Coastal Plain Hospital Handbook

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1 Coastal Plain Hospital Handbook Encouragement Empowerment Respect Nash Health Care Systems Mission Statement: To provide quality health care services and to help improve the health of the community in a caring, efficient and financially sound manner.

2 Welcome To Coastal Plain Hospital Coastal Plain Hospital is a 50-bed hospital. We offer short-term mental health and substance abuse treatment. The program is fully accredited by the Joint Commission on Accreditation of Health Care Organizations and is licensed by the State of North Carolina. The problems you are experiencing are not uncommon ones. You are not alone. Both patients and their families often experience fear and confusion about treatment and where to turn for help. We are here to help you. Coastal Plain Hospital is designed to assist you and your loved ones with the problems you are experiencing. We strive to create a comfortable atmosphere, conducive to wellness and the reduction of stress. We look forward to working with you. We also recognize that this is a time of adjustment and your new environment may, at times, make you feel anxious or uncomfortable. This handbook will explain the program. Please feel free to discuss any questions or concerns at the morning community/goals meeting. Staff are available 24 hours a day to discuss questions, problems and concerns. CONFIDENTIALITY REGULATIONS State and federal law protects your privacy while at Coastal Plain Hospital. No information will be released without your written permission. You will be given an ID number which you should give only to people that you want to know you are here. To summarize: TELL ANYONE YOU WISH THAT YOU ARE/WERE HERE, BUT TELL NO ONE THAT ANYONE ELSE IS/WAS HERE!

3 LEAVING THE NURSING UNITS AND LEAVING COASTAL PLAIN HOSPITAL EARLY Coastal Plain Hospital (CPH) admits and treats patients who are admitted both voluntarily and involuntarily. For security reasons, the units are locked. Patients can only leave the unit under supervision. Sometimes patients who signed themselves in decide that they want to leave Coastal Plain Hospital before their treatment is completed. You cannot leave right away. You will have to sign a form and wait for up to 72 hours (3 days). You agreed to these terms when you signed yourself in. Patients who are here under involuntary commitment papers may not leave early. Ask a nurse or social worker for the form called a 72-hour Request for Discharge. Once you sign this form and turn it in, staff will talk with you about what you wanted out of treatment and your reasons for wanting to leave early. You will be given a chance to change your mind if you decide you want to stay. During this 72-hour period, CPH staff will decide if they think it is safe to let you leave early. If they determine that it would be unsafe to allow you to leave early, your doctor may decide to place you under involuntary commitment. When you are under involuntary commitment you can legally be held against your will until it is safe to let you leave. If you still want to leave CPH 72 hours after you signed this form the doctor may decide to discharge you against his/her advice. This discharge is called leaving AMA (Against Medical Advice). THE TREATMENT PLAN Treatment plans are made for each patient with individual needs in mind. Treatment plans will be shared with you and you are encouraged to be a part of developing your goals for your treatment. The success of your treatment depends largely upon you; cooperating and being an active participant in your treatment plan will help ensure the success of your treatment plan.

4 THE TREATMENT PROGRAM The program offers a wide range of groups and activities. Patients are expected to attend all scheduled groups. Patients who feel unable to participate in the full program should talk withstaff. Staff will provide physical care for patients with physical issues and will arrange for follow-up care. The program consists of expressive therapy groups, group psychotherapy, education groups, spirituality groups, and family therapy, education and support, as needed. THERAPEUTIC COMMUNITY Rooms at Coastal Plain Hospital have two beds. You will be sharing a bedroom and bathroom. Remember to treat each other with respect. We understand that privacy is important; if you need further privacy, please tell staff. Staff will try to assist you as needed. Basic guidelines for living together at Coastal Plain Hospital have been developed. You will receive a copy of basic unit rules when you are admitted. These rules have been made to assist you in maintaining consistency and structure in your day-to-day living at Coastal Plain Hospital. They are also in place to protect your rights. VISITATION You were given a 6-digit ID number at the time of admission. Please share your ID with those persons you wish to have as visitors (including clergy). All visitors should report to the reception desk, give the ID number and sign in. Any visitor who does not have your ID number will be turned away. This rule must be enforced in order to protect your right to privacy. Patients may have two (2) adult visitors at a time off the unit; however, the number of visitors per patient at any time is subject to limitation at the discretion of the staff member present. Visitation for children under the age of 16 is on Sunday. You may not be permitted to have visitors if the staff determines it will interfere with your treatment. You will be informed of this restriction and it will be your responsibility to notify potential visitors. You may request no visitors if you feel visitors will in anyway interfere with your treatment. Visitation will take place in the gym.

