A Guide for Willis-Knighton Patients

Willis-Knighton Medical Center | Willis-Knighton South & the Center for Women’s Health | WK Bossier Health Center WK Pierremont Health Center | WK Rehabilitation Institute Take Willis-Knighton home with you

When you leave the hospital, the quality care of Willis-Knighton can follow you home. If your doctor recommends home care services, just let him or her know you prefer Willis-Knighton.

We offer two options of home care: home health and hospice. — Home Health — You’ll feel much better when you get home, especially when you have the support of Willis-Knighton Home Health. Our skilled staff can help assure you’re getting the care you need as you rehabilitate. Among our services are:

Skilled Nursing Surgery After-Care Lymphedema Therapy Physical Therapy Orthopedic Rehab Coumadin Monitoring Occupational Therapy IV Therapy Social Services Speech Pathology Cardiac Rehab Bridge to Hospice

(318) 212-4180 • wkhs.com/homehealth

— Hospice — Willis-Knighton Hospice focuses on patient and family at this time, assuring comfort and the best possible quality of life during this transition period. From healthcare to spiritual needs, the team is here to offer physical comfort and emotional and spiritual support for patients and families. Comfort Care and 24 Hour On-call Care at Home or at a Symptom Management Availability/Physician Nursing Home Available Medication and Chaplain Equipment Needs Physical, Occupational, Speech Therapy Bereavement Care and Grief Support Groups Social Services

(318) 212-2170 • wkhs.com/hospice In This Guide Willis-Knighton Health System To respect the privacy of patient and staff, NORTH photos used in this book are stock images. Licensing Louisiana Department of Health and Hospitals Accreditation • At www.jointcommission.org, using the “Re- port a Patient Safety Event” link on the home page of the website SOUTH • By fax to 630-792-5636 • By mail to Office of Quality and Patient Safety, The Joint Commission, One Renais- sance Boulevard, Oakbrook Terrace, IL 60181 Certification United States Department of Health and Human Services (for participation in Medicare) BOSSIER Memberships American Hospital Association, Louisiana Hospital Association, Northwest District of Louisiana Hospital Association, Southeastern Hospital Conference, Governance 100 Health- care Forum, Vizient Affiliations LSU Health Sciences Center PIERREMONT Tulane University School of Medicine Shreveport, Health Leaders Network Website: wkhs.com

