WUTH Ward Folder - Adult Inpatient by Patient Wuth

Contents Page

Ward Orientation

• Ward Information

• Call Bells

• Sounds on the Ward

• Hospital Etiquette (Polite Behaviour)

• Property Disclaimer

• Staff Uniforms – Who’s Who?

• Hospital Beds & Patient Bed

Space Information

• Side Room Information

• Average Patient Journey

• No Smoking Policy

Keep Yourself Safe and Well

• Call Bells

• Falls Prevention Advice

• Hand Hygiene

• Patient Elimination Chart (Poo)

• Hydration Advice (Fluids)

• Medicines Advice

• IV & Cannula Information

• Get Dressed Get Moving

• Your Mental Health

Discharge

• Discharge Letter

• Discharge Checklist

• Discharge Hospitality Centre (DHC)

• Leaving the Hospital from the DHC

• To Take Home Medications (TTHs)

• Useful Contacts

Nutrition & Hydration

• Mealtimes and Meal Order Services

• Adapted Culture/Plate Guards (Reasonable Adjustments)

• Menus and Specialist Diets/IDDSI

• Snack Provision Medication

• Medication Rounds

• Self-Medications

• Ask Me About My Medications

• To Take Home Medications (TTHs)

• Different Members of the Pharmacy Team

Patient Experience

• How to Give Feedback

• Friends and Family Test Cards

• Providing Feedback

• HealthWatch Wirral

• Website

• Patient Experience Strategy

• Volunteers

• Chaplaincy and Spiritual Care Department

• WUTH Charity

Ward Folder Project Information

Welcome to Your Ward Folder!

This folder is here to make your hospital stay as comfortable as possible. Based on what patients have told the Patient Experience Strategy, we're bringing back Ward folders for adult inpatient wards at WUTH to help our patients, visitors, and carers. This folder you are reading is Phase 1.

What Are Ward Folders?

These folders are packed with useful info to help you feel more relaxed and secure during your stay. Inside, you'll find:

Your Care: Learn how to keep yourself safe and well during your stay. The Ward: Get to know the layout of the ward, the skills of the staff looking after you, and the everyday routines.

Hospital information: Find out about visiting times, meal schedules, how to get on the Wi-Fi, and more.

Getting Ready to Go Home: Learn about what happens when it's time for you to leave and what support services are there for you.

Your Opinion Counts: Phase 2

This is just the start! We're always looking for ways to make the Ward Folders better. We want your input on what to include in Phase 2. Was all the information in Phase 1 helpful for you? Are there any other topics you'd like us to cover? For Phase 2, we plan to add details on reasonable adjustments, hidden disabilities, and a section for visitors. Do these additions sound useful to you?

Is there anything else you think we should include?

Here's how you can let us know:

Email us at: wuth.corporatenursing@nhs.net

WhatsApp or Text us on: 07776623547

Fill out a survey by clicking this link.

We value your feedback on the quality of your care.

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Ward Specific Information

In addition to our Ward Orientation section, we've created specific ward routine guides for the different areas of our hospitals.

Click on your ward below and explore mealtimes, visiting hours, facilities and more!

Arrowe Park Hospital

• AMU

• CDU

• HDU

• ITU

• MSSW

• SEU

• UMAC

• WAFFU

• Ward 10

• Ward 11

• Ward 12

• Ward 14 / Colorectal

• Ward 18

• Ward 19-OPAU

• Ward 20

• Ward 21

• Ward 22

• Ward 23

• Ward 24

• Ward 25

• Ward 26

• Ward 27

• Ward 30

• Ward 32 & CCU

• Ward 33

• Ward 36

• Ward 37-38

• Ward 54

Clatterbridge Hospital

• CRC

• Dermatology

• M1

• M2 Orthopaedics

Contents Page

Ward Orientation

• Ward Information

• Call Bells

• Sounds on the Ward

• Hospital Etiquette (Polite Behaviour)

• Property Disclaimer

• Staff Uniforms – Who’s Who?

• Hospital Beds & Patient Bed Space Information

• Side Room Information

• Average Patient Journey

• No Smoking Policy

Contents

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Nutrition & Hydration

Call Bells

Please use your call bell

There is a call bell or pull cord by every bedside and in every bathroom and toilet around the hospital. When you press or pull the call bell, a member of staff will come to help you as soon as they can.

Use the nearest call bell if:

• You need help to move

• You need help going to the toilet

• You need help getting in or out of your bed

• You feel unwell and want to alert staff

• There is something you need that is out of your reach

Please don’t ever feel that you can’t or shouldn’t use your call bell. We are here to help you stay safe during your time in hospital.

We will always respect your privacy, dignity and independence so this shouldn’t stop you from using your call bell to ask for help.

Press and call. Don’t fall.

