Patient Handbook - The Woman`s Hospital of Texas
Transcription
Patient Handbook - The Woman`s Hospital of Texas
Patient Handbook The Woman’s Hospital of Texas is dedicated to caring for women throughout every stage of their lives. E stablished in 1976, The Woman’s Hospital of Texas is the state’s premier facility dedicated solely to the care of women and newborn infants. More than 39 years ago, a group of physicians envisioned a hospital that met the health needs of women and fostered the understanding of how modern health care can improve the lives of women and their families. The Woman’s Hospital of Texas continues to build on the original premise reflected by its founders and is committed to its mission of providing compassionate care to the women and infants it serves. Table of Contents Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Before Your Stay Assisting You Throughout the Hospital . . . . . . . . . . . . . . . . . . . . . . 3 Campus Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Hospital Maps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Confidentiality of Information . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Patient Rights and Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . 8 Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Physician and Other Provider Information . . . . . . . . . . . . . . . . . . . 14 Education Department and Community Classes . . . . . . . . . . . . . . . . . 15 Programs and Specialty Services . . . . . . . . . . . . . . . . . . . . . . . . 16 Steps to Safer Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 During Your Stay Patient and Visitor Parking Guide . . . . . . . . . . . . . . . . . . . . . . . 19 Your Room and Hospital Amenities . . . . . . . . . . . . . . . . . . . . . . . 20 Your Hospital Amenities . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 The Health Care Team . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Why We Recommend Breastfeeding . . . . . . . . . . . . . . . . . . . . . . 25 Obstetrical and Family-Centered Care Services . . . . . . . . . . . . . . . . . 27 Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Partners in Pain Management . . . . . . . . . . . . . . . . . . . . . . . . . 30 After Your Stay Going Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Hospital Billing Information . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Programs and Specialty Services . . . . . . . . . . . . . . . . . . . . . . . . 34 The Woman’s Place – Specialty Clinics . . . . . . . . . . . . . . . . . . . . . 35 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents Welcome We are happy to have you as a patient and guest of The Woman’s Hospital of Texas. For your comfort and well-being, we are committed to creating an atmosphere in which our patients are treated with friendliness, respect and concern. For over 39 years, our physicians, employees and volunteers have provided compassionate and exceptional care to the women and infants we serve. We want you to always be satisfied during your stay with us. We appreciate your comments and suggestions, which allow us to measure our patient care and strive to make improvements. If you experience any difficulties during your stay, please contact your nurse or the Patient Advocate to discuss your concerns so we may address them promptly. We want to do all we can to ensure you are satisfied with our facility and provision of care when you leave our hospital. We know you have a choice in health care, and we are honored you have chosen us to provide these services. Sincerely, Ashley McClellan Chief Executive Officer 2 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents Before Your Stay Before Your Stay Assisting You Throughout the Hospital The information below will assist you throughout our campus. If you have not registered, please go to the appropriate registration location noted below. Registration Location: 1st Floor, West Tower – Breast Care and Surgery 5:00 a.m. – 5:00 p.m., Monday – Friday 1st Floor, East Tower – Radiology and Cardiology 6:00 a.m. – 5:00 p.m., Monday – Friday 1st Floor, East Tower – Emergency Room and Outpatient Lab 24/7 7400 Fannin (Suite 1160) – Physical Therapy 7550 Fannin (Education Department) – Outpatient Diabetes and Nutrition Online Registration 24/7 @ www.womanshospital.com Antepartum Location: 3rd Floor, West Tower via West Tower Elevators Hours of Visitation: 24 hours a day, 7 days a week Breast Care (Mammography) Location: 1st Floor, East Tower Hours of Operation: Monday through Friday, 8:00 a.m. – 4:30 p.m. Cashier Location: 1st Floor, West Tower Main Lobby Hours of Operation: Monday through Friday, 8:00 a.m. – 5:00 p.m. After Hours and Weekends: 3rd Floor, Labor & Delivery/Registration Office Education (Diabetes and Prenatal Classes) Location: 7500 Fannin, Parking Garage, Suite 148 Hours of Operation: Monday through Friday, 8:00 a.m. – 4:30 p.m. Emergency Room/Outpatient Lab Services Location: 1st Floor, East Tower Hours of Operation: 24 hours a day, 7 days a week Fitness Center Location: 7400 Fannin, 6th Floor Hours of Operation: Monday through Friday, 6:00 a.m. – 7:00 p.m. ICU Location: 2nd Floor, East Tower via West Tower Elevators Hours of Visitation: 24 hours a day, 7 days a week Labor & Delivery Location: 3rd Floor, West Tower via West Tower Elevators Hours of Visitation: 24 hours a day, 7 days a week .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 3 Back to Contents Labor & Delivery Testing Location: 1st Floor, East Tower Hours of Operation: Monday through Friday, 7:00 a.m. – 9:00 p.m. Massage Therapy Location: 7400 Fannin, Suite 1145 Hours of Operation: Tuesday through Friday, 10:00 a.m. – 6:00 p.m. Medical/Surgical Location: 2nd Floor, East Tower via Elevators 1 & 2 or 7 & 8 Hours of Visitation: 24 hours a day, 7 days a week NICU II East and West Location: 4th Floor, via West Towers Elevators; 2nd Floor, via East Tower Elevators Hours of Visitation: Daily 7:00 a.m. – 6:00 p.m. and 7:00 p.m. – 6:00 a.m. NICU III Location: 3rd Floor, East Tower via Elevators 3 & 4 or 5 & 6 Hours of Visitation: Daily 7:00 a.m. – 6:00 p.m. and 7:00 p.m. – 6:00 a.m. Nursery Location: 4th Floor, East Tower via Elevators 7 & 8 2nd Floor, West Tower via West Tower Elevators Outpatient Lab Location: Emergency Room,1st Floor East Tower Hours of Operation: 24 hours a day, 7 days a week Physical Therapy Location: 7400 Fannin, Suite 1145 Hours of Operation: Monday through Friday, 8:30 a.m. – 7:00 p.m. Postpartum Location: 4th Floor, East Tower via Elevators 7 & 8 2nd Floor, West Tower via West Tower Elevators Hours of Visitation: 24 hours a day, 7 days a week Pre-Surgical Testing (Pre-Op) Location: 2nd Floor, East Tower via Elevators 7 & 8 Hours of Operation: Monday through Friday, 8:00 a.m. – 4:30 p.m. Radiology/MRI/Nuclear Medicine/Cardiology Location: 1st Floor, East Tower Hours of Operation: Monday through Friday, 7:00 a.m. – 5:30 p.m. Research Center Location: 7550 Parking Garage, Suite 146 Hours of Operation: Monday through Friday, 8:00 a.m. – 4:30 p.m. Surgery Location: 2nd Floor, East Tower via Elevators 7 & 8 Hours of Operation: Monday through Friday, 5:00 a.m. – 4:30 p.m. 4 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents Campus Map 7400 Fannin (One Fannin) • Fitness Center (6th floor) • Physical Therapy (11th floor) • Quest Diagnostics • Registration (11th floor) • Retail — One Fannin Café — Walgreen’s 7600 Fannin (The Woman’s Hospital of Texas) • First Floor — Café — Classrooms A&B — Gift Shop — Registration — The Woman’s Place for Breast Care 7550 Fannin/Garage Parking • Classrooms C&D • Education & Lactation Support • Gift Shop • Research Center 7800 Fannin • Classroom 106 (1st floor) • Human Resources (4th floor) 7900 Fannin • Complete Woman’s Care Center • Houston Perinatal Associates • Kelsey-Seybold • Obstetrical & Gynecological Associates • Quest Diagnostics • Retail — NINE Maternity — The Stork Club — Walgreen’s .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 5 Back to Contents Hospital Maps East Tower Entrance V The Woman’s Hospital of Texas 1st 1stFloor Floor • Administration • Administration • Café F Administration The Woman’s Place for Breast Care West Tower Main Entrance E Classrooms A&B •• Classrooms A&B Emergency Dept. / Outpatient Lab Lab •• Emergency Dept./Outpatient Café L&D Testing •• L&D Testing Atrium Emergency Department/ Outpatient Lab L&D Testing G 9 & 10 A 1&2 Classrooms A&B • Café • Cardiology/Radiology/ • Imaging Cardiology / Radiology / Imaging (MRI) (MRI) C 7 & 8 3&4 A Registration Nuclear Medicine 5 & 6 D Cardiology / Radiology / Imaging (MRI) A •• Nuclear Medicine Nuclear Medicine •• Registration Registration A •• The Woman’s Place for Care The Woman’s Place for Breast Breast Care ATM Information Restrooms Elevators Meditation Room Stairs Gift Shop Phones V Waiting Area Valet H F The Woman’s Hospital of Texas Rooms: 2400 - 2424 2nd Floor 2nd Floor 1&2 • Day Surgery • Day Surgery ICU • ICU • ICU • Pre-Surgical Testing • Pre-Surgical Testing • Recovery Room • Recovery Room • Surgery • Surgery A Day Surgery Pre-Surgical Testing Atrium E Rooms: 2000 - 2222 • Patient Rooms: 2000 - 2666 • Patient Rooms: 2000 - 2666 C 7 & 8 G 9 & 10 3&4 5 & 6 Rooms: 2000 - 2222 D Recovery Room Surgery Elevators Phones Stairs Nurses Station Restrooms Waiting Area H F C Woman’s Hospital of Texas 3rdTheFloor 3rd • Labor &Floor Delivery Rooms: 1 - 36 1&2 7 & 8 • Labor & Delivery Rooms: 1 - 36 • L&D Reception • Patient 3000 - 3222 • NICU Rooms: III • Patient Rooms: 3000 - 3222 Rooms: 3000 - 3222 • L&D III Reception • NICU Atrium L&D Reception 9 & 10 E G Rooms: 3000 - 3222 A Labor & Delivery 3&4 Labor & Delivery 1 - 36 5 & 6 D NICU III Elevators Phones Stairs Nurses Station Restrooms Waiting Area H 6 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents F The Woman’s Hospital of Texas 4th Floor 4th Floor Rooms: 4400 - 4424 NICU West • •Mom’s Mom’s Express Express 7 & 8 • •NICU East NICU East • •NICU West NICU West • •Patient Rooms: 4400 - 4678 Patient Rooms: 4400 - 4678 Rooms: 4600 4678 C 1&2 A Atrium Parent Entrance E Mom’s Express G 3&4 5 & 6 9 & 10 D NICU East Elevators Phones Stairs Nurses Station Restrooms Waiting Area Phones Stairs Restrooms Waiting Area Woman’s Hospital of Texas • The Pediatric ICU (PICU) 5th Floor • Pediatric Medical and Surgical Pediatric ICU (PICU) • •Patient Rooms: 5000 - 5064 PICU Rooms: 5000 - 5010 5th Floor Rooms: 5012 - 5026 F • Pediatric Medical and Surgical G • Patient Rooms: 5000 - 5064 Rooms: 5046 - 5064 Rooms: 5028 - 5044 Pediatric Medical and Surgical Unit Elevators Nurses Station H .