You have the right to make choices regarding your health care. You can
prepare for the possibility that you will be unable to make health care
decisions by making your wishes known in advance. Your wishes can be communicated
through "advance directives." You have the right to name someone else
to make health care decisions for you when you cannot. You can do this
by completing a power of attorney for health care. In this document, you
can name an adult relative or friend that you trust as your "agent" to
speak for you when you are too sick to make your own decisions. After
you chose your agent, be sure that your agent understands your wishes
and will be comfortable communicating your wishes should the need arise.
The types of decisions your agent can make include to approval or disapproval
of tests, procedures and medications; selection and discharge of a provider
or institution; directions to provide, withhold/withdraw artificial nutrition
and hydration, and all other forms of health care. If you wish, you can
limit the type of decisions your agent can make for you. You can also
give an advance directive about when you would or would not want medical
treatment. You can indicate when you would choose to prolong life, whether
you wish to be kept free of pain, even if it were to speed up death, or
any other special wishes you have regarding your healthcare. Please discuss
your wishes with your physicians, especially your primary care physician.
You can also give an advance directive as to which, if any, organs you
would like to donate in the event of your death. You do not have to have
a written advance directive. You may communicate your wishes to your physicians
and nurses, and ask them to write down your wishes in the chart. However,
your wishes will probably be clearer and more likely to be accepted by
your family and others, if your write them down. For more information
about advance directives, please ask to speak with the case manager.
Learn more about Advance Directives from Saint Mary's Hospice Community
Outreach Coordinator, Ashley Avdokimo:
Concerns and Complaints
If you are concerned about something whether it is your care, your room,
your meals, your testing schedule, your visitors or anything else - please
let us know without delay; and we will try to remedy the situation immediately.
Be assured that you can speak to your care givers in confidence. If you
would rather not talk about your problem with your nurse, you may meet
with the supervisor or manager on your unit for a confidential discussion
of your concern. Please be assured that the presentation of a complaint
or concern will not compromise your treatment. Our goal is to provide
healthcare that is supportive of patient and family wishes, recognizing
that situations and decision-making can, at times, cause conflicts in
the course of healthcare delivery. We, of course, also appreciate compliments.
Patient Family Grievance
Anytime your concerns are not resolved to your satisfaction, you may also
contact our Administration of the hospital. They will work with all hospital
departments to investigate your complaint and assist you in handling your
concern. To contact Saint Mary's RIsk Management, please call 775-770-3228.
You can also mail feedback to: Saint Mary's Regional Medical Center ATTN:
Risk Management - 235 W. Sixth Street, Reno, NV 89503. If this is not
to your satisfaction, you may file your complaint with HealthInsight at
800-748-6773. Additionally, the State Bureau for Hospital Patients can
be contacted at 702-486-3587.
The Bio-ethics Committee
Sometimes a difficult choice must be made from two or more alternatives,
none of which completely provides a satisfactory answer. The Bio-ethics
Committee is composed of physicians and hospital staff members and it
functions as an advisory body to Saint Mary Medical Center regarding ethical
and moral issues which arise in the provision of medical care. Access
to the Ethics Committee is available to patients and their families. Ask
your nurse for access. If the problem is with him or her, then ask for
the department manager or their supervisor; and request an ethical consultation.
A representative from the Bio-ethics Committee will discuss your concerns
with you and contact the appropriate health team members for further consultation,
It is the goal of Saint Mary Medical Center to meet the emotional and spiritual
needs of patients and families. Your own clergy person is also invited
to visit you at any time. If you don't belong to a congregation, but would
like to speak to a spiritual leader from a particular denomination, please
ask your nurse to arrange such a visit.
Medical Social Work
Our Medical Social Work Department is a part of the total healthcare team
that is working to assure that the support and compassionate care our
patients and families need during hospitalization is there. We can assist
you and your family in dealing with emotional, social and/or economic
stresses which may occur as a result of illness and hospitalization. We
are also specialists in identifying the many community, state and federal
resources that may be of help to you in the weeks ahead. If you need help
in sorting out your needs, ask your nurse to contact a social worker for you.
