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Page 1: WELCOME to the RJAH · Welcome To Sheldon Ward message from Ward Manager Our ward based team consist of: Doctors, Nursing Staff, Physiotherapists, Occupational Therapist, Ward Clerks

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Page 2: WELCOME to the RJAH · Welcome To Sheldon Ward message from Ward Manager Our ward based team consist of: Doctors, Nursing Staff, Physiotherapists, Occupational Therapist, Ward Clerks

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WELCOME to the RJAH

As Chief Executive, I would like to warmly welcome you to our specialist Orthopaedic Hospital. We look forward to caring for you during your stay and hope that this folder will answer some of the questions you may have. It tells you information about the Trust, ward, staff, meals, telephone and hospital services and facilities. Should you or your family wish to discuss any aspects of your care, please feel free to ask a member of staff. We take great pride in delivering services of the highest quality to our patients with an emphasis on putting the patient at the heart of the NHS. I do hope your experience is of a high standard. Wendy Farrington Chadd CEO

The NHS's commitment to you

When you are in hospital this is what you can expect:

To have a clear explanation of your condition and the treatment options available to you

To be asked for your written fully informed consent to any operation or procedure

To see your patient records if you wish

To be sure that the information in your records will remain confidential

To be treated with respect and dignity at all times

To be informed about different aspects of your treatment and what procedure(s) are being carried out

To keep relatives or carers informed of your progress, if you wish

Your commitment to the NHS In return, the Trust asks you to:

Provide us with the necessary information about your condition, symptoms or medication in order to provide appropriate care

Treat staff with respect (with the same respect you expect from them); in cases of violent or aggressive behavior, treatment may be withheld

Help, as far as you are able, in feeding yourself, keeping mobile and your personal hygiene needs

Arrange for your transport home, if possible

Arrange with your family or friends to take care of your personal laundry, if possible

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Contents

About the RJAH .................................................................................................................................................... 5

Welcome To Sheldon Ward message from Ward Manager ................................................................................ 6 Sheldon Ward .................................................................................................................................................. 6

The STAR Ward Assessment Framework ............................................................................................................. 7

Staff Uniforms: How will I know who the staff are?............................................................................................ 8

The Therapy Department .................................................................................................................................... 9

Orthotics ............................................................................................................................................................ 11

Fire Safety - What do I need to know about fire safety? .................................................................................. 11

Smoking ............................................................................................................................................................. 11

Making Every Contact Count (MECC) ................................................................................................................ 12

Manual Handling ............................................................................................................................................... 12

Valuables and Personal Possessions ................................................................................................................. 12

Treatment Information ...................................................................................................................................... 12

Mobile Phones, Cameras and Telephones calls ................................................................................................ 13

Electrical equipment .......................................................................................................................................... 13

Televisions ......................................................................................................................................................... 13

Trust website and Wireless Internet Access ..................................................................................................... 13

Mail and Post ............................................................................................................................................... 14

Interpreting and Translations ............................................................................................................................ 14

Catering and Menu - Is there a choice of meals? .............................................................................................. 14

Privacy and dignity ............................................................................................................................................ 15

Chaperoning ...................................................................................................................................................... 15

Infection Control ................................................................................................................................................ 15

What arrangements should I make for going home?........................................................................................ 17

Hospital Services and Facilities .......................................................................................................................... 17 Laundry facilities ............................................................................................................................................ 17

Denbighs Restaurant ..................................................................................................................................... 17

Denbighs Opening Times .............................................................................................................................. 17

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League of Friends Shop.................................................................................................................................. 18

League of Friends Coffee shop ...................................................................................................................... 18

League of Friends Newspaper and sweet trolley service .............................................................................. 18

League of Friends Patient Library .................................................................................................................. 18

Hairdressers ................................................................................................................................................... 19

Ableworld ...................................................................................................................................................... 19

POST OFFICE AND CASH MACHINE ................................................................................................................ 19

CHAPEL/ MULTI-FAITH PRAYER ROOM ......................................................................................................... 19

A Guide to Adult Safeguarding .......................................................................................................................... 20

A Guide to Child Safeguarding ........................................................................................................................... 20

Getting Help - Patient Advice and Liaison Service (PALS) ................................................................................. 21

Complaints ......................................................................................................................................................... 21

How your Patient Information is Used? ............................................................................................................ 21

Visitors Information ........................................................................................................................................... 22 Visiting Patients ............................................................................................................................................. 22

Contacting a patient ...................................................................................................................................... 23

Asking for Medical information about a patient ........................................................................................... 23

Where can my visitors park? ......................................................................................................................... 23

Where can family and friends stay? www.visitoswestry.com ...................................................................... 24

Presents for patients ..................................................................................................................................... 24

