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Admission
Your admission to Marymount Medical Center has been arranged by your physician. Your physician is a member of the hospital's medical staff and is responsible for your clinical treatment during your stay at Marymount. At the time of registration, you will be requested to sign a General Consent for Treatment form. This consent form covers routine care excluding special procedures, such as surgical procedures or blood transfusions. In the case of a minor, a parent or guardian is requested to sign the consent form. The physician will order and make necessary arrangements for laboratory test, X-rays, diets, medications and special treatments. When you are admitted to Marymount, an admitting clerk will ask you several questions for your medical record. The admission clerk should also provide information to you about advance directives, AIDS, and patient rights and responsibilities.
Marymount Medical Center renders services to patients without distinction to race, color, national origin, handicapping condition or age. The hospital complies fully with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975.

 

Deliveries
Flowers and mail will be delivered to your room daily, unless otherwise ordered by your physician.
Patients in the Intensive Care Unit are not allowed to receive flowers. Mail received after you are discharged will be forwarded to your home address.

 

Financial Arrangements
We know that you understand when we ask questions concerning your illness, but we must also ask you questions concerning insurance requirements. Many insurance companies require you to notify them of any admission or care that you receive within 24 hours or they could deny some of your coverage. Our business office or our case management staff will notify your insurance company concerning your admission, care and discharge to insure that you will receive all of your insurance benefits allowed. Please help us by presenting all insurance information to the admission staff. If you have any questions concerning your insurance coverage or need financial counseling call extensions 3716 or 3802. Once you are admitted to the hospital, it is important to review your hospitalization insurance plan with your insurance agent. Certain items on your bill may not be covered by the policy and checking now may avoid confusion about the charges in the future. For your convenience, we will automatically file your insurance claim for you.
The difference between the total bill and the amount covered by your insurance will be charged to you. When you are discharged from the hospital, the difference will be determined and it is due and payable at that time.
If you anticipate difficulty in financing your stay at Marymount, we urge you to consult with one of our finance counselors as soon as possible. Explanation of our insurance coverage and descriptions of our payment options are available to relieve your anxiety about hospital costs.

 

Gift Shop
A gift shop is located in Marymount's front lobby and is open during the following hours:
Monday - Friday 10:00 a.m. - 6:00 p.m.
Saturday 10:00 a.m. -2:00 p.m.
Sunday closed
The shop offers a variety of gift items, flowers, balloons and candies. You can also buy magazines, stationery, all-occasion cards, toiletries, fresh coffee and much more.

 

Meals
Your diet, which is ordered by your physician, is prepared in our Dietary Department.
Mealtimes are: Breakfast 7:30 a.m.
Lunch 12:00 p.m.
Dinner 5:00p.m.
If you are on a special diet, our registered dietitian will supervise your meals according to your physician's orders.
If tests interfere with your mealtime, your tray will be delivered to you when the tests are completed.

If someone brings you a snack, please check with your nurse to make sure it will not interfere with your diet or tests.
If you have special nutritional needs, please ask your nurse to consult the dietitian.

 

Newspapers
The Lexington Herald-Leader is available outside our main entrance. The Laurel News Leader, the
Sentinel-Echo, and the Corbin Times Tribune are available on the volunteer magazine cart.

 

Notary Public
You can obtain the services of a notary public by calling our switchboard.
 

Parking
Please use the main parking lot in front and to the side of the hospital. Parking is permitted close to the emergency entrance only for loading and unloading patients. Vehicles parked in entrances, fire lanes and doctors' parking will be towed at the owners' expense.
 

Safety
The following guidelines will help to ensure your safety during your stay with us.


·Every patient needs to wear an identification bracelet. Please check your name for accuracy or if your band becomes lost, please contact the nurse.
· Please inform the nurse regarding any allergies to medicine, food, latex or other environmental allergies.
· If the physician orders bed rest for you, please honor that request. If you need assistance please use the call light to obtain a nurse.
· When walking in the hospital, please wear house shoes. The auxiliary provides free house shoes that are nonskid. Rise slowly from a sitting position. Handrails are available in the corridor for support. If you feel dizzy or faint, please press the call light or call out for the nurse. An emergency call light is also located in the bathroom.
· If you will be undergoing a surgical procedure, the nurse may request that you mark the location of the surgery by utilizing a 'marking pen'. This process allows you to participate by marking the appropriate area.
· During your hospital stay, the physician is planning your medications to achieve the best therapeutic results. Please do not take any other medications without discussing it with the nurse first. This could interfere with treatment outcomes.
· Please provide a list of home medications on admission. This list should also include any herbal medications. (Herbals may enhance or decrease the effectiveness of your medication)
· Marymount Medical Center is a smoke-free facility. We request that you and your visitors refrain from smoking. If you are a smoker, nicotine patches are provided for your comfort.
· Safety training drills are conducted on a scheduled routine basis. This prepares our staff for a real emergency. If you have any questions, please contact your nurse.
· Routine tests may be performed in a different location. Normal mode of travel is via wheel chair or stretcher.
· At discharge, a patient care attendant may accompany you to your vehicle. We request that a designated driver be present to provide transportation.
· Staff members at Marymount Medical Center should introduce themselves to you. The staff member should be wearing an employee name badge with their picture on it. If you have any concerns, please contact your nurse immediately.

