Download Information on your hospital stay

Information on your hospital stay
RAMSAY
H E A LT H C A R E
Facilities,
Facilities, services,
services, visitors
visitors &
& visiting
visiting hours
hours
Nurse call system
Newspapers
Please call your nurse if you need help by pressing the button
Nurse
callpiece.
system
on
your hand
Emergency call buttons are also located
in
the bathrooms
with one
beside
Your call
be
Please
call your nurse
if you
need the
helptoilet.
by pressing
thewill
button
registered
outside
your
door and call
at the
nurses’
We willin
on your hand
piece.
Emergency
buttons
arestation.
also located
assist
you as soon
as one
possible.
the bathrooms
with
beside the toilet. Your call will be
registered outside your door and at the nurses’ station. We will
assist you as
soon as possible.
Visiting
hours
Local metropolitan newspapers are available.
Members of your immediate family are allowed to visit at any
Visiting
hours
time,
however
all other visitors are asked to observe the visiting
Members
of
your immediate family are allowed to visit at any
hours:
time, however all other visitors are asked to observe the
•
General
Wards (Acacia and Boronia Wards)
visiting
hours:
Daily 2.00 pm – 8.00 pm
x General Wards (Acacia and Boronia Wards)
• Daily
Sandalwood
2.00 pm Ward
– 8.00 pm
Daily at any time (Rest period daily 1pm – 3pm)
x Sandalwood Ward
at any(Grevillea
time (RestWard)
period daily 1pm – 3pm)
• Daily
Maternity
Daily 2.30 pm – 4.00 pm, 6.00 pm – 8.00 pm (Rest period
Daily 1pm-(Grevillea
2.30 pm –Ward)
No visitors allowed during this time)
x Maternity
Daily 2.30 pm – 4.00 pm, 6.00 pm – 8.00 pm (Rest period
Arrangements
for visiting
outside
of visiting
made
Daily 1pm- 2.30
pm – No
visitors
allowedhours
duringcan
thisbetime)
in consultation with the nursing staff. Relatives may stay with
Arrangements
for visiting
outsideperiods,
of visiting
can be made
critically
ill patients
for extended
ashours
may parents
with
in consultation with the nursing staff. Relatives may stay with
children.
critically ill patients for extended periods, as may parents with
Should
children.you not wish to have visitors or telephone calls, please
inform the Clinical Unit Manager or the nurse looking after
Should you not wish to have visitors or telephone calls, please
you.
inform the Clinical Unit Manager or the nurse looking after you.
Toilets
Toilets
For health reasons, visitors are requested not to use patients’
For health
reasons,
are requested
not to
use patients’
toilets.
Visitors’
toiletsvisitors
are located
near the front
foyer.
toilets. Visitors’ toilets are located near the front foyer.
Flowers
Flowers
Flowers are welcome to help brighten up your stay in hospital.
Flowers are welcome to help brighten up your stay in hospital.
Telephones
Telephones
Telephones
Telephones are
are available
available beside
beside each
eachbed
bedwith
withdirect
directdialling
dialling
facilities.
facilities. Please
Please check
check your
your phone
phone number
numberon
onadmission
admissionwith
with
the
the nurses
nurses so
so you
you can
can inform
inform your
your family
family and
and friends
friendsofofthe
the
direct
direct dialling
dialling facilities.
facilities.
Televisions
Televisions
Complimentary television
television sets
sets are
are available
available inin all
allrooms.
rooms.We
We
ask that the volume
volume be
be kept
keptlow
lowatatnight
nightallowing
allowingcomfort
comfortforfor
all
patients.
all
patients.
Fee for Incidentals
The Fee
Fee for
for Incidentals
Incidentals isis aa fee
fee charged
charged toto all
allinpatients
inpatientson
on
admission
and
is
NOT
covered
by
private
health
funds.
These
admission and is NOT covered by private health funds. These
services for
for inpatients
inpatients and
and their
their visitors
visitors and
and families
families include:
include:
services
ƒ Access
to Foxtel
 Access
to Foxtel
ƒ Access
to high
speed
wireless
internet
network
 Access
to high
speed
wireless
internet
network
The fee
fee for
for incidentals
incidentals is
is $25
$25 regardless
regardless of
of the
the length
length of
of stay.
stay.
The
Newspapers
Local metropolitan newspapers are available.
Security
For the safety of patients and staff, if your room has an external
Security
door,
please make sure it is locked before you retire at night.
For the safety of patients and staff, if your room has
an external door,
please make sure it is locked
Pharmacy
supplies
before you retire at night.
Prescription medications are supplied from an offsite pharmacy.
If appropriate please supply your pension number on admission.
Pharmacy supplies
An account will be sent by the pharmacy to you.
Prescription medications are supplied from an
