Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
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PATIENT INFORMATION Contents Welcome 4 Section 3 22 About Prince of Wales Hospital & Going Home 22 Community Health Services 4 - Planning to Go Home 22 Acknowledgement of Country 5 - Staff Roles & Responsibilities 22 Contact Us 5 - When You Go Home 22 Visiting Hours 5 - Managing Your Medications 22 Improving the Health & Wellbeing of - Follow-Up Visits with Your Doctor 22 Our Communities 5 Section 4 23 - The Acute Services Building 5 Other Services & Information 23 - Deloitte Assist – Spinal Unit Voice- - Valuables 23 Activated Nurse Call System 6 - Televisions 23 Section 1 9 - Telephones 23 - Rights & Responsibilities 9 - Mail 23 - Smoking 9 - Newspapers 23 - Providing Information 10 - Shops 23 - Consent for Treatment 10 - Automatic Teller Machine Banking 23 - Do You Have Any Special Needs? 12 - Chapel & Spiritual Services 23 - Interpreter Services 12 - Car Parking 24 - Aboriginal Hospital Liaison Service 12 - Family & Carer Accommodation 24 - Research 12 - Fire & Emergencies 24 Section 2 14 - Laundry 24 - While You Are in Hospital 14 - Organ & Tissue Donation 25 - Personal Items Needed in Hospital 14 - Advance Care Planning – Planning - The Emergency Department (ED) 14 Ahead for Serious Illness or Injury 25 - Your Ward 14 - Compliments, Complaints, - Carers & Families with Caring Concerns & Suggestions 25 Responsibilities 16 Section 5 26 - Food 16 - The Prince of Wales Hospital - Clinical Handover 16 Foundation 26 - How to Use Medicines Safely in - Meet Ross Fowler & His Generous Hospital 18 Family 26 - Help Us Prevent the Spread of - How Do Grateful Patients Make Infection 18 All the Difference? 26 - If You Are Worried Your Condition is - How Can I Support the Patients Getting Worse 21 & Staff? 27 - Being Admitted as a Private Patient 21 - Overseas Patients 21 3
PATIENT INFORMATION Welcome LOPED WI VE T We understand spending time in hospital may be challenging. We hope this DE H information will help make your stay as comfortable as possible. IES PAT If you have any questions after reading this information, please feel free to ask IL one of our staff. We also have more information on our Hospital website: N IE M TS A AND F https://www.seslhd.health.nsw.gov.au/prince-of-wales-hospital About Prince of Wales Hospital & Community Health Services Prince of Wales Hospital and Community Health Services (POWH) is based at the Randwick Hospitals’ Campus and is part of the South Eastern Sydney Local Health District. POWH is a major teaching hospital. It provides excellence in healthcare to those living in South Eastern Sydney, as well as specialist services to people from across New South Wales. The hospital has a range of employees including medical, nursing, allied health, health research professionals, administrative staff and clinical support staff. The hospital also has consumer and community representatives and volunteers assisting with healthcare. The facility provides specialty services in areas such as hyperbaric medicine, neuroscience, emergency medicine, spinal medicine and cardiovascular care. 4
PATIENT INFORMATION Acknowledgement of Visiting hours are designed to allow for rest and to attend to patients’ personal care and Country medical needs (e.g. therapy sessions, tests, We acknowledge the traditional custodians on administering medication) in privacy. whose land we stand. Prince of Wales Hospital Please be reminded that most rooms are shared is located on the lands of Bidjigal and Gadigal and we ask you to be sensitive to the needs of peoples of the Eora nation. We would like to other patients. pay our respects to the Elders past, present and those of the future. Improving the Health Contact Us & Wellbeing of Our Phone: (02) 9382 2222 Communities Language other than English: Contact us The Acute Services Building using the Translating and Interpreter Service The NSW Government is investing $720 million (TIS National) on: 131 450 (Available 24 hours a to redevelop the Prince of Wales Hospital and day, 7 days a week) progress the vision of Randwick as a world- Hearing/speech impaired: Contact us using leading Health and Education Precinct for the National Relay Service by visiting: http:// healthcare, research, education and teaching, www.relayservice.gov.au including a new Acute Services Building due for Location: Prince of Wales Hospital is located completion in 2022. between High Street, Barker Street and Avoca The new Acute Services Building (ASB) Street in Randwick, in Sydney’s Eastern Suburbs. will provide a range of innovations and Postal address: Prince of Wales Hospital, improvements that will greatly benefit patients, Barker St, Randwick, NSW, 2031 staff and the community, and will support comprehensive approaches for improving Email: seslhd-generalmanager-powhsseh@ population health. health.nsw.gov.au The ASB will deliver the following: Website: https://www.seslhd.health.nsw.gov. au/prince-of-wales-hospital • A new adult Emergency Department (ED). • An expanded Psychiatric Emergency Care Visiting Hours Centre (PECC), adjacent to the ED. Family, friends and carers are welcome to visit • An expanded Intensive Care Unit. patients while they stay in our ward. • Ten inpatient units (IPUs) that will replace For the comfort and safety of patients, we ageing infrastructure with contemporary recommend brief visits of no more than two facilities to support new models of care. The people at a time, and please supervise children new IPUs will provide a higher proportion at all times. of single rooms to improve the patient Visiting hours in most wards are 10am– experience and outcomes. 1pm and 3pm–8pm. • An expanded Central Sterilising Service Should you need to visit outside of these hours, Department. please speak to the Nurse in Charge. • New Operating Theatres for the Randwick Campus. 5
PATIENT INFORMATION • A Medical Assessment Unit, providing for Deloitte Assist – Spinal Unit Voice- rapid assessment of patients directly referred Activated Nurse Call System from the community, including a state-of- Deloitte Assist is an artificial-intelligence- the-art Virtual Care Centre (VCC), which enabled patient communication solution that will: allows patients to request assistance without o Support the integration of health the need to press a button. Patients speak their services in the community, e.g. request to the device and nurses are notified Hospital in the Home (HITH), Post of the request via their smart devices. Artificial Acute Care Services (PACS) and aged Intelligence prioritises these requests and routes care facilities. them to the right resource. o Provide oversight of hospital and Deloitte Assist was implemented over a four- community functions. week period in the Spinal Unit at Prince of Wales Hospital in April 2018 as part of a proof o Enable early identification and of concept trial. To date, 26 beds have Deloitte intervention for patients with chronic Assist installed and the feedback from patients and complex conditions to support and staff have largely been positive. The devices community-based care. have improved the patient experience on • A new helipad to support all campus the ward and staff are engaged with finding partners. innovative ways to use the solution to improve • Teaching, education and research spaces their provision of care. that are embedded within the clinical areas to support collaborative clinical research and innovation. 6
