Medical City Weatherford

Information For Patient & Visitor

Patient Guide Leaving The Hospital

Your Discharge Checklist pg. 24

Be Aware of Your Care

Speak Up!™, Stay Safe, Here’s How! pg. 12

Understand Your Medicines

Help Prevent Medicine Errors pg. 18

Identify Your Care Team Color - Coded Scrubs & Uniforms pg. 7

Weatherford

WWW.THECENTERTX.COM 817.759.7000

920 Santa Fe Dr. Weatherford, TX 76086

HOPE IS HERE

Appointments

817-599-3690

Visit us online: ncturology.com

SETTING THE NEW STANDARD FOR ONCOLOGY CARE FORT WORTH CENTRAL CAMPUS • FORT WORTH SOUTHWEST • ARLINGTON • WEATHERFORD BURLESON • GRANBURY • MINERAL WELLS • STEPHENVILLE

North Central Texas Urology is dedicated to providing quality, compassionate and accessible pa�ent care for adult and pediatric urological issues.

M.D., F.A.C.S., MBA, MHSM

Men’s Services Include: Prostate Condi�ons • Kidney Stones • Vasectomy Genitourinary Cancers • Impotence • Male Infer�lity Evalua�on & Management

NUTRITION COUNSELING

CLINICAL TRIALS

Serving our community in 5 convenient loca�ons: Weatherford • 831 E Eureka St. Mineral Wells • 202 SW 25th Ave., Ste. 500 Granbury • 2003 Rockview Dr. Glen Rose • 1021 Holden St. Stephenville • 561 N. Graham St.

Skilled Nursing | Rehabilitation

The heart of nursing care is here.™

SPIRITUAL SUPPORT

INTEGRATIVE MEDICINE CLINIC

QUALITY OF LIFE SPECIALIST

(817) 598-0160 CyberKnife ® RADIATION ONCOLOGY

CANCER PREHAB

PHARMACY SERVICES

SUPPORT GROUPS MASSAGE & ACUPUNCTURE THERAPY

GENETIC COUNSELING FINANCIAL SERVICES

Robyn R. Young, MD

Society Memberships:

- American & Texas Medical Associa�ons - Texas Urological Laparoendoscopic Surgeons Society - American Associa�on of Clinical Urologists - American College of Healthcare Execu�ves - American College of Physician Execu�ves

BOARD CERTIFIED DOCTORS & SURGEONS

ADVANCED RADIOLOGY

Nicole Bartosh, DO, MS

Avi T. Deshmukh

Women’s Services Include: Incon�nence • Bladders Issues • Laser Lithotripsy UTI Evaluation • Bladder & Kidney Cancer Evalua�on & Management

Mary Ann Skiba, DO

Ray D. Page, DO, Ph.D., FACOI

1201 Holland Lake Dr. Weatherford, TX 76086

(817) 924-5440 4201 Stonegate Blvd Ft Worth, TX 76109

(817) 408-3800 1300 Second St. Granbury, TX 76048

Find out more today.

Senior-Care-Centers.com

Heart Center of North Texas Leaders in Heart Health

Gary Young, MD

Heather Goddard, Rachel Pricer RN, MSN, FNP FNP-C Bottom row: Left to right - Carrie Platt,FNP-BC: Katie Marcinowski, PA-C; Jo Ann Myers, PA-C; Alla Havens, NP-C Center Row: Left to right – Farhan Ali, MD; Amir Malik, MD; Srujana Chakilam, MD; George Khammar, MD Top row: Left to right – Michael Clark, PA-C ; Lorren Mott, MD; Akif Mohammed, MD; Stephen Newman, MD; Aleem Mughal, MD

(817) 334-2800 www.hcntx.com

WELCOME!

Thank you for choosing Medical City Weatherford (MCW) for your healthcare needs. Our goal is to provide you with compassionate, patient-centered care and exceed your expectations while you are a patient with us. During your stay, you will be cared for by a team of physicians, clinicians and nurses.

You and your family members are also part of the team, and we encourage you to participate in the care planning process. If you or your family members have any questions or concerns, please bring them to our attention.

Medical City Weatherford Additional Facility Locations:

Sincerely,

Sean Kamber, FACHE Chief Executive Officer Medical City Weatherford

Mission & Values

What’s Inside Mission & Values

1

Above all else, we are committed to the care and improvement of human life

Hospital Services

2

Using Your Phone

3

Important Numbers

3

Rapid Response

3

Patient Satisfaction

4

Vision The Destination of Choice for Healthcare Excellence

Values

A – Accountability Responsible for aligning performance, communication and appearance with the Mission, Vision, Values and policies of the organization L – Leadership Promotes an environment of servant leadership, recognition and innovation by demonstrating exemplary behavior, communication, and performance W – Willingness Takes responsibility to maintain a high level of competency and show flexibility to daily challenges and changes

Medical City Wound Care 730 E. Eureka Weatherford, TX 76086 Phone: 817-596-7000 Fax: 817-596-7008

A – Attitude Shows compassion and enthusiasm towards patients and co-workers that promotes problem solving and team work

Medical City Surgery Center 905 Eureka Weatherford, TX 76086 Phone: 817-598-8100 Fax: 817-598-8101

Y – “You First” Places the needs of patients first to provide respectful, high quality care S – Safety Demonstrates a commitment to patient and employee safety and privacy

Medical City Imaging 1429 Clear Lake Rd., Suite 400 Weatherford, TX 76086 Phone: 817-341-3500 Fax: 817-599-1441 Solis Mammography – A Dept. of Medical City Weatherford 914 Foster Lane Weatherford, TX 76086 Phone: 866-717-2551 Fax: 817-599-1441

On behalf of the entire team at Medical City Weatherford, please accept our best wishes for your good health. We take pride in offering you quality care close to home, and we appreciate your decision to entrust your care to us. Whether it’s a diagnostic test, the birth of your child, or an outpatient or inpatient medical or surgical stay, we want to be your preferred hospital.

Medical City Rehabilitation Institute 879 Eureka Weatherford, TX 76086 Phone: 817-596-2700 Fax: 817-596-2702

The editorial content of this guide is the sole responsibility of Patient Engagement Solutions, LLC®. It is intended only for educational use.

Please speak with your doctor before making any lifestyle or treatment changes. The people shown in the patient guide are models and are not known to have any health conditions.

Images are for illustrative purposes only. © 2018-19 Patient Engagement Solutions, LLC®.

Engage-Patients.com, 844-863-6424.

Medical City Weatherford is not, in any way, responsible for the advertisements in this patient guide. Medical City Weatherford makes no representation or endorsement of any kind related to the advertised services, entities, or businesses. Medical City Weatherford receives no remuneration in exchange for any advertisement.

What Is HCAHPS? 4 Let Us Know!

4

Advance Directives

5

For The Caregiver

5

Identify Our Staff

6

DURING YOUR STAY

8

Intensive Care Unit 8 Calling Your Nurse 8 Your Room 8 Room Temperature 8 Internet/WIFI 8 Your Hospital Bed 8 Public Restrooms 8 Hearing Impaired 8 Interpreters 8 Housekeeping Services 8 Telephone 8 Medications 8 Smoking 8 Patient Meals 9 Cafeteria 9 Subway & Starbucks 9 Vending 9 Television 9 Visiting Hours 10 Visitor Guidelines 10 Oxygen 11 Service Animals 11 Fire Drills 11 Gift Shop 11 Wheelchairs 11 Mail & Flowers 11 Meditation Chapel 11 Leave Valuables at Home 11 Choose a Support Person 11

SPEAK UP!

12

Patient Safety

13

Right ID, Right Care!

Check Staff ID Badge Wash Your Hands!

Your Hands Can Spread Germs!

Help Prevent The Spread Of Infection Manage Your Pain Rate Your Pain Anticoagulant Safety Hospital Falls Call–Don’t Fall!

Understand Your Medicines Look-Alike, Sound-Alike Drugs Drug Interactions Help Prevent Medicine Errors Medicine Minder

13 13 14 14 14 15 15 16 17 17 18 18 18

MISSION & VALUES / CONTENTS

Thank You For Choosing Us

18 19

Patient Rights & Responsibilities 20 Privacy & Your Health Information 21 Language Services

22

Understanding Your Bill

23

KNOW B4 YOU GO!

24

Care About Your Care— Your Discharge Checklist

24

Teach & Show

25

Returning Home

25

After Hospital Care

26

Entertain Your Brain

27

1

HOSPITAL SERVICES

IN-PATIENT: ADVANCE DIAGNOSTICS

PHYSICAL THERAPY

OUTPATIENT:

Using Your Phone

PODIATRY

ADVANCED DIAGNOSTIC SERVICES

When using our hospital phones, dial 9 and then the number for local calls outside the hospital.

