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Patients, relatives & carersWelcome PackBognor Regis War Memorial Hospital:• DonBainesWard • LeslieSmithWard

CourtesyofBognorRegisObserver

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WelcometoBognorRegisWarMemorialHospitalThisinformationpackhasbeendevelopedasaguidetoourin-patientwardsandtohelpansweranyquestionsyoumayhave.Allourstaffwelcomeyouandwehopeyourstayherewillbeapositiveone.

AboutthewardsDonBainesWardandLeslieSmithWardare24beddedrehabilitationwards.Ouraimistoprovideaservicetomaximiseyourabilityto liveasindependentlyaspossibleandtoget youbackhome,whenitissafetodoso.

Wewillworkwithyouonyourrehabilitationgoalsfollowingyourillness/injurytoregain yourindependenceandusefulactivity.

Thewardsaredividedinto4bays,2with6beds,1with5beds,1with3bedsand4siderooms.Thesideroomsarecommonlyrequiredtotreatandisolatepatientswithinfections. Weareunabletoprovideprivatefacilities.

Ouraimistoassistyouto:• Meetyourindividualneeds.

• Restore,maintainorimproveyourdailylivingskills.

• Promoteyourindependence.

• Involveyouandanyappropriatefamilymembers/carersinyourrehabilitationanddischargeprocess(returningbackhome).

• Respectyourdignity,privacyandrights.

• Providepatientchoicewithpalliativeandendoflifecare.

PhilosophyWeaimtoprovideservicestoimproveyourhealthandwellbeing,usingthebestevidencetoensurequalityandsafety.Wewillworktogetherwithknowledgeandskillstomeetagreedtreatmentplans.Wetreateveryonewithdignity,respectandkindness.

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Rehabilitationstaff

Themulti-professionalrehabilitationteamconsistsof:

• Ward manager and ward sister–Thesearethemostexperiencedandseniornursesontheward,theymanageandoverseeresourcesandensurethecareofpatientsismaintainedthroughnationalguidelines,policiesandprocedures.

• Staff nurses–Areregisterednurseswhoplanandevaluateyourcareandsetyourrealisticandachievablerehabilitationgoalswithyouandthetherapists.

• Healthcare assistants–Supporttheregisterednursesandtherapistsindeliveringandimplementingyourcare,andassistingyouinachievingyourgoals.

• Medical cover –AdoctorisbasedonthewardMondaytoFriday9amto5pm.Outsidethesehoursthewardiscoveredbythe on-calldoctor.

• Associate specialist –Asenior,experienceddoctorwhoadvises,mentorsandsupportsjuniorstaff.

• Consultant physician –Workwiththemulti-professionalteamtwiceaweektoreviewpatientsontheward.TheyarebasedatSt.RichardsHospital.However,ifamedicalemergencyshouldoccur,youmaybetransferredtoSt.RichardsHospitalforinvestigationsandtreatment.

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• Physiotherapist and occupational therapist –Thetherapistandnursingteamworkcloselytogether,ensuringcontinuityofcareandrehabilitation,enablingyoutoachievethe goalsset. • Ward clerk–Provideadministrativesupportforthewards.

• Social worker–Individualscanbereferredtoadultserviceswhowillassess,andensurecarerequirementsaremetondischarge.Theyprovidesupportandadvicetoindividualsandfamiliesifrequired.

• Speech and language therapist–Willassessyouiftheteamareconcernedaboutyourabilitytoswallowfluidsandfoodsafely.Theymayrecommendthatyourdietandfluidsaremodified.

• Dietician–Willassessyouifyouhavelostweightorhaveareducedappetite.Theymayrecommendnutritionalsupplements.

•Housekeeper –Supportstheteamandpatientsbyprovidingrefreshmentsandoverseesthemenuselectionandspecialistdietsforpatients.

UniformsYouwillseemanydifferentmembersofstaff.Hereisalistoftheirtitlesandtheuniformstheywillwear:

Matron Charcoaltunicwithstripesandblacktrousers.

Ward manager Navybluetunicandnavybluetrousersornavybluedress.

Ward sisters Navybluetunicandnavytrousersornavybluedress.

Staff nurses Skybluetunicandnavybluetrousersorskybluedress.

Healthcare assistants Palebluetunicwithnavytrousersorpalebluedress.