PATIENT INFORMATION Section 1 Use of an Interpreter – you have the right to use a professional interpreter if you need Rights & Responsibilities help to communicate in English or if you are NSW Health supports the Australian Charter of deaf. Our staff can also ask for an interpreter. Healthcare Rights. These are: Interpreter services are free and confidential. The staff can book an interpreter for you if you Access – the right to receive health care are in our hospital. If you are trying to contact regardless of gender, marital status, disability, us from outside our hospital and require an culture, religious beliefs, sexual orientation, age interpreter, please call the Translating and or where you live in NSW. Interpreting Service (TIS National) on 131 450. Safety – the right to safe and high-quality Tell the operator what language you speak care and we ask that you show this courtesy and the health professional or service you are to others. We ask that you respect our policies calling. This is a free telephone interpreting and practices, such as visiting hours, infection service for patients, family members or visitors, control measures, smoke-free zones and and is available 24 hours a day, seven days a limitations on the use of mobile phones around week. medical equipment. Smoking Respect – the right to be treated with respect, dignity and consideration. Smoking is only permitted in two designated smoking areas – one Communication – the right to be informed near the Barker St entrance and about services, treatment and options in a clear the second on Princess Avenue. All patients, and open way. carers, visitors and staff are expected to only Participation – the right to be included in smoke in one of these two areas. If you cannot decisions and choices about your health care. get to one of these areas, please speak with You also have the right to decline services. If your doctor to organise nicotine replacement you leave the hospital premises without our therapy, counselling or other support services consent, you will be required to sign a form as while you are in hospital. you are responsible for any resulting injury or illness caused. Privacy – the right to privacy and confidentiality regarding personal information. You have the right to speak to a health care worker about the information in your medical record. You can also request a copy of your medical record. Comment – the right to comment on care and have your concerns addressed. Throughout your visit, health care providers will plan your treatment in partnership with you. We will talk to you about when you will go home and if we need to refer you to another service. 9
PATIENT INFORMATION Providing Information This helps our health services care for you and We ask that you give us as much information as offer you services like our Aboriginal Hospital possible about your health, including: allergies, Liaison Officer service. medical conditions or disabilities. Please tell us which medicines (including herbal medicine) Consent for Treatment or remedies you are using and whether you You must give consent before receiving smoke, drink alcohol or use recreational drugs. treatment. Whoever is providing your treatment must explain the treatment to you, the benefits And tell us: and risks of having the treatment and any • About any changes to your health and any alternatives. This is so that you can make an reactions to your treatment. informed decision about whether you want to go ahead with the treatment, and so that you • If you are being treated for the same can give your consent to going ahead with problem by someone else. the treatment. In most cases this will be verbal • If you do not understand any of your tests consent, meaning you will verbally agree to the or treatments. treatment. • If you have any specific religious or cultural For some procedures, such as surgery, you needs. will need to read a consent document and • If you want to be treated as a private provide your signature to confirm that you are patient. consenting to the treatment after it has all been explained. • If you have made a decision not to follow treatment advice and not attend If you have difficulty understanding English appointments. or are deaf, we must use an interpreter for this discussion so that you clearly understand Many people are involved in your care, and we the procedure and any risks involved, and you need to make sure you are receiving the correct can give your consent to have the procedure treatment. Just to be sure we will ask you a few or treatment. You have the right to withhold times to tell us: consent. This means you are saying no to the • Your name. treatment and will not receive treatment. If you are unconscious or too ill to give consent • Your date of birth. yourself, a relative, carer or other person • Why you are here. close to you will be asked to give consent for any necessary treatment. If this person is Please don’t be alarmed by these questions. unavailable, the Guardianship Tribunal can give This is how the staff make sure they are giving consent. In a life-threatening emergency where you the correct treatment. If you are admitted you are too ill or unconscious, giving your or receiving treatment as a day patient, you consent is not required. will be required to wear an arm band with your personal details. When you come to hospital as a patient you will also be asked, ‘Are you (is the person) of Aboriginal or Torres Strait Islander origin?’ 10