offsite pharmacy. If appropriate please supply your
Postal
pensionfacilities
number on admission. An account will be
Mail
is by
distributed
to the to
wards
sent
the pharmacy
you. on a daily basis. Outgoing mail
may be left at reception for posting.
Postal facilities
Clergy
Mail is distributed to the
wards on a daily basis.
Outgoing
mail
may
be
left
at
reception
You may receive pastoral care
from for
a posting.
minister of your
denomination by arranging contact through your nurse.
Clergy
You may receive
Children
pastoral care from a minister of
your denomination
arranging
contact
Arrangements
can beby
made
for parents
or through
guardians who
your
nurse.
wish to stay overnight with their children. For children who are
admitted for a surgical procedure, arrangements may be made
Children
with
the Operating Suite Manager to visit the operating suite
prior
to admission. can be made for parents or
Arrangements
guardians who wish to stay overnight with their
children. For children who are admitted for a
Suggestions
surgical procedure, arrangements may be made
During
you will Suite
be offered
a feedback
form the
addressing
with your
the stay
Operating
Manager
to visit
aspects
of
our
care
and
service.
We
would
be
grateful
if you
operating suite prior to admission.
could participate to assist us in monitoring the standards of our
hospital and the care we provide.
Suggestions
stay about
you will
offeredofa your
feedback
If During
you areyour
unhappy
anybeaspects
care, please
form addressing
aspects
of the
ourproblem
care and
service.
contact
the ward nurse
when
first
occurs. If you
We
be ask
grateful
youNurse
couldUnit
participate
are
notwould
satisfied,
to seeif the
Manager.to
assist us in monitoring the standards of our hospital
and the care we provide.
Check out times
you us
areprepare
unhappyrooms
abouttoany
of your care,
ToIfhelp
theaspects
same standard
you enjoyed
please
contact
the ward
nurse
the
problem
upon
arrival,
we kindly
ask that
youwhen
depart
from
your room by
first occurs.
you ofare
not satisfied, ask to see the
9.30am
on yourIf day
discharge.
Nurse Unit Manager.
Additional charges may incur after this time which are not
recoverable
from times
health funds. Before you leave the hospital,
Check out
make
sure that
you or your
relatives
how
to care for you
To help
us prepare
rooms
to theknow
same
standard
at you
home.
Check
with
the
nurse
about
current
medication
and
enjoyed upon arrival, we kindly ask that you
follow
up from
appointments.
do not
to collect
any
depart
your roomPlease
by 9.30am
on forget
your day
of
x-rays
and medications you may have brought with you.
discharge.
Additional charges may incur after this time which
are not recoverable from health funds. Before you
leave the hospital, make sure that you or your
relatives know how to care for you at home. Check
with the nurse about current medication and follow
up appointments. Please do not forget to collect
any x-rays and medications you may have brought
with you.
URN:
Surname:
Forename(s):
PRE-ADMISSION FORM
L HERE
ABE
AFFIX L
Sex:
DATE:
DOB:
TIME:
WARD / BED:
Patients please complete the following questions regarding your current and previous medical history. If you have any
questions / problems completing this form these can be discussed with the nurse on admission.
CURRENT MEDICATIONS
Please tick the appropriate box
NAME
DOSAGE
TEETH
 Own
 Caps
 Crowns
 Bands
 Bridges
 Loose
Dentures:
 Partial
 Full
VISION
 Normal
 Glasses
 Contact Lens
 Artificial Eye
 Normal
 Impaired
HEARING
 Hearing Aid
ALLERGIES AND REACTIONS
MOBILITY
 Normal
SMOKING
 Yes - No. /Day…………….……
Please tick the box. If YES please specify details
 No
 Drugs
 Dyes / Lotions
 Other
 Used to
 Food
 Sticking Plaster
 Nil Known
ALCOHOL
 Yes
 Impaired
Type
No. /Day
 No
Details:
MEDICAL HISTORY
Please tick the box if you have ever had any of the following
SURGICAL / ANAESTHETIC HISTORY
 Cold / flu in the past 2 weeks
 Epilepsy / fits
Have you had any previous operations?
 Blood pressure problems
 Anxiety / depression
 No
 Blood clots / stroke
 Heart problems
 Yes, please list
 Rheumatic fever
 Bleeding problems
 Chest / breathing problems
 Bruise easily
 Kidney problems
 HIV
 Bowel / bladder problems
 Hepatitis
If YES, did you have any problems with your surgery or
anaesthetic?
 Back / neck problems
 No
 Other
 Stomach problems
 Diabetes
 Insulin
 Tablets
PHARMACOLOGICAL HISTORY
Previous treatment with:
Cortisone / steroid
Aspirin
Anticoagulant therapy (eg. Warfarin/Heparin)
 No
 Yes
Specify
Your blood group (if known):
Weight:
FEMALE PATIENTS PLEASE COMPLETE
Are you pregnant?
 Yes
If YES, expected delivery date:
Date of last menstrual period:
 No
Do you have any special dietary requirements?
2/2012

