Post on 23-Apr-2018
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Patients, relatives & carersWelcome PackBognor Regis War Memorial Hospital:• DonBainesWard • LeslieSmithWard
CourtesyofBognorRegisObserver
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WelcometoBognorRegisWarMemorialHospitalThisinformationpackhasbeendevelopedasaguidetoourin-patientwardsandtohelpansweranyquestionsyoumayhave.Allourstaffwelcomeyouandwehopeyourstayherewillbeapositiveone.
AboutthewardsDonBainesWardandLeslieSmithWardare24beddedrehabilitationwards.Ouraimistoprovideaservicetomaximiseyourabilityto liveasindependentlyaspossibleandtoget youbackhome,whenitissafetodoso.
Wewillworkwithyouonyourrehabilitationgoalsfollowingyourillness/injurytoregain yourindependenceandusefulactivity.
Thewardsaredividedinto4bays,2with6beds,1with5beds,1with3bedsand4siderooms.Thesideroomsarecommonlyrequiredtotreatandisolatepatientswithinfections. Weareunabletoprovideprivatefacilities.
Ouraimistoassistyouto:• Meetyourindividualneeds.
• Restore,maintainorimproveyourdailylivingskills.
• Promoteyourindependence.
• Involveyouandanyappropriatefamilymembers/carersinyourrehabilitationanddischargeprocess(returningbackhome).
• Respectyourdignity,privacyandrights.
• Providepatientchoicewithpalliativeandendoflifecare.
PhilosophyWeaimtoprovideservicestoimproveyourhealthandwellbeing,usingthebestevidencetoensurequalityandsafety.Wewillworktogetherwithknowledgeandskillstomeetagreedtreatmentplans.Wetreateveryonewithdignity,respectandkindness.
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Rehabilitationstaff
Themulti-professionalrehabilitationteamconsistsof:
• Ward manager and ward sister–Thesearethemostexperiencedandseniornursesontheward,theymanageandoverseeresourcesandensurethecareofpatientsismaintainedthroughnationalguidelines,policiesandprocedures.
• Staff nurses–Areregisterednurseswhoplanandevaluateyourcareandsetyourrealisticandachievablerehabilitationgoalswithyouandthetherapists.
• Healthcare assistants–Supporttheregisterednursesandtherapistsindeliveringandimplementingyourcare,andassistingyouinachievingyourgoals.
• Medical cover –AdoctorisbasedonthewardMondaytoFriday9amto5pm.Outsidethesehoursthewardiscoveredbythe on-calldoctor.
• Associate specialist –Asenior,experienceddoctorwhoadvises,mentorsandsupportsjuniorstaff.
• Consultant physician –Workwiththemulti-professionalteamtwiceaweektoreviewpatientsontheward.TheyarebasedatSt.RichardsHospital.However,ifamedicalemergencyshouldoccur,youmaybetransferredtoSt.RichardsHospitalforinvestigationsandtreatment.
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• Physiotherapist and occupational therapist –Thetherapistandnursingteamworkcloselytogether,ensuringcontinuityofcareandrehabilitation,enablingyoutoachievethe goalsset. • Ward clerk–Provideadministrativesupportforthewards.
• Social worker–Individualscanbereferredtoadultserviceswhowillassess,andensurecarerequirementsaremetondischarge.Theyprovidesupportandadvicetoindividualsandfamiliesifrequired.
• Speech and language therapist–Willassessyouiftheteamareconcernedaboutyourabilitytoswallowfluidsandfoodsafely.Theymayrecommendthatyourdietandfluidsaremodified.
• Dietician–Willassessyouifyouhavelostweightorhaveareducedappetite.Theymayrecommendnutritionalsupplements.
•Housekeeper –Supportstheteamandpatientsbyprovidingrefreshmentsandoverseesthemenuselectionandspecialistdietsforpatients.
UniformsYouwillseemanydifferentmembersofstaff.Hereisalistoftheirtitlesandtheuniformstheywillwear:
Matron Charcoaltunicwithstripesandblacktrousers.
Ward manager Navybluetunicandnavybluetrousersornavybluedress.
Ward sisters Navybluetunicandnavytrousersornavybluedress.
Staff nurses Skybluetunicandnavybluetrousersorskybluedress.