Organ and Tissue Donations
When someone dies, it is often possible for other lives to be saved or
made better through the donation of their organs and tissues. We realize
that the death of a loved one is a very difficult time and take this into
consideration when discussing the possibility of donation. Saint Mary's
Regional Medical Center is required by law to discuss the option of organ/tissue
donation with the next-of-kin of every patient who may be suitable for
donation. Many families have taken comfort in this difficult time in knowing
that someone else's life was made better through the donation of their
loved ones' organs/tissues.
Learn more about organ and tissue donation
You have the right to be informed about any procedures, tests, or operations
to be performed on you. It is expected that the physician will talk with
you about the benefits of your treatments and will explain the risks,
complications including unanticipated outcomes that could happen, as well
as other treatment that could help you.
Pain management is an important part of your care. You have the right to
expect that pain will be identified, addressed, and treated. Good pain
control allows you to feel more rested, more in control and speeds up
your recovery. We, here at
Saint Mary's Regional Medical Center, feel responsible to listen to your concerns about pain. Even though it
is not always possible to provide you with complete pain relief, controlling
your pain will help you to be more comfortable. This will allow you to
move easier after your surgery or procedure, help prevent complications,
and can even shorten your hospital stay. We will help you make reasonable
and desirable pain relief goals. One of the most important things you
can do is tell us about your pain. Sometimes people assume we can tell
they are having pain, but this is not always true. Only you know when
you are in pain, how bad it is, and what it feels like. When you describe
the intensity, type, location and duration of your pain, you help us to
do a better job of caring for you. Your healthcare providers will listen
to the way you describe your pain and how you think it will be relieved
to help them decide what medicine or other pain relief measures to use.
The records of your hospital stay are kept in the hospital Medical Records
Department. You have been issued a unique medical record number and all
of your records will be compiled into a unit record under that number.
If you have a need for a copy of your record for personal use, there is
a nominal charge. We will be happy to copy your record for any physician
who is to provide continued medical care for your well being at no charge.
Although we are staffed seven days a week for the processing of records,
we are only open to the public from 9:00 a.m. to 4:00 p.m., Monday through
Friday. We are closed evenings, weekends and holidays.
To ensure the safety and well being of patients, visitors and employees,
the hospital continually monitors and tests a wide range of security and
life-safety measures. You may hear overhead announcements for drills and
other messages. Be assured that your nurse will monitor these announcements
and inform you of any pertinent information. Your well being is of primary
importance to us. For this reason, we have equipped your bed with side
rails to keep you safe when you are medicated or asleep. Please ask for
assistance if you wish to lower or raise them. When you get out of bed,
please don't rely on your bedside table for support. It can shift under
your weight. We also ask that you wear non-skid slippers when walking
around the unit, and that you request assistance when getting in or out
of a bed or chair, unless otherwise instructed by your nurse or doctor.
The Chaplains of Saint Mary's Spiritual Care Services provide a caring
presence to patients, visitors and staff of all faiths. Services are available
and can be requested by asking your nurse or other provider. Our Chaplains
also assist patients in contacting community spiritual representatives.
At Saint Mary’s, our staff is committed to honoring and supporting
the faith, beliefs and values of our patients, their families and caregivers.
It is our desire to assist our patients in connecting with spiritual care
services that can be a source of strength and energy in the healing process.
Saint Mary's Chapel
In almost every faith tradition, it is important to have sacred spaces
for prayer, celebration and to practice rituals that hold meaning for
us. For patients, family or staff, we open this sacred space to all and
hope that it might offer a safe haven in times of distress, uncertainty
and even in celebration of new beginnings. Mass is celebrated in the Chapel
at various times throughout the week. We also broadcast Mass from the
Chapel to patient rooms daily. Catholic sacraments are also available
through Spiritual Care Services.
