FACTS FOR YOUR STAY
Plus! What Your Visitors Need to Know
ALL ABOUT ADVANCE DIRECTIVES
PATIENT GUIDE Key Information For Your Stay
CAREGIVERS How to Play a Role in Recovery
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CO N T E N TS WELCOME. . . . . . . . . . . . . . . . . . . . . . . 2 ABOUT US. . . . . . . . . . . . . . . . . . . . . . . 3 PHONE DIRECTORY.. . . . . . . . . . . . . . 4 OUR COMMITMENT TO CARE.. . . . 5 FAST FACTS ABOUT YOUR STAY.. . 7 Plus TV Channel Guide SPECIAL SECTION . . . . . . . . . . . . . . . 13 RIGHTS & RESPONSIBILITIES. . . . . . 22 YOUR PRIVACY MATTERS.. . . . . . . . 26 ADVANCE DIRECTIVES. . . . . . . . . . . 28 SUPPORT FOR CAREGIVERS. . . . . . . 29 LEAVING THE HOSPITAL. . . . . . . . . . 30 AFTER-HOSPITAL CARE. . . . . . . . . . . 33
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Take Charge of Your Care
Speak Up, Plus 7 Key Ways to Take Charge of Your Care n Designate a Patient Partner n Pay Attention to Your Care n 5 Ways to Fight Infections n Comfort Menu n Don’t Ignore Pain n Prevent Falls: No One Walks Alone n Manage Your Meds n
UNDERSTANDING YOUR BILL. . . . . 34
On Our Cover
GIVING BACK. . . . . . . . . . . . . . . . . . . . 36
Facts for Your Stay Plus! What Your Visitors Need to Know. . . . . . . . . . . . . . . . . 7
SPOTLIGHT ON HEALTH. . . . . . . . . . 37 Stop Smoking Type 2 Diabetes ADULT VACCINES. . . . . . . . . . . . . . . . 39 PATIENT PORTAL. . . . . . . . . . . . . . . . . 40
All About Advance Directives. . . . . . . . 28 Caregivers How to Play a Role in Recovery. . . . . . . . . . . . . . . . . 29
The editorial content displayed here is the responsibility of PatientPoint. This material is for your educational use only. It does not contain, nor should it be construed as containing, medical advice. Talk to your doctor before making any lifestyle or treatment changes. Sponsors are responsible for the material provided, and your healthcare provider’s participation in the program does not represent an explicit or implied endorsement of any material presented. The people shown are models and are not known to have any health condition. Images are for illustrative purposes only. Image credits: Getty Images, iStockphoto. ©2018 PatientPoint ®
Welcome Thank You for Trusting Us Thank you for selecting Shore Medical Center for your healthcare needs. The employees, physicians, contracted staff and volunteers that make up your care team are committed to providing you with a superior experience built upon a strong foundation of quality, safety and satisfaction. Quality: Shore is accredited by The Joint Commission for adhering to its rigorous standards. The Joint Commission has designated us a Primary Stroke Center, and has recognized our Spine Surgery and Hip, Knee and Joint Replacement programs for their clinical excellence.
PATIENTCENTERED PHILOSOPHY
Our commitment to patientcentered care is reflected in our recognition as a Planetree Designated hospital by Planetree, an international organization dedicated to improving the patient and family experience.
Safety: The Leapfrog Group, a national patient safety watchdog organization, has repeatedly given Shore an “A� rating in its biannual Hospital Safety Grades. This makes Shore among the safest hospitals in the United States. In 2016, Leapfrog named Shore one of 115 Top Hospitals nationwide. Satisfaction: In 2017, Shore received redesignation as a Planetree patient-centered care organization from the international Planetree Organization. This prestigious honor reflects our ongoing commitment to involving patients and their loved ones in the caregiving experience. This guide provides an overview of our patient and hospital services. Please use it throughout your stay. We recognize we are responsible for providing our patients and their loved ones with the highest level of clinical quality, exceptional customer service and best-in-class cost performance. We know you have a choice of healthcare providers, and we appreciate you choosing Shore. Sincerely, Ron Johnson, FACHE, MBA President & CEO
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About Us Why We Are the Right Choice for Your Care Our Mission
We care for and respect all patients, their families and each other.
Our Vision
Through innovative thinking and strong physician partnerships, we will strive to deliver best-in-class cost performance, the highest level of clinical quality and exceptional customer service.
Our Values
Put Patients & Their Families First We go to extraordinary lengths to provide the highest quality of care for our patients and their families in a safe and compassionate environment. They are the reason we are here and the center of all we do. Respect Others We foster an environment of mutual respect and teamwork by listening to others and valuing different 3points of view, knowing that together we are stronger. Pursue Excellence We relentlessly strive for excellence in every action we take. We explore innovations, exceed expectations and promote continuous learning and empowerment at all levels. Do the Right Thing Always.
CONTACT US 100 Medical Center Way Somers Point, NJ 08244 609-653-3500
www.ShoreMedicalCenter.org 3
Phone Directory Key Numbers Main: 609-653-3500 | Financial Assistance: 609-653-3717, option 1 Gift Shop: 609-653-3513 | Nutrition Services: 609-653-3736 Patient Advocate: 609-653-3882 Patient Billing Hotline: 609-653-3717, option 5 The Center for Family Caregivers: 609-653-3969
OTHER HOSPITAL SERVICES Administration 609-653-3545
Laboratory 609-653-3577
Admissions 609-653-3454
Medical Records 609-653-3613
Cancer Center 609-653-3585
Outpatient 609-653-4333 Registration
Cardiac & 609-653-4697 Pulmonary Rehab
Patient Experience 609-653-3963
Cardiovascular 609-653-3732 Services
Pre-Admission 609-653-3694 Testing
Care Management 609-653-3628
Radiology 609-653-3561
Centralized Scheduling 609-653-4600
Security 609-653-3762
Environmental 609-653-3612 Services
Volunteer Office 609-653-3543
Human Resources 609-653-3722
NURSING STATIONS 5 Hayes 609-653-4505
OB 609-653-3684
5 Stainton 609-653-3482
OB Registration 609-653-3610
609-653-3550, 4513
Pediatrics 609-653-3725
Emergency 609-653-3520 Department
Same-Day Surgery 609-653-3977
ICU 609-653-3622
Telemetry 609-653-3702
ASOI
Nursery 609-653-3638
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Our Commitment to Care Patient Satisfaction Matters to Us How’s your stay? Are you getting the care you need? Are your doctors and nurses listening and responding to your questions or requests? Our goal is to provide the best quality care. To do so, we ask for feedback from patients like you.
During Your Stay
Please speak with your nurse or nursing supervisor if you have any questions or concerns about your care. If your issue still is not resolved, then contact Patient Advocate Rayelle Hansen at ext. 3882. You also have the right to file your complaint with either: The New Jersey Department of Health Complaint Hotline 800-792-9770 NJ Department of Health, Complaint Program Division of Health Facilities Evaluation, CN367 Trenton, NJ 08625
Office of Quality and Patient Safety The Joint Commission One Renaissance Blvd. Oakbrook Terrace, IL 60181 800-994-6610 Email: patientsafetyreport@ jointcommission.org www.jointcommission.org
?How gniod are ewwe erdoing? a woH We want you to be satisfied with your care. To help, speak up if we can … Respond quicker to your needs Explain things more clearly Help keep your room clean or quiet Ease your pain
MAKING A DIFFICULT HEALTHCARE DECISION?
