Patient information Mackay Base Hospital 2021
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Patient information Mackay Base Hospital 2021 For your own copy of this Guide, please scan the code with your camera and a digital download will begin Scan code now to download this guide onto your mobile device
Yuwibara | Barada Barna | Wangan | Jagalingou | Yuibera Wiri | Gia | Ngaro | Juru | Birriah | Koinmerburra | Jangga We are committed to improving health outcomes for Aboriginal and Torres Strait Islander people. We commit to providing services which are culturally respectful and responsive to the needs of our Aboriginal and Torres Strait Islander communities through our organisation’s core values of Collaboration, Trust, Respect and Teamwork. We promise to: Our commitment will be demonstrated by: • Value family and community Actively involving Aboriginal and Torres Strait Islander people in decisions relating to the provision of health • Work together towards achieving the best services and their own health care. possible outcomes. Building a workforce that is respectful of Aboriginal • Empower individuals to take control of their and Torres Strait Islander cultural beliefs and values. healthcare Increasing our Aboriginal and Torres Strait Islander • Promote positive relationships between workforce across our whole health service. patients and health professionals Supporting all of the Closing the Gap initiatives. • Provide a culturally appropriate and sensitive service delivery Providing services that are framed by the principles of reconciliation as outlined in the Aboriginal and Torres • Incorporate a culturally respectful and Strait Islander Cultural Capability Framework. welcoming environment Valuing Aboriginal and Torres Strait Islander • Work together to improve patient care leadership within our organisation. • Involve Aboriginal and Torres Strait Islander Working collaboratively with our Traditional consumers and community in the decision- Custodians, their representatives and the wider making process. Aboriginal and Torres Strait Islander community. Mackay Hospital and Health Service acknowledges the Traditional Custodians of the land and waters of all areas within the Hospital and Health Service geographical boundaries. We pay respect to the Aboriginal and Torres Strait Islander Elders past, present and those yet to come on whose land we provide health services as we make tracks towards Closing the Gap. Artwork produced for Queensland Health by Gilimbaa
Contents Acknowledgement of Traditional Custodians 4 Zero Tolerance to Violence 24 Interpreter Service 4 No Alcohol Policy 24 Welcome from the Chief Executive 5 Smoking 24 Welcome to the Mackay Base Hospital 6 Public Transport 24 Contact Us 6 Parking 24 Mackay Base Hospital 6 Telephones 24 Hospital Map 7 General Information 25 About Us 8 Accreditation and Quality Management 25 Our Values 8 Nurses Call System 25 Changes to Visitation at Our Facilities Due to Children in Hospital 25 COVID-19 9 Leaving the Ward Area 26 Visiting Hours 9 Transfer to Other Facilities 26 Visitors 9 Patient Travel Subsidy Scheme (PTSS) 26 Staff 10 Accommodation for Relatives 26 Your Stay at the Mackay Base Hospital 10 The Integrated Electronic Medical Record Pre-Admission Clinic 10 (IEMR) at Mackay Base Hospital 27 Admission 10 Medical Information 27 How to Prepare for Your Operation 11 Patient Accounts 28 Bed Allocations and Single Rooms 11 Medical Team/Teaching of Health Professionals 29 Personal Effects 11 MIRI 29 Day Surgery Unit 11 The Hospital Fire Safety/Emergency Procedures 29 Arriving on the Ward 12 Support Services 30 Discharge Planning 12 Independent Patient Rights Adviser (IPRA) 30 Your Care and Safety 12 Aboriginal and Torres Strait Islander Liaison Handover 12 Officers 30 Patient Identification 14 Palliative Care Information Services 30 Infection Prevention 14 Social Work 30 Multi-Resistant Organism Screening 14 Dietitian 31 Medication Safety 15 Occupational Therapy 31 Changes in Your Health 15 Speech Pathology 31 Helping You to NOT Fall Over 17 Physiotherapy 31 Preventing Pressure Injuries/Bedsores 17 Pharmacy 31 Your Rights and Responsibilities 18 Oral Health 32 Consumer Feedback, Complaints and Telehealth 32 Compliments 19 Other Services 33 Ryan’s Rule 19 Community Health Services 33 During Your Stay 19 Aboriginal and Torres Strait Islander Health Mackay Hospital Foundation 19 Worker Network 33 Gift Shop 21 Aged Care and Home Care Services 33 Children Services 21 BreastScreen Queensland 34 Meal Times 21 Child, Youth and Family Health 35 Home Base Café 23 Community Mental Health and Alcohol and Vending Machines 23 Other Drugs (AODS) 36 Spiritual Carers 23 Sexual Health and Sexual Assault Services 36 The Sanctuary (Multi-Faith Space) 23 Sexual Assault Services 37 Televisions and Electronic Equipment 23 Disclaimer 37 Laundry 23 Local Community Services for Your Information 38 Mail 23 3
Acknowledgement of Traditional Custodians The Mackay Hospital and Health Service (Mackay HHS) respectfully acknowledges the Traditional Custodians of the lands and seas on which we work and live. We pay our respects to elders, past, present and future. Mackay HHS is committed to honouring First Nations Peoples unique cultural and spiritual relationships to the land, water and seas and their rich contribution to society. The Mackay HHS ‘Statement of Reconciliation’ is our commitment to reducing inequalities between Aboriginal and Torres Strait Islanders and other Australians in 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. We also have Auslan Connections which provides specialist interpreting services to the deaf and hard of hearing community. Information printed in this guide is subject to change without notice as we continue to respond to the evolving COVID-19 restrictions and health advice. Please speak with a member of our nursing staff if you have any questions. 4
Welcome from the Chief Executive Dear patients, families and friends, Welcome to the Mackay Base Hospital. This patient guide is designed to introduce you to our hospital, our services and to answer any questions you may have about your care and the hospital during your stay. Caring for you is our priority and we are committed to providing comprehensive, safe and high-quality healthcare. Our staff do an excellent job in delivering friendly and compassionate care to our patients at every stage of life. We are here for you, to support you and your support networks on your healthcare journey. Mackay HHS is committed to preventing hospital infections. To help us prevent the spread of germs and infections we ask all of our visitors and staff to please use the hand hygiene foam before entering and leaving the hospital wards and after patient contact. 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. On behalf of the whole team, I wish you a fast recovery. Please let a member of our staff know if there is anything we can do to make your stay more comfortable. Kind regards Lisa Davies Jones Mackay HHS Chief Executive 5
