Inpatient Guide Khoo Teck Puat Hospital
Contents Registration for Admission......................................................................... 1 During Your Stay.......................................................................................... 2 Daily Routine in the Ward............................................................................ 3 Safety Guide ................................................................................................ 5 Preventing Falls in the Hospital ����������������������������������������������������������������� 7 Ward Visitors ............................................................................................. 10 Patient Care Partnership .......................................................................... 12 Your Discharge Journey............................................................................ 13 Getting Around the Hospital ..................................................................... 18
Registration for Admission Registration for admission will be done at the Acute & Emergency Care Centre (A&E) or in the wards. Financial counselling will be provided to inform you of your estimated bill size.
If you have any of the following documents, please bring them along:
Availability of beds Our hospital is experiencing very high patient load. To allow us to start treatment for patients, we seek your understanding that you may be assigned to a trolley bed until a hospital bed is available. Documents to bring For your admission registration, please bring the original copy of the following documents: •
Admission Authorisation Form
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NRIC / Birth Certificate / Passport / Employment Pass / Work Permit / Student Pass
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Completed Medisave Authorisation Form
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Medisave Account Holder’s NRIC
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Civil Service Concession (CSC) Card
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Medical Benefits Identification Memo (MBIM)
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Certificate of Service Injury (CSI)
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Hospitalisation Identity Card (HIC)
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Letter of Guarantee (LOG) from your employer
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Blood Transfusion Services Regular Blood Donor / Nominee Card
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Kidney Donor Card
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Other Concession Cards
Identify a Nominated Spokesperson A patient’s medical condition will only be disclosed to the nominated spokesperson. This would preferably be done in person or via a call if he/she is unable to meet face to face.
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During Your Stay What to bring
Do not bring
Pyjamas We provide these but you may wish to bring your own. If you have excessive cash, valuables & personal mobility device (PMD) including personal mobility aid (PMA), please arrange for them to be taken home or inform the nurses.
Fitting footwear We recommend footwear with non-slip soles.
Your meals Take sufficient food to meet your nutritional needs. The hospital offers a selection of Chinese, Indian, Muslim, Western and vegetarian menus. We will check with you on your choice of diet and once chosen, it will not be changed unless advised by care team.
Personal toiletries You may wish to bring your toothbrush, toothpaste, soap and shampoo. Protect your belongings The hospital will not be responsible for any loss of personal belongings or valuables kept in the ward/room: • Spectacles • Dentures/false teeth • Prosthetics/artificial body parts • Footwear • Personal electronic devices • Personal medical equipment (e.g. hearing aid, splints, crutches or walking frame)
For patients with specific needs, we also prepare personal therapeutic diets as advised by the dietitians.
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Daily Routine Daily Routinein inthe the Ward KTPH Ward
TheThe above chart chart is a guide may be may subject change. above is a and guide and be to subject to change.
12 - 2pm
11.30am - 12.30pm Lunch
Visiting Hours 1.15pm
11 - 11.30am Pre-meal Medications
Shift Handover
Sweet Dreams
9.30am onwards Shower 9pm
Daily Ward Activities
Shift Handover
9 - 11am Doctors’ Rounds/ Investigations
7 - 8pm Snacks & Medications
4 - 5pm Doctors’ Rounds/ Investigations
5 - 8pm
5 - 6pm Dinner
8.30 - 9.30am Breakfast & Medications
2 - 3pm Snacks & Medications
5 - 5.30pm Pre-meal Medications
7.30am Shift Handover Rise & Shine
Visiting Hours
Start Here
Take ownership of your health We encourage you to participate actively in your care and ask questions if you are in doubt regarding your diagnosis, treatment plan and preliminary date for discharge. 3
Nurse Call System Please make use of the call system to alert us if you need any assistance.
The call bell can be found by your bedside.
Press the red/orange button for assistance.
Medication Rounds During medication rounds, it is important for our nurses to serve the correct medications to patients. These nurses will don a vest that indicates “Serving Medication – Please Do Not Disturb”. Please seek assistance from other nurses if necessary. Consume only medications given to you by our nurses, and take them promptly when served. Pain management If you are in pain, please inform our care team before it becomes unbearable. It is easier to prevent a small amount of pain from increasing than to reduce pain that has reached a severe stage. 4
When you are in the restroom, pull the red cord lightly to call for assistance.