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Sounds On The Ward

Fire Alarms

Every Wednesday morning, between 7:30AM and 12PM, we test the fire alarms. If they go off during an emergency, our staff will lead all safety procedures in patient areas. There is no need to exit the building unless the staff on the ward give you instructions to do so. We want to make sure you are not evacuated unnecessarily or left alone. Your safety is our priority.

Call Bells/Patient Buzzers

Patient buzzers are a slow low tone beep sound which will continue on/off until answered.

Medical Alarms

The medical alarms that we use are the IVAC (Infection-related Ventilator-Associated complication) pumps which are a high pitched on/off beep until turned off.

Emergency Alarms

Emergency alarm is a high pitch alarm with rapid on/off beeps. There is no need to exit the building unless the staff on the ward give you instructions to do so. We want to make sure you are not evacuated unnecessarily or left alone. Your safety is our priority.

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Hospital Etiquette (Polite Behaviour)

Let the hospital staff know if you're leaving the ward or unit. Pay close attention to information about your treatment and medications.

Don't hesitate to ask for clarification if you don't understand something.

Bring any medications you're currently using.

Treat everyone with politeness and respect; verbal abuse, harassment, and violence are not allowed.

Be mindful of other patients' privacy and comfort; keep conversations private and avoid disturbing others. Keep noise levels low, especially during rest times.

No voice or video recording on phones or electronic devices.

Don't interrupt the pharmacists/nurses during medication rounds.

Practice good personal hygiene to prevent infections; follow guidelines for bathing, handwashing, and using hand sanitiser.

Inform healthcare staff promptly about any changes in your condition, concerns, or questions.

If given discharge instructions, follow them closely for a smooth transition from the hospital.

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Property Disclaimer

The Trust is not liable for any loss or damage to the following items brought onto the ward at the owner’s risk:

iPads/Tablets

Laptops

Mobile Phones

Chargers/Headphones

Jewellery/Watches

Cash and Bank Cards

Toiletries

Items of clothing

We strongly advise that if items are brought in from home, they should be securely locked up or kept on the person at all times. Additionally, please ensure personal items are not left on the beds any linen or towels, as these may be sent to laundry where items can be lost or damaged.

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Staff Uniforms - Who’s Who?

Uniform

Job Title

Royal blue with white stripes on collar and sleeve Registered Nurse (RN)

Light blue with white stripes on collar and sleeve

Dark blue with red stripes on collar and sleeve

Clinical Support Worker (CSW)

Dark blue with white stripes on collar and sleeve

Ward Manager/Sister

Deputy Ward Manager

Black scrub top Nurse Practitioner

Dark blue with gold stripes on collar and sleeve

Red with navy stripes on collar and sleeve

White with light green stripes on collar and sleeve

Senior Nurse/Lead Nurse

Matron

Pharmacy Technician

Roles/duties

Provides direct patient care. Administers medications and treatments Monitors patient conditions and vital signs Collaborates with the healthcare team for comprehensive care.

Assists nurses and doctors with patient care. Helps with daily tasks like bathing and dressing Monitors and records vital signs Provides comfort and support to patients.

Heads the nursing team on the ward Manages daily operations and staff. Ensures quality patient care Coordinates with other healthcare professionals

Helps the Ward Manager run the ward smoothly Supports and leads the staff team Ensures patients receive good care. Handles day-to-day operations in the absence of the Ward Manager

Advanced nursing role. Conducts patient assessments. Diagnoses and treats common illnesses Prescribes medications and develops care plans

Experienced nurse in a leadership role Supervises and guides nursing staff Coordinates patient care plans Acts as a bridge between nurses and management.

Senior nurse overseeing nursing care. Ensures high standards of patient care Manages nursing staff on the ward Addresses patient and family concerns

Assists pharmacists in preparing medications Manages medication inventory. Helps with prescription dispensing. Provides information to patients about medications

Contents Page Who’s Who Continued

Staff Uniforms - Who’s Who?

Uniform

Job Title

Purple tunic Domestic

Blue polo shirt Porter

Light green with white stripes on collar and sleeve

White polo shirt with blue piping

Housekeeper

White with dark green stripes on collar and sleeve

Physiotherapist

Blue and white pinstripes with red stripes on collar and sleeve

Occupational Therapist

Assistant Practitioner (AP)

Roles/duties

Cleaning patient rooms. Changing bed linens, sanitizing surfaces, and tidying patient areas Cleaning common areas Handling medical waste disposal and ensuring safety protocols. Restocking supplies.

Responsible for transporting patients. Moves equipment and supplies around the hospital Assists with the smooth flow of activities Supports various departments as needed.

Lead ward services such as catering, cleaning, equipment and supplies. The work can include talking to and reassuring patients, ordering non-clinical supplies, keeping the ward clean and tidy, serving and clearing away meals, preparing snacks and drinks, reporting faults, clerical and admin tasks, ordering patient transport

Focuses on improving physical health Designs exercise and rehabilitation programs Helps patients regain mobility and reduce pain. Works closely with healthcare team for holistic care

Focuses on helping patients with daily activities. Assesses and supports individuals in their environments Collaborates with healthcare team for comprehensive care.

