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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.
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