1. ADMISSION TO HOSPITALHow to Get Here............................................................7Parking...........................................................................7Admission Date and Time.............................................8Consent .........................................................................8What to Bring.................................................................8

2. HOSPITAL STAYAccommodations ..........................................................9Overnight Accommodations for Families......................9Valuables .....................................................................10Hospitalization Charges ..............................................10Transitional-Care Charges...........................................10Your Care Team ...........................................................11Visiting Hours ..............................................................11Spiritual Needs ............................................................11Information About Patients..........................................12

3. SERVICESCafeteria ......................................................................13Telephones and Telephone Lines ...............................13Televisions ...................................................................14Electrical Appliances, Computers ..............................14Patients’ Committee.....................................................14Health Information for Patients and Families ..............14Ombudsman................................................................15Private Duty Nurse ......................................................15Interpreters ..................................................................15Volunteer Groups.........................................................15Newspapers ................................................................15Banking Machine.........................................................16Mail ..............................................................................16Hairdresser/Barber ......................................................16

4. SAFETY AND SECURITYLeaving Your Room .....................................................17Fire Precautions...........................................................17Smoking.......................................................................17Accidents.....................................................................17Lost and Found ...........................................................18

5. LEAVING THE HOSPITALContinuing Care ..........................................................19Check-out ....................................................................19Follow-up Appointments .............................................20

The Future MUHC...........................................................21The McGill University Health Centre Foundation........22The Montreal Neurological Institute .............................23

TABLE OF CONTENTS

Welcome to the McGill University Health Centre

The Montreal Neurological Hospital

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Important Telephone* and Room Numbers:*Within the Hospital, for numbers starting with 398, dial only the last four digits.

Telephone

Main Line ..................................................................398-6644Information and long distance assistance: ..............398-5542

Accounting Office

Inquiries: ............................................934-1934 local 42732Payment: ..........................................934-1934 local 34627 Office of the Patients’ Cashier: ..............Royal Victoria Hospital .........................................Main Floor near the Information Desk

Admissions Office: ..................................398-1900, Room 165C

Café Neuro: ...................................................398-1926, 3rd floor

Hairdresser/Barber: 934-1934 local 34834 (Royal Victoria Hospital)

InfoNeuro: Neuro-Patient Resource Centre: 398-5358, Room 354

Laundry Service (private): ...........................................398-1926Lost and Found: ...........................................................398-5542McGill University Health Centre Foundation: ...............931-5656Neurological Day Centre: ...........................398-1986, Room 238

Ombudsman: ...............................................................934-8306Parking Office: .............................................................398-4559Pastoral Service: ....................................934-1934 local 34163

Patients’ Committee: ....................................................398-5358Quiet Room, Meditation and Prayer Room: ...................Room 445

Security Services: ........................................................398-5542Social Service Department: ........................................ 398-1916Volunteer Group: Friends of the Neuro: .......................398-1923Wards:

Intensive Care Unit: .................................................398-19214th Floor South: ........................................................398-19844th Floor North-East: ................................................398-19853rd Floor South: ........................................................398-19833rd Floor North: ........................................................398-19873rd Floor East: ..........................................................398-1988

The Montreal Neurological Hospital3801 University StreetMontreal, Quebec H3A 2B4 www.muhc.ca

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WELCOME TO THE MCGILL UNIVERSITY HEALTH CENTRE

Welcome to the McGill University Health

Centre, one of the most comprehensive

academic health centres in North America.

The MUHC is a merger of five teaching hospi-

tals affiliated with the Faculty of Medicine at

McGill University—the Montreal Children’s,

Montreal General, Royal Victoria, and

Montreal Neurological hospitals, as well as

the Montreal Chest Institute. Building on the

tradition of medical leadership of the founding

hospitals, our goal is to provide patient care

based on the most advanced knowledge in

the health care field, and to contribute to the

development of new knowledge. We are

proud of the reputation for excellence of our

clinical programs, research and teaching

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THE MUHC AT A GLANCE:• The six clinical missions of the MUHC: The

Montreal Children’s Hospital, Medicine (includingEmergency Medicine), Surgery, Neurosciences,Mental Health and Women’s Health

• Each year, the MUHC receives over 800,000 ambu-latory visits, including emergency department visits, and over 35,000 inpatient stays

• There are over 1,000 physicians and 13,000 health-care and other personnel working at the MUHC

• Each year, close to 2,000 people train at the MUHC,including some 815 medical and surgical residents, 150 medical students, 800 nurses and hundreds of allied-health students

• The Research Institute of the MUHC is the largest medical and life sciences research facility of itskind in Canada

The decision by the five partner hospitals to cometogether under one administrative structure was thefirst step in our plans to build a new health centre (seepage 21). This new centre will ensure that the McGillhospitals continue to provide the very best in patientcare, teaching and research.

