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YOUR STAY AT THE WOMEN’S Feedback The Royal Women’s Hospital aims to develop health information that is useful for women and their families. We welcome your comments at all times. If you have anything you wish to tell us about this booklet please contact the Women’s at [email protected]. You can also send comments to Women’s Consumer Health Information, The Royal Women’s Hospital, Locked Bag 300, Cnr Grattan St and Flemington Rd, Parkville, Vic 3052 Disclaimer The Royal Women’s Hospital does not accept any liability to any person for the information or advice (or use of such information or advice) which is provided in this booklet or incorporated into it by reference. We provide this information on the understanding that all persons accessing it take responsibility for assessing its relevance and accuracy. Women are encouraged to discuss their health needs (or their baby’s health needs) with a health practitioner. If you have concerns about your health or your baby’s health, you should seek advice from your health care provider or if you require urgent care you should go to the nearest emergency department. © The Royal Women’s Hospital, January 2015 2 THE WOMEN’S YOUR STAY CONTENTS WELCOME 5 GETTING TO THE WOMEN’S 6 FIND YOUR WAY AROUND THE WOMEN’S 8 YOUR STAY 10 Visiting hours 10 Need an interpreter? 10 Meals10 Personal belongings 11 Audio and visual recording 11 Your bedside console 12 Television12 Telephones and WiFi access 12 YOUR CARE 13 Why do we ask so many questions? 13 Tell us about your medicines 14 Preventing infection 15 If you need a blood transfusion 15 Are you or your baby becoming unwell? 16 Pain relief 17 Smart Move, Smart Lift 18 Preventing falls 19 Pressure injuries 20 Handover of your health information 21 SERVICES AT THE WOMEN’S 22 Aboriginal and Torres Strait Islander women and families 22 Pastoral care, seating areas and quiet spaces 22 Child Care service 23 Ground floor services 23 WHEN YOU GO HOME 25 YOUR RIGHTS AND RESPONSIBILITIES 26 Informed consent 27 TELL US WHAT YOU THINK 28 NEED MORE INFORMATION? 31 THE WOMEN’S YOUR STAY 3 4 THE WOMEN’S YOUR STAY WELCOME TO THE WOMEN’S We are committed to providing the highest standard of service and care to all our patients. If you have any questions or concerns you should ask your nurse or midwife for help. About this booklet This booklet is for women and the parents of babies who are patients at the Royal Women’s Hospital, Parkville. The information aims to make sure you are safe and well cared for during your time with us. For further information about your care at the Women’s, or information about your condition, visit: www.thewomens.org.au You can also visit or telephone the Women’s Health Information Centre, which is on the Ground floor, near the information desk. The centre is open during normal business hours (9.00am to 5.00pm Monday to Friday). The telephone information line is (03) 8345 3045 or 1800 442 007 (rural callers). THE WOMEN’S YOUR STAY 5 GETTING TO THE WOMEN’S The Women’s is at the corner of Grattan Street and Flemington Road in Parkville (Melway Map 2B A7). Wheelchair access is available at the hospital’s main entrance on Grattan Street (Ground Level) and the Women’s Emergency Care entrance on Flemington Road (Lower Ground entrance). Visitor car parking Limited underground car parking is available at the Women’s main building, accessed from the Flemington Road car park entrance. There are dedicated spaces for visitors and patients and a small number of short-term (30 minute) parking spaces for pick-up and drop-off only at the Lower Ground Level, also off Flemington Road. There are a number of parking bays set aside for disabled visitors and patients on level B1. Lifts lead directly to the main reception, outpatient services or private consulting suites. There are bicycle racks at the hospital’s main entrance (Grattan Street) and the Emergency entrance (Flemington Road). Limited street meter parking is available in streets surrounding the hospital. Check signs for restrictions. 6 THE WOMEN’S YOUR STAY The car park is operated by Wilsons Parking and is open 6.00am to 9.00pm daily. For more information: www.wilsonparking.com.au/park/3244_ Royal-Women Public transport The Women’s is well serviced by public transport with tram and bus stops for several routes within easy walking distance of the hospital. For information regarding train, tram and bus routes and timetables call 1800 800 007 or visit http://ptv.vic.gov.au/timetables Taxis There is a taxi rank in front of the hospital in Grattan Street. Mailing address The Royal Women’s Hospital Locked Bag 300 Grattan Street and Flemington Road Parkville VIC 3052 THE WOMEN’S YOUR STAY 7 FIND YOUR WAY AROUND THE WOMEN’S PARKVILLE LOWER GROUND Emergency & Admissions Women’s Health clinics & Pregnancy clinics Car parking entrance Pregnancy Day Care Public toilets Pauline Gandal Women’s Imaging Centre Payphone Pharmacy for hospital patients GROUND Reception Women’s Health Information Centre Sacred Space Badjurr-Bulok Wilam Women’s Counselling & Social Support Retail & food precinct Public toilets Payphone 8 LEVEL 1 THE WOMEN’S YOUR STAY Physiotherapy Nutrition & Dietetics