Your Hospital Stay 2019 An Information Guide For You - Hospital Guide

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Prince of Wales Hospital and
Community Health Services

 Your Hospital Stay
    An Information Guide For You
                                               2019
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
PATIENT INFORMATION

Contents
Welcome                                      4    Section 3                                   22
About Prince of Wales Hospital &                  Going Home                                  22
Community Health Services                    4      - Planning to Go Home                     22
Acknowledgement of Country                   5      - Staff Roles & Responsibilities          22
Contact Us                                   5      - When You Go Home                        22
Visiting Hours                               5      - Managing Your Medications               22
Improving the Health & Wellbeing of                 - Follow-Up Visits with Your Doctor       22
Our Communities                     5
                                                  Section 4                                   23
  - The Acute Services Building              5
                                                  Other Services & Information                23
  - 	Deloitte Assist – Spinal Unit Voice-
                                                    - Valuables                               23
      Activated Nurse Call System            6
                                                    - Televisions                             23
Section 1                                    9
                                                    - Telephones                              23
  - Rights & Responsibilities                9
                                                    - Mail                                    23
  - Smoking                                  9
                                                    - Newspapers                              23
  - Providing Information                    10
                                                    - Shops                                   23
  - Consent for Treatment                    10
                                                    - Automatic Teller Machine Banking        23
  - Do You Have Any Special Needs?           12
                                                    - Chapel & Spiritual Services             23
  - Interpreter Services                     12
                                                    - Car Parking                             24
  - Aboriginal Hospital Liaison Service      12
                                                    - Family & Carer Accommodation            24
  - Research                                 12
                                                    - Fire & Emergencies                      24
Section 2                                    14
                                                    - Laundry                                 24
  - While You Are in Hospital                14
                                                    - Organ & Tissue Donation                 25
  - Personal Items Needed in Hospital        14
                                                    - 	Advance Care Planning – Planning
  - The Emergency Department (ED)            14
                                                        Ahead for Serious Illness or Injury   25
  - Your Ward                                14
                                                    - 	Compliments, Complaints,
  - 	Carers & Families with Caring                     Concerns & Suggestions                25
      Responsibilities                       16
                                                  Section 5                                   26
  - Food                                     16
                                                    - 	The Prince of Wales Hospital
  - Clinical Handover                        16         Foundation                            26
  - 	How to Use Medicines Safely in                - 	Meet Ross Fowler & His Generous
      Hospital                               18         Family                                26
  - 	Help Us Prevent the Spread of                 - 	How Do Grateful Patients Make
      Infection                              18         All the Difference?                   26
  - 	If You Are Worried Your Condition is          - 	How Can I Support the Patients
      Getting Worse                        21           & Staff?                              27
  - 	Being Admitted as a Private Patient    21
  - Overseas Patients                        21

                                                                                              3
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
PATIENT INFORMATION

Welcome                                                                                         LOPED WI
                                                                                              VE        T
We understand spending time in hospital may be challenging. We hope this

                                                                                    DE

                                                                                                         H
information will help make your stay as comfortable as possible.

                                                                                                             IES
                                                                                    PAT
If you have any questions after reading this information, please feel free to ask

                                                                                                         IL
one of our staff. We also have more information on our Hospital website:                  N

                                                                                     IE

                                                                                                        M
                                                                                              TS         A
                                                                                                   AND F
https://www.seslhd.health.nsw.gov.au/prince-of-wales-hospital

About Prince of Wales Hospital & Community Health
Services
Prince of Wales Hospital and Community Health Services (POWH) is based at the Randwick Hospitals’
Campus and is part of the South Eastern Sydney Local Health District. POWH is a major teaching
hospital. It provides excellence in healthcare to those living in South Eastern Sydney, as well as
specialist services to people from across New South Wales.

The hospital has a range of employees including medical, nursing, allied health, health research
professionals, administrative staff and clinical support staff. The hospital also has consumer and
community representatives and volunteers assisting with healthcare. The facility provides specialty
services in areas such as hyperbaric medicine, neuroscience, emergency medicine, spinal medicine
and cardiovascular care.

                                                                                                         4
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
PATIENT INFORMATION

Acknowledgement of                                 Visiting hours are designed to allow for rest
                                                   and to attend to patients’ personal care and
Country                                            medical needs (e.g. therapy sessions, tests,
We acknowledge the traditional custodians on       administering medication) in privacy.
whose land we stand. Prince of Wales Hospital
                                                   Please be reminded that most rooms are shared
is located on the lands of Bidjigal and Gadigal
                                                   and we ask you to be sensitive to the needs of
peoples of the Eora nation. We would like to
                                                   other patients.
pay our respects to the Elders past, present and
those of the future.
                                                   Improving the Health
Contact Us                                         & Wellbeing of Our
Phone: (02) 9382 2222                              Communities
Language other than English: Contact us            The Acute Services Building
using the Translating and Interpreter Service
                                                   The NSW Government is investing $720 million
(TIS National) on: 131 450 (Available 24 hours a
                                                   to redevelop the Prince of Wales Hospital and
day, 7 days a week)
                                                   progress the vision of Randwick as a world-
Hearing/speech impaired: Contact us using          leading Health and Education Precinct for
the National Relay Service by visiting: http://    healthcare, research, education and teaching,
www.relayservice.gov.au                            including a new Acute Services Building due for
Location: Prince of Wales Hospital is located      completion in 2022.
between High Street, Barker Street and Avoca       The new Acute Services Building (ASB)
Street in Randwick, in Sydney’s Eastern Suburbs.   will provide a range of innovations and
Postal address: Prince of Wales Hospital,          improvements that will greatly benefit patients,
Barker St, Randwick, NSW, 2031                     staff and the community, and will support
                                                   comprehensive approaches for improving
Email: seslhd-generalmanager-powhsseh@
                                                   population health.
health.nsw.gov.au
                                                   The ASB will deliver the following:
Website: https://www.seslhd.health.nsw.gov.
au/prince-of-wales-hospital                        • A new adult Emergency Department (ED).

