Boylan Ward Welcome Kit - Women`s and Children`s Hospital

advertisement
WELCOME TO
BOYLAN WARD
PATIENT/CAREGIVER
INFORMATION KIT
Updated 28/4/14
Boylan Information Kit
Page 1
Boylan Ward is a 12 bed inpatient unit located at the Women’s and
Children’s Hospital and provides a therapeutic environment in which
young people up to the age of 18 years can work through their problems
and concerns towards better mental health.
This document is designed to assist you during your admission to Boylan
Ward.
You will also receive other brochures or leaflets on admission.
BROUGHAM PLACE
EMERGENCY
VEHICLE
ENTRANCE
P
QUEEN VICTORIA
i
SAMUEL WAY
ANGAS
CAFÉ
2ND
FLOOR
ROGERSON
Starlight
Room 1st
Floor
NO ENTRY
ADOLESCENT WARD
Qu
LIFTVicto
PLAY DECK
1ST FLOOR/
SCHOOL
GROUND FLOOR
LIFT
SACRED SPACE
1ST FLOOR
Lect
TheaGOOD
FRIDAY
BUILDING
BOYLAN WARD
1ST FLOOR
Go
up to
1st
Floor
CARPARK
ENTRANCE
PHARMACY
GROUND FLOOR
ENTRANCE
KERMODE STREET
P
i
CLARENCE
REIGER
SIR EDWIN SMITH AVENUE
KING WILLIAM ROAD
LIFT
P
i
Parking
Information
Stairs
L
Lifts
Public Transport
Boylan Information Kit
Page 2
ABORIGINAL SERVICES
Aboriginal Liaison Officers are available to support patients and their
families if required. Please see staff if you wish to access this service.
ACCOMMODATION
The Hospital has on-site accommodation for people needing a place to
stay while a family member is receiving treatment. Preference is given to
families with critically ill children and families from the country.
For bookings or information please contact 8161 6291 or 8161 6289.
ARTS AND CRAFTS
Boylan Ward has art and craft equipment that patients can use on the
tables at the end of the ward. This may need to occur under supervision of
staff, or the artist, who runs art sessions several times a week.
Occasionally some patients have allowed their artwork to be shown at art
exhibitions that we have been involved in. Consent is always obtained
prior to this occurring.
BANKING
An ATM is located in the foyer of the Kermode Street entrance of the
hospital.
BEDROOMS
Bed allocations are made on patient clinical care needs and all patients
have ‘public’ status and therefore have no special ‘right’ to a private
room. We ask patients, parents and visitors to respect the need for
individual privacy by not going into each other’s bedrooms nor having
visitors in the bedrooms unless previously discussed and approved with
the staff. Patients are asked to make their own bed and keep the
bathroom tidy, unless mental health prevents this and then nursing staff
will assist. Fresh linen is available as needed.
CAFETERIA
There is a Cafeteria located on the 2nd Floor and is open 7.30am – 7.30pm
daily. It sells a range of foods and beverages (including free tea and
coffee) for patients, families and visitors. EFTPOS facilities are available
with a minimum spend of $10.00. Other eating options are the Nic Nath
Café on the Playdeck Level 1 and Rainbows at Kermode Street entrance
ground floor. There is a Hudson’s Coffee lounge located on the ground
floor of the Memorial Hospital.
CAR PARKING
There are two public parking facilities available in Kermode Street and the
Basement Car Park (entry from Brougham Place near the Emergency
Department). Both car parks are open from 6.00 am to 11.15 pm
weekdays and 6.00 am to 9.00 pm on weekends. Automatic exit operates
24 hours. For shorter periods parking meters surround the hospital.
Parking Inspectors regularly monitor these.
Boylan Information Kit
Page 3
CHAPLAINS
The hospital has a Chaplain Service which is available to patients and
their families. Please ask staff if you wish to make these arrangements.
There is also a ‘Sacred Space’ within the hospital where patients and their
families may go and reflect.