Consumer Advocate Public toilets Payphone LEVEL 2 LEVEL 5 Reproductive Services Women’s Health Wards 5 North and 5 South Women’s private consulting suites Complex Care Frances Perry House private consulting suites Public toilets Public toilets Payphone Payphone LEVEL 3 LEVEL 6 Frances Perry House private hospital Birth Centre Day Surgery Payphone LEVEL 4 Maternity Wards Newborn Intensive & Special Care LEVEL 7 Women’s Research Precinct Frances Perry House private hospital University of Melbourne Department of Obstetrics & Gynaecology Public toilets Breastfeeding Service Hospital garden courtyard Public toilets Payphone THE WOMEN’S YOUR STAY 9 YOUR STAY There are two discharge times each day: »» Morning discharge: 9.30am »» Maternity afternoon discharge: from 3.30pm Visiting hours Visitors are welcome at the Women’s. Maternity Wards Visiting hours (general): 2.30pm to 8.00pm. Visiting hours for partners: 8.00am to 8.30pm. For the comfort, health and safety of our patients, we ask visitors to respect our visiting hours. Gynaecology & Women’s Health Wards If your family, friends or carers feel ill, have an infection or have recently been unwell, ask them not to visit until they have fully recovered. Visiting hours for partners: 8.00am to 8.30pm. Alternative visiting hours may be negotiated with the nurse-in-charge in special circumstances. Newborn Intensive & Special Care Visiting hours (general): 2.30pm to 8.00pm. Visiting hours for parents are unrestricted. We ask that no more than three people (including the baby’s parents) are at a baby’s bedside at any one time. Family and friends (including children) may visit babies in intensive or special care according to the wishes of the parents. 10 Written permission from the parents is required for family members or friends to visit in the absence of parents. THE WOMEN’S YOUR STAY Visiting hours (general): 2.30pm to 8.00pm. Need an interpreter? The Women’s encourages the use of professional interpreters to ensure that women whose first language is not English are able to communicate with their health professional. You can request an interpreter, including an Auslan interpreter, when you are arranging your stay on the ward. You can also ask your midwife or nurse if you would like an interpreter. Enquiries Audio and visual recording The number for patient enquiries is (03) 8345 3030. You’re welcome to film or record in the hospital when it is safe and appropriate to do so. However, there are times when taking photographs, filming or recording can affect your care, breach the privacy of other patients or breach the privacy of Women’s staff members. Visitors’ toilets Visitors’ toilets are located in the lift foyers on each floor or near the main reception desk. Meals Patient meals are served at the following approximate times: »» Breakfast – 8.00am »» Lunch – 12.30pm »» Dinner – 6.30pm Please tell the meal staff if you have any allergies or specific dietary requirements. Personal belongings We advise that a minimum amount of money be kept with you and that your valuables should be taken home if possible. If you would like to purchase newspapers or other small items while you’re in hospital, small notes and change are appreciated by the volunteers who sell them. Please keep any valuable items with you at all times or locked securely in the your safe in your room. You don’t need permission to photograph, film or record yourself or a loved one while in the hospital as long as you don’t photograph, film or record a member of staff or any other patient or visitor. This includes capturing the voice or image of anyone nearby. You can photograph, film or record clinical care – such as the birth of a baby – if you have permission of all staff members involved in the clinical care. You must stop photographing, filming or recording at the request of clinical staff at any time. We ask that any material featuring a member of the Women’s staff is not posted online or on any form of social media (Facebook, Instagram, Twitter etc.) without their permission. Ask a staff member if you are uncertain when it is appropriate to take a photo, film or record. Please let the nurse or midwife know if you have brought any electrical equipment with you that you would like to use during your stay with us. THE WOMEN’S YOUR STAY 11 Your bedside console To operate the TV: Your bedside console has a number of functions. It allows you to call the nurse or midwife, control the TV and has a speaker for the TV and radio. Your nurse or midwife will explain how to use it and other call devices located throughout your room. Turn the TV on using the blue button on your remote control. Please be considerate of fellow patients when you are watching or listening to the TV or radio. Nurse/midwife call system Channel up/down (green/red) TV on/off (blue) Volume up/down (grey) Television You have free access to the Women’s Educational Channel (41) on your TV; a fee is charged for access to all other channels. On Channel 42 is information about the television system and channels as well as information about the hospital. To gain access to all TV channels, collect a form from your ward’s main reception desk and present it with the fee payable at the Cashiers Office (Ground floor) between 7.00am and 4.30pm or after hours at Admissions in Emergency (Ground floor). 