Sometimes a healthcare choice can involve an ethical concern— such as a wish to refuse life-saving treatment or a disagreement over advance directives (see p. 28). Our Ethics Committee can help your team of support people make difficult decisions. For help, contact 609-6533882 or 609-6534283.
Help you understand your medicine plan
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Our Commitment continued After Your Stay
Once you leave our care, we will continue to seek your feedback through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey is a tool to measure and report patient satisfaction. It’s made up of simple questions on key care topics such as:
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doctor and nurse communication
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medicine and discharge information
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pain management and staff responsiveness
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overall quality of the hospital environment
If you’re selected to receive this brief survey, please take the time to complete it. We use the results of this survey to identify what we are doing right and focus on areas where we can improve the patient experience.
Want to Know How We Score? You can review and compare the quality, care and safety ratings for different hospitals at: n Medicare Hospital Compare (uses HCAHPS results and other data): www.medicare.gov/hospitalcompare You also can find information on hospitals through these accrediting organizations: n Healthcare Facilities Accreditation Program (HFAP): www.hfap.org n DNV GL Healthcare: www.dnvglhealthcare.com n The Joint Commission: www.qualitycheck.org
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Fast Facts About Your Stay An A-Z Guide to the Most Frequently Asked Questions Art Gallery
Located on the second floor of the East Zone, this Healing Arts program invites local artists to display their work on a rotating basis.
ATM
ATMs are located on the first floor behind the gift shop in the East Zone and on the second floor inside the cafeteria in the West Zone.
Coffee Bar
Location: West Zone lobby Hours: Monday through Friday: 6:30 a.m. to midnight Saturday and Sunday: 7 a.m. to 4 p.m.
Cafeteria
Location: Second floor, West Zone Hours: Daily: 7:30 a.m. to 7 p.m. Breakfast Grill: 7:30 a.m. to 10 a.m. Lunch/Dinner Grill: 11 a.m. to 7 p.m. Hot Entrees: 11:30 a.m. to 2 p.m., 5 p.m. to 7 p.m.
VISITING THE HOSPITAL? Thanks for taking the time to support your loved one’s care and recovery. See p. 11 for important visitor information.
Calling Your Nurse
Your room is connected to the nursing station via an intercom system. To call for your nurse, press the NURSE call button placed at your bedside. If you have any questions on how to use the call button, ask a staff member to show you.
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Facts About Your Stay continued Channel Listing
Please see p. 12 for a channel listing.
Family-Initiated Rapid Response
You can call a critical-care response team to respond if your condition worsens and you do not get the immediate care you need. Dial 111 to request this special service. Ask a staff member or look at your admissions folder to learn more.
Fire Safety
We conduct fire drills from time to time. If you hear an alarm, stay where you are. In an actual emergency, hospital staff will tell you what to do.
Flowers
Flowers are delivered to patient rooms by individual florists. Please note that flowers are not allowed in our Intensive Care Unit.
Gift Shop
Location: First floor, East Zone Hours: Monday through Friday: 9 a.m. to 8 p.m. Saturday: Noon to 8 p.m. Sunday: Noon to 4 p.m. The gift shop is operated by the Auxiliary of Shore Medical Center, and proceeds are donated back to the hospital to improve the healing environment. Cash, check and credit cards are accepted.
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Hearing Impaired
Several communication devices are available upon request, including flashcards, a TTY communications device, volume-adjustable phones and sign language interpreters. For more information, call the Patient Advocate at ext. 3882 during normal business hours or dial 0 for the operator.
Hospitalists
During your stay, you will be cared for by a member of our hospitalist team. These physicians work exclusively in the hospital, partnering with your primary care physician to ensure a seamless continuum of care. You also may be referred to a specialist who may not be an employee of the hospital.
Hourly Rounding
A nurse will visit you every hour during the day and every two hours at night to check on your comfort, help you change positions in bed, assist with trips to the bathroom, and make sure you can reach your phone, call light and personal items easily.
Housekeeping Services
Throughout your stay, members of our Environmental Services team will visit to freshen up your room. If you need assistance, please call ext. 2173, 2054 or 3612.
Internet Access
Complimentary Wi-Fi access is provided to patients and visitors. Select the smh_guest network option and accept the terms of use for access.
Interpreters
given to you by hospital staff. Tell your doctor about any medicines you regularly take. If you still need them, hospital staff will give them to you.
Several staff members are trained interpreters and may assist in translation services as needed. Shore also has 24-hour access to translators via phone or video chat through the CyraCom language line. To arrange for an interpreter, please contact a member of your healthcare team or the Patient Advocate at ext. 3882.
Motorized Scooters
Interviews, Videography and Photography
Notary services are available by calling ext. 3882.
For all medical procedures, the use of video and audio equipment is not allowed. We allow videotaping of pre- and post-delivery of your baby, but for the safety, security and benefit of our mothers and babies, staff and physicians, we ask that you not record the birth and understand that staff and physicians have the right to not be recorded.
Lost and Found
The hospital has a lost and found in the Security Center. If you misplace an item, please call ext. 3762 to see if it has been turned in.
Mail and packages will be delivered to you by a member of staff.
Medicines
Please do not bring any prescription or over-the-counter medicines to the hospital. All medicines you take in the hospital need to be prescribed, filled and
To help visitors who have difficulty walking, scooters are available in the East Zone lobby.
Notary Public
Parking
The hospital offers a parking garage and valet parking service for a small fee. Entrances to the SMC parking garage are located on Medical Center Way and Harbor Lane. Valet parking is available Monday through Friday at the hospital main entrance along Medical Center Way.
Pastoral Care
Patients and their loved ones can call upon a group of pastoral care volunteers at any time. Simply ask your nurse to request these services. Our nondenominational chapel is on the fifth floor of Hayes Tower. A nondenominational reflection service is at 11 a.m. Wednesdays in the chapel.
Patient Advocate
Shore’s Patient Advocate is the liaison between healthcare consumers, administration, staff and physicians. Patient Advocate Rayelle Hansen is available 7 a.m. to 3:30 p.m. Monday through Friday at ext. 3882.
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Facts About Your Stay continued Patient and Family Advisory Council (PFAC)
Shore’s PFAC serves as a liaison between Shore Medical Center and the community, and is comprised of previous patients, family members and hospital representatives. To learn more, please call 609-6533882.