Local facilities /attractions in the area .............................................................................................................. 24

Gifts and Legacies .............................................................................................................................................. 24 Ways in which you can donate: ..................................................................................................................... 25

League of Friends........................................................................................................................................... 25

If you require a special edition of this leaflet ................................................................................................ 26

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About the RJAH

The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust (RJAH) is a leading orthopaedic centre of excellence. A specialist hospital with a reputation for innovation, the Trust provides a comprehensive range of musculoskeletal (bone, joint and tissue) surgical, medical and rehabilitation services; locally, regionally and nationally. The organisation is a single site hospital based near Oswestry, Shropshire, close to the border with Wales. As such, the Trust serves the people of both England and Wales, as well as acting as a national healthcare provider. It also hosts some local services which support the communities in and around Oswestry. The hospital has eight inpatient wards including a private patient ward, ten operating theatres, as well as extensive outpatient and diagnostic facilities. Outreach clinics are held in neighbouring healthcare facilities to ensure that specialist services are provided as close to people’s homes as possible. The hospital was founded in Baschurch in 1900 by Dame Agnes Hunt, a visionary nurse, with the help of Sir Robert Jones, an eminent Orthopaedic Surgeon. It moved to the present site in 1921 and was incorporated into the NHS in 1948 and achieved NHS Trust status in 1994. In August 2011 the hospital was awarded NHS Foundation Trust status. This means that RJAH can better shape healthcare services around local needs and priorities and the requirements of commissioners of healthcare.

Trust Values:

Our Vision: “ To be the leading centre for high quality, sustainable orthopaedic and related care, achieving excellence in both experience and outcomes for our patients ”

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Welcome To Sheldon Ward message from Ward Manager

Our ward based team consist of: Doctors, Nursing Staff, Physiotherapists, Occupational Therapist, Ward Clerks and House Keepers, we also regularly have students on placements. Other members of the team not stationed on the ward are Social Workers, Speech Therapist, Language Therapist, Dieticians and Pharmacists. We are sure that as soon as you are medically fit enough to leave the hospital you will be anxious to do so. To ensure that you can leave hospital as soon as possible, we need to start planning now. Your estimated discharge date will be given to you on your admission and our team will support you and your family to achieve the target. Although most patients will return home at the end of their stay, some will decide after consultation with family, carers, the ward team and their social workers that it would be best for them to move to either a nursing or residential home. If this is relevant in your case you will obviously want to consider all the options available as this is a big decision to have to make. You may find that the home of your choice doesn’t have a place available immediately. We have to point out that once you are medically fit to leave the hospital you will not be able to stay in the

Welcome to Sheldon Ward. The ward team and I will do our best to ensure that all your care needs are met and you are as comfortable as possible during your stay. If you have any problems or concerns that you would like to discuss with me, please mention this to one of the ward staff who will make me aware that you would like to talk to me.

Sheldon Ward 01691 404371

Sheldon ward is a twenty three bed ward with dedicated female and male sides. There are fifteen rehabilitation beds and eight beds which can be split between rheumatology and patients requiring further rehabilitation and physiotherapy.

Lorna Edwards

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hospital whilst you are waiting for a bed to become available at the home of your choice or if you are waiting for any home adaptations to be carried out The ward team will work with you and your family or carers to look at the alternatives, these may include moving to another suitable home, and where you can stay until a vacancy comes up at the home of your choice. We want to help all of our patients to make the right choice about what they do when they leave hospital and will support you in all ways possible. I am sure you appreciate the urgent demands on the hospital beds in Shropshire, so I would be grateful if you could give serious thought now to your plans for when you are medically fit to leave hospital.

The STAR Ward Assessment Framework

Provision and the delivery of high quality care is a key priority for all staff at the RJAH and the Trust board. It is essential to have robust measures in place to capture assurance on the fundamentals of nursing and medical care which is monitored and reported from ward to the board.

The STAR (Sustaining Quality Through Assessment & Review) is a performance assessment framework which looks at the quality and safety standards of each ward. The assessment looks at 14 standards which are measured by collating evidence through observation of care, reviewing written documentation, asking questions with both patients and staff.

Each ward is assessed and is awarded 1 STAR, 2 STARS or 3 STAR’s depending on performance and the STAR status is then displayed on each of the wards Quality Boards. The ward aims to sustain consistently high standards of care which is reviewed by further assessments within specific time scales.