Welcome to the Mackay Base Hospital Contact Us For all enquiries, please phone the hospital directly with the details of the ward or department that you wish to speak to, and the switch staff will assist you. Mackay Base Hospital Bridge Road, Mackay QLD 4740 Telephone: (07) 4885 6000 Facsimile: (07) 4885 6408 www.mackay.health.qld.gov.au Email: mhhsengagement@health.qld.gov.au 6
Pioneer River Mackay Base Hospital Map N Key Parking Bus stop Entry points H Helicopter pad H Hospital Map Lifts Gift shop Toilets Taxi B B Café Multi-faith Accessible Vehicle entry Women’s Child and room toilets Adolescent ATM Bicycle parking Health Unit B Unit Drop off Change room Stairs zone Hospital Foundation Birth information kiosk Centre Blocks F A Block D Block H L M Block A Loading dock G A A Ground floor Ground floor Staff only Orthopaedics Women’s, Children • Admissions • Dental ward and Adolescent H Clinics • Mackay Hospital L Staff only Foundation E Block J Block Staff only • Pathology blood Ground floor collection Ground floor BRIDGE ROAD • Mental health • Special care nursery • Emergency department Travel Admissions • Specialist outpatient • Medical imaging Main clinics • Pharmacy Entrance • Travel • Short stay unit K Block E E • Women’s, children’s • Cashier Ground floor Staff only • Education and and adolescent Level one Q outpatient clinics research centre M • Day surgery • Library Level one Level two Staff only Staff only • Administration • Clinical Specialist reception A Outpatient measurements unit J Clinics • Oncology day unit • Medical records Q Block • Renal services Ground floor C • Aboriginal and Torres • The Sanctuary EMERGENCY D Strait Islander unit F Block multi-faith room Ground floor • Gift shop • Medical, stroke and • Café B Block rehabilitation unit Ground floor Level one Emergency • Birth centre • Intensive care unit R Block services only • Birth suite • Cardiac care unit Ground floor • Child advocacy unit Level two • Community health K • Women’s health unit • Medical unit and therapy services • Child and adolescent N unit Public car park G Block C Block Level one Staff parking Ground floor • Surgical unit • Allied health • Mixed medical ward Public car park opens 8am • Orthopaedics ward R 7
About Us The Mackay Hospital and Health Service (Mackay HHS) is a contemporary organisation with more than 2,000 employees, providing extensive health services in a range of regional, community and rural settings, to a population of around 120,000 people. The Mackay HHS is made up of eight hospitals and five community health facilities, which are: • The Mackay Base Hospital • Middlemount Community Health • Bowen Hospital • Moranbah Hospital • Clermont Hospital • Proserpine Hospital • Collinsville Hospital • Sarina Hospital • Dysart Hospital • Whitsunday Community Health • Glenden Primary Health Care Centre • Carlyle Street Community Health • Mackay Community Health Centre, Mackay We are passionate about our community and the health of the people living in it. Our purpose is simple. We want to provide outstanding healthcare services to you through our people and partners. The Mackay Base Hospital is the referral hospital for our region, one of the most modern healthcare facilities in Queensland. A state-of-the-art facility equipped with leading edge technology to assist us in providing the highest level of care to you. Our organisation has strong links to its communities through our consumer advisory partners, family advisory partners and the community reference groups. These groups allow the Mackay HHS to actively involve patients, their families and carers, and the community in decision making processes, which shape the service, treatment and care we provide. Our Values Our values are at the heart of ‘why we do, what we do’ and they define ‘the way we do things’. Our values are: • Collaboration: driving innovation through partnerships and cooperation; Trust: having confidence and belief in each other to be able to rely and • depend on our actions; Respect: showing respect and compassion for the people we care for and work • with; and • Teamwork: depending on and supporting one another individually and as a team. 8
Changes to Visitation at Our If you have permission from the Nurse Facilities Due to COVID-19 Unit Manager to stay with your loved The safety of our patients, visitors and one during quiet time, we ask that you staff is our highest priority and we are mindful of noise during this time, understand that visiting loved ones in as patients need time to recover. hospital is important, just as much as Some wards/units may only allow their health. immediate family and have restricted To help prevent the spread of visiting hours due to the nature of care COVID-19 and protect our patients, being provided in that clinical area. At visitors and staff, we have measures in all times, care for our patients is our place that are guided by Queensland primary focus. Health’s Hospital Visitors Direction. Please be advised visiting hours and Visitors policies will change in accordance We welcome and encourage families, with the Queensland Health Hospital friends and carers of our patients to and Aged Care Facilities Visitors visit as they are an important part Direction. We encourage you to visit of the recovery process in hospital. the QH webpage for latest details or Visitors can help patients recover call the hospital switch prior to visiting faster, are an important source of Ph: (07) 4885 6000 support and can also help reduce their anxiety and stress. However, it is https://www.health.qld.gov.au/ up to the person in hospital to decide system-governance/legislation/ if they want visitors. Patients may cho-public-health-directions-under- request no visitors at times, and this expanded-public-health-act-powers/ will be respected. hospital-visitors-direction Visitors must also respect hospital Visiting Hours policies and visiting hours. Many The Mackay Base Hospital has complex processes and procedures flexible visiting hours from 8.00am happen in healthcare. There may be – 8.00pm seven days a