What you need to know

Welcome to Rangatira Ward

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Welcome to Rangatira children's ward

Parents and caregiversThe Rangatira welcome booklet has been created to provide families/whanau with helpful information during hospital admission.

Please take time to read the information provided and feel free to ask questions at any time.

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ContentsAbout Rangatira 4

Admission 4

ATM machines 5

Bedding for child 6

Bedding for caregivers 6

Breast pump 7

Call bells 7

Chaplain 8

Cultural support 8

Discharge 9

DVD 9

Food and formula 9

General information 11

Hand washing 11

Infection prevention control 11

Isolation 11

Kitchen 12

Linen cupboards 12

Linen bags 12

Maps 13-14

Nappies 15

Outpatient pharmacy 15

Parking 15

Playroom 16

Public transport 16

Quiet time 16

Radio lollipop 16

Rooms 17

Staff 18-20

Smoking 21

Security 21

Telephones 21

Television 21

Visiting 22

Valuables 22

Ward rounds 22

WiFi 22

You can have your say 23

Zero tolerance to violence 23

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A About RangatiraRangatira is a 33-bedded ward for children aged between 0-14years. The ward specialises in paediatric (children’s) medical conditions.

We look after children from West Auckland, North Shore and Rodney. North Shore Hospital does not currently have a paediatric ward.

Therefore any children requiring hospital admission are transferred to Waitakere Hospital Rangatira Paediatric Ward.

A AdmissionYour child/whanau will be introduced to your nurse and orientated to the ward on admission. You will also be given information packs (pictured opposite) which you may look at when you get time.

In your room on the wall will be a white board (pictured opposite). This is located on the wall above the bedspace. This will have your child’s name, your name, your nurse’s name and any allergies your child may have. Any other information which you feel is important may also be written up on the board.

Information will be given in regards to your child’s care and results discussed with you. Feel free to ask nursing or medical staff questions or alert them to raise any concerns you may have during your stay.

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A ATM machinesAn automated teller machine is located in the foyer of the main entrance to the hospital. Also located next to the ATM machine is a vending machine and a post box. See map below for the location .

Rangitira

Volunteers

Maternity

Child Mental Health

Child Development

Outpatients

Radiology

Emergency Care Centre

Surgical Unit

Titirangi

Coronary Care Unit

Anawhata

Karekare

Duty Mgr

Audiology

Shared

Shared

SCBU

GD

3

Security / Fire

Orderlies

GD4

GD

2

GD1

Service Lift

GD

5

MAIN HOSPITAL ENTRANCE D EMERGENCYB ENTRANCE

A ENTRANCE

C ENTRANCE

Coffee Shop

Outpatients

Outpatients

WaitakereHospitalground floor

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B Bedding for child1 For the ages of 0-6 weeks we provide bassinets

2 For 8 weeks – 18 months we provide cots

3 For > 2 years we provide beds.

1 2 3

B Bedding for caregiversCaregivers will be provided with a recliner chair or a stretcher fold-out bed. Your nurse will show you how to work the bed.

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B Breast pumpBreast pumps and equipment are available for use. There is a special fridge for storing breast milk. If your expressed breast milk is not required for feeding during your child’s admission please ask to take it home.

We have three expressing machines available on the ward and milk is kept appropriately in a secure fridge with your child’s name.

C Call bellsEvery room or bed space has its own call bell located above the head of the bed. Ring this if you require any assistance with your child. Your nurse will explain what the different call bells are.

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C ChaplainThe chaplains are available at any time to everyone. A worship service is held every Sunday at 10am in the chapel on the lower ground floor.

Dial ‘0’ and ask the operator if you want to contact the chaplaincy service. Or ask any staff member to call the service for you.

C Cultural supportThere is Maori, Pacific and Asian cultural support available in this hospital. Please let your nurse know if you require extra support from a cultural perspective and contact will be made for you.

He Kamaka Waiora - Maori Health Services: This team supports children and their whanau while in Rangatira and includes: kaumatua, social workers, tikanga support (kaiāwhina). Consult a nurse if you are Maori and would like to see someone from this service.