PRIMARY STROKE CENTER PULMONARY SERVICES

CARDIOVASCULAR SERVICES

RHEUMATOLOGY

DIALYSIS

RADIOLOGY

EMERGENCY SERVICES

CT, MRI Interventional Radiology Nuclear Medicine Ultrasound, Vascular Ultrasound

COMMUNITY EDUCATION & SUPPORT GROUPS OUTPATIENT IMAGING SOLIS WOMEN’S HEALTH–MAMMOGRAPHY

RESPIRATORY THERAPY

PHYSICAL THERAPY

SURGERY

SPEECH LANGUAGE PATHOLOGY

UROLOGY WOMEN’S SERVICES -- Labor & Delivery -- Newborn Nursery -- OB/Gyn Services --

WOUND CARE

When calling from INSIDE the hospital, dial the last 4 digits for departments within the hospital.

MAIN NUMBER

(682) 582-1000

Emergency Dept.

(682) 582-1400

Gift Shop

(682) 582-1878

Human Resources

(682) 582-1850

Patient Room/ General Information

(682) 582-1000

Volunteer Services

(682) 582-1832

Security (Contact Operator)

(682) 582-1000

WOUND CARE CARDIAC REHABILITATION PULMONARY REHABILITATION

WHEN Should You Call Rapid Response?

MEDICAL NUTRITION THERAPY

ENDOCRINOLOGY

• If you notice a change in the

HEART RATE or drop in BLOOD PRESSURE of the patient

GASTROENTEROLOGY INTENSIVE CARE UNIT

• If you notice any change in

BREATHING or OXYGEN LEVELS of the patient

NEPHROLOGY NEUROLOGY ONCOLOGY ORTHOPEDICS PATIENT EDUCATION Medical City Weatherford offers a variety of support groups and educational classes. Visit MedicalCityWeatherford.com for more information.

2

WHAT Is Rapid Response?

Patients and families can call on our RAPID RESPONSE TEAM to quickly check the condition of the patient and provide help BEFORE there is a medical emergency, such as a heart attack.

HOW To Call Dial 0 for Operator, and place your call light ON. When the operator answers, say, "I need to activate a Rapid Response Team," and one will be sent. If you have questions, please talk to your healthcare staff.

RAPID RESPONSE

-- Trauma Center -- Primary Stroke Center.

The Primary Stroke Center is accredited by The Joint Commission and has achieved Gold Standard Plus recognition from the American Heart Association (AHA)/American Stroke Association (ASA) for its stroke care.

-- Medical City Weatherford has been recognized by The American College of Cardiology as a Chest Pain Center with Primary PCI. We are an elite facility with a staff that understands how to treat patients with chest pain and other heart attack symptoms.

-----

AMBULATORY SURGERY CENTER

Important Phone Numbers

IMPORTANT NUMBERS

Hospital Services

• If you notice a change in URINE

OUTPUT (more or less urine) • If you notice a change in

MENTAL STATUS (such as confusion or irritability) or level of consciousness of the patient • If you have any other SERIOUS

CONCERNS about the condition of the patient

3

PATIENT SATISFACTION

Hospital Compare

We Care, Let Us Know!

WHAT Are Advance Directives?

Your healthcare is our priority. To determine where improvements are needed, this hospital takes part in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.

Hospital Compare is a government website that lets consumers compare the quality of hospital care across the country. The site is managed by the Centers for Medicare & Medicaid Services.

For more information, visit medicare.gov/hospitalcompare.

Our goal is to provide you with the best quality care.

Let us know if you’re getting the care you need:

Advance Directives are legal documents that state your choices about your healthcare if you cannot speak for yourself or are unable to make your own decisions. You do not need a lawyer in order to complete Advance Directives.

This 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.

The Leapfrog Group

What is HCAHPS?

Soon after you leave our care, we may ask you to take the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Please take the time to speak with the representative and share your opinions about your hospital stay. Your feedback is an important part of our goal of improving the care and services we provide.

4

The Joint Commission The Joint Commission develops and administers voluntary accreditation programs outlining performance standards for hospitals and other healthcare organizations. To see reports for all accredited organizations, visit qualitycheck.org.

Additional information about hospitals and their performance can be found at: Healthcare Facilities Accreditation Program (HFAP): hfap.org and DNV GL Healthcare: dnvglhealthcare.com.

responding to your questions and requests?

• How can we improve?

Please speak with your nurse, nursing supervisor or department director if you have any questions or concerns about you or your loved one's care.

The hospital will provide you with: • Information and assistance with your Advance Directives.

• Information about Organ Donation and decisions concerning donation.

If you feel that your issue is still not resolved, contact our QUALITY DEPARTMENT at (682) 582-1792. You also have the right to file your complaint with either:

We will honor your wishes regarding your end-of-life decisions.

THE TEXAS DEPARTMENT OF HEALTH SERVICES P.O. Box 149347 Austin, TX 78714 (888) 973-0022 dshs.state.tx.us

For The Caregiver

THE JOINT COMMISSION Office of Quality & Patient Safety One Renaissance Blvd.

Oakbrook Terrace, IL 60181 (800) 994-6610 www.jointcommission. org/report_a_ complaint.aspx PATIENT PROMISE: We are committed to excellence always: every action, every patient, every time.

While your loved one is in the hospital, you can speak up for them by being their Patient Advocate—the person who will help them 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 below.

• Know what condition your loved

one is being treated for.

• Know your patient rights (pg. 20).

• Know whether or not your loved

one has an Advance Directive and if so, what it says, (pg. 5).

• If your loved one is too ill or can't ask questions, make note of their concerns and any you may have, (Speak up! pg. 12).

WHY Do You Need Advance Directives?

Discussing medical decisions in advance of an illness is the best way to be sure that your wishes are observed.

• Keep track of your loved one's

medications and doctors, (Medicine Minder pg. 19).

• Know if your loved one needs home care or care at another facility. Ask to speak with a case manager to find out what the options are.

While you are making sure that your loved one’s needs are being met, don’t ignore your own.

Caregiving is a stressful and timeconsuming 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 just be by yourself for a while.

But downtime is important.

Find out more about how you can ease the stress of caregiving at Caregiver.org

Having your Advance Directives in order relieves the stress of decision making for your loved ones if you cannot speak for yourself.

• BRING your Advance

Directives with you every time you come to the hospital.

• DISCUSS your Advance Directives with your support person, advocate or loved ones, and review your forms regularly to be sure they are still up-to-date with your healthcare choices.

For more information on Advance Directives and forms, visit CaringInfo.org

More Resources: • Administration on Aging:

AOA.gov • Caregiving.com • Eldercare Locator: (800) 677-1116

or online at Eldercare.gov • 800-MEDICARE or online at

Medicare.gov and search for caregivers.

FOR THE CAREGIVER

Hospital Consumer Assessment of Healthcare Providers & Systems is a survey that measures patients’ thoughts about their hospital experience.

It asks questions based on communication, responsiveness, cleanliness, quietness, pain management, communication about medicines, discharge information and overall hospital rating.

The Leapfrog Group rates hospitals that take part in the Leapfrog Hospital Quality and Safety Survey. The survey measures how well hospitals meet the Leapfrog Group’s quality and safety standards. Survey results are reported on Leapfrog’s website, leapfroggroup.org/ compare-hospitals for users to compare hospitals.

• Are your doctors and nurses

POWER OF ATTORNEY FOR HEALTHCARE: NAMES THE PERSON you have chosen to make medical decisions for you if you are unable to make them for yourself.

This person is also called your healthcare proxy.

LIVING WILL: OUTLINES THE TREATMENT you want to receive at the end of life such as: • Do you want CPR if your heart stops beating?

• Do you want a ventilator if you stop breathing?

• Do you want a feeding tube or IV if you cannot eat or drink?

ADVANCE DIRECTIVES

Your Satisfaction Is Important To Us

• National Academy of Elder Law:

naela.org • National Alliance for Caregiving:

Caregiving.org • Caregiver Action Network:

(202) 454-3970 or online at CaregiverAction.org

5

IDENTIFY OUR STAFF

PHYSICIANS The physician who admits you is responsible for directing your care while you are in the hospital.

HOSPITALISTS In some situations, your treatment program may be provided by a hospitalist. Hospitalists are doctors whose primary professional focus is the general medical care of hospitalized patients. Their activities may include patient care, teaching, research, and leadership related to hospital care. Hospitalists help manage patients through the continuum of hospital care, often seeing patients in the emergency department, following them into the critical care unit, and organizing post-acute care.