COMPLIMENTS AND COMPLAINTS
Please speak to staff if you wish to make a compliment or complaint. We
can supply you with forms. Constructive feedback is very important to
continue to meet the needs of our patients and their families.
COMPUTERS
The ward has a computer that is allocated a small amount of internet
hours per month. We ask that the internet be accessed for undertaking
activities such as ‘mood gym’ which is a self-help program.
Some patients elect to bring in their own laptops which can be accessed
however these are to be placed in the storage area when not in use.
Please be aware that the Ward is not responsible for any damage or theft
of items brought into hospital.
CONFIDENTIALITY
It is the policy of this hospital that all patient information is confidential.
Staff are not able to give out any information unless consent is obtained by
the patient if he/she is 16 years or over, or by the parent/guardians if the
patient is under the age of 16 years. However by law the staff may need to
provide information to other departments or agencies.
CONSENT
On admission staff will obtain consent from the patient if they are over the
age of 16 years or the parent/guardian for those who are aged 15 years or
under. These consent forms allow an exchange of information between
services and for treatment to be undertaken in Boylan Ward. Please
ensure you discuss with staff any concerns you may have around these
forms.
COUNSELLING
This is provided regularly by members of the multidisciplinary team who
are experienced in helping children, adolescents and their families deal
with various mental health issues. Please approach staff if you need to
discuss any issues with them.
Boylan Information Kit
Page 4
DISCHARGE PLANNING
This is a crucial part of the treatment as ongoing therapy and support is
usually indicated for most patients and their families on discharge.
Generally the clinician or agency that will be providing the follow-up care
from hospital will be notified as early as possible and staff will endeavor to
have a discharge appointment arranged with them on discharge.
A ‘Keeping Well Plan” will be formulated with the patient and/or family and
provide on discharge. A discharge summary will also be available or
posted following discharge.
Patients are to be discharged before 1100 a.m. whenever possible
DVD’S
The ward has a range of DVD’s that patients have access to. Please see
staff to obtain a list of what is available. For the parents of those patients
under the age of 15 years please note that we do have ‘M’ rated movies
therefore it is important that you notify staff if you have a concern about
your child watching these movies.
EFM-HOSPITAL GYM
Boylan Ward has bookings at the EFM -Hospital Gym every Wednesday
and Friday morning between 9am and 10am. All patients are to attend
unless their mental or physical health prevents this from occurring.
ELECTRICAL EQUIPMENT
All electrical equipment brought into Hospital needs to be visually
checked by nursing staff to ensure that the there is no obvious damage to
the cords which could pose danger during its use.
FOCUS ROOM
This room is located by the dining area and is to be used by patients only,
with staff support, as a tool in helping patients to manage their strong
emotions. Only one patient at a time can use it and this must be in
negotiation with their allocated nurse. Sensory equipment, music therapy,
stress relieving therapies, massage chair, relaxation therapy are some of
the therapies offered.
FREEDOM OF INFORMATION
If you wish to obtain information from the patient’s case notes, you may
apply to do so through the WCHN Freedom of Information Officer who can
be contacted on 8161 6127.
HAIR DRYERS AND STRAIGHTENERS
Individual hair dryers and straighteners can be used however we ask that
they be locked up in the storeroom when the patient has finished using
them. This is to ensure that a safe ward environment is maintained. For
those patients who do not have one we can lend you ours.
Boylan Information Kit
Page 5
INTERPRETERS
An interpreting service is often used in meetings with patients and their
families when English is not the first language and freely spoken. Please
inform staff if you would like to access this service and if there are any
cultural factors that should be considered when booking an interpreter.
IPODS
Boylan staff are aware that listening to music can aid individual sleep and
assist in emotional regulation and de-stressing. We are also aware that
several iPods may have cameras which if used inappropriately can pose
concern for patient and staff confidentiality. If an individual is reported to
be misusing an iPod then staff will lock the iPod in the storeroom and they
will not have access to them on the ward for the remainder of the inpatient
admission.
