Rouge Valley Health System Patient Services Directory

Rouge Valley Ajax and Pickering

Rouge Valley Centenary

2010

PATIENT SERVICES DIRECTORY

YOURS TO TAKE HOME

Welcome Patients and Visitors I’d like to take a moment to personally welcome you to Rouge Valley Health System.

Whether you are a patient or a visitor, you should know that delivering the best patient care is our priority at Rouge Valley Centenary in east Toronto and at Rouge Valley Ajax and Pickering in west Durham. It is also our vision to be the best at what we do. This is not a task that our team of health care professionals takes lightly.

Rik Ganderton President & C.E.O.

We pride ourselves on our quality patient care services.

Both of our hospital campuses have fully-supported Emergency Departments equipped to serve the acute care needs of our rapidly-growing and richly-diverse communities.

Rouge Valley Health System is designated as a regional centre for cardiac care and offers excellent programs in emergency care at both hospital campuses, Mental Health, Surgery, Complex Continuing Care, Maternal and Newborn Services and more.

Constant improvement is our mantra at Rouge Valley Health System. In fact, the hospital is recognized for our ongoing application of Lean management and methods by the Central East Local Health Integration Network and the broader health care industry. Some fine examples of Lean results by the Rouge Valley team include: • Patients going home sooner thanks to improved patient flow and discharge planning at both hospital campuses; • Patients and doctors getting lab test results faster; • Patients waiting less for care in the Emergency Department; • Improving patient transfers from hospital to home, nursing home, or to an alternate level of care.

Our staff and physicians are dedicated to improving for you, our patients and communities.

Rik Ganderton President and CEO

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Table of Contents 1.0 About Rouge Valley Health System

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2.0 General Patient and Visitor Information

9

2.1

Visiting Hours

9

2.2

Parking

9

2.3

Cell Phones

11

2.4

Balloons

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2.5

Pay Phones and Taxi Phones

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2.6

Bank Machines

11

2.7

Food Services

12

2.8

Gift Shops

13

2.9

Lost and Found

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2.10 After Hours Clinics

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2.10.1 Centenary Family Physician Clinic

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2.10.2 After Hours Walk-In Clinics

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3.0 Being a Patient at Rouge Valley

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3.1

Checking in at Admitting

15

3.2

Know Your Care Givers

16

3.3

Waiting

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3.4

Staying in the Hospital

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3.4.1 Patient Rooms

16

3.4.2 Meals

17

3.4.3 Nurse Call System

17

3.4.4 Fire Alarms

17

3.4.5 Medical Students

17

www.rougevalley.ca

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3.4.6 Telephone Usage

17

3.4.7 Television Rentals

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3.4.8 Hair Care Services

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3.4.9 Newspapers

18

3.4.10 Baby Photos

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3.4.11 Library Cart

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Going Home

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3.5.1 Planning for Your Discharge

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3.5.2 Home Care Services

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Paying Your Bill

20

3.6.1 Fees and Uninsured Charges

20

3.6.2 Business Office/Cashier’s Office

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Getting More Information

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3.7.1 Patient Inquiries

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3.7.2 Compliments, Questions and Concerns

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3.7.3 Stay Informed

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3.7.4 The Tom Leon Health Resource Centre

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3.7.5 Rouge Valley’s website—www.rougevalley.ca

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Special Care Arrangements

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3.8.1 Lifeline

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3.8.2 Pet Therapy

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3.8.3 Private Nursing & Private Nursing Assistant Care

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3.8.4 Social Workers

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3.8.5 Faith and Family: Chaplaincy Services

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4.0 Patient Services

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4.1

Emergency Care

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4.2

Cardiac Care

26

4.2.1 Cardiac Diagnostics

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4.2.2 Interventional Cardiac Care

28

3.5

3.6

3.7

3.8

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4.2.3 Coronary Care Unit (CCU)

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4.2.4 Arrhythmia Management

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4.2.5 Cardiac Rehabilitation Services

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Maternal Newborn Services

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4.3.1 Birthing Facilities

31

4.3.2 Special Care Facilities

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4.3.3 Having Your Baby at Rouge Valley

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4.3.4 Additional Maternal Newborn Programs and Services

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Paediatrics

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4.4.1 Paediatric Units

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4.4.2 Children and Teen Clinics

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Mental Health Services

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4.5.1 Adult Outpatient Services

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4.5.2 Adult Crisis Services

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4.5.3 Adult Inpatient Services

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4.5.4 Child and Adolescent Mental Health

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4.6

Surgical Care

45

4.6.1 Surgical Specialties

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4.6.2 Surgical Facilities

45

4.7

Cancer Care

48

4.7.1 Chemotherapy Treatment Clinic

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4.7.2 Radiation Evaluation Clinic

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4.7.3 Paediatric Oncology Satellite Clinic

49

4.7.4 Breast Screening Centre

50

4.7.5 Palliative Care

50

4.7.6 Look Good, Feel Better Program

51

4.7.7 Additional Oncology Services

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Respiratory Therapy

52

4.3

4.4

4.5

4.8

www.rougevalley.ca

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4.9

Diagnostic Imaging

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4.9.1 Radiology Technology

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4.9.2 Ultrasound

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4.9.3 Mammography

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4.9.4 Breast Screening Centre

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4.9.5 Bone Densitometry Examination

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4.9.6 Computer Axial Tomography (CT/CAT Scan)

56

4.9.7 Magnetic Resonance Imaging (MRI)

56

4.9.8 Nuclear Medicine

56

4.9.9 Angiography and Interventional Radiology

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4.9.10 Cardiac Diagnostics

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4.10 Post- Acute Care

57

4.10.1 Rehabilitation Services

58

4.10.2 Complex Continuing Care

58

4.11 Diabetes Education

59

4.12 Community Outreach

60

4.12.1 Multicultural Workshops

60

4.12.2 Interpreter Services

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4.13 Auxiliary and Volunteers

61

5.0

Rouge Valley Health System Foundation

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6.0

The Court Health Care Services at RVC

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7.0 Telephone Directory

64

7.1

Rouge Valley Ajax and Pickering

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7.2

Rouge Valley Centenary

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8.0 Community Supporters

69

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

The information presented here may be subject to change.

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Patient Services Directory

1.0 About Rouge Valley Health System Rouge Valley Health System (RVHS) is an excellent acute care community hospital with many programs, including 24/7/365 Emergency, Cardiac Care, Mental Health, and Post Acute Care (Complex Continuing Care and Rehabilitation). Rouge Valley consists of several health sites, including two community hospital campuses: Rouge Valley Centenary in east Toronto; and Rouge Valley Ajax and Pickering in west Durham. Together, a team of physicians (224 general practitioners and 325 specialists), 1,000 nurses and many other professionals care for a broad spectrum of health conditions. Working in consultation and partnership with community members, other hospitals, health care organizations, the Central East Local Health Integration Network and the Ministry of Health and Long-Term Care, Rouge Valley continues to improve its programs and cater to the needs of the growing communities of east Toronto, Ajax, Pickering and Whitby.

Our Mission To provide the best health care experience for our patients and their families.

Our Vision To be the best at what we do.

Our Values • Accountable for our resources, our services and our behaviours • Responsive, respectful and caring to our patients, colleagues and community • Value the diversity of our organization and community • Honest and trustworthy • Strive for innovation and high performance and committed to continuous learning

www.rougevalley.ca

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Our Focus • Quality — By looking at best practices in industry, we are developing common standards of care for all of our services at each of our hospital campuses, ensuring that they are of the highest quality.

• Growth — We are expanding key services within available funding to meet the needs of our growing communities.

• Partnerships — We work cooperatively with family physicians, other hospitals and local health care providers to develop new services and help ensure that the members of our communities have access to the services that they need.

• Community Involvement — We strive to keep our communities informed and involved as we move forward to meet the challenges we face. If you would like to have a Rouge Valley leader speak and meet with your community organization, please call 416-284-8131 ext. 7121.

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Patient Services Directory

2.0 General Patient and Visitor Information 2.1 Visiting Hours Visiting hours at Rouge Valley Health System are from 11 a.m. to 9 p.m.

We ask all patients to invite only two visitors as a time, as a courtesy to our other patients and to minimize noise. Visitors may also be asked to leave a patient’s room in order to proceed with medical care or treatments.

Each evening, there is an announcement reminding visitors that visiting hours will soon come to an end. In some circumstances, it is important for a family member to stay with the patient overnight. Please discuss this option with your nurse, and be sure to obtain a temporary visitor’s pass from the nursing station.

Some units have special hours and visiting restrictions, such as Emergency, Maternal Newborn Services, Neonatal Intensive Care Unit (NICU), Paediatrics, Psychiatry, Intensive Care Unit (ICU) and the Coronary Care Unit (CCU). Please check with staff in these areas for times and any age restrictions.

Legend:

= Rouge Valley Ajax and Pickering = Rouge Valley Centenary

2.2 Parking Parking revenues are an important source of funds to purchase hospital equipment.

Our rates are comparable to those at other area hospitals. Patients are encouraged to leave their cars at home when entering the hospital for overnight stays.

Parking Lots The main parking lot is located on the west side of the hospital, and is accessible either from Centennial Road or Harwood Avenue.

A limited number of short-term parking meters are located on the east and west sides of the hospital.

A limited number of disabled parking spaces are located at both entrances of the hospital. The disabled parking spaces located on the east side are controlled by parking meters; while the spaces on the west side are inside the parking lot. www.rougevalley.ca

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Parking Tickets Parking tickets are dispensed by a machine upon entering the lot. These need to be taken into the hospital and paid when leaving at machines located inside the main entrances. After payment, you can insert the validated ticket into the machine at the parking lot exit in order to lift the gate.

If you require assistance with the automated parking system, press the assistance buttons on the machines at the parking lot exit.

Payment For more information on our parking rates, please visit www.rougevalley.ca Parking Lots Parking is available in the north, south and Emergency lots. All of these lots function on an automated, self-serve pay system.

There are disabled parking spaces located at the north, south and east entrances. These spaces are controlled by parking meters.

Parking Tickets Parking tickets are dispensed by a machine upon entering the lot. These need to be taken into the hospital and paid when leaving at machines located inside the main entrances of The Court, Margaret Birch Wing or the Emergency Department. After payment, you can insert the validated ticket into the machine at the parking lot exit in order to lift the gate.

If you require assistance with the automated parking system, press the assistance buttons on the machines at the parking lot exit.

Payment For more information on our parking rates, please visit www.rougevalley.ca

2.3 Cell Phones Cell phones are allowed in some areas of the hospital. Please observe any signs posted, which indicate where cell phones are and are not permitted. Please check with staff if you are not certain.

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Patient Services Directory

2.4 Balloons Please do not bring latex rubber balloons into the hospital. Some people are allergic to them and could become very sick from an allergic reaction. If you want to bring balloons, please choose the shiny Mylar ones. You can buy Mylar balloons in party stores and in the hospital gift shop.

2.5 Pay Phones and Taxi Phones Pay phones are located on every floor, in the Emergency Department, and at in both the east and west entrances. A direct-dial taxi phone is located near Admitting in the east lobby.

Pay phones are located in The Court lobby, Emergency Department lobby, the third floor corridor of the main building near The Grapevine Restaurant, and in the Margaret Birch Wing lobby. They are also located on many patient floors.

Direct-dial Taxi phones are found in the main lobby near the bank machine, in the Emergency Department lobby and at the Security Desk in the Margaret Birch Wing lobby.

2.6 Bank Machines A 24-hour bank machine is located in the main lobby.

A 24-hour bank machine is located in The Court lobby, and in the Margaret Birch Wing lobby.

www.rougevalley.ca

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2.7 Food Services At Rouge Valley, staff, visitors and ambulatory patients can enjoy a good restaurant meal, a fast coffee shop snack or something quick from the vending machines. Patients, however, should be careful to stick to any dietary restrictions that are important for their health.

Café Rouge featuring Tim Horton’s Café Rouge features Tim Horton’s coffee and other beverages, baked goods and bagels; and also serves freshly made soup, salads and sandwiches and pizza.

Location Rouge Valley Ajax and Pickering: Ground floor, east wing Hours of Operation Weekly, 6:45 a.m. - 7 p.m.

The Grapevine Restaurant The Grapevine Restaurant serves pizza, deli sandwiches, soups and a variety of healthy and hearty meals prepared fresh daily by our culinary specialist.

A wide variety of juices, soft drinks, coffees and desserts is also available.

Location Rouge Valley Centenary: Third floor Hours of Operation Monday – Friday, 7:30 a.m. - 2 p.m. (Closed on statutory holidays)

Country Style Country Style serves their popular donuts and coffee, as well as soups, sandwiches and other snacks and beverages.

