UVA Patient Handbook - University of Virginia Health System
UVA Patient Handbook - University of Virginia Health System
UVA Patient Handbook - University of Virginia Health System
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<strong>UVA</strong> <strong>Patient</strong> <strong>Handbook</strong>
Welcome to the <strong>University</strong> <strong>of</strong> <strong>Virginia</strong> <strong>Health</strong> <strong>System</strong><br />
We are dedicated to providing the best health care possible for you<br />
and your family. This handbook <strong>of</strong>fers guidelines and resources to help make<br />
your visit to our hospital and clinics easier, safer and more comfortable. We<br />
encourage you to participate in your care by asking any questions you may<br />
have and by <strong>of</strong>fering your comments and feedback. Our goal is to exceed your<br />
expectations <strong>of</strong> a health care provider. While in our care, you can expect to<br />
receive top quality health care, as well as respect and consideration.<br />
R. Edward Howell, Vice President and CEO <strong>of</strong> the <strong>University</strong> <strong>of</strong> <strong>Virginia</strong> Medical Center<br />
For a list <strong>of</strong> helpful phone numbers, please see the back cover.<br />
Proveemos servicios de interpretación gratuita a nuestros pacientes de habla<br />
Hispana. Cuando haga su próxima cita, llámenos al teléfono 434-982-1794 para<br />
solicitar los servicios de un intérprete. Pacientes de habla hispana pueden solicitar<br />
este Manual del Paciente en el idioma Español en “<strong>Patient</strong> and Guest Services.”<br />
Table <strong>of</strong> Contents<br />
About Your Stay in the Hospital 2<br />
Our Hospital and Services 4<br />
Other Important Information 5<br />
Your Safety and Comfort 5<br />
Your <strong>Health</strong> Care Team 6<br />
Going Home 8<br />
Your Bill 9<br />
Your Rights and Responsibilities<br />
as a <strong>Patient</strong> 10<br />
<strong>UVA</strong> Medical Center<br />
Television Program Guide 14<br />
Video Guide 15<br />
Pain Rating Scale 16<br />
Helpful Phone Numbers Back<br />
Hospital Map Insert<br />
3
Our Mission<br />
To provide excellence and innovation in<br />
the care <strong>of</strong> patients, the training <strong>of</strong> health<br />
pr<strong>of</strong>essionals and the creation and sharing <strong>of</strong><br />
health knowledge.<br />
Our Vision<br />
In all that we do, we work to benefit human<br />
health and improve the quality <strong>of</strong> life. We will be:<br />
n A community <strong>of</strong> caring people committed<br />
2<br />
to our patients, our neighbors, and each<br />
other and committed to the pr<strong>of</strong>essional<br />
development <strong>of</strong> our staff and faculty<br />
n The provider <strong>of</strong> the best complex clinical<br />
care in <strong>Virginia</strong> and surrounding states, with<br />
national recognition in selected areas<br />
n A highly effective organization that is<br />
committed to providing exceptional service to<br />
our patients<br />
n A model <strong>of</strong> creative teaching and learning<br />
n An organization dedicated to discovery and<br />
the application <strong>of</strong> innovative science.<br />
Our Values<br />
This institution exists to serve others, and does<br />
so through the expression <strong>of</strong> our core values:<br />
Respect – to recognize the dignity <strong>of</strong> every<br />
person<br />
Integrity – to be honest, fair and trustworthy<br />
Stewardship – to manage resources<br />
responsibly<br />
Excellence – to work at the highest level<br />
<strong>of</strong> performance, with a commitment to<br />
continuous improvement.<br />
About your stay in the Hospital<br />
Care Partners<br />
Care Partners have access to you and can keep<br />
other family/friends informed about your<br />
condition. You may have one or two adults be<br />
your Care Partners and be active members <strong>of</strong><br />
your health care team. You are asked about Care<br />
Partners during the admission process but can<br />
name or change a Care Partner at anytime during<br />
your hospital stay.<br />
Identification<br />
For your safety, you will receive an identification<br />
(ID) bracelet to wear on your wrist. Staff must<br />
confirm your name and date <strong>of</strong> birth before<br />
doing procedures or giving you medications.<br />
Mail, E-cards, Balloons, Packages<br />
and Flowers<br />
Mail, e-cards, balloons, packages and flowers<br />
are brought to inpatient units on weekdays.<br />
For patient safety, only mylar (not latex) balloons<br />
are permitted. Send mail and flowers to:<br />
<strong>Patient</strong>’s full legal name<br />
<strong>UVA</strong> Medical Center, Nursing unit and room #<br />
Charlottesville, VA 22908.