12 THE WOMEN’S YOUR STAY (green and red) to change the channel. »» Use the left and right arrows (grey) to adjust the volume. »» Care of the mother and baby programs, and other health related shows, are free and available on the Education Channel – Channel 41. Telephones and WiFi access Nurse/midwife call (green) Over bed light (yellow) »» Use the up and down arrows You can receive outside calls directly to your bedside phone. Callers can ring patient enquiries on (03) 8345 3030, let the operator know they would like to speak to a patient and give your name. The operator will then transfer the call to you. To make outside calls on your bedside phone you will need a phone card. These can be bought at the Cashiers Office (Ground floor) or at Admissions in Emergency (Lower Ground floor) after hours. Payphones are also available in the Ground floor foyer and on the Lower Ground floor, and on levels 2, 3, 4 and 5. You are able to use your mobile phone while you are in the hospital, although please maintain a distance of one metre from any medical equipment. Please be considerate of others when using your mobile phone or tablet. Limited WiFi access is available for patients and visitors. YOUR CARE Why do we ask so many questions? The Women’s is committed to ensuring your safety. To assist with this, we need to know who you are. To make sure you or your baby are safe and receiving the correct treatment, procedures/tests and medications, we will check your identity many times. On each occasion, we will check you or your baby’s: »» full name »» address »» date of birth. Then we will check this against your: »» medical record »» Unit Record (UR) number, which is your own unique identifying number within the Women’s »» written consent form (if applicable) »» patient identification bands (wrist bands) What you can do »» Ensure staff check you or your baby’s identity and any allergies you may have before you or your baby are given any medicines. »» Let us know if any of you or your baby’s personal details on the consent form are incorrect or have changed. »» Make sure you know who you or your baby’s nurse/midwife is for each shift. All staff should be wearing an identification badge. If you are not sure who someone is, please ask. »» Ask to see and read your consent form before your treatment/procedure. »» Make sure the surgery, procedure or treatment you or your baby are having is explained to you and is what your agreed to. If there is a mistake, please point this out and ask for a new consent form to be completed and signed. »» If something does not look right, or you hear something that is wrong, please let us know immediately. if you are wearing them »» prescription or medication chart. THE WOMEN’S YOUR STAY 13 Tell us about your medicines Some things you can do to help manage your medicines: »» Bring all of your medicines to hospital Medicines are an important part of your treatment. When you’re admitted to hospital we will ask you what medicines you take. Knowing about your medicines will help us make the right decisions about your health. It can also help us to prevent mistakes. Over-the-counter medicines, vitamins and natural therapies are just as important to mention as prescription medicines. Please tell us what you take and what works for you – your experience is important. Tell us if you are using: »» tablets from a pharmacist or supermarket »» liquid medicine like cough syrup »» natural therapies like herbs and tinctures »» vitamins »» medicated creams/patches »» puffers/inhalers »» eye drops »» any other drugs or substances. with you. »» Keep an up-to-date list of your medicines and show it to staff when you’re admitted. »» Ask for an updated list of your medicines before you go home. This list will be helpful for your local doctor and pharmacist. »» Tell us if you’ve had allergies or bad reactions to medicines in the past. »» While you’re in hospital, don’t be afraid to ask what medicines you’re receiving and why. Your hospital pharmacist will review your medicine chart on a regular basis and work with your doctors to ensure medicines prescribed are appropriate and safe to use. If you are discharged and require medicines, you will receive information about that medicine. Pharmacy hours: Monday to Friday 8.30am to 5.00pm. Invoices for discharge medicines can be paid at the Cashiers Office, Ground floor. Please show staff your current Medicare card, plus any other concession cards, e.g. pension or health care card, DVA card, Safety Net entitlement card from your local pharmacy. 