psalm 51
When you are bitter, look to, 1 Corinthians 13 When you are in danger, read, Psalm 70 When you are worried, turn to, Matthew 6:19-­34
When you feel alone in the world, read, Romans 8:31-­39
For your Information...brought to you by Providence and Saint John
Early detection of breast cancer guidelines
Finding breast cancer early is the key to successful treatment. The American Cancer Society recommends every woman follow this 3-­step program to help protect herself.
Mammography
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Have a mammogram every year if you are age 40 or older.
If you have a history of breast cancer in your family, discuss a personal mammography screening schedule with your health care provider.
After age 40, have a clinical breast exam by your health care provider every year.
Clinical breast examination
• Between ages 20 and 39, have a clinical breast exam by your health care provider at least every three years.
• Ask your health care provider to teach you the proper way to do a thorough breast self-­exam.
• Beginning at age 20, examine your own breasts monthly. Repeat on the same day each month.
Breast self-­examination
1.)HHOHDFKEUHDVWIRUFKDQJH,QWKHVKRZHUXVLQJWKHIDWSDGVRIWKHPLGGOHWKUHH¿QJHUVEHJLQDW
the top of the breast and move around and around in at least three smaller circles until reaching the nipple, looking for lumps, knots or changes. Gently squeeze each nipple to look for any discharge. 2. Repeat while lying down with towel or small pillow under your back. 3.6WDQGLQIURQWRIWKHPLUURUDQGORRNIRUYLVXDOFKDQJHVLQVL]HVNLQGLPSOLQJRUFRORU,I\RX¿QG
lumps, thickenings or changes, tell your doctor right away. Most breast lumps are not cancerous, but you won’t know if you don’t ask.
For more information, call 1-­800-­ACS-­2345 or visit www.cancer.org.
29 X Health Information
Testicular self exam guidelines
The American Cancer Society recommends men receive a testicular exam by their doctor as part of a routine cancer-­related checkup, especially for those with risks factors such as cryptorchism or a family history of the disease. It is also recommended men perform regular testicular self exams. The best time to perform the self exam is during or after a bath or shower, when the skin of the scrotum is relaxed. To perform a testicular self exam: • Hold the penis out of the way and examine each testicle separately. ‡ +ROGWKHWHVWLFOHEHWZHHQWKHWKXPEVDQG¿QJHUVZLWKERWKKDQGVDQGUROOLWJHQWO\EHWZHHQ
WKH¿QJHUV
• Look and feel for any hard lumps or nodules (smooth rounded masses) or any change in the size, shape, or consistency of the testes. You should be aware that each normal testis has an epididymis, which appears as a small “bump” on the upper or middle outer side of the testis. Normal testicles also contain blood vessels, supporting tissues and tubes that conduct sperm. For more information, call 1-­800-­ACS-­2345 or visit www.cancer.org.
Lymphedema information
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worsens over time if left untreated. It is the result of a compromised lymphatic system, often caused by surgery (including mastectomies and lumpectomies), radiation treatments, tumors, trauma, genetic abnor-­
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6\PSWRPVRIO\PSKHGHPDFDQLQFOXGH
• Tightness • A burning or tingling sensation in the extremity • Complaints of heaviness or aching in the extremity • Inability to wear jewelry or clothing due to swelling
For more information, call 913-­596-­4750. • Swelling or thickening anywhere in the extremity
• Occasional pain
Help is available for domestic violence victims
Do you feel safe at home? Have you ever been hit, kicked or punched by your intimate partner? Help is available and is free. ‡ &RQ¿GHQWLDORQVLWHVHUYLFHV
‡(GXFDWLRQDQGVXSSRUW
• Shelter assistance • Protection From Abuse Orders assistance
• Community resource referrals • Legal assistance
• Safety planning • Follow-­up referral support
For more details, call 913-­321-­0951. Advocate is on call 24 hours a day.
Could you be experiencing pelvic incontinence?
Pelvic incontinence is the frequent involuntary loss of urine or bowel. Some examples of conditions related to pelvic dysfunction include:
• urinary urgency • urinary frequency
• loss of urine control due to inability to make • irritable bowel syndrome it to the toilet
• urinary leakage with coughing, sneezing, • constipation laughing or lifting
• pelvic pain (intestinal cystitis, myalgia, adhesions and scars in perineal area)
For help, call: 913-­596-­4750.
