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Johnson Memorial Hospital - Gimli

Patient Handbook

Your coMPliMentarY coPY

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Please note:

We are constantly

changing to meet

your needs.

Information

presented in this

handbook may be

subject to change.

MessagefromourBoardChairandChiefExecutiveOfficer

WelcometotheInterlake-EasternRegionalHealthAuthority(RHA).At61,000km2,ourregionaccountsforalmost10percentoftheprovincegeographicallyand10percentoftotalpopulation.OuruniquenessliesinthefactthatweencompassManitoba’scottagecountry.Inthesummermonths,ourpopulationswellswithcottageowners,campersandoutdoorloversdrawntothenaturalbeautythatManitoba’slakes,rivers,forestsandbeacheshavetooffer.

Thenaturalbeautyofourregionprovidesresidentswiththeworklifebalancewe’reallseekingintoday’sbusylifestyles.It’salsotheplacethatmanyManitobansworktowardsspendingtheirretirementyears.Notrafficjams,noparkingissues,noexhaustfumesandthesmellofspruceandpineorfreshlycuthay,dependingonwhereyougo,arehallmarksofanInterlake-EasternRHAlifestyle.

AsanRHA,we’recommittedtoconnectingpeopleandcommunitiestoexcellenthealthservices-TodayandTomorrow.We’reworkingwiththeprovincetoensurethatourresidentshaveavoiceinhealthcareandthatallofourresidentshaveaccesstotheirownhealthcareproviderandintegrationintoaprimaryhealthcarenetworktoaddressarangeofhealthcareneeds.

WearehonouredtoworkwiththeindividualsandvolunteerswhomakeourRHAtheplaceofcomfortandcarethatitisand,alongwithourdirectorsandcommunitypartners,toexploretheoptionsinmakingourdeliveryofhealthcareallthatitcanbeforourresidents.

OralJohnston RonVanDenakkerChairoftheBoard ChiefExecutiveOfficer

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Table of ContentsMessage from our Board Chair and Chief Executive Officer ........................... 2Mission, Vision and Values .............................................................................. 4Questions, Concerns and Feedback ............................................................... 5Charitable Donations ....................................................................................... 5Consent to Treatment/Informed Consent ......................................................... 6

Patient Safety: Here’s How You can HelpMedication Safety ............................................................................................ 7Patient Identification ........................................................................................ 7Prevention of Falls ........................................................................................... 7Ask Questions ................................................................................................. 7Cough/Sneeze Etiquette & Hand Washing ...................................................... 7Washrooms...................................................................................................... 7

Skin HealthPressure Ulcer Prevention: information for you and your family ...................... 8

While You’re in the HospitalParking ...........................................................................................................10What to Bring to the Hospital ..........................................................................10Do Not Bring ...................................................................................................10Personal Health Information Act .....................................................................10

Hospital ServicesAmbulance Services .......................................................................................12Dietary Services .............................................................................................12Fire Safety .....................................................................................................12Gift Shop .......................................................................................................12Lost & Found ..................................................................................................12Newspapers ....................................................................................................12Smoking .........................................................................................................12Spiritual Care ..................................................................................................13Telephone .......................................................................................................13Television Service ..........................................................................................13

Visitor informationVisiting Hours ................................................................................................14Discharge .......................................................................................................14Home Care Services .....................................................................................14

community Supporters ..............................................................................15

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Mission,VisionandValuesOur Vision

Connectingpeopleandcommunitiestoexcellenthealthservices–TodayandTomorrow.

Our MissionInpartnershipwithourcommunitiesandthroughourcultureofqualitycustomerservice,wearededicatedtodeliveringhealthservicesinatimely,reliableandaccessiblemanner.Weachieveoursuccessthroughanengagedandempoweredstaff.

Our ValuesCollaborationWewillmaintainthehighestdegreeofintegrity,accountabilityandtransparencywithourcommunities,healthpartnersandourstaff.

AccessibilityWewillensuretimelyandreasonableaccesstoappropriatehealthprogramsandservices.

