The Grove Nursing Home Resident Information Handbook

Recognized for providing exemplary care, making your health care our priority.

Resident Information Handbook

RNPRIOR REGIONAL HEALTH

THIS COPY IS YOURS TO KEEP.

Arnprior Regional Health Mission Statement Achieving excellence through working partnerships, we deliver responsible, quality healthcare each day.

Vision Statement “To be recognized for exemplary care; making your health our priority”

Values “HART” -- Honesty – Accountability – Respect – Teamwork

Code of Conduct Honesty We demonstrate compassion, honesty and kindness while respecting each person’s privacy and dignity.

Accountability We conduct ourselves with the highest standard of personal and professional behaviour.

Respect We each bring valuable skills, experience and knowledge to our work.

We always treat each other with respect and consideration.

Team Work We work together for the care and safety of our patients, residents, community and each other.

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Resident Information Handbook

Table of Contents Mission Statement, Vision Statement, Values and Code of Conduct................. 2 Frequently Called Numbers.................................................................................. 5 Arnprior Regional Health...................................................................................... 6 A Message from the President & Chief Executive Officer................................... 8 Protecting the Privacy of Your Personal Health Information.............................. 9 Partners in Caring................................................................................................ 10 Public Relations................................................................................................... 10 Our Volunteers.................................................................................................... 10

Residents’ Bill of Rights................................................................... 11-13 A Backgrounder on Nursing Home Care.............................................15 Accountability................................................................................................... 15 Compliments & Complaints.............................................................................. 15 Resident Safety................................................................................................. 16 Your Health Care – Be Involved.................................................................... 16 Residents’ Council............................................................................................. 16 Food Council at the Grove............................................................................... 16

Programs & Services Basic Care.......................................................................................................... 17

Other Information Admission.......................................................................................................... 17 Alcohol.............................................................................................................. 18 Animals.............................................................................................................. 18 Attending Physician.......................................................................................... 18 Billing................................................................................................................. 18 Call Bells............................................................................................................ 18 Clothing............................................................................................................. 18 Continence Care............................................................................................... 19 Dentures............................................................................................................ 19 Escort Services................................................................................................... 19 Family Conferences........................................................................................... 19 Hairdressing...................................................................................................... 19 Leaves of Absence............................................................................................ 19 Mail.................................................................................................................... 19 Mechanical Lifts................................................................................................ 19 Medications....................................................................................................... 19 Optometry & Audiology................................................................................... 19

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Pastoral Care at the Grove Nursing Home...................................................... 20 Physical Therapy Department at the Nursing Home...................................... 20 Power of Attorney for Personal Care.............................................................. 20 Psychiatric Leave............................................................................................... 20 Respite Accommodations................................................................................. 20 Safety & Security............................................................................................... 20 Smoking............................................................................................................ 20 Telephones........................................................................................................ 20 Televisions and Radios...................................................................................... 21 Vacations........................................................................................................... 21 Valuables........................................................................................................... 21 Visiting Information............................................................................................ 21 Visiting Hours.................................................................................................... 21 Visitor Restrictions............................................................................................ 21 Visiting Ill Residents.......................................................................................... 21 Visiting by Outside Groups............................................................................... 22 Activity & Therapy Programs.............................................................................. 22 Volunteers............................................................................................................ 23

Resident Safety.....................................................................................24

Advocating For Good Hand Hygiene............................................................... 24 How to Prevent (HAIs)...................................................................................... 25 To Help Prevent the Spread of Infections........................................................ 26 “Your 4 Moments for Hand Hygiene� ............................................................ 26 Keep Two Simple Rules in Mind....................................................................... 28 Working Together to Help Stop the Spread of Infections.............................. 28 Your Health Care -- Be Involved....................................................................... 29 Medication in the Nursing Home.................................................................... 30 Respiratory Outbreaks...................................................................................... 30 Respiratory Etiquette....................................................................................... 30 Surgical Site Infection (SSI)............................................................................... 31

Partners in Caring.................................................................................33 Community Supporters........................................................................34

Please note: We are constantly changing to meet your needs.

Information presented here may be subject to change.

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Resident Information Handbook

Frequently Called Numbers Nursing Home Switchboard: 613-623-6547 Nursing Home Direct: 613-623-5304 Nursing Home Extension Numbers • Reception..............................................................................................0 • Activities............................................................................................228 • Business Office..................................................................................221 • Director of Care................................................................................223 • Nursing Desk.....................................................................................227

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Arnprior Regional Health Arnprior Regional Health has been providing quality health care services to our community since 1945. Arnprior Regional Health (ARH) is changing and growing to meet the needs of our local communities. ARH is becoming a regional leader or ‘hub” for selected acute, long term care and other health care services. We are no longer just a hospital and a nursing home – we are much more. By bringing all of the services under the ARH umbrella, we can provide enhanced patient/clients/resident care and improved navigation of the health care system.

Arnprior Regional Health Arnprior & District Memorial Hospital Our 44-bed community hospital offers quality patient care to residents of the surrounding area.

Our state-of-the-art, fully accredited facility – which consistently receives among the highest patient satisfaction scores in the Province of Ontario – offers acute/medical/surgical and 24-hour emergency care. We also provide longer-term care for individuals requiring complex care.

Our specialists include general surgeons, orthopaedic surgeons, a general internist and anaesthetists. We operate a busy Outpatient Clinic that includes adult and child psychiatry, audiology, cosmetic surgery, dermatology, geriatrics, gynaecology, haematology, immunology, neurology, ophthalmology, orthopaedics, orthotics, otolaryngology, paediatrics, rheumatology, and urology.

We offer diagnostic and therapeutic services including mammography, Ontario Breast Screening Program (OBSP), ultrasound, bone density testing, x-rays, Urotherapy, rehabilitation, and physical therapy.

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Resident Information Handbook

The Grove Long Term Care Home The 60-bed Grove Nursing Home, built in 1981, provides skilled and compassionate long-term care. Currently, there are 59 resident beds and one respite care bed. Residents have access to a reactivation program and many social events, as well as hairdressing services and regular outdoor excursions.

Assisted Living Services Program Helping seniors maintain their independence in their own homes is the goal of The Assisted Living Services Program.

