1 Medical Park Boulevard Bristol, TN 37620 (423) 844-1121 www.wellmont.org Hospital Phone Directory Page 5
REMEMBER TO SPEAK UP! Page 19
START PLANNING YOUR DISCHARGE NOW! Page 30
KEEP TRACK OF YOUR MEDICATIONS Page 48
Patient Guide
An Individualized Approach to Therapy and Skilled Nursing Care
“Care is our Business” NHC HEALTHCARE BRISTOL 245 North Street Bristol, VA 24201 Phone: (276) 669-4711 Fax: (276) 669-0384 Email: office@nhcbristol.com Web Site: www.nhcbristol.com
I am uncomfortable.
My pain is back.
Speak up You have the right to be heard. Talk to your doctor and nurse. They can't help you if you don't ask.
In This Guide Welcome to Bristol Regional Medical Center 2 Our Commitment to Care 3 Condition H 4 Telephone Directory 5 Your Satisfaction 6 Visitor Information 7-8 During Your Stay 9-12 At Your Request Room Service 13-16 Television Channel Listing 17-18 Speak Up 19 Rights & Responsibilities 20-21 Stay Safe 22-25 What are Your Advance Directives? 26 Your Privacy & Information 27-28 Do You Have Pain? 29 Don’t Leave Until... 30-31 Preparing to Leave the Hospital 32-34 For the Caregiver 35 Take Care of Yourself 36 Resources 37-43 Giving Back 44 Hospice Care 45 Hospital Maps 46-47 My Medications 48
19 Speak Up Take charge of your care.
22 Stay Safe You can contribute to healthcare safety.
OUR ADDRESS
1 Medical Park Boulevard Bristol, TN 37620 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. ©2015 PatientPoint ®
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Welcome to Bristol Regional Medical Center Mission Statement Mission:
We deliver superior healthcare with compassion. Vision:
We will deliver the best healthcare anywhere. Values: n Integrity n Respect
Welcome to Bristol Regional Medical Center. We are pleased you and your physician have selected our hospital to provide your medical care. We know hospitalization is never an entirely pleasant experience, but we will do our best to make you as comfortable as possible. If you have any questions or concerns, please don’t hesitate to ask your physician or your nurse. If at any time during your hospital stay you feel we are not providing exceptional service, I’d like to hear directly from you. Please contact me at (423) 844-5555 anytime, day or night, seven days a week, and I will work personally to resolve your concern. It is our privilege to be your healthcare provider. Thank you for choosing Bristol Regional Medical Center.
n Compassion n Empowerment
Sincerely,
n Innovation
Greg Neal Interim President, Bristol Regional Medical Center
What is MyWellmont?
MyWellmont is a new, free tool offered by Wellmont Health System, and registering is one of the best things you can do to keep up with your healthcare. Access your health story anytime, anywhere. With a MyWellmont account, you can conveniently access up-to-date medical information and actively manage your health anytime, anywhere using your computer or smartphone. From MyWellmont, you have a simple and secure way to: n Access your test results n Request an appointment with your Wellmont providers n Check medical information for your children or other dependents n Review medications and request refills n Send and receive message with your primary care physician n View and pay bills online MyWellmont puts you in control of your health like never before – your entire health record literally is at your fingertips. Signing up is easy. Visit MyWellmont.org and fill out some information – it’ll ask for your name, date of birth, Social Security number and your email address. You’ll receive an activation code through your email – you can use that to create your username and password.
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: (423) 844-1121 www.wellmont.org
Our Commitment to Care Our goal is to provide the best patient care. If at any time you have questions or concerns about the quality of care that you or a family member are receiving or have received at our hospital, do not hesitate to speak with the nurse manager on your unit. You may also contact the risk management department at (423) 844-3471. In addition, you have the right to file a complaint or concern with either or both: Tennessee Department of Health Division of Health Care Facilities Centralized Complaint Intake Unit 227 French Landing, Ste. 501 Heritage Place Metrocenter Nashville, TN 37243 (877) 287-0010 http://health.state.tn.us/HCF/complaints.htm
Questions or Concerns? We strive to treat all our patients with fairness and concern, recognizing all needs and satisfying them to any extent possible. If you have any questions or concerns that have not been answered to your satisfaction, or if you have a special need, please ask to speak to the nurse manager on your unit. You may also contact the risk management department at ext. 3471.
Office of Quality and Patient Safety The Joint Commission One Renaissance Blvd. Oakbrook Terrace, IL 60181 (800) 994-6610 patientsafetyreport@jointcommission.org
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Condition H What is Condition H? The “H” stands for help. Patients and families can call for help, which initiates a dispatch of a team of professionals to review the situation and respond quickly and appropriately to your needs. The purpose of the team is to quickly check the condition of the patient and provide help before there is a medical emergency, such as a heart attack.
Dial 0 for assistance
Bristol Regional Medical Center is participating in the national trend to eliminate problems that affect optimal patient care. As a result, we’ve created a Condition H line for patients, family, or visitors to call for assistance.
When to Call
You can call for Condition H help: n If there is a noticeable change in the patient’s condition that needs immediate attention and the healthcare team is not recognizing or addressing the concern. n If after speaking with a member of the healthcare team (i.e. nurses, physicians), you continue to have serious concerns on how care is being given, managed or planned. Warning signs that a patient is getting worse: n Changes in the heart or respiratory (breathing) rate n A drop in blood pressure n Changes in urinary output (much more or much less urine) n Change in level of consciousness n Any time you are worried about the patient
Where to Call
Dial 0 and tell the operator you would like to report a Condition H and give the operator the patient’s name and room number. After calling a Condition H, the medical emergency team – or MET Team – will promptly come to the patient’s room and address all concerns you might have, provide any treatment needed and contact any other caregivers needed.
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Telephone Directory Admissions/Financial Counselor ext. 4550 Billing/Patient Financial Services ext. 4500 Case Management/Social Services ext. 3760 Chaplain/Pastoral Care 0 Gift Shop ext. 2841 MedAssist (for assistance with Medicaid/TennCare) ext. 4738 Walgreens Pharmacy ext. 2888 Complaints or Grievances ext. 3470 Room Service (meals) ext. 3171 Security 0 Please visit us at www.wellmont.org
For local calls, dial 9 followed by the number. For local calls to Bristol, Virginia, dial 9 followed by the area code 276 and the number.
MAIN NUMBER (423) 844-1121
Wellmont Nurse Connection 9 + 877-230-NURSE Speak with a registered nurse 24 hours a day, seven days a week
Direct Line to the President The doctors, nurses and staff members at Bristol Regional Medical Center strive to provide quality patient service in a total healing environment. If at any time you feel you are not receiving exceptional service, please call the direct line to the hospital interim president, Greg Neal, and he will work personally to resolve your concern. You may call (423) 844-5555 anytime, day or night, seven days a week.
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ELEANOR ROOSEVELT 1884-1962
Happiness is not a goal, it’s a by-product of a life well lived.
Your Satisfaction We encourage your feedback to improve care. Your healthcare is our priority. To determine where
improvements are needed, this hospital takes part in the HCAHPS survey. The HCAHPS survey measures your satisfaction with the quality of your care. It is designed to be a standardized tool for measuring and reporting satisfaction across all hospitals in the U.S. After you are released from the hospital, you may be selected to participate in the HCAHPS survey. The survey asks multiple choice questions about your hospital stay. Please take the time to fill out the HCAHPS survey; your feedback is valuable!
What is HCAHPS? The Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) survey is backed by the U.S. Department of Health and Human Services. The survey is used to improve the quality of healthcare. HCAHPS makes survey results public so hospitals are aware of where changes are needed. The results also enable healthcare consumers to review and compare hospitals before choosing a healthcare provider.
You are part of the team COMMUNICATE It’s your health; don’t be afraid to ask your doctors and nurses questions. PARTICIPATE You are the center of your healthcare team so ask questions, understand your treatment plan and medications, and communicate with your doctors and nurses. APPRECIATE There are hundreds of people in the hospital who need help; please be patient as doctors and nurses attend to everyone.
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Hospital Compare is a
government website that allows users to compare the quality of care provided by hospitals. The information provided on this website is based on HCAHPS survey results. www.medicare. gov/hospitalcompare n
The Joint Commission has
created quality and safety standards for healthcare organizations. The Joint Commission reviews, accredits and certifies healthcare organizations that meet its high standards. Quality reports for all accredited organizations are available on its website. www.qualitycheck.org n
HealthStream Customer Satisfaction Survey Bristol
Regional Medical Center utilizes an impartial, third-party organization, named HealthStream, to manage our customer satisfaction surveys. Patients are randomly selected by HealthStream to receive a phone or email survey within two weeks of discharge. Because only a limited number of our patients receive a survey, your participation is very important. Our management and staff, along with future patients, appreciate your cooperation and candor. ©2015 PatientPoint®
Visitor Information Visitor Guidelines
n Visitors may only use tobacco products within their
own vehicles. n Visitors must dress appropriately and wear shirts and shoes. n People with colds, sore throats, or any contagious diseases should not visit patients. n V isitors should maintain a quiet environment and avoid unnecessary noise. n Visitors may be asked to leave the room during tests or when the doctor or nurse needs to see the patient. n Children under the age of three are encouraged to visit only if they are immediate family members.
Parking
Parking at Bristol Regional is free for patients and visitors and is available 24 hours a day, seven days a week. Patients and visitors are cautioned not to park in reserved areas or certain designated areas. Please be sure to lock your car.
Wireless Internet Service
Bristol Regional is pleased to offer free wireless Internet to our patients and visitors. To access the Internet: n Visit your browser’s home page. n Wellmont Health System’s Terms of Agreement page will appear. n Click “Accept” at the bottom of the page. Access is available throughout every Wellmont facility, including outpatient centers. For questions or connection problems, please call the Wellmont Help Desk at (423) 230-8383.
Smoking
Bristol Regional Medical Center is a tobacco-free facility. Tobacco products are not allowed on the grounds of our facility except within the confines of your own vehicle.