KEEPING WELL PLAN
On discharge you will be provided with a ‘Keeping Well Plan’ that outlines
strategies to undertake on discharge, who to contact if needed,
medication regime and follow-up appointment. This plan should be
developed ‘together’ and should accompany you on your follow-up
appointment.
KITCHEN
The kitchen is for the use of patients. Family members and visitors are
encouraged to obtain their meals from the various facilities within the
hospital. If patients wish to store food or drinks in the kitchen then please
label the items to discourage other patients from taking them. Patients are
to keep the kitchen and dining area tidy and placing their dishes in the
dishwasher.
VISITORS ARE NOT TO OFFER FOOD TO OTHER PATIENTS WITHOUT
CHECKING WITH STAFF FIRST.
LAUNDRY FACILITIES
A washing machine and dryer are located on the ward. Patients are
encouraged to attend to their own washing/drying however staff will assist
as necessary. Alternatively families can take the washing home.
MEDICATIONS
Medications are prescribed when indicated in consultation with the
patient, their family/care-giver (if appropriate) and the treating team.
Boylan Ward has a pharmacist who is available to discuss any concerns
you may have. Please ask staff if you wish to consult with them.
There is a cost for discharge medication so please inform staff if you have
an adequate supply of medication at home so only the required medication
is prescribed and dispensed.
On rare occasions we may need to prescribe medication urgently or seek
urgent medical advice (eg for accident, injury or similar emergency). Of
Boylan Information Kit
Page 6
course, we will notify parents/carers if not on the ward at the time as soon
as we can under these circumstances.
MENUS AND SPECIAL DIETS
Patients are provided with a menu that they fill in the day before. If
individuals have special diets, food allergies or needs that the menu does
not cater for, then please advise staff who will arrange for an alternative
menu or arrange for input from a dietician.
MOBILE PHONES
Most adolescents have mobile phones and use them to keep in close
contact with their friendship groups. Unfortunately many patients have
been subjected to cyber -bullying and as mobile phones usually have
cameras inbuilt, staff are conscious of ensuring that patient identity and
confidentiality is protected whilst they are an inpatient.
In order to reach a middle ground the following rules have been agreed
upon. Patients will keep their mobile phones in the storage area whilst on
the ward. If the patient is clinically able to, they may take the phone off the
ward to use however it may also be accessed closely to the ‘front desk’
where staff can attempt to monitor its appropriate usage.
This is generally 3 – 4 times a day for 5 – 10 minutes each call.
OUTINGS
The ward has access to a vehicle that is used for patient outings and
socialization groups under the direct supervision of nursing staff. For
those patients under the age of 16 years the guardians will need to
provide consent for patients to attend these outings.
PATIENT BELONGINGS
Unfortunately, some common articles can be dangerous in a hospital
environment and as the staff have a duty of care to ALL patients; staff will
inspect any patient belongings on admission and when items are brought
into the ward. Some articles may need to be placed in our storage room
for safe keeping or may be sent home with family or friends.
AT NO TIME ARE ILLICIT DRUGS AND ALCOHOL TO BE BROUGHT ONTO
THE WARD.
PATIENT LEAVE
This will be discussed by your child/adolescent’s doctor with you. You will
be asked to sign Consent to Leave Form for those patients under the age
of 16 years and nominate other family members and friends who may also
accompany your child/adolescent. People nominated will be asked to
complete a leave form with details of the leave and a contact number
when taking a young person from the ward.
PHONE CALLS
Patients can be contacted on 8161 6622. Outgoing calls can be made
from the public phones in the foyer however if a patient is unable to leave
Boylan Information Kit
Page 7
the ward then we can allow up to 2 short phone calls a day from the ward
phone. Parents and visitors are requested to use the public phones.
PHOTOS
Patients have a photograph taken of them on admission to the ward. This
is used to ensure correct patient identification when administering
medication and treatment. Boylan Ward patients are not required to wear
ID wristbands however they are required to have their photographs taken.