No

Yes, please specify:
 Unsure
Duration:
Last INR Test:
No



Date ceased (if applicable):
Patient Signature:
Admitting Nurse Confirmation:
HR200
Mastectomy / Lymphoedema Alert
Yes



PRE-ADMISSION FORM
 Yes, please specify details:
URN:
Surname:
PRE-ADMISSION FORM
Forename(s):
L HERE
ABE
AFFIX L
Sex:
DOB:
On Line Admission Form now available
Go to Hospital Website www.glengarryprivate.com.auand click ‘Online Admission Form’
To be completed by patient
PLEASE COMPLETE IN FULL AND RETURN TO GLENGARRY PRIVATE HOSPITAL AT LEAST 5 DAYS PRIOR TO YOUR
ADMISSION (53 ARNISDALE ROAD, DUNCRAIG, WA, 6023). IF YOU HAVE ANY QUESTIONS REGARDING YOUR
ADMISSION PLEASE CONTACT THE HOSPITAL VIA TELEPHONE (08) 9447 0111 OR FAX (08) 9448 2660. PLEASE RING
THE HOSPITAL THE DAY PRIOR TO YOUR ADMISSION TO CONFIRM YOUR ADMISSION TIME.
Admission Date:
Admission Time:
DOCTORS NAME:
Who was the Doctor who referred you to your specialist?
Family GP / Practice (if different from above):
Have you previously been an inpatient in this hospital before?
Yes  No  If Yes, in what year?
Will the patient’s parent / next of kin be boarding with them?
If Yes, Surname:
Given Names:
PERSONAL DETAILS
Yes  No 
Date of Birth:
HOSPITAL INSURANCE
Surname:
Given Names:
Name at previous admission
(if different to above):
Do you have private health insurance?
Yes 
Name of fund:
Table:
Membership number:
Date joined:
Date paid to:
Sex
M 
F
Marital Status:
Date of Birth:
Aboriginal / Torres Strait Islander?
(If yes please circle)
Country of Birth:

IT IS ADVISABLE THAT YOU CHECK YOUR LEVEL OF
COVER WITH YOUR INSURER PRIOR TO ADMISSION

Age:
Yes  No 
Religion:
Language spoken at home:
Address:
Phone – Private:
Occupation:
No
Postcode:
Business/Mob:
PERSON FOR NOTIFICATION
Name:
Address:
Postcode:
Phone – Private:
Business/Mob:
Relationship:
OTHER DETAILS
Is your admission a result of an injury or accident?
 No
 Yes, please specify:
Type of injury (eg fracture):
DEPARTMENT OF VETERAN’S AFFAIRS
Cardholder’s name:
Card number:
Card colour
White  Gold 
WORKERS’ COMPENSATION / WORKCOVER
Workers’ Compensation Claim Number must be provided or
full payment is required prior to admission
Date of accident:
Employer:
Address:
Postcode:
Phone:
Claim No:
Insurer:
Address:
Postcode:
ACCOMMODATION PREFERRED

Private Room

Deluxe Room (maternity only)

