Maryborough Hospital Patient Information 2019
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Maryborough Hospital Patient Information 2019 Take a copy of this guide with you on your smartphone or tablet 4 Access information anytime 4 Keep a copy of all relevant contacts 4 Email the guide to anyone Scan to download your copy now This booklet is property of the hospital Please do not remove
Wide Bay Hospital and Health Service Contents Acknowledgement of Traditional Custodians........3 Meal Times........................................................ 15 Interpreter Service...............................................3 Children in Hospital........................................... 15 Welcome from the Chief Executive........................5 Medical Team/Teaching of Health Professionals.15 Our Directions and Commitments...................... 6 External Partners............................................... 15 Accreditation and Quality Management.............. 6 Discharge from hospital..........................................15 About Maryborough Hospital.................................6 Discharge Planning............................................ 15 Contact Us......................................................... 6 Discharge at Own Risk........................................ 16 General Information................................................8 Transfer to Other Facilities.................................. 16 Visitors.............................................................. 8 Your Care and Safety ..............................................17 Visiting Hours.................................................... 8 Fire Alarms/Emergency Evacuations................... 17 Parking ............................................................. 8 Leaving the Ward Area....................................... 17 Public Transport................................................. 8 Patient Identification ........................................ 17 Telephones........................................................ 8 Informed Consent.............................................. 17 ATM .................................................................. 9 Infection Prevention........................................... 19 Maryborough Hospital Auxiliary - Clinical Handover .............................................. 19 Information Desk and Trolley Services ............... 9 Changes in Your Health ..................................... 20 Chaplains and Pastoral Care Workers................. 9 Ryan’s Rule ....................................................... 20 The Spiritual Centre (multi-faith space).............. 9 Medication Safety ............................................. 20 Laundry ............................................................ 9 Preventing Falls................................................. 21 Mail................................................................... 9 Preventing Pressure Injuries Zero Tolerance to Violence................................. 10 (sometimes known as bedsores) ....................... 21 Alcohol and Drugs............................................. 10 Blood and Blood Products................................. 21 Smoking............................................................ 10 Reducing Your Risk of Blood Clots...................... 22 Your Rights and Responsibilities............................10 Allied Health...........................................................22 What are your Rights?........................................ 10 Social Work........................................................ 22 What are your Responsibilities? ........................ 11 Dietitian............................................................ 22 Advanced Health Planning................................. 11 Occupational Therapy........................................ 22 Consumer Feedback - Compliments, Speech Pathology.............................................. 22 Suggestions and Complaints.............................. 12 Physiotherapy.................................................... 22 Choosing Health Care.............................................12 Pharmacy.......................................................... 22 Public Health Care............................................. 12 Other Patient Support Services..............................23 Private Health Care............................................ 12 Independent Patient Rights Adviser (IPRA)......... 23 Long Stay Patients............................................. 12 Aboriginal and Torres Strait About Your Stay......................................................12 Islander Liaison Officers.................................... 23 Staff.................................................................. 12 Nurse Navigators............................................... 23 Pre-admission Clinic.......................................... 13 Telehealth.......................................................... 24 Admission ........................................................ 13 Other Services................................................... 24 How to Prepare for Your Operation..................... 13 My Health Record............................................... 24 Day Procedure Unit (DPU)................................... 13 Medical Information .......................................... 24 Arriving on the Ward.......................................... 14 Patient Accounts................................................ 25 Bed Allocations and Single Rooms..................... 14 Patient Travel Subsidy Scheme (PTSS)................ 26 Personal Effects................................................. 14 Disclaimer ..............................................................26 Nurses Call System............................................ 14 2
Acknowledgement of Traditional Custodians Wide Bay Hospital and Health Service respectfully acknowledges the traditional custodians of each part of country in the Wide Bay Hospital and Health Service region, and we acknowledge Aboriginal and Torres Strait Islander people and their ancestors from other sacred lands. We pay our respect to Elders past, present and emerging, of the land, air and waters we service; and declare our commitment to reducing inequalities between Indigenous and non-Indigenous health outcomes, in line with the Australian Government’s Closing the Gap initiative. Interpreter Service Effective communication between patients and staff is important. Interpreter services are available and will be organised by the nurse caring for you. All information is confidential. Please speak with a member of staff for further information about our interpreter services. 3