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Staff Uniforms: How will I know who the staff are? All staff wear a name badge with a photo identity tag, If you are unsure please ask us to tell you who we are. We wear different uniforms depending on what job we do. Some of these are listed below. Please see the images below to identify which uniform goes with which job role:

Director of Nursing, Deputy Director, Assistant Director & Matrons (Red tunic)

Health Care Assistant

male (grey)

Health Care Assistant female (grey pin stripe )

Staff Nurse Ward Sister Ward Manager

Therapy Support worker

Occupational Therapist (green piping)

Physiotherapist (blue piping)

Housekeeper

Porters

Reception staff/ward

clerk

Pharmacy

Radiographer (blue trim)

Nurse Consultant

Specialist Nurse (blue tunic yellow piping)

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Staff and students may have different uniforms

The Therapy Department

The Therapy department is made up of specialist teams of Occupational Therapists, Physiotherapists, a Dietician, an Adult Speech and Language Therapist Support Workers, and administrative staff. There is also a hydrotherapy pool on site for In-patient and Outpatient

treatment. Occupational Therapy Reception - for out-patient occupational therapy enquiries / appointments telephone: 01691 404327. Physiotherapy Reception – for out-patient physiotherapy enquiries / appointments telephone: 01691 404545 or 404464.

Staff Shift Pattern Each ward may have its own shift pattern but the usual nursing shift pattern is:- Early 07:00 – 19:30

Night Shift 19:30 – 07:30

Twilight Shift 17:00 – 23:00

Handover takes place at the beginning of each shift.

Some staff wear smart clothing and their ID badge rather than a uniform:

Consultant and Doctors

Clinical Service Manager

Social worker

Clinical Psychologist

Speech and language Therapist (white polo shirt and navy trousers)

Dietician (white polo shirt and navy trousers)

Medical Secretaries/ receptionist and other Admin staff

Pharmacist

Nurse Practitioner (Blue tunic/yellow piping)

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Our Therapy Teams encompassing Occupational and Physiotherapy

Childrens' Therapy Team

Orthopaedic Therapy Team

Oswestry Pain Management Programme Team

Outpatient Therapy Team

Rheumatology Therapy Team

Sheldon Ward Therapy Team

Spinal Cord Injuries Therapy Team (Midland Centre for Spinal Injuries)

Occupational Therapy Occupational Therapy is based on the use of purposeful activity and meaningful occupation as a means of maximising independence following illness or injury. Once you have been assessed, you will be seen by an Occupational Therapist and/or a Therapy Support Worker to oversee your treatment programme. We will work with you to identify problem areas in your daily life, focusing on the physical and cognitive elements of tasks such as washing and dressing, getting into/out of bed and on/off the toilet, bathing, eating, shopping, mobility, stairs etc. We will devise a personalised treatment plan to improve your physical and cognitive ability. The aim of this is to promote and maximise your independence with daily living activities. Where appropriate, we will recommend equipment and minor adaptations. Occupational Therapy Outpatients is off the main corridor signposted, ‘Occupational Therapy’. Physiotherapy Physiotherapy is a science-based profession and takes a “whole person” approach to health and wellbeing, which includes the patient’s general lifestyle. Physiotherapy helps restore movement and function when someone is affected by injury, illness or disability. Physiotherapy helps to facilitate recovery, enabling people to remain independent. Physiotherapy aims to improve or maintain a patient’s mobility and quality of life through rehabilitation, respiratory care, advice and education within a range of different conditions. Once you have been assessed, you will be seen by a Physiotherapist and/or a Therapy Support Worker to oversee your treatment programme. Physiotherapy Outpatients are mainly treated in the Physiotherapy Department, which has individual cubicles, an open gym area, and a well- equipped fitness suite. Physiotherapy In-patients are treated on the ward and/or in the Physiotherapy department. Physiotherapy Outpatients is off the main corridor signposted, ‘Physiotherapy’. The reception and waiting area is straight ahead as you turn off the corridor. Dietician

Dietitian 01691 404536. The dietitian’s office is next to the Occupational Therapy office.

The Dietitian diagnoses and treats dietary and nutritional problems translating up-to-date public health and scientific research into practical guidance. There is one full time Dietitian who provides a service to all the wards and provides a weekly outpatient service. Referral is via a doctor or a high malnutrition screening tool score.

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Speech & Language Therapist (SaLT) The SaLT 01691 404605. The SaLT office can be found in the Occupational Therapy department The Speech & Language Therapist (SaLT) may be asked to assess you during your stay if you are having any difficulties with your speech, language and communication and/or problems with swallowing food and drinks. Assessment of communication will look at your ability to understand/use speech/language. This may be managed through individualised therapy programmes or using communication aids. Assessment of your swallow will be to make sure you are able to swallow safely and are able to maintain adequate nutrition. There is one part time Speech & Language Therapist who provides a service to all the wards and has a twice weekly outpatient clinic

Orthotics

01691 404442.

