PATIENT GUIDE. FREE! Take This Copy Home With You. BEATING BREAST CANCER The Power of Love PATIENT STORY. Key Information For Your Stay

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1 PATIENT GUIDE Key Iformatio For Your Stay FREE! Take This Copy Home With You PATIENT STORY BEATING BREAST CANCER The Power of Love Brought to you by:

2 We re takig quality care to ew heights #1 Large Hospital i Georgia for 3 of the past 4 years Georgia Tred magazie Raked amog the Top 100 U.S. Hospitals for Medical Excellece I Hospital Care for 3 of the past 4 years Care Chex Ratig System Named to the 100 Great Commuity Hospitals list for 2016 Becker s Hospital Review At WellStar West Georgia Medical Ceter, we believe i life well lived. While we are proud to be recogized for our logstadig commitmet to deliverig quality care to our patiets, it s eve more rewardig to us that you have access to exceptioal healthcare right here at home. That meas less time o the road ad more time livig life to the fullest. We believe i life well-lived. WellStar West Georgia Medical Ceter 1514 Vero Road LaGrage, Georgia To lear more ad fid a physicia, visit wellstar.org/wgmc

3 WEST GEORGIA HEALTH FOUNDATION West Georgia Health Foudatio raises moey for facility ehacemets, techology additios ad service expasios at WellStar West Georgia Medical Ceter. Created i 2004, our first campaig raised $5.1 millio for a expaded Emergecy Departmet. More tha 1,500 local residets, compaies ad foudatios supported this campaig. We ow are raisig moey to reovate ad ehace our cacer cliic to create the Commuity Cacer Ceter. Gifts from the Heart A hoorary or memorial doatio is a great way to remember a special perso or recogize a medical professioal, ad your doatio is tax deductible. We kidly request a doatio of $25 per otificatio. Recogize a physicia or staff member who has provided exceptioal care. Alog with your gift, you ca iclude a message that will be delivered to the medical professioal. Remember someoe who has touched your life with a lastig tribute. Alog with your gift, please provide us with the ame of the perso beig hoored or memorialized, ad the ame ad address of the perso we should otify. Commuity Cacer Ceter WGMC has provided quality cacer care for geeratios ad is ivestig i ocology staff, advaced techologies ad lifesavig treatmets to better serve our commuity. This is a very excitig time for the ocology program. Wassim Mchayleh, M.D., medical ocologist ad ocology program medical director, prescribes the latest chemotherapy solutios ad gee therapies desiged to empower the patiet s ow immue system to fight cacer. He also has guided his patiets through cliical trials of ew medicatios. Robert Taylor, M.D., radiatio ocologist, uses Stereotactic Radiosurgery (SRS) ad Stereotactic Ablative Radiotherapy (SABR) to destroy tumors without surgery. These are just two of may cuttigedge techologies that have bee added to our radiatio ocology departmet. Chemo ad radiatio ofte are used together to deliver a oetwo puch, which requires precise timig. That is oe reaso why the reovated ceter must house all cacer services uder oe roof. Cacer avigators, geetics couselig, a resource ceter ad support groups also will be housed here. Doatios for this project are tax deductible ad will be matched by Callaway Foudatio, Ic. Please mail your gift to the address below, or make a olie doatio via our website at wghealth.org. Thak you for your support. West Georgia Health Foudatio, Ic Vero Rd. LaGrage, GA Havig a Pla Ca Make the Differece Importat documets, such as a will, must be put ito effect while you ca speak for yourself. Our Heritage Circle guide provides some basics o estate plaig ad ways you ca protect your family s fiacial future. Please call our Foudatio Office at or to request the guide. If you are a patiet at WGMC, we ca deliver the guide to your room. The West Georgia Health Foudatio, a affiliate of the WellStar Foudatio, is a 501(c)(3) oprofit orgaizatio. All doatios are tax deductible.

4 11 Hospitals 2,900 Medical Staff 30+ Specialties 20,000+ Team Members 2,762 Licesed Beds wellstar.org wellstar.org

5 CONTENTS ON OUR COVER Patiet Story: Beatig Breast Cacer The Power of Love...24 Yvette Pritchett felt her cacer care team ad everyoe at WellStar West Georgia Medical Ceter provided world-class care. WELCOME... 2 ABOUT US... 3 PHONE DIRECTORY... 4 OUR COMMITMENT TO CARE... 5 RAPID RESPONSE TEAM... 6 FAST FACTS ABOUT YOUR STAY... 7 Visitor Iformatio ad Visitig Hours... 9 TV Chael Listigs SPECIAL SECTION RIGHTS & RESPONSIBILITIES YOUR PRIVACY MATTERS ADVANCE DIRECTIVES SUPPORT FOR CAREGIVERS LEAVING THE HOSPITAL ON OUR COVER Patiet Story: Beatig Breast Cacer The Power of Love AFTER-HOSPITAL CARE UNDERSTANDING YOUR BILL PREVENT HOSPITAL INFECTIONS SPOTLIGHT ON HEALTH Stop Smokig DID YOU HAVE A GREAT CAREGIVER? YOUR HEALTHCARE TEAM MEET OUR HOSPITALISTS WARFARIN GUIDELINES WELLSTAR MYPORTAL Be Sure to Sig Up Take Charge of Your Care 7 Tips to Take Charge Check IDs Opioid Medicatios 5 Ways to Fight Ifectios Do t Igore Pai Prevet Falls Prepare for Surgery Maage Your Meds PAGE 11 The editorial cotet displayed here is the resposibility of PatietPoit. This material is for your educatioal use oly. It does ot cotai, or should it be costrued as cotaiig, medical advice. Talk to your doctor before makig ay lifestyle or treatmet chages. Sposors are resposible for the material provided, ad your healthcare provider s participatio i the program does ot represet a explicit or implied edorsemet of ay material preseted. The people show are models ad are ot kow to have ay health coditio. Images are for illustrative purposes oly. Image credits: WellStar West Georgia Medical Ceter, Getty Images, istockphoto PatietPoit 1

6 WELCOME O behalf of our Board of Trustees, team members, voluteers ad medical staff, I would like to welcome you to WellStar West Georgia Medical Ceter. For more tha 75 years, we have bee carig for the healthcare eeds of west Georgia ad east Alabama. Ad our commitmet to providig exceptioal service ad the best possible cliical care remais as true today as it was the. Rest assured that you ad your family are i very good hads. Our dedicated ad highly traied staff is committed to makig your stay as pleasat ad comfortable as possible. Focused o excellece, compassio, respect ad familyceteredess, our program cotiuously ears high hoors for quality ad safety from may health-related orgaizatios, which are oted i the adjacet Awards ad Accreditatios sectio o the right. It is our ogoig commitmet to re-ear these hoors every day with each ew patiet who walks through the door. We thak you for choosig WGMC. We hope you will cosider us for your future healthcare eeds. Sicerely, Seior Vice Presidet WellStar West Georgia Medical Ceter Presidet MISSION STATEMENT To create ad deliver high-quality hospital, physicia ad other healthcarerelated services that improve the health ad well-beig of the idividuals ad commuities we serve. VISION To deliver world-class healthcare. CREDO I believe every perso ad every job is importat, ad I am accoutable for achievig my goals. I believe i compassio ad uderstadig. I believe i iovatio ad creative thikig. I believe i the WellStar team, ad we are makig a differece i people s lives. We believe i life well-lived. 2 We Are Hoored to Share i Your Care Awards ad Accreditatios Joit Commissio Accreditatio West Georgia Medical Ceter West Georgia Home Care West Georgia Hospice/Hospice LaGrage Truve Health Aalytics 100 Top Hospitals Award for 2016 ad 2017 Named to Becker s Hospital Review 100 Great Commuity Hospitals List for 2016 America College of Surgeos Commissio o Cacer Accreditatio Ocology program Premier Ic., QUEST Award for High-Value Healthcare (2015) Metabolic ad Bariatric Surgery Accreditatio ad Quality Improvemet Program, Accredited Bariatric Ceter (2015) The Society of Cardiovascular Patiet Care, Accredited Chest Pai Ceter with PCI (2015) CareChex, top 10 percet of all U.S. hospitals for Medical Excellece (2016) Overall Hospital Care Overall Medical Care Overall Surgical Care

