A Guide For Patients & Families - Westchester Medical Center

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A guide for patients & families100 Woods RoadValhalla, NY C #MFCHWestchester Medical Center Health Network includes:Westchester Medical Center Maria Fareri Children’s HospitalBehavioral Health Center I MidHudson Regional HospitalGood Samaritan Hospital Bon Secours Community HospitalSt. Anthony Community Hospital Health Alliance: Broadway CampusHealth Alliance: Mary’s Avenue Campus Margaretville Hospital

ContentsWelcome. . . . . . . . . . . . . . . . . 2Ronald McDonald House. . . 16Hospital Map. . . . . . . . . . . . . . 3Pastoral Care. . . . . . . . . . . . . 17Information. . . . . . . . . . . . . . . . 4Managing Pain. . . . . . . . . . . 18Important Telephone Numbers. . . . . .Parking. . . . . . . . . . . . . . . . . . . . . . . . .Visiting. . . . . . . . . . . . . . . . . . . . . . . . .Telephone. . . . . . . . . . . . . . . . . . . . . . .Television Service. . . . . . . . . . . . . . . .Internet. . . . . . . . . . . . . . . . . . . . . . . . .ATM. . . . . . . . . . . . . . . . . . . . . . . . . . .Patient Belongings. . . . . . . . . . . . . . . .Flowers & Plants. . . . . . . . . . . . . . . . .444555556Safety First . . . . . . . . . . . . . . . . 7Patient Identification. . . . . . . . . . . . . . 7Handwashing. . . . . . . . . . . . . . . . . . . . 7Preventing Falls. . . . . . . . . . . . . . . . . . 7Our Commitmentto Family-Centered Care . . 8Intensive Care Units. . . . . . . . 9Neonatal Intensive Care Unit. . . . . . . 9Our Staff. . . . . . . . . . . . . . . . . 10Concerns and Complaints. . 13Tests & Treatments. . . . . . . . . 14Child Life and CreativeArts Therapy . . . . . . . . . . . . 15Breastfeeding Mothers. . . . . 19Language andCommunication Services. 20Medications and Allergies. . 21Planning for Discharge. . . . . 22For Your Consideration. . . . . 23Transportation. . . . . . . . . . . . . . . . . .Gift Shops . . . . . . . . . . . . . . . . . . . . .Vending Machines. . . . . . . . . . . . . . .Dining. . . . . . . . . . . . . . . . . . . . . . . . .Local Dining . . . . . . . . . . . . . . . . . . .Hotels. . . . . . . . . . . . . . . . . . . . . . . . .Local Stores. . . . . . . . . . . . . . . . . . . .Banks and Western Union. . . . . . . .Laundry . . . . . . . . . . . . . . . . . . . . . . .232323232424252525Billing, Insuranceand Financial Assistance. . 26Glossary of Terms. . . . . . . . . . 28TV Channels. . . . . . . . . . . . . . 31Giving Back. . . . . . . . . . . . . . 32Family Resource Center. . . . 161

WelcomeDear Families,On behalf of all our staff, welcome to Maria Fareri Children’s Hospital, a memberof the Westchester Medical Center Health Network (WMCHealth). We hopethe information provided in this booklet will help guide you through this mostimportant time in the lives of your child and your entire family. While our firstpriority, of course, is to attend to your child’s healthcare needs, this informationalso will help you understand that our mission is to assist your entire family atthis stressful time. Please be an active participant in your child’s treatment andrecovery process and ask any questions when you feel you need information; andplease feel comfortable being an advocate for your child along the way to recoveryand discharge. All of the staff at Maria Fareri Children’s Hospital are here to helpyour child and your family. Please let us know how we can make your hospitalexperience as comfortable as possible.Michael Gewitz, MDPhysician-in-ChiefMaria Fareri Children’s Hospital2Linda Hurwitz, MS, RNVP, Patient Care ServicesMaria Fareri Children’s Hospital