Our Department of Orthotics helps to treat and rehabilitate patients by providing an orthosis to aid movement, correct deformity and relieve discomfort. It is one of the largest in-house Orthotics departments in the UK. We also aim to offer a continuing programme of maintenance, repair, reassessment and review once an orthosis has been supplied. Orthotics may be made to measure or off the shelf. Comprehensive, personalised advice is given to every patient who accesses the service. An Orthosis is a device applied externally to any part of the body to support, correct, prevent or compensate for a skeletal deformity or weakness. It may also be applied to assist, allow or restrict movement of any part of the body. We commonly prescribe corrective insoles, shoe adaptations, footwear and bracing for the lower limb (legs and feet), upper limb (arms and hands) and the spine

Fire Safety - What do I need to know about fire safety?

You will hear a continuous ringing bell if a fire has been detected in or around the ward. In this event, please remain in your bay/room with the door closed until a member of staff arrives to assist you out of the building or to tell you that all is well. The fire alarms are checked every Thursday morning and make an intermittent ringing sound - no action is required from you at this time.

Smoking RJAH Hospital is a smoke-free environment; no smoking of cigarettes, cigars or pipes is allowed on the hospital premises, including all wards, departments, public areas or within its grounds. The RJAH Smoke Free Policy also applies to the use of reusable and disposable electronic cigarettes. These devices are prohibited wherever smoking is prohibited. Please discuss any concerns you may have about this with the ward staff.

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Giving up smoking is one of the most important actions you can take to improve your health especially if you are having an operation. If you require further advice and support please ask the nursing staff who will be able to provide more information about the Help 2 Quit service.

Making Every Contact Count (MECC) MECC examines basic health messages in relation to alcohol, healthy eating and weight management, smoking, physical activity, mental well-being and sexual health. This means that staff will make the best of every appropriate opportunity to ask you about your lifestyle choices and promote the benefits of any changes that you can make in order to improve your health and well-being. You will be given a card which will signpost you to where you can get further support or please ask the nursing staff

Manual Handling During your stay in hospital you will be encouraged to move as independently as possible. There may be times when you will need some assistance and staff will be on hand to assist. You will be issued with two flat slide sheets in a blue bag which is to be located either at the head or foot of your bed. These will accompany you throughout your hospital journey and will be used by the staff in order to facilitate movement during the times when you are less independent. Please inform the staff of any mobility aids or equipment that you normally use at home.

Valuables and Personal Possessions

What should I do with my valuables? Please do not bring in valuables into the Trust as there is nowhere to store them. Patients should send valuables home with family or friends. The Trust cannot accept responsibility for loss or damage to patients’ property. You will be asked to sign a disclaimer to this effect. Nursing staff can you give you a disclaimer form if you need to leave anything with a member of staff.

Treatment Information

Is there any information about my treatment? Each ward will have a leaflet rack with patient information leaflets in relation to the ward and clinical treatment that is applicable to that ward. Please ask if you need assistance with any information.

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Mobile Phones, Cameras and Telephones calls

Can I use a mobile phone? Yes, although with some networks, the signal can be poor. You may be asked to turn off your mobile phones if certain pieces of medical equipment are in use on the ward. If you do not have a mobile phone or do not have a signal, alternatives are available at a charge, via switchboard – please ask the nursing staff. All calls are logged and you will be invoiced directly. There is also a BT pay phone on the main corridor by Kenyon ward.

Cameras and Skyping Cameras are not to be used on the ward for privacy reasons. iPADS and other devices can be used to Skype friends and family if other patients are not in view and ward conversations cannot be overheard. It is advised for patients to go to day rooms to do this.

Electrical equipment

Can I use my own electrical equipment? Electrical goods such as games consoles/CD/DVD players/laptop computers are your own responsibility and if brought into hospital will be at your own risk. The Trust cannot take any responsibility for the loss, theft or damage of such items. If you bring any electrical appliances into hospital, please ask the ward clerk or nurses to arrange for a routine electrical safety check to be carried out. You will be also required to sign a disclaimer form. Patients are asked to use their own headphones to reduce the noise level and minimise disturbance.

Televisions Each bay has its own personal television. These are operated using the handset. Please ask nursing staff how to use them. In the interests of other patients and to help your recovery, television use after 11 pm will be at the nurses’ discretion.

1. BBC1 4. Channel 4 2. BBC2 5. Channel 5 3. ITV 6. Some wards have Sky TV

Trust website and Wireless Internet Access

Please visit the Trust website www.rjah.nhs.uk which contains a wealth of information about services provided at the RJAH. The Trust has wi-fi in most patient areas. This is available on the ward, but a login password is needed, please ask a member of staff for the code. Equipment must pass a visual inspection by staff, to ensure suitability for use.

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Mail and Post Mail can be delivered to your ward. If you would like to send a letter, there is a Post office in the main Entrance.