Welcome from the Chief Executive Dear patients, families and friends, Welcome to the Wide Bay Hospital and Health Service (WBHHS). While you’re in our care it is our aim to make your stay as comfortable as possible. The WBHHS has more than 3,700 employees and delivers public hospital and health services to more than 214,000 people across the Wide Bay. The WBHHS is made up of three regional hospitals in Bundaberg, Hervey Bay and Maryborough and eight rural facilities in Biggenden, Childers, Eidsvold, Gayndah, Gin Gin, Monto, Mundubbera and Mount Perry. Outreach services are also provided to Agnes Water and the Discovery Coast area. We are passionate about our Wide Bay community and the health of the people living in it. We are committed to providing you with consistently high standards of personalised treatment and care in a safe environment and would like to make your stay a positive experience. Our vision, Care Comes First … Through Patients’ Eyes captures our aim to support Wide Bay people to improve their lives by delivering patient-centred, high-quality health care, in a friendly, compassionate setting. Patient safety is a priority for our organisation and our wonderful staff do an excellent job in delivering high-quality care across all services and facilities. We are here for you, to support you and your family, to help you get well and stay healthy. When caring for you, each one of our staff members will introduce themselves and make you feel welcome. We consider it a privilege to care for you and your family and will work in partnership with you to achieve the best possible health outcomes. If you have any questions or concerns about your care, I encourage you to discuss them with your treating nurse, doctor or other health professional. They may be able to resolve your issues immediately. Alternatively, you can contact our Clinical Governance Support Unit on 4184 1824 or email: WBHSD-CGSU@ health.qld.gov.au Finally, WBHHS is committed to preventing hospital infections. To help us prevent the spread of germs and infections, we ask all our visitors and staff to please use the hand hygiene gels before entering and leaving the hospital wards and after patient contact. Adrian Pennington Chief Executive, Wide Bay Hospital and Health Service 5
Wide Bay Hospital and Health Service Our Directions and Commitments During your stay you may be asked Our directions and values are at the to provide feedback on the services heart of ‘why we do, what we do’ and we provide. Although you are not they define ‘the way we do things’. obligated to respond, the WBHHS Our directions and commitments are: values feedback and will assist us to improve service delivery and patient Enhance holistic care: We will put care. patients, carers and consumers at the centre of all we do. About Maryborough Hospital Deliver more care locally: We will Maryborough and Hervey Bay provide high-quality, innovative hospitals work in close partnership to services for our region. deliver high quality healthcare to the Plan today for future infrastructure: people of Fraser Coast. We will develop our health Settled originally in 1847, infrastructure to meet our region’s Maryborough is one of Queensland’s needs. oldest cities and was one of the Develop and support our staff: We busiest immigration ports in will invest in and nurture our staff. Australia in the second half of the 1880’s. Maryborough Hospital was Excellence through innovation: We established on its current site in 1887, will improve our services through and has now grown to be a major strategic partnerships, innovation and provider of health services in the efficient use of resources. Wide Bay region. It provides a wide range of sub-acute and specialist Accreditation and Quality services, as well as community, Management mental health, allied health, oral All facilities in the WBHHS are health and other support services. accredited by the Australian Council Maryborough Hospital has benefited of Healthcare Standards against the from substantial investment in National Safety and Quality Health infrastructure upgrades in recent Service Standards. This means years, and is equipped with leading- that our commitment to provide edge technology and highly qualified the highest safe, quality care is staff to provide you with the best maintained to nationally recognised possible care. standards. Contact Us WBHHS has entered an Australian- For all enquiries, please phone the first pilot Short-Notice Accreditation hospital directly with the details of Assessment Process to reinforce our the ward or department that you wish ‘Quality Care Everyday’ philosophy. to speak to and the Switchboard staff The health service maintains a culture will assist you. of continuous quality improvement, Maryborough Hospital and staff are committed to ensuring 185 Walker Street, quality and safety of the services you Maryborough Qld 4650 receive. Telephone: (07) 4122 8222 www.health.qld.gov.au/widebay/ facility-maryborough 6 Email: www.health.qld.gov.au/widebay/
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Wide Bay Hospital and Health Service General Information At all times, the patient’s best interest is our priority and staff requests are to Visitors be respected. We welcome and encourage families, Parking carers and friends to visit their loved ones in hospital. Visitors can Street parking is available. Be sure to help patients recover faster, are an check the signs for time-limited public important source of support and parking areas as limits may vary. can also help reduce their anxiety Limited parking is also available on and stress. However, it is up to the the hospital campus via an entry on person in hospital to decide if they Walker Street. The hospital does not want visitors. Patients may request accept liability for loss or damage to no visitors at times, and this will be vehicles or their contents. respected and supported by our staff. Public Transport Many complex processes and procedures happen in healthcare. A public bus stop is located on Walker There may be times when visitors Street at the front of the hospital. are asked to leave an area for short A free taxi phone is in the waiting periods of time because of care room near Reception. being provided to the patient. If you are unsure about the best time for Telephones visiting, we encourage you to talk There is a public telephone located directly to staff on the ward. on Walker Street directly opposite the Visitors who have colds or other hospital. Inside the hospital, there is infections should not visit until they a public phone in the Main Reception are well. area. Please ask the staff if you need directions to access phones. Visiting Hours Mobile phone use is permitted at Maryborough Hospital has flexible times. We request that your mobile visiting hours from 11.00am – 8.00pm phone is kept on ‘silent mode’ 7 days a week. Some wards may have to ensure it doesn’t disturb other quiet or restricted times established, patients or interrupt hospital routine when lights are dimmed and visitors or procedures. are asked to leave the ward at these Mobile phone use within the hospital times to allow patients time to rest, may be restricted upon the advice recuperate or receive treatment. If you of staff, based on the care needs of have permission from the Nurse Unit yourself and other patients around Manager to stay with your loved one you. during quiet/restricted time, we ask you are mindful of noise during this We ask that all mobile calls cease time. Some wards/units may also limit between 9.00pm and 8.00am in visitor numbers for short periods of consideration of other patients. time or suggest immediate family only At times, you may be asked to turn to visit. your phone off and you must comply with this request. 8