This booklet is directed to our patients and their fam-ilies. It contains all the necessary information to makeyou feel as comfortable as possible during your hos-pital stay. Should you not find the answer(s) to yourquestion(s) on the following pages, please feel free tocall the MNH main number (514-398-6644) or to ask amember of our dedicated staff for help. It is importantfor us to make sure that you and your families are aswell informed as possible.

THE MONTREAL NEUROLOGICAL HOSPITALThe mission of the Montreal Neurological Hospital isto advance the understanding of the nervous systemand to prevent, treat and cure neurological diseases. The Neurological Hospital strives for excellence in clinical care, research, and teaching. It pursuespartnerships with the local, national and internationalcommunities. It is committed to carrying out its mission, while respecting human dignity and with thehighest ethical standards.

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HOW TO GET HEREThe main entrance to the hospital is at 3801University Street, located north of Pine Avenue. Carsor taxis may pull up to the main entrance and drop offpassengers.

Handicapped Access: Handicapped entrancesare north of the main entrance on University Street, or through the ambulance entrance at the rear of thehospital.

Bus and Metro: The nearest metro station is McGillon the green line, which is located at the corner ofUniversity Street and de Maisonneuve Boulevard. It will take you approximately 15 minutes to walk from the McGill Metro station to the main entrance of thehospital.

Convenient bus stops are:

• #144 at Pine Avenue and University Street • # 535 at Parc Avenue and Prince Arthur Street • #107 at Pine Avenue and Doctor Penfield Street• #24 at Sherbrooke Street and University Street

PARKINGParking near the hospital is limited. There is a park-ing lot north of the main entrance on University Streetand the rate is approximately $14 per day. Limitedmetred parking is also available on the west side ofUniversity Street.

Reserved areas and signage must be respectedat all times. Individuals who do not respect the no-parking signs may be ticketed or have their cartowed.

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1. ADMISSION TO HOSPITAL

ADMISSION DATE AND TIMEThe Admissions Office (398-1900) will attempt to pro-vide you with as much notice as possible of youradmission date. In some cases, your admission datemight be delayed on short notice, and you might beasked to return home or to make arrangements foraccommodation in Montreal until a bed is available.

The Admissions Office will also inform you of whattime you should arrive at the hospital. Upon arrival,you should register with the Admissions Office inroom 165C on the ground floor near the InformationDesk.

CONSENTAt the time of admission, you will be asked to sign ageneral consent form for treatment and tests. Forpatients under the age of 14 years, the person withparental authority will be asked to sign on thepatient’s behalf. For patients who are incapacitated,the curator, spouse, tutor or close relative may signthe consent form. For further information, contact theSocial Service Department (398-1916) or the Officeof the Public Curator (873-4074).

At the same time, you will be asked whether ornot you agree to release medical information toyour insurance company and/or to referring doctors, hospitals or clinics. You can choose notto release information outside the hospital. Pleasebe assured that the refusal to release informationwill in no way influence the quality of the treatmentyou will receive.

WHAT TO BRINGAlthough the MNH provides hospital gowns, you mayfeel more comfortable in your own pyjamas/clothing,housecoat, and slippers/shoes. You should bring atoothbrush, toothpaste, tissues, shaving items, soap,skin lotion, sanitary supplies and other personal carearticles. Since storage is limited, you are asked notto bring large suitcases.

You should also bring your valid Medicare card,Montreal Neurological Hospital card (if you alreadyhave one), and proof of personal insurance ifrequesting a private or semi-private accommodation.

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ACCOMMODATIONSThere are three types of accommodations:

• Multiple-bed units• Semi-private rooms (two beds per room) • Private rooms (one bed per room) If the accommodation you prefer is not immediatelyavailable, we will try to provide it as soon as possible.