Interpreting and Translations

What do we offer for people with communication needs? These services are available on request; please ask a member of the nursing team .

Interpreter service

Facilities for people with hearing or

sight difficulties (Braille, Audio, Large

Button telephone).

Picture cards for people with learning

disabilities and those whose first

language is not English.

Catering and Menu - Is there a choice of meals?

A range of meals is available for you to choose from each day in advance, with healthy and nutritious options; the menu is rotated every two weeks. All wards have a copy of all the menus across the two weeks so patients can see what is coming up. We cater for all special dietary and religious needs for example Kosher and Hallal menus. We can arrange for you to discuss these with the Catering Manager. If you would like something which is not on the menu, please feel free to ask. You may have less choice on your first day, as we provide a specific day 1 (post op day 1) menu following your operation. Snack box facility A snack box is available from the switchboard when the kitchen is closed. Sandwiches, fruit, juice, cheese and biscuits, crisps and yoghurt are available.

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Meals times To allow us to provide our patients with an enjoyable meal time and good nutrition we would be obliged if you would respect our protected meal times which are:

Breakfast

7.30 am – 8.00 am

Lunch 12.00 pm – 1.00 pm

Evening Meal

5.00 pm – 6.00 pm

Evening Drinks 9.00 pm, drinks and snacks available on request

Privacy and dignity

At this hospital, all wards are mixed sex wards. However, men and women are nursed in separate bays or areas. In some wards, for example, the High Dependency Unit and Recovery Unit, men and women may be nursed together because of the special facilities that are needed. If you have any concerns about this, please talk to a member of the ward staff. We will try to provide care in surroundings that take account of your personal and/or religious needs. There are separate washing and toilet facilities for male and female patients.

Chaperoning All patients who need an examination by a Health care professional should routinely be offered a chaperone. A chaperone is a safeguard for all parties (patient and practitioners) and is a witness to continuing consent of the procedure; however a chaperone cannot be a guarantee of protection for either the examiner or the examinee.

Infection Control

The Infection Prevention and Control team work to support and advise staff on prevention and control of infection to ensure that good hand hygiene and infection prevention is embedded to a high standard across the Trust.

Help us to prevent infections by maintaining high standards of hand hygiene:

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What can Patients do to help control

infection?

If you have not seen our staff clean their hands before they touch you please just say ‘Have

you cleaned your hands?

Always wash your hands after going to the toilet and before touching food.

Please use the alcohol gel provided at the entrances to wards and departments.

You should wash your hair and take a bath or shower as usual at home before coming in for

surgery.

Please keep your bed space free of clutter to enable housekeeping staff to clean properly.

Please tell a member of staff if you notice anywhere that has not been cleaned properly –

such as the ward, bathrooms or toilets.

If you have diarrhoea please tell the nursing staff.

You must always feel confident to raise concerns and ask questions.

What can Visitors do to help control infection?

Please do not visit the hospital if you are unwell with cold-like symptoms or diarrhoea and

vomiting symptoms.

Please do not sit on the bed; if there are no chairs available please ask a member of staff to

provide you with one.

Any children visiting must be supervised all the time, so that they do not touch equipment or

dressings.

Make sure you wash your hands on the ward or use alcohol

gel before and after visiting a patient in hospital, and follow

advice on notices on side room doors.

Please help patients to keep their bed space uncluttered to

enable House keeper to perform high standards of cleanliness.

Don’t put your feet on the patient’s bed.

Don’t touch the patient’s wounds or any medical equipment

they are attached to, such as drips or catheters. This can cause infections.

Don’t use the patients’ toilets. Ask the ward staff where the nearest public toilets are.

Don’t share property, such as toiletries, tissues or items of hospital equipment with the

patients.

Housekeeping

The housekeeping staff take great pride in the cleanliness and are an integral part of our ward teams ensuring the highest standards of cleanliness at our hospital. Regular auditing take place each week so as to monitor that the high cleaning standards are maintained. If you have any concerns please raise them with the Nurse in charge.

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What arrangements should I make for going home?

Your expected date of discharge will be discussed with you by your consultant and nursing staff on admission. When an agreed date is confirmed, you may then go ahead and make your own transport arrangements. If you are unable to arrange this, please let a member of staff know as soon as possible. You should be given a copy of your discharge letter, medication and advice, any future appointments and advice on how to cope at home before you leave the hospital. Once you have been confirmed as ready for discharge you may be asked to wait in the Day room while the final arrangements are being made. This is to prevent delays to new patients’ admissions.

Hospital Services and Facilities

Laundry facilities

Other than for patients on Gladstone ward, there are no laundry facilities at the hospital. Patients are asked to take care of their personal laundry and to ask a friend or relative to help with this if required, you will need to bring bags in to take dirty washing home. A regular supply of clean clothes is essential as we need patient to get dressed; also well-fitting foot wear to enable them to participate in physiotherapy rehab.