 


Smoking Policy
As previously mentioned, Marymount is concerned about the safety of our patients, visitors and employees. For this reason we have established a nonsmoking policy within the building. Smoking in your room is not permitted. You are permitted to smoke only with a physician's order and only outside in designated areas. These areas include the breezeway between the Patient Tower and the Main Hospital and also in the picnic table area of the Parking Garage.
 

Telephones
A telephone is available on every patient bed stand (unless there is a physician order for a patient not to have a phone for health reasons). To call locally, push 8 and the number you want to call. For in-house calls just dial the extension. To make a long distance call, dial 0 to reach Marymount's switchboard operator. Pay telephones are located in the front lobby.
 

Television
Each patient room is equipped with a television and is served by American Cable Entertainment. The following is a list of channels with corresponding networks that are available at Marymount.
Channel Network
2 WKYT-27 Lexington CBS
3 WYMT-57 Hazard CBS
4 WDKY-56 Lexington FOX
5 Local Cable Information
7 WTBS- 17 Atlanta Superstation
8 WLEX-18 Lexington NBC
9 WBIR- 10 Knoxville NBC
10 WTVQ-36 Lexington ABC
11 WGN-9 Chicago Superstation
13 WKSO-29 Somerset KET
14 ESPN
15 TNT Turner Network Television
16 USA Network
17 Sports Channel
18 The Family Channel
20 Nickelodeon
23 F&V Faith and Values
26 CNN Cable News Network
27 The Weather Channel
28 Headline News
29 Lifetime
30 CMT Country Music Television
31 TNN The Nashville Network
32 MTV Music Television
33 The Discovery Channel
34 A&E Arts and Entertainment
35 AMC American Movie Classics
37 CSPAN 2

Valuables/Belongings
Marymount will provide most of your toiletry needs during your stay. We will also provide patient gowns or you may wish to bring a few personal items such as a bathrobe, slippers, nightgown or pajamas. It is recommended that all jewelry and large sums of money be sent home with a family member or friend. You are responsible for your personal belongings and should be careful with watches, eyeglasses, hearing aids and dentures. When not properly safeguarded, these items may be easily lost or misplaced. If you are unable to send your valuables home, the business office can take an inventory and secure your valuables until your discharge.
 

Your Room
Every effort will be made to provide you with the type of accommodations your request, although the room you prefer may not always be available. The number of private rooms in our facility is very limited. There is an extra charge for private rooms and this is usually not covered by insurance. Your nurse will explain all the controls for your television, nurse call, bed, lights and any medical equipment you may require.
 


Patient Rights & Responsibilities

Notice of Your Rights As A Patient

1. You have the right to be informed of the patient rights in advance of furnishing or discontinuing patient care whenever possible.
2. You have a right to file a grievance and to be informed of the process to review and resolve the grievance.
3. You have the right to participate in the development and implementation of your plan of care.
4. You or your representative have the right to make informed decisions regarding your care, including being informed of your health status, involved in care planning and treatment and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate.
5. You have the right to formulate advance directives and to have hospital staff and practitioners who provide care in the hospital comply with these directives.
6. You have the right to have a family member or representative of your choice and your physician notified promptly of your admission to the hospital.
7. You have the right to personal privacy.
8. You have the right to receive care in a safe setting.
9. You have the right to be free from all forms of abuse or harassment.
10. You have the right to the confidentiality of your clinical records.
11. You have the right to access information contained in your clinical records within a reasonable time.
12. You have the right to be free from restraints and seclusion of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff.
13. You or your representative has the right to make informed decisions regarding your care, including how to effectively manage pain. As a patient of Marymount Medical Center, you can expect:
a. Information about pain and pain relief measures
b. A concerned staff committed to pain prevention and management
c. Health Professionals who will respond quickly to reports of pain,
d. And your reports of pain will be believed.

Notice of Your Responsibilities As A Patient
Doctors and the Marymount Medical Center staff care for the sick and injured. They recognize that to be effective the effort must be a partnership, with the patient and the health care team working together for the common goal.
As a patient you will be expected, within the limits of your abilities, to assume a share of the responsibility for your health care.