At the time of admission you should let theAdmissions Office know what type of accommodationyou prefer. If you request a semi-private or privateroom, you will be asked to make an advance depositequal to seven days payment, unless your personalinsurance covers this additional expense. In thiscase, please bring proof of your insurance with you.

If you wish to change your accommodation afteryour admission, please ask your primary nurse to forward the request to the Admissions Office.

OVERNIGHT ACCOMMODATION FOR FAMILIESShould a family member need to stay overnight, a cotcan be set up in the patient's room or in a nearbyfamily room. If family members are from out of townand need to find accommodation, the AdmissionsOffice (398-1900) or the Social Service Department(398-1916) can provide you with a list of hotels indowntown Montreal.

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2. HOSPITAL STAY

VALUABLESPlease do not bring any items of value. If you do, youwill be asked to turn them over for safekeeping or tosign a form, which releases the hospital of anyresponsibility. If a theft or a loss occurs, you shouldimmediately make a report to your nurse. While mostpeople wear their wedding rings, they should leavevaluable watches, precious jewellery, cash, and cred-it cards at home. Only bring enough money to pay forthe phone or television service or for incidental items.

When not in use, dentures, eyeglasses and hearingaids should be placed inside your bedside table incontainers provided by the hospital.

HOSPITALIZATION CHARGESFor Quebec residents with a valid Medicare card,hospitalization charges and outpatient services are fully covered, except for costs related to semi-private or private accommodation.

In accordance with an agreement between allCanadian provinces, patients from other provinceswith a valid Medicare card from their home provinceare also fully covered, except for costs related tosemi-private or private accommodation.

Patients from any other country and Canadian residents without a valid Medicare card are responsiblefor all hospitalization expenses and professional feesfor services. They must make an advance depositequal to seven days payment upon admission tocover the hospitalization charges. They will alsoreceive a bill for professional services.

The advance deposit can be made at the Office ofthe Patients’ Cashier, which is located in the RoyalVictoria Hospital on the Main Floor, near theInformation Desk.

For all inquiries concerning your account, contactthe Accounting Office during normal office hours(934-1934 local 42732).

TRANSITIONAL-CARE CHARGESThere is a daily hospitalization charge for patientswho no longer require active medical treatment buthave been identified as needing long-term care.These charges have been determined by the Ministryof Health and Social Services. Your doctor will adviseyou of this change of status and the AccountingOffice can provide more details.

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YOUR CARE TEAMA variety of professionals will be involved with yourcare. Within 24 hours of admission, you will be designated a primary nurse who will care for you andbe responsible for the coordination of other health-care staff. He or she should be your first contact ifyou have questions about the care provided to you.

The Montreal Neurological Hospital is a teachinghospital so students from a variety of health-caredisciplines may be involved in your care. Shouldyou have a concern about their services or the serv-ices provided by any other health-care professionalof the hospital, please talk to your primary nurse.

VISITING HOURSWe have a flexible visiting policy that acknowledgesthe importance of family and visitors. At times, thenursing staff may limit visiting in the best interest ofthe patient.

SPIRITUAL NEEDSThe Pastoral Service (934-1934, local 34163) offersspiritual, emotional and religious support to patientsand their families. Chaplains provide a caring pres-ence during times of stress and will support you andyour families in coping with illness or grief. This serv-ice is confidential, non-denominational and bilingual.Chaplains are present in the hospital daily from 9 a.m. to 5 p.m. In emergencies, they are available24 hours a day and can be reached through yourprimary nurse.

The Quiet Room and adjoining Meditation andPrayer Room are located on the 4th floor (room 445).Everyone is welcome to make use of this space regard-less of his or her religious tradition or denomination.

• Muslim prayers are held in the Quiet Roombetween 1 p.m. and 2 p.m. from Monday toThursday;the Meditation Room remains available forothers at these times.

• Roman Catholic mass is held at the Royal VictoriaHospital chapel (H4.79) on Tuesdays, Wednesdaysand Fridays at 12:05 p.m. Liturgy of the Word withCommunion is held on Mondays in the samechapel at 12:05 p.m.