Waiting Areas There are designated lounge areas for visitors on the main floor in the lobby. Specific waiting areas have been designated for families of patients in the critical care units, the emergency department, and the surgery area. Please do not bring home appliances, cribs, playpens, air mattresses, linens, etc., into the waiting area.
Walgreens Pharmacy Patients and visitors can get prescriptions filled and find various health-related items at Walgreens, conveniently located on the first floor of the hospital, in the medical mall area. The pharmacy is open Monday through Friday from 7 a.m. to 10 p.m. and Saturday from 9 a.m. to 5:30 p.m. It may be reached by dialing 2888.
Shuttle Service If you would like shuttle service to or from the parking lot, please call (423) 844-1121. This service is available Monday-Friday from 8:30 a.m. to 4:30 p.m.
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Visitor Information Intensive Prayer Unit The Intensive Prayer Unit takes the research concept of distance healing and implements it through a faith medium. The prayergiver and the patient will not have any direct or personal contact. Prayers for the patient are lifted up by strangers to that patient out of love and a genuine faith in God’s healing power. A patient can request to participate by dialing our Help Line at ext. 4357. The spiritual care department then pairs the patient’s prayer request with a prayergiver from one of our local congregations. The IPU is voluntary. IPU does not take the place of a patient’s church or church family.
Public Restrooms Please do not use the bathrooms in patient rooms. They are reserved only for patients in order to protect their health. Public restrooms are located throughout the hospital.
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Pastoral Care
Life’s pains, joys and decisions are best faced in a community. When you are faced with challenges in a hospital setting, a hospital chaplain is available to provide a listening ear, spiritual counsel, friendship and other resources for life’s journey. We are available to meet any religious needs of patients, families or staff. We regard people of all faiths, ethnic backgrounds and races as individuals of worth and value. Bristol Regional has a chaplain staff and volunteers who support patients, families, and staff with spiritual and emotional counsel. They are available 24 hours a day, providing support in times of crisis; counsel with spiritual/emotional needs in a hospital setting; encouragement during grief, death and bereavement; and assistance when dealing with moral or ethical situations. If you would like to speak with one of our volunteer chaplains, please dial 0 and ask for the chaplain on call. A meditation chapel is located on the first floor. Visitors of all faiths are welcome to visit the chapel for worship services, prayer and quiet reflection.
Hospitality House
The Wellmont McGlothlin-Street Hospitality House provides affordable, temporary lodging to family members of hospitalized patients who live outside the Bristol area. Patients receiving outpatient treatment may also be eligible to use the facility. Having a loved one in the hospital is hard enough, and being away from home just makes things harder. At the hospitality house, we provide a “home away from home” environment where family members can have a hot meal, share in the support of others who are facing similar circumstances, and rest more easily since the hospitality house is located on the hospital campus. We have 12 guest rooms, each with two double beds and a private bathroom, a fully equipped kitchen, and a laundry room. Please come by the admissions department to obtain more information about renting a room and to learn more about services available at the hospitality house.
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During Your Stay We have policies and procedures in place to help you and your family work with our doctors, nurses and staff to get the most from your hospital stay. Please take a few minutes to review these guidelines with your loved ones. Guidelines may be modified for the well-being of the patient at the discretion of the nurse and in accordance with physician orders.
Your Room
Each patient room has a recliner for your comfort. If you need a foldaway bed for a visitor, please notify a staff member. We will gladly have one brought to your room. Blankets and pillows are also available for guests upon request.
Your Hospital Bed
Hospital beds are electrically operated, and a staff member will show you how to work your bed properly. Your hospital bed is probably higher and narrower than your bed at home. Bedside rails are for your protection. They may be raised at night or during the day if you’re resting, recovering from surgery or taking certain medications.
Calling Your Nurse A button to call your nurse is located at your bedside. When you press the button, the nurses’ station is alerted that you need assistance and a light flashes above your door. A staff member will respond to your signal as soon as possible.
Housekeeping Services A member of the housekeeping staff cleans your room daily. If there is a housekeeping problem in your room, tell your nurse and it will be taken care of as soon as possible.
Identification Badges
During your stay, many other healthcare professionals, including personnel from the laboratory and radiology departments and physical or occupational therapists, may visit you. In addition, the Bristol Regional family includes many behind-the-scenes workers, such as accountants, engineers, secretaries, food service workers, and others who contribute greatly toward your well-being while you are here. All of our staff are identified by a badge with a photo ID.
Armbands
All patients at Bristol regional receive colorcoded armbands to ensure proper identification. To improve patient safety, different colored stickers are used to alert staff of patient allergies (red), www.wellmont.org (423) 844-1121 : 9
During Your Stay “do not resuscitate” status (purple) and potential fall risks (yellow).
Interpreters
The hospital has access to interpreters for a number of foreign languages should a patient require it.
For the Hearing Impaired
Leave Your Valuables At Home If you have valuables, such as jewelry and cash, please give them to a relative or friend to take care of during your stay. Contact lenses, eyeglasses, hearing aids and dentures should be stored in your bedside stand when not in use. Please don’t put them on your bed or food tray— they may be damaged or lost. Bristol Regional Medical Center cannot be responsible for replacement of personal belongings.
A telecommunications device is available to help hearingimpaired patients or patients who want to communicate with a hearing-impaired relative or friend. Arrangements can also be made to have a person who uses sign language help a hearing-impaired or deaf patient. Your nurse can assist you in obtaining a telecommunications device.
Notary Public
The services of a notary are available for patients free of charge. For information, contact your case manager or call the operator by dialing “0” and ask for the nursing supervisor.
Telephone
Telephones are provided in all patient rooms. To place a local call to: n Bristol or Blountville, Tennessee, dial 9 + number. n Bristol, Virginia, dial 9 + area code (276) + number. To place a long-distance call, dial 9 + 0 + 0. To place a long-distance call with a calling card, dial 9 to obtain an outside line, then dial the toll-free number on your calling card and follow the prompts.
Valuables
Patients are asked not to bring personal items to the hospital. If you do bring a personal item, it should be deposited in the safe in the security office. You will be given a written receipt for all items, which must be presented when you withdraw them. The hospital does not accept responsibility for personal items unless they are deposited in the safe. 10
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Medications
Newspapers
All medications you take while in the hospital are prescribed by your doctor, dispensed by the hospital pharmacy and administered by a nurse. Patients are not permitted to administer their own drugs or keep personal medications at their bedsides.
Fire Safety
For your protection, the hospital conducts fire and disaster drills regularly. If a drill occurs while you are here, please remain in your room and do not become alarmed. The hospital is a fire-resistant building, and the staff is trained in fire protection.
Smoking
Bristol Regional Medical Center is a tobacco-free facility. Tobacco products are not allowed on the grounds of our facility except within the confines of your own vehicle.
Electrical Appliances
Electrical appliances including hair dryers, curling irons, razors, radios, heating pads, portable heaters, VCRs and other devices are not permitted in patient rooms. You may use only battery-operated devices.
Personal Electronic Devices
During your stay, Wellmont Health System wants you to have as many comforts from home as possible, including personal electronic devices such as cell phones, e-readers and tablet/laptop computers. To minimize potential injury and prevent cords from becoming entangled, please charge your allowed personal devices away from all equipment, including your bed. Additionally, personally owned heatproducing items such as hair dryers, curling irons and video game consoles are not permitted in the medical center. Wellmont is not responsible for loss, theft or damage to any personally owned devices. Thank you for your cooperation in this matter.
Newspapers may be purchased in the gift shop or cafeteria.
Banking and ATM A branch of the United Southeast Federal Credit Union is located on the ground floor and offers complete banking services. ATMs are located on the first floor near the gift shop and on the ground floor across from the credit union.
Outpatient Pharmacy Patients and visitors can get prescriptions filled and find various health-related items at Walgreens, conveniently located on the first floor of the hospital, in the medical mall area. The pharmacy is open Monday through Friday from 7 a.m. to 10 p.m. and Saturday from 9 a.m. to 5:30 p.m. It may be reached by dialing (423) 844-2888.
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During Your Stay Where’s the Cafeteria? LOCATION: Ground floor Visitors are welcome to dine in the Skylight Café located on the ground floor. HOURS: Monday through Friday 6 a.m.–7 p.m. Saturday and Sunday 6 a.m.–2 p.m.
TV
Color television sets are provided in each room. Please be considerate of other patients by playing television sets softly and by turning off your TV at bedtime. Bristol Regional is happy to offer a dedicated Patient Education Channel on channel 81. View this closedcircuit channel to obtain information about a variety of healthcare conditions and topics. For a listing of all other television channels, please turn to page 17.
Mail and Flowers
Mail and packages will be delivered to you by a hospital volunteer. Florists deliver flowers to the nurses’ station to be taken to your room when the time is appropriate for you. Fresh and artificial flowers can be purchased in the hospital gift shop. Postage stamps are available in the gift shop as well.
For a full list of menu options and an Coffee Shop explanation of dietary Bristol Regional’s coffee shop, The Coffee Clinic, is located restrictions, please on the first floor near the main entrance. The Coffee Clinic turn to the next page. serves Starbucks coffee and a variety of food items. Hours: 6 a.m. to 10 p.m. every day
Vending Machines
Vending machines offering beverages and snacks are located in the cafeteria, on the ground floor. They are available 24 hours a day, seven days a week.
Gift Shop
The hospital’s gift shop is located on the first floor, near the main hospital entrance. The proceeds from the gift shop are donated back to the hospital through the Volunteer Auxiliary to assist the needs of our patients. Cash, check and credit cards accepted. Hours of Operation: 9 a.m.–6 p.m. Monday through Friday 9 a.m.–4:30 p.m. Saturday 1:30–4 p.m. Sunday 12
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At Your Request Room Service The staff of Bristol Regional Medical Center is committed to serving your individual needs. We strive every day to achieve the highest level of patient care possible. In keeping with that goal we are proud to offer At Your Request Room Service Dining. How to Place Your Order n Review the menu and choose the foods you would like to order. n Place your order by dialing 3171 any time between 6:30 a.m. – 6:30 p.m. n If you are on a modified or restricted diet, your Room Service Operator will assist you with your selections. n Please allow 45 minutes for your order to be delivered. n If you so desire, you may pre-order your meals in advance. To do so, please inform our Room Service Operator when placing your order.
