PATIENT - Gadsden Regional...feedback through the Hospital Consumer Assessment of Healthcare...
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44 WWW.GADSDENREGIONAL.COM PATIENT PATIENT PATIENT GUIDE GUIDE GUIDE Key Information Key Information Key Information for Your Stay With Us! for Your Stay With Us! for Your Stay With Us! 2017 2017 2017
Transcript of PATIENT - Gadsden Regional...feedback through the Hospital Consumer Assessment of Healthcare...
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WWW.GADSDENREGIONAL.COM
PATIENT PATIENT PATIENT GUIDEGUIDEGUIDE Key Information Key Information Key Information
for Your Stay With Us! for Your Stay With Us! for Your Stay With Us! 201720172017
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ABOUT US..…..…...…..…...…..……...……..……..…. 3
WELCOME…………………………………………..……… 4
COMMITMENT TO CARE..….……..….....…. 5
CONDITION HELP ..…..…..……….…….…....…. 7
FACTS ABOUT YOUR STAY……………....…. 8
FOOD SERVICES/CAFETERIA ……......…. 9
TV CHANNELS....…………..…….………..…….…...12
TAKE CHARGE OF YOUR CARE..…....….14
WAYS TO FIGHT INFECTION.…….…....…17
PAIN MANAGEMENT..…..….…….………....….18
HOSPITAL INFECTIONS ..…..…............…. 21
ADULT VACCINES ..………………....…........….23
RIGHTS & RESPONSIBILITIES ………...…24
ADVANCE DIRECTIVES ..………..…........….26
AFTER-HOSPITAL CARE ..…..……..…....….27
HOSPITAL RESOURCES..…………….…....…. 28
HOSPITAL SERVICES ..…..………..………....…33
HEART ATTACK/STROKE SIGNS ..…....34
STOP SMOKING..…..…..…………...……….....…. 35
PHYSICIAN DIRECTORY..…..…...……....... 36
PATIENT PORTAL ..…..…..……..…….……....….41
Table of Contents ...
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Why We Are the Right Choice for Your Care:
I n 2016, Gadsden Regional was recertified as an advanced primary stroke center by The Joint Commission.
Also in 2016, Gadsden Regional was honored with the “Get With The Guidelines: Stroke” Gold-Plus Achievement Award by the American Heart Association. The hospital also has received recertification from The Joint Commission for hip and knee replacement surgery, making GRMC the first and only hospital in Alabama to reach such an achievement. In addition, Gadsden Regional’s Cancer Center as received reaccreditation with commendation from the American College of Surgeon’s Commission on Cancer and the hospital’s Sleep Disorders Center also has received reaccreditation from the American Academy of Sleep Medicine. Furthermore, the hospital holds certification in chest pain with PCI from the Society of Cardiovascular Patient Care and the hospital’s laboratory also is accredited by The Joint Commission.
About Us ...
CONTACT US: 1007 Goodyear Ave. Gadsden AL 35903 256-494-4000 www.GadsdenRegional.com
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Welcome to GRMC!
Dear Patient,
I am pleased that you have chosen Gadsden Regional Medical Center for your healthcare needs. For 100 years, Gadsden Regional has been the choice for generations and I thank you for continuing that tradition. We have been working diligently since our inception in 1906 to be the leading healthcare facility in our community and our lengthy list of accomplishments proves our efforts have been successful. As health care continues to grow and change, Gadsden Regional adapting to provide you and your family the best quality care available in our area. Whether we’re helping deliver your baby or delivering intensive care and comfort when serious illness or injury strikes, we are here for you. I am from Etowah County and, in fact, I was born right here in this hospital. It’s home to me and I want you, while you are here as a patient, family member or visitor, to feel welcome. Please let any of our staff know if we can do anything to make your stay more comfortable. Thank you, once again, for making Gadsden Regional your choice for your health care needs.
Sincerely,
Corey Ewing,
Chief Executive Officer
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Get Connected with My Health Home Patient Portal!
Y ou can have online access to your hospital inpatient records—test results, medications, procedure information, diagnoses and discharge instructions—through a secure
Patient Portal. Information from your hospital stay is usually available 36 hours after you are discharged. It’s quick to set up an account. Ask a staff member or stop by Registration. You will need to show your photo ID and share your email address. You will receive an email with a link to the Portal so you can finalize your account setup.
IT’S EASY TO USE AND CONVENIENT ...
The Portal has user-friendly navigation, and you can access it from any computer or mobile device with Internet connection, at any time. Once you set up your account, bookmark the site to make it convenient to check in regularly to view and download your information. When information is added, or if there has been a requested change to your Portal account, we will send you an email.
IT’S SECURE ...
Your information in the Portal is kept confidential. Only you—and those you authorize—will be able to see or gain access to the information in your Portal. We will not share, sell or lease your personal information with any outside party not affiliated with our organization. For extra security, each time you log in, you will enter your username (email address) and password, and answer your security question.
Patient Portal
IT’S FREE!
My Health Home Patient Portal is free —
provided by Gadsden Regional to help you become a
healthier, more informed patient.
GET AN ACCOUNT TODAY!
Ask or learn more at gadsdenregional.com.
For help using the Portal, call our toll-free
Help Line at 877-456-9617,
Monday through Friday, 9 a.m. to 5 p.m. Central Standard Time.
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Physician Directory
Radiation Oncology
Harrison, G. Lowndes, M.D. 256-494-4965
Urology
Hendrix, Lauren, M.D. 256-492-4040
Pirani, John F., M.D. 256-492-4040
Robertson, Dale, M.D. 256-492-4040
Shah, Manish, M.D. 256-492-4040
Stephens, Dawon, D.O. 256-492-4040
Wade, Merle, M.D. 256-492-4040
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Patient Satisfaction Matters to Us!
H ow’s your stay? Are you getting the care you need? Are your doctors and nurses listening and responding
to your questions or requests? Our goal is to provide the best quality care. To do so, we ask for feedback from patients like you.
During Your Stay
P lease speak with your nurse, charge nurse or unit director if you have any questions or concerns about
your care. If your issue is not resolved on the unit, then contact the Clinical Supervisor (dial 0 and ask the operator to page the Clinical Supervisor). You also have the right to file your complaint with either:
Alabama Department of Public Health
P.O. Box 303017
Montgomery, AL 36130
334-206-5300
Office of Quality Monitoring The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
1-800-994-6610
Email: [email protected]
Our Commitment to Care ...