7 ABOUT US WellStar: World-Class Healthcare, Close to Home WellStar West Georgia Medical Ceter, based i LaGrage, Ga., provides healthcare services to residets i west Georgia ad east Alabama. WGMC is a 276- bed, full-service hospital. I additio to the medical ceter, the health system icludes a 150-bed skilled ursig facility (Florece Had Home), a 112-bed ursig facility (Twi Foutais Home), a cacer treatmet ceter (Eoch Callaway Cacer Cliic), Heart Cliic ad a 16- bed hospice facility (Hospice LaGrage). WGMC also operates outpatiet facilities for occupatioal medicie, laboratory ad rehabilitatio services; a home hospice program; ad a home health care agecy (West Georgia Home Care) that serves Harris, Heard, Meriwether ad Troup couties. After Your Stay Oce you leave our care, you may receive a survey askig about your experiece. This survey is a tool to measure ad report patiet satisfactio. It s made up of simple questios o key topics, such as: doctor ad urse commuicatio medicie ad discharge iformatio pai maagemet ad staff resposiveess overall quality of the hospital If you re selected to receive this survey, please take the time to complete it. The results will help us kow what we re doig right ad where we ca improve. CONTACT US: 1514 Vero Rd. LaGrage, GA wellstar.org/wgmc 3

8 PHONE DIRECTORY Key Numbers Mai: Security: Callig from INSIDE the hospital? Dial the last five digits oly. Patiet rooms ca be reached directly by dialig the room umber. To place a local call, dial 9 + the umber. For a log-distace call, dial 0 ad ask the operator for help. Have the area code ad phoe umber ready. The call will be charged as collect. INSIDE THE HOSPITAL Dietary 3185 Nursig Admiistratio 3101 Home Health 3291 Patiet Accouts 3664 Hospice 3905 Security 2649 Hospital Admiistratio 3702 Social Services 2665 Housekeepig 3750 Voluteer Services 3719 OUTSIDE THE HOSPITAL Dietary Nursig Admiistratio Home Health Patiet Accouts Hospice Security Hospital Admiistratio Social Services Housekeepig Voluteer Services QUIET TIME I observace of quiet time, all phoes i patiet rooms are tured off betwee 10 p.m. ad 7 a.m. for icomig calls. For more iformatio o the resources available at WellStar, visit wellstar.org/wgmc. 4

9 OUR COMMITMENT TO CARE Patiet Satisfactio Matters to Us How s your stay? Are you gettig the care you eed? Are your doctors ad urses listeig ad respodig to your questios or requests? Our goal is to provide the best quality care. To do so, we ask for feedback from patiets like you. Durig Your Stay Please speak with your ursig staff if you have ay questios or cocers about your care. If your issue still is ot resolved, please cotact hospital admiistratio or the director of ursig at or durig busiess hours. After busiess hours, please dial 0 for the operator ad ask for the cliical coordiator or the admiistrator o call. Georgia Departmet of Public Health 2 Peachtree St., NW 15th Floor Atlata, GA Office of Quality ad Patiet Safety The Joit Commissio Oe Reaissace Blvd. Oakbrook Terrace, IL joitcommissio.org joitcommissio.org Medicare ad Medicaid To file a complait with Medicare: go to medicare.gov ad click the Claims & Appeals tab for more iformatio. To file a complait with Medicaid: cotact the Georgia Departmet of Commuity Health s Customer Service departmet at or J. Robert Coggis, M.D. Medical Staff Presidet Wat to Kow How We Score? You ca review ad compare the quality, care ad safety ratigs for differet hospitals at: Medicare Hospital Compare uses HCAHPS results ad other data: medicare.gov/ hospitalcompare You also ca fid iformatio o hospitals at: Healthcare Facilities Accreditatio Program (HFAP): hfap.org DNV GL Healthcare: dvglhealthcare.com The Joit Commissio: qualitycheck.org 5

10 RAPID RESPONSE TEAM Special Support to Prevet Emergecies Durig your stay, you have access to a special service called the Patiet- ad Family-Activated Rapid Respose Team. The Rapid Respose Team is a team of critical care urses ad respiratory therapists available to assist with ay chages i a patiet s health status. If you feel a obvious medical chage i the patiet s coditio has occurred ad a additioal assessmet is ecessary, ANYONE may cotact the Rapid Respose Team. The Rapid Respose Team is activated through the hospital operator by dialig 0 from the patiet s bedside phoe. You may call from your cell phoe or a public phoe by dialig WHEN to Call Rapid Respose Call for help if you otice: chages i heart rate or blood pressure chage i respiratory (breathig) rate or oxyge levels chages i urie output (much more or less urie) chage i metal status or level of cosciousess ay time you are worried somethig might be wrog ay chage i the patiet s coditio that eeds immediate attetio ad the healthcare team is ot respodig, or if you cotiue to have serious cocers after speakig with the healthcare team HOW to Call Rapid Respose Step 1: Dial 0 o bedside phoe. Step 2: Tell the operator your ame, room umber, patiet s ame ad your cocer. Step 3: The Rapid Respose Team will be set to your room. 6

11 FAST FACTS ABOUT YOUR STAY A A-Z Guide to the Most Frequetly Asked Questios After Hours Access Access to the hospital after 8 p.m. is available through the Emergecy Departmet etrace located o the west side of the hospital. ATM For your coveiece, a ATM is available i the hospital lobby. Cafeteria Locatio: First floor coector Hours: Breakfast: 6:30 to 9:10 a.m. Luch: 11:15 a.m. to 2 p.m. weekdays, oo to 1:30 p.m. weekeds ad holidays Dier: 5 to 6:45 p.m. Visitors are welcome to die i the cafeteria or vedig area. Please ote that breakfast is ot served o weekeds ad holidays. The Retreat Coffee Shop Locatio: Next to Expressios of the Heart Gift Shop i the hospital lobby. Hours: Moday through Friday: 8 a.m. to 5 p.m. The Retreat offers a variety of coffees, teas ad beverages ad a assortmet of breakfast items, sadwiches, fruit ad sacks. Callig Your Nurse A urse call system is located o each bed. Press the butto if you eed assistace ad a staff member will respod as quickly as possible. Chapel ad Clergy Visitors of all faiths are welcome to visit our o-site chapel for prayer or meditatio. The chapel is located o the first floor ear the Emergecy Departmet. Voluteer chaplais are available to provide pastoral care, couselig or a listeig ear. VISITING THE HOSPITAL? If you would like a visit from a chaplai, please ask your urse to call the voluteer chaplai o call. Gift Shop Locatio: I the lobby Hours: Moday through Thursday: 9 a.m. to midight Friday: 9 a.m. to 5 p.m. Saturday: 1 to 5 p.m. Suday: 1 to 5 p.m. The gift shop is operated by the Auxiliary. All proceeds beefit projects of the West Georgia Health Foudatio. I additio to balloos, flowers ad other gift items, the shop also sells sacks ad soft driks. Thaks for takig the time to support your loved oe s care ad recovery. See page 9 for importat visitor iformatio. 7