Shared Room
NO GUARANTEE can be given, however every effort will
be made to accommodate you as requested
How the injury was sustained (eg. playing football):
PAYMENT OF ACCOUNT
Place of occurrence (eg.sports oval):
Any fees NOT covered by your fund and fees incurred during
your stay are payable at discharge. Please note that we have
Mastercard, Bank Cheques, Visa and EFTPOS facilities.
Date of accident / injury:
Have you been hospitalised in the last
12 months?
Where?
Yes  No 
MEDICARE DETAILS
Number:
Expiry:
Are you entitled to a free or
reduced pharmacy benefit?
Ref:
Number:
Expiry Date:
Yes 
No 
URN:
Surname:
PRE-ADMISSION SUMMARY
AND CONSENT
DOCTOR:
Forename(s):
L HERE
ABE
AFFIX L
Sex:
DOB:
ADMISSION DATE:
Expected discharge date:
/
/
/
Expected length of stay:
/
days
Dear Doctor,
Please forward this completed form to Glengarry Private Hospital as soon as possible prior to patient admission.
Thank you
REASON FOR ADMISSION
OPERATION / PROCEDURE TO BE PERFORMED
DATE:
RELEVANT PAST HISTORY
/
/
DRUG ALLERGIES / REACTIONS
Has the patient been a patient or employee in a hospital
outside of WA in the past 12 months?

Yes

No
DRUG
DOSE
ROUTE
FREQ
DR’S
SIGNATURE
TIME /
TIME /
TIME /
TIME /
GIVEN BY GIVEN BY GIVEN BY GIVEN BY
This patient may self-medicate