Manages admin tasks on the ward Handles patient records and appointments. Acts as a communication hub for the ward Assists in coordinating information between staff

Works closely with healthcare team Assists in patient assessments and care Administers treatments and medications. Supports Nurse Practitioners in various tasks

Blue shirt Ward Clerk

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Hospital Beds & Patient

Bed Space Information

Bed Allocation: Patients on NHS wards are assigned a specific bed where they will stay during their hospitalisation. This bed will typically be in a shared bay or ward with other patients

Bed Comfort: NHS hospital beds are designed to provide comfort and support to patients during their stay. They are equipped with mattresses that are designed to prevent pressure sores and promote comfort during extended periods of lying down. If you require a specialist mattress, please let a member of staff know.

Bedside Facilities: Patients may have access to bedside facilities such as a bedside locker for storage of personal belongings, a nurse call bell, a chair, and a tray on wheels.

Bed Adjustability: The hospital beds are often adjustable to accommodate the individual needs of patients. Patients can adjust the height of the bed to make it easier to get in and out, and the head and foot of the bed can be raised or lowered for comfort

Bedding and Linens: Patients will be provided with clean bedding and linens, including sheets, pillows, and blankets, which are changed regularly to maintain cleanliness and hygiene

Bedside Equipment: Dependant on the patient's condition and their treatment requirements, there may be additional equipment at the bedside, such as IV stands, monitoring equipment, or oxygen therapy equipment

Privacy Curtains: In shared bays or wards, patients may have access to privacy curtains that can be drawn around their bed to provide some privacy when needed and safe to do so, particularly during examinations or personal care.

Safety Measures: WUTH prioritise patient safety, so beds are equipped with features such as bed rails to prevent falls, and staff are trained to assist patients safely in and out of bed.

Please note, only the patient is to sit or lie on the bed.

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Side Room Information

There could be several reasons why a patient might be given a side room over a bed in a bay or ward within the NHS:

Infection Control: Side rooms are often used for patients who have infectious conditions to prevent the spread of the infection to other patients. This is particularly important for highly contagious illnesses or for patients who have weakened immune systems.

Privacy and Dignity: Some patients may require privacy due to the nature of their condition or treatment. Side rooms offer more privacy and dignity compared to beds in open bays or wards, which may be preferred by patients undergoing sensitive procedures or experiencing emotional distress.

Specialised Care: Patients with specific medical needs or conditions may require specialised care that is better provided in a side room. This could include patients requiring isolation, those needing close monitoring, or individuals with complex medical needs who require a quieter environment.

Reduced Risk of Disturbance: Side rooms may offer a quieter environment compared to shared bays or wards, which can be beneficial for patients who require rest or have conditions exacerbated by noise or disturbances.

Visitor Restrictions: In some cases, patients may need restricted visitation due to their condition or treatment regimen. Side rooms can offer more control over visitor access, allowing healthcare providers to better manage patient care and ensure the safety and well-being of both patients and visitors.

Psychological Comfort: For some patients, being in a side room can offer psychological comfort, especially if they have anxiety or other mental health concerns that may be exacerbated by being in a shared space.

Overall, the decision to allocate a side room to a patient over a bed in a bay or ward is typically based on a combination of medical necessity, infection control considerations, patient preference, and the availability of resources within the healthcare facility.

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Average Patient Journey (APJ)

Please keep in mind that this description outlines an average patient journey.

Each patient's experience is unique, and their care will be personalised based on their individual needs, medical history, and treatment plan This overview is intended to provide a general idea of what the process may entail.

However, it's important to note that your specific care will be determined by your healthcare team and may differ from the steps outlined here.

Please consult with your healthcare providers for guidance tailored to your situation.

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APJ Continued

Average Patient Journey (APJ)

Admission to the Ward:

When arriving at the Ward the patient is greeted by the nursing staff, who help them settle in and provide information about their stay.

Initial Assessment:

A nurse conducts an initial assessment, which includes taking vital signs (such as blood pressure, heart rate, and temperature) and gathering information about the patient's medical history, current symptoms, and any medications they are taking.

Discharge Planning:

As soon as the patient is admitted the healthcare team begins planning for their discharge and can provide the patient with an Estimated Discharge Date (EDD). This includes arranging any necessary follow-up appointments, providing medication instructions, and ensuring that the patient has the support they need once they leave the hospital.

Consultation with Medical Team:

Depending on the reason for admission, the patient may have consultations with various members of the medical team, such as doctors, surgeons, or specialists. These consultations may involve discussing the planned treatment or procedure, answering questions, and obtaining informed consent.

Treatment and Care:

The patient receives treatment and care tailored to their needs. This may include medications, physiotherapy, dietary support, or other interventions as prescribed by their healthcare team.