week. After- times when visitors may be asked hours visiting times are 9.00pm – to leave an area for short periods of 6.00am and only with approval by time as a result of care being provided the respective units. The Women’s to the patient. If you are unsure Health Unit, Special Care Unit, and about the best time for visiting, we the Child and Adolescent Unit after- encourage you to talk directly to staff hours access is via the intercom on the ward. located at the external door on Bridge We limit visitors to two people at Road. All other units can be accessed one time to make sure the patient through the Emergency Department. does not become too tired and that Some wards may have quiet times the ward is not too busy. You may established, when lights are dimmed, have to wait until other visitors leave and visitors may be asked to leave the before you can see the patient. Where ward for these times to allow patients possible, coordinate visits with others time to rest. such as family members. 9
Visitors who have colds or other Admission infections should not visit until they Opening Hours are well. 6.30am – 3.15pm, Monday to Friday. Wheelchairs can be loaned from All admissions come to the the Hospital Foundation at the Admissions Office where staff will information desk between 8.00am check your contact details and and 4.00pm, Monday to Friday. paperwork are up to date. You will need your Medicare card and any Outside of these hours, please use relevant concession cards such as a the courtesy phone at the information pension or healthcare card. You will desk to call an operational officer. also be asked for details of private Staff health insurance if relevant. All staff and volunteers wear hospital If you are being treated for a condition identification badges that include for which you may recover damages their photograph, name and job title. from another party, you will be asked If you are concerned about the identity to supply all relevant details to the of a visitor, please contact a staff hospital at the time of admission or member. before discharge. Once you arrive in your designated Your Stay at the Mackay Base ward or Day Surgery Unit, you will Hospital be issued with an identification band as part of your admission. The Pre-Admission Clinic identification band will state your Opening Hours name, date of birth and hospital identification number. 9.00am – 4.30pm, Monday to Thursday and You will be asked to confirm these 9.00am – 3.00pm, Friday. details and state what procedure you will be having multiple times by Prior to surgery, you may be required different staff. This may be frustrating to attend a pre-admission clinic. to repeat but this is a very important The clinic is conducted for patients safety process. who are booked for surgery and for some procedures. Most often you Under the National Health will be seen by the nursing staff, Care agreement between the medical staff and anaesthetic staff. Commonwealth and state Consulting with these people will governments, all patients admitted help identify any health problems to public hospitals are to be given that need treating prior to surgery and the choice to be treated as a public or any tests you may require, and also private patient. In response to this, allows for any discussions regarding Queensland Health has developed a instructions/education on the plan of ‘patient election form’ that you will be your care. requested to complete before or on admission. 10
Please ask to speak to a Patient Patients should bring their Medicare Option Liaison Officer if you would like card, pension and health benefit to discuss this further. cards, letter from your referring doctor (if any), any medications you How to Prepare for Your Operation are currently taking, relevant private What you can do: x-rays, spectacles and hearing aids. • Follow the preoperative instructions If you have an enduring power of given to you. attorney (medical treatment), or advanced health directive, please • Tell the doctors and nurses about bring a copy. any medication you take. Where will I keep my personal • Ensure all your details are correct. belongings? • Tell the nurses if you have any If you are staying overnight, you difficulty with mobility or will will have a bedside locker for your need special care when you are personal belongings. It is helpful if all discharged home. of your belongings are labelled with your name. • Let us know if you require a medical certificate. It is advised that valuables are not brought to the hospital with you. • Arrange special transport home, if required. Please do not bring large amounts of money, jewellery or other valuables • Check and make sure you into hospital. Please leave these at understand all the information on home. the consent form before you sign it. While our staff take every care, • Ask your doctor or nurse if you are the Mackay HHS does not accept not sure about anything. responsibility for any loss or damage that may occur to items you bring into Bed Allocations and Single Rooms hospital. The Mackay HHS hospitals have single and shared rooms, which Day Surgery Unit accommodate both private and public The Day Surgery Unit caters for a patients. Rooms are allocated on range of patients and procedures clinical need. Very ill or infectious only requiring a short stay. The patients always have priority to single unit supports surgical activity and rooms. Your bed allocation may endoscopic procedures such as change during your stay. gastroscopies, colonoscopies and bronchoscopies. Unless otherwise Personal Effects advised, you will be discharged home You will need night attire, a dressing the same day or the following day. gown, slippers, underwear and toiletries such as soap, shampoo, a toothbrush and toothpaste, hairbrush, razor and tissues. 11