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After Your Stay
O nce you leave our care, we will continue to seek your feedback through the Hospital Consumer Assessment of
Healthcare Providers and Systems (HCAHPS) survey. This survey is designed to be a standardized tool for measuring and reporting satisfaction across all hospitals in the U.S. After you are released from the hospital, you may be selected to participate in the HCAHPS survey. The telephone survey asks multiple choice questions on key care topics, such as:
doctor and nurse communication
medicine and discharge information
pain management and staff responsiveness
overall quality of the hospital environment
T he HCAHPS survey is backed by the U.S. Department of Health and Human Services. The survey is used to improve
the quality of healthcare. HCAHPS makes survey results public so hospitals are aware of where changes are needed. The results also enable healthcare consumers to changes are needed. The results also enable healthcare consumers to review and compare hospitals before choosing a healthcare provider.
Want to Know How We Score?
Y ou can review and compare the quality, care and safety ratings for different hospitals at:
Medicare Hospital Compare: www.medicare.gov/hospitalcompare
The Joint Commission: www.qualitycheck.org
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Pediatrics
Dragsten, Ellen, M.D. 256-546-4611
Hester, Benjamin, M.D. 256-546-4611
Hill, Cynthia, M.D. 256-543-2894
Lockridge, Daniel, M.D. 256-543-2894
Lovato, Matthew, M.D. 256-546-4611
McCorkle, Nancy, M.D. 256-543-2894
Nagji, Noorkarim, M.D. 256-543-2894
Quizon, Armando J., M.D. 256-543-2894
Rutland, Richard O., III, M.D. 256-543-2894
Skelton, Kenneth E., M.D. 256-546-4611
Smith, Deborah, M.D. 256-494-6006
Snell, Billie K., M.D. 256-543-2894
Yother, Claire, M.D. 256-543-2894
Plastic Surgery
Rumley, Thomas O., Jr., M.D. 256-494-0888
Psychiatry
Carr, Benjamin, M.D. 256-543-0131
Meadors, Stephan, M.D. 256-494-4260
Pruett, Adam, M.D. 256-494-4260
Pulmonary Medicine
Bennett-Venner, Arianne, M.D. 256-494-4646
Hakim, Mazen, M.D. 256-543-3877
Kaleem, M. Asif, M.D. 256-494-4646
Masood, Shahana, M.D. 256-494-4646
Raval, Dhaval, M.D. 256-494-4646
Shubair, Mohammed, M.D. 256-235-0294
Urbina, Luis, M.D. 256-547-4443
Radiology
Simmons, David, M.D. 256-494-4033
Spencer, Homer A., M.D. 256-494-4033
Valentine, Brian, M.D. 256-494-4033
Physician Directory
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Nephrology
Chellamuthu, Rameshkumar, M.D. 256-485-0899
Hwang, Edward F., M.D. 256-543-3508
Kwan, Wan-Fung “Gary,” M.D. 256-543-3508
Neurology
Bogdanova, Olga, M.D. 256-492-3571
Just, John, M.D. 256-547-8988
Spotnitz, Seth G., M.D. 256-492-3571
Neurosurgery
Andrade, Terry M., M.D. 256-546-3400
Ruiz, Henry, M.D. 256-494-3033
White, James G., III, M.D. 256-492-2145
Obstetrics/Gynecology
Frederick, Lindsay, M.D. 256-543-3977
Godfree, William N., Jr., M.D. 256-543-3977
Manning, Mark, M.D. 256-543-3977
Phillips, James R., M.D. 256-543-3977
Smith, Xavier, M.D. 256-492-7830
Oncology
Castillo, Elquis M., M.D. 256-492-0375
Ophthalmology
McEwen, Michael A., M.D. 256-492-7158
Oral Surgery
Dorsett, Cecil R., D.M.D. 256-492-6363
Orr, Frank, D.D.S. 256-492-6363
Orthopedics
Blackstock, Stephen F., M.D. 256-492-2663
Douthit, George J., Jr., M.D. 256-547-7417
Haller, William N., III, M.D. 256-492-8590
Hartzog, Carl W., M.D. 256-492-8590
Hester, Andrew, M.D. 256-492-8590
Kelley, Christopher G., M.D. 256-547-7417
Ryan, Daniel O., M.D. 256-547-7417
Shaw, Adam, M.D. 256-547-7417
Stewart, William R., M.D. 256-547-7417
Wilson, Lee, M.D. 256-492-8590
Pathology
Chandler, Donald, M.D. 256-494-4205
Priest, John B., M.D. 256-494-4025
Physician Directory
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D uring your stay, you have access to a special service called Condition HELP. You can call this service, and a critical-care team will check on you or your loved one
and provide help before there is a life-threatening emergency.
Call for help if you notice:
changes in heart rate or drop in blood pressure
change in respiratory (breathing) rate or oxygen levels
changes in urine output (much more or less urine)
change in mental status or level of consciousness
any time you are worried something might be wrong
any change in the patient’s condition that needs immediate attention and the healthcare team is not responding, or if you continue to have serious concerns after speaking with the healthcare team
How to Call Condition HELP
Step 1: From a room phone, dial 4778 (4RRT)
From outside the hospital, dial 256-494-4778 (4RRT).
Step 2:
Tell the operator your name, room number, patient’s name and your concern.
Step 3:
The Condition HELP Team will be sent to your room.
Condition HELP
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Most Frequently Asked Questions
A. Patient Admission: Patients are admitted to GRMC without regard to race, national/ethnic origin, sex, age, or handicap. GRMC fully complies with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975.
B. Pre-Admission Certification: Patients who have insurance plans requiring pre-admission certification must, with the assistance of their physician, obtain pre-certification prior to any scheduled or non-emergent admission to the hospital.
C. Room Assignment: Factors considered in selection of a room for a new admission are: sex, age, medical diagnosis and physician request. Selection is based on the patient’s medical needs and space availability. All beds are equipped with a remote control unit which operates the nurse call system and the television.
D. Check-In: Patient admission is requested by a member of the GRMC medical staff, who will supervise every detail of the patient’s treatment. Upon arrival, each patient will be asked a number of questions regarding his or her healthcare history. It is extremely important that you share all of your medical history at this time so that your care team can plan your treatment appropriately. This confidential information is extremely important. We appreciate patients’ cooperation in providing detailed answers to these questions.
E. Financial Arrangements: Hospitalization coverage is a contract between the patient and the patient’s insurance company. GRMC will cooperate to the fullest in expediting a claim.
Fast Facts About Your Stay ...