Denbighs Restaurant

Denbighs Restaurant is situated on the main corridor opposite X-Ray and near Outpatients reception area. It sells a selection of hot and cold meals that are freshly prepared every day by our own catering team and can be either eaten in the restaurant dining area or taken-away. Highchairs and WiFi are available. The restaurant has a wide choice of chilled drinks and hot drinks including freshly ground coffees. When the main restaurant is closed, cold drinks and snacks can be bought from the vending machine area at the entrance to the restaurant.

Denbighs Opening Times

Monday to Thursday

8.15 am – 7.30 pm

Friday 8.15 am – 7.00 pm

Saturday and Sunday

9.00 am – 4.45 pm

Bank Holidays CLOSED

Breakfast available 8.15 am – 10. 30 am (not weekends)

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League of Friends Shop

The shop is situated in the main entrance. You can purchase a variety of items including newspapers, magazines, greetings cards, toiletries, confectionery, bottled drinks and a selection of gifts.

Opening times:- Monday – Friday 8.30 am – 4.30 pm Saturday and Sunday 9.30 am – 3.30 pm Bank Holidays Closed

League of Friends Coffee shop

The Cafe is situated in the hospital main entrance and is staffed by League of Friends volunteers. You can purchase hot and cold drinks, Sebastian's sandwiches, cakes and other snacks and relax in a modern and comfy atmosphere. Access to WiFi available and large screen television Opening Times: Monday to Friday 9.00am - 4.00pm Saturday, Sunday Closed Bank Holidays Closed

League of Friends Newspaper and

sweet trolley service

A newspaper/magazine trolley service visits wards every morning, Monday to Sunday. A shop trolley service visits wards every afternoon, Monday to Sunday selling a selection of sweets, drinks and toiletries

League of Friends Patient Library 01691 404373

The Patients Library is on the main corridor opposite Clwyd and Powys wards. It comprises a well-stocked collection of new and old titles, including fiction, non-fiction, large print books and over 200 talking books (tape cassettes). You can also borrow DVDs and DVD players. If no-one is available, patients may still use the library and instructions are displayed on the library notice board. The Library is staffed on a Monday and Thursday. A volunteer trolley service visits all the wards on Mondays (except Bank Holidays) and Thursday afternoons. The library is open seven days a week and the key is available from the switchboard. Please call for more information

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Hairdressers 01691 404350

Hazel's Salon Unisex Hairdressers is off the main corridor by Children’s Outpatients near the East Entrance of the Hospital. Open late on Tuesdays and Fridays.

Opening Times: Monday 9.00am - 1.00pm Tuesday 9.00am - 7.30pm Wednesday 9.00am - 5.00pm Thursday 9.00am - 4.30pm Friday 9.00am - 7.00pm Saturday 9.00am - 4:00pm Sunday Closed

Ableworld 01691 680180

A specialist mobility equipment shop is situated in the main hospital Entrance, selling a variety of aids for independent living. They stock Wheelchairs, Power Chairs, Scooters, Bathing Accessories, Riser Reclining Chairs, Walking Aids, Back Supports, Stair lifts, Hoists and Slippers.

Opening Times: Monday to Saturday 9.00am -5 .30pm Sunday Closed

NB. The hairdressers and Ableworld are independent businesses which are not connected to the hospital.

POST OFFICE AND CASH MACHINE

There is a small sub-post office on the main Entrance and a free cash machine is available 24hrs a day, 7 days a week. Opening Times Monday – Friday 8.30 am – 12.30 pm and 1.30 pm – 5.00 pm

CHAPEL/ MULTI-FAITH PRAYER ROOM

There is a chapel/multi faith room situated at the east end of the main hospital corridor opposite the hairdresser’s. It has a lovely contemplation garden with benches and is open 24 hours a day for prayer or a place to be quiet. Everyone is welcome.

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There is a book in which you can write prayer requests. These will be prayed for during Sunday morning service. The Sunday service is Christian worship and takes place at 10.00 am. There are volunteers available who can help assist patients to get to the Sunday Service from the wards. There is also a short service of prayer on Tuesdays mornings at 8.15am. There are a number of part time chaplains and volunteers of different denominations who visit the wards frequently. One of the chaplains is Welsh speaking. If you either want or don’t want a chaplain to visit, please ring 01691 404249 and leave a message, stating your name and ward. If you would like a chaplain of a religion other than Christianity to call, please tell a nurse or chaplain.