Free e-cards can be sent to patients via our<br />
website: http://www.healthsystem.virginia.edu/<br />
internet/e-cards/choose/home.cfm.<br />
Upon discharge, we will forward mail to the<br />
address you give to the Admitting staff. Please<br />
call 434-924-5251 if you have any questions.<br />
<strong>Patient</strong> Food Service<br />
Catering-To-You is Nutrition Services’ way to<br />
bring you the diet ordered by your physician.<br />
The Catering Associate will help you make your<br />
meal and snack choices daily. If you are given<br />
a restricted diet, the associate will talk to you<br />
about it. If you arrive late in the evening, talk to<br />
your nurse about food options. New parents are<br />
<strong>of</strong>fered a Celebration Meal prior to discharge.<br />
Children and adolescents enjoy a menu right<br />
for their age and needs. If you have any special<br />
dietary requests, please call 434-243-6253 or<br />
434-924-2287.<br />
<strong>Patient</strong> Rooms<br />
Our hospital beds are electrically operated, have<br />
a call button and controls for lights, phone,<br />
television and radio. Your nurse will show you<br />
how to use the bed controls and tell you about<br />
room features for your comfort and safety. To<br />
help conserve resources, linens will be changed<br />
on Monday, Wednesday and Friday or by<br />
request. We may use equipment to safely help<br />
you in and out <strong>of</strong> bed. If you are sharing a room,<br />
please try to be quiet.<br />
Quiet Time<br />
On the patient units, quiet time is observed<br />
between 1 p.m. and 3 p.m. and at night. Please<br />
keep your voice low to allow for patient rest.<br />
We <strong>of</strong>fer earplugs or headphones for the bed’s<br />
pillow speaker if noise is a problem. If you have<br />
any questions, talk to staff.<br />
Telephones<br />
We ask that phone calls to check on your<br />
condition be made to you or your Care Partner/<br />
family. On the telephone at the patient’s bed, you<br />
may call out 24 hours a day. These phones do<br />
not accept incoming calls between 10 p.m. and<br />
8 a.m. Dial ‘9’ for an outside line and ‘0’ for the<br />
hospital operator. For long distance, dial 1-0area<br />
code and number to make a collect call or<br />
use a phone card (for sale in the gift shop). For<br />
800 numbers, dial 9-1-plus the number.<br />
Televisions/Music<br />
At each bed, you have local FM music stations,<br />
cable channels from Comcast, and special health<br />
programs. Ask us for help with closed captions,<br />
Spanish programs or headphones to use with<br />
the bed control. The full Television Program<br />
Guide is on Page 14.<br />
Special Programs include:<br />
Channel 2 – Relaxing video and music<br />
Channel 8 – Selected movies in English<br />
(In Spanish on Channel 33)<br />
Channel 12 – Children’s Hospital programs<br />
Channel 14 – <strong>Health</strong> TV – <strong>Health</strong>-related topics<br />
Channel 16 – Discharge Information for new<br />
parents in English and Spanish rotated every hour<br />
Channel 17 – Request health videos 24 hours a<br />
day by calling 2-1600<br />
Channel 18 – Newborn Channel<br />
(In Spanish on Channel 19)<br />
Your Belongings<br />
During the admission process, we will list<br />
belongings brought with you. We ask that you<br />
send valuables home but we have a safe, if<br />
needed, items like dentures, glasses, hearing<br />
aids should be kept in easy reach and visible. Use<br />
<strong>of</strong> personal electronic devices (phone charger,<br />
laptop, etc.) in the hospital is discouraged. If you<br />
bring them, they are your responsibility. They<br />
may be plugged in to any outlet that is at least<br />
five feet from your bed. Devices used in your bed<br />
must be used on battery power only.<br />
3
4<br />
About our Hospital and Services<br />
Lobby<br />
Our main lobby is the central hub for our<br />
services. Visitors are met at the front entrance<br />
by our greeters. They are directed to the<br />
Information Desk for a visitor pass and for a<br />
pink parking ticket. Staff can provide direction<br />
to public restrooms, pay phones and ATM<br />
machines as well as other services.<br />
Cafeteria/Vending<br />
The <strong>University</strong> Hospital Cafeteria has food options<br />
24 hours a day. The West Complex Cafeteria is<br />
open Monday through Friday from 7 a.m. to<br />
2:30 p.m. Vending machines, microwaves, and<br />
c<strong>of</strong>fee shops are in both cafeterias.<br />
There is a “<strong>Patient</strong> Nourishment Room” on each<br />
unit. Ask your nurse if you want something to eat<br />
or drink.<br />
Cell Phones<br />
For patient safety, cell phones can only be used<br />
in certain areas: near the main elevators and in<br />
the public areas on the 1st floor <strong>of</strong> the hospital.<br />
Ntelos brand phones can be used anywhere in<br />
the hospital.<br />
Chapel<br />
An interfaith chapel is on the 1st floor <strong>of</strong><br />
<strong>University</strong> Hospital. It is open for quiet reflection.<br />
Ask staff for a Chaplain, religious materials, and<br />
bereavement (grief) services or dial ‘0’ and ask<br />
for the on-call Chaplain.<br />
Foreign/Sign Language Interpreters<br />
Free interpreter services, video phone/TTY/TDD<br />
are available for patients and families with limited<br />
ability to speak or read English or who are deaf<br />
or hard <strong>of</strong> hearing. 434-982-1794<br />
Gift Shop<br />
In the <strong>University</strong> Hospital Lobby, the gift shop is<br />
open Monday through Friday from 7 a.m. to<br />
8 p.m, Saturday/Sunday from 9 a.m. to 5 p.m.<br />
and <strong>of</strong>fers a variety <strong>of</strong>:<br />
n gifts<br />
n flowers<br />
n mylar balloons<br />
n phone cards<br />
n gift cards for cafeteria or gift shop<br />
434-924-2447<br />
n snacks<br />
n cards<br />
n books<br />
n toiletries<br />
<strong>Health</strong> Sciences Library<br />
At the Claude Moore <strong>Health</strong> Sciences Library<br />
(which is between the Hospital and the West<br />
Complex) you can access health information on<br />