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Gastroenterology
Amin, Vipul T., M.D. 256-492-3220
Boyella, Vijaya, M.D. 256-492-0773
Fernandez, Cesar T., M.D. 256-492-3220
Kaplan, Jed L., M.D. 256-492-0773
Tummala, Vijaya P., M.D. 256-492-3220
General Surgery
Campbell, John H., M.D. 256-546-6038
Crabtree, Eric, M.D. 256-459-4202
Davenport, Ken, M.D. 256-492-0020
Echeverri, Alberto, M.D. 256-492-0020
Jackson, Steven, D.O. 256-547-6331
Naughton, Michael J., M.D. 256-547-8680
Newman, Charles L., M.D. 256-547-6331
Newman, Lucian III, M.D. 256-547-6331
Newman, Lucian Jr., M.D. 256-547-6331
Gynecology
Christenberry, Kyle P., M.D. 256-492-5002
Hospitalists
Fareed, Khurram, M.D. 256-494-4768
Jaiswal, Sunil, M.D. 256-524-4788
Kandasamy, Gayathri, M.D. 256-494-4768
Latif, Sarah, M.D. 256-494-4768
Osuji, Ferdinand, M.D. 256-438-5107
Roden, J., M.D. 256-494-4768
Sinha, Hemant K., M.D. 256-594-5950
Warren, Jarrod, M.D. 256-494-4768
Infectious Disease
Tchamba, Djeunou 256-494-5361
Internal Medicine
Ahiabuike, Smithson, M.D. 256-438-5107
Akinsanya, Olajide, M.D. 256-543-3072
Akisanya, Oluwole S., M.D. 256-543-9955
Keithan, John F., II, M.D. 256-413-1095
McCain, James A., M.D. 256-546-4606
Patel, Harshad S., M.D. 256-413-1333
Smith, Kenny E., M.D. 256-543-1100
Tariq, Mohammad, M.D. 256-492-0131
Thompson, H.B., M.D. 256-492-4001
Torregosa, Vicente S.J., M.D. 256-546-3345
Tummala, Jyothi, M.D. 256-492-8250
Wesley, Ralph N. Jr., M.D. 256-543-3930
Wilborn, Johnny R., M.D. 256-492-4001
Physician Directory
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Cardiology
Boyella, Ravi, M.D. 256-492-9924
Head, G. Bruce III, M.D. 256-492-9924
Khitan, Farah al 256-413-6301
Korn, Chaihan, M.D. 256-543-3047
McGwier, Bryan W., M.D. 256-492-9924
Narayan, Virenjan, M.D. 256-546-6200
Patel, Bankimchandra J., M.D. 256-546-6200
Patel, Ghanshyam, M.D. 256-543-3047
Prime, Darryl, M.D. 256-492-9924
Szeto, Peter M., M.D. 256-492-9924
Walker, Lewis P. III, M.D. 256-492-9924
Whitaker, Russell, M.D. 256-413-6301
Cardiovascular/Thoracic Surgery
McCoy, Daniel, M.D. 256-456-0226
Robinson, George C., M.D. 256-456-0226
Ear, Nose, Throat
Caldwell, Richard K., M.D. 256-543-9302
Dowling, Thomas F. IV, M.D. 256-543-9302
Kantzler, Kurt W., D.O. 256-543-2867
Ostendorf, Robert E., III, M.D. 256-438-5821
Family Practice
Ayres, Jason, M.D. 256-442-4141
Carpenter, Sandra, M.D. 256-546-1011
Harper, Thomas D., M.D. 256-546-5232
Haynes, Sharon, M.D. 256-442-7683
Iyer, Sathyan, M.D. 256-413-6000
Lowe, Courtney, M.D. 256-544-4868
Minton, Maury P., M.D. 256-413-6000
Oguntuyo, Jimmy A., M.D. 256-546-0073
Page, Thomas A., M.D. 256-543-2273
Perry, Terry, M.D. 256-543-0353
Peyton, Erwin Jr., M.D. 256-547-6969
Reiland, Debora S., D.O. 256-538-7273
Robinson, James D., M.D. 256-442-2022
Rowe, Clay C., M.D. 256-442-7683
Sanders, Steven M., M.D. 256-492-8250
Taherbhai, Akil M., M.D. 256-547-2153
Vann, Allison, M.D. 256-413-6000
Warren, Jarrod, M.D. 256-494-4768
Wren, Layla, M.D. 256-413-6000
Physician Directory
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However, the ultimate responsibility for payment rests with the patient. Remember, prepaid insurance plans seldom cover the full amount of a hospital bill. The balance of a patient’s hospital expense, above the deposit or confirmed insurance coverage, is payable at time of admission to GRMC. Each patient is requested to present his or her Medicare card, Medicaid card, other insurance cards and valid identification upon admission. You will be billed separately from the hospital for professional services of anesthesiology, pathology, radiology and emergency physicians
F. Room Transfer: Patients may ask for transfer; however, requests will be honored according to bed availability and service needed.
Food and Nutrition Services
F ood and nutrition services provide food service patients according to physician’s orders,
with emphasis on individual food preferences and satisfaction. Specialized clinical nutrition services are provided to inpatients by registered/licensed dietitians, and include assessment, monitoring, evaluation and education. Food services to our inpatients are provided during closing hours through the cooperation of Patient Care Services. The clinical dietitians are available from 7:30 a.m. to 4:30 p.m. Monday through Friday. Cafeteria food service is available to staff and visitors for breakfast, lunch and dinner Monday through Friday and breakfast and lunch on weekends. Vending services are available 24 hours a day.
Monday through Friday: Breakfast: 6 a.m. to 10 a.m.
Lunch: 11 a.m. to 2 p.m. Dinner: 3 p.m. to 7 p.m.
Saturday and Sunday: Breakfast: 7 a.m. to 10 a.m.
Lunch: 11 a.m. to 2 p.m.
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Café 500
Café 500 is located on the hospital campus in Building 500. Open Monday through Friday from 7 a.m. to 3 p.m., the café offers Starbucks coffee, light meals and snacks. Seating is limited.
Fire and Disaster Drills
Periodic drills are conducted within our hospital to test our readiness in emergency situations such as fire or disaster. Please do not be disturbed by any drills which may occur while you are a patient; they are necessary to ensure everyone’s safety.
Gift Shop
Raspberry’s Gifts and Such is conveniently located in the Main Lobby of GRMC. Gift items, flowers, balloons, toiletries, collectibles and novelty items for all ages are available. The hours are from 9 a.m. to 7 p.m. Monday through Saturday. You may reach the gift shop by calling 256-494-1111.
Hearing Impaired
A telecommunications device is available to help hearing impaired patients or for patients who want to communicate with a hearing
impaired relative or friend. Video remote sign language interpretation is available for patients with hearing impairments.
Interpreters
Patients who do not speak English are provided assistance through interpretation services and other methods.
Personal Valuables
GRMC urges patients to leave valuables at home. GRMC cannot assume responsibility for patients’ valuables. It is suggested that patients keep no more than $5 on hand. If desired, patients may secure valuables in the GRMC safe for a brief period. Arrangements should be made as soon as possible for family or trusted friends to retrieve any valuables.
