UNKNOWN
Other people may be there to help us, teach us, guide us along our path, but the lesson to be learned is always ours.
In This Guide Welcome to Sonoma Valley Hospital About Us Telephone Directory Your Satisfaction During Your Stay
3 4 5 6 7-12 Visiting Hours 7 Public Restrooms 7 Parking 7 Your Hospital Bed 7 Room Temperature 7 Interpreters 8 Calling Your Nurse 8 Environmental Services 8 Wireless Internet Service 8 Telephone 8 Electrical Appliances 8 Valuables 9 Lost and Found 9 Fire Safety 9 Smoking 9 Newspapers, Mail and Flowers 9 Where’s Café Vitality? 10 Café Vitality 10 Patient Meals 10
13 Speak Up Take charge of your care.
14 Stay Safe You can contribute to health care safety.
OUR ADDRESS
347 Andrieux St. Sonoma, CA 95476 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 health care 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. ©2016 PatientPoint ®
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In This Guide continued During Your Stay continued
23 Do You Have Pain? Make your stay as comfortable as possible.
24 Don’t Leave Until... 7 things you should know before you walk out the door.
29 For the Caregiver Your role as patient advocate. 2
Nutritional Services Patient Channel Televisions Vending Machines Spiritual Care Channel Listing Speak Up Stay Safe
10 11 11 11 11 12 13 14-17 Your Rights & Responsibilities 18-19 What Are Your Advance Directives? 19-20 Privacy & Your Health Information 21-22 Do You Have Pain? 23 Don’t Leave Until… 24-25 Preparing to Leave the Hospital 26-28 When You Are Discharged 26 Going Home 26 Billing 27 Coordination of Benefits (COB) 27 Commercial Insurance 27 Medicare 28 Medi-Cal 28 For Self-Pay Patients 28 For the Caregiver 29-30 Hospital Resources 30-32 A Patient’s Guide to Observation 33-34 Sonoma Valley Hospital Hospitalist Service 34-35 Health Care Roles 36-37 Giving Back 38 Eating Well and Living Well 39 Medication Tracker 40
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Welcome to Sonoma Valley Hospital Thank you for choosing Sonoma Valley Hospital for your health care needs. We are a community hospital dedicated to healing in every sense of the word. Our role during your stay is to give you peace of mind by providing compassionate care that embodies the highest standards of the medical profession. This guide will acquaint you with our services, programs and patient amenities. It also explains what you can expect during your time with us and offers information about your rights and responsibilities. We invite you to read over this booklet and keep it handy during your stay. Please let us know at any time if you have questions. We will make every effort possible to ensure that your stay is comfortable. We encourage you to be actively involved in your health care by providing us with feedback and asking questions at any time. This helps us offer the individualized care and supportive environment that best meets your needs. We take pride in knowing that generations of Sonoma families have looked to Sonoma Valley Hospital as a trusted guide in their health care journey. We are your hospital, and our dedicated staff of health professionals is committed to serving you and your family.
Our Mission To restore, maintain and improve the health of everyone in our community.
Our Vision SVH will be a nationally recognized, compassionate place of healing known for excellence in clinical quality. We serve as the guide and indispensable link in our community members’ health care journey.
Our Values C.R.E.A.T.I.N.G. Compassion Respect Excellence Accountability Teamwork Innovation Nurturing Guidance
Sincerely, Kelly Mather President and Chief Executive Officer Sonoma Valley Hospital
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About Us OUR ADDRESS 347 Andrieux St. Sonoma, CA 95476
Your Opinion Counts Soon after your discharge, you may receive a confidential patient satisfaction survey. Your feedback is an important part of our goal of improving the care and services we provide.
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Sonoma Valley Hospital – A Commitment to Healing
We are a 75-bed, full-service acute care district hospital located in the city of Sonoma. Our services encompass the spectrum of health care needs, and our medical care extends to all but the most specialized areas. We have extensively upgraded our hospital, including the addition of a new wing housing one of the most modern Emergency Departments and Surgery Centers in the North Bay. As a small hospital, we are able to provide attentive, personalized care. We strive to make the atmosphere of our hospital like that of our community, creating a warm, comfortable place of healing. All of our acute care inpatient rooms are private and were recently modernized. Many of our staff members have been here for years and have come to know our patients and their families. As a Healing Hospital™, we are committed to not just treating illness but also supporting the health and well-being of our patients and our community. We are known for our outstanding staff of compassionate health care professionals who inspire patients to lead their own healing on all levels— physically, mentally, emotionally and spiritually. Our commitment to our patients is shown in the high patient satisfaction scores we receive, placing us among the top hospitals in the nation. We also are ranked high for quality of care among hospitals nationally. We are working to help the Sonoma Valley become one of the healthiest communities in the country and offer many services and programs to improve the health of our community.
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Telephone Directory Admitting: 707-935-5022 Preregistration Lab/X-Ray 707-935-5025 Café Vitality 707-935-5041 Cancer Support Sonoma 707-935-5244 Cardiopulmonary 707-935-5045 Case Management 707-935-5063 Concierge Desk 707-935-5031 Emergency 707-935-5100 Environmental Services 707-935-5550 Foundation 707-935-5331 Home Care 707-935-5135 Infection Control 707-935-5180 Laboratory 707-935-5185 Mammography 707-935-5215 Medical Imaging 707-935-5235 Medical Records 707-935-5250 Nutritional Services (menu assistance) 707-935-5286 Dietitian 707-935-5287 Occupational Health 707-935-5470 Patient Accounting 707-935-5325 Physical Therapy – Inpatient 707-935-5354 Physical Therapy – Outpatient 707-935-5345 Volunteer Desk 707-935-5030 Wound Care 707-935-5270
MAIN NUMBER 707-935-5000
Operator Dial 0
For more information, please visit us at www.svh.com or call the Sonoma Valley Hospital operator at 707-935-5000.
Calling a Department WITHIN the Hospital? Dial the last four digits of the number.
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ALBERT EINSTEIN 1879-1955
Truth is what stands the test of experience.
Your Satisfaction We encourage your feedback to improve care. Your health care 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. 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 respond to the survey; your feedback is valuable!
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
What is HCAHPS?