Location Rouge Valley Centenary: The Court, second floor Hours of Operation Weekly, 24 hours a day

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Patient Services Directory

2.8

Gift Shops

The Auxiliary Gift Shop The Auxiliary Gift Shop offers fresh flowers, clothing, toiletries, giftware, stationery, books and magazines, cosmetics, lingerie, greeting cards, candy and more. Revenue from the Auxiliary Gift Shop is used to buy hospital equipment.

Location Rouge Valley Ajax and Pickering: First floor, east wing Hours of Operation Monday – Friday, 10 a.m. – 4 p.m. (occasional evening hours) Contact Information For more information, please call 905-683-2320 ext. 1440.

The Tapestry Gift Shop The Tapestry Gift Shop has a full range of gifts and collectibles from around the world, fresh flowers, clothing (infant to adult sizes), jewellery, stationery, books, music CDs, candy, cosmetics, gift baskets, food baskets, greeting cards, nightwear, and more. Free delivery is provided within the hospital. Revenue from the Tapestry is donated to Rouge Valley Health System Foundation.

Location Rouge Valley Centenary: The Court, second floor Hours of Operation Daily 10 a.m. – 7 p.m. (closed on statutory holidays) Contact Information For more information, please call 416-284-8131 ext. 4197.

www.rougevalley.ca

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2.9 Lost and Found Lost-and-found items are kept in the Security Office at the west entrance.

Lost-and-found items are kept at the Security Desk in the Margaret Birch Wing lobby.

2.10 After Hours Clinics 2.10.1 Centenary Family Physician Clinic There is a walk-in clinic located in the main lobby area of Rouge Valley Centenary, just inside the entrance to The Court. Here, a local general practitioner can see you. No appointment is necessary. For information and hours, please call 416-281- 8618.

Please note that this is not an emergency clinic. If you have an emergency medical crisis, go to the Emergency Department. If you are waiting at the clinic with a child and the child’s condition changes for the worse, tell the receptionist immediately and take the child to the Emergency Department.

2.10.2 Other Community After-hours Walk-in Clinics Additional clinics, usually staffed by general practitioners, are located in various retail malls and commercial buildings in the community, and are open during the day and after hours. Consult your Yellow Pages directory under Clinics for hours of operation and a location near you.

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Patient Services Directory

3.0 Being a Patient at Rouge Valley 3.1 Checking in at Admitting The first thing to do when you arrive at the hospital as a patient is to check in at Admitting. There, you will register and provide the information we need to begin taking care of you.

Here is a list of items you should bring: • Your Ontario Health Insurance Plan (OHIP) card; • Any medications you are using, including pills, inhalers, creams or eye drops; • Your clothes and personal hygiene items, such as a toothbrush, shaving kit, and similar items (if you wear dentures, don’t forget your denture case, and/or if you wear contacts, don’t forget your contact lens case and solution); and • Your private health insurance information, if you have private insurance (those with private insurance still need to sign hospital insurance forms upon registration).

Please note that different patient care areas may require you to bring additional items. So you should check with staff in your specific area regarding what you should bring when you are admitted before you arrive at the hospital.

There are also a number of items that you should not bring with you to the hospital.

Here is a helpful list of items that should be left at home: • Your valuables and jewellery (it’s best to leave such items at home or ask your family to take care of them, because with so many people coming into and out of the hospital, we simply cannot take responsibility for lost or stolen items); • Cell phones, laptop computers or televisions; and/or • Any electrical equipment including radios, electric shavers and other appliances (these may interfere with the medical equipment, and put other patients’ safety at risk). www.rougevalley.ca

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3.2 Know Your Care Givers During your hospital stay you will meet a variety of health care professionals and support staff team members. You can identify them by their Rouge Valley Health System photo ID badges.

The best person to help you with any concerns you may have is a member of the health care team on your unit. Just ask your nurse or the unit manager for assistance.

3.3 Waiting Unfortunately, waiting is part of being in a hospital. While we do our very best to make any delays as short as possible, you and your family are bound to experience some waiting time. If you are waiting with children, please bring some toys that they can play with quietly. You may also want to bring a book for yourself. These things will help pass the time and reduce tension.

3.4 Staying in the Hospital 3.4.1 Patient Rooms Rouge Valley Health System offers three types of accommodation for patients who are admitted to the hospital: 1. Ward - Four patients to a designated room 2. Semi-private - Two patients to a designated room 3. Private - One patient to a designated room OHIP covers the standard ward rate, but not the additional cost of private or semi-private rooms. If you want a private or semi-private room, you will pay the difference between the standard ward rate and the accommodation you choose.

Sometimes the private or semi-private rooms are all occupied. If you ask for one and it’s not available you will be booked into whatever is available. Then, if the type of room you prefer becomes available later, we’ll arrange for you to be transferred.

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3.4.2 Meals Nutritionally balanced meals are provided to patients three times daily. If you have any nutritional concerns or special dietary needs, please ask for a visit from a dietitian.

3.4.3 Nurse Call System The nurse call system will be explained when you are admitted to your room.

Should you need help, you may use it to call the nursing station. If you have questions about this, please ask any member of your health care team.

3.4.4 Fire Alarms If you hear a fire alarm, it may just be our regular monthly fire drill. Stay in your room, close the door (if you are able) and await instructions from the staff. If it is more than just a drill, and the area you are in is at risk, staff will arrive quickly to assist you. Patients who need help to leave will be taken out by the staff, while those who can go on their own will be told to do so. If you are told to leave the area, use the stairs and exit outside. Do not use an elevator.

3.4.5 Medical Students As a community hospital, Rouge Valley Health System accepts medical students and students in health-related disciplines, such as nursing and physiotherapy.

The students, like all our staff, can be identified by their hospital ID badges. If students are involved in your care, you will be introduced to them. The students are knowledgeable and well supervised by senior staff. However, as a patient, you have the right to refuse to have a student involved in your care. It’s your choice.

3.4.6 Telephone Usage Patient telephones are available for incoming calls from 8 a.m. to 10 p.m., seven days a week. To access an outside line, please press ‘9’ before dialling a number.

To make a long distance call using a credit card or calling card, please press ‘0’ for operator assistance.

3.4.7 Television Rentals Television rentals are available through Hospitality Network, a long-standing television service provider in the Canadian health industry. Patients and their families can call the following numbers from within the patient room to set up their television service through Hospitality Network’s automated system:

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• Rouge Valley Ajax and Pickering, ext. 5430 • Rouge Valley Centenary, ext. 5430 Patients who rent a TV have access to the regular television channels and entertainment, as well as up-to-date hospital information on Channel 10, The Patient Channel, and Channel 29, The Parent Channel.

If you have problems with your television, please call 1-800-387-8223 during business hours.

3.4.8 Hair Care Services Stylist-On-Call provides licensed hairstylists who offer hair-cutting services right at the patient’s bedside. To book an appointment, please call 416-630-5001 (or toll-free at 1-800-863–2887).

3.4.9 Newspapers Newspapers are available from vending boxes outside the east and west entrances.

Newspapers are sold at the Shopper’s Drug Mart located in The Court, and in the vending boxes at the north and south entrances.

3.4.10 Baby Photos At Rouge Valley Centenary, a representative from Just Arrived Baby Photography visits new parents everyday to take baby photos. You can arrange to purchase photos if you would like.

3.4.11 Library Cart At both hospital campuses, volunteers use a library cart to circulate complementary magazines and paperback books daily to patients in their rooms.

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Patient Services Directory

3.5 Going Home 3.5.1 Planning for Your Discharge Discharge planning begins as soon as you arrive at the hospital (this includes the Emergency Department). Your health care team will help you and your family develop plans for your follow-up care after you are discharged from the hospital.

Social workers can provide information on a number of community support services. If you would like to speak with someone from the social work team, ask any member of your health care team, and they will direct you to the social worker assigned to your unit.

At Rouge Valley, patients are generally discharged between 7 a.m. and 9 a.m. (these times may vary in certain units, so please check with the unit clerk). To ensure the best use of our resources, we ask that you arrange for transportation home prior to your date of discharge. Your bed will be used by another patient requiring hospital care, so promptness is much appreciated. Be certain to take all of your personal possessions with you.

Before leaving, please visit the Business Office/Cashier’s Office (or Emergency Registration after business hours) to pay any outstanding hospital bills. Please note that, unfortunately, Rouge Valley cannot reimburse families for taxi fares or ambulance fees to go home.

3.5.2 Home Care Services A patient’s recovery often continues after returning home. For such patients, the local Community Care Access Centre provides home care services. These services may be arranged before discharge or after returning home.

To contact the local Community Access Centre, please use the following phone numbers: • While at Rouge Valley Ajax and Pickering hospital campus, call ext. 3370.

• From home in Durham Region, call the Central East Community Care Access Centre at 905-430-3308 ext. 3500.

• While at Rouge Valley Centenary, call ext. 7340.

• From home in Scarborough, call the Scarborough Community Care Access Centre at 416-750-2444.

www.rougevalley.ca

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3.6 Paying Your Bill 3.6.1 Fees and Uninsured Charges OHIP pays the cost of most hospital services provided to Ontario residents with valid OHIP cards. Canadian residents with health cards from other Canadian provinces are also covered. If you are insured in another province, we will process an inter-provincial claim on your behalf.

Non-residents of Canada as well as Canadian residents without a provincial health card must pay for all charges. Fees are based on the rates established by the Ontario Ministry of Health and Long-Term Care, and are due when services are received.

Even for those patients who are covered by OHIP, there are still some items not covered, and you will have to pay for them. These items include: • The extra cost of a private or semi-private room (you may have private insurance that covers this); • Television rental; • Circumcision ; • Respite care; • Ambulance charges; • Cosmetic surgery; • Crutches, canes, and casts; and • Uninsured procedures.

Anticipated bills for cosmetic surgery or other treatments not covered by OHIP can be paid to the admitting clerk when you are admitted to the hospital. Bills can also be paid at the emergency registration desk seven days a week, 24 hours a day. Please refer to our price list brochure for specific fees.

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Patient Services Directory

3.6.2 Business Office/Cashier’s Office The Business Office/Cashier’s office handles all patient accounts, and is located in the main lobby at both our Rouge Valley Ajax and Pickering (RVAP) and Rouge Valley Centenary (RVC) hospital campuses. Patients are asked to visit the Business Office/Cashier’s Office prior to leaving the hospital, to settle any outstanding bills. We accept cash, VISA, MasterCard, AMEX, debit cards, cheques and money orders.

The hours of operations for the Business Office/Cashier’s Office are as follows: • RVAP Business Office/Cashier’s Office, Monday - Friday, 2 p.m. – 4 p.m.

(Outside of these hours, patients can deposit their payment in the drop box outside of the Business Office near Admitting; and ambulance and uninsured bill payments are now being accepted by Admitting).

• RVC Business Office Hours, Monday - Friday, 8 a.m. - 4 p.m.

3.7 Getting More Information 3.7.1 Patient Inquiries A live attendant at the Patient Inquiry Desk answers calls from 8 a.m. to 9 p.m.

You can call at the following numbers: • Rouge Valley Ajax and Pickering, ext. 1070 (or 905-683-2320 ext. 1069 from outside of the hospital) • Rouge Valley Centenary, ext. 4168 (or 416-284-8131 from outside of the hospital)

3.7.2 Compliments, Questions or Concerns There may be times when you or members of your family would like to pay a compliment, request clarification, or voice a concern. To do so, please first speak with the staff or manager for the department/unit where you (or a family member) are receiving care.

If you require further assistance, our Patient Relations Manager is available to help patients, their families and community members by: • Explaining our hospital’s policies and procedures; • Investigating issues objectively; www.rougevalley.ca

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• Answering questions about services available at Rouge Valley Health System; • Arranging a meeting with you, your family members and appropriate care team members if necessary; and • Providing follow-up on concerns so that management, physicians and staff are aware of issues and will make improvements if and where appropriate.

Pre-arranged appointments are preferred. Please contact our Patient Relations Manager at one of the following numbers: • Rouge Valley Ajax & Pickering, 905-683-2320 ext. 1292 • Rouge Valley Centenary, 416-284-8131 ext. 4742 Voicemails will be answered within 24 business hours. Questions can also be emailed to the Patient Relations Manager’s email at patientrelations@ rougevalley.ca You may also send a letter. Please address any letters to: Rouge Valley Health System, Patient Relations 2867 Ellesmere Road Toronto, ON M1E 4B9

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Patient Services Directory

3.7.3 Stay Informed At Rouge Valley Health System, we want our patients and visitors to be well informed about their care or the care of their loved ones. One way to find out what you need to know is simply to ask a member of the health care team. But you can also find information yourself through the following resources: • The Tom Leon Health Resource Centre, in The Court lobby at Rouge Valley Centenary, is an electronic library for patients, their families, and the community. This unique service offers current health and medical information in everyday language. Staff and trained volunteers are there to help people do research using a consumer health database, reference books and the Internet. You can visit the centre or call in with your health questions, and your research is kept confidential. There are minimal charges for printouts or photocopies. Call 416-281-7285 for hours of service.