Healthcare assistants Palebluetunicwithnavytrousersorpalebluedress.
Student Nurses Whitetunic/bluepinstripeandblacktrousers.
Physiotherapists Whitetunicandnavytrousers.
Occupational therapists Whitetunicanddarkgreentrousers.
Ward clerk Navyprintedshirtandnavytrousers.
Housekeepers Palegreenuniform.
Facilities staff Palegreenuniform.
Duetoinfectioncontrol,doctorsandsomeotherstaffnolongerwearwhitecoats.Allstaffshouldbe‘barebelowelbow’(i.e.nolongsleevesbracelets,jewelleryorwristwatches).Staffshouldbeobservedwashing/gellingtheirhandsbefore/aftereachpatientcontact.
Individualsshouldhaveclearcliponidentitybadges,nolanyards.
Ifatanytimeyouareunsureofaperson’sidentity,pleaseasktospeaktothenurseincharge.
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Admissiontotheward
Assessmentbymembersofthe
rehabilitationteam
Developdischargeplanandset
datefordischarge
Weeklyprogressreviewmeeting
Homevisit/environmentassessmentifrequired
Reviewforcarepackage/equipmentrequirements(Ifindicated)
Dischargewithappropriateidentifiedsupport
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RehabilitationprocessYourstayonthewardwilltypicallyinvolvethefollowingpathway:
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Dailytimetable
Approximate time Activity07.00to07.30 Earlymorningtea08.00 Breakfast(protectedmealtime)09.00–onwards Youwillbeencouragedtocompleteyourpersonalcareindependently
orgivenappropriateassistance10.00to12.00 Selecteddays-consultantwardroundfollowedbymulti-disciplinary
teammeeting.10.30to11.00 MidmorningcoffeeMorningtherapy Youwillbeencouragedtoparticipateintherapysessionsandmoveinto
theDayRoomareaforlunch12.15to13.15 Lunchisservedinthediningarea(protectedmealtime)Afternoontherapy Youwillbeencouragedtoparticipateintherapysessions14.00to16.30 Afternoonvisiting(pleasecheckwithwardmanagerrevisitingtimesas
theymaydiffer)15.00 Afternoontea17.00to18.00 Supperisserved(protectedmealtime)18.00to19.30 EveningvisitingEvening Preparationforbedtime20.30 NighttimedrinksNight Therearethreestaffondutytoassistyouandhelpyouachieve
yournighttimegoals
PersonaltherapyDuringyourstayyouwillbeencouragedtodoasmuchforyourselfaspossible,staffwillassistwithactivitiesthatyouneedhelpwith.
Youareexpectedtodressindayclothes(wehavealimitedselectionavailableuntilyourownarebroughtin),youwillrequirewashitems,includingsoap,flannel,toothbrush,toothpasteanddeodorant.
Washinganddressingideallytakesplaceinthebathroomsratherthanatthebedside.Washareas
areallocatedforbothmaleandfemaleuse.Shouldyoubeunabletostandforanyreason,wehavearangeofmanualhandlingequipmentthatwecanusetoensureyoursafetyandthatofthestaff.
Althoughyouwillbeseenregularlybyaphysiotherapist,thetherapycontinueswiththenursingstaff.Eachtimeyougetinandoutofbed,walktothetoiletorsimplysitupinbed,isconsideredtobetherapy. Yourlengthofstayonthewardwilldependonhowquicklyyouareabletoachievethegoals
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setforyouinconjunctionwiththerehabilitationteam.Ouraimistodischargewithin21daysofadmission.
Ifgoalsarenotachievableoryouarenotabletoparticipateinactiverehabilitation,wewillassistyoutoarrangesuitablecareinyourhometomeetyourneeds,asyouwillbeunabletoremainontherehabilitationunit.
StudentnursesThewardiscommittedtoprovidingapositivelearningenvironmentforstudentnurses,andworkexperiencestudents.
PropertyProperty,valuablesandcashshouldbekepttoaminimumduringyourstayinhospital.Anyproperty,valuablesorcashnothandedovertotheTrustwillbeheldatyourownrisk.
Pleaseadvisestaffifyouhavedenturesorahearingaid.Whennotinusetheseshouldbekeptinacontainerorinyourlocker.