the computer, check out books, or take a break.<br />
434-924-5444<br />
<strong>Patient</strong> and Guest Services<br />
<strong>Patient</strong> and Guest Services is located in the main<br />
hospital lobby, next to the Information Desk.<br />
Staff can help with:<br />
n finding local lodging<br />
n getting wireless internet access in the hospital,<br />
n helping with lost and found,<br />
n and answering questions about additional<br />
services in the area.<br />
434-924-1122
Other Important Information<br />
Advance Directives<br />
Advance Directives are legal documents for<br />
you to make your health care decisions known.<br />
Our booklet contains an Advance Directive<br />
form and instructions. There is a form in this<br />
<strong>Handbook</strong> pocket or you can get one from<br />
Admitting. Your completed form will be put in<br />
your medical record.<br />
Blood Donations<br />
The walk-in donor room is near the lobby <strong>of</strong><br />
the West Complex if you, your friends or family<br />
wish to donate blood. Detailed information is at:<br />
www.vablood.org or call 434-243-2999.<br />
Organ/Tissue Donation<br />
We encourage you to talk about organ/tissue<br />
donation with your doctor, family and friends.<br />
Under <strong>Virginia</strong> law, your wish to be an organ/<br />
tissue donor must be honored. Detailed<br />
information is at: www.Save7lives.org or by<br />
calling LifeNet, <strong>Virginia</strong>’s organ procurement<br />
agency, at 434-296-7910 (toll-free<br />
800-847-7831).<br />
Smoking<br />
As <strong>of</strong> October 1, 2009, all <strong>UVA</strong> Medical Center<br />
grounds and buildings are smoke-free. Comfort<br />
kits to help you cope with not smoking are<br />
available for free in the Gift Shop.<br />
About Your Safety and Comfort<br />
There are many things you can do to be an<br />
informed, active participant in your health care<br />
and to increase your health care safety.<br />
n Learn as much as possible about your illness<br />
and treatment options. Write down your<br />
questions and practice asking them (see<br />
Page 13 <strong>of</strong> the handbook).<br />
n Pay attention to and report your symptoms –<br />
pain, nausea, drowsiness, etc. – or if something<br />
just doesn’t “feel right.”<br />
n Let your health care team know about all<br />
your medicines, including over the counter<br />
or herbals, allergies, and any reactions to<br />
medicines or treatments. Ask your nurse for a<br />
wallet card to list your medicines.<br />
n Be sure health care providers correctly identify<br />
you by looking at your ID bracelet and asking<br />
your name and date <strong>of</strong> birth.<br />
n Ask health care providers to say who they are<br />
and explain what they are doing.<br />
n Ask a family member or friend to be with you<br />
when talking with your doctor or others to help<br />
recall what was said, to take notes, or to ask<br />
questions. They can also help us know your<br />
specific needs .<br />
n Pay attention to your care and make sure you<br />
are getting the right treatments and medicines.<br />
n You are the center <strong>of</strong> your health care team.<br />
Ask about anything you do not understand.<br />
n If you are having surgery or a procedure,<br />
staff will work together to ensure your safety.<br />
Members <strong>of</strong> the nursing staff will regularly ask<br />
you if your needs are being met.<br />
5
6<br />
Pain Management<br />
We will ask you if you have pain. Your pain will be<br />
assessed and managed. You will also be asked<br />
your comfort goal. We use a tool called the “<strong>UVA</strong><br />
Pain Rating Scale” when we ask you about pain.<br />
(The Scale appears on page 16). At any time,<br />
please tell your care provider:<br />
n When you started feeling pain and how long it<br />
lasted.<br />
n Where you feel the pain.<br />
n How strong the pain is and how it feels (sharp,<br />
dull or ache).<br />
n What you are unable to do because <strong>of</strong> the pain.<br />
n What makes your pain better and what makes<br />
it worse.<br />
Preventing Falls<br />
Feeling weak, taking certain medicines and being<br />
in an unfamiliar place can make you more likely to<br />
fall. Ask us about our “Fall Prevention Program” and:<br />
n Follow our instructions about getting in and out<br />
<strong>of</strong> bed or walking around<br />
n Ask for help if you feel weak or dizzy<br />
n Wear low-heeled, non-skid shoes or slippers<br />
n Keep personal items in easy reach – if you<br />
cannot reach something you need, press the<br />
call button for help<br />
n Let us know if you see anything that might be<br />
safety hazards – like liquid spills, suspicious<br />
smoke.<br />
Preventing Infections<br />
Infection prevention is very important. We use<br />
gloves, gowns, masks and eye protection based<br />
on your condition. <strong>Patient</strong>s, visitors and staff<br />
must follow any instructions posted at your door.<br />
n Your visitors should come to the hospital only if<br />
they feel well.<br />
n Anyone coming in contact with you should<br />
wash or cleanse their hands. Hand cleaner/<br />
alcohol gel can be found outside the patient<br />
rooms and is routinely used by staff to cleanse<br />
their hands.<br />
n If you cannot get out <strong>of</strong> bed to wash your<br />
hands, ask your nurse for hand cleaner.<br />
n Bathrooms in patient rooms are for patients<br />
only. Everyone else should use public<br />
restrooms.<br />
About Your <strong>Health</strong> Care Team<br />
Teaching Hospital<br />
You are the center <strong>of</strong> your health care team.<br />
At the <strong>University</strong> <strong>of</strong> <strong>Virginia</strong> Medical Center, we<br />
will work with you as a part <strong>of</strong> that team. The<br />
Medical Center is a network <strong>of</strong> primary and<br />
specialty care services ranging from wellness<br />
programs and routine checkups to the most<br />
advanced care. The hub <strong>of</strong> the Medical Center is<br />
a hospital with over 500 beds and a Level 1<br />