REHABILITATION INSTITUTE In This Guide Welcome to Willis-Knighton 1 Your Discharge 35 Your Visit 2 When Your Hospital Stay Ends...... 35 Admission...... 2 What To Expect During Discharge...... 35 Discharge...... 2 Prescriptions...... 37 Valuables...... 2 Care Options Following Discharge...... 37 Personal Items Needed...... 2 Prevention And Management Of Common Communication Is Critical...... 3 Illnesses 39 Languages...... 3 Congestive Heart Failure...... 39 Be Actively Involved In Your Care...... 5 Cardiopulmonary Disease...... 41 Managing Pain...... 5 Heart Attack...... 42 Information For Patients And Families Diabetes...... 43 About Opioid Pain Medicines...... 6 Stroke...... 46 Nutritional Services...... 10 Blood Clots...... 48 Mail And Deliveries...... 10 Local Resources...... 49 Smoking Restrictions...... 10 Financial Issues 51 Security...... 11 Your Hospital Bill...... 51 Wi-Fi...... 11 Physician Charges...... 51 Lost And Found...... 11 Insurance Coverage...... 51 ATM...... 11 Medicare/Medicaid...... 51 Your Room 13 Questions About Billing...... 52 Electrical Appliances...... 13 Paying Your Bill...... 52 Telephone...... 13 Financial Assistance...... 52 Nurse Call...... 13 Determination Of Financial Assistance Television...... 14 Eligibility...... 52 Your Healthcare Team 18 Your Satisfaction 54 Doctors...... 18 Concerns And Complaints...... 54 Hospitalists...... 18 Visitor Guide 55 Nursing Staff...... 18 Frequently Asked Visitor Questions...... 55 Technicians And Technologists...... 19 Information And Communication About Case Managers/Social Workers...... 19 Patients...... 57 Support Staff...... 19 Telephone - Wi-Fi...... 57 You And Your Designated Support Person... Security...... 57 ...... 19 Smoking Restrictions...... 57 Spiritual Life Services...... 20 Cafeteria Service...... 58 Your Rights And Responsibilities 22 Restroom Facilities...... 58 Patient Rights...... 22 Overnight Visitors...... 58 Medical Care...... 22 Privacy...... 58 Communication And Information...... 23 Resources 59 Consent For Treatment/Procedures...... 23 Transfers...... 24 Frequently Called Numbers...... 59 Privacy And Confidentiality...... 24 Organ Donation...... 61 Patient Information/Decisions...... 25 Blood Donation...... 62 Conflict Of Care Issues - Ethics...... 25 Gold Star Service Nomination...... 63 What Are Your Advance Directives?...... 26 Health Information...... 64 Patient Responsibilities...... 27 Patient Education Channels WKTV...... 64 Health Information Online...... 64 Your Safety 29 Legal Documents...... 65 Condition H - Call For Help...... 29 Notes And Questions About My Care...... 68 Infection Prevention...... 29 Puzzles 12, 17, 21, 28, 34, 38, 50, 53 Surgical Precautions...... 31 Puzzle Solutions 70-74 Fall Prevention...... 31 Restraints...... 32 Pressure Ulcer Prevention...... 32 Caring For A Hospitalized Child...... 33 Communicating With Caregivers...... 33 Welcome to Willis-Knighton Welcome! Thank you for choosing Willis-Knighton Medical Center Willis-Knighton for your care. (North) Welcome to Willis-Knighton. Here you Mike Chandler, Administrator will find warm and caring people – physicians, healthcare professionals and staff – all dedicated to giving you the best Willis-Knighton South & the Center for Women’s Health possible healthcare services. Keri Elrod, Administrator Please take a moment to review this book and refer to it throughout your stay when you have questions. This booklet also WK Bossier Health Center includes information for your family and Todd Blanchard, Administrator visitors. If you need additional informa- tion, please ask any of our employees for WK Pierremont Health Center assistance. Sonny Moss, Administrator This booklet is designed to give informa- tion for two types of patients: WK Rehabilitation Institute Inpatients: Patients who will have one Aljay Foreman, Administrator or more overnight stays in one of our hospitals. Our Mission Outpatients: Patients who come to To continuously improve the health and us for a short-term visit that does not well-being of the people we serve. include an overnight stay or who are at Our Nondiscrimination Policy the hospital for observation. This could Willis-Knighton Health System policies be anything from a lab test to a same-day are designed to ensure compliance with surgery. Sections that apply to outpatients Title VI of the Civil Rights Act. are identified with an asterisk (*). Look for them to quickly identify information No program or activity administered by that applies to you. Willis-Knighton Medical Center, or any of its affiliated entities that receives We want your stay with us to be as federal assistance, shall exclude from pleasant as possible. If you have concerns participation, deny benefits to, or subject or issues that need to be brought to our any person to discrimination inpatient attention, please ask to speak to the nurse admissions, room assignments and manager or nursing supervisor on your patient services for reasons of race, color, unit. national origin, religion, sex, age, physi- cal or mental handicap or other protected status.

1 Your Visit ADMISSION them to damage or loss. We cannot When you arrived and registered as a accept responsibility for lost, stolen or patient, you received a wristband with damaged items such as hearing aids, your name and other identifying details. dentures, cell phones and other electronic Please wear this wristband throughout devices. your stay. Staff will use this wristband to PERSONAL ITEMS NEEDED assure that you are properly identified before they provide care to you. Most of the things you need during a hospital stay will be provided for you. Here are the personal items we suggest you have for your hospital stay:

• Toothbrush • Toiletries • Robe/Slippers • Dentures • Eyeglasses • Contact Lenses • Hearing Aid DISCHARGE • CPAP (breathing machine) The ultimate goal of your stay is to return your health to a point where you no A hospital gown is provided, but many longer require inpatient hospital care. patients prefer to have their own pajamas That is called “discharge.” You should or nightgown. start thinking about discharge day early into your stay. We have people who can help with that. Our Care Management Department will work with you and assist you in coordinating your discharge. You, your physician or a member of your care team can request a discharge planning evaluation. Look for additional informa- tion about discharge on page 33.

VALUABLES The hospital cannot accept responsibil- ity for your valuables. If you arrive with valuables, especially jewelry, cash or credit cards, please give them to a family member or friend to take care of during your stay. If you have no one to take them, ask a nurse on duty to lock them away. You can reclaim them when you are discharged. Please store contact lenses, eyeglasses, hearing aids and dentures in your bedside stand when you are not using them. Please do not put items on your bed or food tray. This can subject