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 7 Back to Contents Confidentiality of Information The information requested during your registration is designed to make your medical record as complete as possible. All information is confidential. During your hospitalization, your medical record may be reviewed by the hospital’s Utilization Management Department. This may be the result of a request from your insurance company, federal or state regulations, or part of the hospital’s performance improvement activities. The intent of the review process is to ensure the appropriateness and quality of care while still maintaining the confidentiality of your record. During admission or at any other time while you are with us, you may request to be given a “no information patient” status. This means callers and visitors will not receive any acknowledgement of your admission. “No information patients” cannot receive deliveries, including flowers. Health Information (Medical Records) To ensure a continuum of care, we have implemented an integrated computer information system that will enable your medical record information to be shared between caregivers and physicians involved in your care. Therefore, your medical record information will be available, now and in the future, to your physicians who practice at HCA facilities in the Houston area. Copies of health records will be provided upon written request by the patient and payment of a reasonable fee. You can request these copies in the Health Information Management Department, located on the first floor of the East Tower. Registration Requirements We will communicate with your insurance company and employer to determine the allowable benefits. Estimated coinsurance and deductible amounts due will be collected at the time of pre-registration or registration. To file a claim for you, we must have: A copy of your insurance card and a valid form of identification; • The name of your insurance company; • The policy, certificate and/or group numbers for your policy; • The name of the insured person; • The effective date of the policy; • A contact name and address to whom the claim is to be mailed. • Patient Rights and Responsibilities Patient Rights We respect the dignity and pride of each individual we serve. Every patient has the right to have his/ her rights respected without regard to age, gender, disability, race, color, ancestry, citizenship, religion, pregnancy, sexual orientation, gender identity or expression, national origin, medical condition, marital status, veteran status, payment source or ability, or any other basis prohibited by federal, state, or local law. Each individual shall be informed of the patient’s rights and responsibilities in advance of administering or discontinuing patient care. We adopt and affirm as policy the following rights of patient/clients who receive services from our facilities: 8 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents Before Your Stay Considerate and Respectful Care • To receive ethical, high-quality, safe and professional care without discrimination • To be free from all forms of abuse and harassment • To be treated with consideration, respect and recognition of their individuality, including the need for privacy in treatment. This includes the right to request the facility provide a person of one’s own gender to be present during certain parts of physical examinations, treatments or procedures performed by a health professional of the opposite sex, except in emergencies, and the right not to remain undressed any longer than is required for accomplishing the medical purpose for which the patient was asked to undress Information regarding Health Status and Care • To be informed of his/her health status in terms that patient can reasonably be expected to understand, and to participate in the development and the implementation of his/her plan of care and treatment • The right to be informed of the names and functions of all physicians and other health care professionals who are providing direct care to the patient • The right to be informed about any continuing health care requirements after his/her discharge from the hospital. The patient shall also have the right to receive assistance from the physician and appropriate hospital staff in arranging for required follow-up care after discharge. • To be informed of risks, benefits and side effects of all medications and treatment procedures, particularly those considered innovative or experimental • To be informed of all appropriate alternative treatment procedures • To be informed of the outcomes of care, treatment and services • To appropriate assessment and management of pain • To be informed if the hospital has authorized other health care and/ or education institutions to participate in the patient’s treatment. The patient shall also have a right to know the identity and function of these institutions, and may refuse to allow their participation in his/her treatment Decision Making and Notification • To choose a person to be his/her healthcare representative and/or decision maker. The patient may also exercise his/her right to exclude any family members from participating in his/her healthcare decisions • To have a family member, chosen representative and/or his or her own physician notified promptly of admission to the hospital • 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 • To be included in experimental research only when he or she gives informed, written consent to such participation. The patient may refuse to participate in experimental research, including the investigations of new drugs and medical devices • To formulate advance directives and have hospital staff and practitioners who provide care in the hospital comply with these directives • To leave the healthcare facility against one’s physician’s advice to the extent permitted by law .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 9 Back to Contents Access to Services • To receive, as soon as possible, the services of a translator and/or interpreter, telecommunications devices, and any other necessary services or devices to facilitate communication between the patient and the hospitals’ health care personnel • To bring a service animal into the facility, except where service animals are specifically prohibited pursuant to facility policy (e.g., operating rooms, patient units where a patient is immunosuppressed or in isolation) • To pastoral counseling and to take part in religious and/or social activities while in the hospital, unless one’s doctor thinks these activities are not medically advised • To safe, secure and sanitary accommodation and a nourishing, well balanced and varied diet • To access people outside the facility by means of verbal and written communication • To have accessibility to facility buildings and grounds. We recognize the Americans with Disabilities Act, a wide-ranging piece of legislation intended to make American society more accessible to people with disabilities. The policy is available upon request • To a prompt and reasonable response to questions and requests for service Access to Medical Records • To have his/her medical records, including all computerized medical information, kept confidential and to access information within a reasonable time frame. The patient may decide who may receive copies of the records except as required by law • Upon leaving the healthcare facility, patients have the right to obtain copies of their medical records Ethical Decisions • To participate in ethical decisions that may arise in the course of care including issues of conflict resolution, withholding resuscitative services, foregoing or withdrawal of life sustaining treatment, and participation in investigational studies or clinical trials • If the healthcare facility or its team decides that the patient’s refusal of treatment prevents him/her from receiving appropriate care according to ethical and professional standards, the relationship with the patient may be terminated Protective Services • To access protective and advocacy services • To be free from restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff • The patient who receives treatment for mental illness or developmental disability, in addition to the rights listed herein, has the rights provided by any applicable state law • To all legal and civil rights as a citizen unless otherwise prescribed by law • To have upon request an impartial review of hazardous treatments or irreversible surgical treatments prior to implementation except in emergency procedures necessary to preserve one’s life • To an impartial review of alleged violations of patient rights • To expect emergency procedures to be carried out without unnecessary delay • To give consent to a procedure or treatment and to access the information necessary to provide such consent 10 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents Before Your Stay • To not be required to perform work for the facility unless the work is part of the patient’s treatment and is done by choice of the patient • To file a complaint with the Department of Health or other quality improvement, accreditation or other certifying bodies if he /she has a concern about patient abuse, neglect, about misappropriation of a patient’s property in the facility or other unresolved complaint, patient safety or quality concern Payment and Administration • To examine and receive an explanation of the patient’s healthcare facility’s bill regardless of source of payment, and may receive upon request, information relating to the availability of known financial resources • A patient who is eligible for Medicare has the right to know, upon request and in advance of