trauma center. Care is also given at clinics<br />
throughout Central <strong>Virginia</strong>. Your team may<br />
include students or researchers. Answering the<br />
same question from various people or being part<br />
<strong>of</strong> a research study can help you contribute to<br />
the future <strong>of</strong> medical care.<br />
For your safety, all staff wear a <strong>UVA</strong> <strong>Health</strong><br />
<strong>System</strong> picture ID badge listing their name and<br />
title. Some <strong>of</strong> the titles and what they mean are:
n Attending Physician is a medical doctor<br />
(MD or DO), usually a specialist in his or her<br />
field, who is primarily responsible for your care<br />
and treatment.<br />
n Residents and Interns are doctors who have<br />
completed medical school and are training<br />
under an Attending Physician at all times.<br />
n Fellows are doctors who have completed<br />
medical school, residency, and are training in<br />
a specialty.<br />
n Nurse Practitioners (NP) or Physician<br />
Assistants (PA) have completed special<br />
training and work with doctors, to provide care<br />
and treatment.<br />
n An Anesthesiologist or Nurse Anesthetist<br />
is a provider who will give you anesthesia<br />
(medication administered for the relief <strong>of</strong> pain<br />
and sensation during surgery) and manage the<br />
anesthesia during a surgical procedure.<br />
n Registered Nurses (RN) coordinate and<br />
oversee all <strong>of</strong> your care.<br />
n A Licensed Practical Nurse (LPN), <strong>Patient</strong><br />
Care Assistant (PCA) or Technician (PCT)<br />
works under the RN to take vital signs and<br />
assist with your daily needs.<br />
n The <strong>Health</strong> Unit Coordinator (HUC) is<br />
at the nurses’ station desk to coordinate<br />
communication and documentation.<br />
n Chaplains provide spiritual care, support,<br />
and comfort. The Chaplain can arrange for<br />
a religious ritual or a visit from your spiritual<br />
leader. If you or your family would like to see a<br />
Chaplain, dial ‘0’ or ask a staff member to call<br />
the on-call Chaplain.<br />
n Social Workers help you and your family with<br />
discharge planning, counseling about dealing<br />
with illness and injury, protection against abuse<br />
and neglect, community referrals, and financial<br />
assistance programs.<br />
n Registered Dieticians evaluate your nutritional<br />
needs and suggest the best types <strong>of</strong> alternative<br />
feeding, if necessary.<br />
n Pharmacists prepare and dispense medicines<br />
and consult with the team to be sure your<br />
treatment gives you the most benefit. They can<br />
answer your questions about medicines and<br />
possible reactions.<br />
n Occupational Therapists (OTs) help you with<br />
basic daily activities (bathing, dressing, toileting)<br />
and help you do other things you enjoy despite<br />
physical or emotional challenges. OTs help plan<br />
for your safe discharge.<br />
n Physical Therapists (PTs) help you move<br />
safely and help plan for the equipment you<br />
may need to move safely in the hospital and<br />
when you leave.<br />
n Respiratory Therapists (RTs) help you<br />
breathe easier with or without equipment and<br />
medicines.<br />
n Speech-Language Pathologists (SLPs) help<br />
you speak and understand language and<br />
swallow safely. They may <strong>of</strong>fer therapy to help<br />
you speak or swallow better.<br />
7
8<br />
n Technicians perform a wide range <strong>of</strong> tests and<br />
services either in your room or in a specific area<br />
<strong>of</strong> the hospital.<br />
n Catering Associates provide food that is<br />
balanced, well prepared, and meets your<br />
specific needs.<br />
n Housekeepers clean the room.<br />
n Transporters safely take you to care sites.<br />
n Volunteers donate many hours <strong>of</strong> service<br />
and financial support. You can tell a volunteer<br />
by their badge and red uniform. Call<br />
434-924-5251 if you would like to know<br />
more about being a volunteer.<br />
Ethics Consult Service<br />
Sometimes patients, families or staff face difficult<br />
ethical issues about treatment choices. To access<br />
this service 24 hours a day, dial “0” and ask the<br />
operator to page number 1712.<br />
About Going Home<br />
From the time you arrive, your health care team<br />
is working toward helping you return home with<br />
your medical needs met. During your hospital<br />
stay, staff will work with you and your family<br />
or another facility to help you make a smooth<br />
transition out <strong>of</strong> the hospital. We will work with<br />
you to identify your needs, including supplies,<br />
follow-up visits, community resources, and<br />
arrival time for your ride home.<br />
n Family members picking you up for discharge<br />
will be asked to wait in the patient’s room for a<br />
member <strong>of</strong> our patient transport staff, who will<br />
then take you and your family members to the<br />
<strong>Patient</strong> & Guest Services <strong>Patient</strong> Hub.<br />
n As you are checked out <strong>of</strong> the <strong>Patient</strong> Hub, a<br />
family member will be asked to get the car and<br />
bring it to the patient pick-up area across from<br />
the main hospital.<br />
n A <strong>UVA</strong> greeter will take you to the patient pick-<br />
up area, meet the family member’s car and help<br />
you into the car.<br />
Frequently Asked Questions About<br />
Leaving the Hospital:<br />
Who decides when I am ready to leave<br />
the hospital?<br />
Your doctor and the health care team will<br />
work with you to decide the best time for your<br />
discharge. Our goal for your discharge is before<br />
noon so you can get home and get settled.<br />
What do I need to do?<br />
When a discharge date is set, make sure<br />
someone can bring you home and have home<br />
care ready. Before your discharge day, have<br />
someone take your items and gifts home and<br />
bring loose-fitting clothes for you to wear home.