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APJ Continued

Average Patient Journey (APJ)

Monitoring and Observation:

Throughout their stay, the patient's condition is monitored closely by the nursing staff. Vital signs are checked regularly, and any changes or concerns are promptly addressed.

Rehabilitation and Support:

If the patient undergoes surgery or requires rehabilitation, they receive support from the healthcare team to help them recover and regain function This may involve physical therapy, occupational therapy, or other forms of rehabilitation.

Discharge:

When the patient is deemed medically stable and ready to leave the hospital, they are discharged The nursing staff provide discharge instructions and any necessary prescriptions, and arrangements may be made for transportation to the discharge hospitality centre (DHC) or home/care facility if needed.

Follow-Up Care:

After discharge, the patient may continue to receive follow-up care from their GP, specialist clinics, or community services as needed This may involve further monitoring, rehabilitation, or ongoing treatment to support their recovery and long-term health.

Throughout this journey, the patient and their family or caregivers are encouraged to ask questions, raise concerns, and actively participate in decisions about their care to ensure the best possible outcomes.

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No Smoking Policy

Patients, visitors, and staff are not allowed to smoke anywhere on our grounds.

If you smoke and are already using treatment, for example nicotine replacement therapy, please bring this to hospital with you

If you would like help giving up smoking, please speak to our stop smoking service (ABL), your doctor, nurse, therapist, or pharmacist. We can provide nicotine replacement therapy, such as patches, to help you with any withdrawal effects.

Staff caring for you can then organise continuing support and treatment for you from your local NHS stop smoking service (ABL) when you leave the hospital.

Stopping smoking for just 4 weeks reduces your chance of getting a chest infection or wound infection and increases your chances of being able to get home sooner, healthy, and well

We know it isn’t an easy thing to do but there is help available, please visit this link

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Nutrition

& Hydration

• Mealtimes and Meal Order Services

• Adapted Culture/Plate Guards (Reasonable Adjustments)

• Menus and Specialist Diets/IDDSI

• Snack Provision

Contents Page

Keep Yourself Safe & Well

Mealtimes and Meal Order Services

Menus will be delivered daily to each ward

Ward staff will assist patients in completing their menu selections. Completed menus must be returned to the catering department by lunchtime

Selected meals will be served for lunch and dinner/supper the following day.

Each ward is designated with 1st or 2nd meal service For more information on your ward’s food service time, please refer to ward information under the ward orientation section in this folder.

Make a member of ward staff aware of any dietary requirements.

Please be aware that the listed timings may be subject to change as a result of unforeseen demands and pressures within the Trust.

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Adapted Culture/Plate Guards

(Reasonable Adjustments)

To ensure your comfort and convenience during mealtimes, we offer the following options for reasonable adjustments:

Good Grip Cutlery, Plate Guards, and Non-Slip Plates:

These items are available from the catering department upon request. To ensure timely preparation, please notify a member of the ward staff at least 1 hour before the meal service. The staff will then contact the catering department at extension 2374 to make the necessary arrangements.

Identification for Assistance:

Patients who require assistance during mealtimes will be provided with a red tray to indicate that extra support is needed. To ensure adequate assistance, these patients will be served at the end of the mealtime service.

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Menus & Specialist Diets

Main Menu

The main menu will contain options in each section of the menu for the following dietary requirements:

• Healthier choice.

• Vegetarian.

• Easy chew.

• Higher energy.

Special Diet Menu

On the reverse of the main menu is a special diet menu. This menu will contain choices for the following further dietary requirements:

• Renal.

• Low salt.

• Low fibre.

• Gluten free.

• Finger food.

If any other dietary requirements need to be met, which are not provided on the menus, please make a member of the ward staff aware. The information can be passed through to the catering department who will be able to support with further non-menu options.

Turn the page to see details on the International Dysphagia Diet Standardisation Initiative (IDDSI) Menu.

Contents Page IDDSI Menu

IDDSI Menu

If you have been seen by a speech and language therapist (SLT) for swallowing difficulties, you may require a modified diet or fluids. In which case, a yellow bed sign will be placed above your bed with your modified diet or fluid recommendations.

The IDDSI (International Dysphagia Diet Standardisation Initiative) menu will provide appropriate meals as per SLT recommendations.

• Liquidised (level 3)

• Pureed (level 4)

• Minced & moist (level 5)

• Soft & bite sized (level 6)

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Snack Provision

We do not recommend that visitors bring in any food to the hospital that needs to be refrigerated. If you would like to bring any other foods in, please discuss with the ward manager. Please keep a few things in mind to ensure the safety and well-being of everyone on the ward:

Hygiene and Safety:

• Please ensure that the snacks you bring are sealed and properly packaged to maintain hygiene standards.

• Avoid bringing perishable items that may spoil quickly, as we may not have the facilities to store them safely.

