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Pre-Admission Information
LEVELS 1 & 4 ST ANDREW'S PLACE 33 NORTH STREET, SPRING HILL
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Your doctor has selected Spring Hill Specialist Day Hospital for your procedure. Spring Hill Specialist Day Hospital provides pleasant and comfortable surroundings and using the latest technology provides the most appropriate and safe environment for people having day surgery.
While much of our hospital supports Queensland Fertility Group, the uniquely designed three theatre facility also performs plastic, urology, gynaecology (including laparoscopic procedures), cosmetic, dental and upper limb orthopaedic procedures.
Our highly experienced team looks forward to caring for you and making your stay with us safe and comfortable.
This leaflet will provide an overview of the Spring Hill Specialist Day Hospital services, admission processes and post operative care. If you have any questions, please contact us on [07] 3307 3243.
To ensure that you are well prepared for your procedure, please read this brochure thoroughly.
Before Admission
To assist our preparation, please complete the Pre-admission and Pre-operative Assessment forms at the back of this booklet and return to Spring Hill Specialist Day Hospital in the pre paid envelope as soon as possible. If your admission is within the next 7 days, please complete the forms and bring with you on the day. If your admission date has not been confirmed, please write “not known” to the question.
Please nominate a telephone number on your admission form where the nurse can ring you on the last working day prior to your surgery between 9am and 3.30pm. This is to confirm your admission time, discharge arrangements and approximate discharge time.
Planning for your discharge
You can expect to be in recovery for a period of one to three hours depending on your type of surgery and anaesthetic.
After an anaesthetic you must arrange for a friend or family member to drive you home and stay with you for 24 hours. Failure to do this may result in your procedure being cancelled. If you do not have anyone to provide this care for you there are a number of facilities that may be able to assist. If you require any information on these services please contact the Day Hospital.
Please note that once you are ready for discharge it is expected that your carer be available to collect you. We do not have the capacity for patients to remain for extended periods of time for social reasons.
Pain Management
For pain relief after your surgery, we recommend you purchase paracetamol or paracetamol/codeine medication from your pharmacy, (providing you are not allergic to it) and take as directed.
If you have any particular concerns about your pain management, please contact your doctor prior to admission.
Preparation for Admission
Do not eat food or drink fluids including water, for six hours prior to surgery.
Your fasting time will be confirmed by the nurse during pre-admission call.
• Avoid drinking alcohol or smoking for 24 hours prior to surgery, as this may affect your recovery.
• Please shower prior to admission. If you require any special preparation your doctor will advise you.
Welcome
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• Wear loose comfortable clothing including shoes which are easy to slip on and off. Apart from a wedding ring all jewellery and valuables should be left at home. We cannot accept responsibility for their security.
• Please do not wear makeup, nail varnish, talcum powder or perfumes.
Medications
Take your normal medications with a sip of water on the day of surgery unless advised otherwise by your doctor.
Consent
You (or your Guardian) will undergo an informed consent process with your doctor for any surgical or interventional procedures or blood transfusion prior to, on or during your admission.
Additional questions may be directed to your Doctor before signing the consent form such as:
• The name of your procedure
• Procedure and the body part(s) involved.
• The type of anaesthetic
• Alternatives to; and side effects from the procedure
• Any risks, complications, expected recovery time and any restrictions after surgery
Your surgeon may give you a signed copy of the acknowledgement that this process has been completed. You will need to bring your copy with you to the Day Hospital. You are still able to ask your surgeon any questions you may have prior to surgery.
Caring for You – Let us know if you need extra support
If you have a visual, hearing, physical, speech or cognitive impairment please advise us on the Pre-
Admission Form at the back of this booklet and also tell our nurses during your pre-admission phone call. You need to tell us:
• What your impairment or disability is.
• Any additional support you or your carer may need.
• Any special equipment you may require.
• Any other information you feel is relevant to help us provide you with the care you need.
By giving us all these details we can ensure that we offer all the additional support and information you may need.
Preventing Infection
We are committed to ensuring your safety while at Spring Hill Specialist Day Hospital and hand hygiene, good housekeeping, and the adherence to professionally recognised Standards and Guidelines all contribute to your recovery and to reducing the risk of infection.