• Be sure to also visit our website at www.rougevalley.ca. Our site offers a wealth of information about our hospital, including more common procedures, types of care and developments.

3.8 Special care arrangements 3.8.1 Lifeline Lifeline is a personal response and support service that helps people with special medical problems, including the elderly or infirm, to live independently with peace of mind.

Clients are provided with a wearable push-button device they can activate in an emergency. For example, if the person falls down and cannot get up, she or he can send a signal that reaches the Lifeline Response Centre, which will then send help.

To find out more about Lifeline call any of the following numbers: • Toronto - 416-445-3387 • Durham - 1-800-707-2206 • Other regions - 1-800-387-8120.

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3.8.2 Pet Therapy It’s a medical fact that affectionate interaction with a pet helps healthy people to stay healthy and sick people to feel better. It reduces blood pressure and provides a sense of wellbeing. Both of our hospital campuses bring in pet therapy dogs, with their handlers, to visit patients who wish to take advantage of this service.

The pet therapy dogs bring cheer when they visit. Please ask the nurse about their schedule.

3.8.3 Private Nursing & Private Nursing Assistant Care In cases where inpatients or their families want private nursing care, the hospital works with local nursing and nursing assistant agencies to arrange it. If you are interested in this, please contact the unit clerk on the patient floor. The clerk will connect you with a nursing agency, which will confirm whether your insurance covers the cost or not, and if it doesn’t, what the cost will be to you. The financial contract is between you and the agency.

3.8.4 Social Workers Social workers help patients and families deal with emotional and social matters related to illness and hospitalization. They provide counselling and help arranging access to a range of community resources. To contact a social worker, just ask a member of your health care team.

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3.8.5 Faith and Family: Chaplaincy Services Multi-faith religious resources are available from the Chaplaincy offices at both hospital campuses.

Our multi-faith chapel is open 24 hours, seven days a week, for quiet reflection and prayer. Multi-faith religious books are available in the Chaplain’s office.

Contact Information To arrange a visit by a religious representative from your faith, call the Chaplain’s office at 905-683-2320 ext. 2510.

Our multi-faith chapel is open 24 hours, seven days a week, for quiet reflection and prayer. It is located on the second level, down the corridor near the Emergency Department. Multi-faith religious books are available in the Chaplain’s office.

Christian Worship Services Every Wednesday, Christian worship services are held in the Margaret Birch Wing, third level dining room, from 11 to 11:30 a.m.

Here is the monthly schedule for services: • First Wednesday (excluding July and August) – Interdenominational (Christian) • Second Wednesday – Roman Catholic Mass • Third Wednesday (excluding July and August) – Interdenominational (Christian) • Fourth Wednesday – Protestant Communion Contact Information To speak to a Chaplain or make arrangements to receive the sacraments, or any other spiritual support from any faith, call ext. 416-284-8131 ext. 4342 or ask your nurse to call for you.

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4.0 Patient Services 4.1 Emergency Care Both hospital campuses offer 24/7 emergency services to residents of east Toronto and west Durham Region. Our Emergency Department teams are made up of specially-trained emergency care doctors, nurses, consultants, attendants, technicians, crisis/social workers, clerical/support staff and volunteers.

In 2009, the community surrounding Rouge Valley Ajax and Pickering welcomed our new, state-of-the-art Emergency Department, which provides space for an anticipated 60,000 patient visits a year. The new space features a trauma room; a decontamination room to treat patients who may have come in contact with dangerous chemicals; a dedicated road for ambulances to access the new four-bay covered entrance; and all-new equipment, such as a high-tech 256-image CT scanner.

Rouge Valley Centenary’s Emergency Department proudly services the emergency medical needs of patients in east Toronto. Each year, our highly skilled emergency team provides care to more than 48,000 patients.

Our team will do everything possible to meet your needs and provide excellent care to you and your family.

4.2 Cardiac care Rouge Valley Health System is a leader in cardiac care. We deliver quality cardiac services from our two hospital campuses: Rouge Valley Centenary and Rouge Valley Ajax and Pickering. As the designated cardiac centre for the Scarborough/Durham region, you can count on us to provide the highest level of expertise and excellence in patient care. We offer the most comprehensive range of cardiac services to local and surrounding communities.

4.2.1 Cardiac Diagnostics Here at Rouge Valley, we provide many non-invasive tests to determine how well your heart is working. These tests use images and data to diagnose heart diseases, see the effects caused by a heart attack, and monitor how chronic heart patients are doing. Cardiac diagnostics is a vital part of figuring out when you may need further cardiac treatments or interventions.

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Our Cardiac Diagnostics department offers the following services: • Stress Testing o Graded Exercise o Pharmacological Stress Testing o Cardiac Rehabilitation Exercise Prescription and Metabolic Testing for Cardiac Rehabilitation for Exercise Prescription o Nuclear Myocardial Imaging  MIBI (Cardiolite)  Pharmacological MIBI (Cardiolite)  Thallium Viability Study • Echocardiography o 2D and Doppler Studies o Stress and Dobutamine Echocardiography o Transesophageal Echocardiography Hours of Operation • Rouge Valley Ajax and Pickering, Cardiac Diagnostics Department: Monday - Friday, 7 a.m. - 3 p.m. (except for statutory holidays) • Rouge Valley Centenary, Cardiac Diagnostics Department: Monday Friday, 8 a.m. - 4 p.m. (except for statutory holidays) Physician referral is required for all procedures and a signed requisition must be available prior to testing.

Contact Information To schedule and appointment, please call 416-281-7400 (select option #1 at telephone prompt).

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4.2.2 Interventional Cardiac Care Through interventional cardiac care, our cardiologist perform procedures to correct problems with your heart. These kinds of services are more resourceintensive, and have better outcomes when done in higher volumes. That is why interventional cardiac care services have been centralized at Rouge Valley Health System for the 401-east corridor of Scarborough and Durham. This ensures that cardiac patients throughout the area can get the care they need close to home. In fact, Rouge Valley has been named as the first hospital in Ontario to provide stand-alone angioplasty (PCI) services.

Our interventional cardiac services are provided at our Rouge Valley Centenary hospital campus, where we have two catheterization laboratories. We deliver the following services: • Coronary angiography • Coronary angioplasty (also known as percutaneous coronary intervention or PCI)

4.2.3 Coronary Care Unit (CCU) Cardiac patients receive special care and testing. The Coronary Care Unit (CCU) is located on the second floor at RVC. Cardiac patients and their family members have a right to understand what tests and procedures are being done and what they mean to the patient’s care.

Members of your health care team will be glad to explain these to you.

Visitors to the CCU are restricted to immediate family. Family members are very important to the recovery of the patient; however the frequency and duration of immediate family visits may be limited to benefit the patient. Please co-operate with the health care team to assist in the delivery of excellent care.

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4.2.4 Arrhythmia Management Rouge Valley offers a comprehensive pacemaker and implantable cardioverterdefibrilator (ICD) program, which consists of evaluation, implantation and followup, and ongoing management of patients and their pacemakers or ICD devices.

Our arrhythmia services include: • Holter Monitoring o 24-hour o 48-hour • Continuous Loop Recorder • ECG • Ambulatory Blood Pressure (24 and 48 hour) • Pacemaker Follow-up • ICD Follow-up Additionally, pre- and post-implant education is provided by staff and physicians. Patients are seen at designated appointment times, and as required to avoid visits to the Emergency Department. All pacemaker/ICD follow up appointments are supervised by a cardiologist with a special interest in pacemakers and ICDs. Our Arrhythmia Management program also includes invasive cardiac electrophysical services, provided by experienced electrophysiologists.

Electrophysiology testing includes ablations for the cure of arrhythmias in appropriate candidates.

Hours of Operation Rouge Valley Centenary, Pacemaker Clinic: Monday - Friday, 7:30 a.m. - 4 p.m.

Contact Information To schedule and appointment, please call 416-281-7400 (select option #3 at telephone prompt).

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4.2.5 Cardiac Rehabilitation Services Rouge Valley Health System is home to a comprehensive, six-month cardiac rehabilitation program, which provides follow-up care after treatment for a heart problem, such as heart attack, or after you have had a procedure such as coronary angioplasty or cardiac surgery. The program is offered at our Lobraico Cardiac Prevention and Rehabilitation Centre, which features an 11-lap mile track, exercise equipment and an education theatre. Through this program, we provide rehabilitation, education and risk-factor management to cardiac outpatients throughout the community. Our Cardiac Rehabilitation team consists of exercise specialists, pharmacists and a dietitian.

Once the Cardiac Rehabilitation program has been completed, we offer our patients the opportunity to continue with their wellness plan through our Alumni Program. This is an optional service, which can replace the traditional health club atmosphere and provide a comforting environment for our cardiac patients.

Hours of Operation Rouge Valley Centenary, Lobraico Cardiac Prevention and Rehabilitation Centre: • Monday, Tuesday, Friday, 8 a.m. - 4 p.m. • Wednesday, Thursday, 8 a.m. - 7:30 p.m.

Contact Information For information or to register for the program, please call 416-281-7400 (select option #4 at telephone prompt).

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4.3 Maternal and Newborn Services Having a Rouge Valley baby means that you, your baby and your family will be welcomed to a life-changing experience at either of our hospital campuses, in east Toronto or in west Durham. We know having a baby is not a procedure. It is a special time in your life. Our physicians, nurses and staff will help you make this a memory to cherish. Our nurses are cross-trained in labour and delivery, post partum and special care nursery, and have the flexibility to adjust staff and schedules depending on the area(s) of greatest need—while providing a continuum of quality care for mothers and newborns. In addition to physicians and nurses, some of the people available to provide support whenever needed are: • Dietitian • Pharmacist • Social Worker • Chaplain • Occupational Therapist • Physiotherapist • Respiratory Therapist • Home Care Nurse • Certified Diabetic Educator • Paediatric Nurse Practitioner Excellent community links are in place with referrals for postpartum follow-up to community nurse affiliates in the region. The Healthy Babies, Healthy Children program will serve to enhance this collaborative role.

4.3.1 Birthing Facilities Rouge Valley Ajax and Pickering Maternal Newborn Services Department • 7 Labour, Birthing, and Recovery (LBR) rooms • 12 additional post-partum beds Location Rouge Valley Ajax and Pickering: First floor, west wing Contact Information Please call 905-683-2320 ext. 1201. www.rougevalley.ca

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Birthing & Newborn Centre This all-new facility offers expecting mothers a more family-centred birthing experience and the highest quality of care for welcoming their newborns.

Our Birthing and Newborn Centre reflects best practices in maternal and newborn services, including modern, comfortable birthing rooms that have been designed to accommodate families and friends, and highly advanced equipment and expertise for looking after more complicated deliveries and high-risk babies.

Here are just some of the features of the Birthing and Newborn Centre: • 16 Labour, Delivery, Recovery and Postpartum (LDRP) rooms that each look like a well-furnished bedroom, with hardwood floors, fitted wood cupboards, attractive decorating, soft lighting, and a comfortable armchair or couch. High-tech medical equipment such as monitors and baby warmers are concealed in the cupboards and other furniture. The beds convert into state-of-the-art delivery tables. In the private washroom, a whirlpool tub is available as an alternative form of pain management. The chair or couch converts to allow the father to stay comfortably in the room overnight. There is seating for up to five people, to ensure that family and friends feel welcome.

• 21 additional post-partum beds located in postpartum rooms, which are comfortable, homelike spaces where mothers and babies are cared for together by the health care team.

• A Family Lounge with comfortable chairs and couches, a children’s play area, a telephone and internet access. This is an area for families to relax while awaiting the birth of a baby, or when visiting the mother and baby after birth. The lounge also offers a small library of educational material, to help families feel a part of the birthing and baby care process.

• Two overnight hostel rooms for mothers and families who have been discharged before their babies are ready to go home.

Location Rouge Valley Centenary: Second floor, north wing (access through The Court entrance)

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Contact Information For more information about the Birthing and Newborn Centre, please call 416-284-8131 ext. 7430 or ext. 4403.

To reach Labour & Delivery, please call 416-284-8131 ext. 4047 or ext. 4048

4.3.2 Special Care Facilities Special Care Nursery The Special Care Nursery at RVAP cares for newborn babies who require special medical care. The unit features two Level II NICU beds, where babies receive around-the clock care. Our Special Care Nursery services include supporting premature infants, administering antibiotics, phototherapy, and more.

Location Rouge Valley Ajax and Pickering: Maternal Newborn Services Department, first floor, west wing Contact Information Please call 905-683-2320 ext. 1224.

Advanced Level II Neonatal Intensive Care Unit Rouge Valley Centenary has the only Advanced Level II Neonatal Intensive Care Unit (NICU) in the east GTA. This highly specialized facility is a part of the Birthing and Newborn Centre at our Rouge Valley Centenary hospital campus. Here in the NICU, we provide care to support the advanced health care needs of highrisk newborns and their families. Our NICU services include supporting premature infants, providing invasive and non-invasive ventilation, managing central lines, feeding, administering antibiotics, phototherapy, and more.