Allergies:

• Be mindful of fellow patients who may have allergies. Avoid bringing snacks that contain common allergens like nuts or dairy.

Snack Fridge on the Ward (If applicable):

We have a designated snack fridge on the ward. Where permission has been discussed with the Ward manager:

• Label your snacks with your name and the date of admission to avoid confusion and tell a member of staff that you are keeping food in the fridge.

• Report any issues with the snack fridge, such as malfunctioning or overcrowding, to the staff immediately.

• If you require assistance in storing or retrieving your snacks from the snack fridge, please don't hesitate to ask the nursing staff for help.

If you have been seen by a Speech and Language Therapist (SLT), please ensure that any snacks brought in need to be in line with your modified diet/fluid recommendations.

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Snack Provision Continued

Snack Provision

Respect for Others:

• Be considerate of noise levels when consuming snacks, especially during quiet hours

• Ensure that your snacks do not have strong odours that may disturb other patients.

Drinks:

• If you would like a drink outside the ward routine, please ask a member of staff who will assist you

If you have been seen by a Speech and Language Therapist (SLT), your drinks may require thickener If so, thickener will be prescribed to you and trained staff will be able to assist with thickening your drinks as per SLT recommendations.

We appreciate your cooperation in maintaining a safe and comfortable environment on the ward. If you have any questions or concerns, feel free to reach out to the staff, who are here to assist you.

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Keep Yourself Safe and Well

• Call Bells

• Falls Prevention Advice

• Hand Hygiene

• Patient Elimination Chart (Poo)

• Hydration Advice (Fluids)

• Medicines Advice

• IV & Cannula Information

• Get Dressed Get Moving

• Your Mental Health

Contents Page Medication

Call Bells

Please use your call bell

Use the nearest call bell if:

• You need help to move

• You need help going to the toilet

• You need help getting in or out of your bed

• You feel unwell and want to alert staff

• There is something you need that is out of your reach

Please don’t ever feel that you can’t or shouldn’t use your call bell. We are here to help you stay safe during your time in hospital.

We will always respect your privacy, dignity and independence so this shouldn’t stop you from using your call bell to ask for help.

Press and call. Don’t fall.

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Falls Prevention Advice

Please tell a member of staff if you have fallen in the past year, are worried about falling, or have a history of falls.

Please use your call bell if you have been told you need help to move safely by a member of staff, Occupational Therapist, or physiotherapist, when going to the toilet or back to bed Please be patient and wait for a staff member to answer your call before moving.

Please use your mobility aids when walking, keep these close Never lean on hospital furniture as it is often on wheels and not stable.

When getting up:

Sit upright for a few minutes on the edge of the bed before standing up. Take your time, get up slowly and make sure you feel steady before walking Make sure you have got your balance before moving away from the bed/chair. If you feel unsteady or dizzy, stop and sit down

Drink plenty of fluids and eat well if allowed. Please let staff know if there have been any spillages so that these can be cleaned up

Bedside spaces should be free from clutter/hazards. Get to know the ward and where the nearest bathroom/toilet is Ask staff to remove any clutter around your bedside environment.

Make sure you have well fitted shoes/slippers that cannot fall off, or ask the staff for a pair of red non-slip socks if you don’t have suitable footwear with you.

Take care in the bathroom/toilet. Ask for help if you need assistance by using the call bell. Staff may have told you that you need to have a member of staff with you to supervise you in these areas

Our aim is to keep you safe. We will do all we can to try to reduce your chances of falling during your admission If there is anything you think of to help us help you, please speak to a member of staff if you are unsure about anything.

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Hand Hygiene

Patient Elimination Chart

(Poo)

Monitoring your stool characteristics is an essential part of self-monitoring your health. Should you notice any changes that concern you, please notify your nurse for further evaluation

Let your nurse know if your poo looks like Type 1, 2, 5, 6 or 7.

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Hydration Advice (Fluids)

Dehydration - Simple steps to prevent it

What should you drink?

(Unless told otherwise)

Aim for at least eight cups per day

Any fluid, except alcohol counts including milk, water, tea, coffee, and fruit juice Other foods such as ice cream, ice-lollies, jelly, soup, yoghurt, milk puddings or water rich fruits such as melons can also count towards your fluid intake. The key is to drink regularly throughout the day. Some medicines may affect urine colour. If you are unsure, please ask your pharmacist

Busting the myth

Tea and coffee are dehydrating (However, decaffeinated versions are healthier choices.)

For more information, please ask a member of staff for the “Dehydration simple steps to prevent it” leaflet for Keep Wirral Well

Signs of dehydration:

If you are concerned about yourself or someone you know being dehydrated at hospital, please notify a nurse.

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Medicines Advice

Taking your medicines correctly is very important for your health. Here are some easy-to-follow tips:

Take Your Medicine Right:

Follow the instructions exactly as you have been prescribed.