Patient Meals
Shore partners with Unidine to provide nutrition services to patients and their loved ones. Unidine’s Guest Services Representatives operate the MyDine program, using tablets with continuously updated patient diet information to offer customized menus for each patient. All meals are prepared fresh to order and delivered to patients in their room. Patient meals are available any time between 7 a.m. and 7 p.m. You get to choose what time each meal is delivered. Guest Trays Loved ones can enjoy Unidine’s fresh food by ordering a guest tray that will be delivered with a patient’s meal. A guest tray includes one entrée, two sides, one dessert and two beverages. One free guest tray is allowed during a patient’s stay. Additional guest trays are $5 each.
Personal Belongings and Valuables
Personal care items such as contact lenses, eyeglasses, hearing aids
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and dentures can be stored in your bedside stand when not in use. Please do not put them on your bed or food tray to help avoid them being lost or damaged. Leave valuables like jewelry or cash at home, or give them to a trusted relative or friend to watch over. Shore Medical Center cannot be responsible for replacing personal belongings. All valuables should be given to a member of the Security team upon admission.
Smoking
Shore Medical Center is a smokefree facility. Smoking is prohibited anywhere in the hospital or on the hospital grounds. This includes the use of tobacco products and e-cigarettes.
Telephone
To place a call within the hospital, see p. 4. To call local numbers, dial 9 + 609 + the number. To call a long-distance number, dial 9 + 1 + the number.
Vending Machines
Beverages and snacks are available 24 hours a day in our vending machines, which are on the first floor of the West Zone lobby, behind the elevators.
Your Room
Shore Medical Center staff members will provide information on your room assignment to visitors unless you ask them not to.
Visitor Information Shore Medical Center understands that having loved ones by your side can help with your healing and care. You have the right to choose and prioritize visitors from among family, friends, Patient Partners, personal care aides or other individuals (regardless of the person’s gender or your relationship to the person). You also can choose a support person to be present throughout your stay, unless that person’s presence affects your health or the rights or safety of other patients.
Visitor Guidelines
To provide a restful and safe environment, we ask that visitors follow these guidelines: Do not visit if you have a cold, sore throat, fever or other illness.
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Wash your hands before entering a patient’s room.
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Make sure all children have a supervising adult with them at all times
void noisy, disruptive behavior to help respect the healing of all A patients. sk before bringing foods, drinks, or other items like balloons, flowers or A perfume that might trigger allergies into patient rooms.
When you visit, please pick up a visitor pass at the information desk in the East Zone lobby. Passes must be carried at all times in all areas of the hospital.
Patient-Directed Visitation In order to provide the highest quality of patient-centered care, Shore has 24/7 patient-directed visitation. This means that visiting hours are flexible based on the patient’s wishes. We ask that visitors consider the need of the patient to rest. Note: In order to ensure patient comfort and optimal recovery, hospital staff may need to limit or restrict visitation. Each nursing unit includes a family lounge, and suggested visiting hours are from 7 a.m. to 9 p.m.
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Facts About Your Stay continued
TV CHANNELS Healing Therapy Channel
2 KJWP
35
3 KYW-AN
36 The Patient Channel
60 FX
4 WACP
39 TCN PA
61 TLC
5 WTXF-AN
40 CSN PA
62 HGTV
6 WPVI-AN
43 ESPN
63 TBS
10 WCAU-AN
44 ESPN2
64 TNT
11 WPIX
45 NBC Sports
65 A&E
12 WHYY-AN
46 Golf Channel
66 Food Network
13 WPSG-AN
47 CNBC
67 MTV
16 WUVP-AN
48 Fox News
68 Lifetime
17 WPHL-AN
49 CNN
69 Cartoon Network
18 WGTW
50 CNN HN
70 AMC
21 WMCN-AN
51 MSNBC
71 Comedy Central
22 WZPA
52 Weather Channel
72 Bravo
23 WNJT-AN
53
24 WWSI-AN
54 Nickelodeon
74 BET
25 WTVE-AN
55 Disney Channel
75 Hallmark
26 WPPX
56 Freeform
76 FS1
28 WFPA
57 History
77 TV Land
32 WMGM-AN
58 GSN
95 EAS Channel
Discovery Channel
59 USA Network
73 Syfy
Patient Education, in Your Room and Online The Patient Channel (36) provides health education programming during your stay. After discharge, you may access all of our Patient Channel offerings. It’s as easy as 1-2-3! 1. V isit www.thepatientchannelnow.com 2. Enter the password 09123 3. Watch videos and access transcripts
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Take Charge of Your Care You are the center of your healthcare team. Let this special guide help you get the best results from your hospital stay.
Speak Up! If you have questions or concerns, you have the
right to ask and get a response from your doctor or nurse that makes sense to you. To help, share your answers to these questions with hospital staff.
What language would you prefer to speak?
Do you need glasses, hearing aids or other devices to help with talking to hospital staff?
Do you prefer to hear, see or read health information?
Do you have any cultural, ethnic or religious-based special needs?
Who will be your Patient Partner who talks with hospital staff about your healthcare wishes?
Ask Yourself Is there anything else the hospital should be aware of to improve my care experience? 13
TAKE CHARGE OF YOUR CARE continued
7 Key Ways
TO TAKE CHARGE OF YOUR CARE SPEAK UP. Ask questions and voice concerns. It’s your body, and you have the right to know. PAY ATTENTION. Always double-check that you are getting the right treatments and medicines from the right hospital staff. EDUCATE YOURSELF. Learn about your medical condition, tests and treatment options, so you know why following your care plan is so important. DESIGNATE A PATIENT PARTNER. Pick someone to help speak up for your care and needs during your stay and prepare for your post-discharge plans (see p. 15). KNOW YOUR MEDS. Understand what your medicines treat, why you need them and how to take them for the best results. CHECK BEFORE YOU GO. Make an informed decision when selecting additional healthcare services. Choose only accredited providers who meet patient safety and quality standards. Go to www.qualitycheck.org to learn more. PARTICIPATE IN YOUR CARE. You are the center of your healthcare team. Make sure you know what’s happening every step of the way—from admission through discharge.
Source: The content within the “Take Charge of Your Care” section reinforces the safety and quality care goals and standards issued by The Joint Commission and other hospital accreditation organizations.
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Designate a Patient Partner Shore’s Patient Partner program was developed to involve family and friends in your care during your stay and after you return home. Patient Partners are viewed by our staff as integral members of your healthcare team, and they can help you by providing physical, psychological and spiritual support.
Your Patient Partner can: n
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a sk questions you might not think of and write down information provide emotional support articipate in planning p your discharge home se in-room white u boards to help communicate with your healthcare team
Don’t forget to tell the staff who you’ve picked to be your Patient Partner.
Who is a Patient Partner?
A Patient Partner can be whoever you choose. It may be a family member or friend who is interested and available to participate in your care and receive education to help with your post-discharge care. Your Patient Partner is a member of the healthcare team. For more information about the Patient Partner program, please refer to your admission folder.
Once you select a Patient Partner, tell your nurse. He or she will enter their information into the computer and will tell other members of your healthcare team.
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TAKE CHARGE OF YOUR CARE continued
Pay Attention to Your Care n
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Tell your nurse if something doesn’t seem right.
You Are Key You are the most important member of your healthcare team.
Know what time you normally get medicine, and tell your nurse if you don’t get it.