Youmaywishtokeepasmallamountofcashforthetrolleyshopwhichvisitsthewardthreetimesaweekandsellssweets,drinks andtoiletries.
Ifanybodybringsinmoneyoritemsthatyoucherishpleasenotifyamemberofstaffsothattheycanbeaddedtoyourpropertyform.
LaundryAsthelaundryfacilitiesatthehospitalareverylimiteditisexpectedthatfamily/friends/carerswillberesponsibleforlaunderingpersonalclothes.Thelaundrywillbeavailableforcollectioninapatientpropertybaglocatedinthebedsidelocker.
Duetoinfectioncontrolstaffarenotallowedtowashoutfaecalsoiledclothes.
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FoodandnutritionWeaimtoprovideprotectedmealtimeswhenallunnecessaryactivitiesonthewardwillstop.Visitorswillnotbeadmittedatthistime,unlesswithprioragreementwiththeseniornurses,norwillpatientsbeabletotaketelephonecalls.
Ifthesearrangementscausedifficultiesforyourfamily,pleaseaskthemtodiscussthiswiththenurseincharge.
Thehousekeeperwillprovideyouwithamenueachmorningforyoutochoosewhatyouwouldliketoeatthefollowingday.
Ifyouhaveaparticulardietorreligiousrequirementthekitchenwillcaterforthis.
Lunchisservedinthediningarea.
Youwillbeservedhotdrinksatintervalsduringthedayandwillalsohaveajugofwaterwhichischangedtwicedaily.
Unfortunately,duetofoodhygieneregulations,weareunabletostorefoodbroughtinfromhomeinthewardfridge.Wewouldsuggestthatanyfoodbroughtiniseatenimmediately.
Ifyouneedtoattendout-patient’sappointmentsorinvestigationsatanotherhospitalwewillprovideyouwithalunchpack.
Whilstinhospitalyouwillbeweighedweekly.Ifyouloseweightorareobservedtohavereducedappetiteyouwillbereferredtothehospitaldietician.
MealtimesBreakfast 08.00
Lunch 12.15
Supper 17.00
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VisitingarrangementsVisitorsarewelcomeduringyourstay.Thefollowingpointsareonesthatyouandyourvisitorsmayliketoconsider:
Youareatarehabilitationward.Therefore,considerationmustbegiventoyourrehabilitationprogrammeandvisitsfromthedoctors,nursesandtherapists.
Thewardoperatesprotectedmealtimesandhoursforvisitingarelistedbelow.
Wedoaskvisitorstoconsiderotherpatient’swithregardstotheirprivacyandresttimes.
Ifthefirealarmsareactivated(orinanyothercrisissituation),weaskyouandyourvisitorstotakeadviceandinstructionsfromstaff.
Childrenvisitingmustbeaccompaniedandsupervisedbyanadult.TheymustNOTbepermittedtocrawlonthefloors.
Weaskthatvisitorsdonotsitonthebeds,orusepatient’sbathrooms.ThisisforinfectioncontrolpurposesasperourTrustpolicy.
Althoughwewelcomeflowersandplants,wedonothaveasupplyofvases.Pleaserememberthatspaceislimitedonthelockersandaroundthebedspacegenerally.
Occasionallytheremaybereasonsto“close”thewardtovisitorstominimisecrossinfection.Weaskvisitorsnottovisitiftheyhaveanycoldsymptoms,nauseaordiarrhoea.
VisitingtimesLeslieSmithWard 14:00-16:30 hrs 18:00-19:30 hrs
DonBainesWard 14:00-16:30 hrs* 18:00-19:30 hrs
*ExceptTuesdaysandFridayswhenafternoonvisitingis15:00-16:30hrsinordertoaccommodateconsultantwardround.
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TelephoneenquiriesStaffarealwayshappytospeakwithrelatives/carersonthewardbutpleaserememberpatientenquiriesonthetelephoneareconfidentialandmedicalinformationcannotbediscussed.
Itisgenerallybusierinthemorningsopleaselimitcallsatthistime.
Itwouldbehelpfulifonenamedpersoncouldmakeenquiriesandthenpassontheinformationtootherfamilyandfriends.
Acordlessphoneisavailableforpatientstoreceiveincomingcalls.Youmaybeaskedtocallbackifthereisahighdemandforthisservice.