Spiritual Care Volunteers
Our professional spiritual care team is supported by a talented and caring
community of volunteers. These volunteers give their time and compassion
to support patients, family and staff in times of grief, loss and spiritual
distress. Our volunteers receive specialized training and support from
our Chaplain team, and they are an integral part of our spiritual care
ministry. If you are interested in becoming a Spiritual Care volunteer,
please visit our
Volunteer Services page for more information.
There may be times during your hospitalization that you feel confused or
disoriented due to your illness or the medications you are taking. Our
hospital staff is trained to assist you in maintaining a safe environment
for yourself and those around you. If it appears you may cause harm to
yourself or others, physical restraints may be considered. Alternate methods
shall be attempted prior to the application of restraints. Physical restraints
include vests or wrist and/or ankle wraps to ensure your safety and the
safety of those caring for you. Every effort will be made to ensure that
your dignity and privacy are respected, and your family will be informed
of the necessity to use restraint measures.
Saint Mary's Regional Medical Center is committed to providing a safe hospitalization experience for all patients,
and a restraint free environment. Ongoing assessments will be conducted
to evaluate alternatives to physical restraints. A restrained patient
will be closely monitored to ensure his or her safety. Every effort will
be made to remove the restraints as soon as possible.
It is important that all visitors adhere to hospital visiting and isolation
practices. Visitors with signs of a communicable disease or infection
(including colds and flu) should not visit patients who are hospitalized.
All visitors should refrain from sitting on the patient's bed, using the
patients' bathroom and handling the patient's personal belongings. Remember
-hand washing is the single most important means of preventing the spread
of infection. If a patient has a contagious disease, special isolation
precautions will be initiated and only adult family members will be permitted
to visit. To protect patients and guests, all visitors will receive instruction
on isolation procedures prior to entering an isolation room, including
the use of gloves, gowns, masks and other protective furnishings.
You'll receive a comprehensive initial assessment within 8 hours of your
admission, including a physical, psychological, social, spiritual and
functional evaluation. This information will help us to identify and prioritize
your overall treatment plan. The scope, intensity and timeliness of further
assessments will be defined by your healthcare team based on your diagnosis,
care setting, desire for care and response to previous treatment. An assessment
of your discharge planning needs will also begin within 8 hours of your
admission. Discharge planning is a collaborative process and will involve
you, your family and qualified individuals of the healthcare team.
Because we provide healthcare services to people with culturally diverse
backgrounds, we use Language Lines. If you need their help in understanding
any aspect of your care - or in expressing your concerns -your nurse will
arrange for their assistance. There is no charge for this service.
During your hospitalization, all necessary medications will be prescribed
for you by your physician. For this reason, you should leave all other
prescriptions and over-the-counter preparations at home, unless your physician
advised you otherwise. Even a simple aspirin can interfere with the way
certain therapies work, so please notify your nurse if you've brought
any medications with you. We are interested in all medications you are
taking at home, and will ask you what they are as part of your initial
assessment. It is always helpful if you have a written list of names,
times and doses of medication you are using, including those prescribed
by a specialist, such as eye drops or topical creams.
To provide a healthful and comfortable environment for all patients and
visitors, the hospital maintains a smoke free environment. Patients and
visitors are not allowed to smoke anywhere in the hospital, including
the cafeteria, rest rooms or lounges. Smoking is also prohibited on the grounds.
Patient and Family Education
We believe that patient education is one of the most important ways every
patient can help their own recovery. Knowing what is wrong with you and
what treatments are available, allow you to help make the decisions about
your care that you want. We know that everyone has his or her own ways
of learning. We want to help you learn about your condition in the easiest
way possible. You will be asked questions about how you learn best, if
you have any religious or cultural beliefs that will affect our teaching.
The types of topics we want to cover include how to be safe, nutrition,
how to safely take your medicines, how to use any equipment you need and
any questions you have about your diagnosis.