treatment, whether the health care provider or health care facility accepts the Medicare assignment rate • To receive, upon request, prior to treatment, a reasonable estimate of charges for medical care • To be informed in writing about the facility policies and procedures for initiation, review and resolution of patient complaints, including the address and telephone number of where complaints may be filed Additional Patient Rights • Except in emergencies, the patient may be transferred to another facility only with a full explanation of the reason for transfer, provisions for continuing care and acceptance by the receiving institution • To initiate their own contact with the media • To get the opinion of another physician, including specialists, at the request and expense of the patient • To wear appropriate personal clothing and religious or other symbolic items, as long a s they do not interfere with diagnostic procedures or treatment • To request a transfer to another room if another patient or a visitor in the room is unreasonably disturbing him/her • To request pet visitation except where animals are specifically prohibited pursuant to the facility’s policies (e.g., operating rooms, patient units where a patient is immunosuppressed or in isolation) Patient Responsibilities The care a patient receives depends partially on the patient him/herself. Therefore, in addition to the above rights, a patient has certain responsibilities. These should be presented to the patient in the spirit of mutual trust and respect. • To provide accurate and complete information concerning his/her health status, medical history, hospitalizations, medications and other matters related to his/her health • To report perceived risks in his/her care and unexpected changes in his/her condition to the responsible practitioner • To report comprehension of a contemplated course of action and what is expected of the patient, and to ask questions when there is a lack of understanding • To follow the plan of care established by his/her physician, including the instructions of nurses and other health professionals as they carry out the physician’s orders .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 11 Back to Contents • To keep appointments or notifying the facility or physician when he/she is unable to do so • To be responsible for his/her actions should he/she refuse treatment or not follow his/ her physician’s orders • To assure that the financial obligations of his/her healthcare care are fulfilled as promptly as possible • To follow facility policies, procedures, rules and regulations • To be considerate of the rights of other patients and facility personnel • To be respectful of his/her personal property and that of other persons in the facility • To help staff to assess pain, request relief promptly, discuss relief options and expectations with caregivers, work with caregivers to develop a pain management plan, tell staff when pain is not relieved, and communicate worries regarding pain medication • To inform the facility of a violation of patient rights or any safety concerns, including perceived risk in his/her care and unexpected changes in their condition Visitation Rights We recognize the importance of family, spouses, partners, friends and other visitors in the care process of patients. We adopt and affirm as policy the following visitation rights of patients/clients who receive services from our facilities: • To be informed of their visitation rights, including any clinical restriction or limitation of their visitation rights • To designate visitors, including but not limited to a spouse, a domestic partner (including same sex), family members, and friends. These visitors will not be restricted or otherwise denied visitation privileges on the basis of age, race, color, national origin, religion, gender, gender identity, gender expression, sexual orientation or disability. All visitors will enjoy full and equal visitation privileges consistent with any clinically necessary or other reasonable restriction or limitation that facilities may need to place on such rights • To receive visits from one’s attorney, physician or clergy-person at any reasonable time • To speak privately with anyone he/she wishes (subject to hospital visiting regulations) unless a doctor does not think it is medically advised • To refuse visitors • Media representatives and photographers must contact the hospital spokesperson for access to the hospital To report a patient rights concern or to file a grievance, contact: • The Woman’s Hospital of Texas’ Patient Advocate at (713) 791-7287; • HCA Ethics Line at 1-800-455-1996; •The Texas Dept. of State Health Services at 1-800-228-1570; • The Joint Commission at 1-800-994-6610 or [email protected]; • TMF Health Quality Institute, the Quality Improvement Organization (QIO) at 1-800-725-8315; 12 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents Before Your Stay Registration Pre-Register Online Expecting a baby? Need to schedule a Screening Mammogram? Scheduled for a procedure? If so, you may pre-register online! Online registration is available 24/7 anywhere you have internet access. It’s quick and convenient. Visit WomansHospital.com to learn more. The benefits of pre-registration include the ability to pre-register in the comfort of your own home or office and simplify the registration process. How does it work? Log onto our website and click “Online Pre-Registration.” From the Online Pre-Registration page, click Online Pre-Registration. Read the instructions and gather the items you will need to have on hand to complete your pre-registration, such as emergency contact information, physician name, etc. The system will direct you from page to page during the preregistration process. OB Pre-registration Guidelines Thank you for choosing The Woman’s Hospital of Texas for your healthcare needs. If you would like to register online, visit WomansHospital.com and click Online Pre-Registration. For your convenience, you may deliver your pre-admission packet to any of the following locations: In Hospital: Main Registration – Located on the 1st floor of the West Tower Please bring valid identification and insurance cards, if available to: The Woman’s Hospital of Texas, 7600 Fannin, Houston, TX 77054 Attn: Registration Office. At any time before your delivery you may stop by our main registration location to sign your consent. We will contact you prior to your due date with any estimated out-of-pocket expenses owed per your insurance benefits. If you do not have insurance, contact our office immediately to discuss your options. The numbers to call to discuss your financial responsibility are 713-791-7240 or 713-791-7401. .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 13 Back to Contents Physician and Other Provider Information Physician Fees In addition to your hospital bill, you will receive separate bills from your attending physician and any specialists your physician may have called for consultation. The hospital does not file insurance claims for physicians or other professional providers. Other Provider Fees Separate bills may be received from your anesthesiologist, radiologist (reading radiology procedures), pathologist (interpretation of lab work), neonatologists and any other non-hospital providers who provided healthcare services during your hospital visit. Please contact the providers with any questions: Anesthesiologist American Anesthesiology of Texas 713-790-1349 ER Physicians EMCARE/Reimbursement Technologies 800-355-3818 Neonatologist Medical Center Neonatal Associates 713-796-0003 Neonatologist Pediatrix 713-512-8500 Pathologist Houston Pathology Associates 713-791-7126 Radiologist Automated Health Management Services 713-426-4010 Transportation REACH Air Medical 800-338-4045 Patient Advocacy Our Patient Advocacy Department can help you in a variety of ways, including: • Explaining hospital policies and procedures, • Investigating your concerns, • Acting as a liaison between you and your caregivers, • Providing information and resources, • Helping to ensure your stay is a positive experience. The Patient Advocacy Department can be reached by calling extension 7287. Compliments or Concerns You may voice complaints, concerns and/or grievances without affecting your care or treatment, through the Patient Advocacy Department at 713-791-7287. If you are not satisfied with this process, you may contact The Texas Department by phone or in writing at 1-800-228-1570, 1110 West 49th Street, Austin, Texas 78756-3199 or The Joint Commission by phone or email at 1-800-9946610 or [email protected]. Recognizing Your Caregivers The Shining Star Service Program is one way you can recognize members of our staff for outstanding service. Nomination forms for the Shining Star Program are available from your nurse or in various locations throughout the hospital. 