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PATIENT INFORMATION Do You Have Any Special Needs? For country-based patients, the Isolated Patients Please let us know if you have special needs (for Travel and Accommodation Assistance Scheme example, if you are hearing or sight impaired (IPTAAS) is a subsidy program that provides or have special dietary or religious needs). We financial assistance to help with travel and will do all we can to ensure that your needs are accommodation costs for people (and eligible met. escorts) who need to travel long distances to access specialist treatment not available Interpreter Services locally. Patients travelling at least 100km each way, or at least 200km per week, may be Professional interpreters are available if eligible to apply for IPTAAS subsidies. For more you need help understanding or speaking information, please speak with your social English, or if you are deaf. You may have worker. a family member or friend present, but all communication about your treatment should Research be through a professional interpreter. Please ask our staff to organise an interpreter if you POWH is a teaching hospital in partnership with need one. Interpreter services are free and the University of New South Wales. You may confidential. AUSLAN interpreters are also be asked if students or health employees in available. training may be present while you are receiving care or treatment. This practice contributes to Aboriginal Hospital Liaison Service the development of professional skills. You may also be asked to participate in medical research. Our Aboriginal Hospital Liaison Officer (AHLO) You have the right to say no to these requests. provides support to Aboriginal and Torres Strait Your decision will not be put in your records Islander patients and their families. Services and will have no impact on your treatment or include emotional, social and cultural support, access to services in the future. and advocacy and liaison with other staff on behalf of patients and families. The AHLO also Brochures providing more information about provides information about hospital and legal your rights and responsibilities are available services, patient rights and responsibilities, and on the ward and are available in a range of child care protection issues; plus referrals to languages. Aboriginal and non-Aboriginal organisations. The AHLO can help families to organise financial benefits, accommodation and care, and help at home. You can telephone our AHLO directly on 9382 2332, or contact the hospital’s Social Work Department on 9382 2355. We also have the Barmbli room for family and friends to gather. It can be found at the High St entrance. 12
PATIENT INFORMATION Section 2 • Any prescribed medicines or other products (e.g. tablets, creams, drops, ointments, While You Are in Hospital inhalers, teas etc) you are currently taking. When you arrive on your ward the doctors, • Any x-rays or scans the doctor asked you to nurses and allied health team will discuss your bring. care with you and your family. At this time and • A change of clothes for when you go home. throughout your hospital stay, they will talk to you and your family about how and when, you • Please bring details of your insurance claim will leave hospital. if your admission to hospital is being paid for by workers compensation or third party Depending on the progress of your recovery this insurance. date may change. If this happens the staff will let you know. • Isolated Patients Travel and Accommodation Assistance Scheme (IPTAAS) Form if you are Knowing when we estimate you will go home coming from a country area. helps you and your family to plan transport and any other support services you might need. If The Emergency Department (ED) you are unable to leave hospital by 9am on the day you go home, it is likely that the hospital You may have been admitted to the hospital via ward staff will take you to the Patient Discharge our Emergency Department. This is a very busy Lounge. This will allow your bed to be prepared department that provides services to more than for the next patient needing our services. The 50,000 people each year. Every person seeking Patient Discharge Lounge is open Monday to emergency care is first seen by a specialist triage Friday from 8am–5pm. Telephone (02) 9382 nurse, who has a responsibility for allocating 7950. how urgent your need is. The most urgent patients are always seen first, so the time you Personal Items Needed in Hospital may wait to see a doctor will vary according to how urgent your medical needs are. Some Some of the items you will need while you are patients may be seen before you even though in hospital include: you have been waiting for a longer period of • Toiletry items, such as a toothbrush and time. toothpaste, soap, shampoo, a comb and sanitary items. Your Ward • Pyjamas, a dressing gown and non-slip Each ward specialises in specific conditions. slippers. We try to give you a bed in the best ward for your current condition. However, if it is busy, • Glasses, dentures (with case or container) you may be placed on a different ward. If and other personal aids (e.g. walking aids, this happens, you will still be looked after by medical equipment such as your Continuous doctors specialising in your current condition. Positive Airway Pressure (CPAP) machine; please label them). Every effort is made to place you in a room with people of the same gender. If you are in a • Medical insurance details. mixed gender room, the staff will try to move • Your Medicare card. you within 24 hours of your admission. • A small amount of money to buy If you have any concerns regarding your room newspapers, snacks and other day-to-day placement, you may speak to the Nursing Unit items. Manager or Nurse in Charge at any time. 14
PATIENT INFORMATION Carers & Families with Caring Also let them know if you need help to open Responsibilities food packages or to eat your meals. Prince of Wales Hospital will value and engage Your family or friends may bring in food or with carers as partners in care. If the person you drinks for you, but please check with your care for is in hospital: doctor, nurse or dietitian in case you need a special diet as part of your treatment. • Ask to speak to a social worker or to nursing staff if you need help with caring for Meal times vary from ward to ward but someone or accessing services. usually occur within the following hours: • What is the expected date they will leave Breakfast 7.30am–8.30am hospital, and will transport be provided? Lunch 11.45am–12.30pm You may also need to speak to a social worker Dinner 4.45pm–5.30pm if you are a carer, have been unexpectedly You may also be asked to not eat or drink admitted to hospital and have concerns the before a procedure or test. Staff will let you person you usually care for does not have know the time you should stop eating or sufficient support. drinking. It is very important that you follow Under privacy legislation, the person you care any instructions you are given. for will generally need to give permission