RespectWearecommittedtoahealthcareenvironmentthattreatsallclients,patients,staffandcommunitieswithcompassion,empathyandunderstanding.

ExcellenceWearecommittedtoexcellenceinallofourprograms,services,andinitiativesbuiltonafoundationofclient,patientandstaffsafety.

InnovationWewillleadbasedonbestpracticeevidenceandhavethecouragetoaddresschallengeswithhonestyandcreativity.

Quality Customer ServiceWewillcultivateandsupportacultureofqualitycustomerservicecommittedtoprovidingapositiveexperienceforclients,patients,staffandotherstakeholders.

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Questions,ConcernsandFeedbackAtInterlake-EasternRHA,wearecommittedtoservingyouwithrespect,careandcompassion.Weareheretolistenandrespondtoyourneeds.

We offer a number of ways to communicate with us:• CompletetheelectronicFeedbackFormfoundonourwebsiteatwww.ierha.ca

orprintedformsarealsoavailableatallInterlake-EasternRHAfacilities• Complimentorconcern?Callustollfreeat1-855-999-4742

General inquiries?Callustollfreeat1-855-347-8500orspeaktotheclinicalteammanagerorclinicalresourcenurseonsite.

This is a violence and abuse free faciliTyItisimportantthatourstaff,clients,visitorsandvolunteersarerespectedandfeelsafeatalltimes.Interlake-EasternRHAwillnottolerateviolenceorabusedirectedatstaff,clients,visitors

orvolunteers.Pleasehelpusmakethisasafeplaceforeveryone.Toensurethesafetyofeveryoneonourpremises,thelocalRCMPorappropriateauthoritieswillbecalledifanypersonverballyor

physicallyabusesanystaff,clients,visitorsorvolunteers.

CharitableDonationsDonationstothishospitalaregreatlyappreciated.Donatedfundsareusedtoenhancetheservicesandequipmentweofferourpatientsthat,inturn,greatlybenefitourstaffmembersaswell.

Incometaxreceiptsareprovidedforalldonations.DonationscanbemadeatthebusinessofficeMondaytoFridayduringregularbusinesshours.

Ifyou’dlikemoreinformation,pleasespeakwithabusinessofficerepresentativeorcallustoll-freeat1-855-347-8500.

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ConsenttoTreatment/InformedConsentAs a patient, it is your right:

• Toconsenttotreatment• Toadequatecareandservices• Tobetreatedwithconsiderationandrespect• Toobtainfromyourattendingphysicianinformationregardingyourdiagnosis,

treatment,aswellasprognosisintermsthatyouunderstand• Torefusetestingortreatment,exceptincircumstancesstipulatedbylaw• Toseekasecondopinionfromanotherdoctor.Pleaseconsultyourfamily

physiciantomakearrangements• Toasafeenvironment• Toseeyourpersonalhealthinformationheldonfilebythefacilityin

accordancewithThe Personal Health Information Act.

As a patient, it is your responsibility:• Toprovidehonestinformationaboutyourpresentconditionandpastillnesses• Torespectotherpatients’privacy,confidentiality,propertyandtoensure

thatyouandyourvisitorsrespectthepoliciesofthehospital,particularlywithrespecttonoise,theno-smokingpolicy,andthenumberofvisitorsyoureceiveatonetime

• Totreatthosewholookafteryourneedswithcourtesyandrespect.Incidentsofaggressiveorabusivebehavioronthepartofanyperson,whethervisitors,patients,employees,orothers,willnotbetolerated.

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PatientSafety:Here’sHowYouCanHelpTheInterlake-EasternRHAiscommittedtodeliveringqualityandsafecarethroughapatientandfamilycentredexperience.Patientandfamilycentredcaremeansthatpatientsandfamiliesareengagedintheirhealthcarewhichaddstothesafetyofpatients.Hereishowyouandyourfamilycanbeinvolvedinyoursafetyduringyouradmissiontothisfacility:

Medication SafetyKeepalistofallthemedicationsyouaretaking.Thisincludestraditionalmedicine,over-the-countermedicines(non-prescription),vitaminsandherbs.Bringyourmedicationlistandallthemedicinesyoutaketothehospital.Tellyourdoctorornurseifyouhaveallergiestoanymedications,foodoranythingelse.