Smoking Policy
GRMC is a non-smoking facility. Smoking, including electronic cigarettes, is strictly prohibited throughout the medical center. Smoking is allowed only in the designated visitor smoking area (located in the gazebo next to Building 500).
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N o matter how long you’ve been a smoker, it’s never too late to quit this unhealthy habit. The benefits start right away and last a lifetime:
20 MINUTES after quitting, your heart rate and blood pressure drop. 2 WEEKS TO 3 MONTHS after quitting, your circulation improves and your lungs work better. 1 YEAR after quitting, your risk of heart disease is half that of a smoker’s. 5 YEARS after quitting, your risk of mouth, throat, esophagus and bladder cancers is cut in half. 10 YEARS after quitting, your risk of lung cancer is half that of a smoker’s. 15 YEARS after quitting, your risk of heart disease is the same as a nonsmoker’s.
Ready, Set, Quit!
Now that you’ve decided to quit, take it one day at a time. Remind yourself that you are in control — you can choose to smoke or not.
Be prepared to have nicotine cravings. They usually pass soon, so wait it out. The good news is that they become weaker and less frequent the longer you go without smoking.
When a craving hits, take a walk, call a friend or do something else you enjoy.
If you need help quitting or coping with cravings while you're here, please talk with your nurse.
Stop Smoking!
Fight the Urge
Don’t let yourself think that
you can have just one
cigarette, but if you do slip,
start again and make
tomorrow your new first day
to quit.
Get Moving
Exercise is a good way to
keep your mind off cigarettes.
The longer you go without
smoking, the better you can
breathe and the easier it will
be to exercise.
Keep Your Mouth Busy
Try toothpicks, celery,
sugarless gum or sugar-free
lollipops.
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Recognize the Signs and Get Help Quickly!
A heart attack or stroke is a medical emergency and every second counts. The faster you or a loved one recognizes the
symptoms and gets help, the better your chances of surviving, with the least amount of damage to your heart or brain. Once you’ve had an event, you’re at greater risk of having one in the future, but the symptoms of a second event can be different from the first.
Heart Attack Warning Signs:
T he main symptom of a heart attack is chest pain or discomfort. It can also feel like pressure, fullness or squeezing
in your chest. These feelings may start gradually and get worse, or they may come and go. Women may also have unusual heartburn, shortness of breath, lightheadedness, nausea, or feel tired or anxious weeks before.
Stroke Warning Signs:
Think F.A.S.T. when it comes to recognizing a stroke:
FACE DROOPING: Does one side of your face droop or is it numb? Try to smile. ARM WEAKNESS: Is one arm weak or numb? Raise both arms. Does one arm drift downward? SPEECH DIFFICULTY: Is your speech slurred? Are you unable to speak? Try to say a simple sentence like “The sky is blue.” TIME TO CALL 911: If you notice any of these symptoms, even if they go away, call 911 right away.
Other sudden symptoms can include: numbness or weakness in your leg confusion or trouble understanding trouble seeing in one or both eyes trouble walking, dizziness, loss of balance/coordination severe headache with no known cause
If you think you or a loved one is having heart attack or stroke symptoms, call 911 immediately!
Heart Attack & Stroke ...
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Special Nursing Units and Critical Care Units
The Medical Intensive Care Unit (MICU, located on the third floor of Centennial Tower) and Surgical Intensive Care Unit (SICU, located on the fourth floor of Centennial Tower), and critical care (on 8 North) serve the immediate special needs of our critically ill patients. Specialized nursing personnel provide intensive, highly skilled care and supervision with continuous electronic monitoring and observation of the patients.
Television & Nurse Call System
All patient beds are equipped with a remote control unit which operates the nurse call system and television. You will receive instructions in its use and are encouraged to call your nurse whenever you need assistance.
Telephones
All patient rooms are equipped with a private line, touch-tone phone. Public telephones are located in the lobby and in visitor waiting areas.
Hospital Operator: Dial 0. Local Calls: Dial 9 + number. Long-Distance Calls: Use
calling card or dial 0 for assistance. Call AT&T Customer Service: Dial 9, then press 800-243-1288.
Visitor Policy
Unless otherwise specified, visitors are limited to four per patient. Unless otherwise specified, visiting hours are 6 a.m. to 9 p.m. daily.
Visiting hours and guidelines are unit specific for the following specialty areas: Women & Children’s Unit, Labor & Delivery, Critical Care Units, Outpatient areas, Emergency Department and Surgery Waiting.
Children visiting GRMC under the age of 12 should remain in the first or second floor waiting areas accompanied by an adult. Children are not to be unattended in any waiting room.
Visiting hours end at 9 p.m. For your safety, after normal visiting hours, all visitors will be required to sign in at the Security Desk located on the first floor.
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2: ION Television
3: WABM
4: WUOA
5: Local
6: FOX
7: PBS
8: WEAC
9: CBS
10: Christian TV
11: WTTO
12: ABC
13: NBC
14: QVC
15: Home Shopping
16: Free Form
17: C-SPAN
18: SportsSouth
20: E!
21: Comedy Central
22: CNN
24: BET
25: MTV
26: Nickelodeon
27: Lifetime
28: VH1
29: USA
31: ESPN
32: ESPN2
33: Discovery
34: Cartoon Network
35: CNBC
36: Food Network
37: FS South
38: A&E
39: TLC
40: SyFy
42: FX
43: Weather Channel
44: AMC
45: TBS
46: TNT
47: Fox News
48: History
49: TV Land
50: Animal Planet
51: Golf Channel
53: HGTV
54: Travel
55: GAC
56: FS1
57: Outdoor Channel
58: NBC Sports
59: TruTV
60: OWN
96: SEC Network
98: The Patient Channel
TV Channel Guide ...
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Angioplasty/Athrectomy
Birthing Room/LDR
Blood Bank
Bone Densitometer
CT Scanner
Cancer Center
Cardiac Catheterization Laboratory
Cardiac Intensive Care Unit
Chaplain/Pastoral Care
Chemotherapy
Chronic Obstructive Pulmonary Disease
Service
Community Health Programs
Coronary Care Unit
Customer Service Representatives
Day Surgery
Diagnostic Imaging
Diagnostic Radioisotope Facility
Early Return-To-Work
Rehabilitation Services
Emergency Department
Emergency Department Social Work Services
Enterostomal Therapy Services
General Surgery
Health Sciences Library
Histopathology Laboratory
Home Healthcare Services
Hospice
Intensive Care Unit
Laparoscopic Surgery
Laser Surgery
Lithotripsy
Magnetic Resonance Imaging (MRI)
Mammography Center
Neuroscience Department/EEG
Neurosurgery
Non-Invasive Cardiac Assessment Program
Nuclear Medicine
Obstetrics Unit
Occupational Health Center
Occupational Therapy Services
Oncology Services
Open-Heart Surgery
Organized Social Work Services
Orthopedic Surgery
Outpatient Services
Outpatient Social Work Services
Patient Education
Pediatric Acute Inpatient Unit
Pediatric Therapy
Physical Therapy Services
Plastic/Reconstructive Surgery
Psychiatric Inpatient Unit
Psychiatric Services
Radiation Oncology
Radioactive Implants
Rehabilitation Outpatient Unit
Respiratory Care Services
Rotoblator/Cardiology
Senior Circle
Single Photon Emission
Computerized Tomography
Sleep Diagnostics
Speech-Language Pathology
Support Groups
Surgical Intensive Care
Therapeutic Radioisotope Facility
Ultrasound
Vascular Surgery
Volunteer Services
Women’s Health Services
Services Offered at GRMC ...