Hospital Map1112131st Floor151 Main Entrance / Lobby2 Front Desk / Security3 Gift Shop161013144 Pediatric Admitting175 Family Resource Center27 Adult Emergency Department3195846 Pediatric Emergency Department8 Operating Room9 Radiology10 Pediatric Acute Care Unit (PACU)11 To / From Westchester Medical Center12 Dolls of the World Exhibit13 Perioperative Family Waiting Lounge614 Baseball Hall of Fame15 Conference Room B716 Conference Room A17 Au Bon Pain Cafe62411491032857362nd Floor3rd Floor1 Trauma Intensive Care Unit (TICU)1 Arts Neighborhood (3220 – 3238)2 Neonatal Intensive Care Unit (NICU)2 Literature Neighborhood (3240 – 3257)3 Pediatric Intensive Care Unit (PICU)3 Child Life & Creative Arts Therapy4 Little Dream Street4 Athletics Neighborhood (3401 – 3414)5 Sailing Neighborhood (3102 – 3118)6 Heroes Neighborhood (3120 – 3138)7 Flight Neighborhood (3140 – 3156)8 Theater Neighborhood (3200 – 3218)9 Non-Invasive Cardiology10 Case ManagementEntrance / ExitCorridorRest Rooms3Elevators

InformationImportant Telephone NumbersCase Management & Social WorkChaplaincyChild Life and Creative Arts TherapiesChildren’s Hospital AdministrationConcierge ServicesEmergency DepartmentFamily Resource CenterFoundation OfficeMain Hospital NumberMarketing & Communications DepartmentMedical RecordsParking InformationPatient AdvocatesPediatric Emergency DepartmentVolunteer Office(914) 493-7631(914) 493-7125(914) 493-6640(914) 493-6160(914) 493-7505(914) 493-7307(914) 493-8503(914) 493-2575(914) 493-7000(914) 493-5412(914) 493-7600(914) 493-7932(914) 493-8877(914) 493-6001(914) 493-7850ParkingVisitor parking is available in the front of the Children’s Hospital and in the frontof the Main Hospital. The first 15 minutes of parking are free. The fee for dailyparking is 6. Discounted 30-day parking is available by contacting the hospital’sparking management office at ext. 7932 or by calling (914) 493-7932.IMPORTANT: Please be sure to take your parking ticket with you to the hospital.When you are leaving, look for the parking payment machine in the Children’sHospital lobby, near the security desk, to obtain your payment voucher before youleave the hospital.VisitingAt Maria Fareri Children’s Hospital, we do not consider parents or guardians to bevisitors. As a parent or guardian, you are allowed 24-hour access to the Children’sHospital. If you are unable to stay with your child, you also may designate anotherindividual 18 years of age or older to stay overnight with your child.Visiting hours for all other visitors are between 9 a.m. and 9 p.m. Children visitorsunder the age of 14 must be accompanied by an adult at all times. In the NeonatalIntensive Care Unit (NICU), parents and visitors are asked not to visit at thebedside from 6:30 a.m. to 8 a.m. and 6:30 p.m. to 8 p.m.People with a cold, cough, fever or other illness are not permitted to visit.4

TelephoneThere is no charge for local telephone service calls within the 914 area code fromyour child’s room. To dial out, press 9, then dial the number. Long-distance callsmust be made collect, with a phone card, or by dialing 30 and having the callcharged to your home phone number.Television ServiceTelevision service is complimentary for all pediatric patients in the Children’s Hospital.InternetWireless Internet is available in Maria Fareri Children’s Hospital and throughout theWestchester Medical Center campus. There also are computers located within theFamily Resource Center, located on the first floor off the main lobby, available for useby families and visitors. You do not need a password in order to access Wi-Fi. If youneed assistance in connecting to Wi-Fi, call the WMC IT Help Desk at 493-1543.ATMThere is a Chase Bank ATM located in the lobby of the Main Hospital.Welcome to Our NeighborhoodIn Maria Fareri Children’s Hospital, we call our units “neighborhoods.” Just likeany other neighborhood, our neighborhoods have guidelines in place which areintended to keep you and your child safe. We ask that you please abide by them asdescribed in this section and throughout this guide.Patient BelongingsWe encourage our patients to bring a few belongings from home to help themfeel comfortable during their stay; however, we ask that you limit the number ofpersonal belongings kept in the room. It is important that our staff members areable to regularly clean every surface of the room in order to prevent the spread ofinfection. Additionally, we recommend that valuables be left at home.Staying OvernightAfter visiting hours are over, we allow one parent or designated individual at least18 years of age to stay overnight. We do not permit the use of additional furnituresuch as inflatable mattresses or cots. Each room is equipped with a chair or sofathat converts into a bed. For your child’s safety, you are not permitted to sleep inbed with your child. Please dress appropriately when staying overnight.Regular Vital SignsIt is important for us to regularly check your child’s vital signs (temperature, bloodpressure and heart rate). Your child’s required level of care and your physician’sorders dictate how often we are required to check vital signs; it is important for yourchild’s health that we must measure vital signs during the night. Detecting even slightchanges in vital signs can provide important information about your child’s health; webelieve the importance of this strongly outweighs the brief disturbance to your child.5