Student Nurses Whitetunic/bluepinstripeandblacktrousers.

Physiotherapists Whitetunicandnavytrousers.

Occupational therapists Whitetunicanddarkgreentrousers.

Ward clerk Navyprintedshirtandnavytrousers.

Housekeepers Palegreenuniform.

Facilities staff Palegreenuniform.

Duetoinfectioncontrol,doctorsandsomeotherstaffnolongerwearwhitecoats.Allstaffshouldbe‘barebelowelbow’(i.e.nolongsleevesbracelets,jewelleryorwristwatches).Staffshouldbeobservedwashing/gellingtheirhandsbefore/aftereachpatientcontact.

Individualsshouldhaveclearcliponidentitybadges,nolanyards.

Ifatanytimeyouareunsureofaperson’sidentity,pleaseasktospeaktothenurseincharge.

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Admissiontotheward

Assessmentbymembersofthe

rehabilitationteam

Developdischargeplanandset

datefordischarge

Weeklyprogressreviewmeeting

Homevisit/environmentassessmentifrequired

Reviewforcarepackage/equipmentrequirements(Ifindicated)

Dischargewithappropriateidentifiedsupport

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RehabilitationprocessYourstayonthewardwilltypicallyinvolvethefollowingpathway:

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Dailytimetable

Approximate time Activity07.00to07.30 Earlymorningtea08.00 Breakfast(protectedmealtime)09.00–onwards Youwillbeencouragedtocompleteyourpersonalcareindependently

orgivenappropriateassistance10.00to12.00 Selecteddays-consultantwardroundfollowedbymulti-disciplinary

teammeeting.10.30to11.00 MidmorningcoffeeMorningtherapy Youwillbeencouragedtoparticipateintherapysessionsandmoveinto

theDayRoomareaforlunch12.15to13.15 Lunchisservedinthediningarea(protectedmealtime)Afternoontherapy Youwillbeencouragedtoparticipateintherapysessions14.00to16.30 Afternoonvisiting(pleasecheckwithwardmanagerrevisitingtimesas

theymaydiffer)15.00 Afternoontea17.00to18.00 Supperisserved(protectedmealtime)18.00to19.30 EveningvisitingEvening Preparationforbedtime20.30 NighttimedrinksNight Therearethreestaffondutytoassistyouandhelpyouachieve

yournighttimegoals

PersonaltherapyDuringyourstayyouwillbeencouragedtodoasmuchforyourselfaspossible,staffwillassistwithactivitiesthatyouneedhelpwith.

Youareexpectedtodressindayclothes(wehavealimitedselectionavailableuntilyourownarebroughtin),youwillrequirewashitems,includingsoap,flannel,toothbrush,toothpasteanddeodorant.

Washinganddressingideallytakesplaceinthebathroomsratherthanatthebedside.Washareas

areallocatedforbothmaleandfemaleuse.Shouldyoubeunabletostandforanyreason,wehavearangeofmanualhandlingequipmentthatwecanusetoensureyoursafetyandthatofthestaff.

Althoughyouwillbeseenregularlybyaphysiotherapist,thetherapycontinueswiththenursingstaff.Eachtimeyougetinandoutofbed,walktothetoiletorsimplysitupinbed,isconsideredtobetherapy. Yourlengthofstayonthewardwilldependonhowquicklyyouareabletoachievethegoals

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setforyouinconjunctionwiththerehabilitationteam.Ouraimistodischargewithin21daysofadmission.

Ifgoalsarenotachievableoryouarenotabletoparticipateinactiverehabilitation,wewillassistyoutoarrangesuitablecareinyourhometomeetyourneeds,asyouwillbeunabletoremainontherehabilitationunit.

StudentnursesThewardiscommittedtoprovidingapositivelearningenvironmentforstudentnurses,andworkexperiencestudents.

PropertyProperty,valuablesandcashshouldbekepttoaminimumduringyourstayinhospital.Anyproperty,valuablesorcashnothandedovertotheTrustwillbeheldatyourownrisk.

Pleaseadvisestaffifyouhavedenturesorahearingaid.Whennotinusetheseshouldbekeptinacontainerorinyourlocker.

Youmaywishtokeepasmallamountofcashforthetrolleyshopwhichvisitsthewardthreetimesaweekandsellssweets,drinks andtoiletries.