12 FAST FACTS ABOUT YOUR STAY cotiued Guest Trays Visitors may order a guest tray by askig your diet host or the urse o duty. These meals must be ordered ad paid for i advace of the regularly scheduled delivery time. Meals ca be paid for at the cashier s office. Please give the receipt for the guest tray to the patiet s urse so a delivery ca be scheduled. The cost for breakfast is $3.50. Luch ad dier cost $5 each. Mail ad Flowers Mail, flowers ad gifts will be delivered to your room. Flowers ad gifts are delivered to you as they are received. Mail is delivered to your room oce a day Moday through Friday. After your discharge, we will forward ay mail we receive to the address provided durig registratio. Medicatios All medicatios you take while i the hospital are prescribed by your doctor, dispesed by the hospital pharmacy ad admiistered by a urse. Whe you are admitted to the hospital, you should brig all your medicatios with you. It will help your physicia ad pharmacist i cotiuig curret therapy ad directig your future therapy. The pharmacy will store your persoal medicatios durig your stay, ad your urse will retur them to you whe you are goig home. Newspapers Newspapers are available i the hospital lobby ear the etrace. Patiet Bed Your urse will explai the use of the electroically operated cotrols. The cotrols raise or lower your head, feet or the etire bed. The side rails o your bed are placed there for your protectio. Please use your call light to ask for assistace at ay time to get i or out of your bed. Remember that dizziess or impaired balace affects may patiets. Please be cautious; your safety is your resposibility. Patiet Meals Your diet is a importat part of your care i the hospital. The diet prescribed by your doctor may limit some selectios available to you, but we will make every effort to provide you with meals you ejoy. Your meals are plaed, prepared ad served uder the supervisio of professioal dietitias ad take your special dietary cosideratios ito accout. A diet host will visit you each day to review your daily meus. If you are out of the room or sleepig whe the diet host comes to visit you, he or she may call you o the phoe to fid out what you would like to eat. If you eed to speak with a diet host, call ext Persoal Items ad Valuables Please do ot brig persoal items to the hospital, such as wallets, purses, jewelry or other items of value. We do ecourage you to brig items from home that will make your stay with us more comfortable, icludig readig materials, sleepig attire ad eyeglasses. If you do brig valuables, Security ca place them i a lock box durig your stay. Please otify your urse to request this service. To report a lost item, dial ext from the phoe i your room or dial from a cell phoe to reach Security. We make every effort to fid lost items, but are ot resposible for lost or stole property, or damage of items such as eyeglasses, cotact leses or detures. Please brig protective cotaiers for these items durig your stay. Roll-Away Beds Roll-away beds are available for relatives of patiets i private rooms. If a roll-away bed is eeded, please ask your urse for oe. Security Your safety ad security is a priority at WellStar West Georgia Medical Ceter. Our Security Team is staffed 24 hours a day by professioal officers, who ca be reached at ext from the phoe i your room, or dial

13 from a cell phoe. I additio, the Security Team is available to escort you to or from your vehicle. There also are Security call boxes i every parkig lot. Televisio A TV is provided free of charge durig your stay. Please be cosiderate of other patiets by keepig the volume low ad turig off the TV at bedtime. Tobacco-Free All WellStar locatios are tobacco-free eviromets. Tobacco use is ot permitted aywhere o WellStar property. Patiets are ot allowed to leave the facility to smoke or use other tobacco products. If you are a smoker or tobacco user ad eed cessatio assistace durig your stay, we ca cotact your physicia to get icotie replacemet therapies which ca help you with withdrawal symptoms. Traslatio Services If you eed a traslator, please let us kow. The hospital has access to iterpreters for a umber of foreig laguages. Vedig Machies Our sack bar offers a variety of vedig machies ad is located o the first floor coector of the hospital. Microwaves ad tables are available for your coveiece. Wireless Access Guests of WGMC are welcome to coect to our free public Wi-Fi. O your mobile device, simply fid WGHealthVisitor i your list of wireless etworks ad coect. No password is eeded. Visitor Iformatio ad Visitig Hours For the health ad well-beig of patiets, it is importat to observe the followig visitatio guidelies. Visitors are welcome 24 hours a day, except i the Itesive Care Uit (ICU-secod floor), Labor ad Delivery Uit ad Nursery (L&D-third floor). I these desigated, special care uits, visitors are asked to check with the voluteer statioed i these waitig areas or use the phoe i the waitig room to check i with the charge urse about desigated visitig hours. The Emergecy Departmet allows oe visitor per patiet i the treatmet areas. Childre youger tha 18 may have two visitors with them. Visitatio with critically ill patiets will be determied by the physicia or charge urse. No visitatio is allowed i the operatig room or recovery room without special permissio from the physicia ad/or cliical supervisor. People may get ifectios i hospitals ad other healthcare settigs while beig treated for aother coditio because medical procedures ca expose patiets to certai germs. At WGMC, we ask you to parter with us to prevet ifectios. Wash your hads with soap ad water or use had saitizer. Ask your caregivers ad visitors to do the same. Vacciate agaist the flu each year, uless otherwise directed by your doctor or healthcare provider. Ask frieds ad family members who are sick ot to visit the hospital. Do ot touch medical equipmet uless absolutely ecessary. Work with healthcare providers to make sure catheters ad other medical devices are clea ad removed as soo as they are o loger eeded. 9

14 FAST FACTS ABOUT YOUR STAY cotiued TV Chael Listigs Check out our special hospital chaels: P66 CHANNEL atiet Educatio 3 CBS - WGCL 24 MSNBC 45 Travel Chael 4 NBC - WXIA 25 TNT 46 TRU TV 5 CW - WUPA 26 TBS 47 Comedy Cetral 6 ABC - WSB 27 FX 48 E! 7 FOX - WAGA 28 USA 49 Disey Chael 8 PBS - WJSP 29 A&E 50 Nickelodeo 9 My TV - WATL 30 AMC 51 Cartoo Network 10 WGN America 31 Bravo 52 Aimal Plaet 11 Weather Chael 32 Oxyge 53 Discovery Chael 12 ESPN 33 TLC 54 MTV 13 ESPN2 34 Spike 55 VH1 14 FS South 35 SyFy 56 CMT 15 SportSouth 36 Food Network 57 BET 16 FOX Sports 1 37 History 58 OWN 17 Golf Chael 38 Lifetime 59 Natioal Geographic 18 MLB Network 39 Hallmark Chael 60 WJCN/LaGrage 19 NBC Sports Network 40 HGTV 61 Telemudo 20 Fox News Chael 41 GSN 62 Galavisio 21 CNN 42 Turer Classic Movies 66 Patiet Chael 22 HLN 43 TV Lad 67 Newbor Chael 23 CNBC 44 Freeform Quick Quiz By the age of 65, how may years of the average America s life is spet i frot of the TV? o 2 years o 5 years o 9 years o 12 years Aswer: With four hours of viewig each day or 28 hours a week by age 65, TV-viewig time ca equal roughly ie years! 10

15 SPECIAL SECTION Take Charge of Your Care You are the ceter of your healthcare team. Let this special guide help you get the best results from your hospital stay. 7 KEY WAYS TO TAKE CHARGE OF YOUR CARE SPEAK UP. Ask questios ad voice cocers. It s your body, ad you have the right to kow. PAY ATTENTION. Always double-check that you are gettig the right treatmets ad medicies from the right hospital staff. EDUCATE YOURSELF. Lear about your medical coditio, tests ad treatmet optios so you kow why followig your care pla is so importat. FIND A SUPPORT PERSON. Pick someoe to help speak up for your care ad eeds durig your stay. KNOW YOUR MEDS. Uderstad what your medicies treat, why you eed them ad how to take them for the best results. CHECK BEFORE YOU GO. Make a iformed decisio whe selectig additioal healthcare services. Choose oly accredited providers who meet patiet safety ad quality stadards. Go to qualitycheck.org to lear more. PARTICIPATE IN YOUR CARE. You are the ceter of your healthcare team. Make sure you kow what s happeig every step of the way from admissio through discharge. Source: The cotet withi the Take Charge of Your Care sectio reiforces the safety ad quality care goals ad stadards issued by The Joit Commissio ad other hospital accreditatio orgaizatios. 11