Most seniors want to continue living at home, whether it is in a private home, condominium complex, an apartment or other living arrangements.

The Assisted Living Services Program is the result of The Aging at Home Strategy developed by the Ministry of Health and Long Term Care.

The Adult Day Program The Adult Day Program operates at the Grove Four times a week Tuesday, Wednesday, Thursday and Friday. This program is open to members of the community including those who have Alzheimer’s and/or dementia.

Activities are structured to highlight the strength of individuals in groups as well as independently through memory stimulation games like crossword puzzles, word games, news and views, word search and trivia games. The Day Program attendees also have the opportunity to enjoy entertainment, cards, physical and social games and fitness that are geared to the level of everyone’s individual ability. Staffs also cue attendees about taking medication and washroom breaks.

Ethics Committee at Arnprior Regional Health Arnprior Regional Health (ARH) recognizes that, in the course of delivery of service to patients and residents, situations may arise that result in conflict among service providers, patients, resident, families, substitute decision makers (SDMs) and the community about an appropriate course of action or non-action or allotment of resources. The ethics Committee’s role is to support and assist staff, physicians, residents, families and SDMs through a resolution process.

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A message from Eric Hanna, President & Chief Executive Officer at Arnprior Regional Health

It’s my pleasure to welcome you to Arnprior Regional Health. This Patient Information Handbook is a helpful guide for patients and families during your stay with us. Arnprior Regional Health encompasses: Arnprior & District Memorial Hospital, the Grove Long Term Care Home, the Assisted Living Services Program, the Adult Day Program, and the Primary Health Care Center.

At Arnprior Regional Health, we pride ourselves on providing excellent care and support to patients, residents and their families. We place the highest priority on treating every individual with respect.

In September 2013 Arnprior Regional Health went through Accreditation.

I am very pleased to announce that ARH received the highest level of award from Accreditation Canada – “Accreditation with Exemplary Standing”.

At Arnprior Regional Health, we pride ourselves on providing excellent care and support while striving to be recognized for exemplary care; making your health our priority. There is a high level of commitment to uphold our Mission, Code of Conduct and Values while placing the highest priority on treating every individual with respect.

Wishing you good health, Eric Hanna President & Chief Executive Officer

Resident Safety is of the utmost importance to all staff members at Arnprior Regional Health.

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Resident Information Handbook

Protecting the Privacy of Your Personal Health Information We understand that health information about you is personal and must be protected.

For these reasons we will: • provide the best possible level of confidentiality around the collection, use and disclosure of your personal health information; • collect only necessary information and use that information solely for the care and treatment you are seeking; • disclose only information necessary for the delivery of your care and the management of the health care system. This could include sharing information with your family doctor, a laboratory, another health care provider, your health insurance plan or regional/provincial EMPI Systems (Enterprise Master Patient Index). This could also mean disclosing information to comply with legal and regulatory requirements (e.g. the Mental Health Act), research requests, patient satisfaction surveys, internal ARH fundraising and teaching or statistical requirements; • ask your permission before disclosing any of your information for purposes not related directly to the above. We will also respect your right to withdraw your consent to use your information for purposes not required for legal or regulatory requirements; • recognize your right to access your health information when you request it and provide copies for a fee.

CHIEF PRIVACY OFFICER, 613-623-7962 ext. 261

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Partners in Caring Partners in Caring is the charitable arm of Arnprior Regional Health.

The mandate is to raise funds, receive donations and recognize donors appropriately. As a separate entity, Partners in Caring encourages creative fundraising ideas, defines specific fundraising goals for Arnprior Regional Health, and attracts expertise in the areas of donor recognition and fundraising, protects non-governmental funds, and apply funds to purchase much needed medical equipment or renovations to accommodate additional health care services for our communities.

Arnprior Regional Health relies on donor support as government funding only pays a small portion of equipment costs.

If during your stay, a staff member helped make your time here a bit more pleasant, please consider recognizing them through the Grateful Patient Program. Your compliment is always appreciated.

Public Relations Information about Arnprior Regional Health is available in a number of ways through our Public Relations/Communications Office. A bi-weekly newspaper column, annual report and regular updates on our Website keep members of the community informed about events and activities related to Arnprior Regional Health. In addition, news releases and stories appear the local media on a regular basis.

Visit our Web site at www.ArnpriorRegionalHealth.ca.

Our Volunteers The Auxiliary to Arnprior Regional Health coordinates a Hospital, Nursing Home and community volunteer program. You can easily identify these volunteers by their uniform colours of sapphire blue.

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Residents’ Bill of Rights Fundamental Principle The fundamental principle to be applied in the interpretation of this Act and anything required or permitted under this Act is that a long-term care home is primarily the home of its residents and is to be operated so that it is a place where they may live with dignity and in security, safety and comfort and have their physical, psychological, social, spiritual and cultural needs adequately met. 2007, c. 8, s. 1.

The following rights of residents are fully respected and promoted: 1. Every resident has the right to be treated with courtesy and respect and in a way that fully recognizes the resident’s individuality and respects the resident’s dignity.

2. Every resident has the right to be protected from abuse.

3. Every resident has the right not to be neglected by the licensee or staff.

4. Every resident has the right to be properly sheltered, fed, clothed, groomed and cared for in a manner consistent with his or her needs.

5. Every resident has the right to live in a safe and clean environment.

6. Every resident has the right to exercise the rights of a citizen.

7. Every resident has the right to be told who is responsible for and who is providing the resident’s direct care.

8. Every resident has the right to be afforded privacy in treatment and in caring for his or her personal needs.

9. Every resident has the right to have his or her participation in decision-making respected.

10. Every resident has the right to keep and display personal possessions, pictures and furnishings in his or her room subject to safety requirements and the rights of other residents.

11. Every resident has the right to, i. participate fully in the development, implementation, review and revision of his or her plan of care, ii. give or refuse consent to any treatment, care or services for which his or her consent is required by law and to be informed of the consequences of giving or refusing consent, iii. participate fully in making any decision concerning any aspect of his or her care, including any decision concerning his or her

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admission, discharge or transfer to or from a long term care or a secure unit and to obtain an independent opinion with regard to any of those matters, and iv. have his or her personal health information within the meaning of the Personal Health Information Protection Act, 2004 kept confidential in accordance with that Act, and to have access to his or her records of personal health information, including his or her plan of care, in accordance with that Act. Every resident has the right to receive care and assistance towards independence based on a restorative care philosophy to maximize independence to the greatest extent possible.

