Spine and Orthopedic Surgery Unit Hamilton General Hospital. Information for patients and their families



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Spine and Orthopedic Surgery Unit Hamilton General Hospital Information for patients and their families Curing - Caring - Comforting 905-527-4322, ext. 46650

Table of contents Page About 6 West... 1 Health Care Team... 1 What personal items will you need on 6 West?... 4 Room set up... 5 Who can visit?... 5 Infection... 6 Isolation... 6 Fall... 7 Discharge... 7 Can my family member stay overnight?... 8 Family spokesperson... 9 Other information... 9 Meals... 10 Medications... 10 Education resources... 10 Laundry... 10 Preferred accommodation... 11 TV and telephones... 11 We are a smoke-free hospital... 11 Fragrance restricted... 11 A note to families and friends... 12 Patient Experience... 12 Names of your team member... 13 Notes... 14

1 About 6 West We care for people who have conditions affecting the spine and spinal cord, as well as other orthopedic ailments or injuries. You will have new experiences in the hospital and you may have questions. This booklet will help answer some of your questions about 6 West. Any member of the health care team will be pleased to answer your questions at any time no question is too simple to ask. The Health Care Team A team of people work together to provide your care on 6 West. You and your family are important members of our team. Members of the heath care team will teach you and your family about: what has happened what treatment and care is needed what to expect during your stay on the unit what to expect when you leave the hospital

2 Welcome to 6 West Any of these team members may be involved in your care. Team member Clinical Manager Orthopedic Surgeon Neurosurgeon Resident Acute Care Nurse Practitioner (ACNP) Registered Nurse Registered Practical Nurse Health Care Aide Occupational Therapist/ Occupational Therapist Assistant How they help organizes the overall running of the unit answers any concerns about your care the doctor in charge of your care a doctor in training who works under the direction of the doctor in charge of your care a nurse with advanced training who helps manage your health care needs coordinates your care with other health team members provides ongoing monitoring and treatments to improve your condition teaches you and your family about your condition helps the registered nurse with your bath and personal care needs helps you get out of bed and may help you with your meals helps you to be more independent with your daily activities teaches you to use special equipment which allows you to do more for yourself helps you identify what supports you will need when you are planning to leave the hospital helps you to rent or buy equipment you will need for your home

3 Team member Physiotherapist/ Physiotherapist Assistant Speech and Language Pathologist Dietitian/ Dietetic Assistant Social Worker Pharmacist Physician Assistant Chaplain How they help helps you to gradually increase your physical activity helps you to improve your strength, flexibility and balance teaches you to use aids such as a cane or walker if needed assists you with your communication difficulties assesses and makes suggestions for managing your swallowing problems makes sure you meet your nutritional needs and receive the foods that are best for you teaches you and your family about your diet helps you and your family learn ways of coping with the changes in your lives gives you information about financial and community support services helps with your planning when it is time to leave the hospital gives you information about Power of Attorney assesses your medications and dosages answers your questions about medications works with your surgeon to manage your medical care gives you spiritual guidance and support

4 Welcome to 6 West Team member Respiratory Therapist Business Clerk Environmental Aide How they help helps the team with your respiratory care which includes: caring for your tracheostomy testing your lung function looking after your oxygen needs greets and directs families and friends who visit the unit directs telephone calls received at the nurses station to the right person answers your call bells and gets you the help you need keeps the unit clean and safe delivers and picks-up meal trays What personal items will you need on 6 West? Please bring these items to 6 West: personal care items such as a hairbrush, comb, shampoo, soap, lotion, deodorant, safety or electric razors and shaving cream toothbrush, toothpaste and mouthwash. if you wear dentures, please bring cleaning and fitting products, and a denture cup clearly labelled with your name. Ask your denturist to label your dentures with your name. loose clothing such as track suits. sleepwear and non-skid, full back slippers. a pair of walking or running shoes for therapy. If you bring electronic equipment, it must be checked by the maintenance department for safety. Do not leave valuables or money in the hospital. Patients and their families are responsible for personal items left at the bedside.

5 Room set up Place all flowers, cards, gifts, personal items and clothing on the window sill, wall shelf or in beside table drawers. Please arrange these items so they do not crowd patient areas or increase a patient s risk of falling. If you move chairs or furniture into or around the room, please put them back when you are finished. Send anything home you are not using. Who can visit 6 West? Families and friends may visit 6 West. Only 2 visitors at a time. Visiting hours are between 11:00 am and 8:00 pm. If you need to visit at a different time please speak with the patient s nurse. Visitors please note: You must talk to a Nurse, Dietitian, Dietetic Assistant or Speech and Language Pathologist before giving any food or drink to a patient. They may be on a special diet that prevents you from directly feeding them or bringing in preferred foods. Call a nurse if you see that a patient needs help rather than give help yourself.

6 Welcome to 6 West Infection Infections spread easily. Prevent the spread of infection by: Cleaning your hands with the alcohol rub before and after visiting. Not using a patient s washroom. Public washrooms are located by the elevators. Isolation If your loved one is in an isolation room, please STOP and read the sign posted on the door to the room or the curtain. You may need to wear a gown, mask and gloves before entering. Please ask the nurse for help. Reminders Clean your hands with the alcohol rub when you enter and leave the patient s room. Put coats and other personal belongings, such as hand-bags in the clean dedicated zone within the patient s room. Use the coat hooks or plastic bags provided. Do not put any personal belongings on the patient s bed or other surfaces in the patient s room. Before you leave the patient s room, throw the gowns and gloves in the correct bins. Clean your hands with alcohol rub after you take off the gloves.