Staff and other patients are not to be Chaplains and Pastoral Care photographed or filmed. Workers Maryborough Hospital relies on the ATM services of volunteer chaplains who An ATM is available at the café directly will wear a WBHHS photo ID tag, opposite the hospital. and also visiting clergy who are not employed by the WBHHS. Please Maryborough Hospital Auxiliary advise staff if you require assistance - Information Desk and Trolley to meet your spiritual needs. Services The information desk is located in The Spiritual Centre (multi-faith the foyer of the Main Entrance area. space) The information desk is staffed Maryborough Hospital offers a quiet Monday to Friday 9.00am - 3.00pm space for patients or visitors who by Maryborough Hospital Auxiliary wish to have some time away from volunteers who assist visitors with the ward, in an area of peace and directions and information. quiet reflection. The spiritual room All Volunteers will wear a WBHHS is located to the rear of the main photo ID tag and an auxiliary name building. badge. Please advise staff if you require The Maryborough Hospital Auxiliary assistance in access the room and also operate a trolley service which make sure the room is returned to its visits patients’ rooms and waiting original state after use. areas each morning, Monday to Friday. It stocks items for purchase such as Laundry newspapers, magazines, chocolates, The Maryborough Hospital does not snacks, drinks, sandwiches and other provide a laundry service for personal convenience items. belongings. Please bring enough clothing for your hospital stay, or The Maryborough Hospital Auxiliary is arrange for your family to launder and a non-profit community organisation return items to you. with the aim of improving the comfort of Maryborough Hospital patients, Mail and supporting the staff who work at Mail sent to you will be delivered Maryborough Hospital. If you would to the hospital mail room and is like to become involved with the collected regularly by staff. If you Maryborough Hospital Auxiliary either are expecting mail, please advise as a volunteer or to donate, please the Ward Clerk. If you have mail to contact the Volunteer Co-ordinator. send, there is a Post Box opposite Phone: 4122 8426 or email WBHHS- the hospital on Walker Street, or a Volunteers@health.qld.gov.au member of staff will deposit outgoing mail in the hospital mailbox provided it has a stamp attached. 9
Wide Bay Hospital and Health Service Zero Tolerance to Violence If you choose to continue to smoke, Queensland Health has a ‘Zero please walk to areas off the hospital Tolerance to Violence’ policy. This grounds to do so, and again, a policy states that no person in the reminder to dispose of butts in hospital or the healthcare system suitable bins. should be exposed to verbal or physical aggression. All staff, patients Your Rights and and visitors are encouraged to report Responsibilities breaches of the policy. What are your Rights? Alcohol and Drugs The Australian Charter of Healthcare Patients and visitors are not permitted Rights provides information about the to have alcohol or illegal drugs in their rights of patients in the public health possession while in hospital. People system. As a patient, you have the suspected of holding illegal drugs will right to: be referred to the Queensland Police Service. Access A right to health care. You have a Smoking fundamental right to adequate and It is against the law to smoke at timely care. Sometimes, this may not public and private health facilities be in the facility you first attend as not and smoking is not permitted on any all services are necessarily available WBHHS property. The ban extends everywhere. to five metres beyond the boundary Safety of the hospital grounds. Disregard of smoking policies can have serious A right to safe and high-quality consequences and may incur an on- care. If you are unsure about what the-spot fine. is happening to you or if you think something has been missed in your Smoking is also not permitted at the care, alert your health provider. Walker Street bus stop. Respect Smokers are reminded to be considerate of the environment when A right to be shown respect, dignity disposing of butts. and consideration. You are entitled to receive care in a way that is respectful If you are a patient coming into of your culture, beliefs, values and hospital and you smoke, your tobacco characteristics like your age and use will be assessed and you will be gender. offered nicotine replacement therapy (patches or gum) to help you stop Communication smoking during your hospital stay. A right to be informed about services, The patches and gum will reduce treatment, options and costs in a clear any withdrawal symptoms such as and open way. Healthcare providers cravings, irritability and anxiety. will tell you about the care you are receiving and help you understand what is happening to you. 10
Participation • Follow staff instructions for your A right to be included in discussions treatment and care and choices about care. You are • Tell staff about any problems encouraged to participate in decisions you are having because of your about your care. treatment or the treatment that you need Privacy • Be on time for appointments and A right to privacy and confidentiality let your health service know if you of provided information. You can see want to cancel, or if you change your records and ask for information your contact details to be corrected if it is wrong. • Talk to your local doctor if your Comment condition changes while you are on A right to comment on care and having a waiting list for treatment concerns addressed. Healthcare • Treat all people you meet in the providers want to solve problems health service (staff, volunteers, quickly, but they need to be told about patients/clients) with the respect the problem first. If you have any and consideration we all deserve suggestions about how services could • Advise staff if you are leaving the be improved, please let staff know or unit you have been admitted to, complete a Feedback Form. even for a short time For further information, please ask • Respect the confidentiality and your nurse for a copy of the Australian privacy of others. Charter of Healthcare Rights brochure. Advanced Health Planning What are your Responsibilities? Age, illness or accidents may at some We want to make sure you get the best time make it difficult for you to make possible care. To do this, please do a decisions about your health care. few things, such as; Advanced health planning means thinking and making choices about • Give staff as much information your health wishes now, to guide as you can about your health and future health decisions if you are not any beliefs that may affect your able to. treatment Ensure your wishes are discussed • Tell staff if you are taking any with your doctor, family and friends. medicine, recreational drugs or Bring documents such as Advanced natural remedies Health Directives or Enduring Power of • Tell staff if someone else is treating Attorney with you to hospital. you for the same condition • Ask questions and talk to your family if you want to, before making any decisions about your healthcare 11