When you are well enough, a nurse It is advisable to have your transport will discharge you according to your home organised for a 10.00am doctor’s instructions and give you discharge. information regarding your post- When applicable, home care for operative care. You may have a little patients can be organised for those discomfort at your operation site. The patients who require assistance nurse is the best person with whom to after discharge. Please discuss any raise any questions or concerns you or concerns you may have with the staff your carer may have. It is imperative looking after you. Please remember to that you and your carer follow your collect private x-rays and medications post-operative instructions. The that you brought into hospital. Day Surgery Unit endeavours to call all patients the business day after If you are unsure of your current discharge to check on your progress discharge medications or any other and answer any questions you may details regarding your discharge, have. Please be aware when we try please ask the nursing/medical or to call you, the hospital number will pharmacy staff prior to leaving. Also, display as private. please be aware of any follow-up appointments you need to make, or Arriving on the Ward that have been made for you. If you are being admitted as an emergency admission, you will Your Care and Safety be collected from the Emergency Department and taken to your bed Handover by ward/unit nursing staff. Details of At least once each day, the ward layout and services will be staff will handover from explained at this time. Your admitting one shift to another nurse will assess your needs and at your bedside rather than in the commence your care. nurses’ station. They will check your medication charts, your plan of care, Discharge Planning and any other information which Discharge planning commences early is relevant such as management of in your admission process to ensure wounds or pain. the return to your home environment You are an important part of this daily is well organised. Your Estimated handover and staff will chat with you Day of Discharge (EDD) should be about your progress with reaching identified to you and your family on your goals. It is very important that your admission. Plans for transport you tell staff about any issues or home should be organised for around concerns you have so that they can be this date. If there are any changes addressed as soon as possible. to your EDD your treating team will discuss them with you. On the agreed day of discharge from hospital your departure should occur by 10.00am. 12
Mackay Hospital and Health Service RESPECT the CHECK Patient Identification and Procedure Matching We want to make sure you get the right treatment so we will: • Have you wear an ID band • Repetitively check your ID band and ask your - First and last name - Date of birth • Check your ID band every time we need to - Give medication - Collect a specimen - Before treatment or procedure • Regularly ask what your allergies are if you have a red band identifying allergies Tell the nurse immediately if you don’t have an ID band or if it is damaged Checking is essential for your care
Patient Identification Hand hygiene is the single most Your identification helps important factor in reducing hospital us to give you the right acquired infections. care, especially when All healthcare workers should always giving out medications perform hand hygiene in front of you. and other treatments. You will have If you have any concerns, feel free to an identification band placed on remind them. your wrist when you are admitted. Please check to make sure that the Alcohol-based hand rub is located information on your band is correct. in all patient care areas and in high traffic areas at the Mackay Base Staff members should check your Hospital. identification before giving any treatment, medications or other care. Multi-Resistant Organism Screening Infection Prevention An Infection Prevention What are multi-resistant organisms Clinical Nurse Consultant (MROs)? oversees infection control Every human has bacteria (bugs) issues across Mackay HHS living on their skin. These bacteria to ensure optimal patient outcomes usually don’t cause us any harm. are achieved and maintained through MROs are bugs that have developed compliance with standardised policies resistance to antibiotics. This means and procedures. that some of the antibiotics available are no longer effective in killing these When we are fit and healthy, we can bacteria. usually defend ourselves against many germs. Often our natural This makes infections with these defences are weakened when we bacteria more difficult to treat. are not well, or after an operation. However, there are still antibiotics that It is very important that everyone, can treat these infections. including patients, their families and Whilst you are a patient in Mackay carers clean their hands: Base Hospital you might be asked to • Before and after entering a undergo screening for MROs. MROs patient’s room or visiting someone are found in specimens that are sent in the hospital to the laboratory, e.g. samples of your blood, urine and swabs taken from • After going to the toilet your nose, rectum (bottom) or wound. • After blowing your nose, coughing Examples of MRO are: or sneezing • MRSA (Methicillin-resistant • Before, during and after preparing Staphylococcus Aureus) food • VRE (Vancomycin-resistant • Before eating Enterococci) • When your hands are visibly dirty. 14
• ESBL - (Extended Spectrum Beta- This includes herbal, naturopathic and Lactam) Producing Klebsiella over-the-counter medications. They pneumonia will be returned to you on discharge. • MRAB (Multi-Resistant While in hospital, all your medications Acinetobacter Baumannii) will be locked in the top drawer of • CRE (Carbapenem-Resistant your bedside locker. Medications will Enterobacteriaceae) be administered by hospital staff to ensure appropriate dosing and to Many patients admitted to hospital minimise the occurrence of adverse will be screened for MROs. This means drug reactions. all patients who are transferred from another hospital, including overseas It is of the utmost importance that no hospitals, and all patients admitted medications are taken by you without to the Intensive Care Unit. Many of the the consent of your doctor or the hospital wards also conduct routine nursing staff. screening of patients on admission. You are encouraged to ask the doctor This is to monitor for any new cases of for information about your condition, MROs. as well as who will be involved in your Screening for MROs involves taking treatment and when you can expect to a swab just inside the nose and see them. rectum, and a swab of any wounds. Changes in Your Health The screening swabs are collected by nurses or doctors, they are not Our staff are trained to take painful, and only take a moment to observations and to notice collect. changes in your health, which could indicate that something Medication Safety is not quite right. It is important that the However, you know yourself best and team knows about any you can help staff by letting them medications you are know immediately if: taking or were taking • You don’t feel well, however minor prior to admission. This includes it may seem to you; medications prescribed by your own doctor or bought over the counter from • You think there has been a change a chemist or health food store and in your condition; and/or includes any herbal or homoeopathic • You think that part of your care has preparations. been missed (e.g. medications We will also need to know of any missed). allergies you may have to antibiotics, Any patient or carer can activate a medications or foods. rapid response. Please ask nursing You should give ALL your medications staff for further information. If to nursing staff when you come into something is not quite right, then the the hospital so they can be properly sooner we know about it the quicker stored. we can do something about it. 15