14 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents Before Your Stay Education Department and Community Classes Childbirth and Parenting Classes Attending educational classes can help prepare the expectant family for the physical and psychological changes associated with pregnancy, birth, and the transition to parenthood. Our intent is to provide families with the knowledge and skills needed to achieve their goals. The Woman’s Hospital of Texas offers a wide variety of classes taught by certified and experienced educators in an open and secure environment. For more information, please visit our website at WomansHospital.com or call 713-791-7495. Support Group Information All support groups are free of charge. Registration is not required. Complimentary valet parking is available at the main entrance of the hospital. Your parking will be validated. For more information or to register for classes, please visit our website at WomansHospital.com or call 713-791-7495. Diabetes Self-Management Program The Woman’s Hospital of Texas and the ABC’s of Diabetes and Pregnancy Program have been recognized by the American Diabetes Association for Quality Self-Management Education. *Our Diabetes classes are designed specifically to meet the needs of women with diabetes prior to and during pregnancy. Our Certified Diabetes Educators provide information, guidance and support to help women accomplish their health goals throughout the childbearing years. Nutrition Education is also provided by the Diabetes Self-Management Program. Our Registered Dietitians provide nutrition education for our diabetes classes, as well as a variety of needs. “Planning Ahead” Pre-Conception Counseling This class is designed for patients with Type 1 or Type 2 Diabetes prior to pregnancy (Pregestational), those with a prior history of Gestational Diabetes and those patients with Polycystic Ovarian Syndrome (PCOS). The instructor emphasizes: planning for pregnancy, diabetes treatment, and potential problems for mom and baby; planning meals, exercise, and stress management; using the meter, diabetes after delivery, breastfeeding, and insulin needs. The ABC’s of Diabetes and Pregnancy This class instructs participants in the management of diabetes through: meal planning, exercise, and stress management. Glucose Meter Instruction: Participants learn how to use the meter, and how to perform quality control checks. They are taught to record and analyze glucose results over time for better diabetes management. Insulin instruction: Participants learn how to prepare and administer insulin, insulin timing, and storage/pattern management. Discussion also includes labor and delivery, infant feeding, postpartum issues, six-week blood glucose follow up and planning for future pregnancies. Classes are offered twice a week at alternating class times in the morning and afternoon, and evening classes are offered to provide more flexibility. In addition to group classes, individual appointments are offered to better meet our patients’ needs. .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 15 Back to Contents Get Pumped - Insulin Pump Class (One-on-one instruction) This class is for patients who have mastered insulin techniques and are motivated for more intense management through the use of an insulin pump. This class provides instruction on the use of the pump, pattern management, and carbohydrate counting. This class instructs participants on eating a personalized meal plan. Instruction is provided on portion sizes, label reading, dining out, and sweeteners. This class meets all nutritional needs, including healthy eating, weight management, preconception, pregnancy and postpartum concerns. These classes are also great for patients managing PCOS and Diabetes, as well as for women expecting multiples, who want to maximize their nutritional intake. Facts • Your Diabetes diagnosis is not your fault. You did not cause it. • A diagnosis of Gestational Diabetes does not mean you have Type 2 Diabetes. • You do not have to eliminate certain food groups. • You do not have to cut out all sugar. • Gestational Diabetes does not mean you will need insulin. For more information or to register, please call the Diabetes Program at 713-791-7559. Programs and Specialty Services Blood Donation and Laboratory Services The Woman’s Hospital of Texas is a full-service clinical laboratory, which operates 24 hours a day, 7 days a week, including transfusion services. Our blood bank is affiliated with the Gulf Coast Regional Blood Center located nearby at 1400 La Concha. Your friends and relatives may donate blood designated for your use. These designated donations are kept until you are discharged from the hospital. For more information about donations, please call the Gulf Coast Regional Blood Center at 713-790-1200. The Woman’s Place for Breast Care The Woman’s Place for Breast Care provides patient-focused mammography, breast ultrasound and other services related to breast care. Mammogram scheduling is efficient and easy. Please call 855-230-8462 to request an appointment for your next mammogram. Additional breast care services offered at our main location include: • Diagnostic ultrasound • Bone densitometry (DEXA) • Breast cyst aspirations • Fine needle aspiration (FNA) • Core biopsies using stereotactic, ultrasound or MRI guidance • Breast MRI • Imaging Services Patients who come to The Woman’s Hospital of Texas for imaging needs will find the latest technology and expert radiologists. We offer a full range of imaging services, including ultrasound, CT, MRI, nuclear medicine and X-ray. 16 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents Before Your Stay We are accredited by the American College of Radiology (ACR) for CT, general MRI, breast MRI, general ultrasound, breast ultrasound, and nuclear medicine. We are also a Breast Imaging Center of Excellence. To schedule an imaging appointment, call 1-855-230-8462. Cardiology and Nuclear Medicine Coronary artery disease continues to affect the lives of many women. The Woman’s Hospital of Texas is committed to diagnosing this disease before it strikes. Our services are designed to identify individuals who might be at risk in order to initiate sensible preventive measures for them. Our Cardiology and Nuclear Medicine Services provide diagnostic procedures for both men and women. For more information, please call 713-791-7652. Osteoporosis Testing Osteoporosis affects one of every two women after menopause. This disease thins and weakens the bones, making them so fragile that it’s possible for a bone to break. A Dual Energy X-Ray Absorptiometry (DEXA) is the most accurate and safest method for determining bone mineral content. This bone densitometry test is offered at The Woman’s Hospital of Texas. For scheduling, please call 1-855-230-8462. Physical Therapy for Women The Physical Therapy Department is located at the One Fannin Building, 7400 Fannin, Suite 1145. We offer specialized physical therapy by female therapists, who received postgraduate training in women health and pelvic floor problems Our Physical Therapists specialize in women’s health including: • Prenatal and postpartum problems including: painful scars, sexual pain, weakened abdominal and pelvic floor (vaginal) muscles, upper and lower back pain, scar pain or muscle tension post-surgery, carpal tunnel, wrist and hand pain, vulvar pain, bladder pain and interstitial cystitis. • Urinary incontinence – urgency or frequency; • Fecal leaking; • Constipation related to muscle tension; • Breast surgery rehabilitation and lymphedema management; • Painful or weak joints or muscles, hip pain, shoulder, back or neck pain; • Post-surgical rehabilitation; • Pudendal Neuralgia – a painful neuropathic condition that is caused by inflammation of the pudendal nerve. Steps to Safer Health Care Ask questions! The single most important way you can help prevent errors in health care is to be an active member of your health care team. • Take part in decisions about your treatment. • Follow your treatment plan. .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 17 Back to Contents Speak up if you have questions or concerns. • We encourage you and your family to call Extension 2076 for additional assistance if you have concerns about your condition that you feel need immediate attention. • You may want to write down questions to ask when your doctor visits. Identify yourself. • Wear your I.D. armband at all times and make sure it is checked before any procedure is performed or medication is given to you. • Know what procedures you are to have and make sure health care workers tell you what they plan to do before consenting to a procedure. Request your health care workers wash their hands. • Ask all health care workers who have direct contact with you whether they have washed their hands. Hand washing is an important way to prevent infection in hospitals. When you are admitted to the hospital, bring a list of all medications you are taking. • NOTE: Include all over-the-counter medications, home remedies, and herbal medications including tea, vitamins, and weight gain or loss products, such as shakes, pills or bars. • Let the nurse and doctor know of any allergies and type of reaction or side effects that you have. Ask for information about your medicines or intravenous fluids. • Know what medications you are taking, why you are taking them, what they look like, what time you take them and potential side effects. • When receiving your medications, look at the color and/or shape and question if the color or shape is different. • Make sure your I.D. armband is checked before any medication is given. Understand your surgery. • If you are having surgery, make sure that you, your doctor, and health care workers all agree and are completely clear on exactly what is planned to be done. • Discuss risks and benefits of your surgery. • Be sure to review with all health care team members the location of the surgery site, if applicable. Help prevent falls. • Ask for our assistance before you walk after any procedure. • We know you want to be independent, but we want to assess your readiness to ambulate. Most falls are avoidable, if assistance is obtained. Review your Discharge Instructions. • When you are discharged home, ask your doctor to explain your plan of care for you to follow at home. • Make sure you understand your medications and what activity and eating plan you are to follow. Patient Safety is the primary goal for the doctors, nurses, and medical professionals who work or practice at The Woman’s Hospital of Texas. We need your participation and help to provide the safest environment for quality health care. 18 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents During Your Stay During Your Stay Patient and Visitor Parking Guide Every patient and visitor’s guide to navigating parking while on The Woman’s Hospital of Texas campus. The safety and security of you and your property are a top priority for everyone on campus. Please follow the below guidelines to ensure a safe and enjoyable visit: • Park only in designated parking areas • Speed limit of 5 mph • Observe all posted signs • Lock your car • Keep valuables out of sight The Woman’s Hospital of Texas and Premier Parking Management are not responsible for loss or damage to your vehicle or its contents. Valet Parking The Woman’s Hospital is proud to offer all guests at 7900 Fannin and the main hospital complimentary valet parking. Highly-trained and courteous staff take care to provide you the safest and most efficient way to visit the hospital! Parking Rates* Parking Office Location Daily Maximum: $8.00/day Weekly Pass $36.00 0 – 15 minutes FREE 16 – 30 minutes $4.00 31 – 60 minutes $5.00 61 – 90 minutes $7.00 91 minutes – 24 Hours $8.00 Lost Ticket $8.00 No in/out privileges A weekly pass can be purchased for $36.00. 