14 THE WOMEN’S YOUR STAY Preventing infection If you need a blood transfusion Any patient admitted to hospital may have a risk of getting an infection, either through invasive procedures or because of their illness. Hospital staff employ many strategies to reduce this risk. A blood transfusion is the transfer of blood from one person to another. In rare cases you may need a transfusion while you’re in hospital because of your condition or because of the treatment you are receiving. Patients and visitors also have a role in preventing infection in hospitals. Before consenting to a blood transfusion, ask why you need a transfusion and what the benefits and risks are for you. If you don’t understand why a blood transfusion is necessary, don’t be afraid to ask questions or for more information. The best way to prevent infection is to perform ‘hand hygiene’. You can clean your hands with soap and water if they are dirty or soiled or use an alcohol-based hand rub on visibly clean hands. Clean your hands: »» after going to the toilet »» before touching food or eating »» after sneezing, coughing or disposing Australia has an extremely safe blood supply. All donated blood is tested for blood-borne diseases like HIV, hepatitis and syphilis. The risk of contracting any type of infection from a blood transfusion is very low. »» before and after touching a dressing. Most people who receive a blood transfusion do not experience any side effects and any reaction is usually mild. The most common reactions to a blood transfusion are: Please ask your visitors or carers: »» fever »» not to visit if they feel unwell or have »» rash of tissues »» before touching your eyes, nose or mouth a cold, have a rash or have been vomiting or had diarrhoea »» itching. »» to use the alcohol-based hand rub when they first come in and when they leave »» to follow any special precautions. Sometimes visitors may be asked to wear a mask or gown. This may be a precaution for them or for you »» not to touch your dressings, drips or other equipment around your bed. Our staff are happy to be asked ‘Have you cleaned your hands?’ THE WOMEN’S YOUR STAY 15 Very rarely, severe reactions can be life-threatening. Remember to tell your doctor if you have ever had a reaction to a blood transfusion. So that your blood transfusion can be given as safely as possible there are strict procedures staff must take before every transfusion. »» Every time you have blood taken for matching you will be asked for your first name, family name and date of birth. »» Your armband will also be checked. »» Before your transfusion, staff will check your identity again, as well as the unit of blood. Are you or your baby becoming unwell? If you feel that you are becoming unwell or you notice your baby is getting sick, tell a member of staff immediately or ring the nurse/midwife call bell. If there is no response within 10 minutes and you are still feeling unwell or concerned about you or your baby’s health, phone 2020 on your bedside phone. A senior staff member will respond and assess you. If you are a visitor and you notice a patient’s health is getting worse – please tell a member of staff. Urgently tell the nurse, midwife or doctor if your baby: »» stops breathing or goes blue »» has a fit/convulsion/seizure »» cannot be woken »» is not taking any notice of loud noises, a bright light shone in their eyes or a gentle pinch on the arm. Inform the nurse, midwife or doctor if your baby: »» In the first 24 hours of life: -- has not fed for more than 6 hours -- has not had a wet and/or dirty nappy -- has yellow-looking skin »» Arm, leg and body movements get very fast and your baby appears very restless »» Body, head, neck, arms and legs appear floppy »» Breathing is really fast and making grunting noises »» Cry is unusual (e.g. weak, high-pitched, moaning or painful cry) »» Poo (stool/faeces) has any blood in it »» Skin seems very pale or is turning yellow »» Tummy (stomach) or the bottom of their chest draws in with each breath »» Vomiting a lot »» Vomit is not clear or not milk or lemon-coloured. 16 THE WOMEN’S YOUR STAY Pain relief Severe pain after surgery or the birth of a child was once something people thought they had to put up with. With the availability of new methods of pain relief, it is recognised that good pain control can help you: »» be more comfortable while you heal »» recover more quickly and perhaps leave hospital sooner. Letting your nurse, midwife or doctor know when you have pain will allow them to work out what is causing your pain and choose the best form of pain relief. How painful is it? There are several methods that can be used for rating or describing your pain: »» scoring your pain between 1 and 10. No pain is scored as 0 and the worst pain you could ever imagine is 10 It is very important to us that your pain is well controlled. »» rating your pain as either no pain, mild Who is involved? »» describing the type of pain you have. A range of health care professionals may work with you to control your pain. They include nurses, midwives, doctors, pharmacists and physiotherapists. The Women’s also has an Acute Pain Service (APS) staffed by a team of nurses, midwives and anaesthetists with specialised knowledge and experience in the treatment of acute pain. You are also important in the management of your pain. Only you know what you are feeling and so you are the best person to decide if you need more pain relieving medicines. pain, moderate pain, severe pain Some words for pain include sharp; hot; stinging; cramping; dull; burning; tingly; numb; shooting; stabbing; aching; throbbing. Methods of pain relief There are a variety of ways you may be given pain relief: »» Tablets or capsules are the most common way of giving pain medicine and should be effective within 15 