5 SMOKE BREAKS Smoke breaks are held throughout the day. A smoke break schedule is posted on the unit. Smoke breaks are ten minutes. Coastal Plain Hospital staff is not responsible for providing tobacco products for patient use. Chewing tobacco and snuff can only be used during smoke break times. TELEPHONE Patients may receive calls in the dayroom. No calls will be allowed during group times. Please provide your family and friends with the number for your unit. The phones are turned off at night. East Wing Female Unit: East Wing Male Unit: West Wing Female Unit: West Wing Male Unit: In case of emergency and after hours your family and friends may contact Coastal Plain Hospital at (252) MONEY We ask that you send anything valuable back to your home and family. The nursing staff has the ability to lock up patient valuables until discharge. Again, we encourage patients to send valuables home with family or to have staff lock them up. The hospital is not responsible for lost or stolen valuables that you choose to keep with you or in your room. MAIL Patients may send and receive mail. Mail will be delivered to the unit Monday through Saturday. Patients may ask for two stamps. You can get paper and pencils from the nursing staff. All packages must be opened in front of staff for safety. Staff will not read your mail. Our mailing address is: Coastal Plain Hospital 2301 Medpark Drive Rocky Mount, NC 27804

6 BELONGINGS The nursing staff must inspect all items brought into the unit by you, your family, or visitors. This is for your safety and other patients safety. Items that you cannot have in your room will be locked in a closet at the nurses station. A room search will be done if it is suspected that patients have something that they should not have in their room. Some items may be kept from you if staff feels it will interfere with your treatment. Staff will tell you if items will be kept from you. PATIENT AREAS Please keep your room, kitchen, laundry room, bathroom, dayroom, and smoke break area neat and clean. There is a laundry room on the unit with a washer and dryer for your use.you can get washing powder from staff. THERAPEUTIC LEAVE OF ABSENCE Your doctor and staff may suggest that you leave the hospital for a few hours, then return to see how well you have done. A family member or another trusted person will come to pick you up and sign a release form before you leave. When you return to the unit, you and your family can provide information about your activities while on pass. Once your condition is stable, a leave of absence can be granted. When patients return to the hospital, a search will be conducted for restricted items. The patient may be asked to provide a urine sample to check for use of alcohol or illegal drugs during the leave of absence. AFTER DISCHARGE VISITATION After discharge, we recommend that you not visit CPH staff or patients who are currently in CPH for at least 30 days after your discharge. We have found that this aids your recovery. CARS/TRAVEL Please do not leave cars, trucks or motorcycles in the parking lot. The hospital is not responsible for cars left in the parking lot. If keys are brought to the hospital, by you or a family member, the keys will be locked in the contraband closet until you are discharged.

7 PROGRAM ACTIVITIES Daily Schedule of Activities (Structured and Unstructured) The patient daily program schedule is posted on the unit. Please read this schedule. You are expected to attend all meetings, meals and appointments on time, unless you are told differently by staff. You are expected to remain in the group room for the entire session. Please tell staff if for any reason you are unable to attend groups. If you need help with written materials, please let staff know and someone will help you. STATUS LEVELS Status levels are an important part of your treatment. They are made to provide for close observation of you during the first part of your hospital stay for your safety. Your doctor and staff will let you know when you can change status; for example, when you are allowed to go to the cafeteria. SECURITY AND SAFETY Your safety is important to us. We have several policies to ensure your safety while you are at Coastal Plain Hospital. *We keep all doors to the unit locked. *Staff members make patient and safety checks on the unit. *We conduct regular safety drills. Please do not become afraid in the event of a safety drill. Please report to the dayroom. *Please tell staff if you have concerns about your safety. NON-DISCRIMINATION POLICY Coastal Plain Hospital provides equal access to treatment to all persons without discrimination because of race, color, religion, creed, marital status, veteran status, sex, national origin, sexual orientation, or handicap as required by federal and state law. Coastal Plain Hospital abides by Title VI of the Civil Rights Act and Section 504 of the Rehabilitation Act and the Americans with Disabilities Act.

8 POLICY STATEMENT ON GRIEVANCES/ COMPLAINTS We want your hospital stay to be a positive experience. If at any time you have a grievance or complaint about your hospital stay you are encouraged to voice your concerns: 1. Speak with your nurse or social worker about the issue that is concerning you. 2. If after speaking with your nurse or social worker you are not satisfied with the answer they gave you, we encourage you to complete a grievance form. You may request a grievance form at the nurses station. Once completed the grievance form will be given to the director. 3. We also have a patient advocate who can speak with you about your concerns. 4. You also have the right to contact the Governor s Advocacy Council for persons with Disabilities (GACPD) and/or the Division of Facility Services toll-free complaint line for the Licensure and Certification Section at You will continue to be treated with dignity and respect if you have a grievance or complaint. The hospital staff does not punish patients who voice their concerns or complete grievance forms. SECLUSION AND RESTRAINT At Nash Health Care Systems, restraints are used only as a last resort when patients become out of control and may hurt themselves or others. In this case, for a short period, the patient may be placed in seclusion in the quiet room and sometimes may have to be restrained there until they are safe. The least possible amount of restraint is used. During this time the patient is watched constantly by staff for safety. You may choose to have staff notify your family if you are restrained. In the event that you are placed in seclusion or restraint, your family will be notified, if you have given written consent for them to be notified. No one will be notified without your written consent.