• Everyone is welcome to the ecumenical prayerservices held in the Royal Victoria Hospital chapel(H4.79) on Thursdays at 12:05 p.m.

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INFORMATION ABOUT PATIENTSAs a family member, you may call the hospital Wardat any time (day or night) for information about yourrelative. For security and confidentiality reasons,information can be relayed only to the immediatefamily. Please choose a spokesperson who will gather information and pass it on to other familymembers.

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CAFETERIAThe Café Neuro coffee shop (398-1926) is located onthe third floor and sells meals and snacks. It is opento patients and visitors during the following hours:

• 7 a.m. to 8 p.m., Monday to Friday• 7 a.m. to 7 p.m., Saturdays, Sundays

and most statutory holidays A cafeteria and vending machines are available

at the Royal Victoria Hospital. They are accessible viathe third-floor bridge connecting the MontrealNeurological Hospital with the Royal Victoria Hospital.

TELEPHONES AND TELEPHONE LINESAll patient rooms are equipped to provide telephone service. Do not bring in your own telephone.

You are not permitted to use cellular phones orany other device transmitting radio frequenciesinside the hospital or to connect any devices suchas computer modems or fax machines to the tele-phone jack since they might interfere with certainmedical equipment. Please note that our staff mayuse wireless telephones specifically designed tooperate in a hospital environment.

Local calls and toll-free calls can be made from yourroom by dialling "9" followed by the phone number.Long-distance calls can be placed from the payphones or through the hospital operator (398-5542),and must be made collect or charged to your tele-phone credit card or pre-paid calling card.

Pay telephones are available on each floor.

When calling within the hospital, simply dial the lastfour digits of the number (not the "398" exchange).

Defective telephones: please inform your primarynurse.

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3. SERVICES

TELEVISIONS You may rent a television for a daily or a weekly feefrom a private company. Please ask your primarynurse to help you arrange for this service. Forms areavailable on each floor. It is your responsibility to paythe company directly.

ELECTRICAL APPLIANCES, COMPUTERS For safety reasons, you are asked not to bring electri-cally powered appliances such as electric blankets,heating pads, hair dryers and curlers. Battery operatedappliances are permitted.

Only battery operated computers may be used inthe hospital. You are not allowed to connect yourcomputer to the telephone jack of your room.

As for all other valuables, you are responsible forthe safekeeping of your appliances.

PATIENTS’ COMMITTEEThe Patients’ Committee (398-5358), which consistsof a majority of patients and former patients, advisethe hospital's administration and other hospital committees of the patients’ points of view. They actas the patients’ voice on health care and the servic-es provided. They also inform you of your rights andresponsibilities as a patient. During your stay, a committee representative might visit you in order toexplain the variety of services offered. Patients canalso request a visit.

INFONEURO: HEALTH INFORMATION FOR PATIENTS AND FAMILIESPatients, families, caregivers and friends haveaccess to a broad range of reference documents andhealth information at the Neuro-Patient ResourceCentre. It is staffed by a reference librarian. You mayvisit the Centre during the weekdays in room 354, orrequest information by calling 398-5358 at any time.The Centre has a computer that can be used by patients and their families, and has an internetconnection for laptops. The Centre’s website is:www.mni.mcgill.ca/neuropatient/index.html andthe e-mail address is: infoneuro@muhc.mcgill.ca.

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OMBUDSMAN The MUHC has three ombudsmen (MNH, 934-8306)to assist patients and their families by investigatingand helping to resolve complaints. Acting as aresource to staff, the ombudsmen are available tohelp those who may have questions about patients’rights or help those who need advice to help resolvea conflict. The patient complaint system is governedby Québec law.

PRIVATE DUTY NURSEWith your doctor's approval, you may hire privatenursing staff through the nursing office. The fee forsuch services is your responsibility.

Private duty nurses must work under the directionof the nursing staff on the unit but they may not bepermitted in some specialized care areas. Pleasediscuss this with the primary nurse.

INTERPRETERSInterpreters are available if patients are unable tospeak French or English, or if their comprehension ofthese languages is limited. An interpreter may berequested on the patient’s behalf by the staff caringfor them.