If you are not sure, ask the nurses or pharmacy team they are here to help

Tell About Side Effects:

Pay attention to how you feel after taking your medicines. If something doesn't seem right, tell the nurses straight away.

Ask questions about potential side effects of new medicines

Share Your Medicines List:

Tell the clinical teams about all the medicines you took before coming here

Keep a list of your current medicines with names, doses and when you take them.

Ask About Your Medicines:

Ask a member of the clinical team what each medicine does if you are not sure, pharmacy will be happy to help.

Store Medicines Safely:

Follow any storage instructions on the label, they will be locked away and kept safe during your hospital stay. Don't share your medicines and keep them away from children.

Know Your Schedule:

Remember when you are supposed to take your medicine

If you miss a dose or think a medicine is missing, tell the nurses right away.

Check:

Ask about any changes to your existing medicines.

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IV & Cannula Information

Getting medicine or fluids into your body

Sometimes you need medicine or fluids put directly into your veins. This is called intravenous or IV therapy.

A nurse will put a small, flexible tube called a cannula into a vein in your arm. This lets them give you the medicine or fluids you need.

The cannula can stay in your arm for up to 5 days.

There are other types of tubes they can use that will stay in longer, like a PICC line that goes close to your heart

Keeping it safe

Putting in IV lines and giving IV medicine is very carefully done Pharmacists double check it is the right medicine and dose

Nurses administer IV fluids and medications from the prescription and perform safety checks before administering

Nurses will check the site often to avoid infection

Let them know if it is sore, red, or leaking.

IV pumps make sure you get the right amount of medicine or fluids

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IV & Cannula continued

IV & Cannula Information

Moving around

You can still move your arm around with a cannula in it. But sometimes they may ask you to keep it still for short times. If you would like to move around, you should not disconnect your IV. You can walk around with the IV pole wheeled beside you. It is important to stay mobile if you are able.

Staying Hydrated

Staying hydrated is good. Drink when you can if the nurses say it's ok. If you are concerned about yourself or someone you know being dehydrated at hospital, please notify a nurse.

Taking the IV line out

Only a trained professional can take out your IV line when you no longer need it.

Please do not attempt to remove your Cannula or IV line yourself.

Have a concern?

Always tell the nurses if you have any worries about your IV therapy. They want you to feel as comfortable as possible.

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Get Dressed Get Moving

Why Mobility Matters

Maintaining independence and mobility is crucial for your well-being.

How We Help You:

Encourage sitting out of bed and walking to prevent muscle weakness.

Promote independent washing and eating, with support available if needed

Ensure your mobility aids are readily accessible. Encourage wearing your own clothes, glasses, hearing aids, and dentures

How You Can Help:

Sit out of bed whenever possible.

Walk to the bathroom and around the ward if you're able

How Your Visitors Can Help:

Bring toiletries and personal care items.

Bring your glasses, hearing aids, dentures, and any necessary accessories.

Bring comfortable clothes and indoor footwear for walking.

The Importance of Movement:

Just one week of bed rest can lead to a 10% loss of muscle mass. Every 10 days of bed rest in hospital can accelerate muscle aging, particularly in individuals over 80 Prolonged bed rest can result in reduced appetite, strength, balance, and increased risk of falls, making routine tasks more challenging

Ensuring regular movement and support from both healthcare providers and visitors can significantly enhance your recovery and maintain your mobility and independence.

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Your Mental Health

on the ward

Looking After Your Mental Health on the Ward

Your emotional wellbeing is important during your hospital stay Being in the hospital can be stressful, but there are things you can do to support your mental health:

Talk to the nurses - If you are feeling down or anxious, let a nurse know. They can refer you to support services to help you feel better.

Talk to others - Speak to other patients on the ward or ask a nurse to contact a volunteer to come and sit with you

Stay connected - Ask loved ones to visit or call/video chat if you are missing them. Keep in touch with the outside world

Activities - Read, listen to music, watch TV, or do simple exercises in your bed or chair. Going for a walk if you are able and haven’t been advised otherwise. Staying active and engaged can lift your mood.

Get fresh air - Ask to spend time outside if weather permits. Sunlight and nature are good for mental health.

Sleep well - Avoid screens before bedtime. Ask for ear plugs if noise affects your sleep.

Eat well - Enjoy hospital meals and snacks. Proper nutrition gives you energy and stabilises mood.

Relax - Do deep breathing exercises or gentle stretches.

Remember, it's normal to feel worried, sad, or bored sometimes. Talk to a nurse if emotions are overwhelming. We're here to help you feel your best.

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Contents Page Discharge Medication Rounds Self-Medications Ask Me About My Medications To Take Home Medications (TTHs) Different

the Pharmacy Team

Medication

Members of

Medication Rounds

Do not disturb tabards:

A nurse or a pharmacy medicine administration technician wears this tabard to emphasise the importance of patient safety and minimising the chance of medication errors during medicine administrations rounds.