Every resident has the right not to be restrained, except in the limited circumstances provided for under this Act and subject to the requirements provided for under this Act. Every resident has the right to communicate in confidence, receive visitors of his or her choice and consult in private with any person without interference.

Every resident who is dying or who is very ill has the right to have family and friends present 24 hours per day.

Every resident has the right to designate a person to receive information concerning any transfer or any hospitalization of the resident and to have that person receive that information immediately.

Every resident has the right to raise concerns or recommend changes in policies and services on behalf of himself or herself or others to the following persons and organizations without interference and without fear of coercion, discrimination or reprisal, whether directed at the resident or anyone else, i. the Residents’ Council, ii. the Family Council, iii. staff members, iv. government officials, v. any other person inside or outside the long-term care home.

18. Every resident has the right to form friendships and relationships and to participate in the life of the long-term care home.

19. Every resident has the right to have his or her lifestyle and choices respected.

20. Every resident has the right to participate in the Residents’ Council.

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Resident Information Handbook

21. Every resident has the right to meet privately with his or her spouse or another person in a room that assures privacy.

22. Every resident has the right to share a room with another resident according to their mutual wishes, if appropriate accommodation is available.

23. Every resident has the right to pursue social, cultural, religious, spiritual and other interests, to develop his or her potential and to be given reasonable assistance by the licensee to pursue these interests and to develop his or her potential.

24. Every resident has the right to be informed in writing of any law, rule or policy affecting services provided to the resident and of the procedures for initiating complaints.

25. Every resident has the right to manage his or her own financial affairs unless the resident lacks the legal capacity to do so.

26. Every resident has the right to be given access to protected outdoor areas in order to enjoy outdoor activity unless the physical setting makes this impossible.

27. Every resident has the right to have any friend, family member, or other person of importance to the resident attend any meeting with the licensee or the staff of the home.

Source: Long-Term Care Homes Act, 2007, S.O. 2007, CHAPTER 8

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The Grove Nursing Home is committed to providing long-term care services in accordance with provincial legislation and the needs of the community it serves.

The Grove is dedicated to providing quality nursing care, personal and restorative care for senior citizens and mentally and physically challenged adults.

The Grove’s staff and volunteers are well-trained and proficient. We believe in a holistic approach to the care of each resident that provides for the physical, emotional, intellectual, social and spiritual needs of each resident through the efforts of a multidisciplinary team.

Our home is committed to building and developing relationships with our community.

The Grove Nursing Home consists of two residents’ wings with a central nursing station. Another wing houses an auditorium, where many residents’ activities and social functions are held, a sunroom, offices for the activation staff, and private staff area. The reception desk, chapel and Business Office are near the main entrance to the facility, which is secured at all times.

Meals are provided in the main dining room, located near the front entrance. A lounge and secure outdoor area offer additional recreational opportunities for the residents.

Residents also have an opportunity to receive beverages and snacks from the refreshment cart.

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A Backgrounder on Nursing Home Care Long-term care is a provincially funded and regulated health care service that exists as part of the province’s publicly funded health care delivery system. Access to a long-term care home is based on assessed health care need, not ability to pay. There is a resident co-payment, but government subsidizes this cost for those residents who need the care but cannot afford to pay.

The Community Care Access Centre determines who is eligible to be placed in a long-term care home, manages wait lists and coordinates placement.

Accountability Long-term care has the most extensive accountability framework of any part of the health care system: • There are written care and operating standards for every home. A government compliance program includes regular checks to ensure that these standards are being complied with.

• Every home is subject to a detailed annual inspection by the Ministry of Health and Long-Term Care.

• Annual Inspection reports are posted in a publicly accessible location.

Compliance reports are available to members of the public.

• There is an anonymous complaint reporting process to the Ministry, which then investigates and reports on the complaint.

• Long-term care operators must account for their expenditure of public funds to the Ministry. The Home’s audited annual report is posted in a publicly accessible location.

Compliments & Complaints The administration and staff of the Home are committed to the physical and mental well-being, security and freedom of all residents. Compliments and complaints can be communicated to a staff member, the department head, the Residents’ Council, the Administrator or Director of Care, or the Ministry of Health and Long-Term Care’s Action Line at 1-866-434-0144 (7 days a week, 8:30AM-7:00PM.).

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Resident Safety Resident safety is an important priority at the Grove Nursing Home.

Excellence in safety supports the high level of quality throughout the organization.

“Your Health Care -- Be Involved” • Be involved in your health care. Speak up if you have questions or concerns about your care.

• Tell a member of your health care team about your past illnesses and your current health condition.

• Bring all your medicines with you when you go to the hospital or to a medical appointment.

• Tell a member of your health care team if you have ever had an allergic or bad reaction to any medicine or food.

Residents’ Council

The Residents’ Council is a group of residents and their representatives who meet routinely to discuss pertinent issues related to the Home.

Residents are encouraged to attend meetings and discuss ideas and concerns, and to represent their peers when voicing opinions. The residents elect the executive annually. The Council provides a strong line of communication between the residents and administration.

Family Council at the Grove The Family Council is a group of families and representatives who meet regularly to discuss pertinent issues related to the Home. Families are encouraged to attend meetings and discuss ideas and concerns. The Family Council serves as a support group as well as a link between families and staff.

Food Council at the Grove

Residents have an opportunity to meet monthly to discuss pertinent food issues. Topics for discussion include: • New menus • Changes to service in the dining room and • Quality of food served at meals As with the Residents’ Council residents are encouraged to attend meetings to voice their ideas, comments and suggestions and to represent their peers when voicing their opinions.