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Case Management
W orking closely with patients, families and the healthcare team, a staff of specially trained case managers can help turn the
uncertainty of hospitalization into a less stressful experience. The case management staff will be available to help plan post-hospitalization needs and assist with discharge planning. If you need to contact a case manager, the office telephone number is 256-494-4284. Office hours are Monday through Friday from 8 a.m. to 4:30 p.m. A case manager is onsite until 11 p.m. Monday through Friday and from 8 a.m. to 8 p.m. on weekends. Please call the hospital operator at 256-494-4000 to notify the appropriate person to assist you.
Hospitalist Program
W hat is a hospitalist? Specializing in the management of hospitalized patients, a hospitalist is an acute care physician who focuses on a
patient’s hospital care from admission until discharge. During that time, the hospitalist supervises a plan of coordinated care among physicians, nurses and support staff. In addition, the hospitalist keeps in close contact with your Primary Care physician. Some benefits to our patients with the GRMC hospitalist program include shorter stays of half-day or less; mortality and readmission risks are comparable to those of family physicians, or general internists; doctors who practice at the hospital all day, every day, are in an excellent position to tackle complex problems such as improving patient safety and outcomes; nearly three-quarters of primary care physicians say hospitalists provide them a “valuable service;” and the hospitalist program supports primary care physicians by allowing them to focus on seeing patients in their offices. If you have any questions about our hospitalist program, see your caregiver.
Volunteers
O ur volunteers perform a variety of services. Their presence adds a special touch to total patient care.
These individuals are dedicated to providing excellent customer service, and their reward is the satisfaction they gain from helping you. GRMC encourages community participation and new volunteers are always welcome. If you are 18 or older and would like to find out more about our volunteer program, call 256-494-4300.
13
Y ou are the center of your healthcare team. Let this special guide help you get the best results from your hospital stay.
SPEAK UP!
During your stay, our doctors, nurses and staff will treat you and your family as partners in your care. One important way that you can be involved is to speak up. Ask questions, voice your concerns, and don’t be afraid to raise any issues relating not only to your care and treatment, but also to overall hospital services.
In the pages that follow, you’ll find a step-by-step guide to making the most of your hospital stay—steps for taking charge of your care, getting the information you need, asking questions and interacting with hospital staff.
Ask Yourself ...
Is there anything else the hospital should be aware of to improve my care experience?
Take Charge of Your Care!
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SPEAK UP.
Ask questions and voice concerns. It’s your body, and you have the right to know.
PAY ATTENTION.
Always double-check that you are getting the right treatments and medicines from the right hospital staff.
EDUCATE YOURSELF.
Learn about your medical condition, tests and treatment options, so you know why following your care plan is so important.
FIND A SUPPORT PERSON.
Pick someone to help speak up for your care and needs during your stay.
KNOW YOUR MEDS.
Understand what your medicines treat, why you need them and how to take them for the best results.
CHECK BEFORE YOU GO.
Make an informed decision when selecting additional healthcare services. Choose only accredited providers who meet patient safety and quality standards. Go to www.qualitycheck.org to learn more.
PARTICIPATE IN YOUR CARE.
You are the center of your healthcare team. Make sure you know what's happening every step of the way — from admission through discharge.
Ways to Take Charge of Your Care
Source: The content within the “Take Charge of Your Care” section reinforces the safety and quality care goals and standards issued by The Joint Commission and other hospital accreditation organization.
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Medical Staff
T he medical staff of Gadsden Regional Medical Center consists of more than 230 highly qualified physicians.
In order for a physician to obtain privileges to practice at GRMC, they must first undergo a stringent credentialing process where the physician’s education, training, experience, clinical and technical skills are carefully screened. We take great pride in the fact that more than 80 percent of the physicians on our medical staff are board certified by the American Boards of their specialties.
Nursing Staff
C ontinuous professional nursing care is provided to our patients by both registered nurses and licensed practical nurses under the
direction of a Registered Nurse, Department Director and the Chief Nursing Officer. Nurses are selected and assigned to specialty areas on the basis of education, experience and continuing education in order to provide our patients with the highest level of nursing care. Each nursing department is supervised by a RN Department Director. The RN Director, Patient Care Coordinators and charge nurses prepare assignments based on the needs of the patients and the qualifications of the nursing staff members. Your assigned nurse will coordinate all routine care and activities, diagnostic tests and special treatments prescribed by your physician and assist in planning and preparing you for your discharge. Nurses are assisted in caring for your needs by Patient Care Assistants and technicians. You will be able to identify your nurse through our “red badge” system. Only RNs and LPNs have a red bar at the bottom of their name badge. This will assist you in communicating with your nurse. If you have a concern related to your care, please do not hesitate to contact the charge nurse, department director, or dial 0 and ask for the clinical supervisor who is available to you 24 hours per day. Continuing in-service education is conducted internally on a regular basis, enabling our nursing staff to maintain and update their professional knowledge and skills. Additionally, nursing associates are encouraged to participate in external educational programs, workshops and seminars, which are partially provided by GRMC. We also are an approved provider of continuing nursing education by the Alabama Board of Nursing. Nurses are included in healthcare decisions at Gadsden Regional Medical Center through the Nurse Leadership Group. This group of nurses meets with the Chief Nursing Officer each month to discuss ways that we can continuously improve patient care. The NLG also works with the Physician Leadership Group on special projects throughout the year.
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Respiratory Care
R espiratory Care is an allied health specialty which provides treatment, diagnosis, management and control of lung problems
and abnormalities associated with breathing. The respiratory care department is staffed by licensed, credentialed respiratory therapists. Services include patient assessment, mechanical ventilation, pulmonary function studies and administration of various types of oxygen/medication therapies.
EKG
A n EKG (electrocardiogram) is a recording of the heart’s activity. This test is interpreted by a cardiologist.
Laboratory
O ur clinical laboratory is staffed to conduct a spectrum of tests as ordered by your physician.