Guest Meal Services
If one of your guests wishes to have a meal delivered to the room, call 3171 to place your order with the Room Service Representative. There is a $6 charge per meal, which includes an entrĂŠe, two side orders, salad, a dessert or fruit, and beverage.
Diet Explanation Guide
Regular: No diet restrictions; you may select any food you desire. Clear/Full Liquids: A transition diet of liquids and semi-liquids usually ordered prior to or after surgery or tests.
Soft/Low Residue: A diet low in fiber, easily digested, usually ordered after surgery or during gastrointestinal disturbances. Mechanical Soft/Puree: A diet that contains easy-to-chew or no-chew foods. Ordered for patients who have chewing and/or swallowing difficulties. Low Sodium (2 gram Sodium): A diet that does not allow table salt, cured foods, processed foods and other foods high in salt. Often prescribed for the treatment of congestive heart failure, high blood pressure, kidney, or liver disease. Cardiac: (Low Fat/Low Cholesterol/ Low Sodium): A diet that restricts fried foods, whole milk and other foods high in fat. It is used to treat heart disease and to help lower fat and cholesterol levels in the blood. Renal: A diet limited in sodium, potassium, phosphorus and protein. It is used in patients with impaired kidney function. Diabetic: A balanced diet prescribed to help control blood sugar levels. The amount of food served each meal is based on a specific number of carbohydrates. Our Room Service Representative will assist you in planning your meals and counting your carbohydrates. www.wellmont.org (423) 844-1121 :
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At Your Request Room Service Dining Menu BREAKFAST BREAKFAST ENTRÉE
Scrambled Eggs (Regular & low cholesterol) Hard Boiled Egg Omelets (Choose from ham, cheese, onion, green pepper, tomato) Pancakes Seasonal Fresh Fruit Plate Breakfast Sandwich
BREADS
Biscuits Toast (White or wheat) Blueberry Muffin Bagel Breakfast Pastry
CEREALS
Oatmeal Cream of Wheat Grits Cheerios Frosted Flakes Corn Flakes Raisin Bran Rice Krispies Wheat Flakes Fruit Loops
FRUIT AND YOGURT Banana Fresh Fruit Cup Applesauce
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Orange Sections Peaches Pears Low Fat Yogurt Vanilla, Strawberry, Blueberry, Peach
SIDE ORDERS
Breakfast Gravy Sausage, Bacon, Ham Cooked Apples Hash Brown Potatoes
LIQUID DIETS CLEAR LIQUID DIET BEVERAGES Apple Juice Cranberry Juice Grape Juice Lemonade Coffee (regular & decaf ) Iced Tea (regular & decaf ) Hot Tea (regular & decaf ) Soda (regular & diet) Cola Ginger Ale Lemon Lime Dr. Pepper Mountain Dew Caffeine Free Cola
BROTHS
Vegetable, Beef, Chicken
FINISHING TOUCHES
Gelatin (Lime, Cherry, Orange) Fruit Ice (Cherry, Lemon)
FULL LIQUID DIET
(Includes all the clear liquid items plus the following)
Place order between 6:30 a.m. and 6:30 p.m. Dial 3171 to place your order CEREALS
Oatmeal, Cream of Wheat, Grits
SOUPS
Cream of Chicken, Tomato, Potato
BEVERAGES
Orange Juice Tomato Juice Milk (whole, 2%, skim) Buttermilk Chocolate Milk Soy, Lactaid Hot Cocoa (regular & no sugar added)
FINISHING TOUCHES
Pudding Vanilla, Chocolate (regular & no sugar added) Ice Cream Vanilla, Chocolate, Strawberry (regular & no sugar added) Orange Sherbet Vanilla Yogurt
LUNCH / DINNER ENTREES
Meatloaf Grilled Chicken Breast Pot Roast Roast Turkey Baked Fish Pork Roast Pasta (Meat Sauce, Marinara, Chicken) Cottage Cheese and Fruit Plate Chef ’s Salad Caesar Salad (Chicken, Shrimp) Dinner Salad topped with Fried or Grilled Chicken Strips
SIDES
Whipped Potatoes, French Fries Steamed Rice Dressing Macaroni & Cheese Green Peas, Corn Niblets, Green Beans, Broccoli, Carrots Pinto Beans
SIDES
Potato Salad Potato Chips (regular and light) Tossed Salad Cottage Cheese Coleslaw Gravy Wheat Roll, Dinner Roll, Corn Bread
SOUPS
Vegetable (regular or low sodium) Tomato (regular or low sodium) Chicken Noodle (regular or low sodium) Potato
FROM THE GRILL/DELI FROM THE GRILL
Hamburger Veggie Burger Philly Steak Grilled Chicken Sandwich Grilled Cheese Sandwich Fried Chicken Tenders Personal Pan Pizza (Cheese, Pepperoni, Veggie)
DELI SANDWICH CHOICES Turkey Ham Roast Beef Chicken Salad
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At Your Request Room Service Tuna Salad Peanut Butter & Jelly Cheese (American, Provolone)
BREADS
White Wheat Sub Roll Tortilla Wrap
EXTRAS
Mayo (regular, light) Mustard Lettuce Tomato Onion Pickle
DESSERTS/BEVERAGES REGULAR DESSERTS
Chocolate Pie, Apple Pie, Lemon Meringue Pie, Banana Pudding Strawberry Shortcake, Banana Cake Cookie (Chocolate Chip, Sugar) Ice Cream (Chocolate, Vanilla, Strawberry) Italian Ice (Lemon, Cherry) Pudding (Vanilla, Chocolate, Banana) Gelatin (Lime, Cherry, Orange) Brownie
NO SUGAR ADDED DESSERTS
Apple Pie, Chocolate Pie Angel Food Cake, Strawberry Shortcake Cookie, Ice Cream (Chocolate, Vanilla, Strawberry) Italian Ice (Lemon, Cherry) Pudding (Vanilla, Chocolate, Banana) Gelatin (Lime, Cherry, Orange) 16
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BEVERAGES
Milk (Skim, Whole, 2%, Chocolate, Soy, Lactaid, Buttermilk) Hot Cocoa (regular & no sugar added) Coffee (regular & decaf ) Iced or Hot Tea (regular & decaf ) Juices (Apple, Orange, Grape, Cranberry, Prune, Tomato) Lemonade (regular & diet) Soda (regular & diet) Cola, Lemon Lime, Dr. Pepper, Ginger Ale, Mountain Dew, Caffeine Free Cola Some items may not be appropriate for your diet. Please allow us to help you select.
Television Channel Listing 2 WETP-PBS 3 Home Shopping Network 4 WCYB-CW 5 WCYB-NBC 6 WAPK-MyTV 7 WSBN-PBS 8 WLFG-IND 9 WKPT-ABC 10 WEMT-FOX 11 WJHL-CBS 12 QVC 13 CMS-Charter Main Street 14 Inspirational Network 15 Charter Media 16 Government Access 17 CSPAN 18 JTV 21 Local Origination 22 WGN 23 E! 24 Style 25 Lifetime 26 The Learning Channel 27 TBS 28 TNT 29 USA 30 FX 31 ESPN 32 ESPN2 33 Fox Sports Net South 34 Charter Sports Southeast 35 Golf Channel 36 Speed Channel 37 Turner South 38 The Weather Channel 39 CNBC 40 MSNBC
41 CNN 42 HLN 43 Fox News Channel 44 History Channel 45 Tru TV 46 A&E 47 Discovery Channel 48 National Geographic 49 Travel Channel 50 Food Network 51 HGTV Home & Garden TV 52 Animal Planet 53 ABC Family Channel 55 Nickelodeon 56 Cartoon Network 57 TV Land 58 AMC 59 TCM-Turner Classic Movies 60 Hallmark Channel 61 Oxygen 62 Bravo 63 Sci-Fi 64 Spike TV 65 Comedy Central 66 MTV 67 VH-1 68 CMT-Country Music TV 69 BET 74 Information 75 Movable Dish 76 Newborn Channel 77 GE Tip TV 78 Bristol Regional Special Broadcast 80 BRMC Schedule 81 Patient Education 82 Patient Channel
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Patient Education Channel - Channel 81 7 a.m. Coronary Angiography 7:30 a.m. Wellmont Hospice 7:45 a.m. Stroke What Every Person Needs to Know 8 a.m. Pacemaker 8:15 a.m. Accu-Check Advantage 8:30 a.m. Managing Chronic Obstructive Pulmonary Disease 9 a.m. Recovering from Angioplasty 9:30 a.m. Emotions & Heart Failure Management 10 a.m. Exercise for Heart Failure Patients 10:15 a.m. Accu-Check Advantage 10:30 a.m. Nutrition for Heart Failure Patients 11 a.m. Heart Failure Treatment: “Getting Started” 11:30 a.m. Understanding Heart Failure Medications 11:45 a.m. Stryker Pain Pump 2 Noon Total Hip Replacement & Rehabilitation 12:30 p.m. Total Knee Replacement & Rehabilitation 1 p.m. Coumadin Therapy and You 1:15 p.m. High Cholesterol: Intro to Tx 1:45 p.m. LOVENOX Self Injection Technique 2 p.m. Recovery Guidelines for Cardiac Patients 2:30 p.m. Coronary Angiography 2:45 p.m. Preparing & Giving Insulin Injections 3 p.m. High Blood Pressure: “Introduction to Treatment” 3:30 p.m. Recovering from Angioplasty 3:45 p.m. Stroke What Every Person Needs to Know 4 p.m. Atrial Fibrillation 4:15 p.m. Diabetes Nutrition 4:30 p.m. Emotions & Heart Failure Management 4:45 p.m. Wellmont Hospice 5 p.m. Exercise for Heart Failure Patients 5:15 p.m. Diabetes Nutrition
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5:30 p.m. Nutrition for Heart Failure Patients 6 p.m. Heart Failure Treatment: “Getting Started” 6:30 p.m. Understanding Heart Failure Medications 6:45 p.m. Stryker Pain Pump 2 7 p.m. Total Hip Replacement & Rehabilitation 7:30 p.m. Total Knee Replacement & Rehabilitation 8 p.m. Coumadin Therapy and You 8:15 p.m. Stroke What Every Person Needs to Know 8:30 p.m. Angina Pectoris 8:45 p.m. Preparing & Giving Insulin Injections 9 p.m. Recovery Guidelines for Cardiac Patients 9:30 p.m. Pacemaker 9:45 p.m. High Cholesterol: Intro to Tx 10:15 p.m. High Blood Pressure: “Introduction to Treatment” 10:30 p.m. Managing Chronic Obstructive Pulmonary Disease 11 p.m. Atrial Fibrillation 11:30 p.m. Emotions & Heart Failure Management Midnight Exercise for Heart Failure Patients 12:30 a.m. Nutrition for Heart Failure Patients 1 a.m. Heart Failure Treatment: “Getting Started” 1:30 a.m. Understanding Heart Failure Medications 1:45 a.m. Wellmont Hospice 2 a.m. Total Hip Replacement & Rehabilitation 2:30 a.m. Total Knee Replacement & Rehabilitation 3 a.m. Coumadin Therapy and You 3:30 a.m. LOVENOX Self Injection Technique 4 a.m. High Cholesterol: Intro to Tx 5:30 a.m. Coronary Angiography 6 a.m. Angina Pectoris
Rx
WILLIAM SHAKESPEARE 1564-1616
Boldness be my friend.