This state-of-the-art unit features: • Modern operative birthing rooms. • Four private care-by-parent rooms, which allow parents/caregivers to be in the same space with their baby/babies, and provide them care while still in the hospital after an extended NICU stay. www.rougevalley.ca

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• Two overnight hostel rooms for mothers and families who have been discharged before their babies are ready to go home.

Location Rouge Valley Centenary: Birthing and Newborn Centre, second floor, north wing (access through The Court entrance) Contact Information Please call 416-281-7231.

4.3.3 Having Your Baby at Rouge Valley Tours Tours of the birthing facilities at Rouge Valley Ajax and Pickering are available for parents-to-be on Monday evenings at 8 p.m., except holiday Mondays. They last just over an hour and there is no need to pre-register.

Meet at the west entrance of the Rouge Valley Ajax and Pickering site on the first floor.

Prenatal Classes Prenatal classes are held at both of our hospital campuses. Participants are asked to bring a mat, pillow and a drink. There is a nominal fee for this service.

Contact Information If you are interested in taking classes Rouge Valley Ajax and Pickering, please call 905-683-2320 ext. 1226 If you are interested in taking classes Rouge Valley Centenary, please call 416284-8131 ext. 7332

Newborn Screening Program In accordance with the Ontario Ministry of Health and Long-Term Care provincial guidelines, we collect a blood sample from every newborn born at Rouge Valley Health System and send it to the Provincial Newborn Screening Laboratory in Ottawa. These samples provide this lab with necessary specimens in order to screen each newborn for at least 28 different disorders.

Although most babies with these disorders appear healthy at birth, they may be at risk for serious health problems—including developmental disabilities, recurrent sickness and even death—if their disorder is not detected and treated. Early identification could save your baby’s life, and is the key to effective treatment.

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Circumcision in the Hospital Circumcisions for newborns are available at both sites. Speak to the health care team responsible for your baby’s care while in hospital to arrange a circumcision appointment. Please be aware that the hospital and physician’s fee must be paid at the time of the procedure.

Infant Discharge If you are planning on driving your child home, provincial law requires that each newborn must leave the hospital in an approved car seat.

4.3.4 Additional Maternal Newborn Programs and Services Breastfeeding Resources Breastfeeding is natural, but it’s also a skill. Breastfeeding support is available.

While in the hospital, please speak to your nurse about this service.

Contact Information There is a Drop-In Support Group that meets at Rouge Valley Ajax and Pickering hospital campus to help mothers ensure greater success with feeding their babies the natural way. The group meets on Tuesdays, from 1 to 2:30 p.m. To join this group and for questions about breastfeeding resources, please call 905683-2320 ext. 1597.

If you would like to speak with a Breastfeeding Resource Nurse at Rouge Valley Centenary, please call 416-284-8131 ext. 4530.

Back to Sleep Program In order to reduce the incidence of Sudden Infant Death Syndrome (SIDS), our Maternal Newborn health care team teaches important principles on putting babies to sleep to new mothers, partners and grandparents, Newborns are positioned on their backs to sleep, loosely bundled to allow free breathing. No bumper pads or stuffed toys are allowed in the crib to make sure the baby’s face doesn’t become obstructed, causing breathing difficulty.

This style of sleeping is recommended for babies by Health Canada, the Canadian Paediatric Society and the Canadian Child Health Institute.

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Healthy Babies, Healthy Children This program offers extra support to new mothers by providing the services of a Public Health Nurse. After you give birth, hospital nurses will discuss your needs; complete assessment forms; and, with your consent, refer you to a public health nurse within the Public Health Department at either the City of Toronto or Durham Region. Once you are home with your baby, the public health nurse will contact you to answer questions about taking care of your new baby and finding services in the community.

Regional Genetics Clinic Families with a child at risk for inherited health problems should have their family doctor refer them to this clinic for a consultation with a genetic counselor or paediatric geneticist. The family doctor should call 416-281-7425.

Other Services We also offer the following services that are available by referral only: • Non-Stress Testing clinic • Diabetic Education and Nutrition Counseling • Anti-Natal Assessment Clinic

4.4 Paediatrics 4.4.1 Paediatric Units One of the areas that Rouge Valley Health System specializes in is child and adolescent health care.

We offer paediatric care at both hospital campuses, ensuring that children in east Toronto and west Durham have access to care that is closer to home.

Our program at Rouge Valley Centenary hospital campus serves as a Regional Paediatric Centre for children and families across the Central East Local Health Integration Network (LHIN). The paediatric facilities at Rouge Valley Centenary, such as acute care rooms, have been improved and enhanced to support the higher acuity of care required with this level of service.

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An important part of our approach to delivering care is ensure that parents play a key role on their children’s health care team—and our nurses support parents in this role. The Paediatric units at both hospital campuses have beds for parents in single-family patient rooms. Our Paediatric units also provide a kitchen, lounge and shower, so that parents staying 24 hours a day can care for themselves as well as their child.

Admitting Routine Be prepared to help staff fill out a complete medical history form when your child is admitted to the unit. They’ll need to know about any medications your child is taking, any medical conditions, such as asthma or allergies; previous visits to the hospital; and similar information. These are all part of the admission process for any new patient on the unit.

Visitors We ask that visitors consider the needs of the patient and their families/ caregivers. Please visit patients during our regular visiting hours, from 11 a.m. to 9 p.m. After these hours, when you are visiting patients on a unit, please be sure to sign in and out at the nursing station.

Before Discharge Before your child is discharged, the staff will give you information and special instructions regarding the child’s condition and follow-up visits to the nurse or doctor. The staff will also provide you with a written copy of discharge instructions, including a contact number for the Paediatric Unit/NICU/Special Care Nursery, should you have any questions.

Controlling Infection To help us control the spread of infection, wash your hands frequently, especially after changing diapers or wiping a runny nose, and before eating. Wash your hands before you leave your child’s room. Your child should not leave the hospital room if he or she has a fever, diarrhea, a cough, vomiting or a runny nose. Hand sanitizer is posted outside each patient room and our elevators for your use.

Toys Many parents teach their children to share toys with others, but in a hospital, sharing toys between children might mean sharing illnesses. It’s best to bring your child’s own favourite toy from home. Please know that the hospital cannot be responsible for toys that are lost, including expensive electronic items.

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Playroom This area for younger children is a happy, child-friendly environment where the children can enjoy a variety of recreational activities.

Location • Rouge Valley Ajax and Pickering, Child Health Unit : Fourth floor, west wing • Rouge Valley Centenary, Paediatric unit: Seventh floor

Contact Information For more information on the Paediatrics programs, please call: • Rouge Valley Ajax and Pickering: 905-683-2320 ext. 4680 • Rouge Valley Centenary: 416-281-7234

4.4.2 Children and Teen Clinics and Facilities Paediatric Consultation Clinic Our Paediatric Consultation Clinic may be accessed by local emergency physicians and family physicians who would like to refer patients requiring a paediatrician assessment or follow up. Consultations are provided by paediatricians. This clinic is available on a referral basis.

Hours of Operation/Contact Information • Rouge Valley Ajax and Pickering: Daily, please call 905-683-2320 ext. 4679 • Rouge Valley Centenary: Monday – Friday, please call 416-281-7476

Paediatric Day Surgery Program Children requiring surgery, but who are not required to stay in the hospital overnight, are admitted and discharged from the Paediatric units at both hospital campuses.

Pre-operative Assessment Clinic For all children having surgery or a procedure at Rouge Valley Health System, this clinic is an opportunity to share health information via a brief assessment and discussion with a paediatric nurse. Answers to questions about what it’s like to have an operation are provided in a sensitive, age-appropriate manner by the paediatric nurses. Tours are also offered at Rouge Valley Centenary as a part of

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this program. (For more information about this clinic, please see section 4.6.2 on Surgical Facilities.)

Paediatric Oncology Satellite Program Located at Rouge Valley Centenary, and in partnership with the Hospital for Sick Children and the Paediatric Oncology Group of Ontario, this clinic offers a variety of services, including blood work; transfusions; chemotherapy administration; medication administration; central line care; diagnostic imaging; and other treatments. This program offers both inpatient and outpatient care for these patients and their families. Patients must be referred by their oncologist.

Location • Rouge Valley Centenary, Paediatric unit: Seventh floor

Galaxy 12 Bank of Montreal Child and Teen Clinics Galaxy 12 is made up of several outpatient clinics offering many services for children, teens and families from the surrounding community. The staff in each of these clinics take care to make the examination and consultation rooms friendly.

Your family doctor should be the one to arrange for you and your child to visit a Galaxy 12 clinic, if you need their services.

Galaxy 12 Clinics Teen Clinic: Our Teen Clinic offers medical and counselling services for young adults between 12 and 18 years of age with medical and emotional needs. Paediatricians who specialize in adolescent medicine provide this service.

Community Asthma Care Centre: Our Community Asthma Care Centre is a complementary service to the physician management of asthma, and is staffed by a paediatric asthma education nurse. The Clinic offers counselling and education to families and children of all ages to better understand asthma and their treatment plan.

Gastroenterology Clinic and Endoscopy Program: The Gastroenterology Clinic and Endoscopy program focuses on the care of children with gastrointestinal, liver and nutritional problems, including consultation, endoscopy and follow-up. This clinical team includes two paediatric gastroenterologists and a paediatric gastroenterology nurse.

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Regional Neonatal (Newborn) Follow-Up Clinic: During the first two years of life, an infant with an identified risk factor for developmental delay will have five serial, standardized motor and cognitive assessments.

Ophthalmology referrals are arranged, as indicated. At-risk infants are identified in our regional NICU or are referred to the clinic by a physician.

Paediatric Diabetic Education Clinic: This clinic offers counselling and support services to patients, and their families, who have recently been diagnosed with diabetes, or have been identified as being at high risk of developing diabetes. The health team includes a paediatric endocrinologist, a social worker and a registered dietitian, and a registered nurse, both of whom are Certified Diabetes Educators.

Infectious Disease Clinic: This clinic focuses on consults for children with infectious diseases and related concerns, such as: osteomyelitis, endocarditis, complicated pneumonia, tropical infections, and immunization related questions. A physician referral is required for this service.

Scoliosis Clinic: Our Scoliosis Clinic offers a consultative service with an orthopaedic surgeon for children who require assessment and management of their scoliosis. A physician referral is required for this service.

Nephrology Clinic: The Nephrology Clinic is a consultative clinic service for children requiring assessment and/or management of problems with their kidneys or bladder. A physician referral is required for this service.

Sickle Cell Clinic: Working in partnership with Sick Kids, the Sickle Cell Clinic will assist children, teens and family members to manage their illness, receive treatment and education, and will enable components of their care to be provided closer to home.

RSV Clinic: RSV is a contagious respiratory viral infection that can seriously affect premature or at-risk infants in our NICU population.

The infections tend to occur in the fall and spring, but seasons do vary according to region. In order to try to prevent this virus in our at-risk population, the physician prescribes an antibody immunization that is given monthly in our NICU and/or RSV clinic throughout the flu season.

Location Rouge Valley Centenary, Galaxy 12: Twelfth floor Contact Information To make a referral, your doctor should call 416-281-7476, or fax a referral directly to the clinic at 416-281-7313.

All of the Galaxy 12 clinics can be reached by calling 416-281-7476.

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Toronto Preschool Speech and Language Services (TPSLS) Approximately 10 per cent of children are at risk for speech and language delays or disorders, and early identification and intervention are crucial.

Here in Toronto, the public agency Toronto Preschool Speech and Language Services (TPSLS) serves these children (from birth to age five) and their families. Rouge Valley Health System is a part of TPSLS, and our Rouge Valley Centenary hospital campus acts as the lead agency in the east Toronto.

Clients include children who are late in learning to speak, have social communication difficulties, don’t understand what is being said to them; have difficulty with articulation, stutter, etc. We provide support by offering the following services: assessment of children, parent education, childcare consultation, group and individual intervention, and transition to school planning. Local partners in the provision of this service are The Scarborough Hospital-General Campus, and Aisling Discoveries Child and Family Centre.

Location Rouge Valley Centenary: The Shoniker Clinic, basement Contact Information For more information, please call 416 281-7445 ext. 0.

The Shoniker Clinic The Shoniker Clinic, across adjacent to Rouge Valley Centenary hospital campus, is a child and adolescent mental health clinic that specializes in the diagnosis and treatment of significant mental health problems. The clinic accepts physician referrals for youth under the age of 19 who reside in Scarborough, Pickering or Ajax. (Go to Section 4.5.4 on Child and Adolescent Mental Health to learn more about The Shoniker Clinic.)