Procedures range from routine blood and urinalysis to the complex examination of specimens removed during surgery. Laboratory personnel may obtain blood samples to assist in identifying your illness. Your physician will then select the most effective means of treatment, based upon the results of these tests.
Blood Bank
G adsden Regional Medical Center’s Blood Bank is located within the laboratory. Blood products are provided by volunteer blood donors
through the American Red Cross Blood Center. Although there is no charge for blood itself, charges are incurred to cover the cost of its procurement, processing and administration.
Wound Care Services
W ound Care Services at GRMC are provided for all patients with wounds and skin problems, incontinence-related problems, and
management of specialty tubes. Assessment, treatment and education is provided by the nursing staff in consultation with Wound Care nurses. Printed materials are also available. Please notify your immediate nurse or the Clinical Supervisor (dial 0 and ask the operator to page the Clinical Supervisor) if you have any questions.
15
Choose a Support Person
A trusted friend or family member can be a big help during your hospital stay. Select one key person to be your healthcare advocate. If you become stressed or your ability to communicate changes, this person can stand in for you—and stand up for your care.
A support person can:
ask questions you might not think of and write down information
double-check your medicines and treatments
watch for signs your condition is getting worse and ask for help
Check IDs
While you are here, many people will care for you (doctors, nurses, aides, orderlies), and these same people will care for many patients. To prevent errors in your care:
Ask to see the ID of everyone who comes into your room, so you know the name and job of the person caring for you. If you do not see an ID badge, contact your nurse immediately.
Speak up if hospital staff does not check your ID. Any time staff enters your room to give you medicine, transport you, or perform procedures or treatments, state your name and birth date. This may seem repetitive at times, but it helps ensure you receive the correct care.
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Tell your nurse if something doesn’t seem right.
Know what time you normally get medicine, and tell your nurse if you don’t get it.
Request drawings or illustrations to help you learn about your condition.
Read and understand all medical forms before signing. Ask if you need information explained.
If your treatment involves medical equipment, practice using it with your nurse before you leave the hospital.
Don’t be afraid to ask for a second opinion. The more information you have, the better you will feel about making decisions.
Talk to your doctor and family about whether you want life-saving actions taken.
Ask About Jargon: If you hear a medical term you don’t understand, ask what it means.
“Teach Back”: After you get instructions or an explanation, repeat back what you thought you heard so you can double-check that you understood.
Take Notes: Write down any key facts your doctor tells you so you won’t forget.
Pay Attention to Your Care!
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Childbirth Classes
C hildbirth education classes includes childbirth preparation classes, infant care classes, infant CPR classes, delivery room tour and sibling
classes. Classes are scheduled on an ongoing basis through Women & Children’s by calling 256-494-4650.
Support Groups
S upport groups are available to meet needs in the following areas: TOUCH group for cancer patients, Diabetes Support Group, and
Woman-to-Woman (breast cancer). Call 256-494-4112 for more information.
Staff/Professional Education
S taff/Professional Education is a high priority at Gadsden Regional. Continuing education programs to maintain certifications and foster
professional growth are offered to GRMC staff and area professionals. In-service education for staff on new treatment modalities, products and healthcare standards are presented year-round. Orientation and on-the-job training programs for new or transferred associates provide staff with job skills necessary to deliver safe, quality care.
Neuroscience Department/EEG (Electroencephalograms)
T he Neuroscience Department performs EEGs, or electroencephalograms,and related studies to provide information
regarding the function of the brain. Services also include 24-hour ambulatory monitoring and a two-bed, long-term epilepsy-monitoring unit. Studies are performed by a registered EEG technologist and interpreted by a neurologist.
Sleep Disorders Center
T he Sleep Disorders Center at GRMC provides comprehensive care for sleep problems. Studies for the evaluation and treatment of sleep
apnea, snoring, insomnia, excessive daytime sleepiness and other sleep problems are performed by registered technologists and trained technicians. Results of the studies are interpreted by a physician with specialized training in sleep medicine who has a background in neurology or pulmonology. The Sleep Center is an accredited Center Member of the American Academy of Sleep Medicine. For further information, please call 256-494-4551.
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Senior Circle
S enior Circle is a health and wellness program sponsored by Gadsden Regional Medical Center. The program is open to all individuals
50+ years. Benefits offered to members include, but are not limited to: free cafeteria meal voucher for a family member or caregiver each day member is hospitalized, health seminars and events. If you would like further information, call 256-494-4895.
Education
G adsden Regional is committed to the quality of your life and offers a variety of classes, programs and support groups to help you reach
your optimal level of health. Complete information is available by calling 256-494-4112. The following services are offered:
Inpatient/Family Education
GRMC Education Department provides patient and family teaching utilizing a variety of methods:
Wi-Fi Internet access is available on the hospital campus. If you need health and wellness information, please visit www.gadsdenregional.com.
The Patient Channel provides patient care information and resources to patients and their friends and family members. Programming on the channel covers a spectrum of topics including heart disease, diabetes, high blood pressure, arthritis, cancer, asthma, smoking cessation, parenting and health/wellness.
The Patient Channel provides the following:
… Over 40 educational programs broadcasted 24/7
… Spanish and English closed captioning available on all programs
… Provides reliable and focused patient education content
… Covers health and wellness topics selected with input from patient educators in our hospital network
… All content is developed according to the standard set and maintained by an external advisory board
… A website for staff and patients, family and friends with applicable information before, during and after hospital stays
GRMC Resources ...
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T he hospital is a place you come to get well, but you can also come in contact with germs that can make you feel worse. Reduce your chances of infection by taking these safety precautions.
Clean your hands ... After touching hospital objects or surfaces, before eating and after using the restroom
Ask hospital staff members to clean their hands ... This should be standard practice, but don’t be afraid to remind them if they forget or to ask them to wear latex gloves when touching you. Ask visitors to clean their hands too!
Cover if you are sick ... If you get an infection, limit the spread of germs by sneezing and coughing into tissues you promptly throw away, and avoid touching other people. Ask the staff if there is anything else you should do—like wear a surgical mask—to prevent the spread of germs.
Keep an eye on bandages or dressings ... If a dressing on a wound or IV becomes loose or wet, let your nurse know. Also if you have a catheter or drainage tube, tell your nurse if it becomes loose or dislodged.
Keep your vaccinations up-to-date ... Make sure you are as protected as possible from the spread of infection. Check with hospital staff about whether it’s safe for you to receive any vaccines you might need.
No Soap? No Problem.
Alcohol-based hand cleaners are as effective as soap and water for killing germs. To use, apply the cleaner to the palm of your hand, and run your hands together. Keep rubbing over all the surfaces of your fingers and hands until they are dry.