16 CHECK IDS While you are here, may people will care for you (doctors, urses, aides), ad these same people will care for may patiets. To prevet errors i your care: Ask to see the ID of everyoe who comes ito your room so you kow the ame ad job of the perso carig for you. If you do ot see a ID badge, cotact your urse immediately. Speak up if hospital staff does ot check your ID. Ay time staff eters your room to give you medicie, trasport you, or perform procedures or treatmets, state your ame ad birth date. This may seem repetitive at times, but it helps your medical team provide the correct care ad esures your safety. Double-check Always double check your ame with staff to avoid errors Our staff always will double-check your ame ad birth date to avoid errors. SAFELY USING OPIOID MEDICATIONS FOR PAIN Cautio: Never chew, cut, crush or dissolve opioid tablets, or ope opioid capsules, uless specifically istructed to do so. Opioid patches must ever be cut or folded, ad they eed to stick to the ski completely. Always remove the old patch before puttig o a ew oe, uless istructed otherwise. If you are prescribed a opioid liquid, ask the pharmacist for a device to accurately measure each dose. Side Effects: Some patiets takig opioids may experiece side effects, such as costipatio, ausea, sedatio, itchig, dry ski, cofusio, muscle twitchig or shakig, sweatig, dry mouth, weakess, fatigue or headaches. Warig: Opioids ca cause harm, eve death, if they are ot used correctly, or if they are take by adults, childre or pets for whom they are ot prescribed. Do ot drik alcoholic beverages while takig opioids. Opioids ca cause respiratory distress or breathig problems, especially with the elderly, those with asthma or those with sleep apea. Whe opioids are beig prescribed, be sure to tell your healthcare provider if you have ay trouble breathig. 12

17 5 WAYS TO FIGHT INFECTIONS The hospital is a place you come to get well, but you also ca come i cotact with germs that ca make you feel worse. Reduce your chaces of ifectio by takig these safety precautios. 1. Clea your hads: after touchig hospital objects or surfaces before eatig after usig the restroom 2. Ask hospital staff members to clea their hads. This should be stadard practice, but do t be afraid to remid them if they forget or to ask them to wear gloves whe touchig you. Ask visitors to clea their hads, too! 3. Cover if you are sick. If you get a respiratory ifectio, limit the spread of germs by seezig ad coughig ito tissues that you promptly throw away, ad avoid touchig other people. Ask the staff if there is aythig else you should do like wear a surgical mask to prevet the spread of germs. 4. Keep a eye o badages or dressigs. If a dressig o a woud or IV becomes loose or wet, let your urse kow. Also if you have a catheter or draiage tube, tell your urse if it becomes loose or dislodged. 5. Keep your vacciatios up-to-date. Make sure you are as protected as possible from the spread of ifectio. Check with hospital staff about whether it s safe for you to receive ay vaccies you might eed. CLEANING TIP: Use alcoholbased had saitizer or soap ad water uder your ails, i betwee your figers, ad o the palms ad backs of your hads. Rub for 15 secods (the time it takes to sig Happy Birthday). Tell frieds ad family ot to visit if they are sick. Ad make sure your guests clea their hads whe they eter your room. At WellStar, we believe your health literally is i all of our hads. Clea hads are essetial to gettig ad keepig you healthy. Please clea your hads with had saitizer, soap ad water or had wipes before touchig your medical tubes or ay woud, such as a surgery site. Please remid all those aroud you, icludig your doctors, urses ad visitors. Had saitizer dispesers are i each room ad throughout the hospital. 13

18 TAKE CHARGE OF YOUR CARE cotiued DON T IGNORE PAIN No oe kows how much pai you are i but you. Tell your doctor or urse whe pai strikes, or if it comes back agai after it goes away. Talk about your pai level throughout the course of your stay. Ask yourself, the share with your urse: Where does it hurt? Whe does it hurt? Does it keep you from doig thigs like sleepig, dressig, eatig? Startig to get ucomfortable? Pai medicie ot workig? Speak up. You may eed to get more of the curret pai medicie you are o or switch to a differet kid of medicie to get relief. Do t try to igore paiful symptoms. Maagig your pai will help with your healig process. Talk to your doctor or urse whe pai strikes. Alteratives to cotrol your pai Talk with your doctor or urse about usig these alterative treatmets i additio to your pai medicatio: q Breathig ad relaxatio exercises q Repositioig q Therapeutic massage q Physical therapy q Warm/cool packs q Spiritual couselig q Music therapy How bad is it o this pai scale? Wog-Baker FACES Pai Ratig Scale You re the Expert o Your Pai 0 No Hurt 2 Hurts Little Bit 4 Hurts Little More 6 Hurts Eve More 8 Hurts Whole Lot 10 Hurts Worst *Copyright 1983, Wog-Baker FACES Foudatio, Used with permissio. 14

19 PREVENT FALLS While you are here, you may feel dizzy or weak. Illess, procedures, medicies or eve just lyig dow for too log ca make you less steady o your feet. To keep yourself safe: Use the urse call butto for help gettig out of bed. For your safety, please stay i bed after you have bee assisted for the ight. Ask for help goig to the bathroom or walkig aroud. (Use hospital hadrails whe they re available.) Wear oslip socks or footwear. Keep ofte-used items withi easy reach (glasses, remote, tissues, etc.). Make sure your wheelchair is locked whe you get i or out of it. Never step o the footrest. Patiets of all ages are at risk for falls. It s better to be extra careful tha risk aother medical problem. PREPARE FOR SURGERY Before your procedure, make sure you ad your surgical staff cofirm: your ame the type of surgery you are havig the body part to be operated o I fact, hospital staff will mark the correct spot o your body. Make sure you or your support perso check that it s correct. Take simple steps like these to help prevet medical mistakes. Ask your surgeo to take a time out to check: you re the right perso, gettig the right surgery, o the right body part. 15

20 TAKE CHARGE OF YOUR CARE cotiued MANAGE YOUR MEDS Whether you take oe medicie or five, it s importat to kow what you are takig ad why. Ask your doctor these questios about ay ew (ad curret) medicies you take: What is the ame of my medicie? Geeric ame? Why am I takig it? How will it help? Whe will it start workig? What dose? How ofte? How log? What is the best time (morig, ight, etc.) or way to take it (with food, with water)? What are possible side effects? What do I do if they happe? Are there ay foods, driks or activities to avoid? What do I do if I miss a dose? PREVENT MEDICINE ERRORS Be sure your doctors ad urses kow: That your ame matches the ame ad date of birth o the medicie (use your ID bracelet to double-check). All the prescriptio drugs, over-thecouter medicies ad herbal or vitami supplemets you take. Ay allergies you have to medicies, aesthesia, foods, latex, etc. Remember, take charge of your medicies. Thik you re due for your ext dose? Woderig if this ew medicie ca replace oe you already take? Wat to make sure all your medicies ad supplemets are safe to take together? Do t be afraid to ask. 16

21 RIGHTS & RESPONSIBILITIES You Have the Right to the Best Care You, as the patiet, have the right to Access to Care Impartial access to treatmet or accommodatios that are available or medically idicated regardless of color, age, disability, race, creed, sex, atioal origi, sexual orietatio, ad geder idetity or expressio. Respect ad Digity Cosiderate, respectful care at all times ad uder all circumstaces, icludig reasoable attempts to respect spiritual, religious or cultural beliefs ad practices ad to make efforts to accommodate wheever possible. Privacy ad Cofidetiality Expect that your persoal health iformatio will be protected accordig to legal ad ethical stadards related to privacy, security ad cofidetiality. Be iterviewed, examied ad treated i surroudigs desiged to provide a reasoable expectatio of privacy. Expect that your persoal privacy will be respected by: closig doors, curtais ad providig adequate coverigs/drapig to limit patiet exposure, kockig or aoucig oeself prior to eterig patiet treatmet room/curtaied area. Respect the presece of oe s ow geder durig certai parts of a physical examiatio, treatmet or procedure doe by someoe of the opposite sex. (Homecare: Patiet care is delivered i the privacy of the cliet s eviromet. Patiet privacy ad cofidetiality are take ito cosideratio whe care is redered. Whe requested by the patiet, efforts will be made to arrage for staff of same geder.) Expect that coversatios/ iterviews related to your care will occur i a area desiged to provide privacy ad iclude oly those with a specific eed to kow. If iformatio is cosidered to be of a sesitive or persoal ature, the patiet will be take to a private area prior to discussig/obtaiig such iformatio. Expect that protected health iformatio which is displayed/posted i publicly accessible areas will be limited to the miimum amout ecessary for the permitted purpose (i.e., limit iformatio posted outside treatmet room to ame oly; limit iformatio o sig-i logs to time, patiet ame ad physicia ame). Have your medical records accessed ad discussed oly by those directly ivolved i your care, i the moitorig of the quality of care or those so desigated by the patiet. Request the right of access to review, ispect ad obtai a copy of your protected health iformatio ad have this iformatio explaied, except whe restricted by state or federal law. Participate i Treatmet Decisios Be iformed ad participate i decisios cocerig your care. Be give a clear ad uderstadable explaatio of procedures, icludig the reaso why a procedure is eeded, the risks ad beefits, probability of success ad possible alteratives. Complete a advace directive to idicate your treatmet prefereces should you 17