See My Medications to keep track of what you are given in the hospital.
Speak Up! Take charge of your care. During your stay, the doctors, nurses and staff
of Bristol Regional Medical Center will treat you and your family as partners in your own care. One important way that you can be involved is to speak up. Ask questions, voice your concerns, and don’t be afraid to raise any issues relating not only to your care and treatment, but also to overall hospital services.
STEP UP & SPEAK UP SPEAK UP Ask questions and voice concerns. It’s your body, and you have a right to know.
PAY ATTENTION Make sure you’re getting the right treatments and medicines.
EDUCATE YOURSELF Learn about the medical tests you get and your treatment plan.
FIND AN ADVOCATE Pick a trusted family member or friend to be your advocate.
WHAT MEDS & WHY Know what medicines you take and why you take them.
In the pages that follow, you’ll find a step-by-step guide to making the most of your hospital stay— how to stay safe, get the information you need, ask the right questions and interact effectively with your doctors, nurses and hospital staff. STAT NOTE Write down any questions you have Choose a family member to communicate with the doctors and staff n Keep a list of doctors you see and the medications they prescribe
CHECK BEFORE YOU GO Use a hospital, clinic, surgery center or other type of healthcare organization that meets The Joint Commission’s quality standards.
n n
©2015 PatientPoint®
PARTICIPATE IN YOUR CARE You are the center of the healthcare team. Courtesy of The Joint Commission. www.wellmont.org (423) 844-1121 :
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Rights & Responsibilities As a patient, you have the right to respectful and considerate care. In addition, there are specific rights and responsibilities you have during your hospital stay. Bristol Regional Medical Center and Wellmont Health System advocate these patient rights and responsibilities without regard to gender or cultural, economic, educational, or religious background, or the source of payment for care, and follow ethical behavior in their care, treatment, services, and business practices. All Wellmont Health System personnel, medical staff members, and contracted agency personnel performing patient care activities shall observe these patient rights.
procedure, risks, benefits and prognosis, and any continuing healthcare requirements after your discharge in terms you can understand. n be informed of medical alternatives for care or treatment. n refuse treatment, except as otherwise provided by law, and to be informed of the consequences of your refusal. n receive access to medical treatment or accommodations regardless of race, sex, creed, sexual orientation, national origin, religion, physical handicap, or sources of payment. n know if the medical treatment prescribed for you is for experimental purposes and to give your written You Have the Right to: consent to participate if you choose. n be informed of the hospital’s rules n participate in the decision-making and regulations as they apply to your process related to the plan of your care. n have access to professionals to assist you conduct. n expect privacy and dignity in treatment with emotional and/or spiritual care. consistent with providing you with good n exercise your cultural values and medical and psychiatric care. spiritual beliefs as long as they do not n receive considerate, respectful care at all interfere with the well-being of others, times and under all circumstances. or the planned course of any medical n expect prompt and reasonable responses care. n participate in the discussion of ethical to your questions. n know who is responsible for authorizing issues that may arise. n express concerns regarding any of these and performing your procedures or treatments. rights in accordance with the grievance nk now the identity and professional process. n formulate Advance Directives and status of your caregivers. n know what patient support services appoint a surrogate to make healthcare are available, including access to an decisions on your behalf to the extent interpreter if language is a problem. permitted by law. n have access to your medical records according to hospital policy. n be informed of the nature of your condition, proposed treatment or 20
: (423) 844-1121 www.wellmont.org
You are Responsible for:
Are you an inpatient or an outpatient?
information to your healthcare providers about your present and past medical conditions and all other matters pertaining to your health. n reporting unexpected changes in your condition to your healthcare providers. n informing your healthcare providers whether or not you understand the plan of care and what is expected of you. n following the treatment plan recommended by your healthcare providers. n keeping appointments and, if you cannot, notifying the proper person. n knowing the consequences of your own actions if you refuse treatment or do not follow the healthcare providers’ instructions. n being considerate of the rights of other patients and hospital personnel and to follow hospital policy and regulations regarding care and conduct. n fulfilling your financial obligations to the hospital as promptly as possible.
Even if you stay in the hospital overnight, you may be considered an outpatient under a federal policy called outpatient observation.
n providing accurate and complete
At registration, you were provided with a listing of patient rights and responsibilities. If you would like an additional copy, please contact the admissions department at (423) 844-4551.
If you are admitted as outpatient observation, your caregivers have decided that you require further observation and/or testing to determine your health status, though your current condition does not meet insurance and federal criteria for full inpatient admission. What to expect in outpatient observation Wellmont Health System provides the same high-quality, compassionate care to all its patients – whether they are inpatients or outpatients. If you are in outpatient observation status, you will receive specialized care and priority attention to ensure you are treated and discharged – or, if necessary, admitted as an inpatient – as quickly as possible. Are you on Medicare? Inpatient hospital admissions are covered by Medicare Part A, while outpatient services – including outpatient observations in the hospital – are covered under Medicare Part B. Unfortunately, out-of-pocket costs for Medicare Part B might be considerably higher than those for Medicare Part A. Additionally, in outpatient observation, Medicare might not cover any post-hospital services you and your doctor decide you need, such as rehabilitation or skilled nursing care. If you have another type of insurance, please talk to your insurance provider about outpatient observation coverage. Placing patients in outpatient observation is a federal policy – it is not a choice made by your hospital or your doctors. www.wellmont.org (423) 844-1121 :
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Rx
DR. SEUSS 1904-1991
Sometimes the questions are complicated and the answers are simple.
Also see Speak Up! on page 19. YOU’RE IN CHARGE It is our goal at Bristol Regional to prevent any medical errors before they occur. But we welcome your help.
Stay Safe
You can contribute to healthcare safety.
While you are in the hospital, many people will enter your room, from doctors and nurses to technicians and other professionals. The following information will help make your hospital stay safe and comfortable. Don’t Be Afraid to Ask… A number of people may enter your hospital room. Be sure to: nC heck the identification badge of every person who comes into your room. nS peak up if hospital staff don’t ask to check your patient identification bracelet. nA sk if the person has washed his or her hands or used hand sanitizer every time he or she enters or exits the room. n I f you are told you need certain tests or procedures, ask why you need them, when they will happen, and how long it will be before you get the results. These results will be communicated by your physician. 22
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You can help us prevent errors by taking charge of your care. Be sure to: n stay informed about your medical condition n know the details of your treatment plan n understand the tests and procedures you will undergo Your doctor can answer these questions. Take notes when you speak with your doctor, or have a trusted friend or family member take notes for you, so you can refer to them later. Also ask for any written information your doctor may be able to provide about your condition and/ or treatments. Remember — you’re in charge.
©2015 PatientPoint®
Fighting Infections While you’re in the hospital to get well, you should know that there is the possibility of developing an infection. The single most important thing you can do to help prevent infections is to wash your hands and make sure that everyone who touches you—including your doctors and nurses—washes his or her hands, too.
You, your family and friends should wash hands: 1. after touching objects or surfaces in the hospital room 2. before eating 3. after using the restroom
Happy Birthday to You!
It is also important that your healthcare providers wash their hands with either soap and water or an alcohol-based hand cleaner every time, both before and after they touch you. Healthcare providers know to practice hand hygiene, but sometimes they forget. You and your family should not be afraid or embarrassed to speak up and ask them to wash their hands.
Preventing Medication Errors By taking part in your own care, you can help the members of your healthcare team avoid medication errors. Here’s how: Be sure that all of your doctors know what medications you have been taking, including prescription drugs, over-the-counter medications, herbal and vitamin supplements, natural remedies and recreational drugs. Be sure that all of your doctors know of any allergies you may have—to medications, anesthesia, foods, latex products, etc. When you are brought medications or IV fluids, ask the person to check to be sure you are the patient who is supposed to receive the medications. Show that person your ID bracelet to double-check. Remember—you play an important role in helping to reduce medication errors. ©2015 PatientPoint®
Wash your hands with soap and warm water for 15 to 20 seconds. That’s about the same amount of time that it takes to sing the “Happy Birthday” song twice.
No Soap? No Problem. Alcohol-based hand cleaners are as effective as soap and water in killing germs. To use, apply the cleaner to the palm of your hand and rub your hands together. Keep rubbing over all the surfaces of your fingers and hands until they are dry.
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Stay Safe continued
Patients of all ages are at risk of falls because of medications that may make them dizzy, weak or unsteady.
Know Your Meds While you are hospitalized, your doctor may prescribe medications for you. Be sure that you understand exactly what they are and why they are being prescribed. Use this checklist to help you get the information you need from your doctor: What is the name of the medicine? What is its generic name? Why am I taking this medicine? What dose will I be taking? How often, and for how long? What are the possible side effects? Can I take this medicine while taking my other medications or dietary supplements? Are there any foods, drinks or activities that I should avoid while taking this medicine? USE THE MEDICATION TRACKER ON PAGE 48 TO HELP YOU MONITOR YOUR MEDICATIONS.