to 45 minutes after swallowing. »» Injections can be used to give strong pain medicines, and are sometimes used during labour and in special instances. »» Patient controlled analgesia (PCA) allows you to have control over your own pain relief. When you feel uncomfortable you press a button that is attached to a PCA pump. The pump injects a small dose of the medicine into an intravenous (IV) cannula inserted in your vein. You should press the PCA button when your pain starts to become uncomfortable; do not wait for the pain to become severe. THE WOMEN’S YOUR STAY 17 It’s very important that you tell the nurse/ midwife or doctor if you have taken your pain medicine and the pain does not go away. At different times during the day you may require more pain medicine to provide adequate pain relief; for example, when performing your physiotherapy exercises or showering. If you have had all the pain medicines that have been prescribed and you are still feeling sore, then you should ask to be seen by your doctor. If you have been seen by your doctor and you are still in pain, you can ask to be seen by someone from the Acute Pain Service (APS). Smart Move, Smart Lift To help with your recovery after surgery or giving birth, staff will encourage you to move regularly and as soon as possible. In hospital, if you need help moving, we will use a program called Smart Move, Smart Lift to ensure staff are safe and avoid risk of injury. There may be specialist equipment that is used to assist you with your movement. The staff will explain the workings of any equipment that is required to assist you to move. »» Epidural analgesia and patient controlled epidural analgesia (PCEA) are pain medicines given through a small tube placed in your back. They are often a mixture of local anaesthetic and an opioid. Epidural analgesia can be used to treat pain following surgery and for pain relief during labour. The function of a PCEA is similar to that of PCA. 18 THE WOMEN’S YOUR STAY During your stay in hospital, a nurse or midwife will regularly assess your ability to sit in bed, stand and walk. Sometimes a physiotherapist will complete the assessment. The assessment will be included in your clinical notes. Preventing falls As a patient you have a higher risk of falls. Falling is more likely when you: »» are unwell »» have low blood pressure »» are taking certain medicines »» are pregnant »» have just given birth »» have had a general, epidural or spinal anaesthetic »» have had an operation »» have been in bed for awhile »» are in an unfamiliar place »» have poor eyesight. There are a number of ways to avoid falls: »» Always wear supportive, flat, non-slip shoes or slippers (don’t walk in socks or stockings). »» Bring your eyeglasses, walking aids and appropriate footwear to the hospital and use them when walking. »» Get to know the room and area you are in. »» Let staff know if there are things on the floor in your way, or if a spill occurs. »» Make sure you can reach your call button easily. The following information is particularly for patients who have recently given birth, had an epidural or spinal anaesthetic, must spend long periods in bed, or have lost a lot of blood. »» Check with your nurse or midwife before getting out of bed. »» Ask staff to help you when you get out of bed. »» When you have a shower, use a shower chair to sit on. »» After an epidural or a spinal anaesthetic, wait until you have full leg sensation and strength before trying to stand or walk. »» Let staff know if you are feeling unsteady on your feet. How to prevent your baby from falling: »» Put your baby to sleep on their back in their cot next to your bed. »» Keep a constant eye on your baby when they are on a surface such as a change table or bed. »» Put your baby in their cot if you are sleepy or you have taken strong medication for pain relief. If you fall asleep holding your baby they can fall from your arms. Advice for family or visitors: »» If your relative or friend is confused, stay with them as much as possible. »» Let a staff member know when you leave. »» At night, turn your light on before getting out of bed. »» Take your time getting up from a chair or out of bed. THE WOMEN’S YOUR STAY 19 Pressure injuries Even though getting moving is sometimes difficult, a few simple actions can save you a lot of pain: A pressure injury, also known as a bed sore or ulcer, can form when you spend a long time sitting or lying in the same position. The risk of a pressure injury increases if you have to stay in bed or a chair, have limited sensation or circulation, or you’re not eating well. Having an epidural may also increase the risk of a pressure injury. You can get pressure injuries anywhere on your body but you are more likely to get them in places where you are bonier and have very little padding, for example: »» Move, move, move -- Whether you are lying in bed or sitting in a chair, keeping active and changing your position frequently is the best way of avoiding a pressure injury. -- If you are unable to move yourself, the staff will help you change your position regularly. -- Special equipment such as air mattresses, cushions and booties may be used to reduce the pressure in particular places. »» Look after your skin Back of head Shoulder ElbowButtocks Heel Diagram courtesy of Clinical Excellence Commission, State of New South Wales Pressure Injury Prevention Early signs that you are getting a bed sore or pressure injury are: »» constant redness »» broken or blistered skin »» tingling and/or numbness. If you notice any signs of pressure injury, tell your doctor, nurse or midwife immediately. 