Leicester Royal Infirmary Bedside Information for Patients - Library

your bedbookletWelcome to Leicester Royal InfirmaryUniversity Hospitals of Leicester NHS Trust (UHL)includes Glenfield Hospital, Leicester General Hospitaland Leicester Royal Infirmary.University Hospitals of Leicester NHS Trust was formedin 2000 and is one of the largest and busiest teachingtrusts in England, providing services for people acrossLeicester, Leicestershire and Rutland.Leicester Royal InfirmaryInfirmary SquareLeicesterLE1 5WWPhone: 0300 303 1573

Part 1Leicester Royal InfirmaryLeicester Royal Infirmary is close to Leicester city centre. Thehospital has more than 1000 beds and providesLeicestershire’s only Emergency Department. It is the base forour Children’s Hospital as well as the Urgent Care Centre.The Royal restaurantThe Royal restaurant is on the ground floor of Balmoral building.There are hot meals, healthy options, a salad bar, desserts andtraditional sandwiches available. It has both inside and outside(summer only) eating areas. Meals are served seven days a week.Vending machinesThere are a number of 24 hour vending machines offering hot andcold food and beverages that can be found within the Royalrestaurant.WRVS ShopThe WRVS shop sells balloons, flowers and small gifts and can befound at the main entrance of the hospital in Balmoral building.(Please note that many wards do not allow flowers).your bedbooklet

Part 1WRVS coffee shopsLeicester Royal InfirmaryThese can be found on the ground floor of the Windsor buildingand at the main entrance of the Balmoral building and are openseven days a week. These facilities sell hot and cold beverages,sandwiches and snacks.NewsagentsThere is a small WHSmith news shop at the hospital’s main entranceselling newspapers, magazines, snacks, toiletries and small gifts.There is a newspaper and sweets trolley which visits every ward eachmorning.Cash machineThere is a Royal Bank of Scotland cash machine at the Balmoralbuilding main entrance.Cardholders with the following cards can use the machine:Bank of ScotlandBarclays BankHSBC BankLinkLloyds TSB BankMastercardNatwest BankRoyal Bank of Scotland.Visa

Part 1PostLeicester Royal InfirmaryPost is delivered to wards twice a day. Delivery times vary dependingon the building.For prompt delivery please let friends and relatives know which wardyou are on and use the following address for incoming letters:Patient NameWard Name or NumberUniversity Hospitals of Leicester NHS TrustLeicester Royal InfirmaryInfirmary SquareLeicesterLE1 5WWRadio FoxRadio Fox broadcasts at the Royal 24 hours a day, seven days aweek, it is a registered charity staffed by volunteers.If listeners wish to make a request call extension 5555 for free viathe nurses desk or, if you don’t mind paying for your call, dial 0116258 5555 via your hospedia telephone.Listeners outside the two hospitals can call on 0116 258 5555 oremail Radio Fox at studio@radiofox.co.ukyour bedbooklet

Part 1TV and telephoneLeicester Royal InfirmaryHospedia provides patient media services. This company specialise inproviding bedside communication and entertainment systems inNHS hospitals.If you would like to buy any of the services from your bedsidetelephone and television then pick up the telephone and press theoperator button on the handset. This will put you through to amember of staff who can provide information on the servicesoffered and the cost of those services. The only service that is free isthe radio service, to receive this please register with the operator.By pressing the ‘other services’ button on your TV controller you willbe taken to the page where you can explore all the servicesavailable. Children of 16 and under can receive free television.Ward foodYour catering provider is Serco. They aim to ensure that all yournutritional, dietary, cultural and religious food requirements are metduring your stay.On your ward there will be patient line TV screens which hold all thenecessary catering information you require, from what is beingserved at each mealtime, to a wide range of differing menusavailable to everyone. There are vegetarian, healthier eating, highenergy and soft options.Aside from the main menu of the day, we also have thefollowing:Halal menuMulticultural menu (including a wide range of vegetarian options)Afro Caribbean menuKosher menu