A Guide to Adult Safeguarding

If you are worried about a vulnerable person being abused or neglected by others please say something. You can report concerns by calling 0345 678 9021 or go online to www.shropshire.gov.uk and click on the “Report It” button on the home page or tell a member of hospital staff. Abuse can happen in a number of forms either physical, emotional, financial, neglect, sexual, discrimination, and institutional.

A Guide to Child Safeguarding

Abuse and neglect are forms of maltreatment of a child. Somebody may abuse or neglect a child by inflicting significant harm. Children may be abused in a family or in an institution or community setting, by those known to them or, or more rarely by a stranger. They may be abused by an adult or adults, or by an individual child or children. There are 4 categories of abuse:

Physical abuse

Neglect

Sexual abuse & sexual exploitation

Emotional & domestic abuse Remember the child’s welfare is paramount and it is essential that all agencies work together to protect children. If you are concerned about a child, please speak to a member of staff or contact your local social services. (Shropshire – 0345 678 9021) Safeguarding children is everyone’s responsibility.

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Getting Help - Patient Advice and Liaison Service (PALS) “We’re here to help when you need advice, have concerns, or don’t know where to turn” If you have any problem or query whilst you are in hospital, please speak to the Sister or Nurse in charge of the ward in the first instance or alternatively you can contact the Patient Advice and Liaison Service (PALS). PALS provides support to patients, carers and relatives, representing their views and resolving local difficulties on the spot by working in partnership with Trust staff. PALS staff are available to meet patients on a face to face basis on the ward; please speak to a member of the ward staff to arrange this, phone 01691 40 4606 or email [email protected] PALS are there to: • Advise and support patients, their families and carers • Provide information about NHS services • Listen to your concerns and suggestions • Help sort out problems quickly on your behalf

Complaints For any complaints that you feel have not been resolved to your satisfaction, please ask for a complaint leaflet or write to our Chief Executive.

How your Patient Information is Used?

The Robert Jones and Agnes Hunt Orthopaedic NHS Foundation Trust keeps records about the health care and treatment you receive as one of our patients. This helps to ensure that you receive the best possible care from us.

It helps you because:

Accurate and up-to-date information assists us in providing you with the right care Full information is readily available if you see another doctor or are referred to a specialist or

another part of the NHS

It helps the NHS to:

Prepare statistics on NHS performance Audit NHS Services Monitor how we spend public money Plan and manage the health service Teach and train healthcare professionals

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Conduct health research and development

What kind of information does the Trust hold about you?

Name, address, date of birth, NHS Number and next of kin Contacts we have had with you such as clinic visits Details of diagnosis and treatment Allergies and health conditions

How do we keep your records confidential?

Everyone working for the NHS is subject to the Common Law Duty of Confidence. Information provided in confidence will only be used for the purposes advised and consented to by the patient, unless there are other circumstances covered by the law.

For further information please ask a member of staff for a copy of “How patient Information is used” leaflet.

Comments and Compliments - How was your stay? We hope that your stay is comfortable. We would like to know what you thought of the experience you had on the ward where you spent most of your time during this stay at the RJAH Orthopaedic Hospital NHS Foundation Trust. Any information you provide is treated as strictly confidential. We are committed to listening to and acting on your comments to improve services at the RJAH Orthopaedic Hospital NHS Foundation Trust. To help us with this, please complete a Trust comment card and return to the PALS office or leave it in one of the comment card boxes on the ward.

Visitors Information

We encourage family and friends to visit patients. The following information is designed to enable our patients, and their family and friends, to plan for and get the most out of visits to RJAH Hospital. Visitors will find information on: • Visiting a patient and visiting times

Contacting a patient

Car parking for visitors

Infection Control for visitors

Visiting Patients

Visiting times are open for each ward so please ask nursing staff or check with the individual ward before you arrive. We aim to accommodate relatives and friends who wish to visit however you must appreciate your relative/friend and other patients maybe having clinical procedures undertaken or therapy which is an important part in an effective recovery.

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If visitors are unwell, have a cough, cold, stomach upset, are vomiting or have diarrhoea or any other possibly infectious condition, please contact the ward for advice before visiting. Visitors are encouraged to wash their hands on the ward or use alcohol gel before and after visiting a patient in hospital, and follow advice on notices on side room doors.

We may have to limit the number of visitors seeing a patient at any one time. Visitors may be asked to wait outside for a few minutes while treatment is carried out. Children under 12 can visit however they would need to be accompanied by an adult. After a major operation, we recommend family members visit for a short period during the first day post op. Patients will need plenty of rest and quiet to recovery properly. Large groups of visitors are welcome to wait in the public areas of the hospital site and rotate the visitors present at the patient’s bedside. Please do not sit on the bed; if there are no chairs available please ask a member of staff to provide you with one. Please could you ensure your relative or friend has all the essential toiletries that can be purchase at the shop.