20 THE WOMEN’S YOUR STAY -- Keep your skin and bedding dry. Let staff know if your clothes or bedding are damp. -- Tell staff if you have any tenderness or soreness over a bony area or if you notice any reddened, blistered or broken skin. -- Avoid massaging your skin over bony parts of the body. -- Use a mild soap and moisturise dry skin. »» Eat a healthy and nutritious diet. Handover of your health information If information or instructions are unclear or confusing you can ask: »» for the information to be written down During your stay at the Women’s a number of different staff including doctors, midwives, nurses, pharmacists and allied health professionals are likely to be involved in your care. All these staff have access to your health information. This is called clinical handover. for you »» to have the information repeated when you have a family member or carer present and they can also ask questions »» for an interpreter if English is your second language. This sharing is required so that: You have the right to: »» if there is an emergency your health »» access your medical record information can be quickly accessed »» staff can give you appropriate treatment. You are an important part of this process and you will be involved in the handover of your care at your bedside. Family and partners are welcome to participate as well, but if you would prefer them not to be present, please let staff know on your arrival or before handover. If you would prefer not to have your care discussed at the bedside, please let the staff know. »» know what information is in your medical record. Information about your stay and treatment is also provided to your local doctor to continue your healthcare. If anything discussed is incorrect or you don’t understand, please let us know and ask us to explain. THE WOMEN’S YOUR STAY 21 SERVICES AT THE WOMEN’S ABORIGINAL AND TORRES STRAIT ISLANDER WOMEN AND FAMILIES Badjurr-Bulok Wilam (meaning ‘Home of many women’ in the Woiwurrung language of the Wurundjeri Peoples) provides a drop-in place for women who identify themselves as Aboriginal and/ or Torres Strait Islander and their families. Non-indigenous women with indigenous partners are also encouraged to access Badjurr-bulok Wilam for support. This may include support to access the hospital’s services, information, referral to services and practical assistance. Badjurr-Bulok Wilam provides a resting place for Aboriginal and Torres Strait Islander women and families attending the Women’s, where women and families can sit, yarn and have a cuppa with the Aboriginal and Torres Strait Islander Hospital Liaison Officers (ATSIHLO). Badjurr-Bulok Wilam is right next to the main entrance of the hospital (Ground level). 22 THE WOMEN’S YOUR STAY PASTORAL CARE, SEATING AREAS AND QUIET SPACES Pastoral Care and Spirituality Services (PCSS) at the Women’s is a free confidential service, offering emotional and spiritual support to all patients, their family and friends, and staff at the hospital. Representatives from various traditions may be available upon request. Please ask a pastoral care worker which representatives are available, as they do change from time to time. The PCSS team can be contacted Monday to Friday 9.00am–5.00pm. Seating areas: We offer a number of comfortable seating areas around the atrium and right next to the main entrance of the hospital (Ground floor). Breastfeeding rooms: The Women’s is a baby-friendly hospital and women are encouraged to breastfeed wherever they feel comfortable. There are also breastfeeding rooms available for visitors and patients near the Pregnancy Clinics on Level 1. Internal garden courtyard: We have a garden courtyard for patients and visitors, allowing for a break and some fresh air away from the wards and nurseries (Level 4). Sacred Space: We offer a multi-faith Sacred Space for patients and families to use for reflection and prayer as well as the lighting of candles and incense. There are sacred texts as well as a prayer journal for recording thoughts. We hold an annual memorial service here each year, for families and staff who wish to come together (Ground floor). Women’s Health Information Centre: Our Women’s Health Information Centre offers you access to a qualified nurse or midwife to discuss any of your health questions as well as a specialist library full of useful health information. It is a free and confidential service for patients and visitors, located just next to the main entrance of the hospital (Ground floor). GROUND FLOOR SERVICES AT THE WOMEN’S »» ATM and Commonwealth Bank »» Australia Post »» Chemist »» Cafés: Zouki cafeteria and Isabella Café »» Clothes: Regina Boutique sells men’s, women’s and baby clothes and jewellery »» Convenience store: Newspapers, magazines, gifts, snack food and confectionery »» Florist: With