22 RIGHTS & RESPONSIBILITIES cotiued become uable to make your ow decisios i the future. Refuse treatmet to the extet permitted by law. Be iformed of ay research activities that affect your care ad to choose volutarily to participate. Refusal to participate will ot compromise care. Persoal Safety Expect safety related to hospital ad office practices ad eviromet. Access Commuity Protective Services Request ad be assisted i the cotact of advocacy or protective service agecies if you are beig eglected or abused i your home ad/or eed outside support. Iformatio Be iformed about your illess, possible treatmets ad likely outcome. Kow the ames ad roles of caregivers. Kow the relatioship the hospital ad/or physicia has with outside parties (such as healthcare providers or isurers) that may ifluece your treatmet ad care. Be iformed of actual outcomes, icludig uaticipated outcomes. Pai Maagemet Expect appropriate assessmet ad maagemet of pai. Ethical Stadards Expect that high ethical stadards be followed i providig your care. Wheever coflicts arise, a mechaism has bee established to assist you, your family ad caregivers to help resolve ay ethical issues surroudig care. Trasfer ad Cotiuity of Care Expect that the physicia ad/ or the hospital will provide ecessary health services to the best of their ability. If a trasfer is recommeded, you will be iformed of the beefits ad the alteratives. You will ot be trasferred without your coset ad util the other istitutio ad/or physicia agrees to accept you. Uderstad Charges Be billed fairly for those services provided. Request a itemized bill for services redered. Ask questios ad receive assistace i uderstadig charges ad paymet methods. Receive timely otice prior to termiatio of eligibility for reimbursemet by ay thirdparty payer for the cost of care. Uderstad Rules ad Regulatios Kow about WellStar Health System rules that affect your treatmet. 18 You, as the patiet, have the resposibility to Provide caregivers with accurate ad complete iformatio about your health ad covey uderstadig of what is expected i regard to your treatmet. Iform care providers of ay safety issues that eed attetio. Comply with istructios for your treatmet pla. If you believe that you caot follow through with treatmet, you are resposible for tellig your physicia. Comply with your hospital or office rules ad regulatios. Meet your fiacial obligatios as promptly as possible. Be cosiderate of the rights of other patiets ad persoel i the cotrol of oise, umber of visitors ad the respect of property. WellStar Health System is pleased you selected us as your healthcare provider. We strive to esure your healthcare experiece exceeds your expectatios. Our goal is to provide you with world-class healthcare.

23 YOUR PRIVACY MATTERS Privacy ad Health Iformatio You have privacy rights uder a federal law that protect your health iformatio. This law sets rules ad limits o who ca access your health iformatio. Who must follow this law? most doctors, urses, pharmacies, hospitals, ursig homes ad other healthcare providers ad their vedors health isurace compaies, HMOs ad most employer group health plas certai govermet programs that pay for healthcare, such as Medicare ad Medicaid What iformatio is protected? iformatio put i your medical records coversatios your doctor has with urses ad others regardig your care iformatio about you i your health isurer s computer system billig iformatio most other health iformatio about you held by those who must follow this law What rights do you have over your health iformatio? Providers ad health isurers must comply with your right to: ask to see ad get a copy of your health records have correctios added to your health iformatio receive a otice that tells you how your health iformatio may be used ad shared decide if you wat to give your permissio to share your iformatio What are the rules ad limits o who ca see ad receive your health iformatio? To make sure that your health iformatio is protected i a way that does t iterfere with your healthcare, your iformatio ca be used ad shared: for your treatmet ad care coordiatio to pay doctors ad hospitals for your healthcare with your family, frieds or others you idetify who are ivolved with your healthcare uless you object 19 to make sure doctors give good care ad ursig homes are clea ad safe to protect the public s health, such as by reportig whe the flu is i your area to make required reports to the police, such as reportig gushot wouds Without your writte permissio, your provider caot: give your health iformatio to your employer use or share your health iformatio for marketig or advertisig purposes share private otes about metal health couselig If you believe your health iformatio has bee shared iappropriately, please cotact WellStar s Privacy/Security Helplie at Right to Complai If you believe your rights are beig deied, you ca file a complait with your provider, health isurer or the U.S. govermet at ocrportal.hhs.gov/ocr/ smartscree/mai.jsf. Source: U.S. Departmet of Health & Huma Services Office for Civil Rights

24 ADVANCE DIRECTIVES A Simple ad Smart Way to Take Charge of Your Care Oe of the most importat decisios you ca make about your care is to fill out advace directives i case you ca o loger speak for yourself. Advace directives are documets that let others kow your wishes about the type of care you wat. Ad they will oly be used if you become ucoscious or too ill to commuicate yourself. Differet states have differet laws about advace directives. Check with your Admissios departmet or urse if you have ay questios. Directives ca iclude: Livig Will This set of istructios explais the type of life-prologig medical care you wish to accept or refuse. It ca iclude your wishes about the use of resuscitatio (CPR) if your heart stops, a vetilator if you stop breathig, or feedig tubes or IVs if you caot eat or drik. Durable Power of Attorey For healthcare: This is a legal documet that ames your healthcare proxy someoe who ca make medical decisios for you if you re uable to do so. A official healthcare proxy ca represet your wishes o emergecy care, but also o other medical issues like potetial treatmet optios, blood trasfusios, kidey dialysis, etc. Choose someoe you trust, discuss your medical wishes ad make sure the perso agrees to represet you i this role. For fiaces: You also have the right to appoit someoe or the same perso to help maage your fiaces if you caot. Fill Out Your Forms Make sure you submit advace directives each time you go to the hospital so your most curret iformatio ad wishes are o file. You do ot eed a lawyer to fill these out. For more iformatio ad to obtai the forms you eed, please speak with your urse or social worker. 20

25 SUPPORT FOR CAREGIVERS How to Play a Role i Your Loved Oe s Discharge ad Recovery We ecourage patiets to pick a key perso to support them durig their hospital stay. Whether you are that primary support perso, or just oe of may people carig ad supportig your loved oe, you ca play a importat role i makig sure your loved oe gets the safest ad best care both here ad after discharge from the hospital. What to Kow Before You Leave Caregivers ca help esure the best outcome for their loved oe after a hospital stay by gettig the aswers to these three questios: What is the ext step for medical care (home or facility, follow-up with primary care physicia or physical therapy, etc.)? Help your loved oe arrage the details to make this happe fiacial pla, trasportatio, schedulig, etc. What ew ad former medicies does my loved oe eed to take? Help your loved oe uderstad the details timig, dosig istructios, side effects, prescriptio refills, etc. What health warig sigs do I eed to watch for ad what do I do if they happe? Help your loved oe by writig these symptoms dow, as well as the ame ad cotact umber to call. Caregivers Need Care, Too If you feel like you eed a break or help, reach out to frieds ad family. Ad cosult the resources listed here: RESOURCES Natioal Alliace for Caregivig caregivig.org Caregiver Actio Network caregiveractio.org Family Caregiver Alliace caregiver.org 21

26 Before You Leave the Hospital A successful recovery after your stay starts with a solid pla before you go. CHECKLIST FOR DISCHARGE Make sure you have the followig iformatio before you leave the hospital. p Discharge summary. This icludes why you were i the hospital, who cared for you, your procedures ad medicies. p Medicie list. This icludes all your ew ad former prescriptios, over-the-couter medicies, vitamis ad supplemets. Ask if there are ay medicies you ca stop takig or that are ot good to take together. Also make sure you kow why, how ad whe to take each oe. p Prescriptios. Check that your pharmacy has your ew prescriptios ad that you have a pla to get them filled. p Local resources. Ask your care coordiator for help fidig local after-care services or other support groups. p After-hospital services. Kow how much support you ll eed i these areas: Persoal care: bathig, eatig, dressig, toiletig Home care: cookig, cleaig, laudry, shoppig Healthcare: takig your medicies, doctor s appoitmets, physical therapy, woud care, ijectios, medical equipmet 22 p Follow-up care istructios. Beyod medicie, this ca iclude: foods or activities to avoid tests or appoitmets how to care for icisios or use equipmet warig sigs to watch for daily livig adjustmets (like how to get ito bed) who to call with questios Try the teachback method. Repeat back what you hear the care coordiator say to make sure you uderstad the details correctly.