Yes

No
This patient may be offered alcohol with their meal

Yes

No
Consent to operative treatment and administration of anaesthetic to be completed for all patients – see reverse
side.
2/2012
DOCTORS SIGNATURE: ………………………………………………
DATE: ……………………………………………………………...……………...
HR100
DRUG ORDERS ON ADMISSION
(including current medication, valid for 24 hours)
PRE-ADMISSION SUMMARY AND CONSENT
INVESTIGATIONS / SPECIAL REQUIREMENTS ON ADMISSION
URN:
Surname:
PRE-ADMISSION SUMMARY
AND CONSENT
L HERE
ABE
AFFIX L
Forename(s):
Sex:
DOB:
CONSENT TO OPERATIVE TREATMENT AND ADMINISTRATION OF ANAESTHETIC
Note: both sections must be completed
Consent
I,
, hereby consent to
the following operation (s)
SECTION ONE
being performed upon
(given name)
(specify operation)
LEFT SIDE / RIGHT SIDE / NOT APPLICABLE
(surname)
The nature and effect of the above operation (s) have been explained to me by Dr
I also consent to such further operative procedures as may be found necessary to be performed during the
course of the operation (s) stated above, and to required post operative treatment.
In conjunction with the above stated operation (s), I consent to the administration of such anaesthetics and
medications as may be considered by the anaesthetist as necessary or advisable.
Dated the
SECTION TWO
Signed
day of
Year
* Relationship to Patient
Confirmation
I,
have explained to the
**patient / person legally responsible for the patient the nature of and effect of the above operation (s).
In my opinion **he / she understands this explanation.
DOCTORS SIGNATURE:
DATE:
Information
your
hospital
stay
Information
onon
your
hospital
stay
Information
on
your
hospital
stay
(Please
read
carefully)
(Please
read
carefully)
(Please read carefully)
Routine
operations
Routine
forfor
operations
Routine
for operations
Day stay
clients
Day stay
Dayclients
stay clients
nature
of your
operation
be explained
to you
by your You areYou
are advised
totransport
arrange home
transport
home
TheThe
nature
of your
operation
will will
be
to you
advised
to arrange
as you
mustas
notyou
drive
The nature
of your
operation
willexplained
be explained
to by
youyour
by your
You not
are advised
arrange
home as
you
surgeon.
must
a to
car
forprocedure
24 transport
hours(your
following
your
a car for
24 hoursdrive
following
your
motor vehicle
surgeon.
surgeon.
must
not
drive
a
car
for
24
hours
following
your
procedure
motorYou
vehicle
insurance
will not
insurance
will not (your
cover
you).
must be
accompanied
by a
procedure
(your
motor
insurance
will
Fasting
cover
you).
You
must vehicle
be that
accompanied
by not
a
responsible
adult
and
it
is
advisable
you
have
somebody
Fasting
Fasting
cover you).
You
must
be accompanied
by a
responsible
adult
and
it
is
advisable
that
you
have
for the remainder
of theit day,
as well asthat
the night.
Please follow your doctors instructions for fasting with youresponsible
adult
advisable
Please
followfollow
your your
doctors
instructions
for for
fasting
Please
doctors
instructions
fasting
somebody with
you and
for theisremainder
of the you
day,have
as
requirements.
somebody
with
you
for
the
remainder
of
the
day, as
•
You
are
advised
not
to
bring
valuables
into
the
hospital.
requirements.
requirements.
well as the night.
wellwith
as the
• Check
the night.
nurse to tell your relative / friend what time
x You
are advised not to bring valuables into
Patient history form
you
should
be
picked
x
You
are up.
advised not to bring valuables into
Patient
history
form
Patient
history
form
the
hospital.
You will be required to complete the attached health • Check with the
thenurse
hospital.
for follow-up arrangements.
You
will required
beThis
required
to complete
the
attached
Youquestionnaire.
will be
to complete
attached
health
x Check with the nurse to tell your relative /
information
helpsthe
the doctors
give
youhealth
the
x
Check
with
theifyou
nurse
to tell
/
questionnaire.
This
information
helps
the
doctors
give
you
the
•
Please
contact
your
doctor
you
develop
coldrelative
or
illness
questionnaire.
Thiscare.
information
doctorsif give
theany
friend what time
should
be ayour
picked
up.
best possible
Pleasehelps
alsothe
include
you you
have
friend what time you should be picked up.
best possible
care.
Please
also
include
if
you
have
any
prior
to
surgery.
bestspecial
possible
care.
Please
also
include
if
you
have
any
special
dietary requirements.
x Check with the nurse for follow-up
special
dietary requirements.
dietary
requirements.
x arrangements.
Check with the nurse for follow-up
arrangements.
Medications
Medical xrecords
& privacy
Please contact
your doctor if you develop a
Medications
Medications
x
Please
contact
your
doctor if you develop a
Take your normal medication with a small drink of clear
cold
or
illness
prior
to surgery.
Records
will
be
kept
of
your
illness
and
treatment
Take
your advised
normal medication
with
a small
drink
ofallclear
cold
or
illness
prior
to
surgery. and these will