My healthcare rights This is the I have a right to: second edition of the Access Australian Healthcareservicesandtreatmentthatmeetsmyneeds Charter of Healthcare Safety Rights. Receivesafeandhighqualityhealthcarethatmeetsnationalstandards Becaredforinanenvironmentthatissafeandmakesmefeelsafe These rights apply to all people in all places where health Respect care is provided Betreatedasanindividual,andwithdignityandrespect in Australia. Havemyculture,identity,beliefsandchoicesrecognisedandrespected The Charter describes what you, Partnership or someone you care Askquestionsandbeinvolvedinopenandhonestcommunication for, can expect when Makedecisionswithmyhealthcareprovider,totheextentthatI receiving health care. chooseandamableto IncludethepeoplethatIwantinplanninganddecision-making Information Clearinformationaboutmycondition,thepossiblebenefitsandrisks ofdifferenttestsandtreatments,soIcangivemyinformedconsent Receiveinformationaboutservices,waitingtimesandcosts Begivenassistance,whenIneedit,tohelpmetounderstandand usehealthinformation Accessmyhealthinformation Betoldifsomethinghasgonewrongduringmyhealthcare,howit happened,howitmayaffectmeandwhatisbeingdonetomake caresafe Privacy Havemypersonalprivacyrespected Haveinformationaboutmeandmyhealthkeptsecureandconfidential Give feedback Providefeedbackormakeacomplaintwithoutitaffectingtheway thatIamtreated PUBLISHED JULY 2019 Havemyconcernsaddressedinatransparentandtimelyway Sharemyexperienceandparticipatetoimprovethequalityofcare andhealthservices For more information ask a member of staff or visit safetyandquality.gov.au/your-rights
Helping You to NOT Fall • Giving yourself time to regain your Over balance when moving from lying The reasons for falls to sitting and sitting to standing are that you are in an before you walk. unfamiliar place, you may suffer • Never standing or trying to walk if dizziness from medication, you may you are feeling dizzy or unwell. not have your normal socks and shoes to walk around in or you may not be • Never sitting on the edge of the bed able to see properly in the dark. if you are likely to slide off. If you have had an operation or have an injury to your hip, leg or knee you may not be as steady on your feet as you usually are. Falls can cause serious injuries, so please help us to help you to NOT fall over by: • Always using the call bell to ring for help if needed before you move, especially if you are concerned Preventing Pressure about falling or have fallen before. Injuries/Bedsores • Always turning on the light when When you spend time getting up during the night so sitting or lying still, your that you can see clearly and avoid body can develop a sore tripping over. spot known as a pressure injury. • Always using your normal walking These injuries can affect the muscle aid (walking frame, walking stick). and bone if not identified and treated. • Always wearing secure, flat, non- Anybody can develop a pressure slip shoes with an enclosed back injury; however, you can decrease the when you are walking around. possibility if you: • Always wearing your hearing aids • Move – change your lying and during the day. sitting position as often as possible, even a small change can • Always wearing your glasses if you help. Staff will help you change need them to see clearly when position if needed. walking. • Let staff know if tubing from • Always making sure your bed is at oxygen over the ears, nasogastric knee height and that your feet are tubes and drainage bags from flat on the floor when sitting on the indwelling catheters or wound side of the bed before standing. sites are causing pressure/redness • Never walking in just your socks. on the skin, these areas need to be checked and preventative • Never climbing over bed rails. dressings applied. 17
• Make sure you keep your skin as • Give a compliment or make a dry as possible. complaint. • Make sure you eat well and drink • Have your personal information plenty of fluids. kept private and confidential. • Keep weight off bony parts of your • Submit a formal request to see your body (e.g. heels and tail bone). medical record. • Let staff know immediately if you • Decide if you want to take part develop a sore spot where you’ve in medical research and clinical been sitting or lying. training. What are your responsibilities? Your Rights and Responsibilities We want to make sure you get the best What are your rights? possible care. To do this, please do a You have the right to: few things, such as: • Free hospital and community- • Give staff as much information based services as a public patient, as you can about your health and if you have a current Medicare card. any beliefs that may affect your This does not apply to Oral Health treatment. (dental) services. Please refer to • Tell staff if you are taking any the Oral Health section in this medicine, recreational drugs or booklet for eligibility. natural remedies. • Be treated with respect, dignity and • Tell staff if someone else is treating consideration regardless of your you for the same condition. age, gender, sexual preference, religion and culture. • Ask questions and talk to your family if you want to, before • A free interpreter. making any decisions about your • Information so you can choose to healthcare. be a public or private patient. • Follow staff instructions for your • Treatment based on the hospital’s treatment and care. assessment of how sick you are. • Tell staff about any problems • Take part in decisions about your you are having because of your healthcare. treatment or the treatment that you need. • Information that is easy to understand about your treatment, • Be on time for appointments and including risks and other choices. let your health service know if you want to cancel, or if you change • Give your permission before being your contact details. treated if you are able. • Talk to your local doctor if your • A second opinion. condition changes while you are on a waiting list for treatment. 18