NURSES A team of professional registered nurses, licensed practical nurses, and nurse assistants provide 24-hour nursing care. You will be assigned to a floor with staff specially trained to care for you, depending upon your nursing needs. A nurse manager is responsible for directing and coordinating nursing care on each unit. If you have any questions or concerns about your nursing care, contact the nurse manager or dial 0 and ask for the nursing supervisor.

A nursing supervisor is available 24 hours a day.

REHABILITATION THERAPISTS Physical therapists, speech pathologists and audiologists will work with you, your family and your medical team to help meet goals of recovery.

Therapy may range from brief consultation to long-term intervention, based on the extent of your injuries or illness.

TECHNICIANS & TECHNOLOGISTS Skilled health professionals perform and assist with laboratory and other procedures, including X-rays, mammograms, ultrasound, CT scans, MRIs, cardiac catheterization, radiation therapy and other procedures that help in diagnosing and treating your illness or injury.

The COLORS That Identify Our Staff

NURSE ROYAL BLUE

CLINICAL SUPPORT STAFF WINE/MAROON

PROCEDURAL CLINICAL TECH CEIL BLUE

ER TECH TAN

IMAGING TECH STEELE GRAY

LAB TECH CARIBBEAN BLUE

PT/OT/ST THERAPISTS HUNTER GREEN

RESPIRATORY THERAPIST BLACK

PHARMACISTS While you are in the hospital, all of your medications are dispensed by our hospital pharmacists. They can answer any questions you have regarding your medications.

DIETITIANS The hospital maintains a staff of registered dietitians who work to make sure that your nutritional needs are addressed during your stay and your diet is appropriate for your medical condition. They will be happy to answer any questions you may have about your diet, meals, supplements, tube feedings, or intravenous feedings.

CASE MANAGEMENT & SOCIAL SERVICES A case manager or a social worker is assigned to each patient care area and is available to assist you and your family to determine your post-hospital care needs. Services include counseling, discharge planning (referrals to home health, durable medical equipment, longterm care/rehabilitation facilities, and transportation), and follow-up with community, governmental, 6

IDENTIFY OUR STAFF

Identifying Our Staff

and private agencies. For more information, please call the case management office at Ext. 1072.

PASTORAL SERVICES We believe that total patient care demands attention to the spiritual, as well as the physical and emotional needs of each patient. A hospital chaplain and community clergy are available to assist you and your loved ones, whatever your religious tradition.

Your priest, minister, rabbi or imam is always welcome to visit while you are here. The chapel is located on the second floor.

OTHER PERSONNEL Many other healthcare professionals, including personnel from the Laboratory, Cardiopulmonary, Radiology, and Physical/Occupational Therapy, may visit you during your stay. In addition, the Medical City Weatherford team 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.

VOLUNTEERS Volunteers contribute many hours of service and financial assistance to the hospital. They supplement the services of the hospital staff in many ways and can be identified by their uniform and name tags.

7

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.

YOUR HOSPITAL BED Hospital beds are electrically operated, and your nurse 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.

PUBLIC RESTROOMS INTENSIVE CARE UNIT (ICU) IMMEDIATE FAMILY ONLY, ICU visiting hours are 7 am to 9 pm.

CALLING YOUR NURSE The button to call your nurse is located at your bedside.

When you press the button, the nurse’s station is alerted that you need assistance. A staff member will respond to your call as soon as possible.

YOUR ROOM Your room assignment is based on your admitting diagnosis and the bed availability on the day of your admission. All rooms are private rooms.

ROOM TEMPERATURE All rooms in the hospital are heated and air-conditioned.

If your room temperature is not comfortable, please notify the nursing staff.

INTERNET/WIFI Ask your nurse for assistance with WiFi.

8

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.

HEARING IMPAIRED A telecommunications device is available to assist hearing-impaired patients. For more information, please contact your nurse.

INTERPRETERS Medical City Weatherford utilizes a translation system for limited English proficient patients. This system allows patients to speak with the physician and medical staff via an interpreter.

This system translates over 150 languages and dialects. Please notify your nurse if an interpreter is needed.

HOUSEKEEPING SERVICES Our 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.

TELEPHONE Telephones are provided in all patient rooms. Patients may receive calls in their rooms, and local calls may be made at any time by dialing 9 + the number Long-distance and collect/toll calls can be made any time by dialing 9 + 0 + the number. Long-distance calls cannot be charged to your room.

You can make a long-distance call by using a calling card or by calling collect. For assistance, please call the hospital operator by dialing 0.

MEDICATIONS All medications you take while in the hospital are prescribed by your doctor, dispensed by the hospital pharmacy, and administered by a nurse or other authorized personnel. Patients are not permitted to administer their own medications or keep personal medications at their bedsides, unless approved by your physician.

Patient Meals Medical City Weatherford offers patients gourmet meals from our Bistro Menu.

These are nutritious, wellbalanced meals that are made with fresh, gourmet ingredients. Patients may select other meal choices by calling Ext. 1873.

Serving Times Breakfast: 7:00 am to 9:00 am

Lunch: 11:00 am to 1:00 pm

Dinner:

4:30 pm to 6:00 pm

Occasionally, your meal may be delayed due to the scheduling of a special test or treatment.

Whenever possible, you will be served promptly following your examination or test.

We modify our Bistro Menu according to your physicianspecified nutritional needs.

If you need help eating your meal, please tell your nurse.

Cafeteria Location: First floor Visitors are welcome to dine in the cafeteria.

Breakfast:

Subway & Starbucks Location: First floor, admissions waiting area M-F 6:30 am - 7:00 pm Weekends: 6:30 am - 1:00 pm

Vending Machines

DURING YOUR STAY

Information For Your Stay

Location: • • • •

Maternity waiting room Emergency waiting room First floor near the cafeteria Each patient floor

Snacks and beverages are available 24 hours a day in vending machines.

M-F 6:30 am to 10:00 am

Lunch: M-F 11:00 am to 1:30 pm

Weekends: Closed

SMOKING Medical City Weatherford is a tobacco-free campus.

Patients, staff and visitors are asked not to use tobacco products (including smokeless or electronic) inside or on any hospital owned property.

Television Televisions are provided in each patient room. Please be considerate of others by keeping the TV volume down and turning off your TV at bedtime.

9

DURING YOUR STAY

Visitors can be good medicine for patients. Family members and friends are welcome to visit. However, patient care is our primary concern, and, in order to enhance the quality of care, specific visiting hours have been established.

MEDICAL/SURGICAL FLOORS Visiting hours are 7 am to 9 pm.

LABOR & DELIVERY Visitors that the patient chooses and siblings are allowed visitation in Labor & Delivery from 9:00 a.m. to 9:00 p.m.

Stopping Infection Is In Your Hands!

Visitor Guidelines There are designated lounge areas for visitors on each patient floor.

Specific waiting areas have been designated for visitors in the Intensive Care Unit, Surgery and the Emergency Department.

• NO MORE than two visitors per

patient at one time.

• PLEASE DO NOT visit if you

•

• •

•

have a cold, sore throat, fever or infection.

WASH YOUR HANDS before entering and when leaving the patient’s room.

DRESS appropriately, and wear shirts and shoes when visiting.

RESPECT all signs posted such as “NO VISITOR” or “ISOLATION”.

PLEASE BE QUIET, and respect the healing of other patients.

• SILENCE cell phones. Children

may visit for brief periods.

Children 12 and over may visit the ICU. • STEP OUT of the room when asked by the staff, if it is necessary for the well being of the patient.

• USE THE PUBLIC RESTROOMS outside the patient’s room and keep the patient’s room sanitary.

• SMOKING is not permitted on campus or campus grounds.

Special regulations are in effect in areas where patients are receiving oxygen.

Electrically operated equipment, battery-operated devices, aerosol products, and items that produce a static discharge are not permitted in these areas. Absolutely no smoking is permitted in any room where oxygen is in use or on standby.

SERVICE ANIMALS Service animal must be directly related to an individual’s disability and is trained to do work or perform tasks directly related to the disability that the individual has. Pet/comfort animals – domestic animal kept for pleasure or companionship – are generally NOT permitted.

FIRE DRILLS The hospital conducts fire and disaster drills regularly. If a drill occurs while you are here, please remain in your room and don’t be alarmed. Please do not use the elevators when an alarm is sounding. In the event of a true emergency, your nurse will assist you.

MAIL & FLOWERS Volunteers deliver letters, packages, and flowers for patients each morning. Letters and packages that arrive after you have been discharged are forwarded to your home. Outgoing mail may be left at the nurse’s station or given to a volunteer.

MEDITATION CHAPEL Our meditation chapel is located on the second floor of the patient tower. Visitors of all faiths are welcome to visit the chapel for prayer and quiet reflection. In addition, there is an outdoor meditation garden available for use in front of the hospital.