for Alcohol and non-prescribed drugs are not health service staff to talk to you about their permitted anywhere on the hospital campus. condition and care. It is important that the hospital or health service has the right contact Clinical Handover person recorded in the patient’s file. Clinical handover is the transfer of your care Misunderstandings may be avoided if one from one clinical team to another. Clinical agreed person, such as the carer, is the contact handovers can vary in a number of ways, person and can pass on information to family as including the: appropriate. • S ituation – at shift change, when patients For more information on the Carer Support are transferred within and between Program, please go to https://www.seslhd. hospital/s, during patient admission, referral health.nsw.gov.au/services-clinics/directory/ to services or discharge home or to another priority-populations/carers-program facility. Food • Method – face-to-face, by telephone, aided by electronic handover tools. Each morning you will be given a menu to complete. The menu is for dinner that night, • Venue – at the patient’s bedside, in a and breakfast and lunch for the next day. If you common staff area, at a hospital reception need any help to fill this out, a dietetic assistant or clinic reception. can help you. During your hospital stay and in each ward/unit If you have any special dietary needs, for of your stay there are set shift change times. example, if you are diabetic, coeliac, vegetarian Usually at 7am–7.30am, 1.30–2.30pm and or have specific religious needs, please inform 9.30–10pm, seven days per week. nursing staff or the person who delivers the menus. 16
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PATIENT INFORMATION The type of issues discussed at shift change or Hand hygiene is a new term to describe transfer include, your current clinical situation, washing or cleaning your hands with alcohol- medical history, assessments and test results, based hand rub. and any recommendations/changes to your care How Can We Prevent Infection? plan and discharge plan. Hand hygiene is the best way to help prevent We invite you and your family to participate infection. Hand hygiene products (such as and partner with us in the clinical handover alcohol-based hand rub and soap and water) process, and also inform us if you wish to not are available throughout all our clinical areas, be included at any time. such as patient rooms, wards, and out-patient As the patient, nominated family member areas. or carer your wishes will be acknowledged It is very important that anyone visiting you and supported regarding your care goals cleans their hands with the alcohol rub or soap and preferences through your admission/ and water before visiting you and when they presentation/illness. leave. How to Use Medicines Safely in How Do You Use Alcohol-Based Hand Rub? Hospital • Put the alcohol-based hand rub (one or two While you are in hospital you must only take or pumps) on your palms and rub your hands use medicines that have been given to you by together. the hospital staff. • Cover all of your hands, including your While it might seem easier or helpful to handle fingers and thumbs – front and back – and your own medicines, this is how accidents can rub your hands together until they feel dry happen. Allowing us to manage your medicines before touching anything else. during your stay helps us keep you safe. • This should take around 20 seconds. Infection Precaution Rooms Help Us Prevent the Spread of Infection If you have an infection we may move you to a room on your own. We will let you and your Infection Prevention and Control family know before this happens and explain Patients, visitors and staff have a major role what this means. If you are in an infection in infection prevention and control. You may precaution room, staff need to clean their have come to hospital with an infection. You hands before entering your room. Depending may also have an increased risk of getting an on the nature of your infection, staff may infection if you have had surgery, if you are also need to wear gloves, plastic gowns, eye taking medicines that weaken your immune protection and a mask when entering your system or if you stay in hospital for a long time. room. Hand Hygiene Even if your hands look clean they can still be carrying germs. One of the best ways to reduce the spread of infections is to wash or clean your hands. 18
Staying safe with your medicines Important information for patients and carers ! While you are in hospital you must Hospital staff will need a way to confirm your medicine details, perhaps by going through only take or use medicines that have your medicine boxes and bottles with you, or by been given to you by the hospital staff. asking your permission to speak to your local While it might seem easier or helpful to doctor or pharmacist. handle your own medicines, this is how accidents can happen! Allowing us to Please do not be concerned if you are asked manage your medicines during your stay about your medicines more than once during helps us keep you safe. your stay often we just need to check that the information we have recorded is correct. If you medicines you When you are admitted to hospital: usually take, or you suspect that the medicines As part of your admission to hospital, one or more one of our doctors, nurses or pharmacists. members of hospital staff will ask you questions During your stay in hospital: about your medicines. It We may make changes to is very important that we the medicines you take. have an accurate and Your hospital doctors complete list of all the should always include medicines that you use. you in these decisions and provide you with When you are asked about your medicines try information about your ? to think about the different types of medicines treatment options. STAFF YOU that you might use. Consider tablets, mixtures, creams, inhalers, eye drops, patches, Our hospital staff can get very busy at times, injections, and any other items you can think of. Vitamins and herbal treatments should be about your medicines to get missed. You can included, as well as any medicines you might help us by asking lots of questions about your buy without a prescription or that you use only medicines, including what the plan is for these occasionally. Please let us know if any of your medicines have recently changed and be written information about a particular medicine, honest about how well you follow the please ask for a CMI (Consumer Medicines instructions (including how often you might Information). Your ward may also have a miss doses). pharmacist that you can ask to speak to.