Location Rouge Valley Centenary, The Shoniker Clinic: Contact Information For more information, please call 416-284-8131 ext. 7301.

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4.5 Mental Health Services The Mental Health program at Rouge Valley Health System offers a wide range of services to meet the unique needs of individuals experiencing mental health issues. This includes crisis, inpatient and outpatient services; supportive housing; specialized outreach programs such as the Assertive Community Treatment (ACT) team and the First Episode Psychosis program; as well as social recreational programming for individuals recovering from serious mental illness.

Program staff and physicians are able to provide some services in languages other than English.

4.5.1 Adult Outpatient Services Outpatient psychiatrist offices are available at both our Rouge Valley Ajax and Pickering and Rouge Valley Centenary hospital campuses. A physician referral is required to see a psychiatrist.

Day Hospital The Day Hospital is a three-week alternative to inpatient admission, or can be a transition back into the community after an inpatient stay. This option is available at both hospital campuses. Patients are provided with support and education regarding their mental health issues.

Contact Information For more information, please call 416-284-8131 ext. 7301.

Day Treatment Day Treatment is a longer program that helps people develop specific skills for coping with depression and anxiety. Day Treatment is also available at both hospital campuses.

Contact Information For more information, please call: Rouge Valley Ajax & Pickering: 905-683-2320 ext. 3275 Rouge Valley Centenary: 416-281-7318

Assertive Community Treatment (ACT) The Assertive Community Treatment (ACT) team is a treatment, rehabilitation and support program offered in the community by a multi-professional team. It provides service to adults who have not otherwise been successful with officebased services or have had extensive hospital stays. Services are provided to residents of west Durham.

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Contact Information For more information, please call 905-831-8326.

Housing Programs Our two housing programs provide safe, affordable and supportive housing for those with serious mental illness and who have been, or are about to become, homeless.

Contact Information For more information, please call 416-208-0131.

Pathways Pathways is a social recreational program for adults with serious mental illness and offers psycho educational groups, work activity, health and wellness teaching, leisure activities and a medication clinic.

Contact Information For more information, please call 416-208-0131.

4.5.2 Adult Crisis Services Rouge Valley now has increased crisis support for mental health, which can be accessed through the Emergency Departments at both hospital campuses everyday.

Mental Health Crisis Team A crisis response team is available in the Emergency Departments at both hospital campuses seven days per week, sixteen hours per day. Individuals who present to the Emergency Department and are experiencing a mental health crisis will be assessed by a crisis worker. Treatment and recommendations will be made in consultation with a physician.

Urgent Care Another crisis-based service that is available is Urgent Care. Urgent care includes crisis assessment and brief intervention aimed at resolving the immediate mental health crisis for individuals who may have presented to the Emergency Department, but did not require admission to hospital. A family physician from the community may also refer a patient to our Urgent Care service. Please contact outpatient services to discuss the referral process.

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4.5.3 Adult Inpatient Services Rouge Valley Health System offers leading inpatient mental health services. Our inpatient mental health facilities are located at Rouge Valley Centenary, where we have a critical mass of specialized resources and staff. Mental health patients who are hospitalized at Rouge Valley can count on quality care and service.

Acute Inpatient Unit Our acute inpatient unit offers assessment and treatment for individuals over the age of eighteen who are experiencing mental health issues that cannot be treated safely on an outpatient basis. Part of the acute mental health unit includes a Psychiatric Intensive Care Unit (PICU), which provides an intensive level of support.

Medical/Psychiatry Unit Our Medical/Psychiatry unit offers assessment and treatment for individuals over the age of 18 who have both mental health and medical issues, and require active treatment. Inpatient treatment includes direct interaction with nurses and allied health team members, family meetings, group therapy and medication management.

4.5.4 Child and Adolescent Mental Health Rouge Valley Health System has a comprehensive mental health program for children and adolescents. The program includes a six-bed Inpatient Unit, a Day Hospital, as well as a Crisis Team and outpatient child and adolescent mental health delivered at The Shoniker Clinic. The program is designed to provide integrated and seamless services to children and adolescents with significant mental health problems.

The Shoniker Clinic The Shoniker Clinic is a child and adolescent mental health clinic that specializes in the diagnosis and treatment of significant mental health problems. The clinic accepts physician referrals for youth under the age of 19 who reside in Scarborough, Pickering or Ajax. An interdisciplinary team provides assessments, individual and family therapy, parent education, group therapy and medication management.

One of the programs at The Shoniker Clinic is the First Intervention Treatment Team (FITT), which supports young people who are experiencing their first episode of psychosis. This intensive service is available to clients up to the age of 35 who live in Scarborough. Physician referral is required.

Contact Information For more information, contact: 416-281-7301

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4.6 Surgical Care Our Surgical program at Rouge Valley Health System is robust and committed to delivering the highest standard in patient care and safety. Through this program, patients throughout east Toronto and west Durham have access to excellent surgical care close to home.

4.6.1 Surgical Specialties The Rouge Valley Surgical program consists of some of the most highly-skilled health care professionals, and offers a wide-range of surgical specialties that includes: • General Surgery • Orthopaedics • Plastics • Thoracic (offered at Rouge Valley Centenary) • Advanced Laparoscopic Surgery • Gynaecology • Urology • Ophthalmology (offered at Rouge Valley Centenary) • Paediatric Surgery • Ear, Nose & Throat (ENT) • Maxillo-Facial Surgery

4.6.2 Surgical Facilities Surgical Suites The surgical suite is the space in the hospital where surgical operations are performed.

The surgical suite at our Rouge Valley Ajax and Pickering hospital campus has five operating rooms.

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The surgical suite at Rouge Valley Centenary has nine operating rooms and two cystoscopy suites.

Location • Rouge Valley Ajax and Pickering: First floor, west wing • Rouge Valley Centenary: Second floor

Day Surgery Unit In the Day Surgery Unit, adult surgical patients are first prepared for their operation, and may later receive care in this facility after their surgery if they will be going home that same day. These post-operative patients may stay one to two hours after their procedure, so that they can be properly assessed before going home.

At Rouge Valley Ajax and Pickering, endoscopy patients are also treated in the Day Surgery Unit.

At Rouge Valley Centenary, post-operative patients may stay up to six hours in the Day Surgery Unit after their procedure.

Location • Rouge Valley Ajax and Pickering: First floor, west wing • Rouge Valley Centenary: Second floor

Inpatient Surgical Unit The Inpatient Surgical Unit is for surgical patients who need to remain in the hospital after their procedure. This unit provides post-operative care for a broad spectrum of medical diagnosis, including palliative care.

Our Inpatient Surgical Unit at Rouge Valley Ajax and Pickering has 20 inpatient surgical beds.

The Inpatient Surgical Unit at Rouge Valley Centenary has 43 inpatient surgical beds.

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Location • Rouge Valley Ajax and Pickering: Fourth floor, east wing • Rouge Valley Centenary: Fifth floor

Pre-operative Assessment Clinic (PAC) The Pre-operative Assessment Clinic provides pre-operative care for surgical patients. All patients requiring elective surgery are screened either by pre-op visit or by a telephone interview assessment. The services consist of nursing assessments, anaesthesia consults, and Total Joint Network education modules, which include a team of health professionals to support the patient’s needs.

At Rouge Valley Centenary, the PAC includes both the Pre-Admit Clinic and the Wait List clinic, which deals with hip and knee patients.

Contact Information • Rouge Valley Centenary: 416-284-8131 ext. 7261 • Rouge Valley Ajax and Pickering: 905-683-2320 ext. 4220 Location • Rouge Valley Ajax and Pickering: Ground floor, east wing • Rouge Valley Centenary: The Court Medical Mall, Suite 118

Ambulatory Care Unit (ACU) At Rouge Valley Ajax and Pickering, there is an Ambulatory Care Unit that provides a setting for minor surgical and medical outpatient procedures and services. Patients are seen, assessed, treated, and discharged home on the same day.

As part of the redevelopment project at RVAP, a new ACU is being built.

This new facility will provide an expanded space for outpatient services. It will include six additional treatment rooms for minor medical and surgical procedures.

Location Rouge Valley Ajax and Pickering: Ground floor, east wing

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Surgical Clinics At Rouge Valley Centenary, there are several Surgical Clinics that provide a setting for minor outpatient procedures and services. Patients are seen, assessed, treated and discharged home the same day. Services and specialties offered by the clinic include General Surgery; Orthopaedics; Plastics; Urology; Ear, Nose & Throat (ENT); Ophthalmology; Gynaecology—LEEP (Loop Electrosurgical Excision Procedure) and gyne laser; Medicine (thyroid biopsies, thoracenthesis, lumbar puncture); Paediatrics; and Maxillo-Facial. There is also a Wound Clinic.

Digestive Diseases Unit At Rouge Valley Centenary, the Digestive Day Unit provides endoscopic services to outpatient, inpatients and emergency patients. These services include gastroscopies, screening colonoscopies, flexible sigmoidoscopies, and Endoscopic Retrograde Cholangio-Pancreatograph (ERCP).

Location Rouge Valley Centenary: Second floor

Hip & Knee Wait List Clinic The Wait List Clinic at Rouge Valley Centenary allows physicians to refer patients requiring assessment for joint replacement. The clinic staff coordinate referrals through a centralized phone number. A registered nurse works collaboratively with the surgeon to assess and coordinate the patient care activities. Patients can request an orthopaedic surgeon of choice, or can be seen by the surgeon with the shortest wait list.

Location Rouge Valley Centenary: The Court Medical Mall, Suite 118

4.7 Cancer Care The Oncology (Cancer Care) program at Rouge Valley Health System serves the communities of both east Toronto and west Durham, providing cancer patients with a full-range of oncology services. As part of our commitment to ensuring quality care, Rouge Valley is a partner—along with The Scarborough Hospital, The Central East Regional Cancer Program and Cancer Care Ontario—in the Scarborough Joint Oncology Program, which delivers comprehensive high-quality cancer care to residents of Scarborough.

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The doctors, nurses and other health care professionals in our Oncology program have many years of oncology experience. In fact, many staff also hold nationallyrecognized oncology certification. Our Cancer Care team includes professionals from diverse disciplines of medicine and support services, including surgery, diagnostic imaging, internal medicine, hematology (blood), pathology and medical oncology (cancer), clinical nutrition and social work. The team works with patients to determine the most appropriate treatment for their disease; to identify other needs the patient may have (i.e. nutritional, psychological and social needs); and to plan how these needs will be met.

4.7.1 Chemotherapy Treatment Clinic At Rouge Valley’s Chemotherapy Treatment Clinc, all stages of cancer are treated—from the earliest, potentially curable cancers to more advanced stages, including solid tumours, lung cancer, breast cancer, colon cancer, and hematological malignancies (lymphoma, chronic leukemia, multiple myeloma).

Our clinic also performs blood product transfusions and bone marrow aspirations.

Chemotherapy is provided, in most cases on an outpatient basis, in our state-ofthe-art facility at Rouge Valley Centenary, with its on-site satellite pharmacy.

Prior to the first chemotherapy treatment in the clinic, patients meet with the nurse, pharmacist and other health care professionals. They are assessed, given a tour of the outpatient facility and provided information and materials specific to their drug treatment program.

Hours of Operation Monday – Friday, 7:30 a.m. - 4 p.m.

Location Rouge Valley Centenary: The Court, ground floor Contact Information For more information, please call 416-281-7483.

4.7.2 Radiation Treatment Evaluation Clinic Rouge Valley Health System is offering something unique to community hospitals outside of downtown Toronto. Our Radiation Evaluation Clinic located at Rouge Valley Centenary hospital campus performs ongoing evaluation for patients who may be receiving radiation treatment at distant hospitals outside of east Toronto or Durham. At our clinic, one of four radiation oncologists from Durham Regional Cancer Care will meet patients—along with a medical oncologist or surgeon—to review diagnostic tests and the patients’ care to date, and to plan future treatment. www.rougevalley.ca

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Hours of Operation Thursdays, by appointment only Location Rouge Valley Centenary: Ground floor, Chemotherapy Treatment Clinic Contact Information For information, please contact 416-281-7483

4.7.3 Paediatric Oncology Satellite Clinic The Paediatric Oncology Satellite Clinic enables children and their families to receive specialized cancer care closer to home for the residents of east Toronto and west Durham. In partnership with The Hospital For Sick Children and the Paediatric Oncology Group of Ontario (POGO), the clinic offers a variety of services, including chemotherapy; blood work and transfusions; vital sign monitoring; medication administration; X-Rays, CT Scans and ultrasound tests; and more.

Hours of Operation Monday – Friday, 8:30 a.m. – 4:30 p.m. (By appointment only) Location Rouge Valley Centenary: Seventh floor Contact Information 416-284-8131 ext. 7190/7191

4.7.4 Breast Screening Centre Rouge Valley’s Breast Screening Centre provides comprehensive diagnostic services for patients who are being investigated for a diagnosis of breast cancer.