The HCAHPS survey is backed by the U.S. Department of Health and Human Services. The survey is used to improve the quality of health care. HCAHPS makes survey results public so hospitals are aware of where changes are needed. The results also enable health care consumers to review and compare hospitals before choosing a health care 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 health care 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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Center for Improvement in Healthcare Quality
When hospitals measure quality, it is usually in reference to very specific clinical data collected and analyzed over a period of time. Sonoma Valley Hospital is required to meet the same standards of safety and staff credentialing as larger hospitals. By demonstrating compliance with the Center for Improvement in Healthcare Quality (CIHQ)’s national standards for health care quality and safety, Sonoma Valley Hospital has earned its “Accredited Hospital” approval. Learn more at www.svh.com/quality.
During Your Stay We have policies and procedures in place to help you and your family work with our doctors, nurses and care team members to have the best possible hospital stay. Please take a few minutes to review this information with your loved ones.
VISITING HOURS
Public Restrooms
General (Daily)
We ask that all children be accompanied by an adult when visiting the hospital.
11:00 am – 8:00 pm Guests should not use the bathrooms in patient rooms. They are reserved only for patients in order to protect their health. Public restrooms are located in each unit and Maternity (Daily) 11:00 am – 8:00 pm throughout the hospital.
Parking
Intensive Care Unit (ICU) Sonoma Valley Hospital is located on Andrieux Street between 3rd Street West and 4th Street West. To get there Whenever possible, the ICU maintains an from the Sonoma Plaza, head west on West Napa Street, open-door visitation turn left at 2nd Street West, proceed for one long block policy that is flexible to and one short block to Andrieux Street and turn right. patient, family and staff You will see the hospital on the left. A patient drop-off zone next to the main entrance canopy needs. We ask that no more than three visitors* and a handicapped parking area are accessible from the be in the patient’s room one-way driveway on Bettencourt. The patient drop-off at one time. Please use zone may be used for loading and unloading at any time. Emergency Room and handicapped parking are in the main the phone located just outside the ICU entrance entrance parking lot. Visitor parking is available on three lots on Andriuex and 4th Street West. There is a three-hour if you wish to visit. The phone will automatically parking limit on streets surrounding the hospital. ring to the nurse’s station. To ensure patient Your Hospital Bed needs are met as we Hospital beds have controls on the side rails to help you change shifts, we ask adjust for comfort. You will find arrows on the buttons to indicate up and down for the head and foot of the bed. If you that you do NOT visit or call during the following need assistance, please ask one of your care team members. hours (daily): 7:00 am – 8:00 am Room Temperature 7:00 pm – 8:00 pm All patient rooms have individual temperature
control. Please speak with a care team member if you are uncomfortable, and we will adjust the temperature.
*Immediate family and significant others only.
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During Your Stay Interpreters All patients are entitled to interpreter services free of charge. Please ask a care team member, and he or she will connect you with a certified interpreter.
Calling Your Nurse
The intercom system in your room is mounted on the wall near your bed. This system notifies your care team that you need assistance by activating a light outside your door and a sound that can be heard in the hall. Extending from the intercom is a pillow speaker that can be clipped to your bed for convenience. To call for assistance, press the red button and a staff member will come to your room as soon as possible. Some beds have the nurse call button built into the side rail. Please clarify with your nurse which call system you have.
Environmental Services
During your stay at Sonoma Valley Hospital, your room will be cleaned once daily by our housekeeping staff members. They will empty your trash, clean and disinfect your bathroom and your room. If you should need additional housekeeping services, call ext. 5550.
Wireless Internet Service
Wireless internet is available throughout the hospital. Connect to the GAN wireless network and accept the Guest Services Acceptable Use Policy to be connected. This is an unsecured network and information may be visible to others.
Telephone
Telephones are provided in all patient rooms. To dial a department within the hospital, dial the last four digits of the number. To place a local call, dial 9 + the number. To place a long-distance call, follow the instructions on the phone.
Electrical Appliances
Electrical appliances including hairdryers, curling irons, electric razors, radios, DVD players, computers and other devices are not permitted to be plugged in the outlets in patient rooms. Heating pads and portable heaters are never permitted. You 8
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may only use items that are already charged or batteryoperated.
Valuables
Should you have a need to secure your property while at Sonoma Valley Hospital, a safe is available upon request.
Lost and Found
Sonoma Valley Hospital maintains a property storage system for unclaimed property. If you lose your property while at the hospital, please contact the Admitting Department through the hospital operator.
Fire Safety
We periodically conduct fire drills. If you hear an alarm, stay where you are. In the event of an actual emergency, hospital staff will assist you in exiting the building in a safe manner.
Smoking
We are committed to providing patients, visitors, and employees with a smoke-free environment. Smoking is not permitted at any of our facilities.
Newspapers, Mail and Flowers
Newspapers are available for purchase from the vending machines in front of the hospital. Mail is delivered to your room Monday through Friday. Mail received after your discharge from the hospital will be forwarded to your home address unless you leave other instructions with your nurse at the time of discharge. Flowers and packages will be delivered to your room when received at the information desk. Please note that flowers are prohibited in Intensive Care rooms. If you would like to have flowers sent to one of our patients, you may try any of these fine local florists. Anne Appleman Flowers & Plants 707-938-3571 n www.anneappleman.com Sonoma Flowers 707-996-1696 n www.sonomaflowers.com
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. Sonoma Valley Hospital cannot be responsible for replacement of personal belongings.
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During Your Stay Spring Flowers & Gifts 707-933-8562 n www.sonomaspringflowers.com
Café Vitality
Café Vitality serves breakfast and lunch Monday through Friday between 7:30 am and 2:00 pm. Fresh, hot entrees are offered along with homemade soup, fresh salad bar, grab-and-go sandwiches and a variety of snacks and beverages. Cash and credit cards are accepted. Phone: 707-935-5041
Patient Meals Where’s Café Vitality? LOCATION: Café Vitality is conveniently located on the first floor of the hospital. HOURS: Monday – Friday 7:30 am – 2:00 pm Saturday & Sunday Closed
ATM For your convenience, an automated teller machine (ATM) is located in the main lobby.