Wide Bay Hospital and Health Service Consumer Feedback - Public Health Care Compliments, Suggestions and If you choose to be a public patient, Complaints generally hospital services are free Our staff is committed to delivering of charge. However, you may have to patient-centred, high-quality pay a nominal fee for some services. If healthcare which is built on costs apply, they will be explained to the foundations of meaningful you. relationships with our patients, their family members and significant Private Health Care others. If you have private health insurance, you may be eligible for private We value your feedback – treatment at no cost. Our staff will compliments, suggestions and assist you to record your choice using complaints. You are encouraged the Patient Election Form. to discuss any concerns or issues relating to your visit at any of our Long Stay Patients facilities with your treating doctor, or the nurse unit manager in your ward/ There is no cost for public patients unit. Our goal, where possible, is to while they require acute care. The resolve issues at the initial point of standard acute care period is 35 days. contact. Alternatively, you can contact This period can only be extended for a the Clinical Governance Support declared medical reason. Unit on 4184 1824 from Monday to If there is no medical reason for acute Friday between the hours of 8.00am - medical care after this period, a 4.00pm, to provide your feedback or daily fee, set by the Commonwealth visit https://www.health.qld.gov.au/ Government, will be charged. Staff will widebay/consumer_feedback discuss this with you or you can talk to Feedback Forms are also available in a Social Worker. each unit and at the Reception desk. About Your Stay Choosing Health Care Staff Eligible Australian residents may Our staff are here to support you and choose to receive private or public care for you while you are a patient in hospital services that can both be our hospital. All staff and volunteers delivered from a public hospital. wear hospital identification badges Overseas visitors from countries that include their photograph, name that have signed agreements with and job title and they will introduce Australia are entitled to emergency themselves as they care for you. If you public hospital services free of charge. are concerned about the identity of a Phone Medicare on 132 011 to find out visitor, please contact a staff member. if this applies to you. 12
Pre-admission Clinic Under the National Healthcare Prior to non-urgent surgery you may Agreement between the be required to attend a pre-admission Commonwealth and State clinic. The clinic is conducted for Governments, all patients admitted patients who are booked for surgery to public hospitals are to be given and for some diagnostic procedures. the choice to be treated as a public or Most often you will be seen by the private patient. In response to this, nursing staff, medical staff and Queensland Health has developed a anaesthetic staff. Consultation with ‘patient election form’ that you will be them will identify any health problems requested to complete before or on that need treating prior to surgery; any admission. tests you may require; allows for any Please ask to speak to a Patient discussions regarding instructions/ Option Liaison Officer if you would like education on the plan of your care to discuss this further. and provides time for you to ask any questions about your procedure. How to Prepare for Your Operation What you can do: Admission • Follow the preoperative instructions All planned admissions come to Main given to you Reception where staff will check your • Tell the doctors and nurses about contact details and paperwork are up- any medication you take to-date. You will need your Medicare card and any relevant concession • Ensure all your details are correct cards such as pension or healthcare. • Tell the nurses if you have any You will also be asked for details of difficulty with mobility or will private health insurance if relevant. If need special care when you are you are being treated for a condition discharged home for which you may recover damages • Let us know if you require a medical from another party, you will be asked certificate to supply all relevant details to the • Arrange special transport home if hospital, at the time of admission or required before discharge. • Check and make sure you Once you arrive in your designated understand all the information on ward or Day Surgery Unit, you will the consent form before you sign it be issued with an identification • Ask your doctor or nurse if you are band as part of your admission. The not sure about anything. identification band will state your name, date of birth and hospital Day Procedure Unit (DPU) identification number. The Day Procedure Unit caters for a You will be asked to confirm these range of patients and procedures details and state what procedure requiring a same-day stay. The unit you will be having multiple times by supports elective surgical activity different staff. This may be frustrating and endoscopic procedures. Unless to repeat but this is a very important otherwise advised, you will be safety process. discharged home the same day. 13
Wide Bay Hospital and Health Service When you are well enough, a nurse Personal Effects will discharge you according to your You will need night attire, a dressing doctor’s instructions and give you gown, slippers, underwear and information regarding your post- toiletries such as soap, shampoo, operative care. You may have a little a toothbrush and toothpaste, hair discomfort at your operation site. The brush, razor and tissues. nurse is the best person with whom to raise any questions or concerns you or Patients should bring their Medicare your carer may have. It is imperative card, pension and health benefit that you and your carer follow your cards, letter from your referring post-operative instructions. doctor (if any), any medications you are currently taking, relevant private DPU nursing staff will phone you on x-rays, glasses and hearing aids. the next business day after discharge to check on your progress and answer If you have an enduring power of any questions you may have. Please attorney (medical treatment), or be aware when we try to call you the advanced health directive, please hospital number will display as a bring a copy. ‘private’ number or ‘no caller ID’. If you are staying overnight you will have a bedside locker for your Arriving on the Ward personal belongings. It is helpful if all