Flowers »» Gifts: The Chocolate Box. Gifts are also sold occasionally at the Volunteer desk »» Hairdresser and beauty salon: ID Salon CHILD CARE SERVICE The Women’s Child Care Centre at Parkville offers occasional care to patients’ children. The Centre provides care for children aged 12 weeks to 7 years and operates Monday to Friday 9.00am to 5.00pm. It is located on the Ground Floor of the Women’s at Parkville. Occasional care places are available for two hours and bookings are usually required. Longer care can sometimes be arranged by discussion with the child care coordinator. A fee is charged for the service. To arrange child care please call the Centre on (03) 8345 2098. THE WOMEN’S YOUR STAY 23 24 THE WOMEN’S YOUR STAY WHEN YOU GO HOME Before you leave the hospital, make sure you have: »» any medicines you brought to hospital »» any medicines that the doctor has prescribed »» any X-rays that you may have brought in »» an appointment to return to the clinic for a check-up, (usually in six weeks unless the doctor wants to see you earlier). If an appointment is not made at the time of your discharge, it will be sent out to you in the mail. »» a medical certificate if you need one. Some women will also be given a letter for their GP. If you have had an operation The time it takes to recover from a major operation is different for each person. We expect that it will take between six and eight weeks. Be aware of signs of infection The following symptoms may be a sign of infection: »» sudden hot flushes or sweating Relevant information about your medical condition will be forwarded to your GP or specialist and to community health workers and service providers involved in your care, unless you tell us that this should not happen. If there is anything you feel you will need help with when you leave hospital, please discuss it with staff as soon as possible. For example: »» community services »» medication information and pharmacy advice »» follow-up appointments »» special instructions. If you usually receive community services at home, please make sure health service staff know you receive this help. If you are going home with a baby If your baby seems sick or you are concerned something is wrong: »» Call the Maternal and Child Health Line on 13 22 29. »» Call 24-hour Nurse-on-Call on 1300 60 60 24. »» high temperatures above 38ºC »» See your local doctor (GP). »» sudden onset of pain that is not relieved »» Attend a hospital emergency by over-the-counter painkillers. If you experience any of these symptoms, or there are any other aspects of your health you are worried about, please see your local doctor or come to the Emergency Department at the Women’s. department. For urgent assistance, call 000. THE WOMEN’S YOUR STAY 25 YOUR RIGHTS AND RESPONSIBILITIES Your rights »» participate in making decisions about As a patient at the Women’s you have the right to: »» refuse treatment and services offered »» make a complaint »» be treated with respect and dignity »» receive treatment and care in a safe environment »» privacy and confidentiality for your personal and health information, except where the law permits this to be disclosed »» ask questions about your condition and treatment options or seek a second opinion 26 THE WOMEN’S YOUR STAY your treatment or care to you »» be accompanied by a support person where possible »» ask for an interpreter »» receive a culturally sensitive service »» choose to receive care as a public or private patient »» see your health records and ask for information to be corrected if it is wrong. Your responsibilities You are also responsible for your behaviour and some aspects of your care. Try to: »» tell everybody involved in your care what your expectations are »» tell staff if you have a problem »» understand your treatment and ask questions if you don’t »» give staff accurate information about your health and your present treatment »» tell hospital staff if your condition changes You can only give informed consent if you fully understand why you or your baby are having the treatment or the procedure; what is involved; and you understand the risks of any treatment or procedure. You also understand the risks of not having the procedure and what the alternatives are. Your doctor or medical team will recommend the best treatment for you based on their expertise and knowledge. You have the right to ask questions, to ask for a second opinion and to refuse treatment if you wish. But you also have a responsibility to learn as much as you can about your condition and the treatment being offered. »» be considerate of staff and other »» If you don’t understand anything your »» come to your appointments, or tell staff »» Ask for written information that you For further information ask for a copy of the Australian Charter of Healthcare Rights or go to: www.health.vic.gov.au/patientcharter »» Repeat back to the doctor, nurse or patients and ask your visitors to do the same if you need to change an appointment. Informed consent doctor, nurse or midwife tells you, ask them to explain again. can use to discuss with your friends or family, and that you can refer back to when you are making decisions. midwife what they have said to you. This