27 TOP 10 QUESTIONS TO ASK BEFORE DISCHARGE 1. What umber ca I call 24 hours a day if I have questios or cocers? Who is my cotact? 2. Has my follow-up appoitmet bee scheduled? With whom? Do I have a ride there? 3. What are key warig sigs I eed to watch out for? Whom do I call if they happe? 4. What special equipmet do I eed? What special istructios do I eed (woud care, ijectios, etc.)? 5. What kids of activities ad foods are limited? For how log? 6. Do the doctors carig for me after my stay have access to my test results ad medicies? Do I eed follow-up tests? 7. Are my ew medicies safe to take with my other medicies, vitamis or supplemets? 8. Do I kow how ad whe to take my medicies ad how I will get prescriptios filled? 9. Who will provide the extra persoal, home or healthcare services I may eed? 10. Who ca help me if I have cocers about medical costs? Need Medical Equipmet or Supplies? If you eed durable medical equipmet (walker, wheelchair, hospital bed, oxyge, etc.), Medicare will oly cover the cost if you use a approved supplier. To fid oe i your area, visit medicare.gov ad select Fid suppliers of medical equipmet ad supplies or call MEDICARE ( ). PLAN EARLY Reduce your chaces of beig readmitted ad icrease your chaces for a healthy recovery by plaig early. Take steps as soo as possible durig your stay to pla for a successful trasitio from the hospital. To begi, ask to speak with your urse or care coordiator ad review the followig: your discharge summary ad discharge pla your complete medicie list ad istructios your upcomig appoitmets what to do if you do t feel well A Reaso to Pla Early If you eed a rehabilitatio facility, ursig home, skilled care or other service after your stay, you ll eed time to fid ad weigh your optios. For help comparig services i your local area, go to: medicare.gov/ursighomecompare medicare.gov/homehealthcompare qualitycheck.org Not Ready to Leave? You have the right to appeal your discharge if you do t agree with the decisio that you are ready to leave the hospital. Speak with your care coordiator or physicia ad share your cocers. You also may eed to reach out to Medicare, Medicaid or your isurace compay. 23

28 PATIENT STORY BEATING BREAST CANCER The Power of Love ON OUR COVER Yvette Pritchett s breast cacer diagosis helped her realize how may true frieds she had. She also leared ew frieds ca be made i the midst of adversity i the most ulikely of places: a hospital. Frieds came out of the woodwork ad showered me with uexpected blessigs, Yvette said. Not oly did I feel the love of all my beautiful frieds ad family, but I also experieced so much love ad friedship from the doctors, urses ad everyoe else ivolved i my cacer care. Yvette, 48, a brach maager for Charter Bak, leared she had breast cacer after a routie mammogram i Jauary 2015 at the Wome s Health Ceter at WellStar West Georgia Medical Ceter. After a radiologist detected a potetial abormality, she followed up with a diagostic mammogram, ultrasoud ad biopsy. Her fears of a cacer diagosis were cofirmed whe she met with Ashley Stewart, M.D., WellStar Medical Group, Geeral Surgery. I sat i her office, ad she was so warm ad carig, but she said she had to be straightforward with me, Yvette said. She said, I kow this might be the worst day of your life, but lookig back, I d had worse days. I woder if maybe those days were God s buildig blocks to prepare me. Dr. Stewart told Yvette she had ifiltratig ductile carcioma i her right breast. Yvette tested positive for huma epidermal growth factor receptor (HER2), a protei which promotes the growth of cacer cells. 24

29 HER2-positive breast cacer teds to be aggressive, Yvette said. Dr. Stewart was very reassurig ad suggested that we attack it hard because of the rapidly producig cells. Yvette s optios, Dr. Stewart told her, were a lumpectomy, sigle mastectomy or bilateral mastectomy. Before makig her decisio, Yvette met with Mel Stewart, M.D., a recostructive surgeo with Advaced Aesthetics, ad Wassim Mchayleh, M.D., medical director ad ocologist at WGMC. I really wated to make a iformed decisio, ad ultimately I chose to have a bilateral mastectomy with recostructio, she said. Dr. Ashley Stewart performed Yvette s mastectomy, followed by recostructive surgery with Dr. Mel Stewart. I kew by the time of my surgery how woderful my frieds ad family ad doctors were, ad whe I was recoverig from surgery, I was able to feel the love from everyoe else at the hospital, Yvette said. It was t just the doctors ad urses. I felt care ad cocer from the people who delivered my meals ad cleaed my room. They did t kow me, but they showed me such love, courtesy ad respect. She recalled a Facebook post Dr. Ashley Stewart wrote her: Your attitude ad outlook are so beautiful, what could possibly beat you? Let me be the first to tell you: A positive outlook ad ushakeable faith are everythig. After surgery ad recostructio, Yvette bega six chemotherapy treatmets at WGMC, alog with 52 treatmets of Hercepti, a atibody that combats the HER2 protei. It was t just the doctors ad urses. I felt care ad cocer from the people who delivered my meals ad cleaed my room. They did t kow me, but they showed me such love, courtesy ad respect. Yvette Pritchett I m frieds with all the urses ow, Yvette said, ad I miss gettig to see them. My mom remids me that eve though my chemo is over, I ca still stop by Ambulatory Ifusio to visit. She also said she appreciated how thorough ad carig Dr. Mchayleh was i explaiig her course of treatmet. What touched me is that whe my mother was there with me, Dr. Mchayleh talked as much to her about my care as he did me, Yvette said. He was cocered about her feeligs ad geuiely wated her to feel comfortable ad make sure she was just as iformed as I was. Ad whe my daughter came with me, he did the same for her. Yvette said some of her frieds asked, Would t it be better if you wet to Atlata to be treated? I tell them I ve bee overthe-top happy with the care I received, ad it was oly a 10-miute drive from my house, she said. From the first mammogram, I could feel the staff s geuie cocer ad how they chose each word so meticulously because they cared ad respected me. Ad ow, I m actually missig goig to chemo because I developed such strog friedships there. Yvette said the cacer care team ad others at WGMC treated me way better tha just a patiet. I feel pretty sure everyoe I ve dealt with o a regular basis there has give me a little piece of their heart. 25

30 AFTER-HOSPITAL CARE Quick Guide to Recovery Optios for After Your Stay After-hospital care that fits your eeds is importat. Make sure you uderstad what your hospital staff recommeds for you. Home Healthcare care provided by professioals i your home to help maitai or restore health. Icludes: home care services such as housekeepig ad meal preparatio; persoal care services such as bathig, dressig or eatig; ad healthcare services such as physical therapy or skilled ursig. Idepedet Livig commuities with idividual, private apartmets or homes. Icludes: meals, housekeepig, maiteace, social activities ad possibly trasportatio. Healthcare services like skilled ursig usually are ot stadard. Assisted Livig idividual uits or apartmets, usually i a log-term care facility. Icludes: home ad persoal care services, as well as help maagig health coditios ad medicie routies plus social activities ad trasportatio. Medical staff is o-site 24 hours. Nursig Home log-term care facility with idividual rooms for those who do t eed a hospital, but ca t be cared for at home. Icludes: all daily livig ad persoal care services, 24-hour skilled ursig care, plus social activities ad evets. Special uits ofte available for people with Alzheimer s disease or memory loss. Hospice care program that provides support for termially ill patiets ad families i hospitals, facilities or homes. Icludes: 24-hour help with pai cotrol, symptom maagemet ad emotioal or spiritual support. To get started evaluatig or fidig after-hospital care resources i your area, visit: Eldercare Locator eldercare.gov Natioal Respite Network ad Resource Ceter archrespite.org Cotact your health isurace, Medicare or Medicaid to fid out what care ad services are covered for you, ad to obtai help with costs. 26