If you are being admitted via the your belongings are labelled with your Emergency Department, you will name. be collected from the Emergency Please do not bring large amounts Department and taken to your bed of money, jewelry or other valuables by ward/unit nursing staff. Details of into the hospital. Please leave these the ward layout and services will be at home. While our staff take every explained at this time. Your admitting care, the WBHHS does not accept nurse will assess your needs and responsibility for any loss or damage commence your care. that may occur to items you bring into hospital. Bed Allocations and Single Rooms The Maryborough Hospital has Nurses Call System single and shared rooms which Should you require anything, do not accommodate both private and public hesitate to call on the nursing staff. patients. Rooms are allocated based The nurses’ call button is on the on clinical need and may be mixed bedside handset. It is only necessary gender. Very ill or infectious patients to press the button once, as the call always have priority to single rooms. registers in the nurses’ station until it Your bed allocation may change is switched off at your bed. during your stay. 14
Meal Times 2. To assist in the advancement of Meal times depend on which ward you healthcare knowledge through have been admitted to. However, a research. general guide is as follows: Therefore, health profession students Breakfast from 7.00am and recent graduates assist with your treatment and are taught at the Morning Tea from 10.00am bedside by specialist staff. You may Lunch from 12noon be asked to discuss details of your illness and undergo examination by Afternoon Tea from 2.30pm the students. Dinner from 5.00pm We believe you will appreciate the If you are absent at meal times due to importance of this training and hope having an investigation or procedure, you give us full cooperation if asked to sandwiches can be provided. Each day assist in the teaching process. Please you will need to fill in your menu card. be assured that we will respect your The food menu is designed to provide wishes to not participate at any time. a selection of healthy food choices to flexibly meet your appetite and dietary External Partners needs. Some specialist services are provided for public patients through a public/ If your diet needs to be modified due private partnership. These include to your illness or you have specific cardiology, ophthalmology, radiation dietary requirements, your doctor will oncology and paediatric ear, nose discuss this with you. The hospital and throat surgery. Referral to these dietitian will be available to provide services does not incur a cost for the necessary instructions so that public patients even though you may you may continue your special diet at be treated in a private hospital. home if required. Children in Hospital Discharge from hospital Children visiting the hospital are to be Discharge Planning under the supervision of an adult at all times. Discharge planning commences early in your admission process to ensure Medical Team/Teaching of Health the return to your home environment Professionals is well organised. Your Estimated Day of Discharge (EDD) will be provided Your treatment and care remains our to you and your family on your primary concern. The Maryborough admission. Plans for transport home Hospital is also a teaching hospital, can be organised for around this which means that the staff have two date. Any changes to your EDD will other important duties: be discussed with you at the bedside 1. To train future health workers handover. (student doctors, nurses, allied health professionals and other health care workers). 15
Wide Bay Hospital and Health Service Usually you will be discharged and Transfer to Other Facilities able to leave the hospital by 10.00am, At times, it may be necessary to so plan to have your transport home transfer you to another health organised for a 10.00am discharge. facility, including our rural facilities, Please remember to collect your even if you do not reside in these belongings, including any private communities. Reasons that may make x-rays and medications that you your transfer necessary are: brought into hospital. • If you are a patient awaiting Home care can be organised for residential aged care patients who have been clinically • If you are well enough but are assessed to need help after discharge. unable to go home and live Please discuss any concerns you may independently or with family have with the staff looking after you. • If you do not require acute care If you are unsure of your current and are well enough to transfer discharge medications or any other as part of your treatment plan and details regarding your discharge, discharge process please ask the nursing/medical or pharmacy staff prior to leaving. Also, • If you become acutely unwell. please be aware of any follow-up When a patient cannot return to their appointments you need to make, or home or to family: that have been made for you. • An Aged Care Assessment Service (ACAS) assessment will be Discharge at Own Risk requested Except in certain circumstances (e.g. serious Infectious disease or those • The patient’s family/carers will be who are detained under the Mental required to list the patient’s details Health Act), every patient has the with all residential aged care right to leave hospital when he/she facilities within the Maryborough/ chooses. This may be a serious step Hervey Bay area when taken against the advice of your • The patient, family or carer will doctor and requires great caution. accept the first available placement Should you decide to leave against while remaining on the list at the the advice of your doctor, you will preferred facility for transfer later. be asked to sign a form disclaiming the hospital’s responsibility for your action. However, if your condition does not improve or causes you concern, please do not hesitate to seek further medical advice or return to the hospital’s emergency department. 16