30 X Health Information
Sleep disorders self screen
More than 80 million Americans have serious, impairing sleep problems. Many are unaware of their FRQGLWLRQDQGWKXVIHZVHHNWUHDWPHQW7KH¿UVWVWHSLVWRGHWHUPLQHLI\RXKDYHV\PSWRPVRIDVOHHS
disorder, such as sleep apnea. To determine if you should seek further testing, the accredited Providence Sleep Disorders Center has devised this quick and easy self-­screen test. Please review the below symptoms and checkmark the symptoms you are currently experiencing. The more symptoms you indicate, the more likely you may have a sleep disorder.
‰Do you stop breathing during sleep? ‰Is this witnessed by your spouse or others?
‰Do you snore? ‰Is it often irregular snoring, such as gasping for air?
‰'R\RXWHQGWRIDOODVOHHSEULHÀ\DWLQDSSURSULDWHWLPHV"
‰Are you profoundly tired?
‰Do you experience restlessness during sleep?
‰Do you frequently awake from sleep?
Some less frequent indicators, include:
‰obesity ‰nasal obstructions ‰personality change ‰PHPRU\GH¿FLW
‰morning headaches ‰depression ‰violent sleep behavior ‰impotence
Providence physicians and staff offer expertise in diagnosing and treating sleep disorders. For more information, and/or to discuss these symptoms, call the Providence Sleep Disorders Center at 913-­596-­4704.
31 X Health Information
Hand Hygiene Saves Lives
Hand Hygiene is the #1 way to prevent the spread of infections.
Why? To prevent hospital infections.
• In the United States, hospital patients get nearly two million infections each year.
• Infections you get in the hospital can be life-­threatening and hard to treat.
• All patients are at risk for hospital infections.
• You can take action by asking both your heath care provers and visitors to wash their hands.
Remember: Hand hygiene saves lives.
To make a difference in your own health.
• Hand hygiene is one of the most important ways to prevent the spread of infections, LQFOXGLQJWKHFRPPRQFROGÀXDQGHYHQKDUGWRWUHDWLQIHFWLRQVVXFKDVPHWKLFLOOLQUHVLVWDQW
Staphylococcus aureus, or MRSA.
When? You should practice hand hygiene:
• Before preparing or eating food.
• Before touching your eyes, nose, or mouth.
• Before and after changing wound dressings or bandages.
• After using the rest room.
• After blowing your nose, coughing, or sneezing.
• After touching hospital surfaces such as bed rails, bedside tables, doorknobs, remote controls, or the phone.
Health care providers should practice hand hygiene:
• Every time they enter your room.
• Before putting on gloves. Wearing gloves alone is not enough to prevent the spread of infection.
• After removing gloves.
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* If you already have an infection, your health care providers may take special measures (isolation precautions) to prevent the spread of your infection to others. They might enter your room wearing protective equipment (e.g., gloves, gown, mask). You do not need to ask them to clean their hands because they should have done so before they put on gloves.
How? With soap and water:
1. Wet your hands with warm water. Use liquid soap if possible. Apply a nickel or quarter-­sized amount of soap to your hands.
2. Rub your hands together until soap foams a later and then rub all over the top of your hands, in EHWZHHQ\RXU¿QJHUVDQGWKHDUHDDURXQGDQGXQGHUWKH¿QJHUQDLOV
3. &RQWLQXHUXEELQJ\RXUKDQGVIRUVHFRQGV1HHGDWLPHU",PDJLQHVLQJLQJWKH+DSS\
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4. Rinse your hands well under running water.
5. Dry your hands using a paper towel if possible. Then use your paper towel to turn off the faucet and to open the door if needed.
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32 X Hand Hygiene
Why?
With an alcohol-­based hand rub:
You can take action by practicing
hand hygiene regularly and by
asking those around you to practice
it as well.
1. Follow directions on the bottle for how much of the product to use.
You and your loved ones should
When?
clean your hands very often,
2. Rub hands together and then rub product all over the top of your hands, in between your especially after touching objects or
surfaces in the hospital room,
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before eating, and after using the
restroom.Your healthcare provider
3. Continue rubbing until your hands are dry. If enough rub was used to kill germs, it should take should practice hand hygiene
at least 15 seconds of rubbing before your hands feel dry. You should not rinse your hands with every time they enter your room.
water or dry them with a towel.
It only takes 15 seconds of using
How?
Which? Use soap and water:
• When your hands look dirty.
Which?
• After you use the bathroom.
• Before you eat or prepare food.
Who?
Use an alcohol-­based hand rub:
• When your hands do not look dirty.
aves Li
either soap and water or an
alcohol-based hand rub to kill the
germs that cause infections.
hand hy
• Washing ha
soap and w
• Cleansing
using an a
based hand
• Preventing
of germs a
Use soap and water when your
hands look dirty; otherwise, you
can use an alcohol-based hand rub.