1. Bring with you the information about past illnesses, hospitalizations, medications, advance directives and other matters relating to your health.
2. Cooperate with all hospital personnel caring for you, and ask questions if you do not understand any directions given to you.
3. Be considerate of other patients, and see that your visitors are respectful to other patients.
4. Be prompt in your payment of hospital bills, provide the information necessary for insurance processing and be prompt about asking questions you may have concerning the bill.
5. Be respectful of others, of other people's property, and that of the hospital.
6. Abide by hospital rules and regulations and see that your visitors do likewise.
7. In regards to pain management, we expect that you will:
a. Ask your doctor or nurse what to expect regarding pain and pain management
b. Discuss pain relief options with your doctors and nurses
c. Work with your doctor and nurse to develop a pain management plan
d. Ask for pain relief when pain firsts begins
e. Help your doctor and nurse assess your pain
f. Tell your doctor or nurse if your pain is not relieved
g. Tell your doctor or nurse about any worries you have about taking pain medications


Restraints
Marymount Medical Center strives for a restraint free environment. This environment promotes and enhances the individual rights and dignity. Family or significant others provide valuable information regarding comfort and security measures for the patient. The best way to keep a patient out of a restraining device is to surround them with people they know and love. Marymount Medical Center encourages families to visit as often as they can, and provide diversional activities that have been known to calm the patient. Comfort measures are routine aspects of nursing care. There are situations in which restraints may be used:
· Prevention of harm to self and others
· Safe completion of therapies or treatments
· Promotion of personal safety of the patient due to severe confusion
If the need arises, there are both chemical and physical restraints, which may be applied. In the event that a restraining device is considered to be necessary, a family member or significant person should be informed. The nurse, may request, at this time that family member or significant other assist in the de-escalation of anxiety and confusion by being present at the bedside. If the anxiety or confusion doesn't decrease, it may become necessary to implement a restraining device.
How long will such a device be used?
Each patient's situation is viewed individually and restraining devices are removed as soon as the safety risks are lessened. Patients are monitored and assessed frequently. Comfort measures are provided with position changes, fluids, toiletry, food, and circulatory checks on a scheduled basis.
If you have questions or concerns, please discuss them with the nurse.

 

What you should know about AIDS
What Is AIDS?
Aids is the Acquired Immune Deficiency Syndrome- a serious illness which makes the body unable to fight infections. A person with AIDS is susceptible to certain infections and cancers. When a person's body cannot fight off infections, they become ill and sometimes die. A virus called Human Immunodeficiency Virus, or HIV causes AIDS. Early diagnosis of HIV infection is important! In many cases, early treatment can help one to remain healthy as long as possible. Free anonymous and confidential testing and counseling is available at every health department in Kentucky. After being infected with HIV, it takes between two weeks and six moths before the test can detect the antibodies to the virus.
HIV can be spread by:
· Sexual contact (oral, anal or vaginal intercourse) with an infected person when blood, semen or cervical I vaginal secretions are exchanged.
· Sharing a syringe/needle with someone who is infected.
· Receiving contaminated blood or blood products (very unlikely now because blood used in transfusions has been tested for HIV antibodies since March 1985)
· An infected mother passing HIV to her unborn child before or during childbirth, and through breast-feeding
· Receipt of transplant or infected tissue/organs or artificial insemination from and infected donor
· A needle stick or sharps injury involving a infected person
· Remember: you can't tell whether or not someone has HIV just by looking at them.
You cannot get AIDS through casual contact such as:
· Sharing food, utensils, or plates
· Touching someone who is infected with HIV
· Hugging or shaking hands, donating blood, using public rest rooms
· Being bitten by mosquitoes or any other insect
Prevention:
· Do not share needle or syringes with anyone
· Do not have sexual intercourse except with a monogamous partner whom you know is not infected. If you chose to have sex with anyone else, use a new condom each time
· Educate yourself and others about WV infection and AIDS You should be tested if you:
· Have sex with someone who has WV or who has had any sexually transmitted disease
· Have shared needles or syringes with someone who has WV
· Have had multiple sex partners or you have had sex with someone who has had multiple partners
· Had a blood transfusion between 1978 and 1985
· Are a woman who is pregnant or desires to be pregnant and who wishes to reduce the chance of your baby getting WV from you should you be infected.
More information:
· Kentucky WV/AIDS Program (voice/TTY) 502-564-6539
· The National AIDS Hotline 1-800-342-AIDS
· Local health department
Marymount Medical Center provides quality service to all persons,
regardless of HW status.