Five Ways to Fight Infections
Tell friends and family not to
visit if they are sick. And make sure all your guests wash their hands when they enter your
room.
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N o one knows how much pain you are in but you. Tell your doctor or nurse when pain strikes or if it comes back again after it goes away.
Talk about your pain level throughout the course of your stay.
Ask yourself, then share with your nurse.
Where does it hurt? When does it hurt? Does it keep you from doing things—like sleeping, dressing, eating?
Which words describe your pain?
How bad is it on this pain scale?
You're the Expert on Your Pain
S tarting to get uncomfortable? Pain medicine not working? Speak up. You may need to get more of the current pain medicine you are on or
switch to a different kind of medicine to get relief. Don't try to ignore painful symptoms. Managing your pain will help with your healing process. Talk to your doctor or nurse when pain strikes.
Don’t Ignore Pain
aching bloating burning
comes and goes constant cramping
cutting
dull numbing pressing pressure pulling
radiating
searing sharp
shooting soreness
stabbing throbbing tightness
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Options for After Your Stay
A fter-hospital care that fits your needs is important. Make sure you understand what your hospital staff recommends for you.
Home Healthcare: Care provided by professionals in your home to help maintain or restore health. Includes: home care services such as housekeeping and meal preparation; personal care services such as bathing, dressing or eating; and healthcare services such as physical therapy or skilled nursing.
Independent Living: Communities with individual, private apartments or homes. Includes: meals, housekeeping, maintenance, social activities and possibly transportation.
Assisted Living: Individual units or apartments, usually in a longterm care facility. Includes: home and personal care services, as well as help managing health conditions and medicine routines—plus social activities and transportation. Medical staff is on site 24 hours.
Nursing Home: Long-term care facility for individuals who don’t need a hospital, but can’t be cared for at home. Includes: all daily living and personal care services, 24-hour skilled nursing care, plus social activities and events. Special units often available for people with Alzheimer’s disease or memory loss. Some nursing homes also offer short-term rehabilitative stays for patients recovering from an injury or illness.
Hospice: Care program that provides support for terminally ill patients and families in hospitals, facilities or homes, depending on the patient's condition. Includes: 24-hour help with pain control, symptom management and emotional or spiritual support.
After-Hospital Care ...
To get started evaluating or finding after-hospital care resources in your area, please visit:
Eldercare Locator www.eldercare.gov
National Respite Network and Resource Center www.archrespite.org
Contact your health insurance,
Medicare or Medicaid to find
out what care and services are
covered for you, and to obtain help
with costs.
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A Simple and Smart Way to Take Charge of Your Care
O ne of the most important decisions you can make about your care is to fill out advance directives in case you can no longer speak for yourself. Advance directives are legal documents that let
others know your wishes about the type of care you want. And they will only be used if you become unconscious or too ill to communicate yourself. Directives can include:
Living Will
This set of instructions explains the type of life prolonging medical care you wish to accept or refuse. It can include your wishes about the use of CPR/chest compressions if your heart stops, a ventilator if you stop breathing, or feeding tubes or IVs if you cannot eat or drink.
Durable Power of Attorney for Healthcare
This is a legal document that names your healthcare proxy — someone who can make medical decisions for you if you’re unable to do so. An official healthcare proxy can represent your wishes on emergency care but also on other medical issues like potential treatment options, blood transfusions, kidney dialysis, etc. Choose someone you trust, discuss your medical wishes, and make sure the person agrees to represent you in this role.
Healthcare Surrogate
A person (agent) appointed to make medical decisions on your behalf if you are unable to do so. This person is sometimes chosen by patients themselves, or, depending on state regulations, may be chosen by the patient’s doctor in certain circumstances. If you are choosing your own healthcare surrogate, choose someone you know well and trust to represent your preferences. Be sure to discuss this with the person before naming him or her as your agent.
Advance Directives ...
FILL OUT YOUR FORMS!
Make sure you submit advance directives each time you go to the
hospital, so your most current information and wishes are on file. You
do not need a lawyer to fill these out. For more information and to obtain the
forms you need, contact your nurse.
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Prevent Falls
W hile you are here, you may feel dizzy or weak. Illness, procedures, medicines or
even just lying down for too long can make you less steady on your feet. To keep yourself safe:
Use the nurse call button for help getting out of bed.
Your nurse may give you a colored wristband that lets the staff know you might need special assistance to keep you safe from falling.
Ask for help going to the bathroom or walking around. (And use hospital handrails when they're available.)
Wear nonslip socks or footwear.
Keep often-used items within easy reach (glasses, remote, tissues, etc.).
Make sure your wheelchair is locked when you get in or out of it. Never step on the footrest.
Make sure your robe or pajamas don't drag on the floor. They can cause you to trip.
Ask your nurse to show you how to properly walk with your IV pole, drainage bags or any other equipment.
If you see a spill on the floor, report it immediately.
Patients of all ages are at risk for falls. It’s better to be extra careful than risk another medical problem.
Prepare for Surgery
B efore your procedure, make sure you and your surgical staff confirm:
your name
the type of surgery you are having
the body part to be operated on … in fact, hospital staff will mark the correct spot on your body. Make sure you or your support person check
that it’s correct.
Take simple steps like these to help prevent medical mistakes!
Prevention & Preparation
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W hether you take one medicine or five, it’s important to know what you are taking and why.
Ask your doctor these questions about any new (and current) medicines you take:
What is the name of my medicine? Generic name?
Why am I taking it? How will it help? When will it start working?
What dose? How often? How long?
What is the best time (morning, night, etc.) or way to take it (with food, with water)?
What are possible side effects? What do I do if they happen?
Are there any foods, drinks or activities to avoid?
What do I do if I miss a dose?
Be sure your doctors and nurses know:
All the prescription drugs, over-the-counter medicines and herbal or vitamin supplements you take.
Any allergies you have to medicines, anesthesia, foods, latex, etc.
That your name matches the name on the medicine (use your ID bracelet to double-check).
Remember, Take Charge of Your Medicines
Think you’re due for your next dose? Wondering if this new medicine can replace one you already take? Want to make sure all your medicines and supplements are safe to take together? Don’t be afraid to ask.