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Programs & Services Basic Care The following programs and services are available at no additional cost: • Nursing and personal care on a 24-hour basis • Medical care by any physician with privileges and in his/her absence by the doctor on call • Supplies, equipment and devices necessary for the provision of medical, nursing and personal care, and activities of daily living • Supplies and equipment for personal hygiene and grooming • Meal service and meals, including three daily meals, snacks between meals and at bedtime, special and therapeutic diets, dietary supplements and assistive devices for self-feeding • Social, recreational and physical activities and programs, including related supplies and equipment • Rehabilitation services and most related supplies and equipment • Laundry, including labelling, machine washing and drying of personal clothing (no ironing) • Physiotherapy and reactivation

Other Information Admission: Within the first week of admission, your physician will visit and conduct an examination. He/she may order blood work, urinalysis, chest X-ray, etc. The nursing staff will discuss your lifestyle with you, and take your temperature, pulse, weight, etc. A staff member from both the activity and dietary departments will also visit with you to obtain information.

Do Bring • Family pictures and mementos • Paintings • Bulletin board • Own bedspread (encouraged) or afghan • Favourite chair, lamp, plants • Power bar if bringing in a TV or radio • Own sleepwear required

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Do Not Bring • Tea kettles or coffee pots • Electric blankets • Heating pads • Space heaters • Valuables • Extension cords • Humidifiers are discouraged and are the family’s responsibility to maintain.

Alcohol: Residents who wish to consume alcoholic beverages must have a written order from their physician. Consumption will be under the supervision of staff and/or a family member. Alcohol is to be provided by families.

Animals: Animals are welcome, but they must be on a leash and have had annual vaccinations.

Attending Physician: Residents may have the attending physician of their choice, provided he/she has admitting privileges at the Arnprior Hospital.

Physicians are required to visit the Home at least every three months to renew orders for diet, medications and treatments. If you wish to meet with your physician, please speak to the nurse in charge who will make the necessary arrangements.

Billing: Upon admission, the administrator or a designate will discuss financial arrangements with the resident and/or designated family member. Standard bed rates are set by the Ontario government to correspond with the Old Age Security a resident receives. Extra billing services will be discussed at this meeting, along with the terms of the admission contract. This contract is requested by all nursing homes in compliance with legislated guidelines. Residents pay their monthly fee on the first of each month. Following admission, a resident is billed for the admission month on the invoice for the following month.

Services available at extra cost include escort, hairstyling, preferred accommodation; medication not covered under the provincial drug plan, dental, chiropody/podiatry, vision care, optometry/audiology, cable and newspaper subscriptions. Current rates are available upon request.

Call Bells: Residents’ rooms are equipped with call bells, located at the head of the bed and in the bathroom.

Clothing: Clothing should be machine-washable and clearly labelled. Upon admission, housekeeping staff label any unmarked clothing. After that, any new items should be dropped off at the nursing station, with the applicable name attached. A specific area has been set up for misplaced clothing and other items that is unmarked or unidentifiable. If articles are not found, please notify a nurse.

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If family members choose to launder their loved one’s clothing, please place a laundry basket in the resident’s bathroom (preferably a covered basket to prevent odours). A valet service is available for an additional charge for residents who wish to have continuous mending service.

Continence Care: A disposable continence product in the form of briefs is available for residents with bladder or bowel concerns. The Ministry of Health and Long-Term Care funds this program at no cost to the resident or family.

Dentures: Arrangements to have dentures made, relined or adjusted may be made by contacting the charge nurse or a dentist of your choice. The cost of these services is the responsibility of the resident.

Escort Services: Residents who have appointments outside the Home must be accompanied by a family member or designated person. If this is not possible, transportation and escort may be arranged by the facility at a regulated cost. These extra costs will be billed separately.

Family Conferences: Within six weeks of admission, the resident and/or next of kin will be contacted to attend a Resident Care Conference. This meeting is used to discuss the resident’s care and to look at the best way to serve his/her needs within the realm of the Home’s capabilities. An annual meeting is held to review care delivery.

Hairdressing: This service is available at a nominal fee. Notify reception if you wish to have this service.

Leaves of Absence: Residents are encouraged to go on outings with family and friends. Please notify staff prior to the resident leaving and upon the resident’s return.

1. Casual Leave – Health permitting, residents may leave the Home for up to 48 hours per week and still have the Ministry subsidize a portion of their stay. The week begins on Sunday. Two days’ notice should be given to the charge nurse. The person accompanying the resident prior to leaving and upon return must sign a “release of responsibility” form.

2. Medical Leave – This is for 30 days or less, for the purpose of continued hospital care.

Mail: Personalized mail is delivered daily. Outgoing mail should be given to reception.

Mechanical Lifts: If a resident eventually requires a mechanical lift, families may be asked to remove some furniture from the room for resident safety.

Optometry & Audiology: Care by a registered optometrist and audiologist is provided when requested. The cost may be covered by your provincial health plan.

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Pastoral Care at the Grove Nursing Home: The Arnprior & District Ministerial Association provides pastoral care to residents of the Grove Nursing Home. Interdenominational worship services are held on Sunday afternoons. Mid-week services are also interdenominational and are held three Wednesday mornings per month. The Roman Catholic Mass is one Friday per month. Services are held in the chapel.

Arrangements for further pastoral care can be made at the request of the residents or families. If the need for clergy is immediate, please contact a member of the nursing team.

Physical Therapy Department at the Nursing Home: Physiotherapy services are provided for the residents of the Grove. We help the residents maintain their maximum independence. Exercise complements the resident’s level of function and their involvement in the activities program. We look at many different types of conditions –from arthritic joints to general debility. We are consulted on many different aspects of resident care: positioning issues (in the chair/bed), types of walking aids (walkers/canes), and decisions for transfers/mechanical lifts etc. We also provide staff education re back and musculoskeletal education for prevention of injuries. We can assess and treat staff as well. OUR GOAL IS TO PROVIDE EDUCATIONAL & CLINICAL SUPPORT FOR THE STAFF & RESIDENTS OF THE GROVE! Power of Attorney for Personal Care: All persons are encouraged, upon admission, to appoint a responsible person to make decisions regarding your wishes for treatment if and when you are unable to make these decisions yourself.

Psychiatric Leave: Leave in a psychiatric hospital, for up to 60 days at a time, is available to all residents.

Respite Accommodations: A private room offering respite for the caregiver and 24-hour care for their family member is provided. The room is booked through Placement Coordination Services in Pembroke (toll free 1-888-421-2222). It is available up to one month at a time and up to three months a year.