• Treat all people you meet in the When Ryan’s parents were worried, health service (staff, volunteers, he was getting worse they didn’t feel patients/clients) with the respect their concerns were acted upon in and consideration we all deserve. time. • Respect the confidentiality and Ryan’s Rule has been developed to privacy of others. provide patients of any age, families and carers with another way to get Consumer Feedback, Complaints help. and Compliments Ryan’s Rule is not for reporting Our staff are committed to delivering complaints. For further information, a patient-centered model of care, see the factsheet in this booklet on which is built on the foundations of page 20. meaningful relationships with our patients, family members and their During Your Stay significant others. Mackay Hospital Foundation We value your feedback and encourage you to discuss any Trolley service concerns or comments, positive or The Mackay Hospital Foundation, negative, relating to your admission together with their volunteers, operate or visit at any of our facilities with a trolley service that visits patients’ your treating doctor, or the nurse unit rooms and waiting areas each manager in your ward/unit. Our goal, morning, Monday to Friday. where possible, is to try to resolve It stocks items for purchase such as issues at the initial point of contact. newspapers, magazines, snacks, Alternatively, to provide your feedback drinks, sandwiches and other visit http://www.mackay.health.qld. convenience items. gov.au/getinvolved/your-feedback/ The volunteers also distribute Or you can contact the Consumer magazines throughout areas of Feedback Coordinator on (07) 4885 the hospital, including patient 7690 from Monday to Friday between rooms, common areas and waiting the hours of 9.00am and 4.00pm. rooms. This is a free service utilizing You can also contact the Office of the donations from the community. Health Ombudsman (OHO) on 133 646, or visit www.oho.qld.gov.au Information desk with any concerns about your health The information desk is located in service provision. the foyer of the main entrance area. Volunteers are available to assist Ryan’s Rule visitors with directions, information Ryan Saunders was nearly three and the use of a wheelchair. years old when he tragically died in The information desk is staffed hospital. His death was found to be, Monday to Friday, 8.00am – 4.00pm. in all likelihood, preventable. Staff did Also available is a selection of books not know Ryan as well as his Mum and for sale. Dad knew him. 19
Queensland Health Ryan’s Rule for all patients, families and carers Use Ryan’s Rule to get help when you are concerned about a patient in hospital who is getting worse, not doing as well as expected, or not improving. Who can call: patients, families or carers. Follow these steps to raise your concerns. Step 1 Talk to a nurse or doctor about your concerns. If you are not satisfied with the response. v0.04 - 11/2013 We acknowledge ACT Government Health CARE resources. Photograph source: HMMU, RBWH, Metro North Hospital and Health Service. Step 2 Talk to the nurse in charge of the shift. If you are not satisfied with the response. Step 3 Phone 13 Health (13 43 25 84) or ask a nurse and they will call on your behalf. Request a Ryan’s Rule Clinical Review and provide the following information: • hospital name • patient’s name • ward, bed number (if known) • your contact number. A Ryan’s Rule nurse or doctor will review the patient and assist. If you have feedback or a complaint, please speak with the nurse in charge or ask for a feedback form. For more information, speak with your nurse. Great state. Great opportunity
The Mackay Hospital Foundation Children Services offer volunteer assistance to The Mackay Hospital Foundation Mackay Base Hospital for a Volunteers have a playgroup located variety of roles, including patient within the Children’s Ward. Activities assistance, distribution of items and are open to patients within the administration. Children and Adolescence Unit and All volunteers will wear a purple BOQ their siblings. Buddy shirt with the Mackay Hospital Foundation logo, a Mackay HHS Meal Times photo ID tag and a Mackay Hospital Meal hours are as follows: Foundation name badge. Breakfast 7.10am – 8.00am If you would like to become involved Morning Tea 10.00am – 10.45am with the Mackay Hospital Foundation, either as a volunteer or to make a Lunch 11.25am – 12.20pm donation, please see our volunteers at Afternoon Tea 2.30pm – 3.30pm the information desk. Dinner 4.55pm – 6.00pm Gift Shop Supper 6.45pm – 7.30pm The Gift Shop is located on the ground Menu forms are provided during the floor, opposite Home Base Café, breakfast meal services and must and is managed by Mackay Hospital be completed daily to ensure that Foundation volunteers. It stocks items you receive your meal preferences. such as flowers, cards, gifts, snack If your menu form is not completed, foods, cold drinks, newspapers, then you will receive a standard meal. magazines and other convenience Sandwiches are provided if you are items. The Gift Shop is open Monday absent during any of the meal services to Friday 8.30am – 4.30pm and due to having a consultation or Saturday 10.00am – 1.00pm. procedure. The food menu is designed to provide a selection of foods to meet diversified tastes. If your diet has to be modified due to your illness, your clinical team will discuss this with you. The hospital dietitian will be available to provide the necessary instructions so that you may continue your special diet at home, if required. 21
It’s your hospital, your charity of choice. The Mackay Hospital Foundation is a local independent community-driven non-profit charity supporting the Mackay Base Hospital and all other local hospitals in the Mackay Hospital and Health Service region. There are many ways you can get involved: Donations and money boxes All donations of $2 or more are tax deductible. For further information please visit www.mackayhospitalfoundation.com.au Giving the gift of time or Become one of our volunteers who provide Contact the Volunteer and Administration Coordinator valuable services to the community, offering a helping hand in many areas of the hospital. Phone: 07 4885 5915 Email: mhf@health.qld.gov.au Bequests Leaving a legacy in your will is a reflection on how you wish to be remembered.