7900 Fannin St. (Garage) Houston, Texas 77054 Phone: 713-799-6028 Fax: 713-799-6030 * Parking rates are subject to change. Please see posted rates on campus. Extended Stay For the patients who have stayed with us for longer than one week, The Woman’s Hospital would like to offer complimentary parking. After completing the form with the assistance of your nurse, please tear along the perforation and bring to the Premier Parking Office. The parking office is located in the 7900 Fannin parking garage. Hours of operation are Monday – Friday from 7:00 a.m. – 5:00 p.m. $6.00 refundable deposit required for each parking pass. Key Contacts Parking Office Premier Parking Monday – Friday 8:00 a.m. – 5:00 p.m. 713-799-6028 Security (24/7) Phone: 713-790-1234 Internal: Ext. 7100 Valet Services Metropolitan Healthcare Services Phone: 713-344-6607 Internal: Ext. 3500 Hospital Operator (24/7) Phone: 713-790-1234 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 19 Back to Contents Your Room and Hospital Amenities Room Assignments All rooms are private and assigned as the patient’s surgery or delivery is completed. Overnight accommodations for one guest are available. Complimentary Wi-Fi is available in all rooms via The Woman’s Hospital of Texas guest network. The Woman’s Suites Every woman who chooses The Woman’s Hospital of Texas receives the personal, compassionate care for which The Woman’s Hospital of Texas is renowned. For those who prefer luxury accommodations, The Woman’s Suites offer the extra touches not usually found in a hospital room. The Woman’s Suites feature hotel-like accommodations and gourmet cuisine for both you and a guest or family member. Your stay in The Woman’s Suite will include: • • • • An exclusive gourmet menu in addition to our regular room service menu Three complimentary meals per day for a guest or family member A refrigerator stocked with bottled water and soft drinks with one complimentary restock A tray of assorted fruits, cheeses and specialty cake delivered by 3:00 p.m. on the second day of your stay • A plush robe and slippers • Embroidered baby blanket • Superior linens and toiletries • A fresh flower arrangement • Complimentary parking vouchers for a guest or family member • Complimentary valet • Complimentary Wi-Fi Suites may not be reserved in advance. Please check on suite availability with your nurse upon admission. If you would like to know more about cost and availability of The Woman’s Suites, please contact Nursing Administration at 713-791-7283. A representative can provide information about the additional cost and suite availability. Other Amenities Bella Mademoiselle Spa Services Indulge in the complete luxury and convenience of a wide array of bedside spa services all within the comfort and privacy of your own personal suite. Enjoy European-style manicures, aromatherapy pedicures, rejuvenating facials, mineral makeup application, natural botanical waxing and much more! For pricing information or to schedule an appointment, please visit www.bellamademoisellespa.com or call 713-438-7878. Café The Woman’s Hospital Café serves breakfast, lunch and dinner during posted hours. Vending machines are available 24 hours a day in the Café and throughout the hospital. Coffee is available in most waiting areas as well as in the Café. 20 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents During Your Stay Your Hospital Amenities Floral Deliveries Flowers are delivered to your room. Live flowers and plants are not permitted in the Intensive Care Units. Gift Shop For your convenience, our Gift Shop offers gifts, greeting cards, potted plants, flower, magazines, candy, personal grooming products, and other items. The West Tower Gift Shop is open Monday through Friday, 8:00 a.m. – 9:00 p.m., and Saturday through Sunday, 9:00 a.m. – 8:00 p.m. The 7550 Annex Gift Shop is open Monday through Friday, 9:00 a.m. – 8:00 p.m., and Saturday and Sunday, 10:00 a.m. – 6:00 p.m. Housekeeping A housekeeper will service your room daily. If you have any questions, comments, or concerns regarding your room, please call extension 7272. Internet Access Complimentary Wi-Fi high-speed internet access is available throughout the hospital via The Woman’s Hospital of Texas guest network. Mail During your hospital stay, mail addressed to you will be delivered to your room. Stamped mail can be deposited in the U.S. mail box outside the Hospital on Fannin. Postage stamps may be purchased in the Gift Shop. MOM365 Photography A MOM365 professional photographer will come to your suite for a complimentary portrait session. You will be able to view and order your portraits right from your suite, just minutes after they are taken. The free Baby Portrait Page lets family and friends “meet the baby” online. To schedule a photo session or obtain information on portrait pricing, please contact a MOM365 professional photographer at 713-791-7605. Parking Patients and visitors may park anywhere except in the areas reserved for physicians and staff. Valet service is available for visitors at the main hospital entrance. There is no additional charge for valet. Weekly and monthly parking passes can be purchased from the exit booth cashiers or from the Parking Office (located on the first floor of the 7900 Fannin parking garage) from 8:00 a.m. until 5:00 p.m., Monday – Friday. Public Telephones There are courtesy telephones in most lobbies and waiting areas of the hospital. Dial “9” to access an outside line. Room Service The Woman’s Hospital of Texas offers At Your Request™ Room Service Dining. Please call FOOD (Extension 3663) to place your order anytime between 6:30 a.m. and 6:30 p.m. A Food Service Representative will take your order, and your food will be delivered to your room within 45 minutes. You may also place your entire day’s selection at once. .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 21 Back to Contents If your physician has placed you on a modified or restricted diet, the Food Service Representative will help you with your selection. Guest trays are also available at an additional charge and can be purchased from the Café by calling extension 3663. When finished with your meal, please contact a staff member to remove the tray. Please do not place food trays in the hallway. The Woman’s Hospital of Texas wants all our patients to be very satisfied with their meals. Please feel free to let your Food Service Representative know how we can help satisfy all your food service needs. Sibling Cakes To help celebrate your new baby with brothers or sisters, we are happy to provide a sibling cake the day before discharge or the morning of the discharge. To order a sibling cake, please call extension 3663. Delivery times are 10:30 a.m. or 3:30 p.m. Smoking Smoking on the campus of The Woman’s Hospital of Texas is only allowed in the designated areas at the East Tower. Please use the receptacles available to dispose of your cigarettes. Telephone Patient room phone numbers are posted inside each room. Helpful Phone Numbers The following numbers are listed for easy reference. If you are dialing from within the hospital, you may dial the last four digits. If you are outside the hospital, the entire phone number is needed. Hospital Main Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Food and Nutritional Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Housekeeping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Patient Advocate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Social Workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 713-790-1234 713-791-3663 713-791-7272 713-791-7287 713-791-7140 713-791-7523 Television Basic television is available in each room at no charge. Please be considerate of others by keeping the volume down and turning your television off at bedtime. Visiting While there are no designated visiting hours, the hospital recognizes quiet time hours from 2:00 p.m. – 4:00 p.m. daily. Because adequate rest is part of your healing process, you may wish to limit the number of visitors you see during your stay. As a consideration for other patients, we encourage visitors to use the designated waiting areas rather than waiting in the hallways. For the benefit of all patients, the hospital enforces these rules: 1. Children under the age of 12 are welcome to visit; however, they must be supervised by an adult other than the patient at all times. 2. For privacy, visitors need to leave the room when you are being examined or treated by your physician or nurse. 3. Labor & Delivery: The birth of a new baby is a family experience. For the safety and concern of our laboring patients, we allow three visitors per patient, depending on each patient’s desire and/or condition. Visitors to Labor & Delivery will be given a visitor badge at the third floor Reception Desk. For safety reasons, visitors are not allowed to gather and wait in the hallways. The care and privacy of our patients may be disrupted by visitor traffic, so we will help direct you to one of our waiting rooms. 