Before you leave the hospital: Keeping an up-to-date list of medicines When you are leaving is one of the BEST things a person can hospital you should be My medicines do to stay safe with their medicines. given a clear explanation Continue taking: Think about how many different health of any changes that have professionals you interact with local been made to your New medicines: doctors (GPs), specialist doctors, hospital medicines. Most patients doctors, pharmacists, dentists, paramedics, should also be provided Dose changes: and other care providers. All of these with an updated list of Stop taking: people need to know what medicines you medicines in a format currently take in order to help you make they can understand. good and safe decisions about your care. If you do not receive information about your Patients should always keep an up-to-date medicines at the time of discharge, or you are list of their medicines. A basic list would unsure about how to take your medicines include the name, strength and dosage when you leave hospital, please let a member instructions for each medicine, and the date of staff know immediately. idea to also include why you are taking Managing your medicines at home: each medicine, when you started it, and for It is important to us that our patients feel how long you are supposed to take it. confident in managing their medicines after they leave hospital. One of the best ways to The MedicineWise App check your confidence is to think about each If you (or your carer) have medicine and ask the following questions: a smart phone or tablet Do I know the name of this medicine? device, we strongly recommend using the Do I know what strength I use? MedicineWise app to help Do I know what dose I take and when? you keep track of medicines Do I know what I am using it for? and other health information. It is very easy to add medicines to your list and you can Do I know how long I am going to be on set reminders for when your doses are this medicine? due. You can even email a copy of your Do I know if this medicine has side medicine list to yourself, your family, and effects? your health professionals. If you need help with some of these The MedicineWise app is completely FREE questions, you can ask to speak to a doctor, and contains no advertising. It may be nurse or pharmacist. If you have already left downloaded from Google Play or the App hospital, you can ask your local doctor or Store (ask a friend if you need help with community pharmacist. You can also call setting this up!) 1300 MEDICINE (1300 633 424) for general information about any medicines (available Staying safe with your medicines (Information for patients and carers) Monday to Friday, 9:00am to 5:00pm). SESLHD Quality Use of Medicines Committee, February 2018 © South Eastern Sydney Local Health District
PATIENT INFORMATION How to Handrub? RUB HANDS FOR HAND HYGIENE! WASH HANDS WHEN VISIBLY SOILED Duration of the entire procedure: 20-30 seconds 1a 1b 2 Apply a palmful of the product in a cupped hand, covering all surfaces; Rub hands palm to palm; 3 4 5 Right palm over left dorsum with Palm to palm with fingers interlaced; Backs of fingers to opposing palms interlaced fingers and vice versa; with fingers interlocked; 6 7 8 Rotational rubbing of left thumb Rotational rubbing, backwards and Once dry, your hands are safe. clasped in right palm and vice versa; forwards with clasped fingers of right hand in left palm and vice versa; All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material. May 2009 Reference: Hand Hygiene Australia. http://www.hha.org.au/hha-nhhi.aspx Infection Control, Metro South Health, Queensland Government, Australia. World Health Organisation (WHO) 21
PATIENT INFORMATION How to Handwash? WASH HANDS WHEN VISIBLY SOILED! OTHERWISE, USE HANDRUB Duration of the entire procedure: 40-60 seconds 0 1 2 Wet hands with water; Apply enough soap to cover Rub hands palm to palm; all hand surfaces; 3 4 5 Right palm over left dorsum with Palm to palm with fingers interlaced; Backs of fingers to opposing palms interlaced fingers and vice versa; with fingers interlocked; 6 7 8 Rotational rubbing of left thumb Rotational rubbing, backwards and Rinse hands with water; clasped in right palm and vice versa; forwards with clasped fingers of right hand in left palm and vice versa; 9 10 11 Dry hands thoroughly Use towel to turn off faucet; Your hands are now safe. with a single use towel; All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material. May 2009 Reference: Hand Hygiene Australia. http://www.hha.org.au/hha-nhhi.aspx Infection Control, Metro South Health, Queensland Government, Australia. World Health Organisation (WHO) 22
PATIENT INFORMATION What Can You Do to Reduce the Spread of Brochures providing more information about Infection? preventing pressure injuries are available on the • Tell staff if you have been overseas in the ward in a range of languages. last 12 months, if you have vomiting or Please ask your nurse for further information diarrhoea, open wounds or weeping skin about preventing and managing pressure sores. injuries while you are at hospital and before • Wash your hands with an alcohol-based your discharge. hand rub or soap and water regularly, and especially after using the toilet, changing If You Are Worried Your Condition a nappy, blowing your nose, sneezing or is Getting Worse coughing. When you are in our Hospital, please tell us if you are worried about a change in your • Please do not sit on other patients’ beds and condition. If you are a visitor and notice a please ask your visitors not to sit on your change in the condition of the person who is bed. sick and in our care, please also tell us. • Tell our staff if you have had a recent rash or To share your concerns with us, please speak an infection. to a nurse or doctor