Understand your treatment
equest drawings or R illustrations to help you learn about your condition.
Ask questions Speak up about pain
ead and understand all R medical forms before signing. Ask if you need information explained.
Know your medicines Plan early for a successful discharge
I f your treatment involves medical equipment, practice using it with your nurse before you leave the hospital. on’t be afraid to ask for a second opinion. The more information you D have, the better you will feel about making decisions. Talk to your doctor and family about whether you want life-saving actions taken.
And Remember, Take Charge of Your Communication Ask About Jargon: If you hear a medical term you don’t understand, ask what it means.
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Teach Back: After you get instructions or an explanation, repeat back what you thought you heard so you can double-check that you understood.
Take Notes: W rite down any key facts your doctor tells you so you won’t forget.
5 Ways to Fight Infections The hospital is a place you come to get well, but you also can come in contact with germs that can make you feel worse. Reduce your chances of infection by taking these safety precautions. 1 Clean your hands. n after touching hospital objects or surfaces n before eating n after using the restroom 2 Ask hospital staff members to clean their hands. This should be standard practice, but don’t be afraid to remind them if they forget or to ask them to wear gloves when touching you. Ask visitors to clean their hands too!
CLEANING TIP: Use soap and water or alcohol-based hand sanitizer under your nails, in between your fingers, and on the palms and backs of your hands. Rub for 30 seconds (the time it takes to sing “Happy Birthday” twice).
3 Cover if you are sick. If you get an infection, limit the spread of germs by sneezing and coughing into tissues you promptly throw away, and avoid touching other people. Ask the staff if there is anything else you should do—like wear a surgical mask—to prevent the spread of germs. 4 Keep an eye on bandages or dressings. If a dressing on a wound or IV becomes loose or wet, let your nurse know. Also, if you have a catheter or drainage tube, tell your nurse if it becomes loose or dislodged. 5 Keep your vaccinations up-to-date. Make sure you are as protected as possible from the spread of infection. Check with hospital staff about whether it’s safe for you to receive any vaccines you might need.
Tell friends and family not to visit if they are sick. And make sure all your guests wash their hands when they enter your room.
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TAKE CHARGE OF YOUR CARE continued
Comfort Menu Shore believes in caring for the mind, body and soul. This holistic approach to healing involves traditional pain management techniques as well as comfort menu items that complement your clinical care plan. You know better than anyone how you are feeling, so please use this menu to discuss with us how we can better control your pain. Depending upon your plan of care, some options may be restricted until your condition improves.
Comfort Items
Relaxation Options
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et therapy P n Warm blankets n Extra pillow n Warm washcloth
Comfort Actions
epositioning in bed R Walk down the hall (with caregiver or Patient Partner) n Shower n Gentle stretching n Physical therapy n n
Personal Care Items
L ip balm Toothbrush/toothpaste n Deodorant n Comb/hairbrush n Hair tie n Shampoo/conditioner n n
These items and more are available in our gift shop.
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I ntegrative therapy Earplugs n Sleep mask n Visit from our spiritual care team n Healing Channel No. 40 n Quiet time n
Don’t Ignore Pain No one knows how much pain you are in but you. Tell your doctor or nurse when pain strikes or if it comes back again after it goes away. Talk about your pain level throughout the course of your stay.
Ask yourself, then share with your nurse: n
Where does it hurt?
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When does it hurt?
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Does it keep you from doing things—like sleeping, dressing, eating?
Which words describe your pain? q aching
q cramping
q pressure
q shooting
q bloating
q cutting
q pulling
q soreness
q burning
q dull
q radiating
q stabbing
q comes and goes
q numbing
q searing
q throbbing
q constant
q pressing
q sharp
q tightness
How bad is it on this pain scale? Wong-Baker FACES® Pain Rating Scale
0 No Hurt
2 Hurts Little Bit
4 Hurts Little More
6 Hurts Even More
8 Hurts Whole Lot
10 Hurts Worst
Copyright 1983, Wong-Baker FACES® Foundation, www.WongBakerFACES.org. Used with permission.
You’re the Expert on Your Pain Starting to get uncomfortable? Pain medicine not working? Speak up. You may need to get more of the current pain medicine you are on or switch to a different kind of medicine to get relief. Don’t try to ignore painful symptoms. Managing your pain will help with your healing process. Talk to your doctor or nurse when pain strikes.
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TAKE CHARGE OF YOUR CARE continued
Prevent Falls: No One Walks Alone While you are here, you may feel dizzy or weak. Illness, procedures, medicines or even just lying down for too long can make you less steady on your feet. We have created the No One Walks Alone program to ensure you always have someone with you when you want to walk. Falls are a leading cause of injury while in the hospital, and together we can help prevent them. To keep yourself safe: n n
Use the nurse call button for help getting out of bed. sk for help going to the bathroom or walking around. (And use hospital A handrails when they’re available.)
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Wear nonslip socks or footwear.
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Keep often-used items within easy reach (glasses, remote, tissues, etc.).
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ake sure your wheelchair is locked when you get in or out of it. Never M step on the footrest.
Shore’s Falling Star Program
We assess all patients’ falls risk every day. Patients at a high risk of falling are identified with a Falling Star designation at the bedside and at the door of their room. They wear yellow, nonslip socks and a yellow bracelet.
No Passing Zone
This program requires every hospital employee to respond to a call light, even if only to tell you that help is on the way.
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Remember, patients of all ages are at risk for falls. It’s better to be extra careful than risk another medical problem. Staff and Patient Partners are here to help, because at Shore, No One Walks Alone.
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Senior Care for Total Peace of Mind Friendly Companionship Bathing Assistance Dressing Assistance Grooming
Assistance with Walking Medication Reminders Errands Shopping
Light Housekeeping Meal Preparation Flexible Hourly Care Respite Care for Families
609-641-7200 All Caregivers Trained, Bonded, and Insured.
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Your Care. Our Passion. • Skilled Nursing Services • Post-Surgical Care • Wound Vac / Wound Management • Home Lab Draws • Certified Home Health Aides • Rehabilitation Therapies • Disease/Medication Management
For more information and referrals, please call 609-380-2256 www.icarenursingservices.com
NJ Licensed, Bonded and Insured Safely Transition to Our Home Healthcare Services Private Pay, Medicaid and Most Insurance Accepted
Manage Your Meds Whether you take one medicine or five, it’s important to know what you are taking and why. Your doctor or nurse should be telling you about your medications. Ask these questions if they are not: n
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What is the name of my medicine? Generic name? hy am I taking it? How will W it help? When will it start working? hat dose? How often? W How long? hat is the best time (morning, W night, etc.) or way to take it (with food, with water)?
Prevent Medicine Errors Be sure your doctors and nurses know: n All the prescription drugs, over-the-counter medicines and herbal or vitamin supplements you take. n Any allergies you have to medicines, anesthesia, foods, latex, etc. n That your name matches the name on the medicine (use your ID bracelet to double-check).
hat are possible side effects? W What do I do if they happen? re there any foods, drinks or A activities to avoid? What do I do if I miss a dose?