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Sonoma Valley Hospital understands that meals are an important part of recovery. Our new patient menus offer lighter entrée selections, fresh produce and many items made from scratch. Nutritional Services staff takes pride in providing well-balanced and attractive meals based on the physician diet order. We are available from 6:00 am to 7:00 pm daily to assist you with menu selections and work with your individual preferences and dietary needs. For assistance with your menu, please feel free to contact the diet clerk at ext. 5286. For nutrition consultations and diet education, please contact the registered dietitian at ext. 5287.
Nutritional Services
Nutritional Services is pleased to extend the same hospitality to patient family members who would like to dine in with their loved ones. We offer one guest meal per day, available at breakfast, lunch or dinner by calling ext. 5286 or requesting a guest meal from your nurse.
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Vending Machines Vending machines containing cold drinks and snacks are available 24 hours a day, seven days a week. Please ask your care team member for the closest location.
Patient Channel
A free patient education program is available on Channel 24. This is a default channel every patient TV in the hospital is tuned on when powered up.
Televisions
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. Channel listings are located on page 12.
Spiritual Care Spiritual care is an important part of caring for the “whole person.� SVH recognizes the need for spiritual support in times of illness. We respect diversity of individual beliefs, and offer pastoral care and spiritual counseling to patients and families upon request. Please indicate your religious/spiritual preference during your admission and let the staff know if you would like a visit for spiritual care and support.
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During Your Stay Channel Listing KTVU (FOX)
2
ESPN
38
KNTV (NBC)
3
ESPN2
39
KRON (Local Bay Area)
4
CSNBA (FSN)
40
KPIX (CBS)
5
CSNET
41
KICU (FOX 2)
6
USA-W
42
KGO (ABC)
7
MTV-W
43
KTSF (Asian News)
8
VH1-W
44
KQED (PBS - San Francisco)
9
SPIKE
45
HSN
11
LIF-W
46
KBCW (CBS Local)
12
A&E
47
KOFY (Local Bay Area)
13
BRAVO
48
KDTV (Univision)
14
AMC
49
C-SPAN
15
TLC-W
50
KKPX (ION)
16
APL-W
51
KCSM (PBS - San Mateo)
17
FREE
52
KSTS (Telemundo)
18
NICK
53
KTNC (Estrella TV)
19
TOON
54
KFSF
20
DIS
55
KCNS (Mundo FOX)
21
CNN
56
KRCB (PBS - Santa Rosa)
22
HN
57
QVC
23
CNBC
58
E!
59
(In-House)
24
MSNBC
60
JCR Q&S Network
25
TWC
61
Public Access
28
COM-W
62
DSC
29
HGTVW
65
HLMRK
30
TRUTV
66
KEMO
31
THC-W
67
WGN
33
FNC
68
Food
34
TVLDW
69
TBS West
35
GALA
70
FX West
36
TRAVL-W
71
TNT
37
GEMS TV
77
Patient Channel
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FRANCIS BACON 1561–1626
Who questions much, shall learn much, and retain much.
Speak Up! Take charge of your care. During your stay, the doctors, nurses and staff
of your hospital 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. 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.
STEP UP & SPEAK UP SPEAK UP: Ask questions and voice concerns. It’s your body, and you have a right to know.
Remember: rite down any questions W you have n Choose a support person to communicate with the doctors and staff n K eep a list of doctors you see and the meds they prescribe n
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 or support person. WHAT MEDS & WHY: Know what medicines
Don’t Get Overwhelmed, Write It Down!
you take and why you take them.
CHECK BEFORE YOU GO: Use a hospital, clinic, surgery center or other type of health care organization that meets quality standards such as those of Center for Improvement of Healthcare Quality (C.I.H.Q.), cihq.org, and The Joint Commission.
PARTICIPATE IN YOUR CARE: You are the center of the health care team.
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HENRY H. TWEEDY 1868-1953
Fear is the father of courage and the mother of safety.
Stay Safe You can contribute to health care safety. 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.
Employee ID All hospital employees wear identification badges. Feel free to ask any staff member for his or her name and job classification. If you do not see an ID badge on an employee, please call your nurse immediately.
Don’t Be Afraid to Ask… A number of people may enter your hospital room. Be sure to: n Ask for the ID of everyone who comes into your room. n Speak up if hospital staff doesn’t ask to check your ID. n Ask if the person has washed his or her hands before he or she touches you. n If you are told you need certain tests or procedures, you may ask why you need them, when they will happen and how long it will be before you get the results. 14
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PATIENT IDENTIFICATION Any time staff members enter your room to administer medications, transport you or perform procedures and treatments, they must check your birth date and name before they proceed. At times, you may be asked the same questions repeatedly. We are aware that this may be annoying. Please understand, however, that this verification process is a critical component in our patient safety program in order to guarantee that all of our patients receive the correct medications and treatments.
Check ID
STAY SAFE
Preventing Infections The staff of Sonoma Valley Hospital uses a variety of precautions to reduce your risk of acquiring a health careassociated infection. The single most important thing YOU can do to help prevent infections is to wash your hands frequently and make sure that everyone who comes in direct contact with you—including your doctors, nurses, therapists, and visitors—wash their hands, too. As an alternative, alcohol-based hand cleaners are as effective as soap and water in killing germs. All of the health care providers that come in contact with you should use alcohol hand sanitizer or wash their hands with soap and water.
Know the Basics of Hand Hygiene
Apply the alcohol hand sanitizer to the palm of the hands and rub all surfaces of the hands, fingers and nails. Keep rubbing until the product dries. OR 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. Use a clean paper towel to dry your hands and turn off the faucet.
Happy Birthday to You! To ensure your hands are clean, be sure to 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.
When? You and your visitors should wash hands:
1. after touching objects or surfaces in the hospital room 2. before eating meals or snacks 3. after using the restroom or bedpan 4. after coughing or sneezing (use a tissue or cough into the elbow) 5. whenever they are visibly soiled
No Soap? No Problem.
Health care 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 clean their hands if you have not observed it.
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
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? When will the medicine begin to work? 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? Should I take my medicine at meals or between meals? Do I need to take the medicine on an empty stomach or with food or a whole glass of water? What should I do if I forget to take the medicine and miss a dose?
USE THE MEDICATION TRACKER ON PAGE 40 TO HELP YOU MONITOR YOUR MEDICATIONS.
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Preventing Medication Errors By taking part in your own care, you can help the members of your health care 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-thecounter 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.