What if I am going to another facility, not home?<br />
The hospital staff will make arrangements for<br />
you to get to the other facility.<br />
Will I get instructions before I leave?<br />
Yes, we will review written discharge instructions<br />
about your care, level <strong>of</strong> activity, follow-up visits,<br />
medicine, supplies, and services with you. This is<br />
the time to get all <strong>of</strong> your questions answered.<br />
Will I get medicines or prescriptions<br />
before I leave?<br />
Your doctor may order medicines for you to take<br />
after you are discharged from the hospital. We<br />
encourage you to have these prescriptions filled<br />
at your local pharmacy so they know all <strong>of</strong> the<br />
medicines you are taking. Keep a current list <strong>of</strong><br />
your medicines and allergies and vaccinations.<br />
For all medicines write down the name, how<br />
many (amount), how much (dose), when and<br />
why it is taken, and anything special.<br />
Who can I call if I have questions about<br />
possible home health services?<br />
During regular business hours, call the <strong>UVA</strong> Home<br />
<strong>Health</strong> Continuum liaison at 434-924-9083.<br />
<strong>Patient</strong> Satisfaction<br />
When you get home, you may receive a survey<br />
asking you about your hospital stay. Please<br />
complete the survey as it is important for us to<br />
know about your experience so we can continue<br />
to improve our services.<br />
About Your Bill<br />
For most services at <strong>UVA</strong>, you will receive<br />
two bills:<br />
n One bill will be from the hospital and include<br />
charges such as room and board, medicine,<br />
supplies, and radiology and laboratory tests.<br />
Another bill will come from <strong>UVA</strong> <strong>Health</strong> Services<br />
Foundation (HSF) for services provided by<br />
doctors.<br />
Paying these bills is your responsibility.<br />
However, as a courtesy, the hospital and HSF will<br />
file claims to your insurance company for you at<br />
your request.<br />
If you are unable to pay for your care, you may<br />
be able to receive help. Your social worker can<br />
tell you about our financial assistance program.<br />
You can also visit: http://www.healthsystem.<br />
virginia.edu/internet/pfs/finassist.cfm<br />
Please call our Financial Screening <strong>of</strong>fice at<br />
434-924-5377 or 800-523-4398 to ask for<br />
or find out more about financial assistance. A<br />
completed application will be required, and you<br />
will be asked to write down all assets and income.<br />
Our staff can address your questions or<br />
concerns about your bills.<br />
n For hospital charges, call 434-924-5377<br />
(toll-free 800-523-4398) and<br />
n For doctor charges, call 434-980-6110<br />
(toll-free 800-868-6600).<br />
9
10<br />
About Your Rights and<br />
Responsibilities as a <strong>Patient</strong><br />
The <strong>University</strong> <strong>of</strong> <strong>Virginia</strong> Medical Center<br />
provides an environment that promotes quality<br />
health care for its patients while respecting the<br />
rights <strong>of</strong> those patients. Employees are expected<br />
to assist patients, their legal representatives<br />
(surrogate decision makers), and their<br />
families in understanding and exercising each<br />
patient’s rights. Likewise, patients, their legal<br />
representatives, and their families are expected<br />
to understand their responsibilities to the<br />
individuals providing care and services to them.<br />
<strong>Patient</strong> Bill <strong>of</strong> Rights<br />
The Medical Center is dedicated to providing<br />
each patient the best health care and service<br />
possible. Medical Center staff understand that<br />
patients expect to receive considerate and<br />
respectful care. The Medical Center honors<br />
patients’ rights to be informed about, and<br />
involved in, making decisions about care and<br />
treatment. Each patient or the patient’s legal<br />
representative(s) has the following rights:<br />
n to receive considerate and respectful care in an<br />
environment that preserves personal dignity.<br />
n to have his/her cultural, psychosocial, spiritual<br />
and personal values, beliefs, and preferences<br />
respected and to have access to pastoral and<br />
other spiritual services.<br />
n to know about the patient’s illness or condition<br />
and proposed treatment and to participate<br />
in the development <strong>of</strong> a plan <strong>of</strong> care. Doctors<br />
and other members <strong>of</strong> the care team will<br />
provide information in language the patient or<br />
legal representative can understand, and will<br />
use interpreter or other language assistance<br />
services as necessary.<br />
n to make decisions about the patient’s care,<br />
including the right to know why operations or<br />
treatments are needed and who will perform<br />
the operations or treatments. This includes the<br />
right to refuse care or treatment and to know<br />
what may happen if care or treatment is not<br />
provided.<br />
n to develop advance directives if the patient has<br />
decision-making capacity and is 18 years <strong>of</strong><br />
age or over, and to have hospital staff comply<br />
with those directives.<br />
n to access information contained in the patient’s<br />
medical record. This includes the right to know<br />
the name <strong>of</strong> the doctor who is in charge <strong>of</strong> care<br />
and treatment and the names <strong>of</strong> other Medical<br />
Center staff providing care.<br />
n to have a family member or representative and<br />
the patient’s own physician notified promptly<br />
<strong>of</strong> the patient’s admission to the hospital.<br />
n to receive treatment without discrimination<br />
as to race, color, religion, sex, national origin,<br />
disability, sexual orientation, or source <strong>of</strong><br />
payment.<br />
n to receive care in a safe setting, free from<br />
mental, physical, sexual and verbal abuse and<br />
neglect, exploitation and harassment and<br />
to access protective and advocacy services,<br />
including notifying government agencies <strong>of</strong><br />
neglect or abuse.<br />
n to personal privacy while in the hospital and<br />
to have all information about the illness or<br />
condition and care treated as confidential as<br />
consistent with law.<br />
n to be free from restraints <strong>of</strong> any form that are<br />
not medically indicated.<br />
n to receive appropriate assessment and<br />
management <strong>of</strong> pain.