Patient IdentificationPatientidentificationisimportanttopreventerrorsandensurethatintendedtreatmentsand/orproceduresareprovidedtothecorrectpatient.Pleaseconfirmyourname,dateofbirthandallidentificationinformationonyourpaperwork.Duringyourhospitalstay,staffwillaskbothyournameandyourbirthdateoften.

Prevention of FallsAskyourdoctorornurseifyouhaveanyriskfactorsthatmaypotentiallyleadtoafallandwhatyoucandotoreduceyourriskoffalling.Tellyournurseordoctorifyoufeeldizzyordrowsy.Beawareofyoursurroundings.Wetfloors,spillsorequipmentmaycauseyoutosliporfall.

Ask QuestionsUnderstandyourhealthproblem,thetreatmentplanandwhatyoucandotoimproveyourhealth.Askquestionsifyoudonotunderstandwhatisbeingsaid.Ifyouthinkofquestionsafterspeakingtosomeone,writethemdowntoasklater.Whenyoumeetwithyourhealthcareprovider,havesomeonewithyoutolistenandhelpyouunderstand.

Cough/Sneeze Etiquette & Hand WashingHelpstopthespreadofinfection.Coveringyourmouthwithyourhandswhenyoucoughorsneezeisnolongerthecorrectthingtodosinceitcanspreadgerms.Sneezeandcoughintothecrookofyourelbow–askourstafftoshowyouhow.Askyourhealthcareprovidersiftheyhavewashedorsanitizedtheirhandsandpleasecleanyourhandsoftentoo.

WashroomsPublicwashroomsareeasilyaccessibletoallvisitorsindesignatedareas.Pleaseremindyourvisitorstorefrainfromusingthepatientwashrooms.

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SkinHealthPressure Ulcer Prevention: information for you and your family

What is a pressure ulcer?Apressureulcer(or“bedsore”)isaninjurytotheskinandtissuesbelowtheskin.Itisusuallycausedbysittingorlyinginonepositionfortoolong.

Theyusuallyoccuronthebuttocks,hips,heels,elbowsandshoulders,whichareboneyandtakemostofthepressurewhenyouarelyinginbedorsitting.Pressureulcersbeginasredorpurpleareas,butcanprogresstodamagetheskinanddeepertissuesifnottreated.

What causes a pressure ulcer?Constantpressureontheskindecreasesbloodflowandleadstotissuedamagefromalackofoxygenandnutrients.Slidingdowninabedorchairstretchestheskinandtissuesandmayalsoleadtoapressureulcer.Evenrubbingorfrictionontheskinmaycausedamageormakeaminorpressureulcerworse.

What increases the risk?• difficultymovingorchangingpositions• frequentorlongperiodswhereskinisincontactwithurineandstool• noteatingordrinkingenough• confusionthatlimitsmovingandchangingposition• decreasedfeelingintheskin• healthconditionslikediabetesandpoorcirculation

Key steps to prevent a pressure ulcerThefollowingsuggestionsmaybehelpfultopreventpressureulcers.Becauseeachperson’sneedsaredifferent,pleasediscusstheseoptionswithyourhealthcareprovider.

Avoid long periods of pressure• Wheninbed,rolloverandchangepositionoften.Ifyoucan’tdothis,ask

someonetohelpyouchangepositionatleasteverytwohours.• Whensitting,shiftyourweightorchangepositionevery15minutes.Ifyou

can’tdothis,asksomeonetohelpyouchangepositionatleastonceanhour.

Did you know?Pressureulcerscanhappenwithinafewhoursandcanbeserious.Theycanleadto:

• pain• possiblecomplications

suchasinfection• longerperiodsofbedrest• surgery

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Reduce friction• Whenchangingpositionormovinginbed,

don’tdragorpullyourselfacrossthesheets,anddon’tpushorpullwithyourheelsorelbows.Instead,rollorliftwithyourbody.

• Avoidrepetitivemovementslikerubbingyourfeetonthesheetstoscratchanitchyspot.