Preventing Falls Patients often fall because they are weak and unsteady due to illness or procedures, they’ve been sitting or lying down for too long or they are on medications that make them dizzy. For your safety, please: n Always call for assistance before getting out of bed. n Wear properly-fitting shoes with nonskid soles. n Keep the call button within easy reach. n Have necessary items within reach, such as your glasses, tissues, the telephone, and anything else you need. n When you get assistance, rise slowly from your bed or chair to prevent dizziness. n Walk close to the wall and hold onto the handrail while in the bathroom.
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DVT: LOWER YOUR RISK Deep-vein thrombosis (DVT) occurs when blood clots form in the legs and block circulation. The clots can lodge in the brain, heart or lungs, causing damage or even death. When you’re hospitalized and in bed with limited physical activity, your risk of DVT increases. Compression boots or stockings and/or blood thinners may be used to prevent DVT during your stay. Tell your doctor or nurse if you have any of the following warning signs: ____________ A leg cramp or charley horse that gets worse ____________ Swelling or discoloration in your leg, upper arm or neck ____________ Unexplained shortness of breath ____________ Chest discomfort that gets worse when you breathe deeply or cough ____________ Light-headedness or blacking out ©2015 PatientPoint®
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Losing weight’s a lot harder than gaining it… but very much worth the effort.
With every step, you lower your risk for type 2 diabetes and heart disease.
It’s not easy. But it is worth it.
Learn how you can help stop diabetes by losing weight, eating healthy and staying active. Visit checkupamerica.org or call 1-800-DIABETES.
Stay Safe Patient Safety Tips
Suggestions from your healthcare professionals: n Openly share your health history with your caregiver. This includes the medication you take, any operations you’ve had, and any allergies you may have. The more your caregiver knows, the more successful your care plan and recovery will be. n Don’t recognize a medication? Ask the caregiver to check it before you accept it. n Don’t understand something about your care? If you have questions or concerns about your condition or treatment options, please be sure to ask. n Help reduce the risk of infection. Remind caregivers to wash their hands or use the alcohol gel before they care for you. Wash your own hands and keep any wounds clean and dry. n Know how to care for yourself at home. Make sure your partner in care learns what to do, too.
Recognizing Your Caregivers
Many of our licensed caregivers at Bristol Regional wear “badge buddies” to help you and your family members easily recognize the different disciplines of your care providers. Listed below are the badges you may see. n RN- Registered Nurse n LPN- Licensed Practical Nurse n PCT- Patient Care Technician n Phlebotomist n RT- Respiratory Therapist n OT- Occupational Therapist n PT- Physical Therapist n Clinical Dietitian n Case Manager
Reducing Skin Disorder Risks A risk of a skin disorder could be related to a patient’s activity or mobility level, his or her sensory perception or other factors. If a patient is determined to be at risk for skin breakdown, he or she may be placed on a specialty bed. A wound care specialist may be consulted to recommend specific care.
Abuse We want everyone in our community to be aware that abuse and neglect unfortunately does exist. If you are being abused or if you know someone who is in an abusive or neglectful situation—we can help. Please tell your nurse or any healthcare worker in our hospital if you have concerns or are worried. We can help keep you safe.
If you have any questions about a provider’s role in your care, please be sure to ask.
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What are Your Advance Directives? What Are Advance Directives? A living will, healthcare proxy, and durable power of attorney are the legal documents that allow you to give direction to medical personnel, family and friends concerning your future care when you cannot speak for yourself. You do not need a lawyer in order to complete Advance Directives. Your Advance Directive is destroyed once you are discharged from the hospital. You must provide a new Advance Directive each time you are readmitted. In this way, you ensure that the hospital has your most current information.
For more information about Advance Directives or to obtain forms, please speak with your nurse.
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Patient Services Advance Directives
You have the right to make decisions about your own medical treatment. These decisions become more difficult if, due to illness or a change in mental condition, you are unable to tell your doctor and loved ones what kind of healthcare treatments you want. That is why it is important for you to make your wishes known in advance. Here is a brief description of each kind of Directive:
Living Will
A set of instructions documenting your wishes about life-sustaining medical care. It is used if you become terminally ill, incapacitated, or unable to communicate or make decisions. A living will protects your rights to accept or refuse medical care and removes the burden for making decisions from your family, friends, and medical professionals.
Healthcare Proxy
A person (agent) you appoint to make your medical decisions if you are unable to do so. Choose someone you know well and trust to represent your preferences. Be sure to discuss this with the person before naming him or her as your agent. Remember that an agent may have to use his or her judgment in the event of a medical decision for which your wishes aren’t known.
Durable Power of Attorney
For healthcare: A legal document that names your healthcare proxy. Once written, it should be signed, dated, witnessed, notarized, copied and put into your medical record. For finances: You may also want to appoint someone to manage your financial affairs when you cannot. A durable power of attorney for finances is a separate legal document from the durable power of attorney for healthcare. You may choose the same person for both or choose different people to represent you.
: (423) 844-1121 www.wellmont.org
Your Privacy & Information Privacy & Your Health Information
You have privacy rights under a federal law that protects your health information. These rights are important for you to know. Federal law sets rules and limits on who can look at and receive your health information.
Who must follow this law?
n Most doctors, nurses, pharmacies, hospitals, clinics,
nursing homes and many other healthcare providers
n Health insurance companies, HMOs and most
employer group health plans
n Certain government programs that pay for healthcare,
such as Medicare and Medicaid
What information is protected?
n Information your doctors, nurses and other healthcare
providers put in your medical records
n Conversations your doctor has with nurses and others
regarding your care or treatment
n Information about you in your health insurer’s
computer system
n Billing information about you at your clinic
n Most other health information about you held by
those who must follow this law
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:
You have rights over your health information. Providers and health insurers who are required to follow this law must comply with your right to: n Ask to see and get a copy of your health records n Have corrections added to your health information n Receive a notice that tells you how your health information may be used and shared n Decide if you want to give your permission before your health information can be used or shared for certain purposes, such as for marketing n Get a report on when and why your health information was shared for certain purposes n File a complaint
n For your treatment and care coordination
n To pay doctors and hospitals for your healthcare
and help run their businesses
n With your family, relatives, friends or others you
identify who are involved with your healthcare or your healthcare bills, unless you object n To make sure doctors give good care and nursing homes are clean and safe n To protect the public’s health, such as by reporting when the flu is in your area www.wellmont.org (423) 844-1121 :
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Your Privacy & Information Adapted from U.S. Department of Health & Human Services Office for Civil Rights
n To make required reports to the police, such as
If you believe your health information was used or shared in a way that is not allowed under the privacy law, or if you weren’t able to exercise your rights, you can file a complaint with your provider or health insurer. You can also file a complaint with the U.S. government. Go online to www.hhs. gov/ocr/hipaa/ for more information.
n Give your health information to your employer
A separate law provides additional privacy protections to patients of alcohol and drug treatment programs. For more information, go online to www.samhsa.gov.
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reporting gunshot wounds
Without your written permission, your provider cannot:
n Use or share your health information for marketing or
advertising purposes
n Share private notes about your mental health
counseling sessions
Standards for Privacy of Protected Health Information
According to the federal law named the “Health Insurance Portability and Accountability Act” (HIPAA), you have rights concerning the use of individually identifiable health information. Only individuals with a legitimate “need to know” may access, use or disclose patient information. Protected health information may be released to other covered healthcare providers without patient authorization if used for treatment, payment, healthcare operations, or for public good purposes as permitted by state and federal laws. Disclosures of protected health information for uses and disclosures outside treatment, payment, and healthcare operations require patient authorization. While receiving care in the hospital, you may ask for your name to not be included in the hospital directory, which means people asking for you will be told “I have no information about this patient.” If you want to receive deliveries of cards and flowers, then you want your name included in the hospital directory. If you listed a specific church/denomination during the registration process, then your name will appear on a list for visitation available to the clergy of that specific church. For a listing of other HIPAA privacy rights, please refer to the Notice of Privacy Practices that was given to you at registration.
: (423) 844-1121 www.wellmont.org
TORI AMOS 1963-PRESENT
Healing takes courage, and we all have courage, even if we have to dig a little to find it.
Do You Have Pain? Manage your pain so your hospital stay is as comfortable as possible.
You are the expert about how you are feeling. Be sure to tell your doctor or nurse when
you have any kind of pain.
To help describe your pain, be sure to report: n When the pain began. n Where you feel pain. n How the pain feels—sharp, dull, throbbing, burning, tingling. n If the pain is constant, or if it comes and goes. n What, if anything, makes the pain feel better. n What, if anything, makes the pain feel worse. n How much pain, if any, your medicine is taking away. n If your medicine helps with the pain, how many hours of relief do you get?
USE THE PAIN RATING SCALE BELOW TO TELL YOUR DOCTOR OR NURSE HOW YOUR PAIN IS AFFECTING YOU.
©2015 PatientPoint® www.wellmont.org (423) 844-1121
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Rx
ALDOUS HUXLEY 1894 - 1963
Facts do not cease to exist because they are ignored.
Don’t Leave Until…
Also see For the Caregiver on page 35.
5 things to know before you walk out that hospital door.
When it’s time to be released from the hospital, your physician will authorize a hospital discharge. This doesn’t necessarily mean that you are completely well—it only means that you no longer need
If You Disagree You or a relative can appeal your doctor’s discharge decision. If you are a Medicare patient, be sure you are given “An Important Message from Medicare” from the hospital’s discharge planner or caseworker. This details your rights to remain in the hospital for care and provides information on who to contact to appeal a discharge decision.