• Patients and their carers have a role to play in reducing the risk of infection to themselves and other patients.
• Good hygiene is the most important way to avoid infection, and hand hygiene is particularly important.
• It is important for everyone, including doctors, patients and visitors to clean their hands. Alcohol based hand rubs are a very effective form of hand hygiene and are located throughout the facility. We encourage patients and visitors to use these.
• We request that people with influenza, gastroenteritis or other contagious illnesses do not come to the Day Hospital.
Falls Prevention
Many things can increase the risk of you falling and for a number of reasons there is an increased risk of falling while in hospital. This is true of people of all ages. The reasons for this increased risk can include:
• Unfamiliar surroundings
• Medical conditions
• Medications
• Poor balance
• Feeling unwell
• Low blood pressure
• Poor eyesight
• Unsafe footwear
If you have a history of falls or feel that you may be at risk please advise the nurses during your pre-admission telephone call so that we can be prepared to care for you appropriately. Your admitting nurse will also assess your level of risk during your admission.
There are a number of precautions that you can put in place to reduce the chance of a fall:
• Ensure that you have someone who can be relied upon to collect you and care for you overnight.
• Bring any walking/mobility aids into the Day Hospital with you.
• Bring glasses into the Day Hospital with you.
• Wear comfortable clothing that is not too long as well as low non-slip well fitting shoes.
• Take your time when getting up, particularly after your anaesthetic.
• Always ask staff for assistance if you feel unsteady.
Preventing Blood Clots
Blood clots in your legs or lungs can cause permanent injury and in rare cases death. As part of your care you will be assessed on your risk of developing a clot during pre-admission and on admission. Again please advise the nursing staff if you are taking any medication to help prevent clots or have a history of blood clots.
Remember too:
• Wear compression stockings if advised to do so by your surgeon. You may be fitted with a pair upon
your arrival at the Day Hospital dependant on what procedure you are having.
• Gently exercise your feet and legs while you are in bed.
• Get out of bed and up and moving as soon as possible.
Preventing Pressure Areas
A pressure injury or ulcer is a sore, a break or blister of the skin that can occur on an area of the body that has had the blood supply damaged by unrelieved pressure. Please advise the nurses if you have any of the following signs as it may indicate that you could be susceptible to a pressure injury and alert the staff to implement the necessary preventative actions.
• Red/purple/blue skin colour
• Blistering
• Swelling
• Dryness or dry patches
• Shiny areas of skin
• Cracks, calluses, wrinkles
• A burning sensation in areas such as heels
• Pain
To prevent pressure areas you need to:
• Keep your skin clean and dry at all times.
• Bathe and wash in warm water using a mild soap that doesn’t make the skin dry.
• Use a moisturising lotion to prevent your skin drying out.
• Avoid vigorous massage or rubbing the skin as this can damage the underlying tissue.
• Inspect your skin for any signs of redness that doesn’t go away, any broken or blistered skin, localised pain, tingling or numbness.
• Avoid sitting or lying in the one position for extended periods of time without moving.
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There are a number of strategies that the staff will use if they assess you to be at risk. If you are having your procedure under sedation and are responsive to instruction the staff may ask you to change position if you are able during your surgery. They may use extra support and gel padding to protect the vulnerable areas of your body during surgery. In addition they will actively assist you to mobilise post operatively to relieve any undue pressure on your body.
On Admission
On arrival please present to the first floor reception for admission. Please bring your Medicare and health fund cards and Consent form if you have it with you as well as any medications that may be required during your stay. For IVF patients please bring your Queensland Fertility Group receipts.
Please keep belongings to a minimum as space is limited.
Arrive one and a half hours prior to your booked surgery time unless otherwise advised. To enable us to process your admission please be punctual. You will be admitted on the 1st floor and transferred to the 4th floor for your surgery and recovery.
The admitting nurse will take your observations and discuss with you and your support person each stage of your stay and what you can expect to happen both before and after your discharge. Please feel free to ask any questions you may have.
Prior to Surgery
You will be required to change into theatre attire. The anaesthetist will discuss your medical history at a pre-operative consultation, and answer any questions you may have about your anaesthetic and pain management.