Themainswitchboardnumberforthehospitalis:01243 865418
QueriesIfatanytimeyouwishtotalktosomebodyaboutanyworriesorproblems,pleasedonothesitatetoaskthenursingstaff.
Howeversmalltheproblem,wearehere24hoursadaytomakeyourstayascomfortableandtroublefreeaspossible.Wewelcome anycommentsandsuggestionsthatyou haverelatingtoqualityofcareandwaysinwhichstandardscanbeimprovedforyouoryourfamily.
SmokingSussexCommunityNHSTrustoperatesano-smokingpolicyon-site.
OccupationaltherapyTheoccupationaltherapistwilladviseyouonthebestwaystocarryoutdailytasks,whetheritispersonalcare,householddutiesorsocialactivities.
Theoccupationaltherapistwillhelpyouidentifyhomehazardsandrecommendequipmentandadaptationstomakeyourhomesafer.
Ifyouoryourfamilyhaveanyconcernsaboutyourabilitytomanageathome,includingifyouhaddifficultiespriortoadmission,pleaseasktoseetheoccupationaltherapist.
HomevisitassessmentAspartofyourrehabilitationprogrammeyoumaybeaskedtoparticipateinahomevisit.Theyinclude:
•Theoccupationaltherapistandanothermemberofstafftakingyoutoyour ownproperty.
•Yourabilitytoaccessyourpropertyandmobilisearoundyourhomeasyouwouldondischargewillbeassessed,includingyourabilitytotransferonandoffyourbed,chairandtoiletetc.
•Theassessmentwillenableyou,yourfamily/carers,aswellasthetherapyteamtohaveanunderstandingofhowyouaregoingtomanageinyourhomewhenyou leavehospital.
•Recommendationsaregivenwhereindicatedtoensureyourindependenceandsafetyismaintainedondischarge.Equipmentandrailsmaybeprovidedifaneedisidentified.
•Youarewelcometohavefamily/carerspresentonthevisit.
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•Yourabilitytocompletecertaindomestictaskse.g.makingahotdrinkmaybeassessedonthehomevisit.
AccessvisitIfitisidentifiedthattakingyoutoyourhomebeforedischargeisnotrequired,theoccupationaltherapistwillaskforyourconsenttovisityourpropertytoassessforanyequipmentyoumayrequireondischarge,withoutyoubeingpresent.
PhysiotherapyThephysiotherapistwillassessyouintermsofyourmobility,balanceandconfidence.Youwillbegivenasuitableaidtohelpyouifrequired.Youwillbeadvisedonpersonalexercisestohelpyouprogressandassistyourrehabilitation.Ifyouneedtomanageasteporstairsyoucanpracticethesetaskswith thephysiotherapist.
Thephysiotherapist’saimistoimproveyourlevelofmobilitytoensurethatyoufeelconfident,safeandhappytobedischarged.Ifthephysiotherapistfeelsitisappropriate,followuparrangementscanbemadetoprogressyourmobilityafteryouaredischarged.
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ExpectationsfromyourrehabilitationprogrammeDuringyourstayyouwillbeencouragedtoparticipateinarehabilitationprogrammedesignedtohelpyouregainyourindependence.Aninitialassessmentwillbecompletedandfromthisarehabilitationprogrammewithgoalswillbeagreed.Therehabilitationprogrammecaninvolve:
•Becomingmoreinvolvedwithyourpersonalactivitiesofdailyliving,e.g.washing,dressing,toiletingetc.
•Participatingintherapyprogrammesaimedatyourspecificneeds,toimproveyourstrengthandconfidenceasadvisedbythetherapists.
•Undertakingfamiliarhouseholdtasksaspartofagradedprogrammeunderdirectionoftherapistse.g.kitchenactivities.
•Demonstratingsafeworking,handlingandmovingofutensils,cutleryandequipmentinakitchenfacility,i.e.whenmakingahotdrink,snacksormealswiththedirectionofstaff.
•Learningtouse,wherenecessary,specialiseditemsofequipmenttomakedailylivingeasier.
•Workingtogetherwiththerehabilitationteamandyourfamily/carerthroughanagreedrehabilitationprogrammeinpreparationformanagingtoliveathome.