Safety & Security: Exterior doors are alarmed to prevent unauthorized entry or exit. Coded alarm systems are mounted at the entrance. Fire drills are conducted monthly, and fire exits are clearly indicated. If a resident brings in his or her own bed linens and comforters, make sure that they are made of fire-retardant materials.

Smoking: The Grove is a non-smoking facility.

Telephones: The cost of telephone installation, repairs and monthly billings is the responsibility of the resident or responsible party.

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Televisions and Radios: Televisions are provided in resident lounges.

Residents who wish to have a television in their room may have cable service installed, at their cost. Those who have their own radios and televisions are expected to respect the rights of the other residents.

Vacations: Depending upon the amount of time a resident has resided at the Home, one or more vacations of up to a total of 21 days within a calendar year may be taken without risk to the government subsidy.

Valuables: Due to safety requirements, residents’ rooms cannot be locked. Valuables should not be brought into the facility. Residents are encouraged to use a resident’s trust account, which has been set up at a local bank. It is recommended that no more than $50.00 be kept in this account. A copy of withdrawals is provided with each month’s billing statement. This account is audited annually.

Visiting Information Visiting Hours There are no restrictions to the number of visitors. Visiting hours are between 10 a.m. and 8 p.m. Extension of visiting privileges may be arranged through the Director of Care. Visitors who wish to have a meal may notify the Dietary Department one hour in advance (not to exceed three guests at a time). There is a charge to be paid at the time of meal to the Dietary Department or Business Office. Private parties can be arranged.

Visitor Restrictions Ill visitors shall not be permitted in the home. Visitors should be encouraged to postpone visits wherever possible. Visitors who choose to visit during an outbreak shall be required: • to wash hands on arrival and just before leaving the resident’s room • to visit only one resident and exit the home immediately after the visit • visitors should wear personal protective equipment as per Section 4.1.

Complete closure of visitation is not recommended, as it may cause emotional hardship to both the residents and the relatives, especially if they traveled from a distance. Visitation restrictions shall take into consideration whether or not the visitor/family member has been immunized or has taken prophylaxis.

Visiting Ill Residents • notices shall be placed on the door of the rooms of ill residents or in other visible locations advising all visitors to check at the nursing station before entering the room. Visitors are to be advised of the above visitor restrictions • ill residents should be visited in their room only.

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Visiting by Outside Groups Visitation by outside groups, e.g. entertainers, meetings, community groups, etc., shall not be permitted. Also, visitation of multiple residents shall be restricted.

Onsite adult and childcare programs may continue provided there is no interaction between LTC residents who are ill and participants of the program.

Activity & Therapy Programs A range of activities and events is offered at The Grove Nursing Home.

Here is just a sample of some programs offered: • Art Classes: A local artist leads a monthly program for higherfunctioning residents. She prepares a picture at home and then encourages the residents to draw the picture. The pictures are hung on the wall across from the dining room for everyone to see. Residents may also take their picture to their room if they wish.

• Bingo: A volunteer assists with this popular program every Monday and Friday.

• Birthday Party: Birthdays for the month are celebrated on the second Wednesday of each month. The house band plays music and special guests sing or dance. A local florist donates the flowers. All residents are welcome to attend the party.

• Diner’s Club: From October to May residents are given the opportunity to enjoy a special meal with family and friends in the auditorium. Each month a theme is chosen and the meal as well as the decorations and music reflect the theme. The atmosphere, the food and entertainment for a particular country provide residents with the experience of what it might be like to travel to various locations around the world.

• Dove Spa: A group program designed to relax, rejuvenate and pamper residents using a variety of spa inspired techniques such as beauty therapy, aromatherapy, heat and massage therapy.

• Fitness: A group exercise program is offered twice a week. Residents sit in a circle and take part in various kinds of exercise programs such as strength and stretch, laughter exercises, armchair yoga, etc.

• Garden Guild: A program focused on planting and nature related themes. Education and discussions about selected topics, hands on activities and occasional guest speakers.

• Making Memories: An opportunity for residents to reminisce about the past and to capture the present while creating projects to display in the nursing home. Photos and objects can also be used to stimulate memories of past events.

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• Manicures: Once a week, two volunteers do manicures in the auditorium for about an hour.

• Music Hour: Twice a month, a volunteer plays music in the auditorium for the residents.

• Outings: Two to three times a month, residents are able to go out for lunch, shopping, picnics, leaf tours, etc. Volunteers assist in a number of these outings to make resident outings more pleasurable.

• Restorative Care Exercises: A program consisting of individual exercises for residents who have been referred by the Nursing Department, physiotherapy or a physician. The residents receive range-of-motion exercises for their arms, legs, neck, feet and/or hands. Some residents use exercise bikes to exercise their legs; others use walkers or walk along the parallel bars. Hand and leg splints are applied when necessary. The exercise program is administered either daily or three times a week, depending on the resident’s needs. One or two volunteers a day come in to assist the activity staff Monday to Friday to make this program successful.

Volunteers Auxiliary volunteers assist and participate in many activities at the Grove.

These activities include: the Adult Day Program, restorative care exercises, music hour, diners’ club, games, art class, Residents’ Council, friendly visiting, piano playing, shopping, special events and weekend programs.

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Patient and Resident Safety Patient and resident safety is a priority at the Arnprior Regional Health.

The Hospital and the Grove Nursing Home are in compliance with all Accreditation Canada required organizational standards.

Learn how you can help to make your stay at the Arnprior Hospital or the Grove Nursing Home a safe one. Please read the following information on Hand Hygiene, Your Health Care – Be Involved, Medication, Respiratory Outbreaks, Patient Identification and Infection Control.

Advocating For Good Hand Hygiene

RESIDENT SAFETY

A Bedside Perspective Johanna and her husband didn’t realize the vital role that hand washing had on her mother-in-law’s care. After watching as their mom’s health deteriorated from a Clostridium difficile infection and the six courses of powerful antibiotics given, unsuccessfully, to combat it – Johanna has one strong message for care givers, patients and loved ones – WASH YOUR HANDS. “My beloved mother-in-law was not quarantined at first after contracting Clostridium difficile. We were unaware of the importance of hand washing with this infection which spreads by dry spores that can last a long time on any surface and are not killed by alcohol gel.” says Johanna.