NoiseThere are many noises that are a regular part of care, especially in the IntensiveCare Units. There will be many beeping noises that are necessary to help usprovide continuous care for your child. For the safety of your child, alarms maynot be turned off. During night hours, however, we expect everyone to maintainan appropriate noise level that is respectful of the needs of families in theneighborhood. If you experience noisy staff members, please speak to the chargenurse or nursing supervisor. You also may call the Patient Advocacy department at(914) 493-8877 so we can address this for you.Keeping Rooms CleanWe ask that you limit the amount of personal belongings you bring, because less cluttermakes it easier for us to keep your child’s room clean. We encourage families to interactwith one another; however, please do not visit in patient rooms. Instead, please use thelounges in the neighborhoods and the public areas throughout the hospital.Flowers & PlantsPlease do not bring fresh flowers or plants to patients in the Pediatric IntensiveCare Unit, the Neonatal Intensive Care Unit or to oncology or transplant patients.Fresh flowers and plants can increase the risk of infection for these patients.BalloonsLatex balloons are not permitted in the hospital due to allergies.Electrical AppliancesFor safety reasons, electrical appliances such as tea kettles, microwaves andportable grills are not permitted in patient rooms.Nourishment AreasNourishment areas with refrigerators and freezers are available for families in eachneighborhood. Please label any food placed in these areas with the patient’s name andthe date you placed the food in the area. The Sailing, Literature and Athletic neighborhoods also contain a breast milk freezer and refrigerator. Please give your nurse breastmilk you wish to have stored and be sure to label it with the patient’s name and the date.6

Safety FirstPatient IdentificationYour child always must wear an identification band while in the hospital as apatient. In order to provide the safest care for your child, we will constantlycheck his/her identification band and ask you or the patient to confirm the propername and date of birth. We understand that this may be bothersome at times andappear repetitive, but because of our dedication to patient safety, we must followthis process as part of our hospital policy. Please help us by asking your child’scaregiver to check his/her identification band before providing any care and beforetaking your child anywhere. If your child’s identification band falls off, pleasenotify your nurse so we can replace it immediately.HandwashingAt Maria Fareri Children’s Hospital, keeping our patients safe from infection is apriority. We ask all staff, families, visitors and patients to help prevent the spreadof infection with proper handwashing. Hand sanitizer dispensers are located outsideof each patient room as well as throughout the hospital. Please use hand sanitizer orwash your hands before entering and after exiting your child’s room.Isolation/Contact PrecautionsTo help prevent infection, children may be placed on isolation precautions. Shouldyour child require isolation, we ask that you follow all isolation proceduresincluding gowning, and that you not enter any other patient room, even if invitedin by the parent or guardian of the child in that room. This is to prevent the spreadof infection to your child and to others. Our staff strongly enforces isolation rulesbecause of their seriousness.If your child is on isolation, there will be a sign posted on the door that explainswhat staff, family and visitors need to do before entering and exiting the room.To help prevent the spread of infection, please inform family and friends that theyshould not visit if they are not feeling well.Children on isolation are not allowed to enter the playrooms or use activity spaces;instead, a child life specialist will bring appropriate toys or activities to the bedsideas well as an “Ideas to Help You and Your Child/Teen While on Isolation” flier. Ingeneral, visitors are not permitted to use the playrooms or activity spaces.Preventing FallsIn order to prevent your child from falling while in the hospital, please:1. Accompany him/her to the restroom when medical equipment is attached2. Accompany him/her to the restroom when getting up for the first timeafter surgery3. Help him/her get up when unsteady on his/her feet due to medication or illnessFor more information on how you can prevent falls, please refer to the “PreventingFalls, Enhancing Safety” handout.7