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hospital services. If you disagree, you or your caregiver can appeal the decision (see If You Disagree, at left). On the other hand, you may be pleased to learn that your doctor has approved your discharge. But before you can leave the hospital, there are several things that you or your caregiver must attend to. The first step is to know who will be involved in your discharge process. This starts with the hospital’s discharge planner, who may be a nurse, social worker or administrator, or may have some other title. You and your caregiver should meet this person relatively early in your hospital stay; if not, find out who this person is and be sure to meet with him or her well before your expected discharge date. ©2015 PatientPoint®
Make sure you have the following information before you leave the hospital: 1. Medications list. This is a listing of what medications you are taking, why, in what dosage, and who prescribed them. (You’ll already have this if you use the My Medications form on page 48 to keep track while you’re in the hospital.) But also having a list prepared by the hospital is a good way to double-check the information. 2. Rx. A prescription for any medications you need. Be sure to fill your prescriptions promptly, so you don’t run out of needed medications.
Be sure to meet with the hospital’s discharge planner early in your stay to ensure a smooth discharge process later on.
4. Other services. When you leave the hospital, you may need to spend time 3. Follow-up care instructions. in a rehabilitation facility, nursing Make sure you have a discharge home, or other institution. Or you may need to schedule tests at an information sheet that tells you: imaging center, have treatments at n what, if any, dietary restrictions a cancer center, or have in-home you need to follow and for how long therapy. Be sure to speak with your n what kinds of activities you can and nurse or physician to get all the details can’t do, and for how long you need before you leave. n how to properly care for any injury or incisions you may have 5. Community resources. You and your n what follow-up tests you may need caregiver may feel unprepared for what and when you need to schedule them will happen after your discharge. Make n what medicines you must sure your discharge planner provides take, why, and for how long you with information about local n when you need to see your physician resources, such as agencies that can n any other home-care instructions provide services like transportation, for your caregiver, such as how to equipment, home care and respite care, get you in and out of bed, how and agencies that can help with patient to use and monitor any equipment, care and respite care. and what signs and symptoms to watch out for n telephone numbers to call if you For more Community Resources, or your caregiver has any questions Turn to page 39. pertaining to your after-hospital care ©2015 PatientPoint®
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Preparing to Leave the Hospital When You Are Discharged Your physician determines when you are ready to be discharged. Your physician and nurse will give you discharge instructions and answer any questions you have about managing your treatment and medications once you are home. If you are confused or unsure about what you need to do, what medications you must take, or if you have to restrict your diet or activities, don’t be afraid to ask and take notes. Be sure you understand any instructions you have been given before you leave the hospital.
Going Home
When your doctor feels that you are ready to leave the hospital, he or she will authorize a hospital discharge. Please speak with your nurse about our discharge procedures. Here are few tips to make the discharge process run smoothly: n Be sure you and/or your caregiver have spoken with a discharge planner and that you understand what services you may need after leaving the hospital. (See “Don’t Leave Until…” on page 30 for more discharge advice.) n Verify your discharge date and time with your nurse or doctor. n Have someone available to pick you up. n Check your room, bathroom and bedside table carefully for any personal items. n Make sure you or your caregiver has all necessary paperwork for billing, referrals, prescriptions, etc.
Billing
What a Hospital Bill Covers The hospital bill covers the cost of your room, meals, 24-hour nursing care, laboratory work, tests, medication, therapy and the services of hospital employees. You will receive a separate bill from your physicians for |their professional services. If you have questions about these separate bills, please call the number printed on each statement. The hospital is responsible for submitting bills to your insurance company and will do everything possible to expedite your claim. You should remember that your policy is a contract between you and your insurance company and that you have the final responsibility for payment of your hospital bill. If You Have Health Insurance All patients should familiarize themselves with the terms of their insurance coverage. This will help you understand how your insurance plan will pay
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for the services you receive at the hospital. If there is a question about your insurance coverage, a member of the admissions department will contact you or a member of your family while you are here. We will need complete and accurate insurance information in order to properly process your healthcare claim. We are happy to file your insurance claim for you. We will need to copy your insurance card(s) and we will also make a copy of your photo identification, such as a driver’s license. Your insurance plan may have special requirements, such as a second surgical opinion or precertification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your healthcare plan and their services may not be covered. Some insurance plans specifically exclude payments for certain items and services. Please make sure you know what services are covered or are not covered by your plan. Deductibles and co-payments are also the responsibility of the patient and are due at the time of service.
Coordination of Benefits (COB)
Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are covered under two or more insurance policies. This usually happens when both husband and wife are listed on each other’s insurance policies, both parents carry their children on their individual policies, or there is eligibility under two federal programs. This also can occur when you are involved in a motor vehicle accident and have medical insurance and automobile insurance. Most insurance companies have COB provisions that determine who is the primary payer when medical expenses are incurred. This prevents duplicate payments. COB priority must be identified at admission in order to comply with insurance guidelines. Your insurance may request a completed COB form before paying a claim and
For Self-Pay Patients Patient financial services department will send statements for payment of self-pay accounts. You will receive two to three billing statements and two to three telephone calls over a 90-day period to obtain a payment or to make payment arrangements. If payment arrangements are not established and no payment is made during the 90-day period, the account will be placed with a collection agency. If you need an itemized statement, you can obtain one by calling our customer service department at the number listed below. If you have any questions regarding your billing statement, you can contact the patient financial services department at (423) 844-4551.
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Preparing to Leave the Hospital Uninsured? A representative from the admissions department will visit you to assist you in applying for Medicaid or other government assistance programs. We will also discuss financial arrangements with you and determine if you could qualify for financial assistance through our Hospital resources. If you need more information, please contact us at (423) 844-4551 and ask to speak to any of our financial counselors.
every attempt will be made to notify you if this occurs. The hospital cannot provide this information to your insurance company. You must resolve this issue with your insurance carrier in order for the claim to be paid.
Medicare
This hospital is an approved Medicare provider. All services billed to Medicare follow federal guidelines and procedures. Medicare has a COB clause. At the time of service, you will be asked to answer questions to help determine the primary insurance carrier paying for your visit. This is referred to as an MSP Questionnaire and is required by federal law. Your assistance in providing accurate information will allow us to bill the correct insurance company. Medicare deductibles and co-insurance are covered by your secondary insurance. If you do not have secondary insurance, you will be asked to pay these amounts or establish a payment plan. If you are unable to pay these amounts, we will help you determine if you qualify for a state funded program.
Medicaid
We will need a copy of your Medicaid card for the current month. Medicaid has payment limitations on a number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary.
Commercial Insurance
As a service to our customers, we will forward a claim to your commercial insurance carrier based on the information you provide at the time of registration. It is very important for you to provide all related information such as policy number, group number and the correct mailing address for your insurance company.
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Rx
BUDDHA
In compassion lies the world’s true strength.
Caregiver, remember to care for yourself!
For the Caregiver Your role as a patient advocate
CAREGIVER...
know what condition your loved one is being treated for.
patient’s rights Know your patient’s rights and responsibilities.
advance directives Know whether or not your loved one has an advance directive and if so, what it specifies.
While your loved one is in the hospital, who will
speak up for him or her? You can, by being the patient’s advocate—the person who will help the patient work with doctors, nurses and hospital staff. To help your loved one make the best decisions about his or her care and treatment, follow the advice in the Caregiver list at right. While you are making sure that your loved one’s needs are being met, don’t neglect your own. Caregiving is a stressful and time-consuming job. You may neglect your diet, your normal exercise routine, and your sleep needs. You may find that you have little or no time to spend with friends, to relax, or to just be by yourself for a while. But downtime is important. Don’t be reluctant to ask for help in caring for your loved one. Take advantage of friends’ offers to help and look into local adult daycare programs. Find out more about how you can ease the stress of caregiving at www.caregiver.org.
©2015 PatientPoint®
ask questions If your loved one is too ill or reluctant to ask questions, make note of his or her concerns and any you may have and don’t be afraid to speak up (See Speak Up! on page 19).
help track medications Your loved one may be prescribed medications while in the hospital and may be seen by several doctors. Keep track of it all with My Medications on page 48.
what’s next? Will your loved one need home care or care at another facility? Ask to speak with a case manager to find out what your options are.
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Take Care of Yourself Stress and Illness
Having an ill or hospitalized family member can be a stressful experience. One can become anxious, worried, fearful and restless. There may be uncertainty about a loved one’s condition or prognosis. One can be overwhelmed with medical terms, treatments and information. The stress that uncertainty and fear can bring is normal – although it feels anything but. Here are some common stress-related symptoms and what you can do to combat them:
Sleep
Symptoms of stress: sleep deprivation in a time of anxiety and crisis, inability to fall asleep, frequent wakefulness once asleep, fear of falling asleep Effects of sleep deprivation: increased anxiety/depression, memory problems, difficulty understanding information, short attention span, depressed immune system and ability to fight off illness What you can do: Consistently try to sleep, at night, in a quiet environment. Go home, if possible, to your own bed. You may be able to stay in the room with the patient in some areas of the hospital. Staying in the waiting room is acceptable if the patient’s condition is critical. However, this is not ideal, as you will need rest. You may be eligible to stay in the Wellmont McGlothlinStreet Hospitality House (see page 8 for details.) Some area hotels also provide discounted rates for families who have a loved one in the hospital, including Hampton Inn (423-764-3600) and the Days Inn (423-968-9119). 36
Nutrition
Symptoms of stress: not feeling hungry, nausea, difficulty swallowing Effects of not eating well: reduced nutritional status, hypoglycemia, dehydration What you can do: Eat at regular intervals. Eat small meals regularly, and avoid snacking on empty calories. Pay special attention to your dietary needs if you are diabetic or on a special diet. And try and engage in regular exercise. (For information about dining options in the hospital, please see page 13.)
Anxiety
Symptoms of stress: irritability with others, inability to concentrate, inability to complete a task, feeling afraid all the time Effects of stress: headaches, trouble thinking clearly, feeling tired or depressed What you can do: Rest, regular eating and maintaining a regular routine, if possible, will reduce anxiety. Minimize your use of medications for anxiety, as these can be addictive and have side effects that can make things worse. Know that anxiety is normal in this situation.