LEAVE VALUABLES AT HOME Medical City Weatherford is not responsible for any stolen or lost valuables.

Choose A Support Person During your hospital stay, a family member or a trusted friend can be a big help to you.

If you're confused, stressed, or you can't communicate, your support person can speak up for you.

DURING YOUR STAY

Visiting Hours

OXYGEN

Your support person can: • Ask questions & take notes • Help manage your MEDs • Keep an eye on you and

ask for help if needed

Tell the staff who your support person is!

GIFT SHOP The gift shop is located on the first floor in the admission waiting area and is open Monday through Friday with limited weekend hours. It has gift items, flowers, jewelry, greeting cards, candy, and toiletries.

Hand hygiene is the single most important method of controlling the spread of bacteria. We are asking all visitors and caregivers to wash their hands before and after contact with patients and their surroundings. This simple act can provide for a safer environment for all.

10

WHEELCHAIRS Wheelchairs are available on all nursing units. Ask our hospital staff for help getting in or out of a wheelchair.

11

SPEAK UP!™

Check ID Band For Medications Or Procedures

While you are in the hospital, many people will enter your room, from doctors and nurses to aides and orderlies.

The following information will help make your hospital stay safe and comfortable.

Any time staff members enter your room to give medications, transport you or perform procedures and treatments, they must check your NAME and BIRTH DATE on your ID BAND before they proceed.

When you are admitted to the hospital, an ID BAND is placed on your wrist. This ensures that the RIGHT PATIENT gets the RIGHT CARE in the RIGHT PLACE and at the RIGHT TIME. Always be sure you are correctly identified by NAME & BIRTH DATE. If you are concerned—Speak Up!

Speak Up!

The doctors, nurses and staff of this hospital will treat you and your loved ones as partners in your care. One important way that you can be involved is to ask questions, voice your concerns and talk about your care, treatment and overall hospital services.

SPEAK UP! If you have questions or

concerns. Don't be afraid to ask questions until you understand.

carefully checked out. It should meet The Joint Commission's quality standards.

PAY ATTENTION to the care you get.

PARTICIPATE in all decisions about your

You are a part of your healthcare team, be aware of your care!

EDUCATE yourself about your illness.

Understand your diagnosis, treatments and tests. Take notes and write down any questions you may have.

ASK a trusted family member or friend

to be your advocate. They can help you remember questions to ask.

KNOW your medicines and why you take them. Keep a list of your MEDs with you, also any allergies or reactions you may have.

12

USE a healthcare facility that has been

treatment. Being aware of your care is the best way to prevent errors.

Be Aware Of Your Care!

PATIENT SAFETY-ID BANDS

Right ID, Right Care!

Check ID Band Before Surgery Your Surgical Team will check your ID BAND for correct NAME and BIRTH DATE with the TYPE OF SURGERY you are having and mark the correct body part. Be sure you have been correctly identified by NAME and BIRTH DATE, TYPE of SURGERY and marked body part.

Check Staff ID BADGE ALL employees of Medical City Weatherford and physicians who enter your room should introduce themselves and should be wearing a PHOTO NAME BADGE. Don't be afraid to CHECK the ID BADGE of every staff member that enters your room.

If you do not see an ID BADGE on an employee, call your nurse.

Also: Don't be afraid to make sure that every staff member has washed their hands before they touch you.

Check ID

Courtesy of The Joint Commission

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Weatherford Rehabilitation

Medical & Heart Center, PA provides advanced cardiovascular care utilizing the newest therapies and technologies. We not only treat our patients with a personal and caring approach, we also strive to communicate with, and educate them about disease and prevention.

Office Diagnostic Services: • EKG’s • Stress Test • Nuclear Stress Test • Echocardiograms • Carotid Doppler • Arterial & Venous Dopplers • 24 & 48 Hour Holter Monitors

Hospital Services: • Cardiac Cath • Angioplasty / Stents • Permanent Pacemaker • Linq Implants

Office Services: • New Patient Consultation • Cardiovascular follow up • Pacemaker Evaluation

2614 E. Bankhead Highway • Weatherford

(817) 341-8646 or (817) 341-8647

“World-Class Technology, Hometown Care”

If you or a loved one have suffered a life-changing illness or injury, we provide recovery options to get you back in action.

• • • • •

Physical Therapy Occupational Therapy Speech Therapy Respiratory Therapy Audiology

• • • • •

Rehabilitative Nursing Dietician Orthotic/Prosthetic Services Case Management Discharge Planning

Weatherford Rehabilitation Hospital 703 Eureka Street, Weatherford, Texas 76086 Ph: 682-803-0100 • Fax: 817-550-6451 weatherfordrehab.com

Specializing in Laser-Assisted Cataract Surgery and Comprehensive Eye Exams with Medical and Surgical Treatment for all types of eye disorders including Glaucoma, Diabetes, Eyelid Disorders, Mascular Degeneration Dry Eye, Laser Floater Removal and Corneal Disorders William Sawyer, DO Eye Physician and Surgeon Board Certified Ophthalmologist Cornea Specialist

Caleb Sawyer, MD Eye Physician and Surgeon Board Certified Ophthalmologist

Two Locations: Weatherford and Granbury www.sawyereyecenter.com Toll Free: 855-798-2020 Follow Us:

WASH YOUR HANDS!

That's about the amount of time it takes to sing two verses of the "Happy Birthday" song.

No Soap?

Use Sanitizer.

Alcohol-based hand sanitizers can quickly reduce the number of microbes, (germs) on your hands. Simply apply sanitizer to your palm and continue to rub over the entire surface of your hands and fingers until they are completely dry.

Help Prevent The Spread Of Infection While you're in the hospital, there is a risk of infection. You can help prevent infection by taking these simple steps: WASH YOUR HANDS AFTER touching objects or surfaces BEFORE eating AFTER using the restroom.

TELL guests NOT TO VISIT If they are sick. Ask guests to WASH THEIR HANDS when entering your room.

COVER if you are sick. Sneeze and cough into a tissue, then throw it away. Avoid touching other people.

CHECK your bandages. If a bandage on a wound or IV becomes loose or wet, tell your nurse. If you have a catheter or drainage tube, tell your nurse if it becomes loose or dislodged. Avoid touching them.

Why Is It Important To Manage Your Pain?

Speak Up About Your Pain

• YOU’LL HEAL more comfortably

How much pain you are in while you heal matters.

Tell your healthcare team:

REMIND staff to WASH THEIR HANDS. All of your healthcare providers should WASH THEIR HANDS both before and after they touch you. Don't be afraid to remind them if they forget!

• YOU’LL SLEEP better.

& reduce anxiety and stress

• How long you’ve been feeling

• YOU’LL GET WELL faster,

pain, where and how much.

& return to daily life

• What kind of pain—dull,

• HELP REDUCE your risks of medical

aching, throbbing, sharp, stabbing, burning • or tingling, constant • or irregular.

complications & chronic pain

FOLLOW isolation signs on the patient room door. Children that do not understand the ISOLATION RULES may not be able to enter Isolation Rooms. Please ask your nurse for assistance.

• If there is anything that

makes your pain feel • better or worse.

• How much, if any, relief

KEEP all your vaccines up-to-date!

Protect yourself and others, it's worth a shot!

you are getting from your medicine and how long • relief lasts.

Courtesy of Centers for Disease Control & Prevention

Your Hands Can Spread Germs!

Wash Your Hands...

AFTER TOUCHING BED RAILS, BEDSIDE TABLES, REMOTE CONTROL OR PHONE BEFORE TOUCHING YOUR EYES, NOSE OR MOUTH

BEFORE AND AFTER CHANGING BANDAGES

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AFTER BLOWING YOUR NOSE, COUGHING, OR SNEEZING

BEFORE EATING (USE SOAP AND WATER)

MANAGE YOUR PAIN

WASH YOUR HANDS With Soap And Warm Water For 15-20 Seconds.

How Would You Rate Your Pain On This Scale?

AFTER TOUCHING DOORKNOBS

No Hurt

Hurts Little Bit

Hurts Little More

Hurts Even More

Hurts Whole Lot

Hurts Worst

AFTER USING RESTROOM (USE SOAP AND WATER) Copyright 1983, Wong-Baker FACES® Foundation, www.WongBakerFACES.org. Used with permission.

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ANTICOAGULANT SAFETY

Anticoagulants are medicines that help prevent the clotting of blood.

They are sometimes called blood thinners, but they do not actually thin the blood; instead, they prevent new clots from forming or stop existing clots from becoming bigger.

Clots can block blood flow and cause a heart attack or stroke.

TYPES OF ANTICOAGULANTS • Warfarin (Coumadin®) helps keep your blood from clotting.