7 Falls You will see this sign if the patient you are visiting is at risk for falling. Do not lower bedrails or help the patient to get up without first speaking to the nurse, physiotherapist or occupational therapist. Discharge Planning to leave the hospital, called discharge, begins early in your stay. You will be discharged once the health care team has completed your treatment. You will need to arrange for a ride home. If you do not live in Hamilton, you may be transferred back to your local hospital to complete your recovery closer to home. Our staff will arrange this transportation. If you have questions before you leave, ask a member of your health care team.

8 Welcome to 6 West Discharge (continued) Before you leave the hospital, you need to know: What activities are you allowed and not allowed to do? Do you need to use special equipment at home such as a walker or bath seat? If so, how do you get them? When are you allowed to take off your collar or brace? Can you take a shower with the collar or brace off? How to put on your collar or brace? How to change and wash your collar pads? How to care for your incision? When are your follow-up appointments? Who will remove your staples or sutures? Did your medications change since your surgery? If so, how? Members of your health care team will discuss and answer these questions before you leave the hospital. There are also patient education materials on the unit for you to take home for reference. If you have any questions, please ask a member of your health care team. Can my family member stay overnight? Sometimes, family members want to stay overnight. Talk to the nurse if you feel that it would help you or your family member. The decision on whether your family member stays depends on others in the room and your needs and comfort.

9 Family spokesperson We ask that one person be chosen as the family spokesperson. The health care team will speak to this person who can pass information on to family and friends. Information over the phone will only be given to the spokesperson. The nurse may not always be available to speak with you. Please be patient when you call. Give the nurse all telephone numbers where the next of kin can be reached. It is important to leave a work and home telephone number. The doctor will only give out information and test results to the patient, family spokesperson and the next of kin or substitute decision maker. Other information the Marketplace Cafeteria located on Level 1 a coffee shop located on Level M (Main) by the main entrance a gift shop located on Level M (Main) a bank machine located on Level M (Main) vending machines located outside of the Marketplace Cafeteria on Level 1 a Chapel available to visitors on Level M (Main) visitor washrooms are located by the visitor elevators on each level of the hospital monthly parking passes are available for purchase at the Parking Office, ext. 44060 Wireless internet service is available for a fee. For more information ask your business clerk or visit www.hhsc.ca/hotspots

10 Welcome to 6 West Meals Meals are served at 8:00 a.m., 12:00 noon, and 5:00 p.m. You will be told if you are on a special diet. An ice machine, refrigerator and microwave are available for you to use on the ward. If allowed, you may have food brought in. Please label any food kept in the refrigerator with your name. Medications While you are on 6 West: you will be asked to give us a list of all the medications you take at home. your nurse will give you your medications. send other medications home unless you are told otherwise. Education resources There are education resources available for you and your family on 6 West. Ask a member of the health care team for information. Laundry Bedding will be changed as needed. Please send clothes home for washing. You may bring in your own pillow for comfort.

11 Preferred accommodation If you have preferred accommodation coverage, we will try to get you into a private or semi-private room as soon as we can. Please check your coverage with your health insurance company. They may pay all or only part of the cost. TV and telephones To request TV or telephone hook-up, fill out a card from the Hospitality Network located by your bedside or by the nurses station. Put the completed card and method of payment in the drop box. Payphones are located on the main level. We are smoke-free Hamilton Health Sciences is smoke-free. This means that smoking is not allowed anywhere on the grounds, including parking lots, garages and vehicles. For support or help to stay smoke-free: We can provide you with nicotine replacement products to make your hospital stay more comfortable. Talk to a member of your health care team at Hamilton Health Sciences. contact Smoker s Helpline toll-free at 1-877-513-5333 or www.smokershelpline.ca Fragrance restricted We are a fragrance restricted hospital. Please do not wear or bring perfume, cologne, aftershave, scented hair spray or other scented products.

12 Welcome to 6 West A note to families and visitors We understand that families feel a lot of stress when a loved one is in the hospital. We will do our best to help you cope. To help us focus on patient care, we trust that families, visitors and staff treat each other with respect. Respect is important when challenges are experienced. Our staff follow a Code of Conduct based on values such as caring and respect. If you would like to obtain a copy of this booklet, please ask a staff member. Reading this booklet will help you know how you and your family can help. If you have a concern please feel free to talk with a staff member. Patient Experience At Hamilton Health Sciences we welcome your feedback. Hearing from patients and families is the best way to improve our care and services. If you have compliments or concerns about your care, please speak with a member of your health care team or the unit/area manager. If you wish to share your feedback or compliments further, or feel your concerns have not been addressed, please contact the Office of Patient Experience at 905-521-2100, ext. 75240.

13 Names of your team members Clinical Manager Doctor(s) Physician Assistant Acute Care Nurse Practitioner Nurse(s) Dietitian Chaplain Health Care Aide Occupational Therapist Occupational / Physiotherapist Assistant Pharmacist Physiotherapist Speech and Language Pathologist Social Worker please turn over

14 Welcome to 6 West Notes Hamilton Health Sciences, 2005 PD 5406 03/2015 dpc/pted/6westwelcome-trh.docx dt/march 9, 2015