Ifanybodybringsinmoneyoritemsthatyoucherishpleasenotifyamemberofstaffsothattheycanbeaddedtoyourpropertyform.

LaundryAsthelaundryfacilitiesatthehospitalareverylimiteditisexpectedthatfamily/friends/carerswillberesponsibleforlaunderingpersonalclothes.Thelaundrywillbeavailableforcollectioninapatientpropertybaglocatedinthebedsidelocker.

Duetoinfectioncontrolstaffarenotallowedtowashoutfaecalsoiledclothes.

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FoodandnutritionWeaimtoprovideprotectedmealtimeswhenallunnecessaryactivitiesonthewardwillstop.Visitorswillnotbeadmittedatthistime,unlesswithprioragreementwiththeseniornurses,norwillpatientsbeabletotaketelephonecalls.

Ifthesearrangementscausedifficultiesforyourfamily,pleaseaskthemtodiscussthiswiththenurseincharge.

Thehousekeeperwillprovideyouwithamenueachmorningforyoutochoosewhatyouwouldliketoeatthefollowingday.

Ifyouhaveaparticulardietorreligiousrequirementthekitchenwillcaterforthis.

Lunchisservedinthediningarea.

Youwillbeservedhotdrinksatintervalsduringthedayandwillalsohaveajugofwaterwhichischangedtwicedaily.

Unfortunately,duetofoodhygieneregulations,weareunabletostorefoodbroughtinfromhomeinthewardfridge.Wewouldsuggestthatanyfoodbroughtiniseatenimmediately.

Ifyouneedtoattendout-patient’sappointmentsorinvestigationsatanotherhospitalwewillprovideyouwithalunchpack.

Whilstinhospitalyouwillbeweighedweekly.Ifyouloseweightorareobservedtohavereducedappetiteyouwillbereferredtothehospitaldietician.

MealtimesBreakfast 08.00

Lunch 12.15

Supper 17.00

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VisitingarrangementsVisitorsarewelcomeduringyourstay.Thefollowingpointsareonesthatyouandyourvisitorsmayliketoconsider:

Youareatarehabilitationward.Therefore,considerationmustbegiventoyourrehabilitationprogrammeandvisitsfromthedoctors,nursesandtherapists.

Thewardoperatesprotectedmealtimesandhoursforvisitingarelistedbelow.

Wedoaskvisitorstoconsiderotherpatient’swithregardstotheirprivacyandresttimes.

Ifthefirealarmsareactivated(orinanyothercrisissituation),weaskyouandyourvisitorstotakeadviceandinstructionsfromstaff.

Childrenvisitingmustbeaccompaniedandsupervisedbyanadult.TheymustNOTbepermittedtocrawlonthefloors.

Weaskthatvisitorsdonotsitonthebeds,orusepatient’sbathrooms.ThisisforinfectioncontrolpurposesasperourTrustpolicy.

Althoughwewelcomeflowersandplants,wedonothaveasupplyofvases.Pleaserememberthatspaceislimitedonthelockersandaroundthebedspacegenerally.

Occasionallytheremaybereasonsto“close”thewardtovisitorstominimisecrossinfection.Weaskvisitorsnottovisitiftheyhaveanycoldsymptoms,nauseaordiarrhoea.

VisitingtimesLeslieSmithWard 14:00-16:30 hrs 18:00-19:30 hrs

DonBainesWard 14:00-16:30 hrs* 18:00-19:30 hrs

*ExceptTuesdaysandFridayswhenafternoonvisitingis15:00-16:30hrsinordertoaccommodateconsultantwardround.

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TelephoneenquiriesStaffarealwayshappytospeakwithrelatives/carersonthewardbutpleaserememberpatientenquiriesonthetelephoneareconfidentialandmedicalinformationcannotbediscussed.

Itisgenerallybusierinthemorningsopleaselimitcallsatthistime.

Itwouldbehelpfulifonenamedpersoncouldmakeenquiriesandthenpassontheinformationtootherfamilyandfriends.

Acordlessphoneisavailableforpatientstoreceiveincomingcalls.Youmaybeaskedtocallbackifthereisahighdemandforthisservice.