and explain what you • When your hands are visibly dirty, wash your are worried about. If you remain worried, we hands with soap and water. have a phone number you can call from your • When you enter and leave the hospital own phone: 9382 2622, or from the hospital or clinic area, clean your hands with an bedside phone: extension number 22622. alcohol-based hand rub. You may see posters in our hospital with this Do not visit people in hospital if you are sick information on them. This is called our REACH with a contagious illness such as a cold or program. flu, vomiting, diarrhoea, or chickenpox. If you We ask you to REACH out to us with your are not certain about whether you should be concerns because you and your visitors might visiting someone in hospital, please ask one of notice changes in your condition before we do. our staff. Together we can care for you. Preventing Pressure Injuries Being Admitted as a Private A pressure injury, also referred to as a pressure Patient ulcer or bed sore, is an injury to the skin caused By choosing to use your private health by unrelieved pressure, and may occur when insurance, both you and the hospital benefit. you are unable to move due to illness, injury or Personal benefits for you include: waiving any surgery. excess applicable to your policy; doctor of To prevent pressure injury, staff will be doing choice and a single room – if one is available. risk assessments during your admission and By choosing to be a private patient you help us throughout your stay, and working with you to maintain accessible, high quality services. If to manage the risk of pressure injuries with you have private health insurance, the Patient different interventions, such as encouraging Liaison Officers will discuss this with you and mobility/re-positioning or using a special seek your consent to be admitted as a private mattress and/or a cushion. patient. 23
PATIENT INFORMATION If you have any questions or concerns about Effective planning ensures that you will not using your private health insurance, you can have to stay in hospital any longer than you contact the Patient Liaison Officers directly on need to. 9382 3952, or ask the clerk on your ward to Social workers are available to help both you arrange for them to visit you. For patients who and your family with planning for when you are members of the Department of Veteran leave hospital. They also provide counselling Affairs, the Patient Liaison Officers can be services. If you would like to see a social worker, contacted to assist with any paperwork. ask someone from your health care team. Overseas Patients When You Go Home If you have been admitted to hospital and you The time we discharge people from the ward is permanently live overseas, you may have to pay before 9am. If you need to wait for someone for all services provided unless you have travel to collect you, you may be transferred to the insurance. Please provide your insurance details Patient Discharge Lounge (PDL), which is open to the administration staff. You will also need Monday to Friday from 8am to 5.30pm. to provide your passport number and a copy of your visa, as your visa status will determine The Patient Discharge Lounge is also a place to what you need to pay to stay in hospital. wait for your medicines, discharge letters and equipment, and a place for staff to talk to you before you go home. Section 3 Remember to take any x-rays or medicines you Going Home brought to hospital with you. Planning to Go Home Managing Your Medications It is important that we start to plan for when Someone from your health care team, a doctor, you go home early in your hospital stay. This is pharmacist or nurse will review your medicines to ensure you are as prepared as possible and when you first come to hospital, while you are any additional requirements are organised. In in hospital and before you go home. If you some instances, discharge planning may occur would like to see a pharmacist, ask your nurse before you even arrive ,when you are booked to organise this. When you leave hospital you to come into hospital. If you are likely to have will be given a letter to take to your local doctor any special needs to help you go home safely, (GP). This is written by your hospital doctor and please talk to your healthcare team. describes your progress and treatment while you were in hospital. It will include a list of your Staff Roles & Responsibilities current medicines. You will be looked after by a health care team that includes doctors, nurses and allied health When you leave hospital you may be given staff (such as physiotherapists, occupational some medicines for your first few days at home. therapists, dietitians, pharmacists, speech Sometimes, you will be given a prescription pathologists and social workers). All hospital instead, which you will need to take to a staff wear an identification badge. community pharmacy. If you only have a few days’ supply it is important you visit your GP as Your healthcare team, along with other key soon as possible to get a prescription for more. people (such as your family, carer or general practitioner [GP]) will be involved in planning for when you go home. 24