STAY SAFE
Preventing Falls Hospital patients often fall because of the following: illness or medical procedures make them weak, their medications make them dizzy, or they’ve been sitting or lying down for too long. Sonoma Valley Hospital cares about our patients’ safety. Please help us keep you safe by following these guidelines during your hospital stay: n Do not get out of bed by yourself. Your hospital bed is probably higher and narrower than your bed at home, and you can easily fall while trying to get in or out of it. Please use your nurse call button and ask for assistance. n Keep often-used items—call button, tissues, water, eyeglasses, telephone, TV remote—within easy reach. n Do not walk in bare feet. Wear nonskid socks or slippers. n Make sure your robe or pajamas don’t drag on the floor; they can cause you to trip. n Use the handrails in your bathroom and throughout the hospital at all times. n Ask your nurse to show you how to properly walk with your IV pole, drainage bags or any other equipment. n Be sure your wheelchair is locked when getting in or out of it. Never step on the footrest. n If you see a spill on the floor, report it at once.
DVT: Lower Your Risk Deep-vein thrombosis (DVT) occurs when blood clots form in the legs and block circulation. The clots can lodge in your 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. Ask your doctor about using compression boots or stockings and/or blood thinners to prevent DVT during your stay. And be sure to tell your doctor or nurse if you have any of the following warning signs: A leg cramp or charley horse that gets worse Swelling and discoloration in your leg, upper arm or neck Unexplained shortness of breath Chest discomfort that gets worse when you breathe deeply or cough Lightheadedness or blacking out
PATIENTS OF ALL AGES ARE AT RISK OF FALLS BECAUSE OF MEDICATIONS THAT MAY MAKE THEM DIZZY, WEAK OR UNSTEADY
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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.
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 You Have the Right to: prescribed for you is for experimental n Be informed of the hospital’s rules purposes and give your written consent and regulations as they apply to to participate if you choose. n Participate in the decision-making your conduct. n Expect privacy and dignity process related to the plan of your care. n Have access to professionals to in treatment consistent with providing you with good medical assist you with emotional and/or spiritual care. and psychiatric care. n Receive considerate, respectful care at n Exercise your cultural values and all times and under all circumstances. spiritual beliefs as long as they do n Expect prompt and reasonable not interfere with the well-being of responses to your questions. others, or the planned course of any n Know who is responsible for medical care. n authorizing and performing your Participate in the discussion of ethical procedures or treatments. issues that may arise. n Know the identity and professional n Express concerns regarding any of status of your caregivers. these rights in accordance with the n Know what patient support services grievance process. n Formulate advance directives and are available, including access to an interpreter if language is a problem. appoint a surrogate to make health care n Have access to your medical records decisions on your behalf to the extent according to hospital policy. permitted by law. n Be informed of (in terms you can n Designate visitation, including, but not understand): limited to, a spouse, a domestic partner 1) the nature of your condition, (including a same-sex domestic partner), 2) proposed treatment or procedure, another family member or friend—or 3) risks, benefits and prognosis, withdraw or deny any such consent at 4) a ny continuing health care any time (support person rights below). n Designate a support person to be with requirements after your discharge. n Be informed of medical alternatives for you throughout your care experience care or treatment. and to make visitation decisions on n Refuse treatment, except as otherwise your behalf. You also have the right to provided by law, and be informed of designate another person to be your the consequences of your refusal. representative and to indicate whether 18
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or not you wish to have your family and/or personal physician notified of your admission to the hospital.
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 health care n Providing accurate and complete providers’ instructions. n Being considerate of the rights of information to your health care providers about your present and other patients and hospital personnel, and following hospital policy and past medical conditions and all other matters pertaining to your health. regulations regarding care and conduct. n Reporting unexpected changes in your n Fulfilling your financial obligations to condition to your health care providers. the hospital as promptly as possible. n Informing your health care providers whether or not you understand the plan of care and what is expected of you. n Following the treatment plan recommended by your health care providers.
You Are Responsible for:
What Are Your Advance Directives? What Are Advance Health Care Directives (AHCD)?
doctor and loved ones what kind of health care treatments you want. That is An AHCD is a way to make your health why it is important for you to make your wishes known in advance. care wishes known if you are unable to We encourage you to talk with your speak for yourself or prefer someone care team about this. More detailed else to speak for you. An AHCD can information regarding AHCDs can be serve either or both of these functions: found on coalitionccc.org. 1) power of attorney for health care (to Here is a brief description of each appoint an agent) and 2) instructions for directive: health care (to indicate your wishes). You have the right to make decisions Durable Power of Attorney about your own medical treatment. For Health Care: This is a legal These decisions become more difficult document that identifies your health if, due to illness or a change in mental care proxy, who is a person (agent) you condition, you are unable to tell your www.svh.com 707-935-5000 :
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What Are Your Advance Directives? appoint to make your medical decisions if you are unable to do so. Choose someone you know well and trust who can represent your preferences. Be sure to discuss this with the person before naming him or her as your agent to be sure he or she is capable and comfortable with supporting your health care decisions. Everyone over the age of 18 should be encouraged to have an AHCD in place, regardless of health status, as serious injury or illness can be unpredictable. When the document is written, it must be signed, dated, witnessed and notarized. A copy then will be put in your medical record. Make sure your health care team and agent have a copy of this document. For Finances: You also may want to appoint someone to manage your financial affairs when you can no longer do so. A durable power of attorney for finances is a separate legal document from the AHCD. You may choose the same person for both, or choose different people to represent you. This document does not become part of your medical record.
Living Will
The living will is a set of additional instructions documenting your wishes about life-sustaining medical care that have not been identified in the AHCD or POLST. It is used if you become seriously (critically) 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 of making 20
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decisions from your family, friends and medical professionals. This document must be signed, dated witnessed and notarized.
POLST
POLST stands for physician orders for life-sustaining treatment and was adopted in California in 2009. The POLST form helps give seriously ill patients more control over their care at the end of their life. It is a voluntary form, which must be signed by you (or your agent) and your physician, and indicates the types of life-sustaining treatment you do or do not want if you are seriously ill. POLST asks for information about your preferences for CPR, use of antibiotics, feeding tubes, etc. POLST doesn’t replace your AHCD, but when you are seriously ill, it helps translate it into medical orders that must be followed in all health care settings and must be presented to the paramedics if 911 is called. Your advance directives will become part of your electronic medical record (EMR). If you revise any of your documents (AHCD, living will or POLST), please make sure to provide the updated copy to your health care team and/or hospital. This will ensure that the hospital has the most current information in your medical records.