“We could have been re-infecting her; she could have been re-infecting herself because she was unable to wash her hands properly on her own and staff could also have been re-infecting her.”

Their mom’s caregivers often worked in more than one healthcare setting and Clostridium difficile could easily be carried from one facility to another. “There were so many opportunities to spread infection and several residents of our mom’s care home had the same illness. If we had known more about how C. diff spreads we would have been much more vigilant. We could have helped protect her,” says Johanna.

Eventually their mom’s health deteriorated and Hospice Services was called in to help make her last days more comfortable. She died at the age of 92 after showering her family with love, gratitude, praise and her own unique brand of wisdom. Johanna and her husband will never forget their mom’s down-to-earth philosophy of life “religion is how you treat other people.” Johanna will also never stop advocating for good hand hygiene in healthcare and the impact it can have on a loved one’s care.

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Resident Information Handbook

REMEMBER TO WASH YOUR HANDS! It has been found that less than 40 per cent of healthcare providers wash their hands. Reasons for not washing hands range from not enough time, to limited access to the proper tools, to just forgetting to do what’s right. Optimal hand hygiene requires using the right method in the right way, at the right place, and at the right time.

Whether you’re a patient, a family member, or a visitor, your role in supporting hand hygiene is extremely important. Your active participation in good hand hygiene practices is the first step. You also have an opportunity to advocate for the quality of your own healthcare or to support someone who may not be able to speak for themselves.

Good healthcare starts with good communication.

The website, www.handhygiene.ca is packed with tools, information, and resources to reduce healthcare associated infections. Help us help you to save lives! Let’s all make it a habit to wash our hands!

How to Prevent (HAIs) One of the single most important practices you can do is clean your hands well. Germs that have the potential to make you sick are everywhere – at home, at work, in the community and at the hospital.

RESIDENT SAFETY

Each year in Canada, 8,000 to 12,000 patients die as a result of complications of healthcare associated infections. Through the simple act of practicing optimal hand hygiene, you can help reduce that number by half! The spread of bacteria by human hands creates risk at home, in the community, and in healthcare settings. Without action, patients, their families and healthcare workers are at risk.

Good hand hygiene technique is an effective measure to prevent HAIs and limit the spread of germs, including AROs, such as MRSA, VRE, ESBL & CPE and Clostridium difficile.

It is important to clean your hands often with either alcohol based hand rub or soap and water before handling or eating food; before you drink; after using the bathroom, after blowing your nose; after coughing or sneezing; and before touching your face (e.g. eyes, nose or mouth).

Ensure you have rubbed your hands for at least 15 seconds to kill or remove the germs on your hands.

If you are unable to clean your hands, please ask your health care provider or family member for assistance

www.ArnpriorRegionalHealth.ca

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To Help Prevent the Spread of Infections Wash your hands often using soap and water or hand sanitizer.

Many public places now have hand sanitizer dispensers for you to use.

You can also get small bottles of hand sanitizer at your local drugstore or supermarket to carry around with you in your pocket or purse.

When you visit the doctor, go to the hospital or any healthcare facility, it is very important to wash your hands.

Wash your hands thoroughly before you visit the doctor or someone in the hospital, while you’re there and when you are leaving. Having clean hands helps to protect you from getting an infection and keeps you from spreading germs from one location, or person, to another.

RESIDENT SAFETY

If you are being seen by a healthcare professional ask them to wash their hands before examining you.

Patients, family members and healthcare workers all have a role to play in reducing healthcare associated infections. In addition to ensuring you wash your hands frequently you may wish to ask your healthcare worker to do the same before providing care. Together we can make a difference and reduce infections by always practicing good hand hygiene.

“Your 4 Moments for Hand Hygiene” These are the indications when the health care provider must clean their hands.

Moment 1: Before initial patient or patient environment contact, the health care provider cleans their hands when entering your room and before touching you or touching any object or furniture in your room.

Moment 2: Before aseptic procedure, the health care provider cleans their hands before starting an IV, changing a dressing, or inserting a catheter, etc.

Moment 3: After body fluid exposure risk, the health care provider cleans their hands after emptying your catheter, after starting your IV, after changing your dressing or after performing any other procedure where there was exposure to any of your body fluids and after removing their gloves.

Moment 4: After patient or patient environment contact, the health care provider cleans their hands when leaving your room after they have finished providing care to you or after any object or furniture in your room

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Resident Information Handbook

4

Your

Moments for Hand Hygiene

Before initiAl pAtient / pAtient environMent contAct

4

3 1 2 3 4

After pAtient / pAtient environMent contAct

Af Bodte r exp Y fluid osure risk

Before initial patient / patient environment contact

WHEN? Clean your hands when entering:

Before aseptic procedure

WHEN? Clean your hands immediately before any aseptic procedure

After body fluid exposure risk

WHEN? Clean your hands immediately after an exposure risk to body fluids (and after glove removal)

After patient / patient environment contact

WHEN? Clean your hands when leaving:

• before touching patient or • before touching any object or furniture in the patient’s environment

WHY? To protect the patient/patient environment from harmful germs carried on your hands

WHY? To protect the patient against harmful germs, including the patient’s own germs, entering his or her body

WHY? To protect yourself and the health care environment from harmful patient germs

• after touching patient or • after touching any object or furniture in the patient’s environment

WHY? To protect yourself and the health care environment from harmful patient germs

Catalogue No. CIB-26271 1,000 Jan/08 © Queen’s Printer for Ontario

1

2

septic re A ure o f Be roced p

Adapted from WHO poster “Your 5 moments for Hand Hygiene,” 2006.

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Keep Two Simple Rules in Mind

RESIDENT SAFETY

Rule 1: When your hands are visibly dirty or they feel dirty, clean them well with soap and water! Scrub your hands, back and front and between the fingers and dry them thoroughly! Even the act of thorough drying helps to get rid of bacteria and viruses on your hands.

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Rule 2: In every other case, and if you can’t get to a sink, use an alcohol based hand rub. Alcohol based hand rubs are known to get rid of a wide range of bacteria and viruses that can infect us and make us sick.