Remember, Take Charge of Your Medicines
Think you’re due for your next dose? Wondering if this new medicine can replace one you already take? Want to make sure all your medicines and supplements are safe to take together? Don’t be afraid to ask or request a visit from a pharmacist to review your medicines before discharge.
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Rights & Responsibilities You Have the Right to the Best Care Shore Medical Center does not exclude people or treat them differently because of race, color, national origin, age, disability, sexual orientation, sex or gender identity/expression. Please review these rights and responsibilities.
Nondiscrimination Statement
Shore Medical Center complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, religion, disability, sexual orientation, sex, gender identity and/or expression. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 609-653-3882. 注意：如果您使用繁體中文，您可 以免費獲得語言援助服務. 請打電 話 609-653-3882.
Patient Rights and Responsibilities
As a patient in Shore Medical Center, you have the following rights and responsibilities under state law and regulations: Medical Care To receive the care and health services that the hospital is required by law to provide. You are responsible for providing accurate and complete information concerning your medical history and relevant matters pertaining to your health. o receive an understandable T explanation from your physician of
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your complete medical condition, recommended treatment, expected results, risks involved and reasonable medical alternatives. If your physician believes that some of this information would be detrimental to your health or beyond your ability to understand, the explanation must be given to your next of kin or guardian. You are responsible for reporting any changes in your condition to your physician and staff. o give informed written T consent prior to the start of specified, nonemergency medical procedures or treatments. Your physician should explain to you—in words you understand— specific details about the recommended procedure or treatment, any risks involved, time required for recovery and any reasonable medical alternatives.
Concerns? If you have concerns about the care you or your loved one is receiving, please speak with your doctor or nursing supervisor. If you feel that your issue isn’t resolved, contact our Patient Advocate at ext. 3882.
o refuse medication and T treatment to the extent permitted by law and to be informed of the medical consequences of refusal. o be included in experimental T research only if you give informed, written consent. You have the right to refuse to participate. o have your pain managed T effectively and to actively participate in the management of your pain through ongoing assessment and timely responsive interventions. You can expect to discuss information about pain relief measures, as appropriate, and be involved in decisions related to the management of your pain. o be informed of written T policies and procedures regarding life-saving methods and the use or withdrawal of life support. o choose your own private T professional and to contract directly for this care during hospitalization. You can request a list of local non-profit professional nurse association registries that refer nurses. You are responsible for: The actions and outcomes if treatment is refused or instructions are not followed, as described in N.J.A.C.8:43G-4.1(8) Patient Rights. ollowing Shore Medical F Center’s policies and procedures regarding patient care, visitation, conduct and safety.
Communication and Information To be informed of the names and functions of all healthcare professionals providing you with personal care. o receive, as soon as possible, T the services of a translator or interpreter if you need one to help you communicate with the hospital’s healthcare personnel. o be informed of the names, T titles and duties of any outside healthcare and educational institutions involved in your treatment. You may refuse to allow their participation. o receive, upon request, the T hospital’s written policies and procedures regarding lifesaving methods and the use or withdrawal of life support mechanisms. ou are responsible to provide Y the hospital with an advance directive if one exists. You have the right to formulate advance directives and to have hospital staff follow these directives. o be advised in writing of the T hospital’s rules regarding the conduct of patients and visitors. o receive a summary of your T patient rights that includes the name and phone number of the hospital staff member to whom you can ask questions or complain about any possible violation of your rights. If at least 10 percent of the service area speaks your native language, you can receive a copy of the summary in your native language. 23
Rights & Responsibilities cont. You are responsible for informing your healthcare providers that you understand and are satisfied with the information given to you. You may ask questions if you don’t understand or need more information. You are responsible for: Being considerate of the rights of other patients and healthcare providers. ssisting in the control of noise A and conduct of visitors. aking responsibility for T personal belongings and respecting the property of others. Medical Records To have prompt access to the information in your medical record. While an inpatient, you may ask your caregiver to review your medical record. If your physician feels that this access is detrimental to your health, your next of kin or guardian has a right to see your record. o obtain a copy of your medical T record, at a reasonable fee, within 30 days after a written request to the hospital. Cost of Hospital Care You are responsible for assuring that your hospital and bills for services are paid in a timely manner, and that you supply your insurance information. o receive a copy of the hospital T payment rates. If you request an itemized bill, the hospital must provide one and explain
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any questions you may have. You have a right to appeal any charges. o be informed by the hospital T if part or your entire bill will not be covered by insurance. The hospital is required to help you obtain any public assistance and private healthcare benefits to which you may be entitled. Discharge Planning To receive information and assistance from your attending physician and other healthcare providers if you need to arrange for continuing healthcare after your discharge from the hospital. o receive sufficient time T before discharge to arrange for continuing healthcare needs. o be informed by the hospital T about any appeal process to which you are entitled by law if you disagree with the hospital’s discharge plans. Transfers To be transferred to another facility only when you or your family has made the request, or in instances where the transferring hospital is unable to provide you with the care you need. o receive an advance T explanation from a physician of the reasons for transfer including alternatives, verification of acceptance from the receiving facility and assurance that the move will not worsen your medical condition.
Personal Needs To be treated with courtesy, consideration, and respect for your dignity and individuality. ccess to spiritual and social A services support. Ask your caregiver for referral. o have access to storage space T in your room for private use. The hospital also must have a system to safeguard your personal property. Freedom from Abuse and Restraints To freedom from physical, sexual and mental abuse. o freedom from restraints, T unless a physician authorizes them for a limited period of time to protect the safety of you or others. Privacy and Confidentiality To have physical privacy during medical treatment and personal hygiene functions, unless you need assistance. o confidential treatment T of information about you. Information in your records will not be released to anyone outside the hospital without your approval, unless law requires it. Civil Rights To treatment and medical services without discrimination based on age, religion, national origin, sex, sexual orientation, gender identity or expression, handicap, diagnosis, ability to pay or source of payment.
Questions and Complaints
You have the right to present questions or grievances to a designated hospital staff member and to receive a response in a reasonable period. Ask for the unit manager or supervisor. Shore Medical Center Patient Advocate: 653-3882; or dial 0 and ask to have the Patient Advocate paged; or call Nursing Administration at 653-3675. Also, the N.J. Department of Health Agency handles questions and complaints. You may contact the N.J. Department of Health Complaint Hotline at 1-800-7929770. State Department of Health Complaint Program Division of Health Facilities Evaluation, CN367 Trenton, NJ 08625-0367 You also may contact The Joint Commission during normal business hours Monday through Friday CT at 1-800-994-6610 or email patientsafetyreport@ jointcommission.org. This list of Patient Rights is an abbreviated summary of the current New Jersey law and regulations governing the rights of hospital patients. For more complete information, consult N.J. Department of Health regulations at N.J.A.C. 8:43G-4.1 (rev. 5/16/16) or Public Law 1989 Chapter 170, available from the Patient Advocate’s office.
o exercise all your constitutional, T civil and legal rights.