22 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents During Your Stay The Health Care Team Every physician, employee, and volunteer at The Woman’s Hospital of Texas is dedicated to delivering excellence in everything we do and strives to focus attention on each patient as a woman with individual needs. Birth Certificate and Social Security Coordinators Birth Certificate information will be obtained from you by a coordinator and sent electronically to the Bureau of Vital Statistics to officially record your newborn’s birth. A “Birth Facts” (proof of birth) is available upon request. Labor & Delivery provides a complimentary unofficial certificate of your baby’s birth as a souvenir. This is not the official birth certificate. You will be given an application with specific instructions to obtain a copy of the official birth certificate from the state. Allow four to six weeks from birth for the state to process the birth certificate before applying for a copy. Additional birth certificate information can be obtained from the Birth Certificate Office at 3184. Answering yes to the question “Apply for baby’s social security number?” will alert a Birth Certificate Coordinator to initiate the process for obtaining a Social Security Number for your newborn. The Social Security Administration Office will process and mail the baby’s social security card to the mother’s home. Allow four to six weeks from the date of your baby’s birth to receive the number. All inquiries should be directed to the Social Security Administration at 1-800-772-1213. Dietitians Dietitians are responsible for your nutritional care during your hospital stay. They are involved with meal planning, accessing your nutritional needs, and educating you on the diet ordered by your physician. If you have questions about nutrition or your diet, the nursing staff will contact a dietitian for you. Housekeeping A Guest Service Attendant will service your room. If you would like your room cleaned at a specific time between the hours of 8:00 a.m. – 4:30 p.m., please contact us at extension 7272 and we will be glad to accommodate your request. For after-hours cleaning, call extension 7272. Financial Counselors During your stay, a financial counselor may contact you to discuss your insurance coverage questions and discuss your financial obligations. If you would like to speak with a financial counselor, they are available Monday through Friday, 8:00 a.m. – 5:00 p.m. They may be reached at 713-791-7240 or 713-791-7401. As a convenience to you, your financial counselor can accept your payment anytime during your stay. Lactation Consultants and Breastfeeding Support Services International Board-Certified Lactation Consultants (IBCLCs) are available to assist you with breastfeeding during your hospital stay. As part of your care team, our Newborn Nursery and Postpartum nursing staff will also assist and support you. Ask about the location of pumping rooms for breastfeeding women. .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 23 Back to Contents Breastfeeding Classes Our online breastfeeding class is available at no charge. Visit WomansHospital.com to access the link. We recommend you take this class prior to attending our Breastfeeding and/or Breastfeeding Multiples Classes. Breastfeeding Class and Breastfeeding Multiples Class are offered through our Education Department. Visit WomansHospital.com for more information. Additional breastfeeding education is available on our educational television channel. Consult your television guide for specific times. Support Groups The New Moms’ Lactation Support Group meets at The Woman’s Hospital of Texas Education Department. Lactation Consultants provide information and assistance in a group setting. Women, newborns up to 6 weeks past due date and female support people are welcome. No registration required. Parking is validated. For more information, call 713-791-7495. La Leche League is an international support organization for breastfeeding women. Experienced breastfeeding mothers lead the monthly meetings. There are numerous chapters around the greater Houston area. Siblings are welcome. Find the group nearest you at TexasLLC.org. The Bellaire/West University chapter meets at The Woman’s Hospital of Texas. No registration required. For more information, call 713-791-7495. Lactation Consultants Lactation Consultants will assist you, as needed, during your hospital stay. Private/Public practice Lactation Consultants: www.ilca.org International Lactation Consultants Association (Fee for service). www.halcea.info Houston Area Lactation Consultants & Educators Association (Fee for service). www.lactation foundation.org The Lactation Foundation is a federally funded clinic staffed by IBCLCs (see page 22). Consultations are free of charge. Please call 713-839-0527. WIC The federal program providing supplemental nutrition to Women, Infants and Children (WIC) offers breastfeeding help to mothers who qualify. Visit www.fns.usda.gov/wic. Helpful Breastfeeding Sites: www.breastforbabies.org www.breastmilkcount.com www.theleakyboob.com www.kellymom.com/bf www.newbornsstanford.edu/Breastfeeding (Hand expression & other videos) Special Concerns: Low milk supply: www.lowmilksupply.org Previous Breast Surgery: www.bfar.org Milk Donation: www.milkbank.org Mother’s Milk Bank at Austin: 1-877-813-MILK (6445) 24 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents During Your Stay Why We Recommend Breastfeeding The Woman’s Hospital of Texas and all of the major public health and medical organizations such as The World Health Organization and The American Academy of Pediatrics recommend breastfeeding. Initiating breastfeeding within the first hour of life, breastfeeding exclusively (no other food or drink) for the first 6 months and continuing breastfeeding, along with giving appropriate solid foods, up to a year of age or beyond is the standard. Most women are able to breastfeed successfully. We offer support and resources to assist. See our resources information in this booklet. Benefits of Breastfeeding For Baby • Mother’s milk is more than nutrition, it is also medicine. It reduces the risk of acute infections such as: – Diarrhea, Pneumonia, Ear infection, Meningitis, Urinary tract infection. • Aids in brain development, increasing IQ by an average of 2-5 points. • Some studies suggest decreased rates of sudden infant death syndrome (SIDS) in the first year of life. • Infant mortality rates among breastfed infants up to one year of age in the United States are reduced by 21% compared to formula-fed infants. • Protects the baby when he grows up, long after you stop breastfeeding. It lowers your baby’s risk of: – Being overweight later in life, getting diabetes, having high cholesterol and getting some types of cancer, such as lymphoma, leukemia, and Hodgkin’s disease. For Mother • It lowers her risk of breast cancer, ovarian cancer and diabetes. • It saves money in formula and health care costs and cuts down on days missed from work due to a sick child. For the Community It is a natural resource that doesn’t require manufacturing or shipping and doesn’t produce packaging waste to dispose of, so it helps the environment. Risks of Artificial Feeding According to the American Academy of Pediatrics, research in developed and developing countries of the world, including middle-class populations in developed countries, provides strong evidence that, compared with breastfeeding, formula feeding increases the incidence and/or severity of a wide range of diseases including: • Bacterial meningitis, bacteremia, diarrhea, respiratory tract infection, necrotizing enterocolitis, ear infection, inflammatory bowel disease, celiac disease, late-onset sepsis in preterm infants, obesity, high cholesterol, and asthma in older children and adults. In addition, giving supplemental formula reduces breast milk’s protection and introduces the possibility of developing an allergy to the cow’s milk or soy it was made from. Source: American Academy of Pediatrics, Breastfeeding and the Use of Human Milk, Pediatrics, vol. 129, no. 3, March 2012 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 25 Back to Contents What can you do to improve your chances of success at breastfeeding? • Take our breastfeeding classes online and in person! Knowing the correct way to position baby at breast is key to comfortable feedings that get a lot of milk to your baby. You will also learn how to continue breastfeeding when returning to work or school. • Take one of our childbirth classes to learn non-medicated ways to cope with labor and reduce the amount of pain medication you will need. – Comfort measures can include a comfortable environment, conscious relaxation, massage, positionchanging, mental imagery and a supportive birth partner. – Among the choices of pain medications, Woman’s Hospital most frequently employs the epidural since it has the least effect on the start of breastfeeding. • Hold your baby skin-to-skin right away after birth. • Breastfeed in the first hour and frequently after that. Offer it anytime baby seems ready. Frequent feedings lead to a good milk supply. • “Room-in”- keeping your baby by your side all the time so you can learn to recognize his or her hunger cues and respond quickly. • Wait until breastfeeding is well established (about 1 month) before offering your baby a pacifier. • Be patient. It takes time for both mother and baby to learn, but it gets easier. • Be proud of every drop of mother’s milk you provide for your baby. Almost all mothers can breastfeed successfully, including initiating breastfeeding within the first hour of life, breastfeeding exclusively (no other food or drink) for the first 6 months and then continuing breastfeeding, along with giving appropriate solid foods, up to a year of age or beyond. Language Interpreters If you or your family requires an interpreter, please ask your nurse for assistance. Nurses You will interact more with the nursing staff on your floor than with any other members of your health care team. Nurses administer medications and perform many of the treatments ordered by your physician. They also coordinate diagnostic and therapeutic tests and procedures ordered by your physician. The nursing staff will provide the nursing care appropriate for your illness or condition as well as your individual needs. The nursing staff is composed of Registered Nurses (RNs), Licensed Vocational Nurses (LVNs), Nursing Technicians, Operating Room Technicians, and Unit Secretaries – all working as one team. 26 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents During Your Stay Obstetrical and Family-Centered Care Services Antepartum (Before Delivery) Occasionally, situations develop during pregnancy that put the health of the mother or baby at-risk, and special care becomes