For more information about advance health care directives or to obtain forms, please speak to your health care team.
Senior Helpers® Caregivers
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Your Privacy & Health Information
Adapted from U.S. Department of Health & Human Services Office for Civil Rights
Privacy & Your Health Information
You have privacy rights under a federal law that protect 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 health care providers and their vendors n Health insurance companies, HMOs and most employer group health plans n Certain government programs that pay for health care, such as Medicare and Medicaid
What information is protected?
n Information your doctors, nurses and
other health care 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
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 To make sure that your health information is protected in a way that doesn’t interfere with your health care, your information can be used and shared: n For your treatment and care coordination n To pay doctors and hospitals for your health care and help run their businesses n With your family, relatives, friends, or others you identify who are involved with your health care or your health care 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 n To make required reports to the police, such as reporting gunshot wounds Without your written permission, your provider cannot: n Give your health information to your employer www.svh.com 707-935-5000 :
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Your Privacy & Health Information REGISTER button in the upper right hand corner of the web page. for marketing or advertising purposes n Share private notes about your mental A patient may request copies of his or her medical records in three ways: health counseling sessions 1. Visiting www.svh.com/your-visit/ If you believe your health information medical-records to download the was used or shared in a way that is not Records Release Authorization Form. allowed under the privacy law, or if you Once your form has been completed weren’t able to exercise your rights, you and signed, mail it to the Medical can file a complaint with your provider Records Department with a copy of or health insurer. You also can file a your driver’s license. We do not accept complaint with the U.S. government. email or fax requests. Go online to www.hhs.gov/ocr/privacy 2. You also may send us a written request for more information. with your full name, Social Security number or a copy of your driver’s Accessing Your Medical Records license, dates of service and your Our Health Information Management signature to authorize release of this Department (Medical Records) is information. We do not accept email located within the hospital and is open or fax requests. to the public Monday through Friday (except major holidays) 9:00 am to 4:00 3. You also may submit your request in person at the Medical Records office. pm. You can reach it directly at 707-935A patient walk-in request is processed 5250, or ask a member of your health immediately (up to 25 pages) for care team for assistance. patient convenience. You must have your photo ID with you. Electronic Health Records Sonoma Valley Hospital patients can access their personal health information Your request will be processed within 15 days. We will either mail the copy of online at any time following a hospital the medical record to the address you visit using our Patient Information provide or you may pick up your copy Portal. The Patient Information Portal during office hours. allows you to view your electronic health record online through a secure connection using any internet-enabled If you have any questions, please call device. n Use or share your health information
To set up your online access, provide your email address during registration. You will receive an email that explains how to access your information. You also can access the portal directly at RelayHealth.com and click on the 22
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the Medical Records Department directly at 707-935-5250.
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.
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LOUIS PASTEUR 1822-1895
In the field of observation, chance favors only the prepared mind.
Don’t Leave Until… 7 things to know before you walk out that hospital door.
Be sure to meet with the hospital’s discharge planner early in your stay to ensure a smooth discharge process later on.
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 hospital services. If you disagree, you or your caregiver can appeal the decision (see If You Disagree, at right). 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 24
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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. If You Disagree You or your support person 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.
Make sure you have the following information before you leave the hospital: 1. Discharge summary. This
is an overview of why you were in the hospital, which health care professionals saw you, what procedures were done and what medications were prescribed.
2. Medications list. This is a
listing of what medications you are taking, why, in what dosage and who prescribed them. Having a list prepared by the hospital is a good way to double-check the information you should already have been keeping track of.
3. Rx. A prescription for any
medications you need. Be sure to fill your prescriptions promptly so you don’t run out of needed medications.
4. Follow-up care instructions.
Make sure you have paperwork that tells you:
Be sure to ask what foods to stay away from while on your medications.
nw hat, if any, dietary restrictions you need to
follow and for how long
nw hat kinds of activities you can and can’t do,
and for how long
nh ow to properly care for any injury or incisions
you may have
nw hat follow-up tests you may need and when
you need to schedule them
nw hat medicines you must take, why, and for
how long
nw hen you need to see your physician n any other home-care instructions for your
caregiver, such as how to get you in and out of bed, how to use and monitor any equipment, and what signs and symptoms to watch out for n telephone numbers to call if you or your caregiver has any questions pertaining to your afterhospital care
5. Electronic Health Records. Check with your health care team about accessing your medical records online. Our Patient Information Portal allows you to access your Sonoma Valley Hospital Medical Record through the internet using a secure connection from an internet-enabled computer or mobile device. 6. Other services. When you leave the hospital,
you may need to spend time in a rehabilitation facility, nursing home or other institution. Or you may need to schedule tests at an imaging center, have treatments at a cancer center or have in-home therapy. Before you leave, be sure to speak with your nurse or physician to get all the information you need about any subsequent treatments, such as in-home care or scheduled tests for X-rays.
7. Community resources. You and your
caregiver may feel unprepared for what will happen after your discharge. Make sure your discharge planner provides you with information about local resources, such as agencies that can provide services like transportation, equipment, home care and respite care.
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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. Expect the discharge process to take a couple of hours. We want to be sure we provide you with the best information we can. If you are confused or unsure about what you need to do, your medications, or restrictions in 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.
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Going Home
Here are a few tips to make the discharge process run smoothly: n Be sure you and/or your caregiver has spoken with a nurse or case manager and that you understand what services you may need after leaving the hospital. (See Don’t Leave Until… on page 24 for more discharge advice.) n Verify your discharge date and time with your nurse or doctor. n Have someone or a service 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 referrals, prescriptions, etc.
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Your ride may pick you up at the main entrance of the hospital (west lobby entrance). Limited parking is available for short periods at the main entrance curb.
Billing
What a hospital bill covers – Patient Financial Services: 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 you have the final responsibility for payment of your hospital bill.
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 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. 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, with every attempt being 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.