This is an oral medication and should be taken at the same time each day. Blood tests (INR) are done to determine if your treatment plan is correct. The INR (International Normalized Ratio) value determines how long it takes your blood to clot.

• Enoxaparin (Lovenox) is commonly used after knee, hip, or abdominal surgeries. Enoxaparin is injected under the skin.

• Heparin prevents clotting during open-heart surgery or dialysis, or in people who are confined to bed. This medication is given by injection under the skin or infusion into a vein.

SAFETY TIPS FOR USING ANTICOAGULANTS • Take your medication (anticoagulants) exactly the way your doctor tells you.

• Tell your other doctors and dentists that you are taking anticoagulants.

• Do not take aspirin or antiinflammatories like ibuprofen (Motrin, Advil, Aleve) with anticoagulants unless your doctor tells you to.

• Ask your doctor before taking ANYTHING else, including vitamins, cold medicine, digestive aids, sleeping pills or antibiotics.

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• • •

• •

These can make anticoagulants more or less potent, which can be dangerous.

Avoid alcohol and cranberry juice while taking Coumadin/Warfarin.

Tell your support person how you take your medicine.

Carry an emergency medical ID card or ID bracelet that states you take anticoagulants.

Use an electric razor instead of a regular razor blade.

Use a soft toothbrush that is not as likely to damage your gums.

WHEN TAKING YOUR MEDICINE • Please take your pills as directed.

You must take the pills only on the days your doctor tells you to. The amount of Coumadin/Warfarin each person needs is different.

The dose is based on your INR. This medicine needs to be taken at the same time, usually in the evening.

• Never skip a dose and never take

double doses. If you miss a dose, take it as soon as you remember. If you don’t remember until the next day, please call your doctor for instructions.

• Lovenox (Enoxaparin) & Heparin.

It is important to administer enoxaparin or heparin exactly as your doctor tells you. If you use enoxaparin or heparin on a regular schedule, take missed doses as soon as you remember, unless it is almost time for the next dose. Do not double dose.

FOLLOW-UP MONITORING • An INR blood test will measure how fast your blood is clotting and lets the doctor know if your dosage should be changed.

Because your dose is based on the INR test, it is very important that you have your blood tested on your scheduled date and time.

WHEN TO CALL THE DOCTOR Bleeding may be a complication of taking anti-coagulants, tell your doctor if you begin to have easy bruising, bleeding gums or nosebleeds, or if: • Your urine turns red or dark • • •

• •

brown.

Your stools turn red, dark brown or black.

You bleed more than usual when you have your period.

You have a very bad headache or stomach pain that will not go away.

You get sick or feel weak, faint or dizzy.

You think you are pregnant.

Hospital Falls

CALL–DON’T FALL!

The Agency for Healthcare Research and Quality estimates that 700,000 to 1 million patients fall in U.S. Hospitals each year.

USE THE CALL BUTTON to ask for help if you feel unsteady or weak.

• LOWER THE BED HEIGHT

• PLACE THE CALL BUTTON

• TALK TO YOUR DOCTOR

At least 30% of falls result in moderate to severe injury. Falls in the hospital not only increase overall healthcare costs, but can add more days to the average length of a patient's stay.

• Falls may occur when a patient

tries to get out of bed to go to the bathroom or walk around the room.

• Patients may be weak or unsteady

DIETARY RESTRICTIONS Vitamin K is a nutrient that helps your blood form clots, so it is important to monitor how much is in your diet. The goal is to consume the same amount of Vitamin K each week to maintain a stable INR.

due to illness, inactivity, or the side-effects of medications.

• Patients with altered mental state

and items you need within easy reach.

• ASK FOR HELP getting to the

and side rails to reach items you need.

if your medicine makes you light-headed, sleepy, sluggish or confused and ask how to reduce these side-effects.

HOSPITAL FALLS

Anticoagulants

bathroom or walking around the room or in the hallways.

• WEAR NON-SLIP

FOOTWEAR, and don’t let your robe or pajamas drag the floor.

ALWAYS USE HANDRAILS in the bathroom and hallways. Don’t try to stand if you feel unsteady—call the nurse.

are also at risk for falling.

Foods high in Vitamin K include collard greens, cooked spinach, kale, turnip greens and liver.

Foods moderately high in Vitamin K include broccoli, endive, raw spinach, asparagus, parsley, green onions/scallions, brussels sprouts and sauerkraut.

Foods low in Vitamin K include cauliflower, lettuce, carrots, meats, all fruits, grains, cereal, breads, green beans, celery, green peppers, dairy products, cabbage, green peas, fats and dressings.

A Note For Family Members And Friends Because staff members cannot remain at a patient’s bedside continuously, you may arrange for a loved one to stay with the patient.

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UNDERSTAND YOUR MEDICINES

What Else Should I Know?

Help Prevent Medicine Errors

Your doctor may prescribe medicine for you while you are in the hospital. Do you know the WHAT, WHY and HOW of your new medicine?

• SHOULD I take this medicine

MAKE A LIST and tell your doctor about medicines you are taking: • Prescriptions • Over-the-counter drugs • Herbal, vitamin or natural remedies • Recreational drugs

• WHAT is the NAME of this

medicine, and does the NAME sound like any other MEDs I may already be taking?

WHAT are the possible side effects? WHAT should I do if I miss a dose?

• WHY has this medicine been

prescribed, why am I taking it?

• HOW much do I take? HOW

often do I take it? HOW long do I take it?

• SHOULD I take this medicine

while taking other medications or dietary supplements?

• SHOULD I avoid any foods,

drinks or activities while taking this medicine?

More tips: • Set an alarm to remind

you to take your MEDs. • Use the Medicine Minder on the

next page to keep track of your MEDs, strengths & dosages.

Look-Alike, Sound-Alike Drugs

Drug Interactions

Some medications look and sound like other medications you may be taking, or have just been prescribed.

Sometimes different overthe-counter or prescription medicines contain the SAME active ingredients.

Example: Celebrex, Cerebyx and Celexa are brand names that look alike if you just glance at the label.

So, if you take more than one medicine at the same time, it's possible to take too much of the same active ingredient.

Read the label carefully to find out exactly what you're taking.

Example: Tramadol, Trazodone and Toradol are Generic names that also look alike at a glance.

Look Closely at Medicine Labels!

Know WHAT you are taking, (brand name and generic name), WHY the medicine has been prescribed and HOW to take it!

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with meals, on an empty stomach, with food or water?

When in doubt, ASK your doctor or pharmacist. It's simple. READ THE LABEL.

Source: www.nclnet.org and www.fda.gov/cder

Use This Handy Reference!

Write the name of each medicine you take, why you take it and when. Add new medicines as they are prescribed and mark off medicines if they have been discontinued. Carry this handy reference with you to appointments and hospitalizations. Keep your list updated, ask your healthcare professional(s) to assist you.

Medicines

Date & Reason Taken

Dose & When Taken

Time(s)

Example: Amoxicillin 250mg

5/12/16 Bladder Infection

1 capsule 3 times a day

9 am, 12 pm, 6 pm

MEDICINE MINDER

Understand Your Medicines!

TELL YOUR DOCTOR if you have allergies to medicines, anesthesia, foods or latex: Medical alert tags show your allergies, if you are diabetic or on blood thinners.

Medical alert tags can be found at your local pharmacy.

RIGHT ID, RIGHT CARE! Be sure that any medicines, procedures or lab tests ordered match the NAME and BIRTH DATE on your ID BAND.

What are you allergic to?

List medicines, supplements or foods.

Just because a drug is sold without a prescription doesn't mean it isn't serious medicine!

Describe symptoms

This is your chance to ask your Doctor any questions about your medicines.

DON’T BE SHY, ASK THEM WHY!

Your Physicians: Physician:

Physician:

Phone:

Phone:

Specialty:

Specialty:

Over -The - Counter Medicines: Cold & Flu

Tylenol

Sleep Aid

Allergy

Vitamins

Laxative

Nasal Spray

Diet Pills

Nausea/Diarrhea

Aspirin

Antacid

Ibuprofen (Advil)

Other 19

PATIENT RIGHTS & RESPONSIBILITIES

YOU HAVE THE RIGHT TO: BE INFORMED of the hospital’s rules and regulations as they apply to your conduct.

EXPECT PRIVACY and dignity in treatment consistent with providing you with good medical and psychiatric care.

RECEIVE considerate, respectful care at all times and under all circumstances.

EXPECT prompt and reasonable responses to your questions.

KNOW who is responsible for authorizing and performing your procedures or treatments.

KNOW the identity and professional status of your caregivers.

KNOW what patient support services are available, including access to an interpreter if language is a problem.

HAVE ACCESS to your medical records according to hospital policy.