PATIENT INFORMATION Most importantly, before you go home make Mobile telephone use is acceptable provided sure you understand what medicines you you are courteous and respectful of others. need to take and how to take them, as your Please do not take a photograph, video or medicines may be different to the ones you record conversations without asking permission were taking before you came to hospital. first. Follow-Up Visits with Your Doctor Mail As well as the doctor’s letter and your list of Mail can be delivered to you while you are in medicines, you may be given the date and time hospital. Please speak with hospital staff to for a follow-up appointment at the hospital or arrange this. If you would like to post any mail with one of our doctors. during your hospital stay, there is an Australia Post mail box on High Street, outside the main You may be told that you need to follow-up entrance of the hospital. with your general practitioner only. If you need a medical certificate, please ask the local doctor Newspapers (GP) looking after you to give you one. Newspapers are available daily throughout the hospital. Papers and magazines are available Section 4 at the POWH Volunteer Garden Coffee Shop on Level 1, as well as in the main foyer of the Other Services & Information Barker Street entrance. Volunteers visit the Valuables wards each day to sell newspapers. If possible, leave your valuables at home. If you come into hospital unexpectedly and have Shops valuables with you, they can be temporarily The Volunteer Coffee Shop is located on Level locked away for you. You can reclaim your 1 in the Clinical Sciences Building. It sells food, valuables from 9am to 5pm at the cashier’s magazines, personal items and gifts. This coffee office, located on Level 2 in the Parkes building. shop is run by volunteers and open to staff, Please ask one of the nurses to help you with patients and the public. this. On Level 0, in the Barker Street entrance you will also find a florist, a chemist, a gift shop and Televisions a café. Each bed has access to a television. You will need to pay to view commercial TV channels. Telephones If your family needs to contact you while in hospital each bed has a bedside telephone. They can reach you by calling (02) 9382 2222 and selecting option one and then option two. Our patient enquiries team will direct the call. Public telephones are available at each hospital entrance. 25
PATIENT INFORMATION Automatic Teller Machine Banking Disabled car parking is available at the Barker Automatic Teller Machine (ATMs) can be found Street and High Street entrances for limited on Level 0 near the Barker Street entrance, and periods of time. on Level 2 near the High Street entrance. Disabled parking is also available in Point Parking and is located on level B1. Chapel & Spiritual Services Please be aware parking in restricted areas may Chaplains are available to all patients and their incur a parking fine. Please check with parking families, whatever their religious background or signs. spiritual beliefs. The Chaplaincy and Pastoral Care Service can Family & Carer Accommodation arrange for pastoral care from any religious Your social worker or the staff at the enquiries faith, tradition or denomination, during the counter can provide a list of accommodation day and after hours. Please ask a staff member in the area. If you are travelling more than if you would like a chaplain or a spiritual 100km away for treatment, your carer may representative to visit you. be eligible for the Isolated Patients Travel and The hospital has a multi-faith chapel for you Accommodation Assistance Scheme (IPTAAS). and your family to use. This is located on Level See http://www.enable.health.nsw.gov.au/ 0 of the Campus Centre, near the Barker St services/iptaas for more details. entrance. Fire & Emergencies Car Parking Our staff are fully trained in emergency Car parking is available 24 hours a day, seven procedures. days a week. A private company, Point Parking, In the event of an emergency, you should stay operates this service and fees apply. For more in or by your bed until told otherwise by one of information, please telephone 9326 7233 or our staff. In the case of fire, do not use the lifts. go to Point Parking: https://www.pointparking. Please remain calm and stay within the ward com.au/parking-locations-details.php?site=59 until the nurse in charge guides you to the Concession rates are now available for eligible closest evacuation area. patients and their carers who require regular or long term hospitalization, and/or treatment Laundry in a public hospital facility for parking in public The hospital has a limited laundry service run by hospital car parks. the Prince of Wales Hospital Volunteer Service, and is available specifically for patients that For further information on concessional do not have support or assistance from family parking: or friends, and long stay patients who do not • Visit www.parking.health.nsw.gov.au or have the resources to assist with laundering of download our app NSW Health hospital personal clothing. This service is not available parking and directions on Google play or for soiled or infectious clothing. Please ask one iTunes. of the nurses to help you with this. • Visit our information counter at the Barker Street entrance, 8.30am to 8.30pm Monday to Sunday or after hours, visit the car park office located on B1 of the car park. 26
PATIENT INFORMATION Organ & Tissue Donation Like making a will and appointing a power of There are almost 1400 people in Australia on attorney or enduring power of attorney for organ transplant waiting lists at any given time. financial matters, advance care planning may By registering to become an organ donor you simply be a part of planning for the future. could be making the greatest gift one human Enduring Power of Attorney authority only being can give another – the gift of life. The applies to financial decisions. It does not extend Australian Organ Donor Register is Australia’s to making health care decisions on behalf of only national organ and tissue register and someone else. serves as a lifeline to the people on those Did you know that you can appoint someone waiting lists. to manage your health and lifestyle decisions, Anyone can choose to donate their organs and should you lose the ability to do this for tissue. Your registration with the Australian yourself? This person is called an “Enduring Organ Donor