Please avoid interrupting the nurse wearing this tabard unless it is an emergency.

Medicine administration rounds can be complex involving multiple medicines and doses and requires concentration.

Please support measures which ensure that staff are able to concentrate when carrying out this task on a busy ward.

You will be able to ask questions when you are being administered your medicines despite the tabard.

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Self-Medications

While in the hospital, you may be permitted to self-administer your medication. A risk assessment will be conducted to ensure it is safe for you to do so. For more information, feel free to enquire with the nurse, ward pharmacist, or pharmacy technician.

Ask Me About My Medication

Nurses and pharmacists may wear a badge promoting “Ask me about your medicines” campaign.

This badge is a part of the ‘Ask me’ medications project, encouraging patients to approach nurses and pharmacists with any questions regarding their medication, potential side effects or related concerns. Feel free to inquire for a better understanding of your treatment.

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To Take Home Medications

(TTHs)

Process

The Pharmacy Process

Upon discharge, you will receive any new medicines or a new supply if any changes have been made to your existing prescription. You will have an opportunity to address any questions or concerns about your medicines with a member of the team before you leave.

The prescriber will complete a prescription for your take home medicines and a letter explaining your admission

A pharmacist will check the accuracy and safety of your discharge prescription

A pharmacy technician will then check your supply and order any new medicines or re-supply any of your usual medicines if you do not have any more at home

We will not routinely supply medicines that are able to be bought over the counter

The prescription will then be sent to our pharmacy dispensary

The medicines are assembled, labelled and checked and then sent back to the ward

The nurse will go through your medicines before you leave to make sure you have full supply and have the chance to ask any further questions

We aim to turn around all discharge prescriptions within 2 hours however more complex prescriptions may take longer.

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Different members of the Pharmacy Team

Learn about the different types of pharmacy staff working within our hospitals to keep you safe and well.

Roles:

Clinical Pharmacist

Works directly with healthcare teams to optimise drug therapy for patients Some have specialist roles such as, treatment for infections, respiratory disease and pain management

Many of our pharmacists are able to prescribe medications and you may see them in specialist clinics such as elective surgery where they will make sure all your medicines are appropriate to continue.

Pharmacy Technician

Supports pharmacists in various tasks, including dispensing medications to take during your stay and when you go home

Our technicians also can provide medicine counselling whilst you are on the wards including inhaler technique and how to take your medicines for maximum benefit

Pharmacy Support Workers

Support workers make sure that medicines follow you if you move from one ward to the next and they provide top ups, which ensure the clinical areas have enough standard medicines such as fluids and antibiotics.

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Discharge

Discharge Letter

Discharge Letter (Easy Read)

Adult Inpatient Discharge Checklist

Discharge Hospitality Centre (DHC)

Leaving the Hospital from the DHC

To Take Home Medications (TTHs)

Useful Contacts

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Patient Experience

Discharge Letter

Upon admission to the Ward, you will receive a discharge letter. Kindly inform a staff member if you haven't received one or if it has been misplaced. Please see a copy of the letter below:

Supporting patients’ choices to avoid long hospital stays

This leaflet provides a summary of what this means for you

We want to give you the support that you need to get home as quickly as possible. Following a hospital admission, most people are able to return home Sometimes this can be with a care package of services, aids or adaptations made to their home. However, some people are unable to return home. They need the added support which is only available in a care home.

Once people no longer need hospital care, it is best to get home or to another community setting as quickly as possible because:

• Nobody wants to stay in hospital any longer than is necessary;

• Being at home or in a community setting (such as a care home) is the best place to continue recovery once an illness requiring hospital care is over;

• Once people are aged 80 years and over, 10 days spent in a hospital bed equates to 10 years of muscle wasting;

• Being in hospital can sometimes expose patients to infections;

• Severely ill patients may be unable to access services, if hospital beds are occupied with patients who no longer need them.

What can you expect as a patient?

1. A named person to coordinate your discharge

You should be provided with a named person (can be described as a ‘discharge coordinator’) who will support you throughout your time at hospital and make sure that things happen when they are supposed to

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Discharge Letter Continued

Discharge Letter

2. Right to high quality information and support

Wherever you need to go following hospital, the NHS and local authority will do all that they can to help you. They should give you all the information you need to make the best decision.

• You should be involved in all decisions about your care and treatment

• You should be informed of where you can access detailed support, advice and advocacy about making a decision, should you wish this support

• You should be provided with high quality information to make a decision about your ongoing care, including:

- an understanding of your care needs;

- the process and outcome of the assessment of needs;

- offers of care and options available;

- costs of any care It is important to note that whilst NHS care is free to everyone, social care is not. Your discharge coordinator will discuss what this might mean for you.