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Your Privacy Matters Privacy and Health Information You have privacy rights under a federal law that protect your health information. This law sets rules and limits on who can look at and receive your health information. These rights are important for you to know.
Who must follow this law? Most doctors, nurses, pharmacies, hospitals, clinics, nursing homes and many other healthcare providers and their vendors
Health insurance companies, HMOs and most employer group health plans Certain government programs that pay for healthcare, such as Medicare and Medicaid
What information is protected?
Right to Complain If you believe your rights are being denied or your health information isn’t being protected, you can file a complaint with your provider, health insurer, SMC Privacy Officer (100 Medical Center Way, Somers Point, NJ 08244) or the U.S. government at https://ocrportal.hhs.gov/ ocr/smartscreen/main.jsf.
Information your doctors, nurses and other healthcare providers put in your medical records
onversations your doctor has with nurses and others regarding C your care or treatment Billing information about you at your clinic ost other health information about you held by those who must M follow this law
What rights do you have over your health information? Providers and health insurers must comply with your right to:
Ask to see and get a copy of your health records
Have corrections added to your health information
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Receive a notice of privacy practices that tells you how your health information may be used and shared ecide if you want to give your D authorization before your health information can be used or shared for certain purposes, such as for marketing
et a report on when and why your health information was shared G for certain purposes
File a complaint
What are the rules and limits on who can see and receive your health information? To make sure that your health information is protected in a way that doesn’t interfere with your healthcare, your information can be used and shared: For your treatment and care coordination
To pay doctors and hospitals for your healthcare and help run their businesses With your family, relatives, friends or others you identify who are involved with your healthcare or your healthcare bills, unless you object
Contact our Health Information Management Services office at ext. 3613 for copies of medical records.
To protect the public’s health, such as by reporting when the flu is in your area To make required reports to the police, such as reporting gunshot wounds
Without your written authorization, your provider cannot: Give your health information to your employer
Use or share your health information for marketing or advertising purposes Share private notes about your mental health counseling sessions
Another law provides additional privacy protections to patients of alcohol and drug treatment programs. For more information, visit: www.samhsa.gov.
Source: U.S. Department of Health & Human Services Office for Civil Rights
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Advance Directives A Simple and Smart Way to Take Charge of Your Care One of the most important decisions you can make about your care is to fill out advance directives in case you can no longer speak for yourself. Advance directives are documents that let others know your wishes about the type of care you want. And they will only be used if you become unconscious or too ill to communicate yourself. Different states have different laws about advance directives. Check with your Admissions department or nurse if you have any questions. Directives can include:
Living Will FILL OUT YOUR FORMS
Make sure you submit advance directives each time you go to the hospital so your most current information and wishes are on file. You do not need a lawyer to fill these out. For more information and to obtain the forms you need, contact ext. 3882. Advance directive forms in English and Spanish are available at www. ShoreMedical Center.org.
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This set of instructions explains the type of lifeprolonging medical care you wish to accept or refuse. It can include your wishes about the use of resuscitation (CPR) if your heart stops, a ventilator if you stop breathing, or feeding tubes or IVs if you cannot eat or drink.
Durable Power of Attorney
For healthcare: This is a legal document that names your healthcare proxy—someone who can make medical decisions for you if you’re unable to do so. An official healthcare proxy can represent your wishes on emergency care Choose Your Care but also on other medical issues like potential treatment Fill out advance options, blood transfusions, directives so your wishes are met and kidney dialysis, etc. Choose your loved ones are someone you trust, discuss sure of what you your medical wishes and want. make sure the person agrees to represent you in this role. For finances: You also have the right to appoint someone or the same person to help manage your finances if you cannot.
Support for Caregivers The Center for Family Caregivers at Shore Medical Center
In addition to our Patient Partner program, we also created The Family Caregiver Center at Shore Medical Center. Featuring a staff of trained caregiver coaches, the center is designed to provide information and emotional support to family caregivers as they care for a child, spouse, relative or neighbor. We are committed to ensuring caregivers are best equipped to provide their loved one with the safest and best care before and after discharge from the hospital. The center is dedicated to the support and well-being of you, the family caregiver.
Who Is the Family Caregiver?
The family caregiver provides help, physical care or emotional support for: n Aging parents or relatives n Spouses or loved ones with an illness or disability n Children with an illness or disability n Close friends or neighbors who need help
What Does the Center Include? aregiver Coaches: Trained C volunteers ready to help family caregivers to navigate the health system or serve as a liaison between family and staff n Nourishment Center n Comfortable Family Lounge n
esource Library R Computer with Internet Access n Educational Materials n Support Groups n n
The Center for Family Caregivers is located in the Lower Level, West Zone, next to Radiology. Hours: Monday through Friday: 9:30 a.m. to 3:30 p.m. Phone: 609-653-3969 Email: TheCenterForFamilyCaregivers@ ShoreMedicalCenter.org
Support Groups
Caregiver Support Group meets from 2 p.m. to 3 p.m. the first Thursday of the month. Alzheimer’s Support Group meets from 4 p.m. to 5 p.m. the second Tuesday of the month.
Caregivers Need Care Too If you feel like you need a break or help, reach out to friends and family. And consult the resources listed here. RESOURCES n National Alliance for Caregiving www.caregiving.org n
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F amily Caregiver Alliance www.caregiver.org aregiver Action Network C www.caregiveraction.org
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Before You Leave the Hospital
A successful recovery after your stay starts with a solid plan before you go.
Plan Early to reduce your chances of being readmitted and
increase your chances for a healthy recovery. Take steps as soon as possible during your stay to plan for a successful transition from the hospital.
To begin, ask to speak with your nurse, care manager or social worker, and review the following: n your discharge summary and discharge plan n your complete medicine list and instructions n your upcoming appointments n what to do if you don’t feel well
A Reason to Plan Early If you need a rehabilitation facility, nursing home, skilled care or any other service after your stay, you’ll need time to find and weigh your options. For help comparing services in your local area, go to: n www.medicare.gov/nursinghomecompare n www.medicare.gov/homehealthcompare n www.qualitycheck.org 30
Checklist for Discharge Make sure you have the following information before you leave the hospital. You will receive a discharge summary with the following information:
p Discharge summary. This includes why you were in the hospital, who cared for you and medicines.
Not Ready to Leave?