Breast screening is an important component of women’s health, particularly women over the age of 50 years. (For more information about our Diagnostic Imaging services, please see Section 4.9.)

Hours of Operation Appointments: Monday – Friday, 7:30 a.m. - 5 p.m.

Location Rouge Valley Centenary: Margaret Birch Wing, first floor

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Contact Information To schedule an appointment, please call our Diagnostic Imaging Central Booking Line at 416-281-7299. Toll-free bookings may also be made at 1-866-752-6989.

Faxes should be sent to 416-281-7493.

To contacting the main reception for Diagnostic Imaging, please call 416-284-8131 ext. 4134.

4.7.5 Palliative Care Palliative Care is caring for patients with a disease that cannot be cured. The Palliative Care program is an important component of the Oncology program.

When a patient is referred to the Palliative Care program, a care team of doctors, nurses, social workers, pharmacists, volunteers, and a religious representative if requested, work together to coordinate symptom and pain management, support and total care for the patient. This service may extend to bereavement support if requested.

4.7.6 Look Good, Feel Better Program The Look Good, Feel Better program is based on the belief that an improved self-image can help lift women’s spirits and nurture hope, helping them face their illness with greater confidence. The benefits of the program—which was launched in 1992 by the charitable foundation Canadian Cosmetic, Toiletry and Fragrance Association—goes well beyond beauty. The program offers a two-hour hands-on workshop covering simple cosmetic tips and techniques, hair alternatives, as well as nail and skin care. Participants take home a complimentary kit of cosmetics and personal care products. Look Good, Feel Better is offered the third Wednesday of the month in the Chemotherapy Clinic at Rouge Valley Centenary. For more information, call 416-281-7483.

4.7.7 Additional Oncology Services Other Oncology program services provided by RVHS include: • Nurse Practitioner - a highly and specially-trained advanced practice nurse who assists physicians and nurses with oncology patient care • Dietitians - trained professionals who can assist patients to ensure adequate nutrition during and after their cancer treatment • Social Workers - professionals trained to assist cancer patients and their families with psychosocial issues, such as dealing with their diagnosis;

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dealing with their treatment; practical issues, such as access to financial support; and linking them to community support services • Chemotherapy pharmacists - specially-trained pharmacists who can help answer patients questions regarding chemotherapy, drug interactions, drug payment eligibility issues, drug plan access issues • Pain and symptom management clinics - clinics specifically for patients requiring assistance with pain and symptom management; • Home care services - coordination of community support agencies to provide services to patients in their homes

4.8 Respiratory Therapy Respiratory Therapy services are offered at both Rouge Valley Ajax and Pickering and Rouge Valley Centenary. Our Respiratory Therapy services are also available on an outpatient basis. Patients can receive a referral for these services from their family doctor.

Respiratory Therapy services offered at Rouge Valley Ajax and Pickering include: • Pulmonary Function Testing • Home Oxygen Assessments • Spirometry and Oximetry Testing • Respiratory Metabolic Testing • Bronchosopies

Respiratory Therapy services offered at Rouge Valley Centenary include: • Pulmonary Function Testing • Methacholine Challenge Testing • Home Oxygen Assessments • Spirometry y and Oximetry Testing • Tracheostomy Clinic • Bronchoscopies

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Contact Information For more information, please call 416-281-7400 (select option #1 at telephone prompt).

4.9 Diagnostic Imaging Diagnostic Imaging (DI) uses state-of-the-art digital medical imaging equipment—such as General Radiology (X-Ray), Computerized Tomography (CT), Ultrasound, Mammography, Bone Mineral Densitometry (BMD), Nuclear Medicine and Magnetic Resonance Imaging (MRI)—to examine and diagnose disease. DI procedures are also used to screen and stage diseases, and to guide minimally-invasive examinations and treatment.

Rouge Valley’s DI department is a leading provider of diagnostic services across east Toronto and west Durham. Our department is also a teaching facility affiliated with The Michener Institute for Applied Health Technology.

We offer a full range of services for patients in the Emergency Department, outpatients and inpatients, including support to the Fracture Clinic, the Operating Room and inpatient portable examination. Patients can access our services through physician referral, walk-in for some procedures not requiring preparation, and by calling our central booking line.

Hours of Operation Appointments: Monday – Friday, 7:30 a.m. - 5 p.m.

Pick-up hours (for reports, film, or diskettes): Monday – Friday, 8 a.m. - 7 p.m., Saturday 8 a.m. - 4 p.m.

Contact Information Scheduling an appointment: • Diagnostic Imaging Central Booking Line—416-281-7299 • Toll Free Bookings—1-866-752-6989 • Fax—416-281-7493 Contacting DI main reception: • Rouge Valley Ajax and Pickering—905-683-2320 ext. 1123 • Rouge Valley Centenary—416-284-8131 ext. 4134

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Picking up a report, film or diskette: • Rouge Valley Ajax and Pickering: 905-683-2320 ext. 1435 • Rouge Valley Centenary: 416-284-8131 ext. 7298

4.9.1 Radiology Technology (X-Ray) Radiological Technology (X-Ray) produces images of internal tissues, bones and organs for diagnostic purposes by passing a small, highly controlled amount of radiation through the body. The use of X-Ray is useful in the detection of disease of the skeletal system and soft tissue. Patients require a referral from their physician to access this service.

Location • Rouge Valley Ajax and Pickering, Diagnostic Imaging Department: First floor, west wing • Rouge Valley Centenary, Diagnostic Imaging Department: Margaret Birch Wing, first floor

4.9.2 Ultrasound (US) Ultrasound imaging is a method of obtaining images from inside the body through the use of high-frequency sound waves. No ionizing radiation (X-Ray) is involved.

Ultrasound is a valuable, non-invasive way of examining many of the body’s internal organs, including abdomen, pelvis, obstetric, musculoskeletal, breast, thyroid, scrotal, and major blood vessels. Patients require a referral from their physician to access this service.

Location • Rouge Valley Ajax and Pickering, Diagnostic Imaging Department: First floor, west wing • Rouge Valley Centenary, Diagnostic Imaging Department: Margaret Birch Wing, first floor

4.9.3 Mammography (Mammo) Rouge Valley Health System has a state-of-the art Breast Imaging Centre, providing a safe, low-dose X-Ray procedure to detect abnormalities in the breast tissue, often before they can be felt by the patient. We strive to provide a warm

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and welcoming environment, which respects the need for dignity, privacy and information. Patients require a referral from their physician to access this service.

Our department is fully accredited by the Canadian Association of Radiologists.

We have recently gone digital at Rouge Valley Health System.

Location • Rouge Valley Ajax and Pickering, Diagnostic Imaging Department: First floor, west wing • Rouge Valley Centenary, Diagnostic Imaging Department: Margaret Birch Wing, first floor

4.9.4 Breast Screening Centre The Breast Screening Centre is located on the first floor of Rouge Valley Centenary, just off the main entrance to the Margaret Birch Wing. Breast screening is an important component of women’s health, particularly women over the age of 50. Patients require a referral from their physician to access this service.

Location Rouge Valley Centenary, Breast Screening Centre: Margaret Birch Wing, first floor

4.9.5 Bone Densitometry Examination (BMD) This fast, simple examination allows proper management of osteoporosis to minimize injury and disability, improve quality of life, and reduce the personal and social costs associated with this disease. Patients require a referral from their physician to access this service.

Location • Rouge Valley Ajax and Pickering, Diagnostic Imaging Department: First floor, west wing • Rouge Valley Centenary, Diagnostic Imaging Department: Margaret Birch Wing, first floor

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4.9.6 Computer Axial Tomography (CT/CAT scan) A CAT (computed axial tomography) Scan, also known as a CT Scan, uses a rotating X-Ray tube and special computers to produce high-resolution, crosssectional images of the body. Our state-of-the-art equipment and expert staff allow us to perform procedures less invasively and more comfortably for our patients. Patients require a referral from their physician to access this service.

Rouge Valley Ajax and Pickering is the first hospital campus in Ontario to feature the new Brilliance 256-slice iCT scanner. This technology is significantly faster, increasing patient safety through lower contrast (“dye”) doses, advanced stroke and cardiac applications, and improved report turn around.

Location • Rouge Valley Ajax and Pickering, Diagnostic Imaging Department: First floor, west wing • Rouge Valley Centenary, Diagnostic Imaging Department: Margaret Birch Wing, first floor

4.9.7 Magnetic Resonance Imaging (MRI) The MRI scanner, like the CT scanner, is a powerful diagnostic tool that lets physicians see inside a patient’s body in detail far greater than X-Ray machines.

MRI uses strong magnetic fields, radiowaves, and specialized computers to create highly-detailed images of the internal boney structures and soft tissues of the body. Patients require a referral from their physician to access this service.

Location Rouge Valley Centenary, Diagnostic Imaging Department: Margaret Birch Wing, first floor

4.9.8 Nuclear Medicine Nuclear Medicine Technology utilizes radioactive tracers to visualize organs and tissues. The tracer is usually administered intravenously, but may also be administered orally or by aerosol. Tracers are designed to image particular organs or systems, such as the heart, bones or lungs.

These are booked procedures and a signed requisition must be provided ahead of time or when you arrive. Patients require a referral from their physician to access this service.

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Location • Rouge Valley Ajax and Pickering, Nuclear Medicine Department: Ground floor, west wing • Rouge Valley Centenary, Diagnostic Imaging Department: Second floor

4.9.9 Angiography and Interventional Radiology (Angio) Angiography and Interventional Radiology are subspecialties of Diagnostic Imaging, which allow diagnostic examination of virtually all vessels in the body. Interventional Radiology is a growing area offering treatment, other than surgical, for both diagnostic and therapeutic procedures. An interventional radiologist, radiology nurse, and interventional medical radiation technologist, using various types of imaging equipment, perform many minimally-invasive procedures on our state-of-the art equipment. Patients require a referral from their physician to access this service.

Location • Rouge Valley Centenary, Diagnostic Imaging Department: Second floor

4.9.10 Cardiac Diagnostics Our Cardiac Diagnostics services help to determine how well your heart is working. These tests use images and data to diagnose heart diseases, see the effects caused by a heart attack, and monitor how chronic heart patients are doing. Cardiac Diagnostics is a vital part of figuring out when you may need further cardiac treatments or interventions. (To learn more about these services, please see Section 4.2.2 on Cardiac Diagnostics.)

4.10 Post-Acute Care Rouge Valley Centenary and Rouge Valley Ajax and Pickering offer a comprehensive array of services for patients who have completed their acute care hospital stay. These services include both outpatient and short-term inpatient rehabilitation, as well as complex continuing care.

Our teams of highly-specialized nurses, physicians, physiotherapists, occupational therapists, physical and occupational therapy assistants, social workers, speech and language pathologists, dietitians, pharmacists and recreational therapists work together to provide customized treatment designed to meet the individual care needs of our patients. The program is rooted in a www.rougevalley.ca

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philosophy of care that involves both the patient and family members in the care planning in order to best meet identified needs.

4.10.1 Rehabilitation Services Rehabilitation Services are offered at both Rouge Valley Health System hospital campuses, on an inpatient and outpatient basis.

4.10.2 Complex Continuing Care Complex Continuing Care (CCC) is for patients with chronic conditions or a multi-system disease process, such as diabetes, cardiovascular conditions, arthritis and stroke. Patients may be dependent on technology-based continuing or intermittent care or have complex wound management issues. Patients may require specialized geriatric assessment and treatment intervention, and lowtolerance rehabilitation services.

There is an all-new CCC unit at Rouge Valley Ajax and Pickering. This new facility is part of the redevelopment project at RVAP. It provides increased capacity for patients transitioning from acute care to post-acute care, and returning to the community, whether home or a long-term care or residential setting.

Among the new CCC unit’s features are large, spacious patient rooms; new patient safety equipment, including ceiling lifts in each patient room, and adjustable height beds to help prevent patient falls; new equipment, including therapeutic hydraulic bath tubs that not only provide soothing baths, but also help to facilitate smoother patient transfers; and in-house recreational therapy.

Similar to the CCC unit at RVAP, Rouge Valley Centenary’s facilities also feature patient rooms equipped with patient safety devices such as ceiling and patient lifts. These patient rooms were designed specifically with geriatric patients and their specific needs in mind. Also similar to RVAP, RVC’s CCC unit features occupational therapy, physiotherapy, and recreational therapy.

Location • Rouge Valley Ajax and Pickering, Complex Continuing Care/Rehab Unit: Second floor, west wing

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Patient Services Directory

• Rouge Valley Centenary, Complex Continuing Care/Rehab Unit: Margaret Birch Wing, third and fourth floors.