fluid
unless
otherwise
by
your
doctor.
With
of
Take your normal medication with a small drink of clear fluid
be confidential. It may be necessary for parts of your medical
fluid
unless
advised
otherwise
by
your
doctor.
With
all
of
youradvised
medications
please
your doctors’
unless
otherwise
by follow
your doctor.
With allinstructions.
of your
to be disclosed to other medical professionals to provide
your medications
please
followyou
your
instructions.
Please
bring
all the
medications
aredoctors’
currently
taking to record Medical
records & privacy
medications
please
follow
your doctors’
instructions.
Please
Please bring
all ensure
the medications
you are currently
taking
to your treatment.
Medical records & privacy
hospital.
Please
each
medication
is
in
its
original
bringhospital.
all the medications
you
are
currently
taking
to
hospital.
Records
will
be kept of your illness and treatment
Please
ensure
each medication is in its original
container
and
clearly
labelled.
Records
of your Itillness
andnecessary
treatment
Please
ensure
each
medication
and
these will
will be
be kept
confidential.
may be
container
and
clearly
labelled.is in its original container
and
these
will
confidential.
necessary
and clearly labelled.
Under for
Privacy
laws,
we be
may
use patient
for indirect
parts
of your
medical
recordItinformation
tomay
be be
disclosed
to
fortoparts
of your
medical
to be
disclosed
What to bring
purposes
operate
ourprofessionals
hospital.record
For to
example,
if relevant,
other
medical
provide
yourto
What to bring
other
medical
professionals
your
we may
disclose
your patient
informationtoto aprovide
debt collector
treatment.
What
to bring
x X-rays
requested by the doctor.
x X-rays requested by the doctor.
or credittreatment.
checking agency, to your health insurance fund, to
Personal
articles
anddoctor.
toiletries.
• xX-rays
requested
by the
the Department of Veteran Affairs, to our insurers or for clinical
x Personal
articles
and toiletries.
Under Privacy laws, we may use patient information
x Health fund card and details of your insurance if audit and
quality
assurance
We
alsoinformation
supply your
Under
Privacy
laws,activities.
we
usemay
patient
• Personal
articles
toiletries.
x applicable.
Health
fundandcard
and details of your insurance if
for
indirect
purposes
to may
operate
our
hospital. For
contact for
details
only to
an external
company
subcontracted
indirect
purposes
to
operate
our
hospital.
Forto
applicable.
• xHealth
fund
card
and
details
of
your
insurance
if
example, if relevant, we may disclose your patient
Pension, pharmaceutical benefit card or repatriation evaluate
customer
satisfaction.
example,
if
relevant,
we
may
disclose
your
patient
x entitlement
Pension, cards.
pharmaceutical benefit card or repatriation
information to a debt collector or credit checking
applicable.
information
to a health
debt collector
or credit
entitlement cards.
agency,
to your
insurance
fund, checking
to the
• xPension,
pharmaceutical
benefit
card
or repatriation
If admission
is subject to
workers’
compensation
or third
agency, toof your
health
insurance
fund, to the
Department
Veteran
Affairs,
to
our
insurers
x
If
admission
is
subject
to
workers’
compensation
or
third
entitlement
cards.full details of the claim are required prior to MealsDepartment of Veteran Affairs, to our insurersororfor
party claim,
for
clinical audit and quality assurance activities. We
party claim, full details of the claim are required prior to
admission.
clinical
audit
and
quality
assurance
activities.
We
• If admission
is
subject
to
workers’
compensation
or
third
The
hospital
aims
to
provide
a
choice
of
meals
and
to
supply
may
also
supply
your
contact
details
only
to
an
admission.
may where
alsocompany
supply
contact ofdetails
only
to care.
an
party claim, full details of the claim are required prior to
specialexternal
diets
it is in your
the
interest
your
subcontracted
to medical
evaluate
external
company
subcontracted
to
evaluate
Valuables
admission.
satisfaction.
Meals customer
are generally
served at 8.00am, 12.00pm and 5.30pm.
Valuables
satisfaction.
We strongly recommend that you do not bring jewellery or Please customer
ensure that you have informed the hospital prior to
We strongly
thathospital
you doasnotprovision
bring jewellery
large
amountsrecommend
of money to
for safeor
admission of any special dietary requirements.
Valuables
large amounts
money to hospital
as accept
provision
for safe
Meals
custody
is limited.ofRegrettably,
we cannot
liability
for
Meals
We strongly
recommend
that you do not
bring jewellery
orliability
large for
custody
limited.toRegrettably,
accept
any
items isbrought
the hospitalwe
thatcannot
are not
placed
in safe
The hospital aims to provide a choice of meals and
amounts
of
money
to
hospital
as
provision
for
safe
custody
is
any
items
brought
to
the
hospital
that
are
not
placed
in
safe
hospital
aims
to provide
choice
meals and
custody.
toThe