n to agree or refuse to take part in or withdraw<br />
from any research study or experiment related<br />
to care or treatment.<br />
n to review bills and have questions about bills<br />
answered.<br />
n to discuss concerns or file a complaint with<br />
the Medical Center’s <strong>Patient</strong> Representative<br />
Office regarding experience as a patient <strong>of</strong><br />
the Medical Center and to receive a response<br />
in a timely manner. There is also a right to an<br />
internal appeal to any such response and a<br />
right to file a complaint with an external agency.<br />
<strong>Patient</strong> Responsibilities<br />
In order to receive optimal care, each patient, the<br />
patient’s legally responsible representatives, and<br />
families are responsible for:<br />
n providing accurate and complete information<br />
about:<br />
n the present illness or condition and past<br />
medical history<br />
n wishes for care<br />
n reporting perceived risks in the patient’s care<br />
n reporting unexpected changes in condition.<br />
n asking questions when there is a lack <strong>of</strong><br />
understanding about care and treatment and<br />
expectations for involvement in care and<br />
treatment.<br />
n following the care, service or treatment plan<br />
that has been developed and reporting any<br />
concern about ability to follow and comply<br />
with any proposed plan or course <strong>of</strong> treatment.<br />
n accepting the consequences <strong>of</strong> not following<br />
the care, service or treatment plan.<br />
n following the Medical Center’s rules and<br />
regulations concerning patient care and<br />
conduct while on Medical Center property<br />
which limit:<br />
n engaging in verbal or physical abuse,<br />
n smoking and using alcohol or illegal<br />
substances,<br />
n carrying weapons <strong>of</strong> any kind.<br />
n being courteous: Showing respect for the rights<br />
<strong>of</strong> others and being considerate <strong>of</strong> the<br />
Medical Center’s personnel and property.<br />
n promptly meeting any financial obligation<br />
agreed to with the Medical Center.<br />
Medical care is very personal and <strong>of</strong>ten stressful,<br />
despite our best efforts to create a safe<br />
environment. We will listen and respond to any<br />
questions you have about the care you have<br />
received or how you have been treated. We ask<br />
you to speak with your health care team about<br />
your concerns. In most cases they will be able to<br />
quickly resolve your issues.<br />
If your concerns are not fully addressed our<br />
<strong>Patient</strong> Representatives can help. “<strong>Patient</strong> Reps”<br />
are here to talk with you in person or on the<br />
phone, or you may contact them in writing. They<br />
are here to help you with any concerns that you<br />
may have about your medical or nursing care or<br />
any <strong>of</strong> our services. They will follow-up and see<br />
that you receive a response as soon as possible.<br />
Call 434-924-8315.<br />
11
12<br />
In addition, you always have the right to contact<br />
the agency listed below to register a complaint<br />
if you are not completely satisfied with our<br />
response.<br />
Office <strong>of</strong> Licensure and Certification<br />
<strong>Virginia</strong> Department <strong>of</strong> <strong>Health</strong><br />
9960 Mayland Drive Suite 401<br />
Richmond, Va., 23233<br />
Phone: 800-955-1819, 804-367-2106<br />
Fax: 804-527-4503<br />
Office <strong>of</strong> Quality Monitoring<br />
The Joint Commission<br />
One Renaissance Boulevard<br />
Oakbrook Terrace, IL 60181<br />
Phone: 800-994-6610<br />
Fax: 630-792-5636<br />
Talking With Your <strong>Health</strong> Care Team<br />
We encourage talking to your health care team.<br />
Sometimes it is helpful to write things down so<br />
you are prepared. Questions you may want to<br />
ask include:<br />
n What is wrong? (My diagnosis)<br />
n What might happen next? (My prognosis)<br />
n What medical tests, treatment plans and<br />
options, and medicines do I need?<br />
n How do I get help or more information about<br />
taking care <strong>of</strong> myself after leaving the hospital?<br />
n What can I expect in the future and do I need<br />
follow-up care?<br />
Please feel free to also use space on the<br />
following page to jot down the names <strong>of</strong> your<br />
care providers and comments about your care.<br />
Discharge Checklist<br />
I have:<br />
c transportation<br />
(wait in room until transporter comes)<br />
c discharge paperwork including<br />
prescriptions<br />
c instructions for care after the hospital<br />
c a list <strong>of</strong> my medicines<br />
c any valuables/medicines I sent to<br />
safekeeping<br />
c all my personal belongings<br />
c glasses<br />
c contact lenses<br />
c hearing aids<br />
c dentures<br />
c watch/jewelry<br />
c other _______________________<br />
c any personal medical or electronic<br />
devices