 

If You Encounter a Problem

Even though we try to make your hospital stay as pleasant as possible, problems can occur. Please tell us about them so we can take steps to make corrections and continue to improve the quality of care provided here at Marymount Medical Center. To inform us about a problem, please call first contact your nurse, then the unit manager. If those attempts are unsuccessful, please call the Vice President of Patient Services at extensions 3837 or 3843 or Hospital Administration at extension 3705. After hours, please call the house manager on call at beeper 878-5130. To page the house manager simply:
A. Dial 9
B. Enter 878-5130
C. Wait for three beeps
D. Enter the number where you can be reached, then return the phone to the cradle. If you are outside the hospital, follow all steps except step A. Thank you for helping us to continue to provide the best quality care.

 

Patient Grievance Process
Marymount Medical Center's mission urges us to emphasize human dignity and social justice as we move toward the creation of a healthier community. Respect for human dignity includes respecting your rights as a patient in our hospital.
You have received a list of patient rights. If you feel that any of your rights may have been violated, you may initiate a formal grievance. You may notify~ the Special Projects Coordinator in writing at Marymount Medical Center, 310 East ~h Street, London, KY 40741. You may also call and speak with Special Projects Coordinator. The telephone number is (606) 864-0682.
The Special Projects Coordinator will contact you upon receipt of the grievance, and will investigate the complaint. Marymount Medical Center employees are members of the Grievance Committee. The Grievance Committee will provide a written response to you within 30-45 days upon receipt of your grievance detailing the steps taken on your behalf to investigate the grievance, and the results of the process. The letter will also have the name of the contact person for any further correspondence. You also have the right to file a complaint with the State survey agency, regardless of whether you choose to first use Marymount Medical Center's grievance process. The State survey agency's address and phone number is Division of Licensing and Regulation, Cabinet for Human Resources, Regional State Office Building, 100 State Police Road, London, KY 40741-9008; Phone Number (606) 878-7827.

 

Visitors

A limited amount of visitors may brighten your day, but too many for too long may interfere with your rest and recovery. We do have an open visitation policy, however we do ask your visitors to follow these guidelines:
· Only two visitors per patient.
· Only one visitor is allowed from 9 p.m. to II a.m.
· Children under 14 should stay in the main lobby, but young children should not be left alone.
· Marymount is a smoke-free facility.
Noise level should be kept to a minimum. All visitors should respect your roommate's privacy and needs if you are sharing a semiprivate room. Visitors may not bring food in from the outside unless prior permission is obtained from the nursing supervisor. With pediatric admissions, one parent or family member is encouraged to stay with the child. One meal tray for each meal will be provided free of charge to the parent staying with his or her child. If at anytime the need arises and the child must be left unattended, please inform your nurse and unit manager. This allows the nursing staff to plan for your child's safety and security. Also, visitors are requested to leave the room when a patient is being examined or treatment is being administered. This protects the patient's privacy and dignity.


Intensive I Cardiac Care Unit
Only members of the immediate family and one minister may visit patient in the Intensive I Cardiac Care
Unit. Children under 10 are not allowed without special permission from the nurse. Visitation will be
controlled by the nurse according to the patient's condition.
Only two visitors are allowed per patient at the following times:
6:00 am. - 6:30 a.m.
9:00 am - 9:30 a.m.
1:00p.m. - 1:30 pm.
5:00 PM - 5:30 PM
9:00 p.m. - 9:30 p.m.

Isolation
A patient in isolation may be given a private room. Visitors should follow the guidelines posted on the patient's door before entering the room.
 

Obstetric Unit

Newborn visitation requires hand washing and gown mg prior to the visit. We encourage visitors to evaluate their personal health status and to give the mother and newborn top priority to preserve their wellness. For the father of the baby, there will be no limit on visitation in private rooms. For semiprivate rooms the visitation will be limited to 6:00 a.m. to 11:00 p.m.
In the labor room, the father and one significant other are allowed to visit one at a time. In the delivery room the father of the baby is encouraged to attend. Birthing classes are preferred but not mandatory. In the birthing room, the expectant mother can labor, deliver and recover in the comfort of a homelike setting. The father and significant others may be there during the labor and at the time of delivery. Rooming-in requires a private room and visitation is at the parents' discretion during regular visiting hours. Grandparents and siblings of the newborn can visit once a day for 30 minutes, during the hours of 12:00 PM to 1:30p.m., 5:00p.m. to 6:30p.m. and 8:00p.m. To 9:30p.m. The nursing staff will screen siblings for fever, cold, cough, rash, and diarrhea before allowing them to visit the newborn. The visits must be coordinated through the obstetric nurses.


 

Refreshments
The cafeteria is located on the first floor and is open to visitors at the following hours.
Breakfast 7:00 a.m. to 8:30a.m.
Lunch 10:30 a.m. to 1:30 PM
Dinner 5:00 p.m. to 6:00 p.m.
Beverages and snacks are available between meal times.
Several vending and change machines are located on the first floor next to the Admitting Department for your convenience.
If beverages and food are taken into patient rooms or waiting areas, please use the provided trash receptacles.