Tautai Fakataha Service: Supporting and advising Pacific Island patients and their families while in hospital.

Asian Health Service: Supporting Chinese (Mandarin and Cantonese) Korean, or other Asian families receiving care from Rangatira Ward. They provide:

• Basic communication support

• Cultural and emotional support

• Support to familiarise them with NZ health services / system

• Support to access appropriate and relevant agencies if there are language barriers

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D DischargeYou will be provided with appropriate information including discharge letters and, if necessary, a prescription prior to discharge. The doctor will inform you if there is any further follow up required. There are instances where your discharge letter can be posted to your home but you will need to wait if you have a prescription.

D DVDA child friendly DVD will be playing between the hours of 9.00am – 8.30pm. Please ask your nurse to see the DVD list. Your child may also request a DVD from the list provided. All the TVs in each room have a DVD channel.

F Food and formulaAll food and drink for patients is provided by the hospital. A menu is circulated each morning for you and your child to choose from. Please discuss any allergies for your child or yourself, so that appropriate meals are sent. Your child’s allergies will also be written on the whiteboard in your room. Please leave the completed menu with the health care assistant or your nurse.

Parents kitchen: Tea and coffee is provided in the parent’s kitchen. Please ensure all hot drinks have a lid which is provided. There is also a fridge provided in which parents are able to store their own food. Please label your own food. Frozen bread is provided in the freezer if you wish to have toast. There is also a toaster.

Approximate meal times Breakfast 8amLunch 12pmDinner 5pm

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FormulaWe provide ready-made formula. If your child has a specific formula, please bring it to hospital as we may be unable to source it ourselves. We do have a supply of bottle feeding equipment available including different sized teats and bottles.

Food for parents/caregivers A parent or caregiver is also provided with meals when staying with the child. There is a café located in the main entrance of the hospital as per the map . This is open from 8am until 4.30pm. There is a vending machine located just behind the café. There is also a vending machine located just before the maternity wards. Turn left outside the front of Rangatira and walk straight ahead. It is located about 20 metres away. Alternatively, opposite the hospital entrance on Lincoln Road there is a dairy, takeaway shop and bakery (See p14).

Rangitira

Volunteers

Maternity

Child Mental Health

Child Development

Outpatients

Radiology

Emergency Care Centre

Surgical Unit

Titirangi

Coronary Care Unit

Anawhata

Karekare

Duty Mgr

Audiology

Shared

Shared

SCBU

GD

3

Security / Fire

Orderlies

GD4

GD

2

GD1

Service Lift

GD

5

MAIN HOSPITAL ENTRANCE D EMERGENCYB ENTRANCE

A ENTRANCE

C ENTRANCE

Coffee Shop

Outpatients

Outpatients

WaitakereHospitalground floor

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G General information• Please bring your own nappies from home

• Please bring your own formula from home

• Please bring any regular medication your child may have into hospital.

• We will provide medications in hospital, however we cannot get some medications outside of regular hours.

• We would prefer if you could arrange childcare for your other children if your child will be in hospital for a few days.

H Hand washingHand washing is very important to prevent the spread of infection. Hand wash is provided as you enter the ward and dispensers are also located inside and outside all of the rooms.

I IsolationControlling the spread of infection is important for the wellbeing of all children on the ward. Some children require isolation to stop the spread of infection. There may be isolation signs placed outside your door. Your nurse will explain the requirements for your child.

I Infection prevention controlPlease ask family and whanau not to visit if they are unwell with a cold or tummy bug, or have had contact with anyone with an infectious illness. This includes measles, mumps, rubella, whooping cough or chicken pox in the last two to three weeks. If you or a family member has had a tummy bug (gastroenteritis), please do not visit for at least 48 hours after all symptoms have gone.

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K KitchenWe have a parent kitchen on the ward. This is a child free area where no children are allowed at any time. Your nurse will show you where the kitchen is located and you may also look on the p13 ward map. Our parent kitchen has a microwave, fridge, toaster, tea and coffee facilities and eating utensils. There are labels attached to the fridge which you can use to name your food. A table and chairs are provided if you wish to eat your meal in there.