VOLUNTEER GROUPS The Friends of the Neuro (398-1923) are volunteerswho circulate a cart with a variety of personal itemsand reading material you might need during yourstay. They also help at clinics, visit patients, andassist with general decorating in the hospital.

In addition, from time to time, McGill StudentVolunteers will provide social and recreational activities.

The Friends of the Neuro organize numerousfundraising activities throughout the year. The moneyraised, together with the proceeds of the Café Neuro,is used to meet direct patient care needs. To make adonation, call 398-1923.

NEWSPAPERSVending machines with local English and Frenchnewspapers are located on the second floor. TheFriends of the Neuro also sell newspapers on thehospital carts.

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BANKING MACHINEAn automatic banking machine is located on the thirdfloor of the Royal Victoria Hospital, adjacent to thevending machine area. It is accessible via the third-floor bridge connecting the Montreal NeurologicalHospital with the Royal Victoria Hospital.

MAILAll correspondence for you should bear your fullname, floor and room number if possible. It is a goodidea to include your maiden name, if applicable.

e.g. Mrs. Marg Benoit Doe

The Montreal Neurological Hospital3rd Floor, Room xx 3801 University StreetMontreal, Quebec H3A 2B4

Mail arriving for you after you have left will be forwarded to the address that you provided onadmission or it will be returned to the sender.

HAIRDRESSER/BARBER Appointments with a hairdresser or barber can bearranged on Tuesdays and Thursdays by calling thesalon (934-1934, local 34834), or through your primary nurse. The salon is located in the RoyalVictoria Hospital, but the hairdresser or barber canalso come to your room. Wigs are available. You areresponsible for the cost of this service.

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LEAVING YOUR ROOMShould you wish to leave your ward, please let yournurse know. The primary nurse must know where youare at all times.

FIRE PRECAUTIONSFor the safety of patients and staff, fire drills are heldregularly. If a fire drill occurs during your stay, pleasefollow the instructions of your primary nurse. Patientsshould wait in their room until the primary nursecomes and tells them what to do.

SMOKINGSmoking is not permitted in the hospital.

ACCIDENTSAll accidents/falls must be reported to a staff member.Each incident will be investigated.

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4. SAFETY AND SECURITY

LOST AND FOUNDThe hospital Security Services (398-5542) operates aLost and Found service. Should you lose any of yourpersonal property, please let your primary nurseknow and she will contact the Lost and Found foryou.

Should you believe that any of your personal itemshave been stolen, please report the theft immediatelyto your primary nurse.

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CONTINUING CAREYour doctor will inform you when he or she believesthat you no longer need to stay in the hospital foractive treatment, and will let you know the day of yourdischarge or of your transfer to other facilities.

If you are allowed to return home, but require support treatment and care at home, your nurse anddoctor will help you make arrangements if necessary.

CHECK-OUTOn the day of your discharge, you will be asked tocheck out by 11 a.m. If you are unable to leave thehospital by this time, you can wait in the patients’ sitting room located on each floor. If there are outstanding charges, you should make paymentbefore you leave at the Office of the Patients’ Cashier,which is located in the Royal Victoria Hospital on the Main Floor, near the Information Desk. You maypay by cash or credit card in person, or by telephone(934-1934, local 34627).

Please be sure to take all of your possessionswhen you leave. If your primary nurse has placedyour valuables in the Office of the Patients’ Cashier,you should claim them during the office businesshours, Monday to Friday, 8:30 a.m. to 12 noon and 1 p.m. to 4:30 p.m.

If medications have been stored for you by thehospital, you may take them home but you shouldcheck with your doctor or nurse to determinewhether your prescription remains the same.

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5. LEAVING THE HOSPITAL

FOLLOW-UP APPOINTMENTSYour doctor may request that you return to a clinic atthe hospital for a follow-up appointment. Before youleave, ask the nursing staff to tell you who you shouldcontact in order to make this appointment. If you areunable to keep your appointment, please contact thesame number to cancel it.

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THE FUTURE MUHCCurrently located on five sites, the MUHC is in theplanning phase for a new health centre that will bringmost of our patient care and academic activitiestogether on one 43-acre campus located in the central area of Montreal on the boundaries ofWestmount and Notre Dame de Grace, and at the Montreal General site downtown. The new healthcentre—scheduled to open in 2010—will be designedto the highest standards of hospital construction. It willprovide a comfortable, modern, healing environmentwith the capacity to accommodate the latest medicaltechnology.