Correct Site Surgery
Prior to your surgery your Doctor will mark (where applicable) the body part for surgery with a pen. This mark must not be removed as the doctor and nurse will review the marking before surgery commences. They will also correctly identify you and the proedure being performed by asking your name, date of birth and the type of procedure you are having. One final check will be undertaken by the surgical team in the Operating Theatre again to confirm your identification and procedure.
Following Your Surgery
You may feel assured that advances in operating and anaesthetic techniques for day surgery have enabled us to minimise side effects associated with your operation.
Following surgery, when you are well enough, you will dress and be transferred to a comfortable chair in Sitting Recovery. You may be offered light refreshments prior to discharge depending on your type of procedure.
Visitors
Your carer is encouraged to remain during the admission procedure to discuss your care during your stay, and following discharge.
The admission nurse will need a contact number and will give you an estimated time that your carer will be contacted to return to take you home. This is only an estimate and may vary depending on a number of factors.
The recovery room is an acute area and a restful and private environment must be maintained for all our patients, therefore visiting is not permitted here. Your carer may wait in the area provided on level 1 and will be contacted to come to level 4 when you are ready for discharge.
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Discharge
Before going home you will be given an information sheet which will advise you about wound care, activities, medications (such as pain relief), follow up appointment and any other special instructions you may require to care for yourself after discharge.
We will also give you a contact number for the doctor in case of an emergency.
Going home alone in a taxi or on public transport is against the Day Hospital Policy and recognised Day Surgery and anaesthetic Guidelines. You MUST have a responsible adult to collect you, take you home and stay with you overnight.
Following Discharge
You may feel drowsy due to anaesthetic drugs which can remain in your system for up to 24 hours.
For this reason you should follow these instructions during this time:
• Do not drive a car or operate machinery.
• Do not drink alcohol.
• Do not make important decisions or sign documents.
• Arrange for another person to care for your children.
• Care should be taken when using sharp utensils, hot liquids or cooking appliances.
The next day, one of the nursing staff will telephone you to check your progress and answer any queries you have.
Weekend, After Hours and Public Holiday Access
This is via a video security system which is located at the main entrance of St Andrew’s Place. Please follow the instructions on the panel to the left of the main door.
Mobile Phones
For the comfort of patients and vistors mobile phone use is discouraged.
Smoking
This is prohibited throughout the building.
Facilities
A coffee shop is open during the week on the first floor of the building.
Pharmacies are located nearby on Boundary Street.
An ATM is located on level 3 at St Andrew’s Hospital.
Accounts
You are advised to check your private health insurance cover before admission. Any fees or excess not covered by your health fund will be payable on the day of surgery. Should you require information about charges, please do not hesitate to contact our office.
You will also receive accounts from your surgeon and anaesthetist in addition to the fees payable to the Day Hospital.
Partnering with You - Let us know how you are feeling
• You and your relatives or carers have a vital role to play in your care.
• If you feel something is wrong, we want to take action as soon as possible.
• An important role for you during your stay is to let us know if you are not feeling well.
• We ask you and your carers to tell us of any concerns and ask us any questions you may have so we can work together to look after you.
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SHSDH.ADM.FRM.70802 Version 12.2015 P1 of 2
SPRING HILL SPECIALIST DAY HOSPITAL
Levels 1 and 4, St Andrew's Place33 North Street, Spring Hill QLD 4000Phone: (07) 3307 3243Fax: (07) 3832 3247
OFFICE USE ONLY: Paid QFG: Y / N MRN.
PRE-ADMISSION FORM
PLEASE COMPLETE FORMS IN BLACK PEN AND RETURN TO US AS SOON AS POSSIBLE. ALL FIELDS ARE REQUIRED TO BE COMPLETED.IF YOUR ADMISSION IS WITHIN THE NEXT 7 DAYS, PLEASE COMPLETE AND BRING WITH YOU ON THE DAY.