Contact Information • Rouge Valley Ajax and Pickering, Complex Continuing Care Unit: 905-683-2320 ext. 3230 • Rouge Valley Centenary, Complex Continuing Care Unit: 416-281-7363/7373

4.11 Diabetes Education Rouge Valley Health System offers Diabetes Education Centres at both hospital campuses to help patients learn to manage their diabetes. Patients are taught how to manage their diabetes individually or within group sessions. As management of diabetes is an ongoing process, regular follow up care is vital.

Referrals for the Diabetes Education Centre at RVHS are accepted from physicians only. There are no catchment area restrictions.

The Diabetes Education Centre at Rouge Valley Ajax and Pickering focuses on diabetes management for adults (18 years and older) with: •

Type 2 diabetes

•

Gestational diabetes

Location Rouge Valley Ajax and Pickering, Diabetes Education Centre: Trailer outside of the hospital, near the south entrance (there is a designated parking lot for the DEC) Contact Information For more information, call 905-683-2320 ext. 5269.

The Diabetes Education Centre at Rouge Valley Centenary focuses on intensive diabetes management for adults (18 years and older) with: • Type 1 diabetes • Type 2 diabetes o Those who are being initiated on insulin therapy o Those who are on insulin with poor control (A1C > 7.0%) www.rougevalley.ca

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• Gestational diabetes • Insulin pump therapy/multiple daily injections Patients managing their diabetes with oral agent(s) and/or diet and exercise alone are referred to community-based programs.

Location Rouge Valley Centenary, Diabetes Education Centre: Margaret Birch wing, first floor Contact Information For more information, call 416-281-7375.

4.12 Community Outreach 4.12.1 Multicultural Workshops At Rouge Valley Centenary, the Emergency Department provides workshops for the multicultural community on these useful topics: • Accessing the health system; • How to use the Emergency Department; and • The role of the family doctor.

Contact Information Should your community group wish to hold a workshop, contact the Emergency Department manager at 416-284-8131 ext. 4008.

4.12.2 Interpreter Services Interpreter services are being developed at Rouge Valley Ajax and Pickering. However, patients can save time by bringing their own interpreter.

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Rouge Valley Centenary has established a network among staff and volunteers who provide interpreter services. This gives us access to interpreters covering several languages. You can ask for an interpreter in the language of your choice, as long as someone is available who speaks it. Of course, patients can save time by bringing their own interpreter.

4.13 Auxiliary and Volunteers No hospital can be at its best without its dedicated auxiliary members or volunteers. These extraordinary people donate their time and energies every day, to help make patients more comfortable and to help raise money to support enhancements to the hospital and the purchase of medical equipment.

For information or to apply to become an Auxiliary member, call the Auxiliary Office at 905-683-2320, ext. 5481.

For information or to apply to become a volunteer, call the Volunteer Services Department at Rouge Valley Centenary, Monday to Friday, 9 a.m. to 4 p.m. at 416-281-7316. You should be prepared to commit to volunteer work once a week for a minimum of one year before you call.

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5.0 Rouge Valley Health System Foundation Rouge Valley Health System extends its sincerest thanks to the corporations, service organizations, individual members of the community and our own dedicated staff, physicians and volunteers, who have shown outstanding support and generosity to the Rouge Valley Health System Foundation.

Any person, organization or company wishing to donate to the worthy cause of improved health care in the community can be assured that donations to the site of their choice, Rouge Valley Ajax and Pickering and Rouge Valley Centenary, will be used by that hospital campus.

To discuss making a contribution in support of patient care and capital needs, please telephone your local Foundation office. Gifts can be made to fund hospital equipment and training through cash donations, securities, real estate, life insurance, bequests, in memoriam and in tribute gifts. To make a donation in person, drop by the Foundation office, at each hospital.

Hours of Operation Monday – Friday, 9 a.m. – 5 p.m.

Location • Rouge Valley Ajax and Pickering: Temporary location in the trailer on the south side of the hospital • Rouge Valley Centenary: Front lobby, second floor Contact Information • Rouge Valley Ajax and Pickering: 905-683-2320 ext. 1501 • Rouge Valley Centenary: 416-281-7342

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6.0 The Court Health Care Services at RVC The Court at Rouge Valley Centenary includes retail stores, medical suites, clinics and other health-related offices. Shopper’s Drug Mart is a complete drug store, offering over-the-counter drug products, prescription medications and prosthetic devices, along with snacks, newspapers, magazines, personal care items, household supplies, and lottery tickets.

The pharmacy accepts all drug plans. For prescription delivery, call 416-724-6055.

Court Telephone Directory (First dial 9 for an outside line) Canada Hearing Centre.............................................................416-283-1940 Canadian Knee Institute ............................................................416-281-5633 CML Labs...................................................................................416-282-5735 Country Style Donuts.................................................................416-284-9273 Court Dental Centre...................................................................416-281-4746 Courtyard Chiropractic Centre....................................................416-724-7888 Family Physician’s After Hours Clinic.........................................416-281-8618 Malvern Optical..........................................................................416-286-6933 Seager Hair Transplant Service.................................................416-287-3733 Tapestry Gift Shop......................................................................416-281-7316 Tom Leon Health Resource Centre........................................... 416-281-7285

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7.0 Telephone Directory Please refer to the telephone numbers for your location. The four-digit numbers are for use inside the hospital.

7.1 Rouge Valley Ajax and Pickering Switchboard: 905-683-2320 DEPARTMENT

EXTENSION

Admitting.......................................................................................................... 1511 Ambulatory Care Unit....................................................................................... 4545 Auxiliary............................................................................................................ 5481 Breastfeeding / Lactation consultant................................................................ 1597 Business Office (payment inquiries)................................................................. 1143 Cardiac Diagnostics ........................................................................................ 1168 Cardiac Diagnostics Central Booking.......................................416-281-7400 ext. 1 Cardiac Care......................................................................................416-281-7400 Chaplaincy Services......................................................................................... 2510 Central East Community Care Access Centre...................905-430-3308 ext. 3500 Day Surgery..................................................................................................... 1570 Diabetes Education Centre ............................................................................. 5269 Diagnostic Imaging (X-ray)............................................................................... 1123 Discharge Planning.......................................................................................... 4207 Emergency Help (Fire, cardiac, etc.)............................................................... 5555 Food Services (& Tim Hortons)....................................................................... 5291 Foundation ..................................................................................................... 1501 Fracture Clinic.................................................................................................. 1471

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Gift Shop (Auxiliary) ........................................................................................ 1440 Home Care ..................................................................................................... 3370 Human Resources............................................................................................ 5501 Information Desk/Patient Inquiry............................................................. 1069/1070 Labour & Delivery............................................................................................. 1201 Lifeline............................................................................................ 1-800-707-2206 Long Distance (credit or calling card) ........................................................... Dial–0 Lost & Found.................................................................................................... 4223 Maternal Newborn Services.................................................................... 1202/1138 Mental Health................................................................................................... 3275 Mobile Crisis Line...............................................................................416-495-2891 Patient Relations.............................................................................................. 1292 Paediatrics Unit ............................................................................................... 4680 Paediatrics Consultation Clinic......................................................................... 4679 Physiotherapy................................................................................................... 1213 Preoperative Assessment Clinic....................................................................... 4220 Prenatal Classes.............................................................................................. 1226 Public Affairs..................................................................................................... 5246 Rehabilitation (inpatient)................................................................................... 3230 Respiratory Therapy...........................................................416-284-8131 ext. 7400 Security ........................................................................................................... 4223 Special Care Nursery....................................................................................... 1224 Stylist on Call (haircutting services)............................................... 1-800-863-2887 Switchboard............................................................................................................ 0 Television service........................................................................... 1-800-387-8223 Television Rentals..................................................................................... ext. 5430 www.rougevalley.ca

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7.2 Rouge Valley Centenary Switchboard: 416-284-8131 DEPARTMENT

EXTENSION

Account inquiries – inpatients........................................................................... 7246 Account inquiries – outpatients........................................................................ 7244 Admitting.......................................................................................................... 7277 Breastfeeding Resource Nurse....................................................................... 4530 Business Office (payment inquiries)................................................................. 4011 Birthing & Newborn Centre . ................................................................... 7430/4403 Cardiac Diagnostics ........................................................................................ 4330 Cardiac Diagnostics Central Booking.......................................416-281-7400 ext. 1 Cardiac Care.................................................................................................... 7400 Chaplaincy Services......................................................................................... 4342 Community Care Access Centre (Scarborough)/Home Care.............416-750-2444 Chemotherapy Clinic........................................................................................ 7483 Children’s Mental Health Services/Shoniker Clinic........................................... 7301 Day Surgery..................................................................................................... 7259 Diabetes Education Centre ............................................................................. 7375 Diagnostic Imaging (X-Ray) ............................................................................ 7299 Digestive Disease Unit..................................................................................... 7370 Discharge Planning.......................................................................................... 7334 Emergency Help (Fire, cardiac, etc.)................................................................ 5555 Foundation ...................................................................................................... 7342 Food Services................................................................................................. 4510 Fracture Clinic.................................................................................................. 7269

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Galaxy 12 – Children’s outpatient clinics.......................................................... 7476 Genetics Clinic................................................................................................. 7425 Gift Shop (Tapestry)......................................................................................... 4197 Grapevine Restaurant & Cafeteria................................................................... 4680 Home Care....................................................................................................... 7340 Human Resources............................................................................................ 7271 Information Desk/Patient Inquiries.......................................................... 4198/4199 Labour & Delivery.................................................................................... 4047/4048 Lifeline............................................................................................ 1-800-707-2206 Long Distance (credit or calling card) ............................................................Dial 0 Lost & Found.................................................................................................... 4223 Maternal Newborn Services............................................................................. 7332 Mental Health Crisis Line................................................................................. 5333 Mental Health Outpatient Clinic ....................................................................... 7318 Mobile Crisis Line...............................................................................416-495-2891 Neonatal Intensive Care Unit........................................................................... 7231 Outpatient Rehabilitation.................................................................................. 7266 Paediatric Consultation Clinic........................................................................... 7476 Paediatric Unit.................................................................................................. 7234 Patient Relations.............................................................................................. 4742 Prenatal Classes.............................................................................................. 7332 Public Affairs..................................................................................................... 4010 Respiratory Therapy......................................................................................... 7400 Security............................................................................................................ 4223 Speech & Language Services.......................................................................... 7445

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Stylist on Call (haircutting services)...................................................416-630-5001 Surgical Clinics..................................................................................................7111 Television Service........................................................................... 1-800-387-8223 Television Rentals..................................................................................... ext. 5430 Volunteer services............................................................................................ 7316 Wait List Clinic.................................................................................................. 7499 Women’s Health Promotion & Information Centre............................................ 7424

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COMMUNITY SUPPORTERS Rouge Valley Health System is grateful to advertisers who made the Patient Services Directory possible. Thanks to them, the corporation incurred no costs for printing this directory. However, please realize that advertising in this book does not imply an endorsement of any product or services by Rouge Valley Health System.

accommodations

home health care

Howard Johnson, Scarborough..........Outside Back Cover Super 8, Scarborough...................... 82 Travelodge, Toronto East.................. 83

Bayshore Home Health......................74 Compassionate Nursing Care........... 75 DHS Health Care Service................. 75 HomeWell Senior Care......................71 JCS Nursing and Home Care Services Inc...................................... 79 ProHome Health Services Inc.......... 78

audiology services Durham Audiometric Service.............71

child education Ontario Early Years........................... 76

legal services

counselling

Carranza Barristers & Solicitors........ 86 Levinter & Levinter............................ 77

Family Services Durham................... 78 Newgate 180..................................... 73

long term care

crisis services Durham Rape Crisis Centre.............. 75

dental services William Slade Prusin Oral and Maxillofacial Surgeon........................ 79

foot care All-Care Home Health Care.............. 79 BioPed.............................................. 73

gift shop Tapestry Gift Shop............................ 79

Health Services (The) Leukemia & Lymphoma Society of Canada............................ 84

Home Care Cardinal Nannies & Companions Inc..................................................... 72

Kennedy Lodge................................. 79 Leisureworld..................................... 75

mastectomy supplies All-Care Home Health Care.............. 79

medical equipment & supplies All-Care Home Health Care.............. 79 BHM Medical.................................... 81 Durham Medical............................... 72 HME Ltd............................................ 81 Sunrise Medical................................ 81 Therapist’s Choice Medical Supplies Inc...................................... 80

nursing Compassionate Nursing Care........... 75 JCS Nursing and Home Care Services Inc...................................... 79

oxygen Durham Home Respiratory Services............................................ 72

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physiotherapy Rougemount Physiotherapy.............. 72

rehabilitation Canadian Knee Institute.................... 80

retirement community Shepherd Village.............................. 76

retirement residence Kingsway Arms at McCowan............ 82 White Cliff Terrace............................ 78

seniors services Senior Safe...........................................

shelters Regional Domestic Violence Care Centre...................................... 78 Regional Sexual Assault Care Centre...................................... 78

sleep apnea Durham Home Respiratory Services............................................ 72

transportation Durham Region Transit......................74

vehicle conversion Universal Motion............................... 83

wigs Trade Secrets................................... 76

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Patient Services Directory

You just can’t hear any better!