Stay active• Walk,moveanddoasmuchforyourselfas

possible.• Tellyourhealthcareproviderifpainiskeeping

youfrommoving.

Take care of your skin• Inspectyourskinatleastonceperday.Ifyou

noticeanyred,purple,painfuloropenareasofskin,stayoffoftheareaandnotifyyourhealthcareproviderassoonaspossible.

• Preventdryskinbyusingmoisturizingcreams.• Don’trubormassageskinifitisredorpurple.• Immediatelycleanurineorstoolfromyourskin

topreventskinbreakdown.• Avoiddoughnut-shapedcushions–theycan

causeinjurytodeeptissues.

Protect your skin from heat and moisture• Ifleakingurineorstoolisaproblem,talktoyour

healthcareproviderabouthowtoavoidleakage.Useabsorbentpadsorbriefstopullmoistureawayfromyourbody.

• Applyanextraprotectivecreamorointmenttoprotectyourskinfromurineand/orstool.

• Minimizelayersoflinens/paddingunderyourbody.

Look after your health• Eatawell-balanceddietanddrinkplenty

offluids.

Questions? Contact your health care providerThisinformationhasbeenreprintedwithpermissionfromtheWinnipegRegionalHealthAuthorityandisintendedasaguidelinebasedonresearchandevidenceinformedbestpractices.ProjectoftheWRHAWoundCareCommittee(2013).AdaptedwithpermissionfromtheNewJerseyHospitalAssociation,Princeton,NJ.www.njha.com.Allrightsreserved.

Confined to bed?• Avoidraisingtheheadofthebedasmuchaspossible.Ifyouneedtoraisetheheadofthebedforcertainactivitiesoritisneededforyourhealth,raiseittothelowestpointpossibleforasshortatimeaspossible.

• Usepillowsorfoamwedgestokeepyourkneesandanklesfrompressingagainsteachother.

• Whenonyourside,avoidlyingdirectlyonyourhipbone–rollbackslightlyontoyourbuttock.

• Whenonyourback,keepyourheelsoffthebedbyplacingapillowunderyourcalves–becareful

• nottoplacepillowsbehindtheknees.

Confined to a wheelchair?• Talktoyourhealthcareprovideraboutgettingawheelchairandcushionthatmeetsyourneedstoreducepressurewhilesitting.

• Avoidsittingonslingsusedfortransfer.

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While You’re in the HospitalParkingParking is available on the East side 6th Avenue entrance at no charge. There are also handicap spots near the entrance doors. As a patient, you are advised not to bring your own vehicle. Be aware that vehicles are parked at the owner’s risk.

What to Bring to the Hospital• All current prescription and over-the-counter medications

including vitamins and herbs, or preferably, a list of medications you are currently taking

• A list of allergies and reactions• Toiletries such as a toothbrush, toothpaste, mouthwash, Kleenex, shampoo,

soap, deodorant, shaving supplies, slippers and a housecoat• If you wear dentures, glasses or hearing aids, please bring a case for them • Personal items such as wheelchairs or walkers are to be labeled

Do not Bring:• Valuables• Perfumes or scented toiletries (we are a scent-free facility)• Cellular telephones

Any electrical equipment brought to the hospital is subject to inspection by our maintenance personnel prior to use.

The hospital assumes no responsibility for the loss or damage of personal items.

Personal Health information actThis facility enforces the protection of personal health information as required by The Personal Health Information Act (PHIA). This provincial legislation incorporates the right of an individual to examine and receive a copy of his or her personal health information. It also limits and controls the manner in which personal health information is collected, used, disclosed, stored and destroyed. As a result, the Interlake-Eastern RHA will not disclose personal health information except as may be allowed and required by the PHIA.

Your health care team requires access to your personal health information to provide your necessary health care services. Members of your health care team are only allowed access to the information they need to give you the care you need. Under the PHIA, you have the right to access your information not later than 24 hours after

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requesting it if you are a hospital inpatient. If you are a hospital out-patient or a day surgery patient, you have the right to access your information not later than 72 hours after requesting it. Record duplication fees may apply.