You have the right to appeal your discharge if you don’t agree with the decision that you are ready to leave the hospital. Speak with your care manager or physician and share your concerns. You also may need to reach out to Medicare, Medicaid or your insurance company.
p Medicine list. This includes all your new and former prescriptions, overthe-counter medicines, vitamins and supplements. Ask if there are any medicines you can stop taking or that are not good to take together. Also make sure you know why, how and when to take each one. p Prescriptions. Check that your pharmacy has your new prescriptions and you have a plan to get them filled. p Follow-up care instructions. Beyond medicine, this can include: n warning signs to watch for n foods or activities to avoid n daily living adjustments n tests or appointments (like how to get into bed) n how to care for incisions or n who to call with questions use equipment p After-hospital services. Know how much support you’ll need in these areas: n Personal care: bathing, eating, dressing, toileting n Home care: cooking, cleaning, laundry, shopping n Healthcare: taking your medicines, doctor’s appointments, physical therapy, wound care, injections, medical equipment p Local resources. Ask your care manager or social worker for help finding local after-care services or other support groups. Try the teach-back method. Repeat back what you hear the healthcare professional or hospital staff say to make sure you understand the details correctly. 31
Before You Leave continued
Top 10 Questions to Ask Before Discharge 1. What number can I call 24 hours a day if I have questions or concerns? Who is my contact? 2. Has my follow-up appointment been scheduled? With whom? Do I have a ride there? 3. What are key warning signs I need to watch out for? Whom do I call if they happen? 4. What special equipment do I need? What special instructions do I need (wound care, injections, etc.)? 5. What kinds of activities and foods are limited? For how long? 6. Do the doctors caring for me after my stay have access to my test results and medicines? Do I need follow-up tests? 7. Are my new medicines safe to take with my other medicines, vitamins or supplements? 8. D o I know how and when to take my medicines and how I will get prescriptions filled? 9. Who will provide the extra personal, home or healthcare services I may need? 10. Who can help me if I have concerns about medical costs?
Other Questions
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After-Hospital Care
Quick Guide to Recovery Options for After Your Stay
After-hospital care that fits your needs is important. Make sure you understand what your hospital staff recommends for you. After-care options include:
Home Healthcare— Care provided
by professionals in your home to help maintain or restore health. Can include: private duty home care services such as housekeeping and meal preparation; personal care services such as bathing, dressing or eating; and healthcare services such as physical therapy or skilled nursing. Most insurances require you to be homebound to receive skilled nursing and therapy services at home.
Independent Living—
Communities with individual, private apartments or homes. Includes: meals, housekeeping, maintenance, social activities and possibly transportation. Healthcare services like skilled nursing usually are not standard.
Assisted Living— Individual units or apartments. Includes: home and personal care services, as well as help managing health conditions and medicine routines—plus social activities and transportation. Medical staff is on-site 24 hours.
Nursing Home— Long-term care facility for those who don’t need a
hospital, but can’t be cared for at home. Includes: all daily living and personal care services, 24-hour skilled nursing care, plus social activities and events. Special units often available for people with Alzheimer’s disease or memory loss.
Hospice— Care program that
provides support for terminally ill patients and families in hospitals, facilities or homes. Includes: 24-hour help with pain control, symptom management and emotional or spiritual support. You may need to hire additional private duty care.
Rehabilitation/Skilled Nursing Facilities—Short-term
rehabilitative centers for patients recovering from an injury or illness, or requiring IV antibiotics or wound care. To get started evaluating or finding after-hospital care resources in your area, visit:
n
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ldercare Locator E www.eldercare.gov National Respite Network and Resource Center www.archrespite.org
You also can talk to your case manager or social worker for help finding the right after-hospital care.
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Understanding Your Bill Take Charge of Your Payments The hospital billing process may seem complicated, but you can feel more in control by knowing exactly what your bill covers. For example, if you stay overnight, you can expect to see charges for your room and board, 24hour nursing care and medicines. The bill also will show charges for any special services, such as X-rays and lab tests. You’ll receive bills for doctors, surgeons and specialists separately from the hospital.
Medicare
KEEPING TRACK
One of the key ways to feel wellinformed and less overwhelmed about the hospital billing process is to stay organized. Keep all of your statements and bills together and review each one as it arrives.
If you have Medicare, you’ll have to fill out an MSP (Medicare Secondary Payer) form. This ensures that Medicare only pays for services not covered by other insurance you may have. If you have secondary insurance, this usually covers Medicare deductibles. If you don’t have secondary insurance, you need to pay these amounts yourself. Also be sure to read your quarterly MSNs (Medicare Summary Notices) to review: the amount your doctor(s) charged the amount Medicare approved and paid n the amount you owe n your current deductible status If you have questions, call the customer service number listed on your statement.
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Commonly Confused Terms • D eductible: The amount you owe each year before your insurance begins making payments. o-payment: A flat fee you pay for a specific • C service, usually due at the time of service. • C oinsurance: The portion of your medical expenses that you’re personally responsible for paying. For example, your insurance may cover 80 percent of a bill, while you have to pay the remaining 20 percent.
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Commercial Insurance Providers
If you use a commercial insurance provider, then the hospital forwards your claim based on the information you provide at registration. About a month after you leave the hospital, you’ll get an explanation of benefits (EOB) statement from your insurance provider. This isn’t a bill. EOBs show:
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the amount billed by your doctor or hospital
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how much of that cost is covered by your insurance
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how much you owe
Review this and all other bill-related documents carefully. If you have questions, contact your doctor or the customer service number listed on the statement.
Self-Pay Patients and Payment Arrangements
If you’re planning to pay your bills without help from Medicare or a commercial insurance provider, then you’ll get bills directly from the hospital. When the first bill arrives, call the number on your statement to set up a payment plan.
Need Help? If you don’t understand something on your bill, or if you’re having trouble paying your bills, let us know. A patient representative can work with you and guide you to services that can help.
Communicate with the financial services department as soon as possible. If you don’t set up a payment plan, or if you stop making payments, then your account may be placed with a collection agency. The hospital wants to work with you, so reach out with any questions or concerns you have.
Understanding Coordination of Benefits (COB) COBs happen when you’re covered under two or more insurance companies. This may occur when spouses or partners are listed on each other’s insurance policies, or when both parents carry their children on their individual policies. To prevent duplicate payments, COBs determine the primary payer. You choose who this is when you’re admitted, based upon coverage. Insurance companies usually request completed COBs from you before paying a claim, so make sure you address these requests quickly.
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Giving Back Shore Medical Center is committed to providing quality healthcare regardless of the patient’s ability to pay. You can help us help others by making a contribution to the Planned Giving & Development Department. Your gift also will help us enhance our services, programs and facilities to better care for our community.
The DiOrio Society: “Leave a Legacy Today!”
Guardian Angel Program
Leave a gift that doesn’t cost you anything during your lifetime, a gift that will return significant benefits back to you, far beyond a tax deduction. Leave a planned gift that will leave a lasting statement about what’s important to you. For more information, please call 609-6533800 or visit www.shorelegacy.org.
The Shore Medical Center Guardian Angel program was created to give grateful patients, family members and friends an easy way to pay tribute to their caregiver, while at the same time supporting Shore’s mission to provide the region’s best patientcentered care. Everyone on our staff is committed to providing you with the very best care, but sometimes someone really stands out. Make a donation in honor of the passionate caregiver who made a difference in your experience at Shore. For more information, please call 609-6533800.
This society is named in honor of Joseph DiOrio, who served on the Shore Medical Center Board of Trustees for 50 years. Joe’s impact on Shore is immeasurable and will be felt for generations to come. Joe knew the importance of providing for our future generations.
Want to Volunteer?