WE WILL CONTACT YOU ON THE LAST WORKING DAY PRIOR TO YOUR SURGERY.PLEASE PROVIDE US WITH THE MOST SUITABLE CONTACT NUMBER:
Proposed Admission Date (if known): / / Treating Doctor:
Proposed Surgery / Procedure:
Surname: (Mr, Mrs, Miss, Ms, Dr)
Given Names (in full):
Home Address:
Postcode:
Email:
Medicare No. Position on Card: Valid until: /
Phone (Home): (Work): (Mobile):
Date of Birth: / / Age: Religion:
Country of Birth:
Main Language Spoken:
If required will an interpreter accompany you? Yes No
Occupation:
Marital Status: Never Married Widowed Separated Married / Defacto Divorced
Next of Kin: Relationship:
Address:
Postcode:
Contact Phone No:
If someone other than your Next of Kin is collecting you after surgery please provide their name and contact details:
Name: Phone:
Have you used this facility previously? Yes No Please advise if Surname changed:
Have you been a hospital inpatient in the last 28 days? Yes No
If yes, please give details:
DECLARATIONI accept responsibility for payment of all treatment administered at Spring Hill Specialist Day Hospital irrespective of any claim which I may have against any health fund or other party. I also accept that should admission to hospital for further care be required I will be responsible for all costs incurred.
Signature: Date: / /
Relationship to Patient:
PLEASE COMPLETE THE REVERSE SIDE OF THIS FORM.
Are you of: Australian Aboriginal Origin Torres Strait Islander Origin South Sea Islander Origin None of the above
INSURANCE DETAILSPLEASE COMPLETE THE FOLLOWING
Fund Name: Membership No:
Type of Cover: Annual Excess (if applicable):
Is this procedure covered by: YES NO
Workers Compensation Claim Number:
Veterans Affairs Entitlement Number:
Non Insured
PAYMENT OF ACCOUNTS
ACCOUNTS ARE PAYABLE IN FULL ON THE DAY OF SURGERY. PAYMENTS CAN BE MADE BY CHRQUE, CASH, EFTPOS, CREDIT CARDS OR AMERICAN EXPRESS.
PLEASE REMEMBER TO BRING YOUR HEALTH FUND DETAILS AND YOUR MEDICARE CARD WITH YOU.
To assist you in finding out any costs for your procedure, please complete the following: Completed Not applicable
1. If you have health insurance, ring your fund to check whether you are covered for this procedure at Spring Hill Specialist Day Hospital and if an excess is applicable.
2. If you do not have health insurance, please ring Spring Hill Specialist Day Hospital with your item numbers to receive a verbal / written quote for your stay.
3. Request written information from your surgeon about any "out of pocket costs" which may apply to the surgical fee.
4. Request the name and contact phone number of your anaesthetist, from your surgeon's rooms, for information on any "out of pocket costs" which may apply to the anaesthetic fee.
5. If pathology is required, please note that a "Gap Payment" may apply.
PRIVACY PRINCIPLES
1. We acknowledge our obligations to you under the Privacy Act 1988.
2. Our Personal Information Management Policy is available at Reception and our Privacy Officer, who can be contacted by telephone through our main switchboard, is happy to answer any questions you may have concerning the policy.
PLEASE READ YOUR BROCHURE TO ASSIST IN PREPARING FOR YOUR SURGERY AND YOUR DISCHARGE ARRANGEMENTS.
PRE-ADMISSION FORM
SHSDH.ADM.FRM.70802 Version 12.2015 P2 of 2
SPRING HILL SPECIALIST DAY HOSPITAL
Levels 1 and 4, St Andrew's Place33 North Street, Spring Hill QLD 4000Phone: [07] 3307 3243Fax: [07] 3832 3247
PATIENT I.D. LABELPRE-OPERATIVE FORM
PRE-OPERATIVE ASSESSMENT FORMPLEASE COMPLETE THIS FORM IN BLACK PEN AND RETURN IT TO THE DAY SURGERY UNIT AS SOON AS POSSIBLE.IF TIME IS INADEQUATE, PLEASE BRING IT WITH YOU ON THE DAY OF SURGERY.