necessary. Our Antepartum Unit is designed to care for high-risk patients before delivery. Perinatologists (physician specialists in maternal and fetal medicine) and antepartum nurses manage these high-risk pregnancies toward optimal outcome. Maternal Child Unit (Postpartum and Newborn Nursery) Postpartum Unit After the delivery of your baby, you will be moved to one of our Postpartum Units where you will receive care from our skilled nurses. Our nurses are dedicated to assisting you in your immediate after-delivery care and preparing you for caring for yourself at home. While in our Postpartum Unit, you are our focus. Our nurses specialize in your care and are available to help in any way you need. You may choose to receive visitors or just rest – we want to pamper you and focus on you. Your nurse and your baby’s nurse carry a phone, allowing you to speak directly to them as needed. Managing your pain is a top priority with the postpartum nurses. You will be given a pain management card to help you keep track of when you can have pain medication and what effect you might expect from it. Newborn Nursery Unless other arrangements have been made, our nurses will visit with you and your new baby. Mom and baby will room-in at least 23 hours a day. The transition nurses have received specialized training and are skilled in the assessment and critical observation of your newborn. You will receive a lot of training and important information about the care of your newborn, including safety tips and different screening tests, during the early months of childhood that are vital to the well-being of your baby. The nursery nurses are also available to assist you with basic breastfeeding needs. International Board-Certified Lactation Consultants are available to assist you. We welcome your questions or any additional information that we may provide. The Maternal Child Unit is here to serve you and meet your needs as well as provide additional information that may help you. As nurses change shifts throughout the day, they will share information with you at your bedside. This allows you an opportunity to ask questions, tell us your goals for that shift, and learn our plans for you that day. Someone needs to be with your infant at all times. NEVER leave your infant unattended. If you need assistance while showering, etc., please contact your nurse. Infant safety - place infant in crib if you begin to feel sleepy. Please keep the side rails up at all times. .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 27 Back to Contents Neonatal Intensive Care Unit (NICU) Our Neonatal Intensive Care Units (NICU) provides observation and specialized care for premature and high-risk infants. A Neonatologist (physician specializing in the care of newborns) and Neonatal Nurse Practitioners are on site at all times. The Woman’s Hospital of Texas is equipped with a state-of-the-art 1.5T Philips Achieva MRI system that provides dedicated, specialized MR imaging. The magnet provides a wide range of clinical applications used in the fetal, neonatal, and pediatric care of premature and high-risk babies. Labor & Delivery The Labor & Delivery team at The Woman’s Hospital of Texas is the most experienced in the region, helping families grow one or more healthy babies at a time for over 39 years. Generally, we welcome more than 800 babies a month – a number that represents the trusting relationships we’ve developed with generations of women and families. To arrange a tour of our unit, including the nursery and postpartum floors, please call 713-791-7495. We’re happy to show you around! What to Expect Most patients arrive through our West Tower, with Labor & Delivery located on the third floor – whether it is a scheduled induction, Cesarean section or active labor. A receptionist will greet you, assess the immediacy of your condition, and then escort you to the necessary location to treat your needs. Once you arrive in the appropriate locations, you will be under the constant care of a medical professional, all the way until you leave the hospital with your new bundle of joy. Our hospital has 35 labor and delivery rooms and six operating rooms used for Cesarean sections. We also have a 9-bed Post Anesthesia Care Unit (PACU) for mothers recovering from C-sections. The Woman’s Hospital of Texas is one of the only hospitals in the country that can boast a 1:1 nurse-to-patient ratio in our Labor & Delivery Unit. Throughout entire shifts, nurses tend to the needs of mother and baby without the distraction of other patients or responsibilities. Our nurses are there to ensure the well-being of you and your baby, offering compassion, support, and expertise. After a healthy delivery, initial bonding time is always given to the baby and family. The hospital strives to limit separation between mothers and newborns, even for women undergoing a cesarean section. A Safe Delivery In all labor and delivery rooms, patients receive continuous electronic fetal monitoring using GE Centricity systems. Those same feeds are also monitored at a central station by the Charge Nurse. Our entire nursing staff is certified in fetal monitoring and neonatal resuscitation. Our nurses are also certified in Advanced Cardiac Life Support (ACLS). New nurses undergo an extensive orientation process, and all nurses undergo yearly competencies to review the latest recommendations in care and services. Our nurses stay abreast of developments, and are some of the most thoroughly trained in the country. Many nurses join our staff from other hospitals and frequently remark about the levels of professionalism and proficiency found only at The Woman’s Hospital of Texas. Our physician staffing includes 24-hour anesthesia and neonatal expertise. When routine labor may require additional emergent expertise, there’s no safer place in the region to deliver your baby that The Woman’s Hospital of Texas. Our maternal-fetal medicine specialists are able to care for the most serious complications. 28 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents During Your Stay Customized Birth Experience We promote breastfeeding and mother-baby bonding time. In 2011, we began offering mother-baby bonding in the PACU immediately following Cesarean Sections because many mothers expressed a desire to stay with their babies directly after surgery. Mothers and babies enjoy this early connection while the mother recovers with her baby in her arms. We strive to create the most natural environment of care between the mother and baby. We want your labor and delivery process to be one that is the best for your needs. If you prefer natural birth instead of an epidural, we support that decision. If you are interested in trying alternative labor techniques like birthing balls or massage strategies, we support that decision as well. After delivery, your baby remains in your room for continued bonding. Our goal is to customize your care to meet your needs and desires and make your baby’s delivery as natural, happy, and memorable as possible. Physical Therapists Our Licensed Physical Therapists specialize in women’s health and pelvic floor problems. We can help patients manage pain through manual therapy, education, and exercise. We offer therapy for scar pain, pelvic pain, incontinence, prenatal or postpartum back pain, and other women’s issues. Whether you are dealing with back and neck soreness from prolonged bed rest or post-surgical stiffness and soreness, our Physical Therapists can help you feel better. For more information, please call 713-799-6193. Physicians Our Medical Staff consists of more than 650 physicians. Many are renowned in their specialties. Security Hospital Security Officers continually patrol the buildings, parking areas, and grounds. If requested, Security will escort you or your visitors to the parking area at any time. To make this request, please call the hospital operator. Handguns and Other Weapons Handguns and other weapons are not allowed on the campus of The Woman’s Hospital of Texas, per state and local laws. Personal Belongings and Valuables Keep contact lenses in their case, and keep your eyeglasses and other small possessions on your bedside table. Do not wrap contact lenses in facial tissue, wash cloths or towels, or leave any personal items on your meal tray or in bed. You are responsible for your belongings. Valuables such as jewelry, credit cards, expensive clothing, and large sums of money should be left at home. The Woman’s Hospital of Texas cannot be responsible for your belongings. If you lose an item during your stay, please report the loss to your nurse. To report an incident, notify your nurse or call the hospital operator. To inquire about lost items after you have been discharged, please call the hospital operator at 713-790-1234. .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 29 Back to Contents Photo-All-Baby Infant Security Program The Woman’s Hospital of Texas has many systems in place to ensure a secure environment for you and your newborn. We offer our Photo-All-Baby Program as recommended by the Center for Missing and Exploited Children in which every newborn’s photo is taken and stored. Your participation is vital to the security of your newborn. Newborn Photography A photographer will visit your room to photograph your baby for a portrait session. Photos are available to purchase only if the family chooses to do so. Social Workers The Woman’s Hospital of Texas’ Social Workers are Master’s educated and licensed by the Texas State Board of Social Work Examiners. They are specially trained to provide a variety of services and support, such as individual and family counseling, referrals, resources, crisis intervention, assessments, and evaluations. If you would like to speak with our social workers for any reason, please call 713-791-7523 or ask your nurse to contact Social Services for you. Services are also available after you leave the hospital. Case Manager and Home Health Services Homecare services, such as postpartum visits and homecare for high-risk pregnancies are available from a number of providers if your doctor determines this is necessary for you. Other homecare services available include skilled nursing, home health aides, physical therapy, occupational therapy, speech therapy, medical social services, a mental health and wellness program, and skin and wound management. Spiritual Care Our mission is to provide you with compassionate and exceptional care. The Woman’s Hospital of Texas Chaplain is here to help and serve as a resource for providing spiritual and emotional support to you and your family if you don’t have your own clergy. Our staff can contact the Chaplain for you or you may dial extension 7138. Partners in Pain Management Each patient has a different tolerance and attitude toward pain. Your caregivers at The Woman’s Hospital of Texas are sensitive to individual needs and will help you manage your pain. Several times during your hospital stay, you will be asked to “rate your pain” on a scale of 0 – 10. This allows caregivers to gauge the level of effectiveness of the medications and other pain management techniques, and make adjustments accordingly. The pain scale rates pain from 0 – 10. 