When friends call to inquire about your condition, the call will be directed
to your room. More detailed information can be released to one immediate
family member designated by you. If you'd prefer that we withhold all
information, including your condition and location within the hospital,
please notify your nurse.
A big part of getting settled is becoming acquainted with your new surroundings.
Your room is where you will spend most of your time, and it is designed
to be as cheerful and pleasant as possible, while allowing for comfort
and safety. If your accommodations are semi-private, please be considerate
of your roommate's needs, and limit your visitors and activities accordingly.
The Call System
There is a call button at your bedside and a pull cord in the bathroom
to summon assistance. Just press the button or pull the cord and a staff
member will respond in person or by intercom. Please don't hesitate to
use it if you have questions or need help.
Keeping in touch with loved ones is important, especially when you are
ill. For your convenience, there is a private phone on your bedside table.
Your extension number is your room number, with the exception of specialty
areas such as LDRP, ICU, etc. If friends or family want to reach you,
they can call 775-770-3000 and ask the operator to connect them to your room.
Cellular telephone use is prohibited while in the hospital building in
all patient care areas.
Sometimes the days can seem long, when you are in the hospital. For your
comfort, your room is equipped with a television set. To hear television
programs, change channels, and tune into radio stations, use the bedside
control. Special channels are available in certain areas.
Saint Mary's Regional Medical Center cannot be responsible for valuables
that you keep in your possession. You should leave your jewelry, money
(large sum), wallets and purses at home to ensure their safekeeping. Please
be alert concerning your belongings such as dentures, contact lenses,
eyeglasses, hearing aids and comparable personal belongings. Please store
these items carefully when not in use. Never leave them on a meal tray
or wrap them in tissue paper. If you forget to leave your valuables at
home and do not wish to entrust them to a friend or relative, they may
be deposited in the Saint Mary's Regional Medical Center safe for safekeeping.
Ask your nurse for assistance.
The hospital maintains strict safety requirements on all electrical and
battery operated appliances used in the patient care environment. No personal
electrical devices are allowed, including hair dryers, curling irons,
electric shavers, radios and similar equipment. The operation of cellular
phones is not allowed anywhere in the building for patient safety.
Breakfast is usually served by a health team member between 7:30 and 8:00
a.m. Lunch is delivered between 12:00 and 12:30 p.m. Dinner usually arrives
between 5:00 and 6:00 p.m. Snacks are available upon request and are served
at 10:00 a.m., 3:00 p.m., and 8:00 p.m., if your diet is not restricted.
Proper nutrition can be as crucial to your health as the right therapy
or medication. In fact, food can play such an important role in your recovery
that your diet is personally prescribed by your physician and carefully
planned by a registered dietitian. All patients will receive a menu listing
several approved selections for breakfast, lunch and dinner (except those
patients in ICU). A guest tray is also available upon request for an additional
fee, paid by the guest. Please feel free to ask your nurse questions regarding
Our housekeeping staff makes sure your room is neat and clean each day.
They're especially sensitive to your needs for privacy and quiet and try
to complete their tasks discreetly, with as little disturbance as possible.
If you have any special housekeeping requests, please let one of our staff
Mail, Flowers and Newspapers
If you are going to be with us for more than a day, your loved ones may
want to send you flowers and cards wishing you a speedy recovery. Mail
should be addressed to your name and room number. A volunteer or staff
member will deliver flowers to your room as soon as they arrive with the
exception of specialty areas, such as ICU or Step Down. Those patients
may receive flowers after they are transferred to the medical or surgical
floor. Mail will be delivered to your room. If you are not there, it will
be left on your bedside table. Mail received after you leave the hospital
will be sent to your forwarding address. Newspapers are available by request
from the volunteers. You may call the volunteer desk to have a paper brought
to you free of charge.
Case Managers are experienced professionals who collaboratively monitor
and coordinate your care while assessing your needs on an ongoing basis
during your stay at Saint Mary's Regional Medical Center. They work closely
with your physician and the healthcare team, as well as your insurer,
to assure you receive the highest quality care. Your Case Manager will
work with you and your family to arrange for appropriate post discharge needs.