BE INFORMED of the nature of your condition, proposed treatment or procedure, risks, benefits and prognosis, and any continuing healthcare requirements after your discharge in terms you can understand.

BE INFORMED of medical alternatives for care or treatment.

REFUSE TREATMENT, except as otherwise provided by law, and to be informed of the consequences of your refusal.

PARTICIPATE in the decision-making process related to your healthcare plan.

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SERVICE with respect for your dignity and pride. We comply with applicable Federal civil rights laws and do not discriminate based on age, gender, disability, race, color, ancestry, citizenship, religion, pregnancy, sexual orientation, gender identity or expression, national origin, medical condition, marital status, veteran status, payment source or ability, or any other basis prohibited by federal, state, or local law. You shall be informed of your patient’s rights and responsibilities in advance of administering or discontinuing patient care.

KNOW if the medical treatment prescribed for you is for experimental purposes and to give your written consent to participate if you choose.

HAVE ACCESS to professionals to assist you with emotional and/or spiritual care.

EXERCISE your cultural values and spiritual beliefs as long as they do not interfere with the well-being of others, or the planned course of any medical care.

PARTICIPATE in the discussion of ethical issues that may arise.

EXPRESS concerns regarding any of these rights in accordance with the grievance process.

FORMULATE advance directives and appoint a surrogate to make healthcare decisions on your behalf to the extent permitted by law.

HAVE PRESENT a support person of your choice, unless that individual’s presence infringes on others’ rights, safety, or is medically or therapeutically contraindicated.

f you have questions about your rights and responsibilities, call (682) 582-1792.

Patient Responsibilities

Privacy & Your Health Information

YOU ARE RESPONSIBLE FOR:

The Privacy Rule, (the Health Insurance Portability and Accountability Act or HIPAA), is a Federal law that gives you rights over your health information and sets rules and limits on who can look at and receive your health information.

PROVIDING accurate and complete information to your healthcare providers about your present and past medical conditions and all other matters pertaining to your health.

• DECIDE if you want to give your

permission BEFORE your health information can be used or shared • GET a report on when and why your health information was shared for certain purposes YOUR INFORMATION CAN BE USED OR SHARED: • TO COORDINATE YOUR CARE • •

REPORTING unexpected changes in your condition to your healthcare providers.

PROTECTED INFORMATION IS: • ANY information entered into

INFORMING your healthcare providers whether or not you understand the plan of care and what is expected of you.

your medical record including conversations between you, your doctor and any medical staff • BILLING or insurance information in hospital or provider’s computers

FOLLOWING the treatment plan recommended by your healthcare providers.

WHO MUST FOLLOW THIS LAW?

•

•

•

and treatment TO PAY doctors and hospitals WITH FAMILY, relatives, friends or others that you choose to be involved with your healthcare or bills TO HOLD all healthcare professionals and facilities to a standard of care TO PROTECT the public health, for example: by reporting when the flu is in your area TO MAKE required reports to the police, such as reporting gunshot wounds

• Most doctors, nurses,

KEEPING APPOINTMENTS and, if you cannot, notifying the proper person.

KNOWING the consequences of your own actions if you refuse treatment or do not follow the healthcare providers’ instructions.

BEING CONSIDERATE of the rights of other patients and hospital personnel and to follow hospital policy and regulations regarding care and conduct.

pharmacies, hospitals, clinics, nursing homes, and many other healthcare providers and their vendors • Health insurance companies, HMOs, and most employer group health plans • Certain government programs that pay for healthcare, such as Medicare and Medicaid YOUR INSURANCE AND HEALTHCARE PROVIDERS MUST ALLOW YOU TO: • GET a copy of your

health records FULFILLING your financial obligations to the hospital as promptly as possible.

Para Derechos Y Responsabilidades

• HAVE revisions made, or

information added to your health information • RECEIVE a notice that tells you how your health information may be used and shared

Your health information cannot be shared with your employer or used for marketing purposes without your written consent.

Do You Have Questions?

If you have questions about your privacy rights, call the privacy officer Christine Sharer at Ext. 1051.

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 may also file a complaint with the U.S. government.

Go online to OCRPORTAL.HHS.GOV/OCR/ SMARTSCREEN/MAIN.JSF for more information.

PRIVACY & YOUR HEALTH INFORMATION

Patient Rights

A separate law provides additional privacy protections to patients of alcohol and drug treatment programs.

For more information on privacy rights, visit SAMHSA.GOV.

TO GET COPIES OF YOUR MEDICAL RECORDS contact: CIOX at (888) 749-7952 Mon-Fri, 8:30 am to 4:00 pm OR Health Information Management Department at (682) 582-1060 Mon-Fri, 8:30 am to 4:30 pm, or go to MedicalCityWeatherford.com to obtain the appropriate forms

de los Pacientes en español, visite: WWW.MCDRPACIENTESESPANOL.COM

Courtesy of The U.S. Department of Health and Human Services

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LANGUAGE SERVICES

If you or a loved one needs assistance with interpreting or translation, we can offer resources that will help communicate your needs or concerns accurately.

ENGLISH

‫ﻟﻚ‬These ‫اﻟﻠﻐﻮﯾﺔ ﺗﺘﻮاﻓﺮ‬ ‫ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة‬ ‫ ﻓﺈن‬،‫ إذا ﻛﻨﺖ ﺗﺘﺤﺪث اذﻛﺮ اﻟﻠﻐﺔ‬:‫ﻣﻠﺤﻮﻇﺔ‬ services include: ‫واﻟﺒﻚ‬ ‫اﺗﺼﻞ ﺑﺮﻗﻤﺮﻗﻢ ھﺎﺗﻒ‬ .‫ﺑﺎﻟﻤﺠﺎن‬ • American Sign Language‫اﻟﺼﻢ‬ interpretation services • Language phone services that provide quick access

COORDINATION OF BENEFITS, or COB, is when you are covered under two or more insurance policies.

This usually happens when spouses or partners are listed on each other’s insurance policies, when both parents carry their children on their individual policies, or when there is eligibility under two federal programs.

Urdu to more than 150 languages ‫ ﺗﻮ آپ ﮐﻮ زﺑﺎن ﮐﯽ ﻣﺪد ﮐﯽ ﺧﺪﻣﺎت ﻣﻔﺖ‬،‫ اﮔﺮ آپ اردو ﺑﻮﻟﺖے ﮦیں‬:‫ﺧﺒﺮدار‬ ‫ﻣﯽں دﺳﺘﯿﺎب ﮦیں۔ ﮐﺎل ﮐﺮیں‬

FARSI (PERSIAN)

ATTENTION: If you speak English, language assistance services are available to you at no charge.

Farsi ‫ ﺗﺴﮭﯿﻼت زﺑﺎﻧﯽ ﺑﺼﻮرت راﯾﮕﺎن‬،‫ اﮔﺮ ﺑﮫ زﺑﺎن ﻓﺎرﺳﯽ ﮔﻔﺘﮕﻮ ﻣﯽ ﮐﻨﯿﺪ‬:‫ﺗﻮﺟﮫ‬ ‫ ﺑﺎ ﺗﻤﺎس ﺑﮕﯿﺮﯾﺪ‬.‫ﺑﺮای ﺷﻤﺎ ﻓﺮاھﻢ ﻣﯽ ﺑﺎﺷﺪ‬

GERMAN

SPANISH GUJARATI VIETNAMESE RUSSIAN MANDARIN OR CANTONESE JAPANESE KOREAN LAO ARABIC ‫ ﻓﺈن ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ ﺗﺘﻮاﻓﺮ ﻟﻚ‬،‫ إذا ﻛﻨﺖ ﺗﺘﺤﺪث اذﻛﺮ اﻟﻠﻐﺔ‬:‫ﻣﻠﺤﻮﻇﺔ‬ ‫اﻟﺼﻢﻓﺈنواﻟﺒﻚ‬ ‫اﺗﺼﻞ‬ ‫ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ ﺗﺘﻮاﻓﺮ ﻟﻚ‬ ،‫ھﺎﺗﻒاﻟﻠﻐﺔ‬ ‫ﺑﺮﻗﻤﺮﻗﻢ اذﻛﺮ‬ ‫ﻛﻨﺖ ﺗﺘﺤﺪث‬ ‫ إذا‬.‫ﺑﺎﻟﻤﺠﺎن‬ :‫ﻣﻠﺤﻮﻇﺔ‬