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
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14<br />
<strong>UVA</strong> Medical Center Television Program Guide<br />
This guide gives you information about what is <strong>of</strong>fered on each channel.<br />
The Closed Caption Option button is on the pillow speaker.<br />
<strong>UVA</strong> Hospital TV Channel Guide<br />
2 Med Calm Relaxation 19 <strong>UVA</strong> Newborn (Spanish) 36 ESPN2 53 Oxygen<br />
3 WVAW 16 (ABC) 20 TBN 37 CSN 54 TCM<br />
4 WVIR 29 (NBC) 21 CNBC 38 Golf 55 AMC<br />
5 TV Guide 22 C-SPAN 2 39 Versus 56 Sci-Fi<br />
6 WCAV 19 (CBS) 23 MSNBC 40 TNT 57 FX<br />
7 WHTJ 41 (PBS) 24 CNN 41 Spike TV 58 Tru TV<br />
8 <strong>UVA</strong> Movies 25 Headline News 42 ABC Family 59 History<br />
9 WAHU 27 (FOX) 26 Fox News 43 Disney 60 Food<br />
10 Local Access 27 Weather 44 Cartoon Network 61 HGTV<br />
11 WVPT 51 (PBS) 28 USA 45 Nickelodeon 62 Comedy<br />
12 <strong>UVA</strong> Children’s Medical Center 29 A&E 46 Animal Planet 63 MTV<br />
13 Local Access 30 Lifetime 47 Discovery 64 VH-1<br />
14 <strong>Health</strong> TV 31 E! 48 TLC 65 CMT<br />
15 C-SPAN 32 BET 49 Hallmark 70 EWTN<br />
16 New Parent English/Spanish 33 Spanish Movies 50 Travel<br />
17 To Request DVD Call 2-1600 34 TBS 51 TV Land<br />
18 <strong>UVA</strong> Newborn (English) 35 ESPN 52 Bravo<br />
Movies are available on Channel 8 in English<br />
and Channel 33 in Spanish.<br />
Channel 2 – Relaxing Videos and Music<br />
Channel 5 – TV Guide and each hour <strong>of</strong>fers a video<br />
about the importance <strong>of</strong> hand washing.<br />
Channel 14 – See guide below<br />
Channel 16 – “Hospital to Home” –<br />
New Parent Education – English and Spanish content<br />
rotate hourly<br />
Channel 17 – See page 15<br />
Channel 14 <strong>Health</strong>y ® Program Guide – Shown as a loop throughout the day<br />
Care for Your Heart<br />
High Blood Pressure: What Does it Mean to You? 14 min.<br />
Living with Heart Failure 13 minutes<br />
Stroke: A Personal Story 7 minutes<br />
Cholesterol and You 10 minutes<br />
Cancer in the Family<br />
Clinical Trials 10 minutes<br />
Understanding Radiation 7 minutes<br />
Understanding Chemotherapy 12 minutes<br />
Nutrition and Recovery: Cancer 8 minutes<br />
Controlling Nausea 7 minutes<br />
Cancer in the Family, continued<br />
Cancer Awareness: Hispanic Women 7 minutes<br />
Advance Directives 2 minutes<br />
Recovery from Heart Surgery 15 minutes<br />
Small Changes Can Make a Big Difference<br />
Reflections on Quitting Smoking 17 minutes<br />
Overcoming Depression 12 minutes<br />
Managing Pain: There’s lots to gain 13 minutes<br />
Medication Safety 8 minutes<br />
Eating and Aging 7 minutes
To Request Videos Shown on Channel 17 – Call 24 hours a day – 2-1600<br />
Title Description<br />
Low Back Pain Offers guidelines for good posture when standing, walking, sitting,<br />
driving, and lifting. TV-016, 12 mins<br />
Beginning a Cardiac Rehab Program Provides an overview <strong>of</strong> what to expect during each phase <strong>of</strong> a<br />
cardiac rehabilitation program. TV-009, 12mins<br />
Cardiac Catheterization Information about the heart, and cardiac catheterization procedure<br />
including preparation and care afterwards. TV 026, 13 mins.<br />
Heart Failure: Get Ready to Leave... Describes how patients can control heart failure. TV-011, 7 mins<br />
Recovering from a Heart Attack Explains what causes a heart attack and what to expect in the<br />
hospital, and possible procedures. TV-010, 12 mins<br />
Heart Surgery: First Days <strong>Patient</strong>s learn how to take an active role in their recovery process<br />
after heart surgery. TV-008, 12 mins<br />
Stroke: Reducing the Risk Defines and illustrates the causes <strong>of</strong> a stroke.<br />
<strong>Patient</strong>s learn warning signs and prevention. TV-007, 11 mins<br />
Warfarin: Information about the reasons for taking Warfarin and its effects.<br />
What is it and How Does it Affect Me? TV-031 English – Spanish 8 min. each.<br />
What is Diabetes? (Type 2) Summarizes symptoms and complications <strong>of</strong> Diabetes Type 2,<br />
and treatment plan. TV-014, 15 mins<br />
Diabetic Ketoacidosis Explains the causes and warning signs <strong>of</strong> Diabetic Ketoacidosis,<br />
its treatment and prevention. TV-015, 5 mins<br />
Preventing Diabetic Foot Ulcer Three steps to prevent skin problems in the feet. TV-023,<br />
Hospital to Home Topics for mother and baby care, & feeding baby. TV-021,<br />
Hypertension Discusses the symptoms <strong>of</strong> hypertension, its treatment,<br />
and activities to do and to avoid. TV-006, 7 mins<br />
Laryngectomy PostOp Care: Information for patients taking care <strong>of</strong> laryngectomy at home.<br />
Breathing, Stoma, Trach TV -027. 32 mins.<br />
MRSA Care & Treatment Methicillin-resistant Staphylococcus aureus. TV-018, 10 mins<br />
Nutrition Services – A series <strong>of</strong> six videos addressing different nutrition issues:<br />