On discharge these photos are safely stored in the patient’s case-notes.
PLAY DECK
This is located on the 1st Floor and has the Nic Nath Café which is open
7.30am – 4pm Mon – Fri, closed on weekends. It also has a playground for
younger children and seating is provided in a pleasant environment.
Visiting may also occur here rather than the ward if the patients mental
health allows, however please inform staff when leaving the ward.
SACRED SPACE
There is a Sacred Space located on the ground floor when individuals may
go. It is a quiet and spiritual place and is always open.
SAFETY and SECLUSION
Staff within Boylan Ward utilizes a range of therapeutic strategies to help
the young person maintain their safety and the safety of others. In the
event that a patient becomes a danger to themselves or others then as a
last resort, the use of seclusion may be employed.
SMOKING
The Women’s and Children’s Hospital is a smoke free environment and
patients, their families and visitors are not permitted to smoke within 30
meters of all exits and entrances. If patients require assistance in
managing their nicotine addiction or withdrawals then please approach
staff that can assist by supplying nicotine patches, counseling and/or
referral to QUIT.
Cigarettes and lighters are to be kept in the store-room and are not to be
provided to any other patient on the ward.
STARLIGHT ROOM
The hospital has a ‘starlight room’ located opposite the play-deck on the
1st floor which can be used by patients and their families. There is
supervised activities which include games, arts and crafts and special
performances. They are very welcoming – don’t forget to sign in and out.
TABLE-TENNIS
Boylan Ward has a table-tennis table that patients and their visitors are
welcome to use. Please ask for ball and bats from staff.
Boylan Information Kit
Page 8
TREATMENT PLAN
As every person who is admitted to Boylan Ward have their own unique
circumstances and family, then each child and adolescent patient has a
personalized treatment plan. This plan is the result of collaboration
between the young person, the family/caregivers and multi-disciplinary
team members.
SCHOOLING
The hospital has its own Primary and Secondary schools. All currently
enrolled school children are expected to attend Monday to Friday from
9.30-11.30am and 1.30-3.30pm unless their mental health indicates
otherwise.
Individual treatment plans may at times encourage patients to attend their
own school from Hospital.
VISITING
Visiting hours are flexible however times and duration of visits should be
negotiated with staff on a daily basis. This is to ensure that visits do not
occur when patients are undergoing activities that are part of their
treatment plan and that the patient is able to cope with the increased
stimulation of the visit. Visits should not commence prior to 9.30am and
are to be concluded by 8pm unless otherwise negotiated with staff.
We do not encourage ex-patients to visits patients on the ward and they
may be asked to leave unless prior negotiation has occurred with senior
medical/nursing staff on the ward.
WARD ACTIVITIES
There are different activities available for Inpatients, including X-Box and
Wii games, board games, jigsaw puzzles, books and exercise equipment.
These are available on request and are to be treated respectfully. Any
suggestions for alternative games are welcome.
Boylan Information Kit
Page 9
GENERAL GUIDE TO THE DAILY ROUTINE AT BOYLAN WARD
MONDAY – FRIDAY DURING SCHOOL TERM
AM
8.00-8.30
Wake up, showers, get dressed
8.30-9.30
Breakfast in dining room
8.30 – 9.00
Dishes, tidy room, make bed
9.00 – 9.30
Free time
9.30
School
11.30
Return to ward from school
11.30-12.00
Free time
12.00
Lunch
12.30-1.30
Dishes and then free time/visiting hours
PM
1.30-3.30
School
3.30
Return from school
3.30-5.00
Free time
5.00-5.30
Dinner, dishes
5.30-8.00
Free time visiting
8.30
Bed time for under 12’s
10.30
Bed time for over 12’s
ON WEEKENDS AND DURING SCHOOL HOLIDAYS THE ROUTINE IS LESS
STRUCTURED AND MORE FLEXIBLE WITH MANY PATIENTS HAVING
TRIAL LEAVE ARRANGED.
Boylan Information Kit
Page 10
Download