URDU

‫ اﺗﺼﻞ ﺑﺮﻗﻤﺮﻗﻢ ھﺎﺗﻒ اﻟﺼﻢ واﻟﺒﻚ‬.‫ﺑﺎﻟﻤﺠﺎن‬

Urdu Urdu ‫ ﺗﻮ آپ ﮐﻮ زﺑﺎن ﮐﯽ ﻣﺪد ﮐﯽ ﺧﺪﻣﺎت ﻣﻔﺖ‬،‫ اﮔﺮ آپ اردو ﺑﻮﻟﺖے ﮦیں‬:‫ﺧﺒﺮدار‬ ‫ ﺗﻮ آپ ﮐﻮ زﺑﺎن ﮐﯽ ﻣﺪد ﮐﯽ ﺧﺪﻣﺎت ﻣﻔﺖ‬،‫ﮦیں‬ ‫ﺑﻮﻟﺖے‬ ‫دﺳﺘﯿﺎب آپ‬ ‫ اﮔﺮ‬:‫ﺧﺒﺮدار‬ ‫ﮐﺮیں‬ ‫اردوﮐﺎل‬ ‫ﮦیں۔‬ ‫ﻣﯽں‬

‫ﻣﯽں دﺳﺘﯿﺎب ﮦیں۔ ﮐﺎل ﮐﺮیں‬

Farsi ‫ ﺗﺴﮭﯿﻼت زﺑﺎﻧﯽ ﺑﺼﻮرت راﯾﮕﺎن‬،‫ اﮔﺮ ﺑﮫ زﺑﺎن ﻓﺎرﺳﯽ ﮔﻔﺘﮕﻮ ﻣﯽ ﮐﻨﯿﺪ‬Farsi :‫ﺗﻮﺟﮫ‬ TAGALOG–FILIPINO ‫ ﺗﺴﮭﯿﻼت زﺑﺎﻧﯽ ﺑﺼﻮرت راﯾﮕﺎن‬،‫ اﮔﺮ ﺑﮫ زﺑﺎن ﻓﺎرﺳﯽ ﮔﻔﺘﮕﻮ ﻣﯽ ﮐﻨﯿﺪ‬:‫ﺗﻮﺟﮫ‬ ‫ ﺑﺎ ﺗﻤﺎس ﺑﮕﯿﺮﯾﺪ‬.‫ﺑﺮای ﺷﻤﺎ ﻓﺮاھﻢ ﻣﯽ ﺑﺎﺷﺪ‬ ‫ ﺑﺎ ﺗﻤﺎس ﺑﮕﯿﺮﯾﺪ‬.‫ﺑﺮای ﺷﻤﺎ ﻓﺮاھﻢ ﻣﯽ ﺑﺎﺷﺪ‬

FRENCH

HINDI

Understanding Your Bill Knowing what to expect from our hospital's billing process can help you feel more informed and in control of your bills.

YOU WILL GET A BILL FROM THE HOSPITAL. This covers the cost of your room, meals, 24-hour nursing care and medicines. The bill will also show charges for any special services like X-rays or lab tests.

YOU WILL GET SEPARATE BILLS. You will receive a separate bill from your doctors, surgeons and specialists such as radiologists, cardiologists and anesthesiologists.

IF YOU NEED HELP TO UNDERSTAND YOUR BILL, we are here to help. Call financial services at 844-699-5957.

COBs determine who the primary payer is and this prevents duplicate payments. You decide who your primary payer is when you are admitted to the hospital. Your insurance may request a completed COB form before paying a claim, so it is important to take care of these requests as soon as possible.

COMMERCIAL INSURANCE The hospital will forward your claim to your commercial insurance provider based on the information you give at registration. It is very important that you give the correct information such as policy number, group number and the correct mailing address for your insurance company.

After you leave the hospital you will get an explanation of benefits, or EOB, from your insurance provider.

This shows: • The amount billed by your hospital and your doctor • The amount covered by your insurance provider • The amount you owe Your insurance provider may have special requirements for coverage, It is your responsibility to understand and meet these requirements.

MEDICARE If you get MEDICARE, you’ll be asked to fill out an Medicare Secondary Payer form, or MSP. This makes sure that Medicare only pays for services not covered by other insurance you may have. If you have secondary insurance, this usually covers Medicare deductibles. If you don’t have secondary insurance, you need to pay these amounts yourself. Read your quarterly Medicare Summary Notices, or MSNs to review: • The amount your doctor(s) charged • The amount Medicare approved and paid • The amount you owe • Your current deductible status If you have questions, call the customer service number listed on your statement.

BILLING & FINANCIAL

Understanding Coordination of Benefits

We Speak Your Language

MEDICAID If you qualify for Medicaid, and need help applying for benefits, a member of our Eligibility Assistance Services Team is available to help.

If you already get MEDICAID, we will need a copy of your card to process your claim.

SELF-PAY PATIENTS & PAYMENT ARRANGEMENTS If you’re going to pay your bills without Medicare or a commercial insurance provider, then you’ll get bills directly from the hospital.

It is important to talk to the financial services department to set up a payment plan as soon as possible, after receiving your first bill. If you don’t set up a payment plan, or if you stop making payments, your account may be placed with a collection agency.

IF YOU NEED HELP PAYING YOUR BILL, we want to work with you. Don’t hesitate, call financial services at 844-699-5957.

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23

KNOW BEFORE YOU GO!

1 YOUR MEDS Has your doctor given you new MEDICINES to take?

• Do you know WHY, WHEN

& HOW MUCH to take?

Have you told your doctor about any OTHER medicines you’re taking?

• Do any of your medicines LOOK alike or SOUND alike? Know the difference!

2

YOUR PLAN

Your healthcare PLAN is any instructions your doctor gives you for after-hospital care.

This includes:

about what will take place after I leave the hospital.

• My doctor or nurses have

answered my most important questions before I leave the hospital.

• I understand where I am going

after I leave the hospital and what will happen to me once I arrive.

• I have the name and phone

number of a person I should contact if a problem arises during my transfer.

• I understand my medicines, how

to get them and how to take them.

24

YOUR ROLE

• New medicines & how

Your ROLE (how you take part in your care) is to:

to take them • Surgical site care • Limits on diet or physical activity while healing

• FOLLOW all instructions

from your doctor after you are released from the hospital.

• CONTINUE to manage your existing chronic diseases such as diabetes, heart disease or COPD. It could help you avoid hospital readmission!

REMEMBER, If you don't understand, ASK until you do!

Care About Your Care • I have been involved in decisions

3

Use this handy checklist before you leave the hospital!

• I understand the potential side

effects of my medications and who to call if I experience them.

• I understand what symptoms

I need to watch out for and who to call if I notice them.

• I understand how to keep

my health problems from becoming worse.

• My family or someone close

to me knows that I am coming home, is available to care for me and knows what I will need once I leave the hospital.

• If I am going directly home,

I have scheduled a follow-up appointment with my doctor, and I have transportation to this appointment.

I KNOW THAT IF I DISAGREE with my doctor's discharge decision, I can appeal it. If I am a Medicare patient, I will get “An Important Message from Medicare” from the hospital’s discharge planner or caseworker.

This details my rights to remain in the hospital for care and provides information on who to contact to appeal a discharge decision.

Some medical devices can be difficult to use, so ASK UNTIL YOU KNOW! Don't just listen to what they said, REPEAT IT BACK to them, instead!

Teach

&

Repeating what you hear, IN YOUR OWN WORDS allows your nurse or doctor to check that you understand instructions!

Returning Home Follow your care plan.

Manage your pain.

Show Until You Know!

Have your healthcare professional EXPLAIN AGAIN, then they should CHECK AGAIN, to be sure you understand everything about your care!

Ask them to explain words you don’t know.

BE CLEAR ABOUT WHAT YOU HEAR.

Rest when you need it.

Ask a family member or friend to check on you as you recover.

TEACH & SHOW / RETURNING HOME

Know B4 You Go!

Has your doctor prescribed a MEDICAL DEVICE or EQUIPMENT for you to use at home? Ask your healthcare professional to TEACH you how to use them and also SHOW you how they work.

Tell your doctor how you feel during your recovery.

If you are having suicidal thoughts and are in need of immediate crisis services, call 800-273-8255.

• I have what I need at home

(medication, equipment, home modification).

25

AFTER HOSPITAL CARE

Durable Medical Equipment (DME) is ordered by a doctor for use in a patient’s home. Examples are walkers, crutches, wheelchairs and hospital beds. DME is paid for under Medicare Part B and Part A for home health services.

To find out what care and services are covered, or to get help with medical costs, call the Center for Medicare & Medicaid Services at 877-267-2323.

Assisted Living provides help with basic activities of daily living such as bathing, grooming and dressing. These communities offer a more home-like atmosphere and provide an independent lifestyle with customized assistance such as: • 24-hour care staff • Medication reminders/management • Incontinence management • Help with daily tasks, Meal prep • Apartment cleaning/linen services • Local transportation/activities

LTAC stands for Long Term Acute Care. It is a specialty-care hospital for patients that are seriously ill or injured requiring specialized medical care with extended recovery times. The care needed in an LTAC often includes pulmonary, wound, transitional or sub-acute care, dialysis, IV antibiotic therapy, and pain management.