: (423) 844-1121 www.wellmont.org
Resources The following section details some common terms and resources you may find useful during your stay.
specialists; provides expertise in brain and spinal cord disorders Obstetrician/Gynecologist – women’s health specialist Team Members and Roles Oncologist/Hematologist – Physicians and Mid-Level Providers cancer and blood disease specialist Attending Physician: The physician Pediatrician – children’s who admits the patient. This physician health specialist coordinates the medical care of the Psychiatrist – mental illness specialist patient while he or she is in the hospital. Urologist – urinary tract specialist Consulting Physician: A specialist whom the attending physician consults for evaluation, recommendation and treatment of specific medical problems. Some examples of consulting physician specialists include: Advanced Illness Consultants – often known as palliative care specialists; provide support in progressive disease, pain and symptom management and goals of care Anesthesiologist – anesthesia specialist Algologist – pain specialist; often an anesthesiologist Cardiologist – heart specialist Critical Care/Pulmonologist – lung specialist; often manages the critically ill Infectious Disease – infectious illness specialist Nephrologist – kidney specialist Endocrinologist – gland specialist; provides expertise with illnesses of the pancreas, thyroid, pituitary, etc. Gastroenterologist – stomach and bowel specialist Neurologist – nervous system
Hospitalist Physicians: A physician whose only focus is to take care of patients when they are in the hospital. Hospitalists work in close consultation with the patient’s primary care physician and specialists. They manage a patient’s entire hospital experience, from admission to discharge. There are also several types of surgeon specialists. Some examples include: Cardiovascular – heart and blood vessel surgeon ENT – ear, nose and throat surgeon Gynecology – women’s surgeon Neurosurgery – brain and spinal cord surgeon Oral/maxillofacial – mouth, jaw, and teeth surgeon Orthopedic – bone surgeon Thoracic – lung and chest surgeon Trauma – specialize in treatment of accidental injury Urology – urinary tract surgeon Resident Physician: A physician who has completed medical school and is undergoing advanced general or specialist training.
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Resources Fellow: A physician who has completed a residency program and is in advanced specialty training. Residents and fellows work under supervising faculty physicians. Nurse Practitioners and Physician Assistants: Masters-prepared clinical professionals working under the direct supervision of a physician. Medical Students: Students in their third and fourth year of medical school may have some patient responsibilities. They work under supervising faculty physicians.
Clinical Staff Nurse: A primary nurse is assigned each patient on each shift. He or she provides care in conjunction with physicians. The nurse administers medications and evaluates the effectiveness of both medicines and treatments. The nurse is a liaison between the patient, family, therapists and the physician.
Dietitian: Evaluates patient’s current nutritional status and needs and makes recommendations for diet, supplements or alternative methods of nourishment. If you have questions about your meals or diet, please call ext. 3171. Pharmacist: Provides expertise in recommending medications and determining dose of medications according to the patient’s condition and illnesses. Case Manager: Also known as a social worker, assists with discharge goals and plans, including home health, medical equipment needs, hospice care, skilled or rehabilitation care or nursing home plans. The case manager is a support resource for patient and family needs including insurance issues, finances, advanced directives and family needs.
Advanced Illness Consultants: Nurse practitioners and physicians who support patients and families with advanced, progressive illness. This team provides expertise Respiratory Therapist: Evaluates in symptom management and treats a patient’s oxygen needs and manages the mechanical ventilator and counseling to support decisions regarding goals of care in the intensive care units. The RT and family needs. is directed by a pulmonologist and works closely with nursing Therapist: Speech, occupational to support and manage the patient’s and physical therapists evaluate care. RTs also manage patients and treat patients requiring specific on external breathing machines services. A speech therapist may and administer breathing treatments. be consulted to evaluate a person’s 38
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ability to swallow safely and effectively. Occupational therapists assist in strengthening the upper body and helping patient to care for self in eating, bathing and self-care functional activities. Physical therapists help with ambulation and function of lower body. All therapies may be needed based on patient needs and ability to participate in therapy. Patient Care Technician: Provide personal care such as bathing and toileting and assist in other care needs of patients. PCTs work under the supervision of the primary nurse and can also take vital signs and assist in feeding, ambulation and linen changes.
Other Staff Chaplain: The hospital chaplain and a group of volunteer ministers are available to all patients and their families. A prayer ministry is available for the sharing of prayer with staff members. Please contact your nurse to request those services. A chapel is available on the first floor. Volunteer: Volunteers give thousands of hours each year to our hospital to enhance the care of our patients and their families. They provide support throughout the hospital, including delivering mail and flowers, operating the gift shop, and escorting patients.
Student: Bristol Regional partners with area education institutions to provide opportunities for clinical learning for student nurses, therapists, pharmacists and PCTs. Students are identified on their name badge and work under the supervision of a clinical educator.
Community Resources
Diabetes Treatment Center Wellmont Health System’s Diabetes Treatment Center provides various opportunities for education and diabetes information to assist individuals with improved selfmanagement. An outpatient program is also offered free of charge to hospital patients who obtain a written physician order during their hospital stay and who initiate the program within 30 days of discharge. For more information, please contact the Diabetes Treatment Center by dialing (423) 844-2950 from an outside line or ext. 2950 from your hospital room phone. Healing Therapies At Bristol Regional, we believe healing goes beyond physical care. An important aspect to healing is taking the time to rest and relax. As part of our healing environment, Bristol Regional would like to help you find caregivers who offer a variety of therapies that support and complement traditional medicine. Gillenwater Chiropractic, Acupuncture and Nutrition Center, www.wellmont.org (423) 844-1121 :
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Resources located at 2110 Euclid Avenue in Bristol, Virginia treats the body, mind and spirit. Their gentle approach and natural solutions for many common health issues have improved the lives of many patients in the region. To book an appointment today, please call (276) 669-8683 or visit gillenwaterchiropractic.com Waterfalls of Wellness Healing Network is the Tri-cities premier resource for connecting the community to practitioners who offer the holistic approach to healing. Their website offers a listing of local classes, workshops and events that provide first-hand knowledge on the benefits of alternative therapies. For more information, please call (423) 202-5306 or visit wowhealing.org.
Home Healthcare After your stay in the hospital, your doctor may decide you will need additional help with your healthcare needs at home. Wellmont Health System has partnered with Advanced Home Care to provide you with highly trained and professional nurses, therapists and other healthcare personnel to help you with the healing process in the comfort of you own home. Medication assistance, IVs, wound care, nursing care, physical therapy and assistance with personal care are just a few of the services our home care staff can provide. If you feel you 40
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will need additional help when you’re home, please speak with your doctor or case manager.
Home Medical Equipment Many patients may need an item such as a wheelchair, walker, adjustable bed, oxygen concentrator, bedside commode, or other equipment whey they are ready to go home. Wellmont offers Advanced Home Care to patients who need these services. Home medical equipment can be delivered to you while you are a patient in the hospital, or staff members will come to your home to help set up equipment for you. Advanced Home Care also has two convenient walk-in locations to serve you: 951 Highway 126 Bristol, TN 37620 (423) 844-6840 2971 Fort Henry Drive Kingsport, TN 37664 (423) 378-7330 Reach both locations toll free by calling (800) 868-8822.
Marsh Regional Blood Center Marsh Regional Blood Center is the sole supplier of blood and blood products for 22 regional medical facilities in Northeast Tennessee and Southwest Virginia, including Bristol Regional Medical Center. With more than 60 years’ experience and state-of-the-art
technologies for blood and platelet donation, Marsh Regional collects, processes, and distributes more than 25,000 units of blood annually. Anyone who is at least 17 years of age, weighs at least 120 pounds and is generally healthy is encouraged to donate blood at Marsh Regional’s collection center, located on State Street in Bristol, Tenn. Individuals who have had a cold, sore throat, fever, flu or fever blister within the past three days should not donate. Blood donors should eat a well-balanced meal and drink plenty of fluids within four to six hours before their visit. For more information about donating blood and how each donation can save as many as three lives, please visit www.marshblood.org or call (423) 844-3131.
The Rehabilitation Hospital of Southwest Virginia Bristol Regional Medical Center and HealthSouth Corp. have partnered to open The Rehabilitation Hospital of Southwest Virginia. This agreement between Bristol’s leading hospital and the national leader in rehabilitation brings exceptional rehabilitative services closer to home for Bristol and Southwest Virginia. This state-of-the-art rehabilitation facility, which shares a campus with Wellmont Health System’s Ridgeview Pavilion and occupies the building formerly home to Bristol
Memorial Hospital, offers convenient access to comprehensive, high-quality rehabilitative services. The hospital operated by HealthSouth, features 17 private rooms and four semi-private rooms. Rehabilitative services are an essential component for patients who are recovering from a range of injuries, including: n Amputations n Brain and spinal cord injuries n Cardiac and pulmonary conditions n Orthopedic procedures n Strokes The Rehabilitation Hospital of Southwest Virginia also plays an important role for patients served by Bristol Regional’s primary stroke center, the region’s first Joint Commission-certified primary stroke center. For more information, please call (276) 642-7900.
Wellmont Hospice House The Wellmont Hospice House is the first freestanding facility in Tennessee to offer specialized service and support for those whose illness no longer offers the possibility of cure. Located on the campus of Bristol Regional Medical Center, the Hospice House encompasses 12,000 square feet, with eight spacious patient rooms, a great room, chapel, kitchen, dining areas, and areas for quiet meditation. The facility provides care for terminally ill patients with specific short-term needs such as respite care for patients www.wellmont.org (423) 844-1121 :
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Resources when caregivers need a rest, acute care for patients when symptoms are difficult to manage at home, and care for patients when they are in their final days of life. It serves as an extension of Wellmont’s exceptional home-based hospice program.