Name: Ht: cm Wt: kg
Details of previous surgery:
Have you had an anaesthetic previously? Yes No
If Yes please give details of any problems:
Gyn/IVF patient only
Date of last menstrual cycle: / / Are you currently breast feeding? Yes No
Do you have or have ever had any of the following? Yes No Additional information (Circle answer where there are options)
Allergies to medication / tapes / dyes / latex / food Malignant hyperthermia (you or your family) A cough or cold at present Heart disease, Rheumatic fever, Heart Murmur
Chest Pain / Angina / Heart Attack / High Blood Pressure Bronchitis, Asthma, or any other chest problems Do you smoke? How long? Faint easily Epilepsy or other seizures Hepatitis or jaundice Arthritis or muscle disease Kidney problems Heartburn / reflux Anaemia or other blood problems Bruise or bleed easily Diabetes Type 1 Type 2 Have you taken Aspirin in the last 2 weeks Other serious illnesses or disabling conditions
List of current medications (including alternative / recreational drugs):
Special diet? If yes please give details:
SHSDH.CLN.FRM.71005 Version 12.2015 P1 of 2
SPRING HILL SPECIALIST DAY HOSPITAL
Levels 1 and 4, St Andrew's Place33 North Street, Spring Hill QLD 4000Phone: [07] 3307 3243Fax: [07] 3832 3247
PATIENT I.D. LABEL
RISK MANAGEMENTCLINICAL RISKS: Patient self-assessment - please complete boxes 1 - 4
ADMISSION NURSE: if yes to any of the following, document and handover as per policyPATIENT TO COMPLETE
FALL
S R
ISK
SKIN
IN
TEGR
ITY
RISK
THRO
MBO
SIS
RISK
INFE
CTIO
N CO
NTRO
L/CJ
D
Have you fallen in the last year YES NO
Do you have any cognitive impairment? (Disoriented, dizzy, confused, memory impairment, unable to follow instructions) YES NO
Do you require supervision or assistance with ambulation or have any restricted mobility? YES NO
Have you received medications in the last 24 hours that impair co-ordination / mental function? YES NO
Do you have presence of sensory or motor impairment? YES NO
Do you have a history of poor skin integrity – broken skin area / fragile skin? YES NO
Do you have a history of incontinence? YES NO
COMMENTS:
Are you a known insulin dependant diabetic? (Not gestational) YES NO
Do you have a history of deep vein thrombosis / pulmonary embolism? YES NO
Do you have a history of previous stroke/ heart failure / acute myocardial infarction? YES NO
Do you have a history of malignancy?
Have you sustained a recent fracture? YES NO
Is your planned procedure / operation time greater than 2 hours? (Check with nurse) YES NO
Do you or a family member suffer from or been exposed to CJD (Creutzfeld Jakob Disease) YES NO
Have you received human pituitary hormone or had a dura mater graft between 1972 & 1989? YES NO
Have you ever had a mutli-resistant infection? YES NO
Do you have or have you ever had Tuberculosis (TB)? YES NO
Do you have or have you ever had blood borne infection (e.g. Hepatitis HIV)? YES NO
Do you have a respiratory infection or signs & symptoms of a respiratory infection with a temperature over 38 degrees? YES NO
Nurse Signature Date / /
ACKNOWLEDGEMENT OF REQUIREMENTS FOR DISCHARGE
I acknowledge that I have been informed by hospital staff of the following requirements relating to my discharge from the Day Hospital.
• I must be collected by a responsible adult/family member/carer when I have been discharged• I have arranged for a responsible adult to stay with me for the first 24 hours post procedure or at least over night.• For the first 24hours post procedure I will; - Take medications only prescribed by my doctor - Not drink alcohol - Not drive a motor vehicle or take control of machinery or hazardous appliances - Avoid tasks that involve concentration or responsible decision making
Patient Signature Date / /
RISK MANAGEM
ENT FOR DAY HOSPITAL PATIENTS
1
4
3
2
CLINICAL RISKS
Assessment is required upon admission and re-assessment must be undertaken if changes are noted to any of the risk factors above during admission.
SHSDH.CLN.FRM.71006 Version 12.2015 P2 of 2
of purposes i.e. to provide care to you, does not require your consent. If we want to use the information for other purposes, we will ask for your consent.
Our Personal Information Management Policy is available at reception or our Privacy Officer, who can be contacted by telephone through our main switchboard is happy to answer any questions you may have concerning the policy.
Feedback
We welcome your feedback about all aspects of your care at Spring Hill Specialist Day Hospital. This feedback assists us to continually improve our services and overall quality of care.