                                                   •	An expanded Psychiatric Emergency Care
Visiting Hours                                        Centre (PECC), adjacent to the ED.
Family, friends and carers are welcome to visit    • An expanded Intensive Care Unit.
patients while they stay in our ward.
                                                   •	Ten inpatient units (IPUs) that will replace
For the comfort and safety of patients, we            ageing infrastructure with contemporary
recommend brief visits of no more than two            facilities to support new models of care. The
people at a time, and please supervise children       new IPUs will provide a higher proportion
at all times.                                         of single rooms to improve the patient
Visiting hours in most wards are 10am–                experience and outcomes.
1pm and 3pm–8pm.                                   •	An expanded Central Sterilising Service
Should you need to visit outside of these hours,      Department.
please speak to the Nurse in Charge.               •	New Operating Theatres for the Randwick
                                                      Campus.

                                                                                                5
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
PATIENT INFORMATION

•	A Medical Assessment Unit, providing for         Deloitte Assist – Spinal Unit Voice-
   rapid assessment of patients directly referred   Activated Nurse Call System
   from the community, including a state-of-
                                                    Deloitte Assist is an artificial-intelligence-
   the-art Virtual Care Centre (VCC), which
                                                    enabled patient communication solution that
   will:
                                                    allows patients to request assistance without
   o	Support the integration of health             the need to press a button. Patients speak their
      services in the community, e.g.               request to the device and nurses are notified
      Hospital in the Home (HITH), Post             of the request via their smart devices. Artificial
      Acute Care Services (PACS) and aged           Intelligence prioritises these requests and routes
      care facilities.                              them to the right resource.

   o	Provide oversight of hospital and             Deloitte Assist was implemented over a four-
      community functions.                          week period in the Spinal Unit at Prince of
                                                    Wales Hospital in April 2018 as part of a proof
   o	Enable early identification and
                                                    of concept trial. To date, 26 beds have Deloitte
      intervention for patients with chronic
                                                    Assist installed and the feedback from patients
      and complex conditions to support
                                                    and staff have largely been positive. The devices
      community-based care.
                                                    have improved the patient experience on
•	A new helipad to support all campus              the ward and staff are engaged with finding
   partners.                                        innovative ways to use the solution to improve
•	Teaching, education and research spaces          their provision of care.
   that are embedded within the clinical areas
   to support collaborative clinical research and
   innovation.

                                                                                                6
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
9382 2622 or 22622.

                        South Eastern Sydney
                          Local Health District
                      Prince of Wales Hospital
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
South Eastern Sydney
    Local Health District
Prince of Wales Hospital
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
PATIENT INFORMATION

Section 1		                                           Use of an Interpreter – you have the right
                                                      to use a professional interpreter if you need
Rights & Responsibilities                             help to communicate in English or if you are
NSW Health supports the Australian Charter of         deaf. Our staff can also ask for an interpreter.
Healthcare Rights. These are:                         Interpreter services are free and confidential.
                                                      The staff can book an interpreter for you if you
Access – the right to receive health care
                                                      are in our hospital. If you are trying to contact
regardless of gender, marital status, disability,
                                                      us from outside our hospital and require an
culture, religious beliefs, sexual orientation, age
                                                      interpreter, please call the Translating and
or where you live in NSW.
                                                      Interpreting Service (TIS National) on 131 450.
Safety – the right to safe and high-quality           Tell the operator what language you speak
care and we ask that you show this courtesy           and the health professional or service you are
to others. We ask that you respect our policies       calling. This is a free telephone interpreting
and practices, such as visiting hours, infection      service for patients, family members or visitors,
control measures, smoke-free zones and                and is available 24 hours a day, seven days a
limitations on the use of mobile phones around        week.
medical equipment.
                                                      Smoking
Respect – the right to be treated with respect,
dignity and consideration.                            Smoking is only permitted in two
                                                      designated smoking areas – one
Communication – the right to be informed              near the Barker St entrance and
about services, treatment and options in a clear      the second on Princess Avenue. All patients,
and open way.                                         carers, visitors and staff are expected to only
Participation – the right to be included in           smoke in one of these two areas. If you cannot
decisions and choices about your health care.         get to one of these areas, please speak with
You also have the right to decline services. If       your doctor to organise nicotine replacement
you leave the hospital premises without our           therapy, counselling or other support services
consent, you will be required to sign a form as       while you are in hospital.
you are responsible for any resulting injury or
illness caused.
Privacy – the right to privacy and
confidentiality regarding personal information.
You have the right to speak to a health care
worker about the information in your medical
record. You can also request a copy of your
medical record.
Comment – the right to comment on care and
have your concerns addressed.

Throughout your visit, health care providers will
plan your treatment in partnership with you.
We will talk to you about when you will go
home and if we need to refer you to another
service.

                                                                                                  9
Your Hospital Stay 2019 An Information Guide For You - Hospital Guide
PATIENT INFORMATION

Providing Information                                This helps our health services care for you and
We ask that you give us as much information as       offer you services like our Aboriginal Hospital
possible about your health, including: allergies,    Liaison Officer service.
medical conditions or disabilities. Please tell us
which medicines (including herbal medicine)
                                                     Consent for Treatment
or remedies you are using and whether you            You must give consent before receiving
smoke, drink alcohol or use recreational drugs.      treatment. Whoever is providing your treatment
                                                     must explain the treatment to you, the benefits
And tell us:                                         and risks of having the treatment and any
•	About any changes to your health and any          alternatives. This is so that you can make an
   reactions to your treatment.                      informed decision about whether you want to
                                                     go ahead with the treatment, and so that you
•	If you are being treated for the same
                                                     can give your consent to going ahead with
   problem by someone else.
                                                     the treatment. In most cases this will be verbal
•	If you do not understand any of your tests        consent, meaning you will verbally agree to the
   or treatments.                                    treatment.
•	If you have any specific religious or cultural    For some procedures, such as surgery, you
   needs.                                            will need to read a consent document and
•	If you want to be treated as a private            provide your signature to confirm that you are
   patient.                                          consenting to the treatment after it has all been
                                                     explained.
•	If you have made a decision not to
   follow treatment advice and not attend            If you have difficulty understanding English
   appointments.                                     or are deaf, we must use an interpreter for
                                                     this discussion so that you clearly understand
Many people are involved in your care, and we        the procedure and any risks involved, and you
need to make sure you are receiving the correct      can give your consent to have the procedure
treatment. Just to be sure we will ask you a few     or treatment. You have the right to withhold
times to tell us:                                    consent. This means you are saying no to the
• Your name.                                         treatment and will not receive treatment. If
                                                     you are unconscious or too ill to give consent
• Your date of birth.
                                                     yourself, a relative, carer or other person
• Why you are here.                                  close to you will be asked to give consent
                                                     for any necessary treatment. If this person is
Please don’t be alarmed by these questions.
                                                     unavailable, the Guardianship Tribunal can give
This is how the staff make sure they are giving
                                                     consent. In a life-threatening emergency where
you the correct treatment. If you are admitted
                                                     you are too ill or unconscious, giving your
or receiving treatment as a day patient, you
                                                     consent is not required.
will be required to wear an arm band with your
personal details.