supply
special
diets
where ita is
in theofinterest
of
limited.
Regrettably, we cannot accept liability for any items
custody.
to
supply
special
diets
where
it
is
in
the
interestatof
your medical care. Meals are generally served
brought to the hospital that are not placed in safe custody.
your medical
care.
are Please
generally
served
8.00am,
12.00pm
andMeals
5.30pm.
ensure
thatat
What happens during and after your
8.00am,
12.00pm
and
5.30pm.
Please
ensure
What happens during and after your
you have informed the hospital prior to admission that
of
operation
youspecial
have informed
the hospital prior to admission of
What
happens
during
and
after
your
any
dietary requirements.
operation
any special dietary requirements.
operation
About an hour before your operation, you may be given an
About an
hour before
yourmake
operation,
you
may drowsy
be given
injection
or tablets.
This will
you feel
slightly
andan
injection
or before
tablets.
Thisyour
will make
drowsy
About
an hour
your
operation,
you
may
be
an and
relaxed
and
may make
mouthyou
feelfeel
dry.slightly
Thisgiven
is
called
a
relaxed
and
may
make
your you
mouth
feel
dry. drowsy
This is and
called
injection
or tablets.
This
will operation,
make
feel
slightly
pre-med.
During
your
your
anaesthetist
will
be a
pre-med.
During
your
anaesthetist
relaxed
and may
youroperation,
mouth
feelyour
dry.
This
is calledwill
a be
responsible
formake
constantly
monitoring
your
breathing,
pulse
responsible
for
constantly
monitoring
your
breathing,
and blood
pressure.
pre-med.
During
your operation, your anaesthetist will bepulse
and blood pressure.
responsible for constantly monitoring your breathing, pulse and
Depending
blood
pressure.on the type of operation and time it takes, you
Depending
the type ofdrip
operation
time
takes, By
you
may
have anonintravenous
insertedand
while
youit sleep.
may have
an intravenous
drip
inserted the
while
you sleep.will
By
careful
administration
of
the
anaesthetic,
anaesthetist
Depending
on
the type of operation
and time it the
takes,
you may will
careful
administration
of
the
anaesthetic,
anaesthetist
safely
control yourdrip
waking
up and
recovery.
have
an intravenous
inserted
while
you sleep. By careful
safely
control your waking
up and
recovery.
administration of the anaesthetic, the anaesthetist will safely
Because
of theupdrugs
you have been given, you may
control
your waking
and
recovery.
Because
of the
drugs
havefirst
been
given, after
you the
may
remember
little
of this
time, you
and your
recollection
remember
little
ofofthis
time,
and your
first recollection after the
operation
may
be
your
hospital
bed.
Because
of the may
drugsbeyou
havehospital
been given,
operation
of your
bed.you may remember
little of this time, and your first recollection after the operation
may be of your hospital bed.
Pre-admission information
Pre-admission information
Welcome to our patients
Welcome
to our
patients
We are pleased
that you
have selected our hospital to meet
Please ensure that forms are sent at
least five days before your admission
Faxed:
Faxed: You may fax your Admission forms to the
YouHospital
may faxat your
forms
to 2660.
the
any Admission
time on (08)
9448
Hospital
at any
time on
9448
2660.
Please
ensure
that(08)
you
bring
thePlease
original
ensure
that
you
the original forms with
forms
with
youbring
on admission.
you on admission.
The following information will assist with your admission to
hospital
and minimise
paperwork
on with
your day
admission.to
The
following
information
will assist
yourofadmission
hospital and minimise paperwork on your day of admission.
We hope that your stay with us will be as pleasant as
possible.
Weyour
arestay
proud
part
youpossible.
back to
We
hope that
withtousbewill
be of
as assisting
pleasant as
good
We
are health.
proud to be part of assisting you back to good health.
Delivered:
Delivered: Hand your forms to the staff at the Reception
Hand
your
forms to the staff at the Reception
Desk
between
Desk
between
6.00am
– 8.30pm MON – FRI
The hospital
The hospital
an agreement with
most major
health hospital
funds. MEDICARE
NOT with
cover
Glengarry
is a private
and has an DOES
agreement
expenses.
mostprivate
major hospital
health funds.
MEDICARE DOES NOT cover private
hospital expenses.
If you are a member of a private health fund, it is important
to are
check
with them
prior
to your
admission
If you
a member
of a
private
health
fund, it isregarding
importantthe
following:
to check with them prior to your admission regarding the
a) That your level of health fund cover adequately covers
following:
the cost of the procedure and accommodation outlined
a) That your level of health fund cover adequately covers the
in the pre-admission form.
cost of the procedure and accommodation outlined in the
b)
If an excessform.
is payable for this admission.
pre-admission
c)
Basic
table
health
does not provide adequate
b) If an excess is payableinsurance
for this admission.