Your Care and Safety Your ID bracelet helps us to give you the right care, especially when Safety and quality care is the top giving out medications and other priority of all WBHHS staff and we are treatments. Staff members will check committed to ensuring best possible your ID before giving any treatment, outcomes for our patients. medications or other care by asking your full name, date of birth and Fire Alarms/Emergency address and will check the ID bracelet. Evacuations They will also ask you if you have any The Maryborough Hospital is fitted allergies. You will be asked these with an advanced fire and smoke questions many times during your stay detection system. In each ward, there and it’s important that you participate is a fire evacuation plan. in this safety requirement. If there is a fire or other alarm, Informed Consent patients will be guided by staff who have special training to respond to Informed consent is a two-way emergencies. In these situations, it is conversation between you and the important to follow instructions. health professionals treating you. Informed consent will occur before When an alarm sounds, if it is safe to providing your care, procedure or do so, return to your ward and remain therapy. It is important that you have near your bed. Lifts must not be sufficient information so that you used under any circumstances in an understand and make an appropriate emergency. decision about the proposed treatment or procedure. Leaving the Ward Area You will be provided with information Please notify the nurse who is looking about what is involved, the benefits, after you before leaving the ward area, risks and alternatives of treatment, as as the nurse is directly responsible well as an opportunity to discuss your for your safety whilst you are in the personal circumstances, beliefs and hospital’s care. priorities. Providing this information Patient Identification assists you to become more actively involved in your own health care You will have an identification (ID) decision making. bracelet placed on your wrist when you are admitted. It has your name, Prior to completing a consent form, date of birth and unique hospital you will be provided the opportunity reference number printed on it. to consider the benefits, risks and Please check to make sure that alternatives of the treatment. If you the information on your band is later change your mind, you can correct and advise staff if your ID withdraw that consent, even if you bracelet is damaged or lost. Having have signed a form. correct details on your ID band is an important patient safety requirement. 17
NEW Horizons Hervey Bay retirement village share the belief that elderly people want and deserve a vastly improved level of aged care, and the ability to remain at home as long as possible. No one wants to leave the family home, but as age encroaches, remaining there can present many challenges for older seniors. New Horizons realise how important independence, dignity, security, freedom and wellbeing are to its residents, so all villas offer support when you need it, and independence when you don’t. Dawn Schaffer is available to discuss a potential resident’s individual needs, and will make the transition to New Horizons an absolute breeze. Dawn has been in the aged care industry for almost 30 years during which she has been responsible for finding new homes for hundreds of seniors. Her passion is caring for the elderly and her training as a Registered Nurse helps her to understand people’s needs and requirements, particularly when they reach a stage in their lives that a little assistance is required. Dawn joined New Horizons because of her belief that there is a wonderful alternative to moving into institutionalised aged care and has put in place at New Horizons, systems to ensure that residents growing needs for care are attended to while at the same time they enjoy the independence of their own home. New Horizons ensures that peace of mind is a top priority, providing support from highly trained carers, and unique access to a service tailored to the individual and their needs. The retirement village in Scarness, is just minutes from the beach, shops, RSL, Botanic Gardens and more, and are especially designed to be spacious, light-filled and comfortable. Get in touch with Dawn today on 1800 465 500 Stay for up to 14 days at no cost or obligation* Meet the friendly residents and discover an independent lifestyle for yourself. % sales@newhorizonsvillas.com.au 0 15-23 McNally Street, Hervey Bay Qld 4655 www.newhorizonsvillas.com.au
Infection Prevention Clinical Handover The Maryborough Hospital has high Clinical handover is the sharing of standards when it comes to protecting information about you (the patient), our patients from infection. Hand between on-duty staff and the staff hygiene is the single most important who are coming on to take over your factor in reducing hospital acquired care. Performing the clinical handover infections. at the bedside involves you in your When we are fit and healthy we can care, plans for discharge and allows usually defend ourselves against staff to discuss and ensure your care many germs. Often our natural continues as planned. They will check defenses are weakened when we are your medication charts, your plan of not well, or after an operation. For care and any other information which your safety, it is very important that is relevant, such as management of everyone, including patients, their wounds or pain. Ask questions if you families and carers clean their hands: don’t understand the information they are discussing. • Before and after entering a patient You are an important part of this room or visiting someone in the handover and staff will chat with you hospital about your progress to reaching your • After going to the toilet goals. It is very important that you tell • After blowing your nose, coughing staff about any issues or concerns you or sneezing have so that they can be addressed as soon as possible. • Before, during and after preparing If you do not wish to be involved or food have your family/visitors present • Before eating at clinical handover, please advise • When your hands are visually dirty. staff on duty and your decision will be respected. A brochure is available All healthcare workers are expected to if you would like further information always perform hand hygiene in front about Clinical handover at the of you. If you have any concerns, feel bedside. free to remind them. Alcohol based hand rub is in all patient care areas and in high traffic areas at the Maryborough Hospital. Further information is available in a Hand Hygiene brochure. 19
Wide Bay Hospital and Health Service Changes in Your Health Step 3: Phone 13Health (13 43 25 84) Our staff are trained to take or ask a nurse to call on your behalf observations and to notice changes in and request a Ryan’s Rule Clinical your health which could indicate that Review. something is not quite right. Ryan’s Rule is not for reporting However, you know yourself best and complaints. For further information, you can help staff by letting them ask for a Ryan’s Rule brochure. know immediately if; Medication Safety • You don’t feel well, however insignificant it may seem It is important that the team knows about any medications you are taking • You think there has been a change or were taking prior to admission. in your condition This includes medications prescribed • You think that part of your care has by your own doctor or bought over- been missed (e.g. medications the-counter from a chemist or health missed). food store, and includes any herbal or Any patient or carer can activate a homoeopathic preparations. rapid response. Please ask nursing We will also need to know of any staff for further information. If allergies you may have to antibiotics, something is not quite right, then the medications or foods. sooner we know about it the quicker You should give ALL your medications we can do something about it. to nursing staff when you come Ryan’s Rule into the hospital so they can be properly stored, this