When you come to hospital as a patient you
will also be asked, ‘Are you (is the person) of
Aboriginal or Torres Strait Islander origin?’

                                                                                               10
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  Your Life, Your Care, Your Choice...
               Residential care and Dementia care services.
        With 114 single or double rooms with ensuite bathrooms.
Receive the highest standards of care from our experienced staff members.
          Continue enjoying your favourite activities and hobbies.
   Choose from our variety of nutritious and seasonally prepared meals.
Enjoy our extensive lounges, heated pool and roof garden with ocean views.
               On-site car parking for residents and visitors.
 For further information or enquiries, please call us at (02) 9152 8300

                    57 - 63 St. Pauls street Randwick NSW 2031
                   www.stbasils.org.au        St Basils NSW & ACT
PATIENT INFORMATION

Do You Have Any Special Needs?                       For country-based patients, the Isolated Patients
Please let us know if you have special needs (for    Travel and Accommodation Assistance Scheme
example, if you are hearing or sight impaired        (IPTAAS) is a subsidy program that provides
or have special dietary or religious needs). We      financial assistance to help with travel and
will do all we can to ensure that your needs are     accommodation costs for people (and eligible
met.                                                 escorts) who need to travel long distances
                                                     to access specialist treatment not available
Interpreter Services                                 locally. Patients travelling at least 100km each
                                                     way, or at least 200km per week, may be
Professional interpreters are available if
                                                     eligible to apply for IPTAAS subsidies. For more
you need help understanding or speaking
                                                     information, please speak with your social
English, or if you are deaf. You may have
                                                     worker.
a family member or friend present, but all
communication about your treatment should
                                                     Research
be through a professional interpreter. Please
ask our staff to organise an interpreter if you      POWH is a teaching hospital in partnership with
need one. Interpreter services are free and          the University of New South Wales. You may
confidential. AUSLAN interpreters are also           be asked if students or health employees in
available.                                           training may be present while you are receiving
                                                     care or treatment. This practice contributes to
Aboriginal Hospital Liaison Service                  the development of professional skills. You may
                                                     also be asked to participate in medical research.
Our Aboriginal Hospital Liaison Officer (AHLO)
                                                     You have the right to say no to these requests.
provides support to Aboriginal and Torres Strait
                                                     Your decision will not be put in your records
Islander patients and their families. Services
                                                     and will have no impact on your treatment or
include emotional, social and cultural support,
                                                     access to services in the future.
and advocacy and liaison with other staff on
behalf of patients and families. The AHLO also       Brochures providing more information about
provides information about hospital and legal        your rights and responsibilities are available
services, patient rights and responsibilities, and   on the ward and are available in a range of
child care protection issues; plus referrals to      languages.
Aboriginal and non-Aboriginal organisations.
The AHLO can help families to organise
financial benefits, accommodation and care,
and help at home.

You can telephone our AHLO directly on 9382
2332, or contact the hospital’s Social Work
Department on 9382 2355.

We also have the Barmbli room for family and
friends to gather. It can be found at the High St
entrance.

                                                                                               12
PATIENT INFORMATION

Section 2                                           •	Any prescribed medicines or other products
                                                       (e.g. tablets, creams, drops, ointments,
While You Are in Hospital                              inhalers, teas etc) you are currently taking.
When you arrive on your ward the doctors,           •	Any x-rays or scans the doctor asked you to
nurses and allied health team will discuss your        bring.
care with you and your family. At this time and
                                                    • A change of clothes for when you go home.
throughout your hospital stay, they will talk to
you and your family about how and when, you         •	Please bring details of your insurance claim
will leave hospital.                                   if your admission to hospital is being paid
                                                       for by workers compensation or third party
Depending on the progress of your recovery this
                                                       insurance.
date may change. If this happens the staff will
let you know.                                       •	Isolated Patients Travel and Accommodation
                                                       Assistance Scheme (IPTAAS) Form if you are
Knowing when we estimate you will go home
                                                       coming from a country area.
helps you and your family to plan transport and
any other support services you might need. If
                                                    The Emergency Department (ED)
you are unable to leave hospital by 9am on the
day you go home, it is likely that the hospital     You may have been admitted to the hospital via
ward staff will take you to the Patient Discharge   our Emergency Department. This is a very busy
Lounge. This will allow your bed to be prepared     department that provides services to more than
for the next patient needing our services. The      50,000 people each year. Every person seeking
Patient Discharge Lounge is open Monday to          emergency care is first seen by a specialist triage
Friday from 8am–5pm. Telephone (02) 9382            nurse, who has a responsibility for allocating
7950.                                               how urgent your need is. The most urgent
                                                    patients are always seen first, so the time you
Personal Items Needed in Hospital                   may wait to see a doctor will vary according
                                                    to how urgent your medical needs are. Some
Some of the items you will need while you are
                                                    patients may be seen before you even though
in hospital include:
                                                    you have been waiting for a longer period of
•	Toiletry items, such as a toothbrush and         time.
   toothpaste, soap, shampoo, a comb and
   sanitary items.                                  Your Ward
•	Pyjamas, a dressing gown and non-slip            Each ward specialises in specific conditions.
   slippers.                                        We try to give you a bed in the best ward for
                                                    your current condition. However, if it is busy,
•	Glasses, dentures (with case or container)
                                                    you may be placed on a different ward. If
   and other personal aids (e.g. walking aids,
                                                    this happens, you will still be looked after by
   medical equipment such as your Continuous
                                                    doctors specialising in your current condition.
   Positive Airway Pressure (CPAP) machine;
   please label them).                              Every effort is made to place you in a room
                                                    with people of the same gender. If you are in a
• Medical insurance details.
                                                    mixed gender room, the staff will try to move
• Your Medicare card.                               you within 24 hours of your admission.
•	A small amount of money to buy                   If you have any concerns regarding your room
   newspapers, snacks and other day-to-day          placement, you may speak to the Nursing Unit
   items.                                           Manager or Nurse in Charge at any time.

