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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 />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

13


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

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