We ask you to complete the Patient Satisfaction Survey you will be given on discharge and return in the postage paid envelope we will provide. Should you experience any problems during your stay that you wish to discuss immediately, please ask to speak to the Manager of Business and Nursing Services.
Complaints
Should you or your family feel that they wish to make a complaint about any aspect of care or treatment they receive, this can be made either in writing or verbally to:
1 Your treating surgeon.
2 Manager of Business and Nursing Services ph [07] 3307 3243.
3 The Office of the Health Ombudsman PO Box 13281 George Street Brisbane Qld 4003 Toll Free: 133 646 Fax: 07 3319 6350 Website: Office of the Health Ombudsman Qld
4 Privacy Hotline - ph 1300 363 992. 11
As a patient of Spring Hill Specialist Day Hospital your responsibilty is to:
• Provide the hospital and your doctor(s) accurate and complete information about your medical history (physical or psychological) or circumstance which may impact on your care whilst a patient at the hospital.
• Clarify/discuss any aspects of your care you don't understand with the hospital staff.
• Comply with the guidelines which are given to you for preparing for your surgery and care following your discharge.
• Act in a manner which does not compromise your safety.
• Consider the rights of other patients especially in regards to noise and property within the care area.
• Respect staff and ensure that your family and carers act accordingly. The hospital has a zero tolerance policy in respect to harassment, verbal abuse, bullying and aggression and breaches will result in intervention.
• Accept financial responsibility for all services rendered.
• To arrange for a responsible adult to escort you home and stay with you 24 hours following surgery.
Spring Hill Specialist Day Hospital Privacy Statement
We acknowledge our obligations to you under the Privacy Act 1988 and the Privacy Amendment (Enhancing Privacy Protection) Act 2012.
Personal information we collect from you will be used primarily to ensure that you receive optimal care, but may be used for other purposes.
The use of your personal information for a limited number
Australian Charter of Healthcare Rights
The Australian Charter of Healthcare Rights describes the rights of patients and other people using the Australian health system. These rights are essential to make sure that, wherever and whenever care is provided, it is of high quality and is safe.
What can I expect from the Australian health system?MY RIGHTS WHAT THIS MEANS
AccessI have a right to health care. I can access services to address my healthcare needs.
SafetyI have a right to receive safe and high quality care. I receive safe and high quality health services, provided with professional care, skill and competence.
RespectI have a right to be shown respect, dignity and consideration. The care provided shows respect to me and my culture, beliefs, values and personal characteristics.
CommunicationI have a right to be informed about services, treatment, options I receive open, timely and appropriate communication aboutand costs in a clear and open way. my health care in a way I can understand.
ParticipationI have a right to be included in decisions and choices about I may join in making decisions and choices about my caremy care. and about health service planning.
PrivacyI have a right to privacy and confidentiality of my personal My personal privacy is maintained and proper handling ofinformation. my personal health and other information is assured.
CommentI have a right to comment on my care and to have I can comment on or complain about my care and havemy concerns addressed. my concerns dealt with properly and promptly.
For further information please visit www.safetyandquality.gov.au
BOUNDARY ST
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Roma StreetParklands
St Andrew’sWar Memorial
Hospital
BrisbanePrivateHospital
WickhamPark
King Edward
ParkCentral
Spring Hill Specialist Day Hospital
QFG on Little Edward Street
QFG Watkins Medical Centre
QFG
-SHS
DH-A
DM-F
RM-7
1810
Reception / Admissions Level 1Clinical Areas Level 4
Levels 1 and 4 St Andrew’s Place 33 North St, Spring Hill Qld 4000
tel [07] 3307 3243 fax [07] 3832 [email protected] www.shsdh.com.au
Parking
A public car park is available under the building from Monday to Friday (usual inner city carparking rates apply).
Parking at St Andrew’s Place can be pre-booked by going to the following link
http://www.secureparking.com.au/car-parks/australia/qld/brisbane/st-andrew-place
Alternately there is a car park at St Andrew's Hospital and some meter parking is available.
A pick up and set down point is directly outside the front entrance.
By Train and Bus
The closest rail station is Roma Street Staion. An alternative is to disembark at Central Station and catch the free city Spring Hill Loop bus - the closest bus stop to Spring Hill Specialist Day Hospital is Boundary St Stop 180.