                                                                                               14
PATIENT INFORMATION

Carers & Families with Caring                          Also let them know if you need help to open
Responsibilities                                       food packages or to eat your meals.

Prince of Wales Hospital will value and engage         Your family or friends may bring in food or
with carers as partners in care. If the person you     drinks for you, but please check with your
care for is in hospital:                               doctor, nurse or dietitian in case you need a
                                                       special diet as part of your treatment.
• 	Ask to speak to a social worker or to
    nursing staff if you need help with caring for     Meal times vary from ward to ward but
    someone or accessing services.                     usually occur within the following hours:

• 	What is the expected date they will leave          Breakfast         7.30am–8.30am
    hospital, and will transport be provided?          Lunch		           11.45am–12.30pm
You may also need to speak to a social worker          Dinner		          4.45pm–5.30pm
if you are a carer, have been unexpectedly
                                                       You may also be asked to not eat or drink
admitted to hospital and have concerns the
                                                       before a procedure or test. Staff will let you
person you usually care for does not have
                                                       know the time you should stop eating or
sufficient support.
                                                       drinking. It is very important that you follow
Under privacy legislation, the person you care         any instructions you are given.
for will generally need to give permission for
                                                       Alcohol and non-prescribed drugs are not
health service staff to talk to you about their
                                                       permitted anywhere on the hospital campus.
condition and care. It is important that the
hospital or health service has the right contact
                                                       Clinical Handover
person recorded in the patient’s file.
                                                       Clinical handover is the transfer of your care
Misunderstandings may be avoided if one                from one clinical team to another. Clinical
agreed person, such as the carer, is the contact       handovers can vary in a number of ways,
person and can pass on information to family as        including the:
appropriate.
                                                       •   S ituation – at shift change, when patients
For more information on the Carer Support                  are transferred within and between
Program, please go to https://www.seslhd.                  hospital/s, during patient admission, referral
health.nsw.gov.au/services-clinics/directory/              to services or discharge home or to another
priority-populations/carers-program                        facility.

Food                                                   • 	Method – face-to-face, by telephone, aided
                                                           by electronic handover tools.
Each morning you will be given a menu to
complete. The menu is for dinner that night,           • 	Venue – at the patient’s bedside, in a
and breakfast and lunch for the next day. If you           common staff area, at a hospital reception
need any help to fill this out, a dietetic assistant       or clinic reception.
can help you.
                                                       During your hospital stay and in each ward/unit
If you have any special dietary needs, for             of your stay there are set shift change times.
example, if you are diabetic, coeliac, vegetarian
                                                       Usually at 7am–7.30am, 1.30–2.30pm and
or have specific religious needs, please inform
                                                       9.30–10pm, seven days per week.
nursing staff or the person who delivers the
menus.

                                                                                                  16
Your Specialist
        Compounding Chemist
        offering...
        ■ Full prescription service and advice with
          friendly, personal service.
        ■ Dosette packaging and home medication
          reviews.
        ■ A large range of surgical supplies, baby
          needs and vitamins.
        ■ We are a member of Diabetes Australia and
          can supply your requirements.

        Randwick Plaza
        130 Belmore Rd, Randwick 2031
        Phone: 9398 5969
        Fax: 9398 7654
        Hours:
        Mon, Tues & Wed 8.30am – 6.00pm
        Thurs 8.30am – 7.30pm
        Fri 8.30am – 6.30pm
        Sat 8.30am – 5.00pm
        Sun 9.30am – 4.30pm

Jackie Cole Chemist
PATIENT INFORMATION

The type of issues discussed at shift change or      Hand hygiene is a new term to describe
transfer include, your current clinical situation,   washing or cleaning your hands with alcohol-
medical history, assessments and test results,       based hand rub.
and any recommendations/changes to your care
                                                     How Can We Prevent Infection?
plan and discharge plan.
                                                     Hand hygiene is the best way to help prevent
We invite you and your family to participate         infection. Hand hygiene products (such as
and partner with us in the clinical handover         alcohol-based hand rub and soap and water)
process, and also inform us if you wish to not       are available throughout all our clinical areas,
be included at any time.                             such as patient rooms, wards, and out-patient
As the patient, nominated family member              areas.
or carer your wishes will be acknowledged            It is very important that anyone visiting you
and supported regarding your care goals              cleans their hands with the alcohol rub or soap
and preferences through your admission/              and water before visiting you and when they
presentation/illness.                                leave.

How to Use Medicines Safely in                       How Do You Use Alcohol-Based Hand Rub?
Hospital                                             • 	Put the alcohol-based hand rub (one or two
While you are in hospital you must only take or          pumps) on your palms and rub your hands
use medicines that have been given to you by             together.
the hospital staff.                                  • 	Cover all of your hands, including your
While it might seem easier or helpful to handle          fingers and thumbs – front and back – and
your own medicines, this is how accidents can            rub your hands together until they feel dry
happen. Allowing us to manage your medicines             before touching anything else.
during your stay helps us keep you safe.             • 	This should take around 20 seconds.

                                                     Infection Precaution Rooms
Help Us Prevent the Spread of
Infection                                            If you have an infection we may move you to
                                                     a room on your own. We will let you and your
Infection Prevention and Control                     family know before this happens and explain
Patients, visitors and staff have a major role       what this means. If you are in an infection
in infection prevention and control. You may         precaution room, staff need to clean their
have come to hospital with an infection. You         hands before entering your room. Depending
may also have an increased risk of getting an        on the nature of your infection, staff may
infection if you have had surgery, if you are        also need to wear gloves, plastic gowns, eye
taking medicines that weaken your immune             protection and a mask when entering your
system or if you stay in hospital for a long time.   room.