Contacting a patient

The main hospital number is 01691 404000. When relatives ring, please ask for the ward name. If you don't know the ward name, ask for Operator. It is helpful if just one person telephones with enquiries and then informs other relatives and friends: this ensures that nurses do not spend too much time answering the phone. Unfortunately, we do not have enough telephone lines for patients to take incoming calls, but we can always take a message for a patient or ask them to phone you back.

Asking for Medical information about a patient

If you require information on a patient, the doctors and nurses will wish to know what your relationship with the patient is, and seek his or her permission before speaking to you in any detail about the condition and treatment. If your relative or friend is having an operation, the nurse in charge of the ward will tell you how soon after the operation you can ring to find out how they are.

Where can my visitors park?

Visitors can park in the main Patient and Visitors Car Parks (1 and 3), car parking charges apply of £2 a day or £8 for a weekly ticket, including Blue Disabled Badge holders in these car parks. Blue badge holders can also use other disabled bays located around the hospital site. At present there is no charge for these spaces as they are outside the pay and display car parks.

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Where can family and friends stay? www.visitoswestry.com

There is a list available of local bed and breakfast accommodation and hotels within a short distance of the Trust. This may be particularly useful for those patients who have to travel any distance on the day of their operation. Hard copies of the leaflet are available from Switchboard and the PALS office. There is basic limited accommodation at the hospital which can be booked via the Switch Board (half way down the hospital corridor). Alternatively ask a member of staff to assist, as we can help arrange hospital accommodation if required.

Presents for patients

Patients often like to receive gifts while in hospital, but please bear in mind that because of health and safety reasons, we cannot allow cooked food to be stored or reheated. You are welcome, however, to bring gifts such as fruits, sweets, books and magazines. The person in charge will tell you if there is anything the patient should not have. Unfortunately flowers are not allowed on the wards.

Local facilities /attractions in the area

Gobowen is the local village about a mile down the road with local amenities, including a small supermarket which is usually open until 10 pm. Gobowen railway station is also situated here.

The Derwen College garden centre is very close to the hospital with a small café and restaurant open to the public.

Please ask the staff for information or visit the Tourist Information Office at Mile End Service Station (by the Little Chef/ Travelodge).

Oswestry is approximately 3-4 miles away and is a country market town with plenty of modern high street stores, gift shops and traditional independent/ family businesses. There are a number of good cafes and restaurants

There is a leisure complex called ‘The Venue’ nearby, with a restaurant/café, football pitch, Sports bar, children’s soft play area and ten pin bowling alley.

Gifts and Legacies

Your donation can make a difference. Help us to:

support research and develop new treatments

provide state of the art equipment and facilities

provide extra comfort to our patients

The Robert Jones and Agnes Hunt Orthopaedic Hospital Charitable Fund is a registered Charity - No. 1058878. Within this charity there are around 20 individual funds. The majority of these funds are for specific wards or departments and they are generally used to benefit both patients and staff.

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There is also a general fund, which is used to support hospital-wide initiatives and those areas which do not have their own fund. Further details of the individual funds may be obtained from the Finance Department.

Ways in which you can donate:

Donations may be made in person, at the Post Office which is located in the hospital main entrance. Cheques should be made payable to RJAH Charity and sent to the Finance Department. Donations may also be made electronically via the Just Giving website, either by clicking on the logo at the bottom of this page or going to: www.justgiving.com/rjah.

Gift Aid

If you are a UK taxpayer making a personal donation, why not allow us to make your donation go further by simply completing a Gift Aid declaration. This enables us to reclaim an additional 25p for every £1 you donate at no extra cost to you. A donation form is available which enables you to indicate the area you would like your gift to benefit and also includes a Gift Aid declaration section. This form may be downloaded from the Donations and fundraising page on the Trust website and by clicking on "RJAH Charity 1058878 donation form" . Copies may also be obtained from the Finance Department. Contact email address: [email protected]

League of Friends

The League of Friends are also involved in fundraising for the hospital, for further information see their page on the Trust website www.rjah.nhs.uk. A donation, however large or small, will help us with our work. These can be sent to the Organising Secretary. All donations will be acknowledged and information can also be provided on regular donations through banker's orders, gift aid, legacies etc. Organising Secretary League of Friends Office The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust Oswestry Shropshire SY10 7AG Telephone: 01691 404401 Email: [email protected]

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If you require a special edition of this leaflet 01691 404606

This leaflet is available in large print. Arrangements can also be made on request for it to be explained in your preferred language. Please contact the Patient Advice and Liaison Service (PALS) email: [email protected]

Thank You! Thank you for taking the time to read this information folder. We hope that it has been of benefit to you. If you still have questions, please do not hesitate to ask a member of staff who will be too happy to assist.