Themainswitchboardnumberforthehospitalis:01243 865418

QueriesIfatanytimeyouwishtotalktosomebodyaboutanyworriesorproblems,pleasedonothesitatetoaskthenursingstaff.

Howeversmalltheproblem,wearehere24hoursadaytomakeyourstayascomfortableandtroublefreeaspossible.Wewelcome anycommentsandsuggestionsthatyou haverelatingtoqualityofcareandwaysinwhichstandardscanbeimprovedforyouoryourfamily.

SmokingSussexCommunityNHSTrustoperatesano-smokingpolicyon-site.

OccupationaltherapyTheoccupationaltherapistwilladviseyouonthebestwaystocarryoutdailytasks,whetheritispersonalcare,householddutiesorsocialactivities.

Theoccupationaltherapistwillhelpyouidentifyhomehazardsandrecommendequipmentandadaptationstomakeyourhomesafer.

Ifyouoryourfamilyhaveanyconcernsaboutyourabilitytomanageathome,includingifyouhaddifficultiespriortoadmission,pleaseasktoseetheoccupationaltherapist.

HomevisitassessmentAspartofyourrehabilitationprogrammeyoumaybeaskedtoparticipateinahomevisit.Theyinclude:

•Theoccupationaltherapistandanothermemberofstafftakingyoutoyour ownproperty.

•Yourabilitytoaccessyourpropertyandmobilisearoundyourhomeasyouwouldondischargewillbeassessed,includingyourabilitytotransferonandoffyourbed,chairandtoiletetc.

•Theassessmentwillenableyou,yourfamily/carers,aswellasthetherapyteamtohaveanunderstandingofhowyouaregoingtomanageinyourhomewhenyou leavehospital.

•Recommendationsaregivenwhereindicatedtoensureyourindependenceandsafetyismaintainedondischarge.Equipmentandrailsmaybeprovidedifaneedisidentified.

•Youarewelcometohavefamily/carerspresentonthevisit.

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•Yourabilitytocompletecertaindomestictaskse.g.makingahotdrinkmaybeassessedonthehomevisit.

AccessvisitIfitisidentifiedthattakingyoutoyourhomebeforedischargeisnotrequired,theoccupationaltherapistwillaskforyourconsenttovisityourpropertytoassessforanyequipmentyoumayrequireondischarge,withoutyoubeingpresent.

PhysiotherapyThephysiotherapistwillassessyouintermsofyourmobility,balanceandconfidence.Youwillbegivenasuitableaidtohelpyouifrequired.Youwillbeadvisedonpersonalexercisestohelpyouprogressandassistyourrehabilitation.Ifyouneedtomanageasteporstairsyoucanpracticethesetaskswith thephysiotherapist.

Thephysiotherapist’saimistoimproveyourlevelofmobilitytoensurethatyoufeelconfident,safeandhappytobedischarged.Ifthephysiotherapistfeelsitisappropriate,followuparrangementscanbemadetoprogressyourmobilityafteryouaredischarged.

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ExpectationsfromyourrehabilitationprogrammeDuringyourstayyouwillbeencouragedtoparticipateinarehabilitationprogrammedesignedtohelpyouregainyourindependence.Aninitialassessmentwillbecompletedandfromthisarehabilitationprogrammewithgoalswillbeagreed.Therehabilitationprogrammecaninvolve:

•Becomingmoreinvolvedwithyourpersonalactivitiesofdailyliving,e.g.washing,dressing,toiletingetc.

•Participatingintherapyprogrammesaimedatyourspecificneeds,toimproveyourstrengthandconfidenceasadvisedbythetherapists.

•Undertakingfamiliarhouseholdtasksaspartofagradedprogrammeunderdirectionoftherapistse.g.kitchenactivities.

•Demonstratingsafeworking,handlingandmovingofutensils,cutleryandequipmentinakitchenfacility,i.e.whenmakingahotdrink,snacksormealswiththedirectionofstaff.

•Learningtouse,wherenecessary,specialiseditemsofequipmenttomakedailylivingeasier.

•Workingtogetherwiththerehabilitationteamandyourfamily/carerthroughanagreedrehabilitationprogrammeinpreparationformanagingtoliveathome.

•Involvementwithyourfamilyandcarerswill beencouragedthroughoutyourstay,sothattheyfeelconfidenttohelpyoutomanagefollowingdischargewhenyouleavetherehabilitationunit.