Safety Guide
For a safe stay, please observe the following: Identification wristband Please wear it at all times. 2
Fire safety If you discover or suspect that there is a fire: • Raise the alarm by breaking the glass of the nearest fire alarm call point. • Inform our staff and follow the instructions given to you.
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1. The Real Time Location System tag allows for locating of patients 2. An identification wristband with your name and NRIC will be given to you.
If you hear an alarm: • There will be a public announcement after the alarm goes off. Please listen to the announcement and follow the instructions given by our staff. • You may be directed by our staff to evacuate the premises. Please follow the instructions given by our staff and do not re-enter the premises without permission.
3. Green band is for patients with risk for falls
4. Red band is for patients with drug allergies Correct verification You will be asked for your name and identification number at various care delivery points, e.g., medication serving.
Smoking Smoking is not allowed on the hospital compound. We seek your co-operation to help us maintain a healthy, smoke-free environment. For those caught smoking, the composition fine of $200 may be imposed. 5
How do diseases spread? Diseases that are caused by germs such as bacteria and viruses are spread through: •
Contact – When a person’s hand touches someone who has the disease.
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Droplets – When an infectious person coughs or sneezes droplets containing viruses are produced. A person who is up to 2 metres away may then breathe in the droplets and become infected.
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Always wash your hands: • Before and after visiting patients
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Alcohol-based hand sanitizers are at the foot of each patient’s bed or at the entrance to their room.
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Before and after preparing food or eating
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After using the toilet
In the wards, please switch your phone to silent mode to avoid disturbing other patients.
How can I protect myself and others? Keep your hands clean This is the most important thing you can do to help stop the spread of infections. All patient care areas have a sink with a soap dispenser.
When arriving and leaving the ward
Mobile phones The use of mobile phones in the Intensive Care Units is prohibited as they can interfere with medical equipment. Please switch off all mobile phones when you are in these patient care areas.
Airborne – When an infectious person coughs or sneezes very small particles containing viruses can be released into the air. These stay in the air for long periods so other people can breathe them in without being close to the infected person.
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Medical devices Do not try to remove or adjust any devices around or on you without seeking approval from our nurses.
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Preventing Falls in the Hospital
Each year, about one-third of older adults above 65 years old experience a fall. The risk of falls increases with age and in hospital when you are sick. It is important to avoid situations which can put you at risk of a fall.
Press the call bell for assistance or whenever you need to get out of bed.
Sit and stand up slowly. You may feel dizzy if you stand up too quickly. Allow our nurses to help you to the toilet.
If your pants are too long, roll up the bottoms until they are ankle length. Ask a staff or relative to help if you are unable to do it.
Rest in bed for at least 6 hours after surgery. Press the call bell for help. 7
Do not attempt to lower the bed rail on your own.
Do not climb over the bed rails to get out of bed.
Do not retrieve items beyond your reach.
Do not use the bedside tables or drip poles for support. Do not get up on your own if you are feeling giddy or wearing a green wristband.
Do not stand on the footrest of a wheelchair or commode. It will topple over. 8
Ward Visitors To ensure the safety of your loved one, visitors should remember to:
Place the call bell within the patient’s reach
Raise the bed rails
Accompany your loved ones if they are restless or confused
Inform the nurses when you are about to leave
Please approach our staff should you require any assistance. Thank you for your cooperation and understanding. Let’s work together to prevent falls!
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Ward Visitors To enable your loved ones to recuperate well and for their safety, we seek your support to follow these visitation measures. All ward visitors are required to do a one-time registration on-site at the hospital.
Maximum 2 visitors Each patient may have a maximum of 2 visitors at the bedside at any one time during visiting hours.
This registration will be valid till the patient’s discharge. If the patient is transferred from KTPH to YCH or vice versa, visitors are required to register again.
If the visitor quota for the patient is exceeded, visitor will be informed via SMS at the gantry and placed on the waiting list. Once a slot is available, the visitor will be informed via SMS to proceed to the gantry.
Please have this information ready for registration: • Visitor’s name, NRIC number and mobile number • Patient’s name, ward & bed number Visiting hours • 12pm - 2pm and • 5pm - 8pm
Mask up Visitors must bring their own masks and ensure the mask is worn at all times.
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Visitors’ Dos & Don’ts in the Wards
Hand hygiene Keep your hands clean by washing your hands before and after visiting by using the soap or hand sanitizer.
Wearing protective gear You may be asked to wear protective gear according to patients’ precaution level. Take extra care if you feel unwell.