0 is no pain, 10 is extreme pain. Distressing Pain No Pain Very happy because she doesn’t hurt at all 30 Hurts just a little bit Hurts a little more Hurts even more Unbearable Pain Hurts a whole lot Hurts as much as you can imagine, although you don’t have to cry to feel this bad .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents During Your Stay Medications Some pain is to be expected after surgery. Your physician will order the appropriate medication and method of administration. Options your physician may order include: Patient Controlled Analgesia (PCA) Pump Continuous – the pump is set to give a controlled amount of medication to the patient continuously. Bolus – the pump gives a controlled amount of medications through the IV when activated; the patient is the only person who should push the button. The pump does not allow dispensation of more medication than is prescribed by your physician. Injections Intramuscular (IM) – a nurse injects pain medication directly into a muscle, usually in the hip or buttock area. Intravenous (IV) – a nurse injects the pain medication into the IV tubing. Oral Pills or tablets – you take them by mouth. ***If your pain medication is ordered “as needed,” it will not be given to you automatically. You will need to tell your nurse when you need pain medication.*** Extra Comfort Measures • Change your position. Lie on your left side, placing a pillow between your legs and a small towel under your stomach for support. • Sit up in bed or in a chair as often as allowed. • Movement helps. Walk as soon as your physician allows. • Request a heating pad or ice bag (requires a physician’s order). • Ask your family to gently massage your neck or feet. • Take slow and deep breaths. You are an important part of effective pain management. Communicate the pain you are experiencing to your health care professionals. Be certain to let them know: • When you are in pain, • The location of your pain, • The intensity of your pain. Talk to your physician and nurse when: • You are experiencing pain – the best time to manage pain is when it first begins, • You have questions about controlling your pain, • You believe your current pain medication is not working. .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 31 Back to Contents After Your Stay Going Home Clinical Discharge • Once we receive your physician’s discharge order, your nurse will bring the • hospital’s discharge education information to you. • Please review the discharge instructions, prescribed medications, nutritional needs, and activity limitations. If you have any questions regarding the information, be sure to ask your nurse for additional information. • Your physician will also provide you specific and personalized instructions for your post-surgery care and follow-up appointment as well. • When you are dressed and your questions are answered, contact your nurse and a member of your team will escort you by wheelchair to the hospital entrance. • Be sure to take all of your belongings with you. Arranging Transportation Home Prior to your discharge from the hospital, please arrange for a friend or family member to take you home. You should arrange to leave the hospital soon after your discharge is written. Car Seats State law mandates that all parents must use a car seat for infants. Your newborn must go home in a car seat, secured in the back seat according to the manufacturer’s instructions. It is the parents’ responsibility to put the baby in the car seat. We suggest you practice using the car seat before you come to the hospital. It would be even better to have the installation checked by a Child Passenger Safety Technician. Locations of car seat check-up events in Houston can be found at www.safekidsgreaterhouston.org. Please secure your car seat in your vehicle before you are ready to take your newborn home. Financial Discharge All patient portions not covered by your insurance are due prior to discharge from the hospital. An Express Discharge is automatically given to all patients who have met the financial requirements (your estimated patient responsibility) upon entry to the hospital. The Express Discharge allows you to leave directly from your room on the day of discharge. The cashier’s office is open Monday through Friday, 8:00 a.m. – 5:00 p.m. After hours, a representative is available at extension 7335. The hospital accepts all major credit cards. Newborn Insurance Requirement Many insurance companies and employers require that you complete an insurance application to add your newborn(s) to your existing insurance plan. Even if you are expecting to participate in a Cobra plan, the newborn(s) must be added to the plan with your employer. Don’t Forget to Add Your Baby to Your Insurance! 32 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents After Your Stay Hospital Billing Information Billing Procedure After your discharge from the hospital, you will receive a notification acknowledging that we have billed your insurance company. An itemized statement is available upon request. You may pay the balance of your bill at the facility’s cashier office Monday through Friday, 8:00 a.m. – 5:00 p.m., or online at WomansHospital.com. The hospital accepts all major credit cards. Refunds Please contact The Woman’s Hospital of Texas Patient Account Services (Customer Service) at 1-800-361-3974 for any refunds. Billing Questions Questions concerning collections or payment arrangements for hospitalization should be directed to: The Woman’s Hospital of Texas Patient Account Services (Customer Service) 8101 W. Sam Houston Parkway Houston, Texas 77072 1-800-361-3974 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 33 Back to Contents Programs and Specialty Services The Woman’s Place – Neighborhood Physician Offices As a specialty hospital for women and infants exclusively, The Woman’s Hospital of Texas attracts patients from the entire Greater Houston area. To make it easier for women to see a physician on staff at The Woman’s Hospital of Texas, there are neighborhood offices in seven locations throughout the metropolitan area. Physician specialties at these offices include obstetrics, gynecology, and pediatrics. Mammography and lab services are also available. The Woman’s Place Satellite Locations ANGLETON* PEARLAND** 1135 E. Cedar Angleton, TX 77515 10233 Broadway, Suite E Pearland, TX 77584 713-436-2920 Houston line: 281-331-0530 Angleton line: 979-849-8287 Lake Jackson line: 979-297-6350 CLEAR LAKE* 411 Bay Area Blvd. Houston, TX 77058 281-480-3315 KINGWOOD** 1330 Kingwood Dr. Houston, TX 77339 281-359-5711 SUGAR LAND 16552 Southwest Freeway Sugar Land, TX 77489 281-242-0767 WILLOWBROOK* 7915 Cypress Creek Parkway (FM 1960 W), Suite 210 Houston, TX 77070 281-890-1182 MEMORIAL VILLAGE 9055 Katy Freeway, Suite 306 Houston, TX 77024 713-464-1890 * Mobile Mammography Unit available ** Stationary Mammography Unit available 34 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas Back to Contents After Your Stay The Woman’s Place – Specialty Clinics Maternal Fetal Medicine (high-risk obstetrics), Infectious Disease, and Pediatric Specialties are offered at the following clinics. Additionally, specialized ultrasounds are available for high-risk obstetrical patients. THE DIAGNOSTIC CENTER 125 Gaslight Medical Parkway Lufkin, TX 75904 713-791-9700 THE WOMAN’S PLACE FOR SPECIALTY CARE – KATY 705 Fry Rd., Suite 230 Katy, TX 77450 281-578-8073 THE WOMAN’S PLACE FOR SPECIALTY CARE – KINGWOOD 1330 Kingwood Dr. Houston, TX 77339 281-359-5711 THE WOMAN’S PLACE FOR SPECIALTY CARE – WEST HOUSTON 12121 Richmond Ave. Suite 103 Houston, TX 77082 281-759-6623 THE WOMAN’S PLACE FOR SPECIALTY CARE – COLLEGE STATION 1602 Rock Prairie Rd. College Station, TX 77845 713-791-9700 .................................................................................................................................................................................................................................................................. The Woman’s Hospital of Texas 35 N Driving directions to The Woman’s Hospital of Texas From the North From the East Take I-45 (S) or Hwy. 59 (S) to Hwy. 288 (S) Take I-10 (W) to 610 (S) Take Hwy. 288 (S) to 610 Loop (W) Take 610 (S) to Fannin exit Take 610 (W) to Fannin exit Exit and turn right on Fannin, staying in the Exit and turn right on Fannin, staying in the left lane left lane Take Greenbriar at the Fannin/Greenbriar split Take Greenbriar at the Fannin/Greenbriar split From Greenbriar turn right at the main entrance From Greenbriar turn right at the main entrance From the South From the West Take I-45 (N) or Hwy. 288 (N) to 610 (W) to Fannin exit Take I-10 (E) to 610 (S) Exit and turn right on Fannin, staying in the left lane Take 610 (S) to Fannin exit Take Greenbriar at the Fannin/Greenbriar split Exit and turn left on Fannin, staying in the left lane From Greenbriar turn right at the main entrance Take Greenbriar at the Fannin/Greenbriar split From Greenbriar turn right at the main entrance 7600 Fannin • Houston, TX 77054 • 713-790-1234 WomansHospital.com