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. If there is an amount due from you after processing by your insurance, you will receive a statement.
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Preparing to Leave the Hospital Patients that are in need of further discounts should be informed of other options such as applying for government-funded programs (i.e., Medi-Cal, CMSP) and/or Sonoma Valley Hospital’s Financial Assistance Program.
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 coinsurance are sometimes 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.
Medi-Cal
We will need a copy of your Medi-Cal card for the current month. Medi-Cal does not pay for the cost of a private room unless medically necessary.
For Self-Pay Patients
All self-pay patients will receive a 40 percent discount off total of charges. Patients with any out-of-pocket expenses, following insurance payment, will be eligible for a 20 percent prompt pay discount if paid in full. Sonoma Valley Hospital offers payment plans for all patients interest-free. Patients with balances of $500.00 or less will need to be paid within six months. Patients with balances $501.00 or greater have the option to pay over a 12-month period. Any circumstances outside of this guideline will require approval by management. Patients with a high-deductible plan (with deductibles at or exceeding $3,000.00) will be eligible for a 35 percent prompt pay discount if paid in full within 21 days from first statement bill date. Any circumstances outside of this guideline will require approval by management.
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BUDDHA
In compassion lies the world’s true strength.
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 (See page 18).
advance directives
Know whether or not your loved one has an advance directive, and if so, what it specifies (See page 19).
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.
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 13).
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 40.
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 his or her options are. www.svh.com 707-935-5000 :
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For the Caregiver continued Resources for Caregivers Remember to ask for help
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/caregivers, then search for caregivers 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 Caregiver Action Network 202-454-3970 www.caregiveraction.org Support for caregivers of chronically ill, aged or disabled loved ones National Respite Network and Resource Center archrespite.org 800-473-1727 Respite care services can help with tasks or caring for your loved one so you can get some relief.
Hospital Resources Laboratory Services
SVH’s Laboratory provides comprehensive laboratory testing, expert medical interpretation of specimens and innovation in laboratory technology. Our laboratory plays an essential role in the quality and safety of patient care by providing accurate diagnostic and treatment information to caregivers and patients. For ease of service, we encourage you to preregister by calling 707-935-5025.
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Rehabilitation Services
Rehabilitation specialists at Sonoma Valley Hospital provide services to patients who have impairments, functional limitations, disabilities or changes in physical function and health status resulting from injury, disease or other causes. Our inpatient and outpatient rehabilitation teams also focus their expertise on helping patients who suffer from chronic pain and/or spinal injuries/difficulties.
Hospital Resources continued Diagnostic Imaging Services
Our experienced team of certified radiologists and technologists provide a range of quality imaging services to fit your health care needs. Using advanced technology and up-to-date procedures ensures that your physician and health care team receives the most accurate and detailed information about your health, from head to toe.
nursing (RN’s only, no LVNs) and 24hour access to two on-site physicians. Considering that the regular nursing home requirement is for physicians to see patients once a month, this kind of coverage makes our facility special. For more information, contact Case Management.
Women’s Health Services
SVH offers women’s health services with
Skilled Home Care - Healing At Home preventive health care to specialized Healing At Home, the skilled home health care service of Sonoma Valley Hospital, is a nationally recognized program providing skilled, medically necessary and individualized care to homebound patients under physician orders in Sonoma, Marin and Napa counties. Our goal is to assist you through your recovery phase within the comfort of your own home and help restore your independent functioning. For more information, please contact Case Management.
programs for all ages, including Women’s Health Center, Pelvic Health, GirlTalk and The Birthplace.
Cancer Support Sonoma
Cancer Support Sonoma helps people with cancer find support and improve their quality of life. It offers complementary therapies to help reduce the physical and emotional symptoms of conventional cancer treatment such as nausea, fatigue, anxiety and depression. Cancer Support Sonoma is operated by the Sonoma Valley Hospital Foundation in partnerships with North Bay Cancer Skilled Nursing Sonoma Valley Hospital’s award-winning Alliance. Please call 707-935-5244 or email inforcancersupport@svh.com to Skilled Nursing Facility is designed to learn more. provide the highest level of care for patients who no longer require acute care services but are not quite ready to return Integrative Health Network to independent living. As they continue Sonoma Valley Hospital offers access to expanded choices in health care through their recovery, patients in our Skilled the blending of the principles and practice Nursing Unit rehabilitation programs have access to the entire range of hospital of modern science and technology, along with other healing traditions. Our focus services to help with their healing. is on the whole person with the patient Our 27-bed Skilled Nursing Facility as the healer of mind, body and spirit. It offers round-the-clock professional is through this unique partnership with medical care, including excellent www.svh.com 707-935-5000 :
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Hospital Resources continued a team of physicians and practitioners that the patient can maximize the body’s innate healing potential, and together with his or her health care team, navigate the way back to health. To find a provider from our Integrative Health Network, contact the wellness coordinator at 707-935-5440 or visit our website, www.svh.com.
Support Groups
Diabetes Education and Weight Management classes are available through Meritage Medical Network and are offered at the hospital throughout the year. Classes are open to all members of the community. Please call 415-884-1875 for more information.
Active Aging
Our “Active Aging – Live Your Best Life Now” program offers group classes and educational seminars. For more information, contact the community coordinator at 707-935-5257.
GirlTalk
GirlTalk is an educational series sponsored by Sonoma Valley Hospital to provide women in the Sonoma Valley with information on timely health topics and help them to take charge of their health and well-being. For more information, contact the community coordinator at 707-935-5257.
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Childbirth Education Classes
The Birthplace at SVH: Birth Preparation and Mother & Baby Classes Prepared Childbirth: A series of four classes designed to teach expectant mothers and childbirth coaches about the laboring process. Topics include pain management, birthing techniques, cesarean sections and transition to home. We suggest that expectant mothers register by the 20th week of pregnancy. Mother and Baby: New moms are taught how to keep their newborns clean, safe and comfortable. Topics include: newborn characteristics and development, feeding, bathing, diapering, accident prevention and sibling interaction. Instructors also will discuss the physical and emotional changes related to motherhood and the adjustment to fatherhood. To learn more, please contact 707-935-5084. To learn more about What’s Happening at Sonoma Valley Hospital, please mark our website as one of your favorites. News, events, classes and community outreach clinics are posted at our website, www.svh.com. You also may “Like” us on Facebook to see our stream of health and wellness tips, ideas, lifestyle guides and updates from the hospital.