Every year, more than 300 volunteers contribute more than 50,000 hours of service at Shore. The support volunteers provide throughout the hospital is invaluable. If you’re interested in joining Shore’s Volunteer team, please call 609-653-3543.
The Shore Medical Center Auxiliary Shore’s Auxiliary is the medical center’s original fundraising organization, with an impressive history of philanthropic support. Its rich, 70-year legacy has helped build new facilities and buy new equipment. The Auxiliary combines fun and a sense of shared purpose to give back to Shore for the care it provides to the community. The Auxiliary operates the gift shop as well as two thrift shops in the community. In the past 40 years, the Auxiliary has donated more than $12 million to benefit Shore. To join the volunteer Auxiliary team, please call 609-653-4646. 36
SPOTLIGHT ON HEALTH
Stop Smoking Reduce Your Chances of Returning to the Hospital No matter how long you’ve been a smoker, it’s never too late to quit this unhealthy habit. The benefits start right away and last a lifetime: n
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n
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0 MINUTES after quitting, 2 your heart rate and blood pressure drop. WEEKS TO 3 MONTHS after 2 quitting, your circulation improves and your lungs work better. 1 YEAR after quitting, your risk of heart disease is half that of a smoker’s. YEARS after quitting, your risk 5 of mouth, throat, esophagus and bladder cancers is cut in half. 10 YEARS after quitting, your risk of lung cancer is half that of a smoker’s. 1 5 YEARS after quitting, your risk of heart disease is the same as a nonsmoker’s.
Ready, Set, Quit!
Now that you’ve decided to quit, take it one day at a time. Remind yourself that you are in control— you can choose to smoke or not. Make a commitment to yourself. Write down why you want to quit and read it every day. Be prepared to have nicotine cravings. They usually pass soon, so wait it out. The good news is that they become weaker and less frequent the longer you go without smoking. To contact our Tobacco Prevention and Treatment Program, please call 609-653-3440.
3 Tips to Help You Quit 1. Fight the Urge Don’t let yourself think that you can have just one cigarette, but if you do slip, start again and make tomorrow your new first day to quit. 2. Get Moving Exercise is a good way to keep your mind off cigarettes. The longer you go without smoking, the better you can breathe and the easier it will be to exercise. 3. Keep Your Mouth Busy Try toothpicks, celery, sugarless gum or sugar-free lollipops.
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SPOTLIGHT ON HEALTH
Type 2 Diabetes Managing Diabetes During Your Hospital Stay Keeping your blood sugar under control takes careful attention. To help, make a diabetes care plan with your doctor or nurse. Include information like:
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ow often your blood sugar h needs to be checked how often you need to take your medicines and insulin what to do if you can’t eat how to handle your insulin pump if you have one
You also may want to ask a friend or family member to be your diabetes advocate. Together you can work with hospital staff to follow your diabetes care plan.
Tracking Your Blood Sugar
Tracking your blood sugar can give you valuable information about how your body’s working. It also can help you make adjustments if your numbers are generally too high or too low. Being sick and taking new medicines can cause your blood sugar numbers to go up or down. Ask your nurse if your blood sugar needs to be tested more often.
Taking Medicine or Insulin
You’ll still need your medicines and insulin (if you take it) while in the hospital, but do not take them yourself. Your nursing staff will
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be responsible for giving them to you. If you have questions about your schedule, it’s okay to ask.
Planning for Meals
Once you’re admitted to the hospital, ask if there’s a special meal plan for patients with diabetes. You also can ask to see the hospital’s dietitian if your blood sugar is too high or too low during your stay. If you need to take medicine or insulin before your meal, make sure you’ve worked out a schedule with your nurse.
Avoid Infections
Having diabetes puts you at a higher risk of getting an infection, so it’s important to be extra careful during your hospital stay:
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ractice proper hand hygiene P and encourage others to do so. Tell your nurse about any cuts, sores or bruises you have. Ask friends and family who aren’t feeling well to not visit.
Shore’s Outpatient Nutrition Counseling Program This program is available 8:30 a.m. to 4:30 p.m. Monday through Friday. Ask your healthcare provider or registered dietitian if nutrition counseling is right for you.
Adult Vaccines
Which Vaccines You Need to Protect Your Health Vaccines work with your immune system to help protect you from infections and disease. As you age, you’re more at risk of certain health conditions because your immune system isn’t as strong as it used to be. And if you do get sick, the symptoms can be more serious than when you were younger. Three types of vaccines are especially important for older adults, including:
Influenza Vaccine— The flu
vaccine is recommended for all ages every year, and there are special vaccines for adults over age 65. You need the vaccine every year because the flu virus changes over time.
Zoster or Herpes Zoster Vaccine—This vaccine protects
against shingles. It’s one dose and is recommended for all adults age 60 and older. Shingles causes rash, blisters and severe pain.
Pneumococcal Vaccines—
Recommendations recently changed for pneumonia vaccines. Even if you already received one vaccine, you may still need another. Talk to your doctor about the vaccination schedule that’s right for you. Pneumococcal conjugate or PCV13: You need one dose of this vaccine if you are age 65 or older and didn’t receive it at a younger age. It’s best to get this one before the PPSV23 vaccine (see below). Wait at least 12 months if you receive the PPSV23 first. Pneumococcal polysaccharide or PPSV23: If you are age 65 or older, you need one dose of this vaccine, ideally 12 months after receiving the PCV13 vaccine (see above).
Talk to Your Doctor Your doctor is your best source for information about vaccines. Which vaccines are right for you depend on your age, other health conditions you have (including pregnancy) and where you travel.
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Patient Portal Get Connected with My Health Home Patient Portal You can have online access to your hospital inpatient records—test results, medications, procedure information, diagnoses and discharge instructions—through a secure Patient Portal. Information from your hospital stay is usually available 36 hours after you are discharged.
It’s quick to set up an account.
Visit www.ShoreMedicalCenter.org to connect to the Patient Portal and set up an account. If you have difficulty setting up an account, please call 609-6533613, option 3.
IT’S FREE.
My Health Home Patient Portal is free—provided by Shore Medical Center to help you become a healthier, more informed patient.
GET AN ACCOUNT TODAY.
Register for the portal at www.Shore MedicalCenter.org. For help using the Portal, please contact 609-6533613, option 3, Monday through Friday, 7:30 a.m. to 4 p.m., or email shorepatientportal@ shoremedicalcenter. org.
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It’s easy to use and convenient.
The Portal has user-friendly navigation, and you can access it from any computer or mobile device with an internet connection, at any time. Once you set up your account, bookmark the site to make it convenient to check in regularly to view and download your information. When information is added, or if there has been a requested change to your Portal account (such as password, email/username or other contact information), we will send you an email.
It’s secure.
Your information in the Portal is kept confidential. Only you—and those you authorize—will be able to see or gain access to the information in your Portal. We will not share, sell or lease your personal information with any outside party not affiliated with our organization. For extra security, each time you change your password, you will be asked to answer your security question.
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KnoW
Your
Meds Make sure you understand: n
What your medicines treat
n
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Why you need them How to take them
Questions about your meds? Talk to your doctor or nurse.