includes herbal, Ryan Saunders was nearly three naturopathic and over-the-counter years old when he tragically died in medications. This will be returned to hospital. His death was found to be, you on discharge. in all likelihood, preventable. Staff did not know Ryan as well as his Mum and While in hospital, all your medications Dad knew him. When Ryan’s parents will be locked in a medication were worried he was getting worse cupboard near your bed. Medications they didn’t feel their concerns were will be administered by authorised acted upon in time. hospital staff to ensure appropriate dosing and to minimise the Ryan’s Rule has been developed to occurrence of adverse drug reactions. provide patients of any age, families and carers, with another way to get It is of the utmost importance, that no help. medications are taken by you without the consent of your doctor or the Step 1: Talk to a nurse or doctor about nursing staff. Ask staff for a brochure if your concerns. If you are not satisfied you would like additional information. with the response – Step 2: Talk to the nurse who is in charge of the shift. If you are still not satisfied with the response – 20
Preventing Falls Preventing Pressure Injuries Some of the reasons for increased (sometimes known as bedsores) falls risks in hospital are that you are When you spend time sitting or lying in an unfamiliar place, you may suffer still, your body can develop a sore dizziness from medication, you don’t area known as a Pressure Injury. have your normal socks and shoes These injuries can affect the muscle to walk around in, or you can’t see and bone if not identified and treated. properly in the dark. If you have had Anybody can develop a Pressure an operation or have an injury to your Injury. You can decrease the hip, leg or knee, you may not be as possibility if you: steady on your feet as you usually are. • MOVE – change your lying and Falls can cause serious injuries so sitting position as often as please help us to help you to NOT fall possible, even a small change can over by: help. Staff will help you change • Always using the call bell to ring for position if needed help when needed before you move • Make sure you keep your skin and • Always turning on the light at night bedding as dry as possible so that you can see clearly and • Make sure you eat well and drink avoid tripping over plenty of fluids • Always using your normal walking • Keep weight off bony parts of your aids (walking frame, walking stick) body, e.g. heels, tail bone • Always wearing flat, non-slip shoes • Let staff know immediately if you with a proper back when you are develop a sore spot where you’ve walking around been sitting or lying. • Always wearing your glasses and A Pressure Injury Prevention brochure hearing aids when required with more information is available. • Always making sure your bed is at knee height before getting out Blood and Blood Products • Never walking in just your socks Some patients require blood transfusions as part of their treatment. • Never climbing over bed rails Blood and blood components are • Never standing or trying to walk if supplied by the Australian Red Cross you are feeling dizzy Blood Service. The Red Cross has strict • Never sitting on the edge of the bed screening protocols for volunteers or somewhere you could slide off. who donate blood. There is additional information in a If you are a Jehovah’s Witness or have Stay On Your Feet brochure. an objection to receiving a blood transfusion, please tell your doctor. It is important that your wishes are recorded in your medical record and written on the hospital consent form. 21
Wide Bay Hospital and Health Service If you would like further information A referral can be arranged through when in hospital, please speak with your nurse unit manager or doctor. your nurse. Speech Pathology Reducing Your Risk of Blood Clots A speech pathologist will become If you are in hospital for a major involved in your care if you are operation or serious injury or illness, experiencing swallowing and/or you are at increased risk of having communication difficulties. The doctor a blood clot in your leg or your lung. or nursing staff will refer on your Blood clots are prevented by using behalf. anti-clotting medication, mechanical devices to keep the blood moving, Physiotherapy wearing compression stockings and A physiotherapist may be involved in by staying mobile and active as much your care following an operation or if as possible. Some of these measures you are having difficulty with things may be continued after discharge and such as breathing, moving or walking. it important to follow your medical Physiotherapists also have specialist team’s instructions to reduce the risk involvement in rehabilitation. Your of developing a clot. nurse unit manager or doctor can arrange a referral. Allied Health Pharmacy Social Work The pharmacy department dispenses Social workers are available to assist medications for inpatients and you and your family in managing the specialised public hospital outpatient emotional and physical impact of prescriptions. In addition, our team of illness and being in hospital through clinical pharmacists visit wards and support and counselling. Referral can departments daily. be arranged by your nurse or doctor. Clinical pharmacists work with medical and nursing staff to ensure Dietitian that your drug treatment is safe and Our nutrition and dietetics team will effective and they are there to answer ensure you have meal plans specific any questions you may have about for your illness. Referral to a dietitian your medication. will be arranged by your nurse or doctor if required. During your hospital admission there is potential for your medications to Occupational Therapy change. These changes may include new medications, changed doses Occupational therapists are available or stopping some of your regular to help people achieve and maximise medications. their level of independence in all areas of daily living, including self- You are encouraged to ask staff care, domestic tasks, work, social about your medications if you have interaction and community access. any concerns or are unsure about anything. 22