You, your loved ones, and your
healthcare providers should
practice hand hygiene.
For more information, please visit
• If soap and water are not available.
www.cdc.gov/handhygiene or call 1-800-CDC-INFO
Alcohol based hand rubs
CDC acknowledges the following partners in the development of the Hand Hygiene Saves Lives video: the Association for Professionals in Infection Control and Epidemiology and Safe Care Campaign. • Products that kill germs on the hands.
This brochure was developed with support from the CDC Foundation and Kimberly-Clark Corporation.
• Should contain 60 to 95 percent ethanol or isopropanol (types of alcohol).
• Are fast-­acting and convenient.
Who? You can make a difference in your own health:
• Health care providers know they should practice hand hygiene, but they sometimes forget. Why?
When?
How?
Which? Most welcome your friendly reminder.
With soap and water:
Use soap and water:
To prevent hospital
You should practice 1. Wet your hands with warm water. • When your hands look dirty. infections.
hand hygiene: Use liquid soap if possible. Apply a
• After you use the bathroom. • In the United States, hospital patients • Before preparing or eating food. nickel- or quarter-sized amount of
• Before you eat or prepare food. get nearly 2 million infections each year.
• Before touching your eyes, nose, soap to your hands. That’s about 1 infection per 20 patients!
or mouth. 2. Rub your hands together until soap Use an alcohol-based • Infections you get in the hospital can be • Before and after changing wound forms a lather and then rub all over
hand rub: life-threatening and hard to treat.
dressings or bandages. 5HPHPEHU7DNHFRQWURORI\RXUKHDOWKSUDFWLFHKDQGK\JLHQH
the top of your hands, in between your
• When your hands do not look dirty. • All patients are at risk for hospital • After using the restroom. fingers and the area around and under
• If soap and water are not available. infections.
• After blowing your nose, coughing, the fingernails. • You can take action by asking both your or sneezing.
3. Continue rubbing your hands for 15 Alcohol based hand rubs
healthcare providers and visitors to
• After touching hospital surfaces such
seconds. Need a timer? Imagine singing • Products that kill germs on the hands.
wash their hands.
as bed rails, bedside tables, doorknobs,
the “Happy Birthday” song twice. • Should contain 60% to 95% ethanol
remote controls, or the phone.
or isopropanol (types of alcohol).
4. Rinse your hands well under running • Are fast-acting and convenient.
water. Healthcare providers
Remember: Hand
5. Dry your hands using a paper towel if should practice hand
hygiene saves lives.
possible. Then use your paper towel to hygiene:
turn off the faucet and to open the door • Every time they enter your room.*
if needed. • Before putting on gloves. Wearing
To make a difference
gloves alone is not enough to prevent
For more information, please visit www.cdc.gov/handhygiene or call 1800CDCINFOAbove information was taken from in your own health.
the spread of infection.
You can make a
Remember: It only
a CDC brochure. This brochure was developed with support from the CDC Foundation and KimberlyClark Corporation. CDC difference in your
• Hand hygiene is one of the most • After removing gloves.
takes 15 seconds to
acknowledges the following partners in the development of the Hand Hygiene Saves Lives video: the Association for Professionals own
health:
important ways to prevent the spread of
protect yourself and
• Healthcare providers know they should
infections, including the common cold,
others.
Remember: Ask your
in Infection Control and Epidemiology and Safe Care Campaign.
practice hand hygiene, but they
flu, and even hard-to-treat infections,
doctors and nurses to
With an alcohol-based
sometimes forget. Most welcome your
such as methicillin-resistant
clean their hands before
hand rub:
friendly reminder.
Staphylococcus aureus, or MRSA.
they examine you.
1. Follow directions on the bottle for how • Ask healthcare providers to practice
much of the product to use.
hand hygiene in a polite way — tell
* If you already have an infection, your healthcare
2. Rub hands together and then rub them that you know how easy it is for
providers may take special measures (isolation
precautions) to prevent the spread of your infection
product all over the top of your hands,
people to get infections in the hospital
to others. They might enter your room wearing
protective equipment (e.g., gloves, gown, mask).
in between your fingers and the area
and that you don’t want it to happen
You do not need to ask them to clean their hands
because they should have done so before they put
around and under the fingernails.
to you.
on gloves.
3. Continue rubbing until your hands are dry. If enough rub was used to kill Remember: Take
germs, it should take at least 15
control
of your health,
seconds of rubbing before your hands
practice hand hygiene.
feel dry. You should not rinse your hands
with water or dry them with a towel.
• Ask health care providers to practice hand hygiene in a polite way -­-­ tell them that you know how easy it is for people to get infections in the hospital and that you don't want it to happen to you.