Our CommitmentTo Family-Centered CareMaria Fareri Children’s Hospital is committed to Family-Centered Care. Werecognize that parents, guardians and family members are the primary source ofstrength and support for our patients. We believe that the information familiesprovide is essential for good care and comes from a unique perspective thatimpacts clinical decision-making.What Are Family-Centered Rounds?Family-Centered Rounds are an opportunity for your child’s care providers tocome together to discuss your child’s care with you. They will discuss changes inyour child’s condition and the plan of care for the day with you.When Do Family-Centered Rounds Occur?Family-Centered Rounds typically occur between 8:50 a.m. and 11:30 a.m.on the 3rd floor, 7:30 a.m. and 10 a.m. in the Pediatric Intensive Care Unit(PICU), and 7:30 a.m. and 8 a.m. in the Neonatal Intensive Care Unit (NICU).Sometimes, depending on circumstances that may not always be predictable inthe neighborhood, these rounds may occur at different times. If you would liketo participate in Family-Centered Rounds, please ask your physician or nurse toinform you of the approximate time they will be held that day.Why Are So Many People Coming to My Child’s Room forRounds?You may have a very large group of care providers discussing your child’s carewith you. Please do not be alarmed or feel overwhelmed—this is normal. Forevery child cared for at Maria Fareri Children’s Hospital, there are many differenthealthcare providers working behind the scenes to help your child regain his/herhealth; this is one opportunity during which you get to see many of them workingtogether.Can I Participate During Family-Centered Rounds?Of course! Because we value your input as a parent or guardian, we consider youto be a vital part of the healthcare team and strongly encourage you to participateduring Family-Centered Rounds. There is quite a bit we can learn from you. Weencourage you to ask questions, raise any concerns and provide information to thecaregivers during rounds, including important things you know have been left outof the discussion. Of course, while we encourage you to participate on rounds, youare free to choose not to participate. If you choose not to participate during rounds,the attending or resident physician will speak with you later in the day and discussyour child’s plan of care with you.8

I Don’t Understand Everything Discussed on Rounds.In order to provide the best care for your child, we follow a specific roadmap whendiscussing your child’s care. We will talk about your child’s health and history,current condition, anything that has changed in the past 24 hours, test results, thecare plan for the day, and discharge goals and criteria. As is the case for most of thenation’s leading healthcare centers, Maria Fareri Children’s Hospital is a part of theoverall academic health center on campus, and teaching will be provided for medicalstudents and residents who participate on rounds.Why Didn’t the Team See My Child During Family-CenteredRounds?Many different teams see patients during the day. If you see a team rounding whoskips your room, it likely is from a specialty not responsible for your child’s care.Again, we encourage you to ask your physician or nurse when rounds likely willoccur for your child.Intensive Care UnitsPEDIATRIC INTENSIVE CARE UNITThe Pediatric Intensive Care Unit (PICU) is an 18-bed specialty unit that cares forcritically ill infants, children and adolescents with a range of illnesses and injuries.Patients in the PICU require more intensive nursing and physician attention plusclose monitoring of important body system functions. The nurses and physicians inthe PICU have advanced training in pediatric critical care.One parent is encouraged to sleep at the patient’s bedside on the sleeper chairavailable in the child’s PICU room. There are two nourishment areas that contain arefrigerator, freezer and an ice machine. Please label all food that you place in therefrigerator or freezer with your name and the date. Please note that all food willbe disposed of after 48 hours to comply with health codes. There are two showerrooms available on the unit for parent/guardian use.REGIONAL NEONATAL INTENSIVE CARE UNITThe Regional Neonatal Intensive Care Unit (RNICU) is a special nursery wherenewborn babies with every type of medical problem are cared for in a familycentered environment. The RNICU is staffed with specially trained physicians,nurses and health professionals who are experts in the treatment of prematurebabies and ill full-term newborns. Each baby receives the specialized, personalattention his or her condition requires. As in all children’s hospital units, weencourage you to actively participate in your baby’s care.9

Our StaffWe understand that many care providers see your child during the day. Thissection helps to identify many of our care providers.Any employee entering your child’s room should wear an identification badge,always introduce himself or herself, and explain who he or she is and what he orshe is there to do. If he or she does not introduce himself or herself, please feelcomfortable asking him or her who he or she is and why he or she has come to seeyour child. In addition to introducing himself or herself, we expect every caregiverto wash his or her hands upon entering and exiting your child’s room (eitherusing soap and water or hand sanitizer). We also expect him or her to check yourchild’s identification band before providing any care, performing any procedure orescorting your child elsewhere in the hospital.Attending PhysicianIt is our responsibility to make sure you know who your child’s attendingphysician (the physician who directs your child’s care team) is. The attendingphysician is your primary phys

Important Telephone Numbers Case Management & Social Work (914) 493-7631 Chaplaincy (914) 493-7125 Child Life and Creative Arts Therapies (914) 493-6640 Children’s Hospital Administration (914) 493-6160 Concierge Services (914) 493-7505 Emergency Department (914) 493-7307 Family Resource Center (914) 493-8503 Foundation Office (914) 493-2575

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