31 UNDERSTANDING YOUR BILL Take Charge of Your Paymets Your bill reflects all the services you received durig your stay. Charges fall ito two categories: a basic daily rate, which icludes your room, meals, ursig care, housekeepig, telephoe ad televisio, ad charges for special services, which iclude items your physicia orders for you, such as X-rays, laboratory tests ad surgical services. Paymet of a estimated out-ofpocket accout balace is due at the time WellStar services are redered. If you re a outpatiet/observatio patiet, please carefully review your Medicare beefits ad take ote that they differ from ipatiet beefits. If you have questios or wat to make paymet arragemets, please call ad a patiet access represetative will help you. If You Have Health Isurace We will eed a copy of your isurace idetificatio card. We also may eed the isurace forms, which are supplied by your employer or the isurace compay. If You Are a Member of a HMO or PPO Your pla may have special requiremets, such as a secod surgical opiio or precertificatio for certai tests or procedures. You are fully resposible for esurig that the requiremets of your isurace pla have bee met. Otherwise, you may assume fiacial resposibility for the paymet of all or a icreased portio of charges related to the hospital services redered. Some physicia specialists may ot participate i your healthcare pla ad their services may ot be covered. Deductibles ad co-paymets also are the resposibility of the patiet. If You Are Covered by Medicare We will eed a copy of your Medicare card to verify eligibility ad process your Medicare claim. You should be aware that the Medicare program specifically excludes paymet for certai items ad services such as cosmetic surgery, some oral surgery procedures, persoal comfort items, some self-admiistered drugs, hearig evaluatios ad others. Deductibles ad co-paymets also are the resposibility of the patiet. If You Are Covered by Medicaid We will eed a copy of your Medicaid card. Medicaid also has paymet limitatios o a umber of services ad items. Medicaid does ot pay for the cost of a private room, uless medically ecessary. 27

32 UNDERSTANDING YOUR BILL cotiued If You Do Not Have Isurace Coverage If you are uable to preset ay evidece of healthcare isurace coverage, you the will assume full fiacial resposibility for paymet of all the charges icurred durig your stay. A represetative from the Patiet Access Services Departmet will help you establish appropriate fiacial arragemets. I some cases, based o the iformatio provided, patiets may apply for other types of fiacial assistace programs. Professioal Services If you have certai tests or treatmets i the hospital, you may receive bills from physicias you did ot see i perso. These bills are for professioal services ordered by your admittig physicia, redered by these physicias i diagosig ad iterpretig test results while you were a patiet. Pathologists, radiologists, cardiologists, aesthesiologists ad other specialists perform these services ad are required to submit separate bills. These physicias may ot be participatig providers i your isurace pla. It is your resposibility to seek iformatio regardig which physicias may or may ot be participatig. If you have questios about these bills, please call the umber prited o the statemet you receive. 28

33 PREVENT HOSPITAL INFECTIONS Take Steps to Reduce Your Risk Durig Your Stay Accordig to the U.S. Departmet of Health ad Huma Services, oe i 25 patiets develops a healthcareassociated ifectio while stayig at the hospital. The chart below lists commo ifectios ad steps you ca take to prevet them. Type How It Starts CatheterAssociated Uriary Tract Ifectios (UTI) Germs eter your uriary tract while usig a tube to drai urie Surgical Site Ifectios Germs affect the site of your surgery either o your ski or iterally Symptoms Cetral LieAssociated Bloodstream Ifectios VetilatorAssociated Evets Superbugs Germs eter your bloodstream through a large tube that s iserted i a vei ear your eck, chest or groi (IV) Germs eter your lugs through a tube i your mouth, ose or eck used to help you breathe fever burig pai bloody or frequet uriatio redess pai draiage of cloudy fluid fever r ed ski ad soreess at site fever chills cough mucus fever chills shortess of breath Prevetio clea hads before touchig area keep urie bag below level of bladder to prevet backflow do t tug, pull, twist or bed the tube secure catheter to your leg ask every day if the catheter is still eeded o ot shave surgery site (irritatio icreases d risk of ifectio) clea hads before touchig area do t let visitors touch or dress your woud ask your urse to show you how to care for your woud c lea hads before touchig area speak up if your badage comes off, looks wet or dirty, or if your ski looks sore avoid touchig IV or lettig visitors touch it ask that IV be removed as soo as possible c lea hads before touchig area ask if it s safe to raise the head of your bed your care team will clea the iside of your mouth daily let staff kow if this has t bee doe ask that IV be removed as soo as possible A superbug is a bacterial, viral or fugal pathoge resistat to usual treatmets. Whe superbugs cause ifectios, there is potetial for the ifectio to last loger ad result i serious complicatios. A few well kow superbugs iclude MRSA, ESBL, VRE ad CRE. Superbugs may spread from perso to perso through touchig hads or cotamiated objects. The best way to prevet the spread of germs is by performig good had hygiee. Remember, clea your hads thoroughly ad ofte. Durig your stay, politely remid visitors ad healthcare persoel to clea their hads with the readily available alcohol had saitizer or soap ad water. 29

34 WellStar is a osmokig facility SPOTLIGHT ON HEALTH: Stop Smokig Reduce Your Chaces of Returig to the Hospital No matter how log you ve bee a smoker, it s ever too late to quit this uhealthy habit. The beefits start right away ad last a lifetime: 20 MINUTES after quittig, you will see positive effects i lower heart rate ad blood pressure. 2 WEEKS TO 3 MONTHS after quittig, your circulatio improves ad your lugs work better. 1 YEAR after quittig, your risk of heart disease is half that of a smoker s. 5 YEARS after quittig, your risk of mouth, throat, esophagus ad bladder cacers is cut i half. 10 YEARS after quittig, your risk of lug cacer is half that of a smoker s. 15 YEARS after quittig, your risk of heart disease is the same as a osmoker s. Ready, Set, Quit! Now that you ve decided to quit, take it oe day at a time. Remid yourself that you are i cotrol you ca choose to smoke or ot. Make a commitmet to yourself. Write dow why you wat to quit ad read it every day. Be prepared to have icotie cravigs. They usually pass soo, so wait it out. The good ews is that they become weaker ad less frequet the loger you go without smokig. Whe a cravig hits, take a walk, call a fried or do somethig else you ejoy. 3 Tips to Help You Quit 1. Fight the Urge Do t let yourself thik that you ca have just oe cigarette, but if you do slip, start agai ad make tomorrow your ew first day to quit. 2. Get Movig Exercise is a good way to keep your mid off cigarettes. The loger you go without smokig, the better you ca breathe ad the easier it will be to exercise. 3. Keep Your Mouth Busy Try toothpicks, celery, sugarless gum or sugar-free lollipops. 30 Here s How You Ca S.T.A.R.T. S ET a quit date. T ELL your family, frieds ad co-workers that you pla to quit, ad ask for their support. A NTICIPATE the challeges you ll face. R EMOVE cigarettes ad other tobacco products from your house, car ad workplace. T ALK to your doctor about gettig help to quit icludig medicies or products that ca help, ad other tools ad resources like those foud at the sites below: America Cacer Society: cacer.org Natioal Cacer Istitute: smokefree.gov Quittig smokig eve 12 hours before surgery will help with healig. Smokig after surgery stresses your heart, raises your blood pressure, ad reduces the oxyge your blood ad tissues eed i order to recover.