Part 1Leicester Royal InfirmaryIf the current menu does not provide what you require please ask tospeak with a dietitian as there are a range of special diet menus thatmay meet your special needs.If you have diabetes you may wish to choose from the healthieroptions. If your appetite is reduced you may decide to choose fromany of the menu options and discuss suitable changes to yourdiabetes medication with your doctor if necessary.Additional snacks can be provided for people with diabetes. Pleaseask a member of the ward team.Snack boxes are available 24 hours a day and can be requestedshould you miss a meal. A full range of beverages will be availableincluding decaffeinated drinks.If during your stay you have any questions or comments regardingfood, please feel free to ask a member of the nursing staff tocontact the catering team who will be more than happy to visit youon your ward.your bedbooklet

Part 1No smoking hospitalsLeicester Royal InfirmarySmoking is not allowed in any of the hospital buildings at the Royal.If you do wish to smoke, there are a number of red smoking sheltersin the grounds of the hospital for the use of patients and visitorsonly. Please ask a member of staff for your nearest smoking shelter.Opening timesThe opening times of a number of facilities have not been includedas they change frequently in line with customer needs. Please ask amember of the ward team if you require any further information.Information is also available on our website www.uhl-tr.nhs.ukyour bedbooklet

your bedbookletWelcomeWe want you to be as comfortable as possible duringyour stay and hope you will find the information in thisbooklet helpful during your time in hospital. The teamin charge of your care will make every effort to keepyou fully informed of your progress and ensure thatyou are ready to leave hospital as soon as possible.You may find that not all of the information in thissection will be of interest to you, so just refer to theparts that you feel are relevant.

Part 21. Older people’s championsAn older people’s champion is a member of staff who hascompleted additional training which highlights the specificneeds of the older person.We have more than 1,400 older people’schampions who are working across ourhospitals looking out for the needs of olderpeople. Older people’s champions will listento concerns, questions or comments, speakout for older people and provide reassuranceand assistance. They can be identified by theiroak tree badge.Memory concernsInformationIf you are known to experience memory problems or confusion, apatient profile can be competed by you, a relative or carer, to helpstaff communicate more effectively with you during your stay inhospital. Please ask a member of staff for further details.your bedbooklet

Part 22. Understanding and preventinginfectionsInformationWe understand that coming into hospital can be an anxioustime for you. The worry is sometimes made worse by mediareports about so-called ‘superbugs’.It is important to understand that the risk of getting an infectionwhilst in hospital is very low.We have a team of infection prevention specialists who are dedicatedto reducing your risk of getting an infection while you are in hospital.We steam clean our wards and isolate patients when needed. Thereare a range of information leaflets available including, Norovirus(diarrhoea and vomiting), MRSA, Clostridium difficile, Tuberculosis andFlu which are available on the ward.To reduce your risk you will have been prescribed an antibacterialsoap, called Stellisept wash, to use daily. This not only gets rid of thebacteria which we all have on our skin all the time but has a lastingeffect which stops the bacteria growing back as quickly as ordinarysoap. Hand sanitiser is provided in all care areas, so that health carestaff can clean their hands easily and effectively. You will see postersreminding staff of the ‘5 moments’ when hands should be cleaned.Don’t be afraid to ask staff if they have cleaned their hands.If you have any questions or concerns during your stay theinfection prevention link nurse will be happy to come and seeyou and give further advice and support. They can becontacted through the ward staff.