A Patient’s Guide to Observation What is Observation status?
Observation is a way of billing for services. It is used when a patient needs treatment or monitoring before the doctor can decide about inpatient admission or discharge. This usually happens after a patient goes to the Emergency Room. It can also happen if the patient has complications after outpatient surgery or can be a direct admit. The patient is given a room in the hospital while in observation.
What is the difference in billing between observation and inpatient?
Observation is billed under outpatient services (under Medicare, this would be under Part B), while full inpatient admission is billed under inpatient services (under Medicare, this would be Part A).
What kind of problems do people have that would make observation appropriate?
What if my physician decides that my condition requires acute inpatient admission?
Your physician must write an order to convert your observation status to an inpatient admission. This decision must be in agreement with the established guidelines used by the hospital and insurance providers.
What happens at the end of the 24-hour time period?
Your physician will decide to release you, continue monitoring you or convert your observation status to an inpatient admission.
What happens if my condition does not require acute inpatient care? If it is decided that your care can be performed in a less acute setting (not a hospital), you will be released, possibly with home health care, if necessary.
Can I be placed in observation after
Problems that can usually be treated within 24 undergoing an outpatient surgical hours, or conditions for which the cause has procedure? not yet been determined would be appropriate Medicare allows for four to six hours as a for placement in an observation bed. recovery period. The intent of outpatient surgery is that you have your surgery and What are some examples of go home the same day. However, if you these problems? experience a postoperative complication, then Some examples include vomiting, weakness, your physician may decide to keep you in the headache, stomach pain, nausea, some hospital to further monitor you. breathing problems, fever and some types of chest pain. What if I desire to spend the night
How long can a patient stay in observation?
Different insurance companies have different amounts of time that are covered in observation. Medicare generally covers 24 hours. Typically, a decision is made within 24 hours.
after my outpatient surgery? Will Medicare cover this?
No, Medicare will only pay if there is a medical condition that warrants postoperative monitoring. If you desire to stay over for patient/family convenience, you will be fully responsible for payment.
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A Patient’s Guide to Observation If I’m admitted as an inpatient, can my Will Medicare cover all my expenses physician change my billing status to the same way it would if I were an observation? inpatient? Yes, if it is determined that your medical condition is more appropriately treated in observation. A physician’s order must be written to change your status to observation, and the change must occur while you are in the hospital. Your entire stay will be billed under Medicare Part B and will require an outpatient co-payment, which may be covered by a secondary insurance.
No, Medicare will cover your expenses under your Part B benefits. Your outpatient co-pay will apply and may be covered by a secondary insurance. If you have any questions regarding your billing, please contact our billing office at: 707-935-5325. If you have any questions regarding the information in this booklet, please ask your nurse to contact your case manager.
Sonoma Valley Hospital’s Hospitalist Service Your primary care physician may ask the Hospitalist Group – Sound Physicians to take care of you while you are an inpatient at Sonoma Valley Hospital. The following information explains how our Hospitalist Service works for you.
What is a hospitalist?
A hospitalist is a physician whose practice is dedicated entirely to the care of patients who are hospitalized. Many primary care doctors and specialists refer their patients to a hospitalist when their patient’s condition requires hospitalization. The doctors of Sound Physicians are trained in internal medicine and intensive care. It is our job to help you regain your health as quickly as possible. We assess your individual needs and manage your medical care throughout your hospital stay. We work together with other specialist 34
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physicians, nurses and the rest of the health care team to promote your recovery.
What are the benefits of having a hospitalist?
Hospitalists specialize in managing acute illness that requires hospitalization. Because we are in the hospital 24 hours a day, we are readily available to care for you if there is a change in your condition. By referring patients who need acute care to the hospitalist, your primary care doctor can be more available to you in the office.
How does the hospitalist work with my physicians?
During your hospital stay at Sonoma Valley Hospital, you will be seen and cared for by a hospitalist. The hospitalist will communicate with your primary care and specialist physicians regularly. At the
time of admission and discharge, we send important medical information about your care and discharge to your doctors. After you leave the hospital, your primary care physician will resume the responsibility for your medical care. Please make sure to inform your hospitalist of any physicians that you see regularly.
for you or your family to ask any questions about your medical care. If the doctor is not able to come while your family members are at your bedside, please leave the doctor a contact number so he or she can call your family with an update. Please select one family member to be the primary contact person.
When will my hospitalist doctor see me?
What will happen when I am discharged?
Your hospitalist physician will see you at least once a day, and more if needed. The hospitalist’s daily schedule is based on the needs of all of our patients and can change throughout the day. Therefore, it is not always possible to provide an exact time that the physician will visit you. Your nurse can check with the hospitalist to get an approximate time for that day.
Why will I see more than one hospitalist physician during my stay?
During admission, you will be seen by one of our physicians. Typically our hospitalists work for two or more days in a row providing you with continuity of care. Depending on when you are admitted and how long you stay, you may meet more than one doctor during your hospitalization. The hospitalist physicians caring for you provide each other with detailed summaries to make sure everyone fully understands your condition and care plan.
How can my family and I communicate with the hospitalists? The hospitalist’s daily visit is the best time
Organizing a successful discharge is one of the most important jobs of the hospitalist. Throughout your hospital stay, the hospitalist will work with you, your family and your care team to determine your discharge needs. At discharge, the hospitalist will review your medications and note in your chart any changes made while in the hospital. Your hospitalist will provide a detailed summary of your hospital treatment, discharge care plan and medications to your primary care and specialist physicians. We also will facilitate making the necessary appointments that you should keep following your discharge. After you leave the hospital, your primary care physician resumes the responsibility for your medical care.
What can I do to help my hospitalist doctor take very good care of me?
Give us a list of your medications, including names, doses and how often you take them. Tell us about any medication allergies. Tell us the names of any doctors you see regularly. Let us know immediately about any concerns you have about your condition or care. www.svh.com 707-935-5000 :
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Health Care Roles Physicians Your primary care physician or a hospitalist will supervise your care while you are in the hospital.
Hospitalists
A hospitalist’s 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 until discharge. See page 34 for more information on hospitalists.