9 Nash Hospitals, Inc. Patient Rights and Responsibilities 1. A patient has the right to respectful care given by competent workers. 2. A patient has the right to know the names and the jobs of his or her caregivers. 3. A patient has the right to privacy with respect to his or her medical condition. A patient s care and treatment will be discussed only with those who need to know. 4. A patient has the right to have his or her medical records treated as confidential and read only by people who need to know. Information about a patient will be released only with permission from the patient or as required by law. 5. A patient has the right to know what facility rules and regulations apply to his or her conduct as a patient. 6. A patient has the right to have emergency procedures done without unnecessary delay. 7. A patient has the right to good quality care and high professional standards that are continually maintained and reviewed. 8. A patient has the right to make decisions regarding his or her care and has the right to include family members in those decisions. 9. A patient has the right to information from his or her doctor in order to make informed decisions about his or her care. This means that patients will be given information about their diagnosis, prognosis, and different treatment choices. This information will be given in terms that the patient can understand. This may not be possible in an emergency. 10. A patient given the option to participate in research studies has the right to complete information and may refuse to participate in the program. A patient who chooses to participate has the right to stop at any time. Any refusal to participate in a research program will not affect the patient s access to care. 11. A patient has the right to refuse any drugs, treatment or procedures to the extent permitted by law after hearing the medical consequences of refusing the drug, treatment or procedure. 12. A patient has the right to have help getting another doctor s opinion at his or her request and expense. 13. A patient has the right to care without regard to race, color, religion, sex, sexual preference, national origin or source of payment. 14. A patient has the right to be given information in a manner that he or she can understand. A patient who does not speak English or is hearing or speech impaired has the right to an interpreter, when possible. 15. Upon request, a patient has the right to access to all information contained in the patient s medical records within a reasonable timeframe. This access may be restricted by the patient s doctor only for sound medical reasons. A patient has the right to have information in the medical record explained to him or her. 16. A patient has the right not to be awakened by staff unless medically necessary. 17. A patient has the right to be free from needless duplication of medical and nursing procedures. 18. A patient has the right to treatment that avoids unnecessary discomfort.

10 19. A patient has the right to be transferred to another facility only after care and arrangements have been made and the patient has been given complete information about the hospital s obligations under law. 20. A patient has the right to a copy of his or her bills. A patient also has the right to have the bill explained. 21. A patient has the right to request help in finding ways to pay his or her medical bills. 22. A patient has the right to help in planning for his or her discharge so that he or she will know about continuing health care needs after discharge and how to meet them. 23. A patient has the right to access people or agencies to act on the patient s behalf or protect the patient s rights under law. A patient has the right to have protective services contacted when he or she or the patient s family members are concerned about safety. 24. A patient has the right to be informed of his or her rights at the earliest possible time in the course of his or her treatment. 25. A patient has the right to make advance directives (such as a living will, health care power of attorney and advance instruction for mental health treatment) and to have those directives followed to the extent permitted by law. 26. A patient has the right to personal privacy and to receive care in a safe and secure setting. 27. A Medicare patient has the right to appeal decisions about his or her care to a local Peer Review Organization (PRO). The facility will provide the name, address and phone number of the local PRO and information about filing and appeal. 28. A patient has the right to be free from verbal or physical abuse or harassment. 29. A patient has the right to be free from the use of seclusion or restraint, of any form, as a means of coercion, convenience, or retaliation by staff. If seclusion or restraint are used (including medications), they must be in accordance with a patient s plan of care. Restraints and seclusion may be used only as a last resort and in the least restrictive manner possible, to protect the patient or others from harm, and must be removed or ended at the earliest possible time. 30. A patient has the right to see visitors of his or her choice except as limited by laws and regulations. 31. A patient has the right to pastoral care and other spiritual services. 32. A patient has the right to be involved in resolving dilemmas about care decisions. 33. A patient has the right to have his or her complaints resolved. 34. A patient and his or her family have the right to contact the Nash Hospitals, Inc. ethics committee to ask for help about ethical issues, such as starting or stopping treatments to keep patient alive, differences of opinion or when advance directives cannot be honored. 35. A patient has the right to appropriate pain management.

11 Patient Responsibilities 1. Patients are responsible for providing correct and complete information about their health and past medical history. 2. Patients are responsible for reporting changes in their general health condition, symptoms or allergies to the responsible caregiver. 3. Patients are responsible for reporting if they do not understand the planned treatment or their part in the plan. 4. Patients are responsible for following the recommended treatment plan they have agreed to, including instructions from nurses and other health personnel. 5. Patients are responsible for keeping appointments. 6. Patients are responsible for treating others with respect. 7. Patients are responsible for following facility rules regarding smoking, noise and use of electrical equipment. 8. Patients are responsible for what happens if they refuse the planned treatment. 9. Patients are responsible for paying for their care. 10. Patients are responsible for respecting the property and rights of others. 11. Patients are responsible for assisting in the control of noise and the number of visitors in their room. For more information, visit our website at

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