L Linen cupboardsLinen cupboards are labelled and there are three located on the ward. Your nurse will show you where they are and the locations can also be seen on the p13 ward map. You may use what linen you need. Please be aware that linen supplies may run low on weekends and when the ward is full.

L Linen bagsEach room has a linen bag provided for dirty linen. Please inform your nurse when this is full so it can be emptied.

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M Maps Rangatira ward

A

B

C

D

E

F

G HG

I JHG

K LK

HG

HG

M N LINEN

P

Q

R S

U V

W X Y KITCHEN

T

LINEN

NURSE AND DOCTORS HUB

RECEPTION DESK

CHARGE NURSE

LINEN

NO EXIT

ENTRANCE/EXIT

PLAY ROOM

NO EXIT

TREATMENT ROOM

O

FEED ROOM

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MAT

ERN

ITY

UN

IT

MAIN BUILDING

LINCOLN ROAD

B ENTRANCE

C ENTRANCE

D EMERGENCY

A ENTRANCE

A ENTRANCE

G ENTRANCE

FENTRANCE MEDICAL

DAY STAY

PS

PS

PS

A ENTRANCE

B ENTRANCE

RANGATIRAWARD

HOSPITAL ENTRANCE FROM LINCOLN ROAD

ENTRANCE A FOR RANGATIRA WARD

(8AM TO 6PM)

OUTPATIENT PHARMACY(9AM TO 6PM)

MAIN HOSPITAL ENTRANCE C (ALL TIMES)

SHOPS AND RESTAURANTS

TO MOTORWAY

C ENTRANCE

M Maps Waitakere Hospital site map

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N NappiesPlease provide your own clothing and nappies for your baby/child. Please see your nurse if you are unable to or need support with this. Sometimes we will need to collect your child’s nappies. Nappy bins will be provided for you and your nurse will empty it for you.

O Outpatient pharmacyThe hospital outpatient pharmacy is located through Entrance C. Walk through the double doors and you will see the pharmacy on the left. Open hours are 9am -6pm, Monday to Friday. You can get your child's prescription filled before you go home. You may ask your nurse to fax the prescription to the pharmacy before you leave. You can then collect it on your way out of the hospital. There is no charge for children under 13.

P ParkingYou are provided with one free parking ticket per day, per 24 hours. We can provide a Waitemata DHB Congress Card to cover your parking requirements if your child stays in hospital for over one week. Please speak to your nurse if this is the case. Visitors will have to pay. All patient and visitor parking is clearly sign posted around the hospital grounds. You can pay for parking at the main entrance or main car park at rear of hospital. Please speak with your nurse if you are having problems with parking.

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P Public transportThere is a bus stop located directly outside the hospital grounds on Lincoln Road.

Q Quiet timeWe ask that you be mindful of your surroundings and keep noise to a minimum to help with children’s recovery in hospital. We want our ward to be a restful place. Please keep noise to a minimum so children who are resting are not disturbed.

P PlayroomOur wonderful children's playroom is filled with toys, children's DVDs and fun activities.

A supply of toys can be brought to your child's room if he/she is too unwell to move or needs to stay in the one place.

R Radio lollipopVolunteers from Radio Lollipop provide fun and entertainment for the children on Tuesdays and Thursdays between 6-8pm.

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R RoomsWe have rooms from A-Y. Some of our rooms are isolation single rooms. We also have two and four-bedded rooms. Only some rooms will have a toilet, otherwise there are toilet and bathroom facilities located in the corridors (see p13). Each bed space has a small locker provided.

Single room Double room

Four-bedded rooms Locker

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S StaffAcross from rooms B and C in the corridor is a staff tree on the wall. This has pictures of ward staff. The pictures that are pegged up will be the staff members who are on the current duty.

The pictures that are pegged will be the staff on duty that day/night.

The pictures that are pegged will be the current staff on duty for that day/night.

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1. Charge Nurse Manager (CNM) The CNM is Sarah Timmis and she is responsible for the nursing staff and the ward. The CNM is available to discuss any concerns you may have. The CNM works from 8am-4pm Monday-Friday and her office is situated across from the nurses’ station (see p13).