If you feel confused with your • Facilitate communication between discharge medications, talk to your clinical staff, the patient and ward pharmacist, doctor or nurse. their family to help them better Most patients will be given a list understand their health condition, of medications on discharge and treatment and options the hospital pharmacy department • Assist the patient and their family will, with your permission, forward by providing information so they information to your GP and/or can access relevant support community pharmacy. services during their hospital stay and on discharge from the hospital Other Patient Support • Provide assistance and information Services to access the Patient Travel Subsidy Scheme (PTSS) Independent Patient Rights • Work with staff to improve their Adviser (IPRA) cultural capability and knowledge The IPRA provides advice and support to contribute to providing culturally to consumers accessing mental appropriate patient care. health services, their family and support people. The IPRA can help This service is available between with explaining consumer/family 7.30am – 3.30pm, Monday to rights, communicating with the Thursday. Please contact the Hospital treating team, completing advanced Liaison Officers on (07) 4122 8724 or health directives for mental health, ask staff to arrange access. appointing nominated support people Nurse Navigators and applying for legal representation Nurse Navigators are a team of for the mental health review tribunal. registered nurses who provide a The IPRA can be contacted on: service for patients who have complex (07) 4184 1824; mobile: 0447 750 516 health conditions. These nurses or by emailing: WideBayIPRA@health. are highly experienced and have a qld.gov.au comprehensive understanding of the health system. Aboriginal and Torres Strait Islander Liaison Officers Nurse Navigators support and work across primary care, acute care and The Aboriginal and Torres Strait in close partnership with multiple Islander Hospital Liaison and health specialists and health service Support Service provides culturally stakeholders to ensure patients appropriate, non-clinical support to receive the appropriate and timely Aboriginal and Torres Strait Islander care needed. patients and their families during their stay at the Maryborough Hospital. The treating team will identify if you qualify for this service and assign a The Hospital Liaison and Support Nurse Navigator to connect with you. Service has been specifically designed to assist people who identify as being of Aboriginal and/or Torres Strait Islander origin, and can: 23
Wide Bay Hospital and Health Service Telehealth From 2018, every Australian will get a The WBHHS is committed to making My Health Record unless they choose more services accessible locally and not to. supports the use of Telehealth in Further information is available clinically appropriate situations. https://www.myhealthrecord.gov.au Using live videoconferencing, patients or on the helpline 1800 723 471. can receive care from a wider variety of specialists and have more complex Medical Information treatment, such as chemotherapy, You have the right to determine who closer to home, reducing travel to should be informed by your doctor tertiary centres, such as Brisbane. of your condition. In order to protect your privacy, medical information We encourage all patients to ask their will not be released without your specialist during their appointment consent. Should you be unable to if their follow-up visits could be advise staff of this, the provision of conducted via telehealth. information about you is restricted to your designated next of kin who can Other Services then communicate to other family and Maryborough Hospital offers a wide friends. Following an operation, your range of health services both for relatives should first enquire at the inpatients and outpatients, extending ward about your condition and when into community and other ambulatory you can be visited. services. If further information is required, a For more information about any of member of the nursing staff will be the services, or if you cannot find the pleased to arrange for your relatives information that you are looking for, to speak with appropriate medical please visit our website http://www. staff. If you need a medical certificate, health.qld.gov.au/widebay/ or contact please see the attending nurse or your Maryborough Hospital on (07) 4122 doctor prior to discharge. 8222. You have a right to access your clinical My Health Record record and personal information held My Health Record is an Australian by WBHHS. (Whilst your treatment Government initiative available to record contains your personal all Australians. It is a secure on-line information it remains the property summary of an individual’s health of the WBHHS). Further information information, including a patient’s about this process is below. To health summary, medication access forms or for any queries, prescribing and dispensing history, please contact the Health Information pathology reports, diagnostic imaging Services on (07) 4122 8222. reports and discharge summaries. My Health Record can be accessed and contributed to by the healthcare providers involved in an individual’s care. 24
Applying for your own clinical There is a mandatory application records fee for access applications relating WBHHS is supportive of patients to these documents, as well as wishing to access a copy of their processing and access charges. Please clinical record. In most cases, patients contact the Right to Information/ can usually access a copy of their Information Privacy Decision Maker to own clinical record by completing the discuss these charges by phoning (07) ‘Administration Access Form’, proof 4325 6666. of identification (such as a Driver’s License) is required. Patient Accounts Eligible Australian residents may Applying for personal information choose to receive private or public Access to patient information which is hospital services that can both be considered ‘personal’ and is sensitive delivered from the Maryborough in nature (e.g. mental health records Hospital. and children’s records) may be Overseas visitors or ineligible patients granted under the Information Privacy are those that do not hold Medicare Act 2009 (IP Act). entitlements and are responsible Patients are required to complete for fees and charges for hospital the appropriate application form and treatment. provide proof of their identity before If you choose to be a public patient, any personal information can be generally hospital services will be released. There is no application fee given free of charge. However, you or processing charges for patients may have to pay a nominal fee for wishing to access their own personal some services. If costs apply, they will information, however, there may be be explained to you. an ‘access charge’; please contact If you choose to be a private patient the Right to Information/Information by using your private hospital Privacy Decision Maker to discuss insurance, there are benefits for the these charges by phoning (07) 4325 patient (no out-of-pocket expenses 6666. for admissions of one or more nights), for the hospital and clinical staff by Applying for someone else’s retaining revenue locally to enhance personal information services. If you wish to access the documentation of another person, If you are admitted as a private patient or access information on behalf of you will need to give details of your another person, which does not health insurance during the admission contain your personal information, process and will be asked to sign a you may be able to make an access health fund claim form. application under the Right to Single rooms are allocated on a Information Act 2009 (RTI Act). clinical basis, with very ill or infectious patients always having priority. 25
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