The first thing most people think about when they enter a hospital is,
"When can I go Home?" Going home from the hospital or to another facility
can present special needs and challenges. Please let your nurse or any
member of your healthcare team know if you have any special concerns regarding
your needs after leaving the hospital as early as possible. Your healthcare
team begins thinking and formulating a plan with you for your discharge
early in your hospital stay. A variety of healthcare team members will
help minimize any problems and assist you in transitioning from one level
of care to another. In collaboration with you and your family and the
physician, your case manager, discharge planner, social worker and nurse
can assist in arranging the appropriate after hospital services you may
need. These services may include home healthcare, skilled nursing facilities,
and/or resources to enhance the success of your hospital stay.
Leaving the Hospital
When you and your doctor decide you are ready, you will leave the hospital
to continue your recovery at home or at a transitional facility. Before
you go, your physician and nurse will review your discharge papers and
discuss your post-hospital care with you and your family. Make sure you
understand your physician's instructions. The entire healthcare team is
available to assist in answering your questions. Don't forget to arrange
for a ride home with a relative or friend well in advance of your discharge.
If extended care is necessary after you are discharged, your doctor can
request assistance through the case management department. Ask your nurse
or health care provider for details.
Healthcare is a partnership between patients and caregivers. Participation
of patients and family members results in more-informed decision making.
It is important to us that you are involved in your care and understand
the reasons for the things that are being done for you. Please feel free
to ask us if you have any questions regarding your care or your condition.
It is our goal that you understand the care that is given to you.
You have the right to respectful, dignified care, including:
- Considerate, respectful and non-discriminatory care
- Privacy, comfort and security
- Proper assessment and management of pain
- An environment free from mental or physical abuse or harassment
- Visitors, telephone calls and mail
- Pastoral and spiritual care
You have the right to participate in your care decisions.
- Healthcare information will be provided in a manner and form you can understand.
- You may ask which treatment options are available and participate in decisions
about your care, including advance directives.
- You may refuse treatment to the extent permitted by the law and be made
aware of the possible results of your refusal.
You have the right to access your medical records.
- Upon request, you may review and copy your medical records and know to
whom we disclose your information.
You have the right to confidentiality.
- Your medical records will be confidential except where required by law,
transfer of care or third-party payor/insurance contact.
- Family members and your own physician may be notified of your admission
to the hospital.
You have the right to be heard.
- Any concerns you may have regarding your care may be addressed by contacting
the individual department leadership or by filing a formal grievance.
- Saint Mary's strives to be restraint free; however, there are times when
restraints are needed to ensure patient safety, and they are only used
when other less-restrictive options do not work. Restraints are always
removed as soon as possible. At all times, staff will work to protect
the dignity and rights of the patient.
General Visiting Hours
Visiting hours in the general care areas are 11 a.m. to 8 p.m. A limit
of two visitors at a time is preferred. Children are allowed in the hospital,
but we advise that you check with a patient's nurse if children under
the age of 12 will be visiting. Depending on a patient's condition, his
or her nurse may recommend modified visiting hours.
Pediatric Unit Visiting Hours
11:30 a.m. to 8:30 p.m. for adult visitors. No children under two years
of age, and no one with infectious or contagious illness.
Mother-Baby Unit/Post-Partum Visiting Hours
Visitors are welcome between 11 a.m. and 8:30 p.m. The father of the baby
or the significant other is welcome at any time. Entry to the newborn
nursery is limited to banded parents or banded significant others only.
Neonatal Intensive Care Nursery Visiting Hours
No visitors between 6:30 a.m. and 7:30 a.m., 3 p.m. and 4 p.m., and 6:30
p.m. and 7:30 p.m. We require all visitors to be accompanied by a parent.
No children under age four. Siblings may visit once per week. We ask that
you limit your visitors to two at any time.
If you need additional information regarding visiting hours, please call (775) 770-3000.
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