Nurses
In each nursing unit, a registered nurse is responsible for supervising patient care and directing the nursing and support staff of the unit. Registered nurses are assisted by nursing assistants and nurse technicians. The nursing staff is available around the clock.
Dietitian
A registered dietitian (RD) will work with your health care team to develop an individualized nutrition care plan for you. A registered dietitian also is available to provide education about specific nutrition needs or diets you may need to follow, whether you are in the hospital or after you are discharged. The registered dietitian can be contacted at ext. 5287.
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: www.svh.com 707-935-5000
Rehabilitation Therapists
Physical therapists, occupational 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 longterm intervention, based on the extent of your injuries or illness.
Technicians and 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.
Case Managers and Social Workers
Case managers will review your medical record and discuss your discharge planning. They also are available to assist you with arrangement for home care, admission to a long-term care facility or rehabilitation care. Social workers offer emotional support, counseling and guidance to help patients and their families deal with financial, social and emotional problems related to illness or hospitalization.
Pharmacists
While you are in the hospital, all of your medications are dispensed by hospital pharmacists.
Volunteers
They provide support throughout the hospital, including staffing the Volunteers give thousands of hours information desk, delivering newspapers, each year to our hospital to enhance the care of our patients and their families. mail and flowers, and escorting patients.
Notes _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ www.svh.com 707-935-5000 :
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Giving Back Are You a Grateful Patient? Many patients and their families wish to express gratitude for the care they received at Sonoma Valley Hospital. We would love to hear from you! Please tell us about the care you received. Additionally, a gift to the Foundation is a meaningful way to thank your doctor, nurse or other staff while honoring the work they do. When you contribute financially to the Foundation, you show your appreciation in a way that will help others receive the outstanding care given to you and your loved ones. Thank you for your investment in our hospital—it helps to improve the health of everyone in our community.
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Sonoma Valley Hospital Foundation
Sonoma Valley Hospital Foundation cultivates community support and raises funds for Sonoma Valley Hospital. Gifts to the Foundation can transform health care in our community by funding state-of-theart equipment that saves lives, upgrading facilities to enhance patient and caregiver comfort and safety, and sponsoring important ongoing programs to care for those who are in need. There are several ways to donate, including cash, check, credit card or securities. You also can help ensure that the Foundation’s mission continues for many years to come by making a planned gift through a bequest or trust. A legacy gift can be any amount and is a simple way in your will or trust to make a big difference. Donations of every type and amount are appreciated. For more information or to make a gift, please contact the Foundation at 707935-5070.
: www.svh.com 707-935-5000
HIPPOCRATES 460-377 B.C
Let food be thy medicine and medicine be thy food .
Eating Well Eating Welland andLiving LivingWell Well
At Sonoma Valley Hospital, we have developed general diet guidelines using a Green Light, Yellow Light and Red Lightdeveloped system togeneral identifydiet theguidelines components healthy At Sonoma Valley Hospital, we have usingofa aGreen Light, diet. OfLight course, followtodiet guidelines providedofbyayour health Yellow and you Red should Light system identify the components healthy diet.care Of course, you shouldFor follow dietinformation guidelines provided by yournutrition, health care provider. For more information provider. more about good please contact our registered about good nutrition, please contact our registered dietitian. dietitian.
GREEN LIGHT FOODS
Eat foods that are 100% healthy! Foods that are full of life Green light foods have only healthy ingredients
Green Light
Try to increase the number of green light foods you choose each day: Fresh or frozen fruits, nonstarchy vegetables, unsalted nuts and seeds, 100% whole grains, lean poultry, wild game, plain yogurt and cottage cheese.
Foods to eat sparingly Yellow light foods have some healthy ingredients or
Yellow Light
Try to choose green light food options when available. Yellow light foods include: canned or dried fruits and veggies, fruit juices, processed grains, salted nuts and seeds, milk and sweetened yogurt, cheese, red meat and pork, natural sweeteners - honey, agave.
Foods to avoid Red light foods have no nutritional value
Red Light Red Light
substitutes. Processed snack foods, baked goods, processed meats, high fructose corn syrup, ar colors, avors, sweeteners, preservatives, and trans fats are those to be avoided.
ALLISON EVANSON is a registered dietitian with a master’s degree in nutrition. Allison works with both the inpatient and skilled nursing facility treatment teams at Sonoma Valley Hospital to ensure patients receive optimal nutrition for recovery and rehabilitation. Allison also sees patients in the oupatient setting for dietary management of a variety of chronic medical conditions, as well as support those who wish to improve health through nutrition and lifestyle changes. For more information, please contact Allison directly at 707-935-5287or by email at aevanson@svh.com.
www.svh.com 707-935-5000 :
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W. EDWARDS DEMING 1900–1993
There is no substitute for knowledge.
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:_______________________ /___________________ 40
: www.svh.com 707-935-5000
North Bay Orthopedic Surgeons Dr. Robert Harf
has extensive experience treating patients with all types of spinal problems. He is an acknowledged, skilled expert in total joint replacements, utilizing state-of-theart technologies in minimally invasive approaches to knees and hips as well as the spine.
707.996.8017 www.westernspinesurgeon.com 181 Andrieux Street, Ste. 111, Sonoma, CA 95476 • NEXT TO HOSPITAL •
17575 Carriger Road Sonoma, CA 95476
707-939-1318
Visiting Hours: 10 am to 8 pm Personalized Tours: 10 am to 3 pm Call for Appointment
• 24-Hour Personalized Care and Housekeeping • Private and Semi-Private Rooms • Ambulatory and Non-Ambulatory • Gourmet Menu • Transportation Available • Elegant, Spacious Setting • Wheelchair Accessible • Indoor and Outdoor Activities • High Staff-to-Resident Ratio • Hospice Waiver • Accepting Alzheimer’s and Memory Impaired Patients • Established in 1994 • Near Downtown Sonoma
Dignity • Comfort • Quality of Life • Compassionate and personalized end-of-life-care • Support for your family and caregivers • A dedicated inpatient hospice room in partnership with Sonoma Valley Hospital
(707) 935.7504 www.hbtb.org
ALSO SERVING MARIN, SAN FRANCISCO, SAN MATEO COUNTIES AND THE CITY OF NAPA