Use a sufficient amount of alcohol rub and rub vigorously until your hands are completely dry.

ASK. LISTEN. TALK. Working Together to Help Stop the Spread of Infections We all have a role to play in practicing optimal hand hygiene every day and in every setting. While the responsibility for performing proper hand hygiene in the healthcare environment rests with the healthcare worker, as a patient or family member ASK. LISTEN. TALK. to ensure hand hygiene is performed at the right time every time. Remember, good healthcare always starts with good communication.

Resident Information Handbook

Your Health Care -- Be Involved

www.ArnpriorRegionalHealth.ca

RESIDENT SAFETY

1. Be involved in your health care. Speak up if you have questions or concerns about your care.

One of the keys to getting the best health care is to be an active member of your health care team. This means taking part and being involved in every decision about your care. This also means asking a member of your health care team if you have questions so that you can make informed choices. It means coming prepared for your medical treatment and knowing what to do when you go home. And it means getting support from friends and family if you need it.

Getting support from family, friends, and others It is often helpful to bring a family member or friend with you when you talk to your health care team. If you need an interpreter, ask in advance if there will be one there, or bring someone who can interpret for you.

What you should know You should understand as much as you can about any: • medical problem you have (your diagnosis) • treatment or procedure that you will have • medicine you should take and how to take it Asking questions Before you see your health care team, plan the questions you want to ask and write them down if you can. When you ask the questions, you may not understand the answers you get the first time. It is fine to ask again. You can say, “I’m not sure I understand what you said. Can you explain that to me again?”

Also, ask where you can go for more information.

Here are some good ways to ask questions: Deciding about having a test or a treatment: • “Can you tell me more about my medical problem?”

• “What does this test or treatment involve?”

• “Could you explain it in a different way?” (such as drawing a picture) • “What is the purpose of this test or treatment?”

• “Are there any other options?”

• “What should I do to get ready?”

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Medication in the Nursing Home Please list all mediations you currently use, even those that do not need a prescription, including herbal medications and health food supplements.

You are not allowed to keep medications at your bedside unless your physician requests it.

Respiratory Outbreaks

RESIDENT SAFETY

Respiratory outbreaks occur in long-term care homes (LTCHs – formerly known as long-term care facilities) throughout the year but are more common from the fall to early spring. These lead to substantial morbidity and mortality and are disruptive and costly for the home. Occasionally not only one, but two or more infectious agents are implicated. Outbreak prevention, preparation/implementation of control measures and early detection are vital to effective outbreak management.

Respiratory tract infections are the most commonly diagnosed infections of LTCH residents. Residents are predisposed to such infections in part because they may be elderly, may have chronic illnesses which weaken their immune system, and may have chronic lung or neurological disease which impairs their ability to clear secretions from their lungs and airways. However, residents are also at risk because many viral and bacterial respiratory pathogens are easily transmitted in an institutional environment.

The importance of infection prevention and control has long been recognized in LTCHs. The recent emergence of Severe Acute Respiratory Syndrome (SARS) has heightened the need for enhanced surveillance, screening, early detection and infection prevention practices recognizing the risks not only within the home but also in the local community as well as the world.

Experience with new emerging or re-emerging infectious diseases has resulted in a greater emphasis on infection control practices, characterized by high standards of practice that reflect an enhanced awareness of the potential for transmission of infectious diseases in health care homes.

Respiratory Etiquette Respiratory infections can easily be spread to others. It is important to cover your mouth and nose when you are coughing or sneezing. Sneeze or cough into your sleeve or a tissue; not into your hands. Immediately dispose of the used tissue into the receptacle and clean your hands.

To prevent the spread to others, we ask if anyone who is sick themselves or have been around anyone who has been sick not to visit you at the nursing home until they are feeling better.

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Resident Information Handbook

GOOD HAND HYGIENE PRACTICES Remind all staff and visitors to practice good hand hygiene before and after they touch you. Ask your nurse or doctor to demonstrate proper hand hygiene techniques (15 seconds of soap and running water OR waterless alcohol hand rub until hands are dry).

• • • • • • •

You need to clean your hands: After using the bathroom After blowing your nose Before eating and drinking Before and after you touch your dressing or wounds When your hands are visibly dirty (soiled) Before you leave your room

Fact Sheet for Patients and Visitors WHAT ARE SURGICAL SITE INFECTIONS (SSIs)?

Surgical site infections occur when harmful germs enter your body through the surgical site (any cut the surgeon makes in the skin to perform the operation). Infections happen because germs are everywhere – on your skin, in the air and on things you touch. Most infections are caused by germs found on and in your body.

WHAT ARE THE SYMPTOMS OF SSIs? Usually, a combination of the following: • • • • •

Increased soreness, pain, or tenderness at the surgical site.

A red streak, increased redness, or puffiness near the incision.

Greenish-yellow or bad-smelling discharge from the incision.

Fever of 101 degrees Fahrenheit or higher A tired feeling that doesn’t go away

RESIDENT SAFETY

Surgical Site Infection (SSI)

Symptoms can appear at any time from hours to weeks after surgery.

Implants such as an artificial knee or hip can become infected a year or more after the operation.

WHAT ARE THE RISK FACTORS FOR SSIs? The risk of acquiring a surgical site infection is higher if you: • Are an older adult • Have a weakened immune system or other serious health problem such as diabetes • Smoke

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• Are malnourished (don’t eat enough healthy foods) • Are very overweight

WHAT SHOULD HEALTH CARE PROVIDERS BE DOING TO PREVENT SSIs?

RESIDENT SAFETY

Health care providers should be taking the following precautions to prevent SSIs:

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• Practicing proper hand-washing techniques. Before the operation, the surgeon and all operating room staff should scrub their hands and arms with an antiseptic soap.

• Cleaning the site where your incision is made with an antiseptic solution.

• Wearing medical uniforms (scrub suits), long-sleeved surgical gowns, masks, caps, shoe covers and sterile gloves.

• Covering the patient with a sterile drape with a hole where the incision is made.

• Closely watching the patient’s blood sugar levels after surgery to make sure it stays within a normal range. High blood sugar delays the wound from healing.