Part 2How to use Stellisept washInformation1 Always use a new disposable cloth (which wewill provide) to prevent the spread of germs.2 Apply Stellisept wash directly onto wet hairand skin or a new disposable cloth.Rub body and hair thoroughly, payingparticular attention to skin creases, underarms area and skin between fingers and toes.3 Leave on your body for at least 30 secondsand then rinse off.You may use your own shampoo andconditioner afterwards if you wish.4 Finally, dry yourself with a clean towel.Use daily on your body and twicea week on your hairyour bedbooklet

Part 2What you can do to help us fightinfections:• Use your own toiletries• Keep your hands and body cleanInformation• Wash your hands with soap and water before eating andafter using the toilet• If you use a commode ask for a bowl of water to wash yourhands in afterwards• If the bathroom or toilet isn’t clean, report it immediatelyto the nurse in charge of the ward and ask for it to becleaned. Use an alternative (if available) in the meantime• Keep the top of your locker and bedside table clutter free.It’s easier for us to clean• Always wear something on your feet when you get out ofbed. Slippers are fine, but make sure they have some gripon the bottom - hospital floors can be a little slipperysometimes!• Your bed-area should be cleaned regularly. If you or yourvisitors see something that has been missed, report it to thenurse-in-charge and ask for it to be cleaned.

Part 23. Preventing blood clots while you are inhospital and recovering at homeBlood needs to clot to stop an injury from bleeding. This is acomplex process. Sometimes it can go wrong and a clot will form inthe wrong place, usually in the deep veins of the leg. This is called a‘deep vein thrombosis’ or DVT.A DVT blocks the normal flow of blood through the vein and cancause pain, redness, tenderness and swelling.Sometimes a piece of this clot can break off and travel to the lungs,blocking the flow of blood in the lung vessels. This is called a’pulmonary embolism’ or PE. PEs can cause chest pain and problemswith breathing that can be very severe.Anyone can get a DVT. It does not matter what your age is orwhether you are male or female.Some people are more at risk than others because they are:• Staying in hospital• Having surgery• Pregnant• Overweight• On certain medicationsPeople are also more at risk if they have:• A serious condition• A family history of DVTs or pulmonary embolisms• Certain inherited conditionsInformationyour bedbooklet

Part 2InformationTo help prevent a clot during your stay you can:• Drink lots of water unless advised otherwise. This helps to keepyour blood flowing freely.• Keep moving your legs. This stops your blood from slowingdown and clotting.• Walk around. If you are not able to get out of bed, keep yourlegs moving. If this is difficult, exercise your ankles. The more youdo this, the better.What staff might do:Staff may not need to do anything more than encourage you to dothe things listed above. If you are more at risk – for example if youare having surgery - there are two things they may do:• They may give you some tight stockings to put on your legs.These squeeze your legs to help keep the blood moving• They may also give you some daily, small injections of a medicinecalled Heparin. This encourages the blood to flow rather thanclot.When you go homeWhen you have left hospital you are still at risk. A blood clot can stillform while you are getting better. You can make this less likely byfollowing the advice in this leaflet, drink lots of fluids (unless advisedotherwise) and keep as mobile as possible. Seek medical adviceimmediately if you are concerned about new symptoms of leg pain,leg swelling or chest pain and breathlessness.If you have any questions while you are in hospital, please ask yourward nurse. If you would like further information once you gethome, visit:Lifeblood - www.thrombosis-charity.org.uk

Part 24. Same sex accommodationInformationEvery patient has the right to receive high quality care that issafe, effective and respects their privacy and dignity. We arecommitted to providing every patient with same sexaccommodation.Patients who are admitted to any of our hospitals will only share thearea where they sleep with members of the same sex. Same sextoilets and bathrooms are close to the bed area and are clearly signposted.Exceptional circumstances:Our staff will always provide access to safe acute clinical care andsaving lives will always be our priority. However, providing access tosame sex sleeping areas has become an important part of the cultureof our clinical teams.Sharing with members of the opposite sex will only happen byexception based on clinical need (for example where patients needspecialist equipment such as in intensive/coronary care units or onadmission wards), or when patients choose to share (for examplewhen having renal dialysis). Your privacy and dignity will bemaintained throughout.There will sometimes be a need to share accommodation in otherareas of our hospitals when a patient’s clinical care and treatmentbecomes more important than providing same sex accommodation.If this happens it will always be for the shortest possible time and afull explanation will be provided. We will do our best to ensure yourprivacy and dignity is maintained.your bedbooklet