•Involvementwithyourfamilyandcarerswill beencouragedthroughoutyourstay,sothattheyfeelconfidenttohelpyoutomanagefollowingdischargewhenyouleavetherehabilitationunit.
Whenrehabilitationpotentialisreachedoryouareunabletocurrentlyparticipateinanactiverehabilitationprogrammeoryoudecideyoudonotwanttoparticipateinrehabilitation,
wewillneedtodiscussandmakedischargearrangementswithyou,withinanagreedtimeframe.Ondischarge,wewillsendyourGPalettersummarisingyourcareintheward.
MedicationAspartofyourrehabilitationprogramme,wewillassessyourabilityandanyneedsyouhavetoenableyoutosafelymanageyourownmedicationaspreparationforwhenyouaredischarged.
Shouldyouhaveanyconcernsregardingyourmedication,pleaseasktospeaktotheregisterednurseonduty.
Ifyouneedpainrelief,itisreadilyavailable,pleaseaskamemberofnursingstaff.Mostpainreliefisgivenatmealtimes,butletusknowifyourpainisnotwellcontrolled.
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FallsfactsThedangeroffallinginhospitalisveryreal.Thereareseveralfactorsthatincreasethisrisk:
•Illnessandbeingawayinnewand unfamiliarsurroundings.
•Certainmedications,suchaspainrelievers,bloodpressuretablets,waterpills,laxativesandsleepingaids.
•Previoushistoryoffalls.
•Shortnessofbreath,muscleweakness,unsteadygait,andfever.
•Newconfusionfromillnesssuchasinfectionorchangesinbodychemistry;dementia,depressionorpsychosis.
•Sensoryimpairments,suchasnumbnessinfeet;visionorhearingproblems.
•Posttreatmentprocedure/surgery.
Havingahigherrisktofallmayoccuratdifferenttimesthroughoutyourhospitalstay.Thenurseandtherapistswillassessyourriskoffallingateachshiftandwhenyourconditionchanges.
Ifitisdeemedthatyouareatahighriskoffallsthenaspecialplanofcaretoaddresssafetyissuesandreducethedangerofanaccidentalfallandinjurywillbeimplemented.
Guidelinestoavoida fallinhospital•Keepeverythingyouneedwithinreach.
•Useyourcallbelltogethelp.
•Avoidstretchingorbendingtoreachthings.
•GetoutofbedS-L-O-W-L-Y.
•Ensureyourshoesorslippersfitand arenon-slip.
•Donottryandwalkwithjustsockson.
•Callfornursetohelpyougettothetoiletorbathroomuntilyouaretoldthatyouaresafe togoonyourown.
•Informthestaffifyouexperiencedizziness,blurredvisionorfeelweak.
•Useyourwalkingaidasinstructed.
Weaskrelativesand visitors•Limitto2visitorsperpatientatanyonetime.
•Toleavethepatientsbedareatidyandreplacechairswhereyoufoundthem.
•Makesurethepatientscallbelliswithin easyreach.
•Replacebedtablesmovedduringyourvisit.
•Askstafftoreplacebedrailsmovedduringyourvisit.
•Reportanypotentialhazardssuchasspillsofliquidonthefloor,trailingwiresorcables,obstaclesaroundthebedspaceetc.
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GeneralInformation•Thereisaloungeavailableforpatientstosocialiseandseevisitors.Atelevisionisprovidedinthelounge.
•Ifyouhavereligiousorculturalneeds,pleaseletusknowandwewilldoourbesttohelpfulfilthesewithhelpfromthelocalcommunity.ThehospitalChaplainholdsaserviceonThursdayafternoonsinthehospitalchapel.Pleaseinformamemberofstaffifyouwish
toattend.
•TheFriendsoftheHospitalprovideasmallmobiletrolleyserviceonTuesdayandFridaymornings.Youwillbeabletopurchasetoiletries,squashandconfectionery.
•Wehaveahairdresserwhovisitsweekly.Tobookanappointment,pleaseaskthehousekeeper.Thisisaprivatearrangement,forwhichyoupaythehairdresserdirectly.
Keypeople
LeslieSmithWARD MANAGER JanetBlackman
WARD SISTER JaneRichardson
DonBainesWARD MANAGER SandraWoodgate
WARD SISTER ElaineCooke
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