Hand Hygiene
Even if your hands look clean they can still be
carrying germs. One of the best ways to reduce
the spread of infections is to wash or clean your
hands.

                                                                                                18
Staying safe with your medicines
       Important information for patients and carers

!      While you are in hospital you must
                                                  Hospital staff will need a way to confirm your
                                                  medicine details, perhaps by going through
    only take or use medicines that have          your medicine boxes and bottles with you, or by
    been given to you by the hospital staff.      asking your permission to speak to your local
    While it might seem easier or helpful to      doctor or pharmacist.
    handle your own medicines, this is how
     accidents can happen! Allowing us to         Please do not be concerned if you are asked
    manage your medicines during your stay        about your medicines more than once during
            helps us keep you safe.               your stay often we just need to check that the
                                                  information we have recorded is correct. If you
                                                                                  medicines you
When you are admitted to hospital:                usually take, or you suspect that the medicines
As part of your admission
to hospital, one or more                          one of our doctors, nurses or pharmacists.
members of hospital staff
will ask you questions
                                                  During your stay in hospital:
about your medicines. It                          We may make changes to
is very important that we                         the medicines you take.
have an accurate and                              Your hospital doctors
complete list of all the                          should always include
medicines that you use.                           you in these decisions
                                                  and provide you with
When you are asked about your medicines try       information about your                 ?
to think about the different types of medicines   treatment options.             STAFF         YOU
that you might use. Consider tablets, mixtures,
creams, inhalers, eye drops, patches,             Our hospital staff can get very busy at times,
injections, and any other items you can think
of. Vitamins and herbal treatments should be      about your medicines to get missed. You can
included, as well as any medicines you might      help us by asking lots of questions about your
buy without a prescription or that you use only   medicines, including what the plan is for these
occasionally. Please let us know if any of your
medicines have recently changed and be            written information about a particular medicine,
honest about how well you follow the              please ask for a CMI (Consumer Medicines
instructions (including how often you might       Information). Your ward may also have a
miss doses).                                      pharmacist that you can ask to speak to.
Before you leave the hospital:                              Keeping an up-to-date list of medicines
When you are leaving                                        is one of the BEST things a person can
hospital you should be          My medicines                  do to stay safe with their medicines.
given a clear explanation           Continue taking:
                                                            Think about how many different health
of any changes that have
                                                            professionals you interact with local
been made to your                   New medicines:          doctors (GPs), specialist doctors, hospital
medicines. Most patients
                                                            doctors, pharmacists, dentists, paramedics,
should also be provided             Dose changes:
                                                            and other care providers. All of these
with an updated list of             Stop taking:            people need to know what medicines you
medicines in a format
                                                            currently take in order to help you make
they can understand.
                                                            good and safe decisions about your care.
If you do not receive information about your                Patients should always keep an up-to-date
medicines at the time of discharge, or you are              list of their medicines. A basic list would
unsure about how to take your medicines                     include the name, strength and dosage
when you leave hospital, please let a member                instructions for each medicine, and the date
of staff know immediately.
                                                            idea to also include why you are taking
Managing your medicines at home:                            each medicine, when you started it, and for
It is important to us that our patients feel                how long you are supposed to take it.
confident in managing their medicines after
they leave hospital. One of the best ways to                The MedicineWise App
check your confidence is to think about each                If you (or your carer) have
medicine and ask the following questions:                   a smart phone or tablet
     Do I know the name of this medicine?                   device, we strongly
                                                            recommend using the
     Do I know what strength I use?                         MedicineWise app to help
     Do I know what dose I take and when?                   you keep track of medicines
     Do I know what I am using it for?                      and other health information. It is very easy
                                                            to add medicines to your list and you can
     Do I know how long I am going to be on                 set reminders for when your doses are
     this medicine?
                                                            due. You can even email a copy of your
     Do I know if this medicine has side                    medicine list to yourself, your family, and
     effects?                                               your health professionals.
If you need help with some of these                         The MedicineWise app is completely FREE
questions, you can ask to speak to a doctor,                and contains no advertising. It may be
nurse or pharmacist. If you have already left               downloaded from Google Play or the App
hospital, you can ask your local doctor or                  Store (ask a friend if you need help with
community pharmacist. You can also call                     setting this up!)
1300 MEDICINE (1300 633 424) for general
information about any medicines (available             Staying safe with your medicines (Information for patients and carers)
Monday to Friday, 9:00am to 5:00pm).                          SESLHD Quality Use of Medicines Committee, February 2018
                                                                               © South Eastern Sydney Local Health District
PATIENT INFORMATION

How to Handrub?
RUB HANDS FOR HAND HYGIENE! WASH HANDS WHEN VISIBLY SOILED
      Duration of the entire procedure: 20-30 seconds

1a                                                                           1b                                                                                   2

Apply a palmful of the product in a cupped hand, covering all surfaces;                                                                                         Rub hands palm to palm;

 3                                                                            4                                                                                   5

Right palm over left dorsum with                                            Palm to palm with fingers interlaced;                                               Backs of fingers to opposing palms
interlaced fingers and vice versa;                                                                                                                              with fingers interlocked;

 6                                                                            7                                                                                   8

Rotational rubbing of left thumb                                            Rotational rubbing, backwards and                                                   Once dry, your hands are safe.
clasped in right palm and vice versa;                                       forwards with clasped fingers of right
                                                                            hand in left palm and vice versa;

       All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind,
              either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.
                    WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material.