cover for private hospitalisation.
c) Basic table health insurance does not provide adequate
d)
If you
have been
a member of your health fund for less
cover
for private
hospitalisation.
than twelve months your fund may not accept liability for
d) If you
been
member of your health fund for less
thehave
cost of
this aadmission.
than twelve months your fund may not accept liability for
x Depending
on your level of cover, you may have
the cost
of this admission.
out-of-pocket expenses which are payable on
• Depending
on your level of cover, you may have outdischarge.
of-pocket expenses which are payable on discharge.
x If you have private health fund cover for hospital
• If you
have private health fund cover for hospital costs
costs you will be required to sign a claim form and it
you will
will be
besent
required
claim form
directtotosign
youra health
fund.and it will be
sent direct to your health fund.
x If you do not have private health cover for hospital
• If you do not have private health cover for hospital
costs the total estimated amount of your
costs the total estimated amount of your hospitalisation
hospitalisation is payable on admission. Cost
is payable
on can
admission.
Costprior
estimation
can be
estimation
be obtained
to your admission
obtained
prior
to
your
admission
on
(08)
9447
0111.
on (08) 9447 0111.
• The hospital accepts VISA, MASTERCARD, BANK
x The hospital accepts VISA, MASTERCARD, BANK
CHEQUES AND EFTPOS.
CHEQUES AND EFTPOS.
your
care
needs.
We look
forward
welcoming
you,
We
arehealth
pleased
that
you have
selected
ourtohospital
to meet
andhealth
whatever
the reason
for forward
your admission,
youyou,
canand
be
your
care needs.
We look
to welcoming
assuredthe
of the
highest
quality
of care during
your
whatever
reason
for your
admission,
you can
bestay.
assured of
the highest quality of care during your stay.
Glengarry Private Hospital is centrally located in Duncraig,
Glengarry
Private specialised
Hospital is centrally
located in Duncraig,
and provides
and professional
care to and
the
provides
specialised
and
professional
care
to
the
community.
community. The map below will assist you in locating
our
The
map below will assist you in locating our hospital.
hospital.
Car
CarParking
Parking
Car parking is available at the front of the hospital.
Car parking is available at the front of the hospital.
Admission
Admission
Your
doctor
Your
doctorwill
willarrange
arrangeyour
youradmission.
admission.However,
However,toto ensure
ensure
that
we
are
fully
prepared
for
your
admission,
please complete
that we are fully prepared for your admission,
please
the
attachedthe
PRE-ADMISSION
form and return
it toand
the hospital
complete
attached PRE-ADMISSION
form
return it
along
with
the PRE-ADMISSION
SUMMARY and CONSENT
to the
hospital
along with the PRE-ADMISSION
SUMMARY
forms
prior
to
presenting
for
your
admission.
you
and CONSENT forms prior to presenting forAlternatively
your admission.
can
complete the
ADMISSION
form found
at the
Alternatively
you ONLINE
can complete
the ONLINE
ADMISSION
hospital
www.glengarryprivate.com.au.
form website
found
at
the
hospital
website
www.glengarryprivate.com.au.
IF WE DO NOT RECEIVE THESE FORMS PRIOR TO YOUR
ARRIVAL
IT COULD
CAUSE DELAYS
THE ADMISSION
IF WE DO
NOT RECEIVE
THESE IN
FORMS
PRIOR TO
YOUR ARRIVAL IT COULD CAUSE DELAYS IN THE
PROCESS.
ADMISSION PROCESS.
Once completed, these forms can be:
Once completed, these forms can be:
Posted:
53 Arnisdale Road, Duncraig 6023
Posted:
53 Arnisdale Road, Duncraig 6023
Please ensure that forms are sent at least
five days before your admission
6.00am
– 8.30pm
MON
– FRI
8.00am
– 8.00pm
SAT
– SUN
8.00am – 8.00pm SAT – SUN
Health insurance / accounts
Health
insurance
/ accounts
Glengarry
is a private
hospital and has
Please
notenote
thatthat
medical
andand
allied
health
practitioner’s
fees
Please
medical
allied
health
practitioner’s
fees
maymay
be billed
separately
by the
be billed
separately
by practitioner.
the practitioner.
On On
the the
dayday
youyou
areare
discharged,
please
seesee
thethe
Customer
discharged,
please
Customer
Services
personnel
at reception
before you
leaveyou
the hospital.
Services
personnel
at reception
before
leave the
Ourhospital.
staff will Our
thenstaff
finalise
with account
you.
will your
then account
finalise your
with you.
Third
party
Third
party/ public
/ publicliability
liability& &workers’
workers’
compensation
compensation
If a Ifthird
party
other
than
a health
fund
(such
as as
a sporting
a third
party
other
than
a health
fund
(such
a sporting
club,club,
association,
business
or workers’
compensation
etc) has
association,
business
or workers’
compensation
etc)
has indicated
responsibility
for youraccount,
hospital written
account,
written
indicated
responsibility
for your hospital
advice
from
third party
is your
required
prior to your
fromadvice
the third
partythe
is required
prior to
admission.
admission.
RAMSAY
H E A LT H C A R E