Wellmont Lifeline – Medical Alert Service For patients who are returning home but still feel like they need the security of an on-call nurse, Wellmont Lifeline can provide help at the push of a button. In an emergency situation, Lifeline works with an existing telephone and offers all the benefits of 24-hour personal response with two-way communication. Lifeline works throughout your home, in your yard and up to 700 feet from the base unit. Wellmont Lifeline can help you maintain your independence once you leave the hospital and return home. Discover why Wellmont Lifeline is the nation’s No. 1 medical alert service. To order Wellmont Lifeline or for more information, please call (877) 230-NURSE. Wellmont Urgent Care Located at Exit 19 off Interstate 81, Wellmont Urgent Care treats everything from minor illnesses to heart conditions. This facility also offers onsite physical therapy and occupational medicine. People can receive preemployment physicals, department of transportation testing, drug screens, worker’s compensation care and ergonomic examinations of workplaces. 42
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No appointments are necessary. Located at 24530 Falcon Place Drive, Suite 100, in Abingdon, Virginia, Wellmont Urgent Care is open from 8 a.m. until 8 p.m. weekdays and from 10 a.m. until 6 p.m. Saturdays and Sundays. For more information, please call (276) 619-0075.
YWCA Adult Day Services If you have a loved one who needs daily assistance, but does not require 24-hour nursing care, the YWCA’s daytime eldercare program can help. The goal of the program is to help families keep their loved ones at home as long as possible, as well as preserve their level of functioning. YWCA Adult Day Services provides caregivers respite and peace of mind – enabling them to work, run errands and tend to personal needs. It provides patients socialization and stimulating activities in a homelike environment; assistance for isolated or mentally confused adults; inter-generational activities with children from the YW Children’s Center; and breakfast items, a hot lunch and snacks. For more information, please contact YWCA Bristol at (423) 9689444 or visit www.ywcabristol.org.
Hotlines & Helplines
Wellmont Nurse Connection Wellmont Nurse Connection is a free service provided by Wellmont Health System. The experienced nurses staffing this 24-hour hotline are available to assist residents with healthcare needs such as:
n Finding a doctor – We can assist
with finding a physician to meet your needs, including location and office hours, insurance plans accepted, specialty and treatment philosophy, gender, and other special requirements. n Locating community resources and health information – Obtain health information and find resources and services in your community such as class and screening information and registration, support groups and urgent care. n Getting answers to healthcare questions – Our nurses are RNs with many years of healthcare experience. Contact them at Wellmont Nurse Connection or visit our website at www.wellmont.org for health information. n Assessing your symptoms – Not sure what to do next? We can help advise whether to call 911, contact your physician, or try a treatment at home. Reach Wellmont Nurse Connection 24 hours a day, seven days a week at (423) 723-6877 or toll-free at (877) 230-NURSE.
Caregiver Resources
www.aoa.gov Caregiver resources from the Administration on Aging www.caregiving.com Online support groups and articles on caregiving Eldercare Locator (800) 677-1116; www.eldercare.gov Help with locating aging services throughout the U.S. 800-MEDICARE www.medicare.gov Official U.S. government site for people with Medicare National Alliance for Caregiving www.caregiving.org Support for family caregivers and the professionals who serve them National Family Caregivers Association (800) 896-3650, www.nfcacares.org Support for caregivers of chronically ill, aged, or disabled loved ones
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Giving Back Volunteer Volunteers contribute many hours of service. They deliver the mail, transport patients, and work in the gift shop and at the information desk. In addition, volunteers are stationed in the surgery area, cancer center and throughout the hospital as they assist every department with special projects. If you or a family member are interested in becoming a volunteer for Bristol Regional, please call (423) 844-2831 for more information.
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Helping Us Help Others
Giving back to our community and assisting those in need is very much a part of our commitment to service. Through generous contributions made from friends and members of our community, the Wellmont Health System Foundation has been able to support a multitude of services which benefit our patients. Advancements including the region’s only CyberKnife, the da Vinci robotic surgery system, the Wellmont Hospice House, the McGlothlin-Street Hospitality House, the Wellmont Child Development Center, the Jackie Leonard Infusion Center, and the J.D. and Lorraine Nicewonder Cancer Center were made possible thanks to generous support from community donors. If you would like to pledge a gift to the Wellmont Foundation to benefit any of its worthy causes, you may visit the foundation office on the first floor of the West Office Plaza across from the radiology waiting area, or you may make your pledge using an online form by visiting www.wellmontfoundation.org. Upon receipt of your donation, an acknowledgement card will be sent to the person you indicated to honor and a charitable gift receipt will be sent to you. If you have any questions or would like to speak to a foundation staff member regarding your donation, please contact our office in Kingsport at (423) 230-8555.
: (423) 844-1121 www.wellmont.org
Hospice Care Hospice care is designed to provide compassionate, professional care in an outpatient, home care setting to those who have a disease that no longer benefits from aggressive treatment. A patient may have exhausted all available treatment options or made the choice to change the focus of care to comfort and quality of life. Recognition of life-limiting disease does not have to mean the end of hope. Through hospice care, patients and their loved ones can make choices that celebrate life. They can hold onto the hope of living as fully and comfortably as possible. And they can live well, with grace and dignity, to the end. Hospice services are designed to provide comfort through every stage a patient may experience, both early in the disease process and later, when needs become more urgent or demanding. Care is tailored to the needs of the patient, continually evaluated and modified as those needs change. Hospice services may include: n Skilled nursing care, including thorough assessment of patient needs, on a regular basis, with 24-hour, seven-day-a-week on-call availability n Arrangements for medical equipment as needed n Assistance with medication expenses associated with the life-limiting disease n Home hospice aides for assistance with personal care/hygiene needs n Social work services to help coordinate resources and support needs, as well as life review, life-issue resolution and end-of-life preparations n Counseling services, including emotional and spiritual support n Bereavement support for families and caregivers
As a member of the National Hospice and Palliative Care Organization, the Tennessee Hospice Organization and the Virginia Hospice Association, Wellmont Health System is widely recognized for providing caring and compassionate service to patients and families throughout the region. Wellmont Hospice is pleased to offer inpatient care to our patients at all Wellmont hospitals as well as the Wellmont Hospice House in Bristol, Tenn. Wellmont Hospice provides care and eases the burden for patients facing a life-limiting disease.
For more information regarding hospice options, please call (423) 844-5252.
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First Floor Map
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Ground Floor Map
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IMMANUEL KANT 1724-1804
Science is organized knowledge. Wisdom is organized life.
Rx Bring your medication list to every doctor visit!
My Medications
Keep track of all medications you are prescribed while in the hospital. When you get home add all other medications—including over-the-counter, vitamins and herbs—to this list. Update your list as needed.
Medication:______________________________________________________________ (include brand and generic names)
Dose: Take _______ times per day at (circle all that apply): 12–1 a.m. / 2–3 a.m. / 4–5 a.m. / 6–7 a.m. 8–9 a.m. / 10–11 a.m. / 12–1 p.m. / 2–3 p.m. / 4–5 p.m. / 6–7 p.m. / 8–9 p.m. / 10–11 p.m. Reason for taking:__________________________________________________________ Prescribed by:______________________________ Date started:_____________________ Pharmacy name and number:____________________________ /_____________________ Medication:______________________________________________________________ (include brand and generic names)
Dose: Take _______ times per day at (circle all that apply): 12–1 a.m. / 2–3 a.m. / 4–5 a.m. / 6–7 a.m. 8–9 a.m. / 10–11 a.m. / 12–1 p.m. / 2–3 p.m. / 4–5 p.m. / 6–7 p.m. / 8–9 p.m. / 10–11 p.m. Reason for taking:__________________________________________________________ Prescribed by:______________________________ Date started:_____________________ Pharmacy name and number:____________________________ /_____________________ Medication:______________________________________________________________ (include brand and generic names)
Dose: Take _______ times per day at (circle all that apply): 12–1 a.m. / 2–3 a.m. / 4–5 a.m. / 6–7 a.m. 8–9 a.m. / 10–11 a.m. / 12–1 p.m. / 2–3 p.m. / 4–5 p.m. / 6–7 p.m. / 8–9 p.m. / 10–11 p.m. Reason for taking:__________________________________________________________ Prescribed by:______________________________ Date started:_____________________ Pharmacy name and number:____________________________ /_____________________ Medication:______________________________________________________________ (include brand and generic names)
Dose: Take _______ times per day at (circle all that apply): 12–1 a.m. / 2–3 a.m. / 4–5 a.m. / 6–7 a.m. 8–9 a.m. / 10–11 a.m. / 12–1 p.m. / 2–3 p.m. / 4–5 p.m. / 6–7 p.m. / 8–9 p.m. / 10–11 p.m. Reason for taking:__________________________________________________________ Prescribed by:______________________________ Date started:_____________________ Pharmacy name and number:____________________________ /_____________________
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©2015 PatientPoint®
SCOTT R. MILLER, D.D.S. & ASSOCIATES PROSTHETIC AND IMPLANT DENTISTRY Dr. Scott Miller and Dr. Chris Davenport are currently accepting new patients. This office works hard to accommodate any emergencies that may arise at any time; patient health and well-being is our number one priority. When you visit our office, you will experience all that modern dentistry has to offer in a comfortable clinical setting where we answer all your clinical and financial questions before beginning any treatment.
HIGH STANDARDS
A standard of excellence in personalized dental care allows us to provide the quality dental services our patients deserve. We provide comprehensive treatment planning and use restorative and cosmetic dentistry to achieve your optimal dental health.
A POSITIVE EXPERIENCE
Building a foundation of trust by treating our patients as special individuals is vital to our success. We understand how uneasy some patients may feel about their dental visits, and how we can make a difference in providing a relaxing and positive experience. Our entire team is dedicated to providing you with excellent, personalized care and service to make your visits as comfortable and pleasant as possible.
Thank you for voting us #1 Dental Office in Washington County and Bristol for 2015!
15325 Lee Highway • Bristol, VA 276.466.9800 • horizondental@bvu.net
Providing Home Health in Southwest Virginia since 2008. At Avery Home Health, we focus 100% of our time, attention, and efforts into giving our patients the highest quality of care possible. We develop YOUR plan of care based on YOUR specific needs. Taking this approach ensures that we consistently rank above our competitors and the national average in terms of quality of care given (according to a Medicare Compare survey). Our services include but are not limited to: IV Therapy Physical Therapy Wound Care Occupational Therapy Diabetes Management Medical Social Work Ostomy and Urostomy Care Speech Therapy PROLASTIN®-C Infusions Behavioral Health Cinryze® Infusions Nursing