Great Living Starts Here Diabetes 12 min; Heart <strong>Health</strong> 10 min; Gluten-free 13 min;<br />
(Morrison’s) Kidney Disease 9 min; Heart Disease 11 min;<br />
<strong>Health</strong>y Eating overview 2 min. TV-032.<br />
Life After Your Osotomy Explains what an Osotomy is and describes how to care for yourself.<br />
TV-020, 20 min<br />
Pleurx Drainage Education about the Denver Co. Drain. TV-022, 12 mins<br />
Pneumococcal Vaccination Offers the reasons for receiving a Pneumococcal Vaccination<br />
and who should receive it. TV-017, 5 mins<br />
Pressure Ulcer Prevention Care for skin problems from pressure. TV-025, 13 mins.<br />
Pulmonary Meds and Hygiene Benefits <strong>of</strong> oxygen, bronchodilators, steroids, and antibiotics &<br />
how to use a metered-dose inhaler. TV-013, 17 mins<br />
Managing Your COPD Treatment <strong>of</strong> COPD: quitting smoking, breathing, diet, medications,<br />
and managing excess mucus. TV-012, 17 mins<br />
Relaxation Exercises Illustrates ways <strong>of</strong> relaxation including deep breathing, progressive<br />
muscle relaxation, & visualization. TV-004, 7 mins<br />
Sleep Hygiene Discusses getting a good night’s sleep, including sleep schedule,<br />
sleep efficiency, etc. TV-005, 6 mins<br />
15
16<br />
To Request Videos Shown on Channel 17 –Call 24 hours a day – 2-1600, Continued<br />
Title Description<br />
Smoking: Getting Ready to Quit Very Basic – Helps smokers think about quitting as well as develop<br />
the skills they need to quit. TV-001, 15 mins<br />
Smoking Cessation, Stages <strong>of</strong> Change Presents the reasons for quitting smoking and the stages <strong>of</strong> getting<br />
ready to quit. TV-002, 6 mins<br />
Smoking Cessation, Relapse Prevention Learn about the relapse “triggers” <strong>of</strong> smoking and coping strategies<br />
to fight the urge. TV-003, 6 mins<br />
Tracheostomy Care Information produced at <strong>UVA</strong> about caring for a Trach.<br />
TV-028. 10 min.<br />
Tube Feeding at Home Two part series about tube feeding – Road Ahead with 17 Chapters<br />
Stomach Nutrition and tube Feeding for Adults – 5 Chapters. TV-029. 60 min.<br />
Venous Leg Ulcers A guide for care <strong>of</strong> skin problems in the leg. TV-024, 21 mins<br />
VRE Care / Treatment Vancomycin-resistant Enterococci. TV-019, 10 mins<br />
<strong>UVA</strong> Pain Rating Scale<br />
Pain Rating Activity Rating<br />
–10<br />
– 9<br />
– 8<br />
– 7<br />
– 6<br />
– 5<br />
– 4<br />
– 3<br />
– 2<br />
– 1<br />
– 0<br />
Worst possible pain<br />
Unable to do any activities because <strong>of</strong> pain<br />
Extreme pain<br />
Unable to do most activities because <strong>of</strong> pain<br />
Severe pain<br />
Unable to do some activities because <strong>of</strong> pain<br />
Moderate pain<br />
Can do most activities with rest periods<br />
Mild pain<br />
Pain is present but does not limit activity<br />
No pain<br />
Able to do all activities<br />
Faces: Modified from Wong DL: Whaley & Wong’s essentials <strong>of</strong> pediatric nursing, ed 5,<br />
pp1215-16, St. Louis, 1997, Mosby. Used with permission. Thermometer: Used with<br />
permission from Keela Herr, <strong>University</strong> <strong>of</strong> Iowa.
Helpful Phone Numbers<br />
Hospital Operator “0” inside the hospital or 434-924-0000<br />
(to page a staff member or reach any department 24 hours a day)<br />
Billing Questions<br />
For hospital charges 434-924-5377 or 800-523-4398<br />
For physician charges 434-980-6110 or 800-868-6600<br />
Blood Donations 434-977-8956 or 434-243-2999<br />
Organ Procurement (LifeNet) 434-296-7910 or 800-847-7831<br />
Consumer <strong>Health</strong> Information In our hospital or clinics, dial only the last 5 digits to reach the areas below:<br />
Chaplaincy Services Dial “0” and ask for on-call Chaplain<br />
(for help with spiritual needs) or visit or Chapel in the Hospital Lobby<br />
Compliance and Privacy Office 434-924-2938<br />
(for HIPAA privacy concerns)<br />
Ethics Consult Service Dial “0” and ask for page number 1712<br />
(for ethical concerns and questions)<br />
Gift Shop 434-924-2447<br />
(for snacks, flowers, cards, books, phone cards, gift cards)<br />
Language Interpreters and Translation 434-982-1794<br />
Lodging Arrangements 434-924-1299<br />
Medical Records 434-924-5136<br />
(voicemail) and leave a message<br />
Parking 434-924-1122<br />
(for special assistance)<br />
<strong>Patient</strong> and Guest Services 434-924-1122<br />
(for lost and found, notary public, <strong>Health</strong> <strong>System</strong> & community resources)<br />
<strong>Patient</strong> Information 434-982-1100<br />
(for patient room and phone number)<br />
<strong>Patient</strong> Representatives 434-924-8315<br />
(for concerns and complaints)<br />
Social Work 434-924-2713<br />
(for counseling, discharge planning or other needs)<br />
Volunteer Services 434-924-5251<br />
(for magazines, newspapers, other diversions)<br />
My room # My phone #<br />
www.healthsystem.virginia.edu