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24th

Patient Services Directory

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P E D O R T H I C

C A R E

TRUST OUR KNOWLEDGE. FEEL THE DIFFERENCE. FOOT, LEG OR BACK PAIN. WE CAN HELP! PLEASE CALL FOR AN APPOINTMENT

 

CUSTOM MADE ORTHOTICS

LOWER LIMB & KNEE BRACES

FASHIONABLE & ORTHOPAEDIC FOOTWEAR

COMPRESSION STOCKINGS

Please visit our web site for information on all BioPed professional products & services www.bioped.com



Assessment & biomechanical gait analysis by Canadian Certified Pedorthists.

Custom-made orthotics in our own on-site labs for superior results and your maximum convenience.

Providing custom orthotics, fashionable & orthopaedic footwear, lower leg bracing and compression stockings.

2882 Ellesmere Road Scarborough, ON M1E 4B8

Brockington Plaza, 1725 Kingston Rd, Unit 25, Pickering, ON L1V 4L9

(416) 283-7721

(905) 686-2076

www.rougevalley.ca

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Transfer easily from DRT Bus to GO Bus for a single fare within Durham Region. . .

To be eligible for one fare anywhere . . .

• Begin your trip with your DRT ticket,

ONE FARE

pass (including U-Pass) or transfer otherwise regular GO Transit fares apply.

• Cash fares are not accepted on GO Transit buses at DRT fare rates.

• Regular GO fares apply for travel outside of Durham Region.

• DRT fares are not valid on GO Trains.

ANYWHERE

IN DURHAM REGION

www.durhamregiontransit.com 1-866-247-0055

Better care for a better life

Home care designed especially for you OUR CLIENTS SAY it’s the compassion and professionalism of our caregivers that makes the difference – and allows them to live with independence and dignity in the comfort of their own homes.

• Nursing • Personal Care • Home Support • Companionship • Funding Investigations • Free Assessments • Nurse Supervised Staff • 24 Hour/7 Day Service

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Patient Services Directory

We also care for people in hospitals, long-term care facilities and retirement residences. Contact us today and find out how a personalized care plan can help you or your loved one.

In the Oshawa area, please call

905.433.4002 / 1.877.433.4003 www.bayshore.ca

Durham Rape Crisis Centre

Compassionate Nursing Care

Through sharing your pain, the healing can begin.

24 Hour Crisis and Information Line

905-668-9200

Let us help you with your health care needs

Free and Confidential Individual and Group Counselling

Phone: 905-444-9672 Fax: 905-444-9277 Email: info@durhamrapecrisiscentre.com

At Leisureworld Caregiving Centres, we’ve made it our mission to understand the things that make life truly worth living as people age.

Sponsored by Leisureworld — Altamont 416-284-4781

WE HONOUR OUR RESIDENTS www.leisureworld.ca

WE PROVIDE HEALTH CARE SERVICES FOR: • The Elderly 15% off • Rehab Care for all • Child and Newborn Care new • Palliative Care • Family Relief clients WE HAVE SPECIALLY TRAINED STAFF SUCH AS: • Registered Nurses • Registered Practical Nurses • Personal Support Workers • Sitters and Companions 24 HRS/DAY • 7 DAYS/WEEK • AFFORDABLE RATES • FREE CONSULTATIONS • WE ACCEPT ALL INSURANCES • WE SERVICE THE GTA AND ALL SURROUNDING AREAS

416.789.7600

www.CompassionateNursingCare.com

Connect Care emergency response systems 24 HOURS - 7 DAYS PER WEEK - IN YOUR OWN HOME

• Palliative Care • Institutional Care • Light Housekeeping • Private Duty Nurse • Meal Preparation • Personal Care

DVA • Hair Care TAPS • Foot Care

• STAY-AT-HOME Packages • Care-giver Relief • Live In Caregiver • Client Escort including Transportation

Serving Durham Region Since 1978

905-571-1511 / 800-461-6756 www.DHSHEALTH.COM www.rougevalley.ca

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Discover a YMCA Ontario Early Years Program in Your Community.

Ontario Early Years Centres offer:

SmartCentres Pickering 1899 Brock Road Pickering, ON L1V 4H7

905 683.1694

Fittings avilable by appointment please.

We carry wigs and hair pieces for medical reasons

• Free Early Learning Programs for Parents/ Caregivers and their Children birth to six years of age • Parenting Resources • Information about other Early Years services in your community • Early Literacy Specialists to support programs for children birth to six years • Opportunities for volunteering AJAX 905-619-4565 PICKERING 905-839-3007 EXT. 310 WHITBY 905-666-4794

Experience the Warmth of Retirement Living in Scarborough

Come and visit us, moreover, see for yourself why Shepherd Village is your best choice for retirement living.

Compare our selection of retirement accommodations, variety of social and life enrichment programs and of course the unequalled community where shopping, restaurants, golf course and professional services are all just a leisurely and safe walk away.

Shepherd Village Inc. 3758-3760 Sheppard Avenue East, Scarborough, ON M1T 3K9

416-609-5700

Website: www.shepherdvillage.org

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Patient Services Directory

YOU’VE SUFFERED ENOUGH. THE ROAD TO RECOVERY STARTS HERE. Specializing in Head Injury, Paralysis and Bodily Injury

Benjamin Levinter, Q.C. is certified by the Law Society of Upper Canada as a Specialist in Civil Litigation, Fellow of the International Academy of Trial Lawyers.

• Motor Vehicle Accidents • No Fault Benefits • Slip and Fall • Insurance Company Victimization • Bodily Injury • Defective Products

You Do Not Pay Until You Lawsuit is Resolved

Levinter & Levinter Professional Corporation

Barristers & Solicitors Est. 1921

416.863.1930 1.888.377.6463 1 Richmond St. W., Suite 901 • Toronto • M5H 3W4 www.levinter.ca

www.rougevalley.ca

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Regional Domestic Violence Care Centre The Domestic Violence Program is committed to providing services that are confidential, sensitive and accessible.

• Specially trained nurses on- • Counselling services referral call 24 hours a day to community agencies • Medical care for your injuries • Interpreting services • Documenting your injuries • You can receive care without • Helping you develop a plan for involving the police your safety

Regional Sexual Assault Care Centre

The Sexual Assault program provides specialized medical and counselling services to female and male survivors of sexual assault, 12 years of age and older. Our services are sensitive, accessible and confidential.

Medical services include medication for prevention of sexually transmitted diseases and pregnancy, treatment of any physical injuries, and collection of forensic evidence. Counselling for you and your family.

Tel.: 416-495-2555 • TTY: 416-498-6739 • Fax: 416-495-2503 The Scarborough Hospital - Grace Campus 3030 Birchmount Rd., 4th Floor, Scarborough, ON M1W 3W3

www.sacc.to

Family Services Durham Professional counselling and other support services that are confidential, timely, accessible and responsive.

• Individual, Couple, and Family Counselling • Parenting and Family Life Education groups and seminars • Groups for men, women, and/or children • Critical incident stress management • Community education and development • Organizational support and wellness seminars • Case management and other support services for adults with developmental disabilities 905-666-6240 (Local) 1-866-840-6697 (Toll Free Long Distance) Canadian Family Services Accredited Services Services available in 9 locations in Durham Region Hours of operation begin at 8:00 a.m. Monday to Friday, With Evening appointments available on Tues., Wed., or Thurs. with the last booked appt. at 8:00 p.m.

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Patient Services Directory

OPEN EVERYDAY!!

• Gifts & Collectables • Fresh Flowers • Gift Baskets • Baby Wear • Books • Jewellery • Cosmetics • Lingerie • Stationery Volunteer operated

2867 Ellesmere Rd. Toronto, ON M1E 4B9

Tel: (416) 284-8131 Ext. 4197

• Dental Extractions Asleep • Surgery for Dental Implants (Replacement of teeth) • Management of Jaw Pain Monday - Friday 8:00 AM - 5:00 PM

Serving our community & hospital since 1968

Ellesmere Professional Building

416-751-4842

919 Ellesmere Road (at Kennedy Road), Suite 202, Scarborough, ON M1P 2W7

www.drprusin.com

ALL-CARE

HOME HEALTH CARE

• Incontinence Supplies • Walkers • Custom Made Foot Orthotics • Mobility Equipment • Bathroom Equipment • Specialty Shoes • Mastectomy Authorizer • Back Braces • Aids to Daily Living • Ostomy Supplies • Diabetic Socks • Therapeutic Pillows • Rentals Available

416-261-6409

E-mail: allcare4u@hotmail.com

3462 Kingston Rd., Scarborough, ON, M1M 1R5

www.rougevalley.ca

79

canadian knee institute

“THE KNEE SPECIALISTS” SPECIALIZING IN ASSESSMENT, EDUCATION AND ACTIVE REHABILITATION OF KNEE PROBLEMS COVERAGE BY EXTENDED HEALTH PLANS, MVA INSURANCE, WSIB ACCREDITED U. of T. TEACHING FACILITY

(416) 281-KNEE (416) 281-5633

THE COURT 2863 ELLESMERE RD., SUITE 202 SCARBOROUGH, ONT. M1E 5E9

A leading supplier of home medical equipment. Established 1990.

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www.therapistschoice.com

905.666.3989 durham@therapistschoice.com Whitby

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965 Dundas Street West Unit B9, Whitby

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Patient Services Directory

www.rougevalley.ca

81

NEAR ROUGE VALLEY SCARBOROUGH CENTENARY HOSPITAL

Reservations:

416-261-6125 800-800-8000 3280 Kingston Rd. Scarborough

www.super8.com

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s #LEAN COMFORTABLE ROOMS WITH IN ROOM COFFEE MAKER MINI FRIDGE MICROWAVE

HAIR DRYER IRON IRONING BOARD s HOUR FRONT DESK s %XPRESS #HECK/UT s .ON 3MOKING ROOMS FACILITIES s (EATED INDOOR POOL s &2%% PARKING s 2ESTAURANT NEARBY s #RIBS AND ROLLAWAYS AVAILABLE s &2%% LOCAL TELEPHONE CALLS s 7HIRLPOOL 3UITES s %XECUTIVE 3UITES s &2%% 3UPER3TART "REAKFAST AND NEWSPAPER s &REE IN ROOM MOVIES s +IDS AND UNDER STAY FREE s &2%% (IGH 3PEED 7IRELESS )NTERNET IN EVERY ROOM

ASK US ABOUT OUR HOSPITAL SPECIAL RATES

Patient Services Directory

Improve circulation to your legs and feet, help maintain muscle strength, flexibility and promote healthy bones by exercising regularly.

20 Milner Business Court Hwy 401 & Markham Rd Toronto East/Scarborough, ON M1B 3C6, Canada

TORONTO EAST 416-299-9500

Complimentary

Breakfast

Parking

Internet

Preferred Rate for Hospital Patients & Family Closest Hotel to the Hospital

75

$

*

15% OFF

All Food Orders

Milner Location Only

travelodgetorontoeast.com

*Subject to Availability. Call for Reservation: 416-299-9500

Please remember that visitors are not to visit at any time if they feel ill in any way, with fever, headache, sore throat, chills, cough, muscle aches, etc.

www.rougevalley.ca

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Patient Services Directory

Your Health Care - Be Involved

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www.rougevalley.ca

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At Carranza, we combine our knowledge of culture with our expertise as serious personal injury lawyers to create a plan that will provide everything you and your family need. As the only ISO certified personal injury law firm in Canada, we are able to ensure you receive the superior standard of service you deserve.

Our compassionate and dedicated team has achieved several multi-million dollar personal injury settlements and jury verdicts - including the leading catastrophic injury case. You don’t pay anything unless you win.

free consultation

hospital and home visits

services in your language

Let’s talk about how we can help you and your family

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Multiple languages. Singular focus.

86

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Patient Services Directory

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www.rougevalley.ca

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Save 15% with Compassionate Rate

We would like to welcome you to the new Howard Johnson Scarborough!

Just minutes away from the Hospital is a comfortable & quiet home away from home! º Free Rise & Dine Breakfast º Free High-Speed WIFI º ACER NETBOOKS avail. for Rent! º Rain Showers º Rooms Include Duvets & Comfort Pillows º Rooms Include 32" LG LCD TV º Pet friendly rooms available º Full Business Document Services º OPEN 24 Hours º Howard Johnson Lowest Price Gaurantee º Friendly Service with a SMILE!

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Scarborough Centenary Hospital

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Highway 401

Scarborough 4694 Kingston Rd | Scarborough, ON Phone: (416) 913-7184 | Fax: (416) 915-9621 Email: info@hojoscarborough.com www.hojoscarborough.com

*Not Applicable with Other Offers