Home Base Café Requests for special occasion Home Base café is located on the bookings, such as naming ground floor of the hospital next to the ceremonies, must be approved by gift shop. the Community Engagement Team. To seek approval, please email Opening hours are Monday – Friday, mhhsengagement@health.qld.gov.au 6.30am – 4.00pm and Saturday 6.30am – 2.00pm. Home Base Café is Televisions and Electronic closed on Sundays. Equipment Vending Machines Personal televisions, small radios For your convenience, there are and MP3 players are allowed in vending machines located in the single-patient wards. However, in Travel Lounge and outside of Medical shared wards, please use an ear piece Imaging. attachment to ensure other patients are not disturbed. They sell a range of snack foods, as well as hot and cold drinks. Televisions are allowed in the general wards. However, if you are a mobile Spiritual Carers patient, we encourage you to use the television lounge. Mackay Base Hospital relies on the services of visiting clergy/spiritual Laundry advisors who are not employed by the service, nor are they a volunteer in the The Mackay HHS hospitals do not service. They visit the hospital only provide a laundry service for personal at the request of the patient or upon belongings. Please bring enough staff request. The Sanctuary is also clothing for your hospital stay or available for times of quiet reflection. arrange for your family to launder and return items to you. The Sanctuary (Multi-Faith Space) Mail Mackay Base Hospital offers a quiet space for patients or visitors who Mail sent to you will be delivered to may wish to have some time away the hospital mail room and collected from the ward in an area of peace and by the Ward Clerk as time allows. If spirituality, where everyone can feel you are expecting mail, please advise safe and comfortable to engage with the Ward Clerk. If you have mail to their spirituality or religion. send, hand it to relatives or friends, or to a member of staff who will deliver it The room is known as the Sanctuary to the hospital mail room for collection and is located on the ground floor of by Australia Post, provided it has a the hospital beside the lifts, next to stamp attached. Any mail without a Medical Imaging. It’s open 24 hours a stamp will need to be returned to you day. for a stamp to be attached. Stamps Please make sure the room is returned can be purchased from the hospital to its original state after use. gift shop on the ground floor. 23
Zero Tolerance to Violence The patches and gum will reduce Queensland Health has a ‘Zero any withdrawal symptoms, such as Tolerance to Violence’ policy. This cravings, irritability and anxiety. If you policy states that no person in the choose to continue to smoke, please hospital or the healthcare system walk to Bridge Road off the hospital should be exposed to verbal or grounds to do so. physical aggression. Where there is a criminal offence, security/police Public Transport will be called if necessary. All staff, A public bus stop is located on Bridge patients and visitors are encouraged Road at the front of the hospital. A to report breaches of the policy. free taxi phone is located next to the foyer of the hospital, by the Hospital No Alcohol Policy Foundation Volunteers desk. Consumption of alcohol on the hospital premises is strictly Parking prohibited. Areas available for public parking are signed as such. The hospital does not Smoking accept liability for loss or damage to Smoking is not permitted on vehicles or their contents. Queensland Health property. It is against the law to smoke at public Telephones and private health facilities. The ban There is a public telephone located extends to five metres beyond the on Bridge Road opposite the hospital. boundary of the hospital grounds. Please ask the staff if you need Smoking is prohibited in the hospital directions to access it. buildings and hospital grounds. Mobile phone use is permitted at Smoking is not permitted in the Bridge times when it does not disrupt your Road bus stop. On the spot fines care or the care of others. We request apply. Disregarding smoking policies that your mobile phone is kept on can have serious consequences. silent mode to ensure it doesn’t If you see or smell cigarette smoke, disturb other patients or interrupt please report it to nursing or other hospital routine or procedures. Mobile staff on the ward, who will take the phone use within the hospital may appropriate action. be restricted upon the advice of staff, based on the care needs of yourself If you are a patient coming into the and other patients around you. hospital and you smoke, your smoking will be assessed and you will be We ask that all mobile calls cease offered nicotine replacement therapy between 9.00pm and 8.00am in (nicotine patches or gum) to help you consideration of other patients. At not smoke during your hospital stay. times, you may be asked to turn your phone off and you must comply with this request. Staff are not to be photographed or filmed. 24
General Information Children in Hospital Children miss their families and home Accreditation and Quality environment, so we encourage their Management immediate family to spend as much The Mackay HHS is accredited by time as possible with their child the Australian Council on Healthcare during their hospital stay. You can Standards against the National Safety play a positive role at this time by and Quality Health Service Standards. supporting your child and assisting This means that our commitment the clinical team with various to providing the highest quality routines involving your child. Certain care is maintained to a nationally restrictions may be necessary so that recognised standard. In maintaining the nurse can effectively carry out accreditation, we are required to treatment prescribed by the doctor. continually monitor and evaluate Your cooperation is appreciated in the quality of our service delivery these circumstances, but there are to ensure we can provide excellent otherwise no restrictions on visiting healthcare into the future. times for parents. The health service strives to ensure Children visiting the hospital are to be there is a culture of continuous quality under the supervision of an adult at improvement, with staff committed all times. One adult member of your to continually improving the quality, family is welcome to stay overnight standard and safety of the services with your child and will be provided you receive. with a sofa chair beside your child’s bed. Parents and carers have access During your stay, you may be asked to tea and coffee in the parent’s to provide feedback on the service lounge. In special circumstances, we provide. Although you are not parents and carers will be provided obligated to respond, the Mackay with meals. Please be sure to advise HHS values feedback and will use it to the nursing staff if there is anything improve service delivery and patient you need to make your child’s hospital care. stay more comfortable. Nurses Call System Should you require anything, do not hesitate to call on the nursing staff. The nurses’ call button is on the bedside handset. It is only necessary to press the button once, as the call registers in the nurses’ station until it is switched off at your bed. 25
Leaving the Ward Area • The patient, family or carer will Please notify the attending nurse accept the first available placement before leaving the ward area, as the while remaining on the list at the nurse is directly responsible for your preferred facility for transfer at a safety whilst in the hospital’s care. later date. Transfer to Other Facilities Patient Travel Subsidy Scheme At times, it may be necessary to (PTSS) transfer you to another health If you live in rural and remote areas facility, including Sarina, Proserpine, and have to travel more than 50km Moranbah, Clermont, Bowen, from your local hospital to be treated Collinsville or Dysart. This may even for specialist medical services that be necessary if you do not reside in are not available locally, you may these communities. At times, Mackay be eligible for the Patient Travel Base Hospital requires access to beds Subsidy Scheme (PTSS). This can for acute care of patients and you may include assistance with travel and be transferred to facilitate this. accommodation costs for you and Other reasons that may make your your escort. transfer necessary: The Patient Travel Office is located • If you are a patient awaiting at the front entrance of the Mackay residential aged care. Base Hospital and is open 8.00am – 4.00pm, Monday to Friday. Staff are • If you are well enough but are available to help with Patient Travel unable to go home and live enquiries outside these hours by independently or with family. calling the switch phone number (07) • If you do not require acute care 4885 6000. and are well enough to transfer as For more information regarding the part of your treatment plan and Patient Travel Subsidy Scheme, visit discharge process. our website www.mackay.health.qld. When a patient no longer requires gov.au acute care at the Mackay Base Hospital and cannot return to their Accommodation for Relatives home or to family: Accommodation may be available for relatives adjacent to the hospital • An Aged Care Assessment Service at Red Cross House, at a reasonable (ACAS) assessment will be price. Allocation is based on need. The requested. nurse unit manager of your ward can • The patient’s family/carers will be assist with enquiries or, alternatively, required to list the patients’ details you can contact the Red Cross House with all residential aged care on (07) 4957 2310. facilities within the Mackay HHS area. 26