                                                                                                          May 2009
   Reference:
   Hand Hygiene Australia. http://www.hha.org.au/hha-nhhi.aspx
   Infection Control, Metro South Health, Queensland Government, Australia.
   World Health Organisation (WHO)

                                                                                                                                                                                                                                 21
PATIENT INFORMATION

How to Handwash?
WASH HANDS WHEN VISIBLY SOILED! OTHERWISE, USE HANDRUB
      Duration of the entire procedure: 40-60 seconds

 0                                                                            1                                                                                   2

Wet hands with water;                                                       Apply enough soap to cover                                                          Rub hands palm to palm;
                                                                            all hand surfaces;

 3                                                                            4                                                                                   5

Right palm over left dorsum with                                            Palm to palm with fingers interlaced;                                               Backs of fingers to opposing palms
interlaced fingers and vice versa;                                                                                                                              with fingers interlocked;

 6                                                                            7                                                                                   8

Rotational rubbing of left thumb                                            Rotational rubbing, backwards and                                                   Rinse hands with water;
clasped in right palm and vice versa;                                       forwards with clasped fingers of right
                                                                            hand in left palm and vice versa;

 9                                                                          10                                                                                  11

Dry hands thoroughly                                                        Use towel to turn off faucet;                                                       Your hands are now safe.
with a single use towel;

       All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind,
              either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.
                    WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material.

                                                                                                          May 2009
Reference:
Hand Hygiene Australia. http://www.hha.org.au/hha-nhhi.aspx
Infection Control, Metro South Health, Queensland Government, Australia.
World Health Organisation (WHO)

                                                                                                                                                                                                                                 22
PATIENT INFORMATION

What Can You Do to Reduce the Spread of               Brochures providing more information about
Infection?                                            preventing pressure injuries are available on the
• 	Tell staff if you have been overseas in the       ward in a range of languages.
    last 12 months, if you have vomiting or           Please ask your nurse for further information
    diarrhoea, open wounds or weeping skin            about preventing and managing pressure
    sores.                                            injuries while you are at hospital and before
• 	Wash your hands with an alcohol-based             your discharge.
    hand rub or soap and water regularly, and
    especially after using the toilet, changing       If You Are Worried Your Condition
    a nappy, blowing your nose, sneezing or           is Getting Worse
    coughing.                                         When you are in our Hospital, please tell us
                                                      if you are worried about a change in your
• 	Please do not sit on other patients’ beds and
                                                      condition. If you are a visitor and notice a
    please ask your visitors not to sit on your
                                                      change in the condition of the person who is
    bed.
                                                      sick and in our care, please also tell us.
• 	Tell our staff if you have had a recent rash or
                                                      To share your concerns with us, please speak
    an infection.
                                                      to a nurse or doctor and explain what you
• 	When your hands are visibly dirty, wash your      are worried about. If you remain worried, we
    hands with soap and water.                        have a phone number you can call from your
• 	When you enter and leave the hospital             own phone: 9382 2622, or from the hospital
    or clinic area, clean your hands with an          bedside phone: extension number 22622.
    alcohol-based hand rub.                           You may see posters in our hospital with this
Do not visit people in hospital if you are sick       information on them. This is called our REACH
with a contagious illness such as a cold or           program.
flu, vomiting, diarrhoea, or chickenpox. If you       We ask you to REACH out to us with your
are not certain about whether you should be           concerns because you and your visitors might
visiting someone in hospital, please ask one of       notice changes in your condition before we do.
our staff.                                            Together we can care for you.

Preventing Pressure Injuries                          Being Admitted as a Private
A pressure injury, also referred to as a pressure     Patient
ulcer or bed sore, is an injury to the skin caused    By choosing to use your private health
by unrelieved pressure, and may occur when            insurance, both you and the hospital benefit.
you are unable to move due to illness, injury or
                                                      Personal benefits for you include: waiving any
surgery.
                                                      excess applicable to your policy; doctor of
To prevent pressure injury, staff will be doing       choice and a single room – if one is available.
risk assessments during your admission and
                                                      By choosing to be a private patient you help us
throughout your stay, and working with you
                                                      to maintain accessible, high quality services. If
to manage the risk of pressure injuries with
                                                      you have private health insurance, the Patient
different interventions, such as encouraging
                                                      Liaison Officers will discuss this with you and
mobility/re-positioning or using a special
                                                      seek your consent to be admitted as a private
mattress and/or a cushion.
                                                      patient.

                                                                                                 23
PATIENT INFORMATION

If you have any questions or concerns about        Effective planning ensures that you will not
using your private health insurance, you can       have to stay in hospital any longer than you
contact the Patient Liaison Officers directly on   need to.
9382 3952, or ask the clerk on your ward to
                                                   Social workers are available to help both you
arrange for them to visit you. For patients who
                                                   and your family with planning for when you
are members of the Department of Veteran
                                                   leave hospital. They also provide counselling
Affairs, the Patient Liaison Officers can be
                                                   services. If you would like to see a social worker,
contacted to assist with any paperwork.
                                                   ask someone from your health care team.

Overseas Patients                                  When You Go Home
If you have been admitted to hospital and you
                                                   The time we discharge people from the ward is
permanently live overseas, you may have to pay
                                                   before 9am. If you need to wait for someone
for all services provided unless you have travel
                                                   to collect you, you may be transferred to the
insurance. Please provide your insurance details
                                                   Patient Discharge Lounge (PDL), which is open
to the administration staff. You will also need
                                                   Monday to Friday from 8am to 5.30pm.
to provide your passport number and a copy
of your visa, as your visa status will determine   The Patient Discharge Lounge is also a place to
what you need to pay to stay in hospital.          wait for your medicines, discharge letters and
                                                   equipment, and a place for staff to talk to you
                                                   before you go home.
Section 3
                                                   Remember to take any x-rays or medicines you
Going Home                                         brought to hospital with you.

Planning to Go Home                                Managing Your Medications
It is important that we start to plan for when
                                                   Someone from your health care team, a doctor,
you go home early in your hospital stay. This is
                                                   pharmacist or nurse will review your medicines
to ensure you are as prepared as possible and
                                                   when you first come to hospital, while you are
any additional requirements are organised. In
                                                   in hospital and before you go home. If you
some instances, discharge planning may occur
                                                   would like to see a pharmacist, ask your nurse
before you even arrive ,when you are booked
                                                   to organise this. When you leave hospital you
to come into hospital. If you are likely to have
                                                   will be given a letter to take to your local doctor
any special needs to help you go home safely,
                                                   (GP). This is written by your hospital doctor and
please talk to your healthcare team.
                                                   describes your progress and treatment while
                                                   you were in hospital. It will include a list of your
Staff Roles & Responsibilities
                                                   current medicines.
You will be looked after by a health care team
that includes doctors, nurses and allied health    When you leave hospital you may be given
staff (such as physiotherapists, occupational      some medicines for your first few days at home.
therapists, dietitians, pharmacists, speech        Sometimes, you will be given a prescription
pathologists and social workers). All hospital     instead, which you will need to take to a
staff wear an identification badge.                community pharmacy. If you only have a few
                                                   days’ supply it is important you visit your GP as
Your healthcare team, along with other key         soon as possible to get a prescription for more.
people (such as your family, carer or general
practitioner [GP]) will be involved in planning
for when you go home.