• Warming IV fluids, increasing the temperature in the operating room and providing warm-air blankets (if necessary) to ensure a normal body temperature. A lower-than-normal body temperature during or after surgery prevents oxygen from reaching the wound, making it harder for your body to fight infection.

Source: Ministry of Health and Long-Term Care, April/2009

Resident Information Handbook

Partners in Caring is the charitable arm of Arnprior Regional Health.

The mandate is to raise funds, receive donations and recognize donors appropriately.

Arnprior Regional Health relies on donor support as the government does not fund all costs related to medical equipment.

Please contact Partners in Caring, if you would like to make a donation.

www.ArnpriorRegionalHealth.ca

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Community Supporters Arnprior Regional Health (ARH) would like to thank the many local businesses and sponsors, who made this Patient and Resident Services Directory possible for our patients and residents.

Please take a moment to review the following advertisements. You will find an excellent variety of services, which may be helpful to you.

Accommodations

Senior Citizens Services

Knights Inn.......................................35

Arnprior-Braeside-McNab Seniors At Home Program Inc.........38

Adiction Treatment & Information

Transportation Services

Pathways Alcohol & Drug Treatment Services of Renfrew County.............35

Priority Patient Transfer Service......35

Dentist Dr. Paul Petryk..................................35

Funeral Services Pilon Family Funeral Home..............39

Home Health Care Revera Home Health........................36

Legal Services Tierney Stauffer LLP.........................38

Mastectomy Boutique Kelly’s Mastectomy Boutique..........38

Member of Parliament John Yakabuski, MPP.......................38

Pharmacy Clancy’s Drug Store..........................35

Retirement Residences Island View Retirement Suites.........37 Revera - Arnprior Villa.....................37

everything

print& design 34

See this publication and others at www.patientdirectory.ca

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Tel.: 613-475-2927 • 800-339-5662 15681 Highway #2, Box 1599, Brighton, ON K0K 1H0 info@willowpublishing.com • www.willowpublishing.com

Resident Information Handbook

2015

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Pathways alcohol & Drug treatment services of renfrew county Pathways is here to provide community treatment services to residents of Renfrew County 16 years of age or over who have a substance use problem and for family members.

Please call 1-888-241-1135 for more information.

We are funded by the Champlain Local Health Integration Network and services provided are confidential.

Head Office: 39 Renfrew Ave. W., Ste 202 Renfrew, ON K7V 2Y2

613-432-8573 • 1-888-241-1135 Satellite OfficeS: Arnprior 613-623-9837 Pembroke 613-732-0151

PRIORITY

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WHEN YOUR NEEDS GO BEYOND DOOR TO DOOR SERVICE.

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Family Dentistry

“Locally owned & operated for over 50 years.”

99 John Street, Arnprior, Ontario K7S 2N4 (613) 623-5193

346 John st. n. arnprior, On K7s 2P6

tel. 613-623-3313 monday - thursday

Health Centre www.ArnpriorRegionalHealth.ca

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Care in the Comfort of your Home Revera Home Health delivers customized care and assistance – when, where and how you need it.

Call to book your free in-home care assessment!

1-800-275-2198 reveraliving.com

12018 04.13

• Personal care • Companionship • Light housekeeping • Meal preparation • Grocery shopping • Laundry • Caregiver relief and support

Working together to overcome ageism. Visit AgeIsMore.com

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Resident Information Handbook

Complimentary lunch Complimentary dinner

Choice – it’s what living at a Revera retirement community is all about.

That’s why, Revera – Arnprior Villa would like to invite you and a guest for your choice of a complimentary lunch or dinner and tour. Take the opportunity to explore our large common areas, learn about our short-term stays and speak to residents about what it’s like to live at Arnprior Villa. See why they tell us they “should have done this years ago.”

Arnprior Villa 15 Arthur St Arnprior

613-623-0414 reveraliving.com

For when the time is right...

Keep your independence and gain your freedom from everyday chores to do what you love.

Call to schedule a visit today to see what options are available for you.

For more information call 613-622-0002.

www.ArnpriorRegionalHealth.ca

30 Jack Crescent, Arnprior, Ontario K7S 3Y7 613.622.0002 • www.IslandViewSuites.ca

Independent Living in a comfortable home-like environment.

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Breast Prosthesis Mastectomy bras Post-op camisoles Mastectomy swimwear

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Kelly’s BOUTIQUE INC.

Tel: 613.248.8989 Toll Free: 866.KELLYS2 (535.5972) PMS RHODAMINE RED 2597 1747A St-Laurent Blvd, PMS Ottawa, ON

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www.kellysboutique.ca EvEry 3rD SaturDay OF ThE mONTh in arnPrior AT auDrEy’S in town | 132 JoHn St., arnPrior, on B y A p p o i n t m e n t o n ly

Arnprior-Braeside-McNab Seniors At Home Program Inc. Since 1980

Encouraging independent living & enhancing quality of life of seniors and individuals with special needs • Friendly Visiting • Telephone security • Frozen meals • Hot Meals • Community Garden • Diners Club • Friendship Days • Computer Classes

• Para Transit Transportation • In Town Seniors’ Transportation • Out of Town Medical Transportation • Home Help & Home Maintenance • Seniors Shopping • Foot Care Clinics • Income Tax Preparation • Information & Referral

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613-623-7981

www.cssagency.ca

Call for your FREE initial consultation

1-888-799-8057 www.tslawyers.ca Providing Excellence in Legal Service since 1982

Arnprior • Cornwall • Kingston • Ottawa Focused on Solutions

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Resident Information Handbook

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Your Health Care - Be Involved

www.oha.com/patientsafetytips

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Resident Information Handbook

Notes:

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Notes:

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Resident Information Handbook

Your Health Care Be Involved

Be involved in your health care. Speak up if you have questions or concerns about your care.

Tell a member of your health care team about your past illnesses and your current health condition.

Bring all of your medicines with you when you go to the hospital or to a medical appointment.

Tell a member of your health care team if you have ever had an allergic or bad reaction to any medicine or food.

Make sure you know what to do when you go home from the hospital or from your medical appointment.

Funding for this project was provided by the Ontario Ministry of Health and Long-Term Care

www.oha.com

www.ArnpriorRegionalHealth.ca