The Integrated Electronic Medical Medical Information Record (IEMR) at Mackay Base You have the right to determine who Hospital should be informed by your doctor of Mackay Base Hospital is proud to your condition. In order to protect your be a leading healthcare innovator in privacy, medical information will not regional hospitals. be released without your consent. As a digital hospital, your healthcare Should you be unable to advise staff team will use computers instead of of this, release of information is paper files to document and access restricted to your designated next of your medical information. Digital kin, who can then communicate to bedside monitoring devices will other family and friends. automatically upload your medical Following an operation, your relatives information, such as blood pressure, should first enquire at the ward about temperature and heart rate, directly to your condition and when you can be your secure electronic medical record. visited. Clinical staff will scan your patient armband to ensure safety processes If further information is required, a are maintained. member of the nursing staff will be pleased to arrange for your relatives As a digital hospital, we can: to speak with appropriate medical • Provide better healthcare by staff. If you need a medical certificate, improving access to information by please see the attending nurse or your giving clinicians immediate access doctor. to comprehensive, targeted plans You have a right to access your clinical of care for your treatment. record and personal information held • Multiple clinicians can access by Mackay HHS. Further information records at one time to streamline about this process is below. To access patient care. forms or for any queries, please contact the Information Access Unit on • Streamline services within the (07) 4885 7381. hospital to facilitate discharge planning. Applying for your own clinical records Mackay HHS is supportive of patients • Improve our medical research. wishing to access a copy of their • Reduce our environmental clinical record. In most cases, patients footprint. can usually access a copy of their own clinical record by completing the Your secure electronic medical record ‘Administration Access form’, proof can only be viewed by authorised of identification (such as a Driver’s Queensland Health hospital staff. License) is required. 27
Applying for personal information If you choose to be a public patient, Access to patient information that is generally hospital services will be considered personal and is sensitive given free of charge. You may have to in nature (e.g. mental health records pay a nominal fee for some services. If and children’s records) is granted costs apply, they will be explained to under the Information Privacy (IP) Act you. 2009. If you choose to be a private patient Patients are required to provide proof by using your private hospital of their identity before any personal insurance, there are benefits for the information can be released. patient (no out-of-pocket expenses There is no application fee or for admissions of one or more nights), processing charges for patients for the hospital and clinical staff by wishing to view their own personal retaining revenue locally to enhance information; however, there may be services. If you are admitted as a an access charge. Please contact the private patient, you will need to give Information Access Unit to discuss details of your health insurance during these charges. the admission process and will be asked to sign a health fund claim Applying for someone else’s form. personal information If you wish to access the Single/private rooms are allocated documentation of another person, on a clinical basis; however, if a or access information on behalf of single room is available, the patient’s another person, which does not request can be honored. contain personal information, this All patients, both private and public, may be done under the Right to who are still in hospital after 35 Information (RTI) Act 2009. There is days or who have had a number an application fee for access to these of admissions without a discharge documents, as well as processing and period of more than seven days, are access charges. Please contact the assessed to see if they qualify as a Information Access Unit to discuss Nursing Home Type-Patient (NHTP). these charges. If the patient qualifies as an NHTP, whether public or private, they will be Patient Accounts charged a set accommodation fee. Eligible Australian residents may The cashier office operates Monday choose to receive private or public to Friday from 8.30am – 4.30pm. You hospital services that can both be can contact them on (07) 4885 5225. delivered from Mackay Hospital and They have payment options, including Health Service facilities. EFTPOS, direct debit and credit card. Overseas visitors or ineligible patients are those that do not hold Medicare entitlements and are responsible for fees and charges for hospital treatment. 28
Medical Team/Teaching of Health We achieve this through our strong Professionals collaborations with a range of external Your treatment and care remain our partners and leading, cutting-edge primary concern. This hospital is also research and innovation, locally. a teaching hospital, which means that As MIRI initiatives are all about staff have two other important duties: improving patient experience, your 1. To train future health workers unique insights are integral to helping us design the care that suits your 2. To assist in the advancement of needs. healthcare knowledge through research To help us do this, we may approach you about participating in research This is why health profession students projects or ask if you would like to and recent graduates assist with be involved in the implementation or your treatment and are taught at the research project reference groups that bedside by specialist staff. You may relate to your care. be asked to discuss details of your illness and undergo examination by Further information about our work is the students. We believe you will available by visiting www.miri.health. appreciate the importance of this qld.gov.au or email miri@health.qld. training and hope you give us full gov.au cooperation if asked to assist in the teaching process. The Hospital Fire Safety/ Emergency Procedures However, should you prefer not to take part in such teaching at any time, we Your safety is of paramount shall respect your wishes. importance to us. In case of an internal emergency, such as a MIRI fire, our staff are trained to take care of patients and visitors, and may move you to a safe area. Your prompt cooperation will help ensure everyone’s safety. Remain calm, How we are working to improve your follow directions provided by hospital care staff and do not use lifts in the event Patient-centred care is at the heart of a fire. of everything we do, and through Fire alarms are tested periodically, but the Mackay Institute of Research and you will be notified in these cases. Innovation (MIRI), our staff are always working to improve your experience. If you are unsure or have concerns, please ask hospital staff in your area. MIRI is an emerging translational research and innovation centre that works to improve your care and the health of our communities by implementing the latest clinical knowledge into practice. 29
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