2. Medical team/doctors Paediatricians are children’s specialists and the doctors in charge of your child’s overall medical care. The Registrar is also a medical doctor who will come and see your child on ward rounds. Any interventions/ treatments or decisions concerning your child’s care will be made in consultation with the family/whanau and medical team.

3. Nurses Nurses are responsible for the day to day, immediate care of your child. Your nurse will introduce themselves and discuss a plan of care for your child. Nursing staff generally work 12-hour duties from dayshift 7am-7pm or night shift 7pm-7am. Each duty has an allocated coordinator who can assist if the CNM is unavailable. Please ask your nurse if you have any questions or concerns.

4. Health care assistants The HCA’s keep the ward well stocked with supplies. They assist the nurses where required. They will give out your meals and supply you with a menu to complete.

5. Ward clerk The ward clerk deals with all clerical duties and will take patient enquiries.

6. Play specialist The play specialist can help provide support and distraction during medical procedures.

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7. Physiotherapist The physiotherapist focus on posture, movement and physical skill needed for activity.

8. Speech-language therapist (SLT) Speech-language therapists (SLTs) support families where there are feeding difficulties and help with early communication. A paediatrician will assess your child first, and then refer to an SLT if necessary.

9. Lactation consultant Lactation consultants have specialist training in breastfeeding and lactation. They usually deal with more complex breastfeeding problems. Please talk to your doctor or nurse if you have concerns about your child's breast feeding.

10. Dietician Dieticians advise on nutrition, food or supplements needed for healthy growth.

11. Social worker Social workers support families to reduce stress and assist in managing family and community.

12. Interpreting service A sick child is difficult particularly if English is not your first language. It is important to us you understand your child’s diagnosis and treatment. An interpreter will be requested if one is required.

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S SmokingWaitakere Hospital is smoke free. Please talk to your child's doctor or nurse if you wish to become smoke free. There is nicotine replacement therapy we can offer you. Information is on the wall outside the playroom.

S SecurityWaitakere Hospital has an active 24-hour security service. Please notify ward staff if you have any concerns about any security issues.

T TelephonesThere are phones available for local calls in all single rooms.

A phone for local calls is available in the Parent Kitchen for those in the four-bedded rooms.

Dial 1 first then the number you want to call.

Talk to staff if you want to make urgent cell phone or toll calls.

T TelevisionEvery room is provided with a television. We do not have remotes for all the televisions. The controls are located at either the front or back of the television. Staff can show you if required.

Please be considerate of others if you are in a shared room. We ask that in the shared rooms the television is switched off by 8.30pm to allow the children to rest.

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V VisitingWe welcome parents and caregivers. For the comfort of your child we ask that one parent/caregiver remains with your child and one parent/caregiver overnight. Please speak with your nurse if there are any issues.

All other visitors may visit between 8:00am and 8:00pm; however during ward rounds it is best for only parents and caregivers to be present. Entry after 8:00pm is by the Emergency Entrance of the hospital only.

Children are allowed to visit and need to be supervised by an adult at all times. Please ask friends and family not to visit if they are sick themselves.

V ValuablesWe ask that you keep anything of value at home as we do not have any storage areas to keep valuables. You are responsible for your own valuables. Staff do not take any responsibility for valuables that are brought onto the ward.

W Ward roundsWard rounds start between 8.30am-9.00am each day and continue until every child has been seen. The medical team and nurses will make a plan with you during this time so that you know what will be happening with your child.

W WiFiHospital Hotspot - this provides internet access via your own device for patients and visitors. This service is free of charge.

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Y You can have your sayWhat you think matters to us. It would be great to have your feedback before you are discharged. We have a questionnaire that staff can provide you on our ward tablet or you can write on a post card which is provided in your admission pack. Your answers remain private and confidential. We would appreciate your feedback.

Z Zero tolerance to violenceWe hope that all our families have a positive experience during their hospital admission. We have a hospital policy ‘zero tolerance for violence, abusive behaviour and abusive language’. This includes everyone. We thank you for your cooperation.

Classification number: 010-02-23-002 (Review date: March 2020)