Part 25. Stopping smokingInformationDuring your hospital stay you will be asked about whether yousmoke. If you smoke you are more likely to suffer complicationsduring your treatment.Stopping smoking is the most effective thing you can do to helpyour recovery during your hospital stay and to reduce the risk ofadditional illness.On admission to this hospital you will be offered a referral to theNHS Stop Smoking Service. The Stop Smoking Service will supportyou with medication such as patches, gum or medication, as well asfriendly help and advice on discharge about how to break the habit.Please call the STOP team on 0116 295 4141 for more details.6. VolunteersDuring your stay in hospital you may meet some of our 1000volunteers.Our volunteers wear aqua polo shirts and ID badges with their nameand role. Volunteers are here to improve your experience by offeringextra help and support.Volunteers are available in the main reception areas to guide you orto offer you transport on our patient buggy. Some volunteers helpon the wards with drinks, meals and other tasks and some will visitpatients and run errands to the shops or restaurants for you.We have a volunteer library service, hairdressers and even a PAT Dog.All of our volunteers have completed a comprehensive registrationand training process so that they can offer you the best possibleservice.If you would like more information about volunteering orwould like a volunteer to visit you or your relative please callVolunteer Services on 0116 258 3955 /7221 /8868

Part 27. The ChaplaincyInformationThe hospital chaplains are available to offer support to you and yourrelatives. Our team includes a range of faiths and outlooks includingChristian, Hindu, Humanist, Muslim and Sikh Chaplains, as well as arange of volunteers of various faiths and outlooks.You don’t have to feel you are a religious person or be a regularworshipper to make use of our services. Coming into hospital forany sort of investigation or treatment can raise all kinds of questions,anxieties and fears.Chaplains are always ready and willing to listen in confidence and tohelp you in your search to understand and make sense of what ishappening to you. We are here to help you find that sense of innerpeace which is such an important part of the healing process.Chapels and prayer roomsThere are chapels and prayer rooms at all three hospitals. They arealways open (except at the Royal where they are closed at night) andprovide a place for prayer or quiet reflection.Locations and times of prayers and services are displayed on thechaplaincy notice boards and around the wards. If you wish toattend a prayer service please inform the nursing staff. If you needto be collected in a wheelchair please ask the staff to inform thechaplains.your bedbooklet

Part 2InformationRequesting a visitMembers of the chaplaincy team regularly visit the wards so doplease let us know if you would like to talk. Nursing staff will alsopass on requests for a chaplain to visit.Non-urgent and confidential messages can be left on the chaplaincyanswerphone by phoning:Glenfield Hospital: (0116) 258 3413Leicester General Hospital: (0116) 258 4243Leicester Royal Infirmary: (0116) 258 5487If you wish we can pass a message to someone of your own faith,denomination or outlook and ask them to visit you.8. Pain assessmentWhilst you are in hospital you will be asked by the nursing staff ifyou have any pain.We use a 0 - 10 pain scale.0 is no pain10 is the worst pain you can imagine.You will be asked periodically to rate your pain between these 2points.It is important that you tell us:• How bad your pain is - using the 0 -10 scale• Where your pain is• What it feels like - stabbing, shooting, burning.We will do everything we can to keep you comfortable whilst youare in hospital. However it is not always possible to keep youcompletely pain free especially if you have had an operation.

Part 29. Property disclaimerInformationWe are committed to providing you with excellent healthcare.Unfortunately, whilst we are caring for you we are not able tocare for your property.The Trust will not accept liability in respect of any loss or damageto patients’ property and belongings unless they have beenhanded over to members of staff for safekeeping and a receipthas been issued to you or your relative.We strongly advise that you do not bring property into thehospital and ensure that any property brought into the hospital issent home.This disclaimer also applies to belongings required in daily life,such as, dentures, spectacles and hearing aids.your bedbooklet