At the hub of the new health centre will be its adulttertiary and quaternary care services, including traumaemergency and neurosciences. A children’s hospital,women’s health care and the MUHC Research Institutewill also be located at the new site. The MUHCGeneral Hospital site will provide general medical,surgical and emergency services and it will be the principal site for mental health, geriatrics and palliative care.

For more information about our plans for the rede-velopment of the MUHC, please visit our website:www.muhc.ca

Financing for this project will come from provincialand federal governments, and private contributions.Should you wish to make a contribution, please contact the McGill University Health CentreFoundation at (514) 931-5656 (see page 22).

THE NEW MUHC SITE

THE MCGILL UNIVERSITY HEALTH CENTRE FOUNDATIONThe McGill University Health Centre Foundation iscurrently undertaking one of the most dramatic andcritical health sector capital campaigns ever to beheld in Canada. Their goal is to raise funds to sup-port the creation of the new health centre at the GlenYards site. At the same time, they are working coop-eratively with the existing hospital foundations toensure that funding is available to meet the annualneeds of each of the MUHC hospital sites.

Your donation to the MUHC Foundation is a generousphilanthropic gift to your community and an investmentin the future. Please contact the MUHC Foundation forfurther information on how you can get involved in theMUHC capital campaign.

Tel: (514) 931-5656E-mail: foundation@muhc.mcgill.caWebsite: www.muhcfoundation.com

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THE MONTREAL NEUROLOGICAL INSTITUTEThe Montreal Neurological Institute (MNI) is a teachingand research institute of McGill University. It wasfounded in 1934 by Dr. Wilder Penfield, an eminentneurosurgeon known for his groundbreaking work inepilepsy. Penfield’s farsighted vision was to create aneurological centre that would provide the mostadvanced treatment of diseases of the nervous system as well as a venue in which basic and clinicalscientists would work together to uncover fundamentalprinciples governing nervous system function and disease. Supported by the Rockefeller Foundation,with additional funds from McGill and the Province ofQuebec, Penfield’s model for medical research waspioneering in its day and has been emulated eversince.

The MNI and its clinical partner, the MontrealNeurological Hospital (MNH), collectively nicknamed"the Neuro," afford a unique setting that seamlesslyinterweaves research, patient care, and training. Inthis environment, clinical and basic-science facultywith differing skills learn from each other and worktogether toward common goals. Disease-orientedstudies inspired by the clinical setting extend fromthe molecular-cellular level through the diagnosis andtreatment of patients; conversely, daily associationwith neuroscientists helps shape the high-qualitypatient care for which the hospital is known.

The MNI’s research and clinical staff consists ofapproximately 80 faculty members, all of whom holdappointments in McGill’s Faculty of Medicine.Research activities are coordinated in eleven separateyet interconnected research units. Each group com-prises researchers with diverse research interests orclinical specialties. Their wide variety of skills permitsa multi-disciplinary approach to investigations. Inaddition, both the MNI and MNH are training centresfor upwards of 150 McGill graduate students, post-doctoral fellows, and medical and surgical residents.

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In research and in the diagnosis and treatment of neurological disorders, the Neuro draws upon a complete array of contemporary technology,including cellular and molecular biological methods,sophisticated microscopy, magnetic resonance scanning, computed tomography scanning, positronemission tomography, magnetic resonance spec-troscopy, magnetic resonance angiography, electroen-cephalography, and computer-guided stereotacticneurosurgery.

Research Groups at the MNI:

Brain Tumour Research Centre

Cell Biology of Excitable Tissues

Centre for Neuronal Survival

Clinical Research Unit

Cognitive Neuroscience

Complex Neural Systems

Epilepsy

McConnell Brain Imaging Centre

Neuroimmunology

Neuromuscular Research

Neurosurgical Research

For more information, please visit our website:www.mni.mcgill.ca or call (514) 398-1958

To be included in our mailing list for special lectures andevents, please contact:communications.mni@mcgill.caor call (514) 398-1958

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MUHC Public Relations and CommunicationsDesign & Production: Imagellan communications inc. Photos: François Brunelle, Pierre Théroux