35 DID YOU HAVE A GREAT CAREGIVER? Recogize Him or Her with a Daisy Award The DAISY Award is a iteratioal program that rewards ad celebrates the extraordiary cliical skill ad compassioate care give by urses every day. If you would like to omiate a urse, please retur this omiatio form to the Nurse s Desk. Nomiatio Form I would like to omiate from the uit/departmet as a deservig recipiet of The DAISY Award. Please describe a specific situatio or story that clearly demostrates how this urse made a meaigful differece i your care. Thak you for takig the time to omiate a extraordiary urse for this award. Please tell us about yourself so we may iclude you i the celebratio of this award if the urse you omiated is chose. Your Name Phoe Cell I am (please check oe): Patiet Family Member Staff Visitor Date of omiatio: 31

36 YOUR HEALTHCARE TEAM It takes may people with differet skills to keep the health system ruig ad provide the best care for our patiets. Each member of the WellStar West Georgia Medical Ceter team is committed to providig you with exceptioal care ad customer service. If there is aythig we ca do to make you more comfortable, please let us kow. Ethics Committee Tryig to decide about the care ad treatmet of your loved oe ca be hard. You may fid that you eed help i makig these decisios. WGMC s Ethics Committee is a multidiscipliary team comprised of doctors, urses, chaplais, social workers, admiistrators ad members of the commuity who are here to help you fid aswers to some of the questios that may come up about your loved oe s care or treatmet, icludig resuscitatio, life support, or other ed-of-life care issues. To reach a ethics committee member, dial 0 from the patiet s bedside phoe ad ask the house supervisor for the ethics committee member o call. Hospitalists Our hospitalists are boardcertified i iteral medicie or family medicie ad are based i the hospital to provide you with persoalized, aroud-theclock care. They uderstad the iteral processes of the medical ceter ad work to esure your comfort ad speedy recovery. They keep your primary care physicia iformed about your day-to-day care ad progress, ad talk with him or her ofte to determie the best course of care for you. Housekeepig To help make your hospital stay as comfortable as possible, daily cleaig of your room is provided. If possible, our staff will clea your room while you are havig tests or procedures. If you have a housekeepig eed, call for the housekeepig supervisor. Nurses WGMC provides excellet care thaks to our dedicated staff of experieced urses. Our professioal registered urses (RNs), licesed practical urses (LPNs), urse practitioers (NPs) ad certified ursig assistats (CNAs) are i costat cotact with patiets ad work diligetly to provide the very best care to each patiet. If you ever have ay questios about your care, please ask your urse. Patiet Advocate A patiet advocate is a trusted family member or fried who acts as your support perso while you are receivig care. They ca get iformatio ad ask questios for you whe you caot. This idividual ca ask questios that you may ot thik about whe you are stressed, remid you about istructios ad help you make geeral decisios. He or she ca fid out who to go to if you are ot gettig the care you eed. A advocate ca stay with you whe you are hospitalized ad ca help make sure you get the right medicies ad treatmets. If you wat your patiet advocate to make decisios o your behalf, you must sig a legal documet, such as a advace directive for healthcare form. (See advace directives o page 20.) 32

37 Social Services Hospitalizatios ca affect you ad your family emotioally, socially ad fiacially. The Social Services team ca assist by explaiig Medicare or Medicaid, discussig advace directives, referrig you to other commuity resources, or arragig ursig home or post-hospital care. To cotact the Social Services team, call All iformatio is cofidetial. Voluteers Our dedicated auxiliary voluteers assist staff, patiets ad families i a variety of ways. Our voluteers staff the iformatio desk ad provide assistace ad trasportatio services withi the Medical Ceter, Emergecy Departmet, log-term care facilities ad gift shop. I appreciatio for all they do, WGMC exteds several beefits to our voluteers icludig free meals ad discouts i the gift shop. To lear more about becomig ivolved with our orgaizatio, call Voluteer Services at

38 Meet Our Hospitalists Rod Duraski, M.D. Medical Director Hospital Medicie West Georgia Medical Ceter Hospitalists are doctors who have bee traied i iteral medicie ad oly work i the hospital. They see the patiets of primary care physicias who have requested their service. Hospitalists are physicias who specialize i carig for various types of medical coditios that require hospitalizatio. Board certified or board eligible i Iteral Medicie, the hospitalists provide persoalized, roud-theclock care while a patiet is i the hospital. Upo discharge, patiets retur to their primary care physicia to cotiue o their road to recovery. This approach, which is a growig tred i the healthcare idustry, allows primary care physicias more flexibility ad time to devote to the patiets they see i their offices, while hospitalists have the opportuity to moitor their patiets status frequetly throughout the day ad to sped more face time with both patiets ad their families. Dr. Rod Duraski, who has served as our Medical Director sice 2012, is a board-certified iteral medicie specialist who practiced as a traditioal iterist carig for patiets both i the office settig ad hospital i LaGrage for 16 years. Melhim Bou Alwa, M.D. Board Certified Iteral Medicie MK Aam, M.D. Board Certified Iteral Medicie Shaudre Brow, M.D. Board Eligible Iteral Medicie Adre Feria, M.D. Board Certified Iteral Medicie Rahul Malireddy, M.D. Board Certified Iteral Medicie Joatha Maxham, D.O. Board Certified Iteral Medicie Pamela Media, D.O. Board Certified Iteral Medicie Latreda Perkis, D.O. Board Certified Iteral Medicie Yimei M. Qia, M.D. Board Certified Iteral Medicie Gopi Vora, D.O. Board Certified Iteral Medicie Kathry Ray, APRN Board Certified Family Practice Leigh Taylor, APRN Board Certified Family Practice Shao Shelto, APRN Board Certified Family Practice 34

39 WARFARIN (COUMADIN) GUIDELINES Tips for Usig This Medicie Safely Warfari (Coumadi) this your blood ad eeds to be moitored closely. Take it exactly as your doctor prescribed, tell your doctors that you are takig warfari ad keep a list of your medicies with you at all times. Guidelies for Use Take the correct dose of warfari at the same time each day. Get your regular PT/INR blood test to check for your respose to warfari. Your dose will be adjusted to keep your PT/INR i a target rage determied by your doctor. Call your healthcare provider right away if you have ay symptoms of bleedig or bruisig icludig: uusual bruisig (bruises that develop without kow cause or grow i size) bleedig from cuts that takes a log time to stop mestrual bleedig or vagial bleedig that is heavier tha ormal pik or brow urie red or black stools coughig up blood vomitig blood or material that looks like coffee grouds Other medicies, vitamis ad supplemets ca iteract with warfari. Check with your doctors ad pharmacist before startig, chagig or stoppig ay medicie or supplemet. If you take a multivitami, take it cosistetly each day to avoid chages i your vitami K itake. Dietary sources of vitami K ca iterfere with your warfari therapy. However, it is ot ecessary to avoid foods that are high i vitami K. Try to keep the same amout of vitami K i your diet each day. Products that cotai aspiri, ibuprofe, Naprosy, or aproxe may icrease your risk of bleedig whe you are takig warfari. We recommed that you take acetamiophe if eeded for a occasioal headache, fever or pai. Alcohol itake ca ifluece the effect of warfari ad put you at risk of bleedig or clottig. It is best to limit or avoid drikig alcohol while you take this medicie. Avoid drikig large amouts of craberry or grapefruit juice (more tha 8 ouces). Follow-up with your primary care provider withi oe week of your discharge. Stroke Stroke is the third-leadig cause of death i the Uited States ad the leadig cause of severe logterm disability. A stroke ca happe to ayoe at ay age. Kow the Sigs of Stroke Sudde umbess or weakess, especially o oe side of the body Sudde cofusio, trouble speakig or uderstadig Sudde trouble seeig i oe or both eyes Sudde trouble walkig, dizziess, loss of balace or coordiatio Sudde severe headache with o kow cause If you experiece ay of these symptoms, call

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