• You have the right to complain at any point of the process if you are not happy with the information and support provided, or with the options being made available to you. You should be informed by the hospital about how you can complain

3. Timescales for decisions

• You should know when your treatment is due to end and when you would be considered well enough to leave hospital (this is called an estimated discharge date) - you should know this within 48 hours of you being admitted.

• Once you have received information about the choices that are available to you from your discharge coordinator, we will request that you make a decision within 7 days. If you need a longer period of assessment or there is a delay in the start of your package of care or care home bed, you may be moved to an interim hospital bed in the community.

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Discharge Letter Continued

Discharge Letter

4. Interim placements

Once you are well enough to leave hospital, but you are unable to return home, you will be offered a temporary alternative option in the following situations:

Your preferred choice is not currently available e.g., a short delay in the allocation of a bed in your preferred care home

You have not yet decided

You are waiting for assessments to be carried out e.g., assessment for health and social needs

You are waiting for funding agreements to be made.

Your interim placement will be at one of our partner care homes If you would like a copy of this leaflet to be given to someone else, please speak to your nurse or discharge coordinator. Please do not hesitate to ask any questions about your discharge at any time during your hospital stay. With best wishes for a speedy recovery,

The Chief Nurse

Please turn over to see an easy read summary of the discharge letter.

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Discharge Letter Easy Read

Discharge Letter

When You Come onto the Ward

You will get a discharge letter. Tell staff if you did not get one.

Leaving Hospital Quickly

We want to help you go leave the hospital as quickly as possible when you no longer need hospital care, this will help you:

Avoid staying in hospital too long

Recover better in your own place

Avoid losing muscle strength

Stay away from hospital infections

Free up beds for very sick people

What to Expect

1. You will have someone to help plan your discharge.

2 You should:

Be involved in decisions about your care

Get information in a way you understand

Complain if unhappy with the information

3. You’ll be told as soon as possible when you may be ready to be discharged.

4. If you can't go home right away, we'll provide a temporary place like a care home until living arrangements are ready.

Let staff know if you need help understanding this letter.

We wish you a fast recovery!

The Chief Nurse

Easy Read Contents Page

Discharge Checklist

We made the Adult Inpatient Discharge Checklist based on patient’s feedback. Patients wanted more control over leaving the hospital and staying informed during their time here. The checklist was cocreated with patients for the patients, thanks to the Patient Experience Strategy’s Care promise. Once you're in the Ward, you'll get offered a discharge checklist.

To learn more about the Patient Experience Strategy, please visit the Patient Experience section of this folder.

The checklist is for you to use however you want You can jot down notes about your medicine, care, and future appointments. This way, you or your carer/visitors can stay updated on your care and when you might leave the hospital. You do not need to use the checklist if you do not want to. It is here as a tool for you to use if you want to, to help you prepare for your discharge from hospital

If you don't get a discharge checklist or can't find it, please tell a staff member who will provide you with another copy.

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Discharge Hospitality Centre

(DHC)

The Discharge Hospitality Centre (DHC) is a bright and relaxing environment where patients can safely wait for relatives, transport, or medication before leaving the hospital.

Please ask your Ward Staff if you can use the DHC for your discharge rather than waiting on the ward.

When it’s time to leave the hospital but are still waiting to go home or to another care facility, you may be moved to the DHC*. The dedicated staff there are ready to help with any questions, making sure you're comfortable during your stay Using the DHC is good for you and helps the hospital run smoothly by freeing up space for new patients.

Benefits of using the DHC:

Your take-home medicines are prioritised and usually ready faster than waiting on the ward. DHC Nurses can quickly check your discharge medications, making the process faster

The DHC is at the back of the hospital with a car pick-up point, saving on parking fees or dealing with the busy drop-off zone. You get refreshments, snacks, comfy chairs, and a TV. Ward staff can order you a hot meal to the DHC if needed

There's a garden if you want to wait outside when the weathers nice Using the DHC often means you can leave the hospital earlier in the day. Safe transportation is arranged for you. It helps the flow from the Emergency Department through assessment.

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*Being transferred to the DHC is dependent on availability and your health condition.

Leaving the Hospital

From the DHC

Here are the transportation options available for patients: Making your own way home:

Patients can go home with their family or friends They can wait in the discharge hospitality centre (DHC) for pickup Food and drinks are available there at the DHC Pickup points are nearby for those picking up the patient

Patients can choose to arrange and self-fund a taxi to pick them up from the discharge and hospitality centre

Supportive Transportation:

For patients who need support, meeting NHS criteria for getting into their homes after discharge, their ward will book them into the Discharge Hospitality Centre (DHC).

At the DHC, the patient's needs will be assessed. Options for supportive transportation include:

Age UK Wirral:

A driver in an adapted vehicle will take them home and help them get inside.

Ambulance Transport:

For patients with significantly reduced mobility or healthcare needs. In some cases, ambulance staff will pick the patient up directly from the ward, especially if they have complex needs.

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To Take Home Medications

(TTHs)

Process