                                                                                               24
PATIENT INFORMATION

Most importantly, before you go home make            Mobile telephone use is acceptable provided
sure you understand what medicines you               you are courteous and respectful of others.
need to take and how to take them, as your           Please do not take a photograph, video or
medicines may be different to the ones you           record conversations without asking permission
were taking before you came to hospital.             first.

Follow-Up Visits with Your Doctor                    Mail
As well as the doctor’s letter and your list of      Mail can be delivered to you while you are in
medicines, you may be given the date and time        hospital. Please speak with hospital staff to
for a follow-up appointment at the hospital or       arrange this. If you would like to post any mail
with one of our doctors.                             during your hospital stay, there is an Australia
                                                     Post mail box on High Street, outside the main
You may be told that you need to follow-up
                                                     entrance of the hospital.
with your general practitioner only. If you need
a medical certificate, please ask the local doctor
                                                     Newspapers
(GP) looking after you to give you one.
                                                     Newspapers are available daily throughout the
                                                     hospital. Papers and magazines are available
Section 4                                            at the POWH Volunteer Garden Coffee Shop
                                                     on Level 1, as well as in the main foyer of the
Other Services & Information
                                                     Barker Street entrance. Volunteers visit the
Valuables                                            wards each day to sell newspapers.
If possible, leave your valuables at home. If
you come into hospital unexpectedly and have
                                                     Shops
valuables with you, they can be temporarily          The Volunteer Coffee Shop is located on Level
locked away for you. You can reclaim your            1 in the Clinical Sciences Building. It sells food,
valuables from 9am to 5pm at the cashier’s           magazines, personal items and gifts. This coffee
office, located on Level 2 in the Parkes building.   shop is run by volunteers and open to staff,
Please ask one of the nurses to help you with        patients and the public.
this.                                                On Level 0, in the Barker Street entrance you
                                                     will also find a florist, a chemist, a gift shop and
Televisions                                          a café.
Each bed has access to a television. You will
need to pay to view commercial TV channels.

Telephones
If your family needs to contact you while in
hospital each bed has a bedside telephone.
They can reach you by calling (02) 9382 2222
and selecting option one and then option two.
Our patient enquiries team will direct the call.
Public telephones are available at each hospital
entrance.

                                                                                                  25
PATIENT INFORMATION

Automatic Teller Machine Banking                      Disabled car parking is available at the Barker
Automatic Teller Machine (ATMs) can be found          Street and High Street entrances for limited
on Level 0 near the Barker Street entrance, and       periods of time.
on Level 2 near the High Street entrance.             Disabled parking is also available in Point
                                                      Parking and is located on level B1.
Chapel & Spiritual Services
                                                      Please be aware parking in restricted areas may
Chaplains are available to all patients and their
                                                      incur a parking fine. Please check with parking
families, whatever their religious background or
                                                      signs.
spiritual beliefs.

The Chaplaincy and Pastoral Care Service can          Family & Carer Accommodation
arrange for pastoral care from any religious          Your social worker or the staff at the enquiries
faith, tradition or denomination, during the          counter can provide a list of accommodation
day and after hours. Please ask a staff member        in the area. If you are travelling more than
if you would like a chaplain or a spiritual           100km away for treatment, your carer may
representative to visit you.                          be eligible for the Isolated Patients Travel and
The hospital has a multi-faith chapel for you         Accommodation Assistance Scheme (IPTAAS).
and your family to use. This is located on Level      See http://www.enable.health.nsw.gov.au/
0 of the Campus Centre, near the Barker St            services/iptaas for more details.
entrance.
                                                      Fire & Emergencies
Car Parking                                           Our staff are fully trained in emergency
Car parking is available 24 hours a day, seven        procedures.
days a week. A private company, Point Parking,        In the event of an emergency, you should stay
operates this service and fees apply. For more        in or by your bed until told otherwise by one of
information, please telephone 9326 7233 or            our staff. In the case of fire, do not use the lifts.
go to Point Parking: https://www.pointparking.        Please remain calm and stay within the ward
com.au/parking-locations-details.php?site=59          until the nurse in charge guides you to the
Concession rates are now available for eligible       closest evacuation area.
patients and their carers who require regular
or long term hospitalization, and/or treatment
                                                      Laundry
in a public hospital facility for parking in public   The hospital has a limited laundry service run by
hospital car parks.                                   the Prince of Wales Hospital Volunteer Service,
                                                      and is available specifically for patients that
For further information on concessional               do not have support or assistance from family
parking:                                              or friends, and long stay patients who do not
•	Visit www.parking.health.nsw.gov.au or             have the resources to assist with laundering of
   download our app NSW Health hospital               personal clothing. This service is not available
   parking and directions on Google play or           for soiled or infectious clothing. Please ask one
   iTunes.                                            of the nurses to help you with this.

•	Visit our information counter at the Barker
   Street entrance, 8.30am to 8.30pm Monday
   to Sunday or after hours, visit the car park
   office located on B1 of the car park.