Register is a legally valid consent Guardian”. (or objection) for organ and tissue donation. Research has shown that health outcomes For further information and registration, you for people and their families improve when can call the Australian Organ Donor Registry on they are able to talk through their concerns, 1800 777 203 or visit https://donatelife.gov.au/. decisions, preferences and choices with health Most importantly tell your family/carer of your professionals. decision. For information on how to plan ahead, visit Advance Care Planning – Planning www.planningaheadtools.com.au Ahead for Serious Illness or Injury The Prince of Wales Hospital Advance Care Advance Care Planning is a way for you to talk Planning (ACP) Service can provide information with your family, carer and your doctor about to people living in the local area. Referrals are the type of medical care you would want to made via the Northern Network Access and receive if you became seriously ill or injured and Referral Centre by calling (02) 9369 0400. An were unable to speak for yourself. Talking about ACP Nurse Consultant can work with you and your health condition early aims to help you, your health care team. your family/carer and your doctor to understand what treatments you might want to receive in the future. Discussing your wishes before you become ill gives you and your family/carer the opportunity to talk about your values, experiences, fears and preferences for end of life care. You do not have to have a terminal illness for advance care planning to be relevant for you. Advance Care Planning can occur as part of general discussions about health with your family, friends, carers and health professionals. 27
PATIENT INFORMATION Compliments, Complaints, Section 5 Concerns & Suggestions At the Prince of Wales Hospital we aim to The Prince of Wales Hospital provide you with the best health service Foundation possible. We are the charity of the Prince of Wales Hospital. We welcome feedback from our patients and their families and friends so we can better We support our hospital by raising vital funds understand what is working well and where we for major projects, equipment, research, can improve. education, health promotion and patient care. Thanks to the generosity of those who support You can make a compliment, complaint or this hospital, we have been providing vital suggestion, in a number of ways: support to the hospital since 2004. • Provide your feedback to the Nursing Unit Manager of your ward or service area. You Meet Ross Fowler & His Generous can provide feedback face to face or via Family email or letter. This is the third time in three years that Ross • Provide your feedback to our Fowler and his family have provided a very Hospital’s Consumer Feedback generous gift to Parkes 8, in memory of Ross’ Manager by telephoning (02) wife Kathy who was a patient here at Prince 9382 2755, emailing SESLHD- of Wales Hospital. They helped purchase three NorthernSectorConsumerFeedback@health. vital signs monitors that have been named after nsw.gov.au or writing a letter to: Consumer Ross and Kathy’s three children Stuart, Elicia Feedback Manager, Level 3, Executive Unit, and Matthew. The Prince of Wales Hospital staff High St Building, Prince of Wales Hospital, were delighted to let Ross and his family know Randwick, NSW 2031. how their generous gift was so important for the care of their patients and they shared the • Alternatively, you may wish to use Patient fond memories of Kathy, who herself had been Opinion, a website where patients, friends a nurse. and family can publish their experiences of Prince of Wales Hospital. Patient Opinion is a not-for-profit organisation that exists to help improve health services by enabling open and transparent dialogue between patients and health service providers. https:// www.patientopinion.org.au/ 28
PATIENT INFORMATION How Do Grateful Patients Make Some may also wish to offer a donation as a All the Difference? gift as a tribute for a family member or friend, and it is also easy to arrange to make a planned Each week the Prince of Wales Hospital gift or a gift in a will. Foundation meets patients and their loved ones who have had a positive experience at Any support – small or large – is a big help to the Prince of Wales Hospital. Patients share your hospital. their stories of how very grateful they are to So, if you are considering giving a donation have such expertise, quality care and resources or gift in kind or support for a department here at Prince of Wales Hospital. Many wish or area of healthcare of your choice – please to give a gift of thanks to their caregivers and ask your nursing staff or caregivers to contact so the Grateful Patient Program, run by the the foundation office, or please visit the Foundation, enables donations to be given to foundation’s friendly staff in the Prince of Wales the department or area of heath care of their Hospital Foundation office so we can assist you. choice. To find out more, call us from your bedside How Can I Support the Patients & phone, extension 24 263, to discuss your Staff? interests or visit us at our office, which is There are many ways you can say thanks to located at the Prince of Wales Hospital, Barker your caregivers at the Prince of Wales Hospital. Street, Level 0, Randwick NSW 2031 (opposite If you would like to support your hospital, you the chemist shop). For more information, please can make a donation, come to our events, buy visit our website at www.powhf.org.au or our raffle and lottery tickets, host an event email us at info@powhf.org.au for information, yourself and keep across our activities by events and general enquiries. subscribing to our social media and newsletters. Thank you for your interest in our work! 29
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