will help them know that you understand what you have been told about your treatment or your condition. »» Visit or telephone the Women’s Health Whenever you or your baby need to have medical treatment you are normally asked to give your consent. This may be verbal consent or you may be asked to sign a document. Informed consent is when you understand the full nature of what you are agreeing to. This means that the treatment or procedure, and associated risks, have been explained in your language (with an interpreter) and in a way that you understand. Information Centre, (03) 8345 3045 on the Ground floor (near the Information desk) if you need more information. It can be difficult to feel ‘fully informed’ about procedures or treatments for you or your baby. Some procedures are very complex and difficult to understand. Some information, however, may help you to feel more comfortable or more involved in decisions about you or your baby’s care. THE WOMEN’S YOUR STAY 27 TELL US WHAT YOU THINK Compliments, complaints, feedback, suggestions What will happen when I make a formal complaint? We welcome your comments, both positive and negative, about all aspects of your care at the Women’s. This helps us to continually improve our services by letting us know what works well and what might need to change to improve the quality and safety of care. The consumer advocate can offer you support by: We aim to provide women with the best possible care at all times. If this is not your experience, you have the right to express your concerns or make a complaint. Please discuss any complaints or concerns that you have, no matter how big or small, with the staff who are caring for you. Usually, matters can be resolved immediately. If not, and you would like further assistance, you, your partner or your support person can contact the consumer advocate. The consumer advocate is available to all public and private patients attending the hospital. »» confidentially discussing any concerns that you have, which may include issues with a service, staff member, care or treatment »» investigating your concerns »» helping you to resolve a problem. The consumer advocate may: »» talk about your complaint with the relevant staff or their manager »» send you a letter of explanation and/or apology from the hospital »» arrange an appointment for you to discuss your experience and concerns with the staff involved »» discuss with you actions that have resulted from your complaint »» inform you of what we have done to minimise the chances of the same thing happening again »» suggest another service you can contact if you are not satisfied with our help. 28 THE WOMEN’S YOUR STAY THE WOMEN’S YOUR STAY 29 What will not happen when I make a formal complaint? What can I do if I am still not happy? If you make a complaint it is important to understand that: Problems are usually best addressed when and where they happen. If you are not happy with the result the Health Service Commissioner is an independent agency available to anyone who has a complaint about a health service provider in Victoria. »» The details of your complaint are not included in your medical record. »» It will not affect your care or treatment in the hospital. »» The issues are not discussed with anybody except the relevant staff. »» You will not be punished in any way or made to feel unwelcome in the hospital. »» The way your complaint is investigated will always be discussed with you first. Contacting the consumer advocate You can contact the consumer advocate while you are in hospital, or when you go home. It may take weeks or months for you to decide that you would like to make a complaint or express your concerns. The consumer advocate is available: Monday to Friday, 9.00am to 5.00pm Their office is located at: The Royal Women’s Hospital Level 1 Grattan Street & Flemington Road Parkville, Victoria 3052 T: (03) 8345 2290 or (03) 8345 2291 E: [email protected] You can also call the Women’s switchboard on (03) 8345 2000 and ask them to page the consumer advocate. 30 THE WOMEN’S YOUR STAY T: 1300 550 275 (toll free) E: [email protected] www.health.vic.gov.au/hsc NEED MORE INFORMATION? SPEAK TO YOUR MIDWIFE OR NURSE. Health information Women’s Health Information Centre The Women’s offers a range of health information in English and other community languages. Information is available on the Women’s website: www.thewomens.org.au The Centre is on the Ground floor of the Women’s. A women’s health nurse/midwife is available to talk to you about any healthrelated questions you may have or you can browse the Centre’s library collection. Become a member of the library to borrow books and DVDs. There is also a range of brochures and fact sheets in a number of languages available free of charge. You can also ask your midwife or nurse if there is written information available that will help you to know about your condition or treatment. Drop in, telephone or email the Centre. Monday to Friday, 9.00am to 5.00 pm T: 03 8345 3045 or 1800 442 007 (rural callers) E: [email protected] THE WOMEN’S YOUR STAY 31 D14-156 January 2015 Women’s health is important. Read our health information and share our stories. Please visit: www.thewomens.org.au