Discharge planning, assistance determining your after hospital care needs, follow-up with community, governmental and private agencies are provided by your case manager at Ext. 1072.

have suffered traumatic injuries or illnesses. Their goal is to restore some or all of the patient’s physical, sensory and mental capabilities that were lost due to injury, illness or disease. Speech, occupational and physical therapies are provided for patients who are medically stable and can tolerate at least 3 hours of therapy per day.

(Nursing Homes) provide personal and medical care for those patients who cannot be cared for at home.

Most of these facilities have nursing aides and skilled nurses on hand 24 hours a day. Staff provides medical care, as well as physical, speech and occupational therapy.

Take the given words, and by moving a single letter from one word to the other, make a pair of synonyms, or near synonyms.

(A synonym is word that has the same, or almost the same meaning as another word. For example: (joyful or elated is the same as happy) For example: Boast - Hip Move the ‘s’ from ‘Boast’ to ‘Hip’ creating two synonyms: Boat - Ship.

1. Pain - Nil 2. War - Zoned 3. Routing - Tip 4. Shot - Teaming 5. Right - Blight

Word Association

Rehabilitation is for patients who

Skilled Nursing Facilities

Letter Juggle

Here is a brain exer­cise to stim­u­late the asso­ci­a­tions between words in your tem­po­ral lobe. Read the word pairs. Find a third word that con­nects the two or is associated with both words.

For more after hospital care resources in your area visit: • ELDERCARE LOCATOR

eldercare.gov • NATIONAL RESPITE NETWORK

& RESOURCE CENTER archrespite.org

(The first pair is PIANO and LOCK. The answer is KEY. The word KEY is con­nected with both the word PIANO and the word LOCK: there are KEYS on a PIANO and you use a KEY to LOCK doors.)

(Solu­tions are on far right of page.

Don’t peek until you have tried to solve all the pairs!)

Crossword Puzzle ANATOMY ACROSS 4 Some people use this too much 5 _____ball 6 Largest organ 8 One stayed home 10 Give the man a _ ­ ____ 11 You may put it around your girl 12 Main Processing 13 You can live with one 15 Face central DOWN 1 Get a _____up 2 Propose on your _____ 3 The way to a man’s heart 4 Can be sore with a cold 5 _____food 7 Processes air 9 Tennis _____ 11 Sprained 14 Drum container

1. LOCK — PIANO 2. SHIP — CARD 3. TREE — CAR

braingle.com

SOLUTION KEY: 1. Lock—Piano : Key 2. Ship—Card : Deck 3. Tree—Car : Trunk 4. School—Eye : Pupil, Exam Or Private 5. Pillow—Court : Case 6. River—Money : Bank Or Flow 7. Bed—Paper : Sheet 8. Army—Water : Tank 9. Tennis—Noise : Racket 10. Egyptian—Mother : Mummy 11. Smoker—Plumber : Pipe

of healthcare services that can be given in the home for an illness or injury: Personal care: including bathing, dressing and eating Healthcare: physical, speech & occupational therapy or skilled nursing.

whose life expectancy is six months or less, and involves palliative care (pain and symptom relief) rather than ongoing curative measures.

Hospice typically provides services, such as speech and physical therapy, therapeutic massage, dietary assistance, bathing and other personal care services, emotional and spiritual support, and grief counseling.

ANSWER KEY-1. Pin - Nail 2. Ward - Zone 3. Outing - Trip 4. Hot - Steaming 5. Bright - Light

Home Health covers a range

Hospice Care is for people

highly specialized in caring for people who are living with the effects of Alzheimer’s or other forms of dementia. The focus of memory care communities is on understanding each resident in order to provide comfort and security in a homelike surrounding.

Memory care facilities usually offer: • Positive validation techniques • Safe, secure, uplifting surrounding • Large indoor/outdoor areas • Specially designed ‘peaceful areas’ • Life enrichment and specialized cognitive stimulation exercises

ANSWER KEY

When you leave the hospital, you may need to spend time in a rehabilitation facility or other institution. You may need to schedule tests at an imaging center or have inhome therapy. Be sure you know what's next before you leave the hospital.

Memory Care Facilities are

ENTERTAIN YOUR BRAIN

After Hospital Care

4. SCHOOL — EYE 5. PILLOW — COURT 6. RIVER — MONEY 7. BED— PAPER 8. ARMY — WATER 9. TENNIS — NOISE 10. EGYPTIAN — MOTHER 11. SMOKER — PLUMBER

26

Courtesy SharpBrains.com

27

HEALING FROM HEAD TO TOE...

A multi-specialty practice with focus on Pulmonary, Critical Care and Sleep Medicine.

SERVICES WE PROVIDE

Olusegun A. Oseni MD, FCCP, DABSM • Pavan Irukulla MD, MPH

Surgery Injections

We provide the following services • Management of lung conditions, various critical illnesses and sleep disorders • Fully accredited multi-suite sleep lab, open 7 days per week • Integrative medicine

• Allergy testing and treatment • Nutrition and weight loss management • Pulmonary function testing • DME, PAP machines and supplies

1200 Clear Lake Road, Weatherford, TX 76086 • Tel: 817-594-9993 • Fax: 817-594-9915 • www.lungandsleepspecialists.com

TEXAS NEPHROLOGY CONSULTANTS

To make an appointment or for more information call:

(817) 339-8855

Orthopedic Evaluation Fracture Care

X-Ray (Mineral Wells only) Joint Fluid Replacement

Rehab Management

Trauma

Sports Medicine

Hand

Shoulder Fracture Elbow Fracture Forearm Fracture Wrist Fracture Hand Fracture Hip Fracture Femur Fracture Patella Fracture Tibia Fracture Ankle Fracture Foot Fracture Pediatric Fracture

Bursitis Cartilage Tear ACL Reconstruction Meniscus Tear Rotator Cuff Tear Tendonitis Tennis Elbow Golfer’s Elbow

Carpal Tunnel Shoulder Trigger Digit Elbow Tendon Repair Finger Cubital Tunnel Hip Revision Amputation Knee Dupuytren’s Contracture De Quervain’s Tenosynovitis

MINERAL WELLS 715 W. Hubbard 940-325-7900

WEATHERFORD 114 N. Waco 817-901-9923

www.brockorthopedicsurgery.com

Joint Replacement

Most Insurances, Medicare, and Medicaid Accepted.

Eric Brock, MD ORTHOPEDIC SURGERY, PA

Exceptional care, every patient, every time.

Nephrologists diagnose and treat kidney disease, hypertension and electrolyte abnormalities. Our physicians have earned many "Top Doctor" awards over the past two decades and are highly regarded and known for providing excellent healthcare in North Texas.

Specializing in Women’s Healthcare and Quality of Life

Lizbeth Gullen, FNP-C

familyfootcaretx.com (817) 573-7178

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Lake Granbury

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1008 Paluxy Rd, Granbury, TX 76048

Need an appointment soon?

Call to schedule with Dr. Mikes

817.599.7373

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All Major Insurance Accepted

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Certified by the American Board of Podiatric Medicine

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Ankle Sprains & Strains Arthritic Feet & Ankles Ankle/Foot Injuries Athletes Foot Diabetic Foot Care Fractures Fungal Toenails & Warts Endoscopic Heel Surgery Ingrown Toenails Plantar Fasciitis Wound Care & Much More

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Certified in Foot Surgery by the American Board of Foot and Ankle Surgery

Payal R. Patel, DPM

We Treat

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Richard M. Adams, DPM

W Pearl St

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Specializing in surgical & nonsurgical treatment of the foot and ankle

Fysal Albaalbaki, MD

S Morgan St

Family Foot Care

Carlos Bahrami, DO

Foster Lane

920 Sante Fe Drive, Ste 103 • Weatherford • www.txhealthcare.com

Eureka St

Hospital

To 20 East Anderson St

Dr. April Mikes • Dr. Lindsay McBride • Dr. Krista Lemley • Dr. Stephen Stamatis

In Weatherford

925 Santa Fe, Suite 112, Weatherford, TX 76086

Call and schedule a visit at one of our two convenient locations

706 & 710 East Eureka • Weatherford, Texas 76086

www.weatherfordobgyn.com

When it comes to finding quality healthcare, we’ve got you covered.

Most insurance plans, including Medicare, are accepted. Same-day appointments are often available.

To make an appointment online, get directions and more visit us at LoneStarPhysicians.com.

Physicians and Allied Health Staff are employees of Lone Star Medical Group.