Whenrehabilitationpotentialisreachedoryouareunabletocurrentlyparticipateinanactiverehabilitationprogrammeoryoudecideyoudonotwanttoparticipateinrehabilitation,

wewillneedtodiscussandmakedischargearrangementswithyou,withinanagreedtimeframe.Ondischarge,wewillsendyourGPalettersummarisingyourcareintheward.

MedicationAspartofyourrehabilitationprogramme,wewillassessyourabilityandanyneedsyouhavetoenableyoutosafelymanageyourownmedicationaspreparationforwhenyouaredischarged.

Shouldyouhaveanyconcernsregardingyourmedication,pleaseasktospeaktotheregisterednurseonduty.

Ifyouneedpainrelief,itisreadilyavailable,pleaseaskamemberofnursingstaff.Mostpainreliefisgivenatmealtimes,butletusknowifyourpainisnotwellcontrolled.

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FallsfactsThedangeroffallinginhospitalisveryreal.Thereareseveralfactorsthatincreasethisrisk:

•Illnessandbeingawayinnewand unfamiliarsurroundings.

•Certainmedications,suchaspainrelievers,bloodpressuretablets,waterpills,laxativesandsleepingaids.

•Previoushistoryoffalls.

•Shortnessofbreath,muscleweakness,unsteadygait,andfever.

•Newconfusionfromillnesssuchasinfectionorchangesinbodychemistry;dementia,depressionorpsychosis.

•Sensoryimpairments,suchasnumbnessinfeet;visionorhearingproblems.

•Posttreatmentprocedure/surgery.

Havingahigherrisktofallmayoccuratdifferenttimesthroughoutyourhospitalstay.Thenurseandtherapistswillassessyourriskoffallingateachshiftandwhenyourconditionchanges.

Ifitisdeemedthatyouareatahighriskoffallsthenaspecialplanofcaretoaddresssafetyissuesandreducethedangerofanaccidentalfallandinjurywillbeimplemented.

Guidelinestoavoida fallinhospital•Keepeverythingyouneedwithinreach.

•Useyourcallbelltogethelp.

•Avoidstretchingorbendingtoreachthings.

•GetoutofbedS-L-O-W-L-Y.

•Ensureyourshoesorslippersfitand arenon-slip.

•Donottryandwalkwithjustsockson.

•Callfornursetohelpyougettothetoiletorbathroomuntilyouaretoldthatyouaresafe togoonyourown.

•Informthestaffifyouexperiencedizziness,blurredvisionorfeelweak.

•Useyourwalkingaidasinstructed.

Weaskrelativesand visitors•Limitto2visitorsperpatientatanyonetime.

•Toleavethepatientsbedareatidyandreplacechairswhereyoufoundthem.

•Makesurethepatientscallbelliswithin easyreach.

•Replacebedtablesmovedduringyourvisit.

•Askstafftoreplacebedrailsmovedduringyourvisit.

•Reportanypotentialhazardssuchasspillsofliquidonthefloor,trailingwiresorcables,obstaclesaroundthebedspaceetc.

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GeneralInformation•Thereisaloungeavailableforpatientstosocialiseandseevisitors.Atelevisionisprovidedinthelounge.

•Ifyouhavereligiousorculturalneeds,pleaseletusknowandwewilldoourbesttohelpfulfilthesewithhelpfromthelocalcommunity.ThehospitalChaplainholdsaserviceonThursdayafternoonsinthehospitalchapel.Pleaseinformamemberofstaffifyouwish

toattend.

•TheFriendsoftheHospitalprovideasmallmobiletrolleyserviceonTuesdayandFridaymornings.Youwillbeabletopurchasetoiletries,squashandconfectionery.

•Wehaveahairdresserwhovisitsweekly.Tobookanappointment,pleaseaskthehousekeeper.Thisisaprivatearrangement,forwhichyoupaythehairdresserdirectly.

Keypeople

LeslieSmithWARD MANAGER JanetBlackman

WARD SISTER JaneRichardson

DonBainesWARD MANAGER SandraWoodgate

WARD SISTER ElaineCooke

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Contact detailsBognorRegisWarMemorialHospitalShripneyRoadBognorRegisPO229PP Tel:01243865418Web:www.sussexcommunity.nhs.uk