                                                                                                    26
PATIENT INFORMATION

Organ & Tissue Donation                              Like making a will and appointing a power of
There are almost 1400 people in Australia on         attorney or enduring power of attorney for
organ transplant waiting lists at any given time.    financial matters, advance care planning may
By registering to become an organ donor you          simply be a part of planning for the future.
could be making the greatest gift one human          Enduring Power of Attorney authority only
being can give another – the gift of life. The       applies to financial decisions. It does not extend
Australian Organ Donor Register is Australia’s       to making health care decisions on behalf of
only national organ and tissue register and          someone else.
serves as a lifeline to the people on those
                                                     Did you know that you can appoint someone
waiting lists.
                                                     to manage your health and lifestyle decisions,
Anyone can choose to donate their organs and         should you lose the ability to do this for
tissue. Your registration with the Australian        yourself? This person is called an “Enduring
Organ Donor Register is a legally valid consent      Guardian”.
(or objection) for organ and tissue donation.
                                                     Research has shown that health outcomes
For further information and registration, you
                                                     for people and their families improve when
can call the Australian Organ Donor Registry on
                                                     they are able to talk through their concerns,
1800 777 203 or visit https://donatelife.gov.au/.
                                                     decisions, preferences and choices with health
Most importantly tell your family/carer of your
                                                     professionals.
decision.
                                                     For information on how to plan ahead, visit
Advance Care Planning – Planning                     www.planningaheadtools.com.au
Ahead for Serious Illness or Injury                  The Prince of Wales Hospital Advance Care
Advance Care Planning is a way for you to talk       Planning (ACP) Service can provide information
with your family, carer and your doctor about        to people living in the local area. Referrals are
the type of medical care you would want to           made via the Northern Network Access and
receive if you became seriously ill or injured and   Referral Centre by calling (02) 9369 0400. An
were unable to speak for yourself. Talking about     ACP Nurse Consultant can work with you and
your health condition early aims to help you,        your health care team.
your family/carer and your doctor to understand
what treatments you might want to receive in
the future.

Discussing your wishes before you become ill
gives you and your family/carer the opportunity
to talk about your values, experiences, fears
and preferences for end of life care. You do
not have to have a terminal illness for advance
care planning to be relevant for you. Advance
Care Planning can occur as part of general
discussions about health with your family,
friends, carers and health professionals.

                                                                                                27
PATIENT INFORMATION

Compliments, Complaints,                             Section 5
Concerns & Suggestions
At the Prince of Wales Hospital we aim to
                                                     The Prince of Wales Hospital
provide you with the best health service             Foundation
possible.                                            We are the charity of the Prince of Wales
                                                     Hospital.
We welcome feedback from our patients and
their families and friends so we can better          We support our hospital by raising vital funds
understand what is working well and where we         for major projects, equipment, research,
can improve.                                         education, health promotion and patient care.
                                                     Thanks to the generosity of those who support
You can make a compliment, complaint or
                                                     this hospital, we have been providing vital
suggestion, in a number of ways:
                                                     support to the hospital since 2004.
•	Provide your feedback to the Nursing Unit
   Manager of your ward or service area. You         Meet Ross Fowler & His Generous
   can provide feedback face to face or via          Family
   email or letter.                                  This is the third time in three years that Ross
•	Provide your feedback to our                      Fowler and his family have provided a very
   Hospital’s Consumer Feedback                      generous gift to Parkes 8, in memory of Ross’
   Manager by telephoning (02)                       wife Kathy who was a patient here at Prince
   9382 2755, emailing SESLHD-                       of Wales Hospital. They helped purchase three
   NorthernSectorConsumerFeedback@health.            vital signs monitors that have been named after
   nsw.gov.au or writing a letter to: Consumer       Ross and Kathy’s three children Stuart, Elicia
   Feedback Manager, Level 3, Executive Unit,        and Matthew. The Prince of Wales Hospital staff
   High St Building, Prince of Wales Hospital,       were delighted to let Ross and his family know
   Randwick, NSW 2031.                               how their generous gift was so important for
                                                     the care of their patients and they shared the
•	Alternatively, you may wish to use Patient
                                                     fond memories of Kathy, who herself had been
   Opinion, a website where patients, friends
                                                     a nurse.
   and family can publish their experiences of
   Prince of Wales Hospital. Patient Opinion is
   a not-for-profit organisation that exists to
   help improve health services by enabling
   open and transparent dialogue between
   patients and health service providers. https://
   www.patientopinion.org.au/

                                                                                                 28
PATIENT INFORMATION

How Do Grateful Patients Make                      Some may also wish to offer a donation as a
All the Difference?                                gift as a tribute for a family member or friend,
                                                   and it is also easy to arrange to make a planned
Each week the Prince of Wales Hospital
                                                   gift or a gift in a will.
Foundation meets patients and their loved
ones who have had a positive experience at         Any support – small or large – is a big help to
the Prince of Wales Hospital. Patients share       your hospital.
their stories of how very grateful they are to
                                                   So, if you are considering giving a donation
have such expertise, quality care and resources
                                                   or gift in kind or support for a department
here at Prince of Wales Hospital. Many wish
                                                   or area of healthcare of your choice – please
to give a gift of thanks to their caregivers and
                                                   ask your nursing staff or caregivers to contact
so the Grateful Patient Program, run by the
                                                   the foundation office, or please visit the
Foundation, enables donations to be given to
                                                   foundation’s friendly staff in the Prince of Wales
the department or area of heath care of their
                                                   Hospital Foundation office so we can assist you.
choice.
                                                   To find out more, call us from your bedside
How Can I Support the Patients &                   phone, extension 24 263, to discuss your
Staff?                                             interests or visit us at our office, which is
There are many ways you can say thanks to          located at the Prince of Wales Hospital, Barker
your caregivers at the Prince of Wales Hospital.   Street, Level 0, Randwick NSW 2031 (opposite
If you would like to support your hospital, you    the chemist shop). For more information, please
can make a donation, come to our events, buy       visit our website at www.powhf.org.au or
our raffle and lottery tickets, host an event      email us at info@powhf.org.au for information,
yourself and keep across our activities by         events and general enquiries.
subscribing to our social media and newsletters.   Thank you for your interest in our work!

                                                                                              29
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CALL US ON 1800 251 537
W W W. M O N T E F I O R E . O R G . A U

Be Treated Like Family
Hall & Prior Residential Aged Care

There is no greater privilege than the trust of
care. Come and experience compassionate
care in our loving and family
centred home.

We welcome you to call us
anytime to find out more
about our services.

Vaucluse                                Ph: 02 9337 3235
Residential Aged Care                   13 Young Street
                                        Vaucluse NSW 2030   hallprior.com.au
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