Infection control and safety Visitors are not allowed to eat or drink, sit on patients’ beds and use patients’ toilets in the wards.
Children in the wards Children aged 12 and below will not be allowed entry, for infection control and safety reasons.
Patients’ confidentiality Please note that photography and videography are not allowed in the wards.
For all patients’ comfort Keep the noise level down, so that other patients can rest.
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Patient Care Partnership If you are a caregiver who is worried about your loved one’s care needs after discharge, the Patient Care Partnership (PCP) programme will empower you to actively perform caregiving duties for your loved ones in the ward and ensure their readiness for post-discharge care. By partnering together, we can help provide the best care outcome for your loved one.
What does this PCP programme involve? • You will be granted access to stay in the ward beyond visitation hours to take care of your loved one • Our nurses will train you to manage your loved one’s specific care needs • You will gain confidence with the hand-on practice with the caregiving tasks • You will receive a certificate for completing the Caregiver Training
How will this help me and my loved one? This training will equip you with the essential knowledge and skills to facilitate your loved one’s smooth transition from hospital to home. Who should join? • Caregivers who require training to provide care • Caregivers whose loved ones require assistance with: » Activities of Daily Living - washing, dressing, feeding, toileting, mobility or transferring » Risk of falls » Managing behavioural concerns » Wandering » Skin or wound care » Or other care needs
How do I join? Simply reach out to the ward nurse to enquire and they will assist you further!
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Your Discharge Journey Social overstaying We seek your understanding that our hospital beds are intended for patients requiring acute care.
Going home Your doctor will advise when you can expect to be discharged. Our care team will work with you and your family to plan for your continued care after discharge. If you are unable to be discharged home, we will share the options and work together to identify the most suitable discharge destination.
Patients who continue to extend their stay in the hospital after being certified fit for discharge and assessed to have feasible discharge options (including TCF) will be considered social overstayers. They will no longer enjoy any form of subsidy and will be charged for the full cost of the extended stay. Please refer to our website for more information on the Social Overstayer Policy.
For your safety, we advise that you have a relative or friend accompany you home. If you are going home alone, please inform our nurses. Planned discharge destinations □ Home □ Center-based care □ Institution If you are medically fit for discharge but your planned discharge destination is not ready, our care team will also walk you through the transfer to an interim care facility such as the Transitional Care Facility (TCF). The TCF is a step-down care facility with medically trained professionals, and you can reside there temporarily while waiting for long-term care arrangements, e.g. caregivers, nursing homes or community/home services.
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Upon discharge You will be directed to the Discharge Lounge (Tower A, Level 1, next to Patient Service Centre) to rest comfortably while we prepare for your hospital discharge. You may enjoy amenities such as refreshments and newspapers in the air-conditioned comfort of the Discharge Lounge.
Your ward class status upon discharge will determine your followup charges at the SOC. If you are discharged under class A or B1 ward, you will be seen as a private patient. If you are discharged under class B2 or C ward, you will be seen as a subsidised patient.
You can access medical documents and upcoming appointments in your HealthHub App for more information.
Hospital charges To find out more about our hospital charges as well as the financial assistance and subsidies available, please scan the QR code below.
Before you leave, you will be advised on the following where necessary: • A Discharge Summary and Medical Certificate • Self-care information or instructions • Referrals for care arrangements or follow-up treatment • A follow-up appointment at the Specialist Outpatient Clinic (SOC) • Medication dispensed by our pharmacist who will advise you on its use
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On the Day of Your Discharge
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1 On your day of discharge, our porter will bring you to the discharge lounge at KTPH Tower A, Level 1.
We will inform your next-of-kin to meet you at the discharge lounge.
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Once your medication is ready, we will inform you to go to the pharmacy.
You are ready to return home after you have collected your medication.
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Notes
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Notes
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Getting Around the Hospital
Services
Location
ATM
Tower C, Basement 1
AXS Machine
Tower C, Basement 1 Tower D, Level 1
Retail Shops & Food Outlets
Tower B, Level 1 & Basement 1
Pharmacy
Tower C, Level 1
Food Court 1
Tower C, Level 1
Food Court 2
Tower D, Level 2
Yishun Health is a network of medical institutions and health facilities of the National Healthcare Group in the north of Singapore. It comprises Khoo Teck Puat Hospital, Yishun Community Hospital and community extensions such as Admiralty Medical Centre and Wellness Kampung. Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.
IP.MN.01.1023