Manage Your Medications
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Know the names of the practitioner who has primary responsibility for your care, treatment or services and the names of other practitioners providing your care
Formulate advance directives concerning care to be received at end-of-life and to have those advance directives honored to the extent of the hospital’s ability to do so in accordance with law and regulation; you also have the right to review or revise any advance directives
Be free from neglect; exploitation; and verbal, mental, physical and sexual abuse
An environment that is safe, preserves dignity and contributes to a positive self-image
Be free from any forms of restraint or seclusion used as a means of convenience, discipline, coercion or retaliation; and to have the least restrictive method of restraint or seclusion used only when necessary to ensure patient safety
Access protective and advocacy services and to receive a list of such groups upon your request
Receive the visitors whom you designate, including but not limited to a spouse, a domestic partner (including same sex domestic partner), another family member, or a friend. You may deny or withdraw your consent to receive any visitor at any time. To the extent this hospital places limitations or restrictions on visitation; you have the right to set any preference of order or priority for your visitors to satisfy those limitations or restrictions
Examine and receive an explanation of the bill for services, regardless of the source of payment
You Have the Responsibility To:
Provide accurate and complete information concerning your present medical condition, past illnesses or hospitalization and any other matters concerning your health
Tell your caregivers if you do not completely understand your plan of care
Follow the caregivers’ instructions
Follow all medical center policies and procedures while being considerate of the rights of other patients, medical center employees and medical center properties
Regarding Problem Resolution, You Have the Right To:
E xpress your concerns about patient care and safety to hospital
personnel and/or management without being subject to coercion, discrimination, reprisal or unreasonable interruption of care; and to be informed of the resolution process for your concerns. If your concerns and questions cannot be resolved at this level, contact the accrediting agency indicated below:
Alabama Department of Public Health P.O. Box 303017
Montgomery, AL 36130 334-206-5300
Office of Quality Monitoring The Joint Commission
One Renaissance Boulevard Oakbrook Terrace, IL 60181
800-994-6610 Email: [email protected]
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You Have the Right To:
Be treated in a dignified and respectful manner and to receive reasonable responses to reasonable requests for service
Effective communication that provides information in a manner you understand, in your preferred language with provisions of interpreting or translation services at no cost, and in a manner that meets your needs in the event of vision, speech, hearing or cognitive impairments; information should be provided in easy-to-understand terms that will allow you to formulate informed consent
Respect for your cultural and personal values, beliefs and preferences
Personal privacy, privacy of your health information and to receive a notice of the hospital’s privacy practices
Pain management
Accommodation for your religious and other spiritual services
Access, request amendment to and obtain information on disclosures of your health information in accordance with law and regulation within a reasonable time frame
Have a family member, friend or other support individual to be present with you during the course of your stay, unless that person’s presence infringes on others’ rights, safety or is medically contraindicated
Care or services provided without discrimination based on age, race,ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression
Participate in decisions about your care, including developing your treatment plan, discharge planning and having your family and personal physician promptly notified of your admission
Select providers of goods and services to be received after discharge
Refuse care, treatment or services in accordance with law and regulation and to leave the hospital against advice of the physician
Have a surrogate decision-maker participate in care, treatment and services decisions when you are unable to make your own decisions
Receive information about the outcomes of your care, treatment and services, including unanticipated outcomes
Give or withhold informed consent when making decisions about your care, treatment and services
Receive information about benefits, risks, side effects to proposed care, treatment and services; the likelihood of achieving your goals and any potential problems that might occur during recuperation from proposed care, treatment and service and any reasonable alternatives to the care, treatment and services proposed
Give or withhold informed consent to recordings, filming or obtaining images of you for any purpose other than your care
Participate in or refuse to participate in research, investigation or clinical trials without jeopardizing your access to care and services unrelated to research
Rights & Responsibilities
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Take Steps to Reduce Your Risk During Your Stay
According to the U.S. Department of Health and Human Services, 1 in 20 patients gets a healthcare-associated infection while staying at the hospital. Often, these happen because hospital procedures and equipment can expose internal parts of your body to germs. The chart below lists common infections and steps you can take to prevent them.
Prevent Hospital Infections ...
INFECTION: HOW IT STARTS:
Catheter-Associated Urinary Tract Infections (UTI)
Surgical Site Infections
Central Line-Associated Bloodstream Infections
Ventilator-Associated
Pneumonia
Germs enter your urinary tract while using a tube
to drain urine
Germs affect the site of your
surgery — either on your skin or internally
Germs enter your blood-stream through a large tube that’s inserted in a vein near
your neck, chest or groin
Germs enter your lungs through a tube in your
mouth, nose or neck used to help you breathe
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Super Bugs
A “super bug” is a germ that causes a bacterial, viral or fungal infection, but does not respond to the usual treatments. Common strands include MRSA and C.diff. MRSA can spread from person
to person through touching hands or infected objects and often causes skin infections. C.diff is a type of bacteria that can affect people who take antibiotics. It can cause diarrhea and other serious digestive conditions. Protect yourself by taking the steps below, and only take antibiotics that are prescribed for you by your doctor. And remember, wash your hands and ask everyone you see during your stay to wash his or her hands too.
SYMPTOMS: PREVENTION:
Clean hands before touching area Keep urine bag below level of bladder to prevent backflow
Don’t dig, pull, twist or bend tube Secure catheter to leg and ask every
day if it is still needed
Do not shave surgery site Clean hands before touching area Don’t let visitors touch or dress
your wound Ask your nurse how to care
for your wound
Clean hands before touching area Make sure staff wear gloves, gown,
cap, mask and sterile drape when handling tube
Speak up if your bandage comes off, looks wet/dirty, or if skin looks sore
Avoid touching tubing or letting visitors touch tube
Ask that tube be removed as soon as possible
Clean hands before touching area
Ask if it is safe to raise the head of bed
Know how often the inside of your mouth needs to be cleaned and speak
up when it hasn't happened Ask that tube be removed as soon as
possible
Fever
Burning
Pain
Bloody/frequent urination
Redness
Pain
Drainage of cloudy fluid
Fever
Red skin and soreness at site
Fever
Chills
Cough
Mucus
Fever
Chills
Shortness of break
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Which Vaccines Do You Need to Protect Your Health?
Vaccines work with your immune system to help protect you from infections and disease. As you age, you’re more at risk of certain health conditions because your immune system isn’t as strong as it used to be. And if you get sick, the symptoms can be more serious than when you were younger.
Three vaccines are especially important for older adults, including:
Influenza Vaccine
The flu vaccine is recommended for all ages every year, and there is a higher-dose vaccine for adults over age 65. You need the vaccine every year because the flu virus changes over time.
Zoster or Herpes Zoster Vaccine
This vaccine protects against shingles. It’s one dose and is recommended for all adults ages 60 and up. Shingles causes rash, blisters and severe pain.
Pneumococcal Polysaccharide Vaccine
Also known as PPSV23 or PPSV, this vaccine protects against pneumococcal disease. You’ve probably heard of pneumonia, but the virus can also affect other parts of your body. Adults ages 65 and up need one dose of this vaccine. Talk to your doctor about these vaccines, and ask if there are other vaccines you may need.
Your doctor is your best source for information about vaccines.
Which vaccines are right for you depend on your age, other health
conditions you have (including pregnancy) and where you travel.
Adult Vaccines