Upon request, we can share your name, general health status and location in our facility with representatives of religious organizations or any member of the public inquiring about you.

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Hospital Servicesambulance ServicesAny required ambulance transportation will be arranged according to the patient’s need. The cost incurred for this service will be as per the Provincial “Interfacility Transfer Guidelines”.

Dietary ServicesDrinks from the vending machines are available 24 hours.

Well balanced meals are provided by the Dietary Department. Special diets are prepared upon doctor’s orders to meet your needs. Patients on special diets may be served snacks between meals as well. Check with nursing staff regarding personal food. A dietitian is available for nutritional counseling on a referral basis.

Fire Safety In the event that you hear a fire alarm during your stay in the hospital, remain in your room. Staff will close doors to patient rooms and doors within hallways will also be closed. If you are out of your room when you hear an alarm, listen to staff directions. Do not use elevators during a fire alarm.

Gift Shop Our gift shop operated by volunteers and is located by the main entrance to the hospital and is open Monday to Friday from 10 am to 2 pm. All proceeds are donated to the hospital and community programs.

lost & FoundLost & Found is located at the main entrance information desk.

newspapersNewspapers are provided in the emergency waiting room and patients lounge.

Smoking This is a non-smoking facility and smoking is not allowed within 25 feet of an entrance.

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Spiritual careAs an integral part of health care that attends to the whole person, you or your family may request additional spiritual care. You can ask any staff member for a referral to:

• Connect with your own clergy or spiritual leader• Arrange ceremonies, sacraments, rites• Assist in times of grief and loss• Pray, drum, smudge• Someone who will listen with an open mind• Help you work through life changes/decisions• Outside resources

telephoneTelephones are available upon request. Please check with nursing staff for arrangements.

television Service Televisions and programming are provided by the hospital auxiliary. For safety reasons, the hospital does not permit the use of television sets brought from home.

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Visitor InformationVisiting Hours There are no specific visiting hours for this hospital. Visitors who are feeling ill or have a fever or cold are discouraged from visiting.

Please observe the following rules when visiting:• Only two visitors at any one time.• Children visiting must be supervised by an adult at all times.• Spiritual care providers may visit at any time at the request of the patient.• Footwear must be worn at all times.• Visitors with a fever, cold, or other infection are strongly discouraged from

visiting.• We request that visitors do not sit or lay on the beds.• Visitors should check with the nurse before bringing in any food.• Patient bathrooms are for patient use only. Visitors must use the public

restrooms.• Alcohol-based sanitizer is available throughout the facility for patient and

visitor use.The nurse in charge has the authority to restrict visitors at any time.

telephone inquiries regarding a Patient’s conditionDirect patient condition inquiries to the nursing unit. If possible, please arrange for one family member to inquire about the patient’s condition and relay that information to others.

DischargeIn order to provide the most effective care for you, it is necessary to plan for discharge early in your stay. Once your physician has determined that your condition no longer requires you to stay in hospital, arrangements will be made for your discharge. Hospital staff will assist in arranging any necessary service that you require. If necessary, community services will be planned in close co-operation with family support.

Home care Services Referrals to home care services may be made by a nurse, family member, or doctor if you require assistance once you are discharged. The home care nurse will assess your eligibility for appropriate services.

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Community SupportersInterlake-Eastern Regional Health Authority (RHA) is extremely grateful to the following advertiser for helping to make this Patient Handbook possible.

Head Heart and Hands Therapy & Counselling Services

Laurie A Scarce MACA (Aus), BASS (Counselling), PGCERT Therapeutic Play

Therapist / Counsellor / certified practitioner of Therapeutic Play

individual * couples * family therapy expressive therapies * play therapy

GIMLI: The Greenberg House & Clinic, 70- 2nd Avenue, Gimli Manitoba WINNIPEG: Suite 7, 709 Corydon Avenue, Winnipeg Manitoba

T: + 204 641 4696 T: + 204 318 6160 F: + 204 480 4399 E: laurie.scarce@headheartandhands.ca WEB: www.headheartandhands.ca

Notes:

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Notes:

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