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33 X Hand Hygiene
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Advance Directives
Providence Medical Center provides all adult patients with information about how to make health care decisions in advance. When you come to Providence, your nurse will ask you if you have an Advance Directive. If you do, we will ask you to provide us with a copy for your medical record.
If you do not have an Advance Directive and want more information, one of our social workers will meet with you to further explain Advance Directives. While it is not required to have an Advance Directive, we believe it is important for you to have this information so you can make a decision for yourself. The hospital does not base your care on whether or not you have an Advance Directive.
What is an Advance Directive?
An Advance Directive is a document that tells your family and physicians about your health care wishes in the event that you are unable to tell them these wishes yourself (because you are too ill or injured). It is called “advance” because you complete the document before you need it. You can change or cancel an Advance Directive at any time. Kansas law recognizes both a Durable Power of Attorney for Health care Decisions and a Living Will. There are a number of ways you can document your wishes: • Durable Power of Attorney for Health care Decisions
The Durable Power of Attorney for Health care Decisions is a way for you to select a person (called an agent) to make health care decisions for you if you are too sick or injured to make decisions for yourself. This document must be signed, dated, and either witnessed or notarized. It is important that your agent know your wishes regarding health care, including when to continue or discontinue life-­prolonging treatment.
• Living Will
A Living Will is a way for you to express the kind of life-­prolonging medical care you do or do not want in the event that you become terminally ill and cannot make decisions for yourself. It goes into effect only when two physicians have determined that your condition is terminal. This document must be signed, dated and legally witnessed by two people.
• Health care Treatment Directive
A Health care Treatment Directive is similar to a Living Will in that it is a signed, dated, and witnessed (or notarized) document that allows you to express in advance your choices about health care treatment. However, the Health care Treatment Directive does not focus only on refusing treatment. It contains more information about your health care desires and is not limited to use when you are terminally ill. If you are interested in completing an Advance Directive, please let your nurse know. A social worker will come by to see you and will bring all of the necessary forms. $GGLWLRQDOLQIRUPDWLRQUHJDUGLQJ$GYDQFH'LUHFWLYHVLVDYDLODEOHDW
Caring Connections: www.caringinfo.org/stateaddownload
Supportive Care Coalition: http://supportivecarecoalition.org/AdvanceCarePlanning/default.php
Catholic Health Association: https://servicecenter.chausa.org/ProductCatalog/Product.aspx?ID=510
Kansas Catholic Conference: www.kscathconf.org/wp-­content/uploads/2010/05/Durable-­Power-­of-­Attorney-­for-­
Health-­Care-­Decisions.pdf National Catholic Bioethics Center (NCBC):www.ncbcenter.org/NetCommunity/Page.aspx?pid=191&__
nccssubcid=19&__nccsct=Catholic+Guide+to+End+of+Life+Decisions
34 X Advance Directives
Our Patient Care Pledge to You
At Providence Medical Center, we are committed to providing you with excellent care during your VWD\ZLWKXV%HORZ\RXZLOO¿QGVRPHRIWKHZD\VZHZLOOPDNHVXUH\RXUHFHLYHH[FHOOHQWFDUH
Throughout your stay, please let us know of other care issues that are important to you.
• We know that when you use your call button, you need us. When you press your call button, you can expect a prompt response. You can also expect us to focus on meeting your needs by spending the right amount of time with you and being sensitive to your needs.
• When you tell us you are in pain, we will help you address it promptly. Managing your pain is a priority for us.
• We want you to be involved in your plan of care. We will be providing you with information about your daily routine during your hospital stay and about caring for yourself and managing any pain you may have after you are discharged. We also encourage you to discuss your care with your physician and nurse throughout your stay so you have input into the decisions regarding your health care.
• Each day you are in the hospital, we will help you maintain your need for personal cleanliness. Please let your caregivers know how we can assist you. We will also work to make sure that your room and the hospital areas are quiet, restful and clean.
• It is very important that you feel safe while in our care. We help to ensure a safe environment by identifying ourselves when we care for you and wearing our employee name badges. We will DOVRIUHTXHQWO\FKHFN\RXULGHQWL¿FDWLRQEDGJHDQGJXDUGWKHSULYDF\RI\RXUKHDOWKLQIRUPDWLRQ
Our goal is to make your stay at Providence Medical Center as comfortable and safe as possible.
Your Patient Care Team
8929 Parallel Parkway | Kansas City, KS 66112 | 913-596-4000
Physician Referral: 913-281-7777 or toll-free: 1-800-281-7777
www.providencekc.com
1967-­08-­2013