Part 210. Pressure ulcersInformationA pressure ulcer (also called bed sore or pressure sore) is an area ofyour skin which is damaged due to prolonged pressure resulting inlocal pain with or without actual skin loss.The first signs of pressure damage are local pain and a change in thecolour of the skin. Depending on the degree of skin/tissue damagethis may get progressively worse and lead to an open wound/ulcerwhich can become infected.The most common sites for pressure damage is over bony areas(where the bones are close to the skin) e.g. bottom, heels, elbows,ankles, back of the head, hips, etc.Who gets pressure sores?Anyone can get pressure sores and at any age if they become very illand cannot move properly. Unfortunately there are people whoserisks are increased considerably due to different conditions orillnesses or nutritional and mobility problems.What can be done to prevent pressure ulcers?When you are admitted nursing staff will look closely at yourpressure areas and use a risk assessment tool (called Waterlow) toidentify whether you are ‘at risk’ of developing pressure damage.This assessment is very important because it alerts us that you mayneed special equipment and increased nursing care.

Part 2InformationTo help prevent pressure ulcers, we may encourage you to:• Turn and reposition. We will encourage you to do this if you areable to do so.• You may have been asked to use special equipment such asan air mattress; cushions; leg troughs. All of our hospitalmattresses are high specification foam mattresses which providelow to moderate pressure relief.• Skin care – we will provide regular hygiene if you havecontinence problems. We may use moisturising creams toimprove skin condition, or use barrier creams to prevent skindamage.We have a specialist team providing access to expertise in promotinggood skin care and wound management, if you would like to speakwith a member of this team please ask the ward team to contactthem.your bedbooklet

Part 211. Ward transfers and dischargearrangementsDuring your stay in hospital it may be necessary to move you todifferent wards within the hospital or to other NHS care providers toensure that you receive ongoing assessment and appropriatetreatment for your needs.It is important to start planning your discharge arrangements asearly as possible, as you start to recover the team will discuss goinghome and the arrangements that might need to take place once youare ready to be discharged.As part of planning your discharge the team will carry out anassessment of your needs. This involves looking at what is best foryou. The team is made up of doctors, nurses, physiotherapists,occupational therapists and social workers, who will discuss yourneeds and the options with you and, with your permission, willinvolve close relations or friends who support you at home.The assessment will consider which one of the following isbest for you.1. Discharge to your home2. Discharge home with support such as a care package by SocialServices3. Going home but with a course of rehabilitation/intermediate care(a place where you can go for a short time) before you go home4. Rehabilitation (ongoing care) in another hospital or in a suitableresidential home5. Discharge to a nursing/residential home.Information

Part 2InformationThere are lots of people available to help with your dischargepreparations and wherever possible they will assist you to returnhome.If it is agreed that you will need a 24 hour care environment ondischarge, in the short or longer term, Social Services will help youto arrange this.Due to the demand for hospital beds we may need you to move to atemporary care placement if agreed options for your future care arenot available when you are no longer in need of hospital care. Pleasebe aware that you should accept the temporary placement as youcannot continue to occupy a bed in this hospital once you are readyfor discharge and a suitable place has been offered.your bedbooklet

Part 212. Patient information and liaison service(PILS)Your comments and feedback about your experience with us areinvaluable and welcomed.In the first instance please talk to the nurses on the ward, the wardsister, or ask to speak to the matron. If issues remain unresolvedthen please contact us directly:Freephone: 0808 178 8337Email:In Writing:pils.complaints.compliments@uhl-tr.nhs.ukTrust HeadquartersGwendolen HouseGwendolen RoadLeicesterLE5 4QFFurther information can be found on the trust website:Informationwww.uhl-tr.nhs.uk/patients/support-and-advice/making-a-complaintPlease be assured that if you raise a concern or make a complaintyour future health care will in no way be affected. Should you needhelp to raise your concerns because of special health or languageneeds this can be arranged.13. InterpretersPlease inform a member of staff if you require an interpreter.We are committed to preventing discrimination and fosteringequality and diversity.The printing of this booklet has beensupported by Leicester Hospitals Charity9102655

University Hospitals of LeicesterNHS Trustwelcometo your wardyourbedbookletPart 3