2 Your Visit COMMUNICATION IS CRITICAL Aside from your medical care, few things are as important during your stay as good communications. We want you and/or a support person of your choice to take an active role in your care. There may be times that you are not feeling well enough to speak up or ask questions, so a support person or advocate is important to you. Please let us know if you have any difficulties in communicating or need special assistance. To ensure effective communication with patients who are deaf or hard of hearing, Willis-Knighton provides appropriate auxiliary services. If you need help, please notify your nurse/caregiver. We offer interpretation services 24/7 at no personal cost to you. Here are the languages commonly spoken in Louisiana. Additional languages are available. Call (318) 212-4000. LANGUAGES Spanish ¿Hablas español? Vamos a proporcionar un intérprete sin costo personal para usted. Si necesita ayuda para las comunicaciones, por favor notifique a su enfermera o un miembro del personal. (318) 212-4000. French Parlez-vous français? Nous fournirons un interprète sans frais personnels pour vous. Si vous avez besoin d’assistance de communication, s’il vous plaît aviser votre infirmière ou un membre du personnel. (318) 212-4000. Vietnamese Bạn có nói được tiếng Việt? Chúng tôi sẽ cung cấp một thông dịch viên miễn phí dành riêng cho bạn. Nếu bạn cần hỗ trợ thông tin liên lạc, xin vui l.ng thông báo cho y tá hoặc nhân viên. (318) 212-4000. Chinese 你毴 中ᰗ？ 我们将 提供口译员 ，不需要个用。如果您需要通， 信援助 通知您的护士 (318) 212-4000. 或工作人 Arabic ىلإ ةجاحب تنك اذإ .كل ةيصخش ةفلكت يأ يف مجرتم مدقن فوسو ؟ةيبرعلا ثدحتت له .4000-212 (318) .فظوملا وأ ةضرمملا غالبإ ىجري ،تالاصتالا ةدعاسملا Tagalog/Filipino Nagsasalita ba kayo ng Tagalog? Magbibigay kami ng isang tagapagpaliwanag nang walang personal gastos sa iyo. Kung kailangan mo ng tulong komunikasyon, mangyaring abisuhan ang iyong nars o isang miyembro ng kawani. (318) 212-4000. Korean

당신은 한국어를 구사합니까? 우리는 당신없이 개인 비용으로 통역을 제 공 할 것입. 니다. 당신이 통신 지원이 필요한 경우, 간호사 또는 직원을 알 려 주시기 바랍니다 (318) 212-4000. Portuguese Você fala português? Vamos fornecer um intérprete, sem nenhum custo pessoal para você. Se precisar de assistência comunicaç.es, por favor avise o seu enfermeiro ou um membro da equipe. (318) 212-4000. 3 Your Visit Laotian ທ່ານເວ້ົ າພາສາລາວ? ພວກເຮົ າຈະສະຫນອງລ່ າມແປພາສາໂດຍບໍ່ ເສຍຄ່ າສ່ວນ ບຸກຄົນກັບທ່ານ. ຖ້ າຫາກວ່ າທ່ານຕ້ອງການການຊ່ວຍເຫືຼ ອການສື່ ສານ, ກະລຸນາ ແຈ້ງໃຫ້ພະຍາບານຫືຼ ສະມາຊິ ກພະນັກງານຂອງທ່ານ. (318) 212-4000. Japanese あなたは日本語を話せますか？私たちはあなたにありません個人的な費 用で通 訳を提供します。 あなたがコミュニケーション支援が必要な場合 は、あなたの看 (318) 212-4000. 護師やスタッフにご連絡ください。 Urdu .اگ ےرک مہارف مجرتم کیا رپ تمیق یتاذ یئوک رپ مت ےن مہ ؟ںیہ ےتلوب ودرا پآ .ںیرک علطم نکر ےک ےلمع ای سرن یک پآ ،ےہ ترورض یک ددم ینویمک پآ (318) 212-4000. German Sprechen Sie Deutsch? Wir stellen Ihnen einen Dolmetscher kostenlos zur Verfü- gung. Wenn Sie Kommunikationsunterstützung benötigen, benachrichtigen Sie bitte Ihre Krankenschwester oder einen Mitarbeiter. (318) 212-4000. Persian (Farsi) امش رگا .دش دهاوخ هئارا امش هب یصخش هنیزه چیه نودب مجرتم کی ام ؟یدلب یسراف وت .4000-212 (318) .عالطا تایه وضع کی ای دوخ راتسرپ افطل ،تاطابترا کمک هب زاین Russian а ты говоришь по русски? Мы обеспечим переводчика без каких-либо личных потерь для вас. Если вам нужна помощь связи, пожалуйста, сообщите об этом медсестре или сотрудника. (318) 212-4000. Thai คุณพูดภาษาไทย? เราจะให้ล่ามไม่มีค่าใช้จ่ายส่วนตัวของท่าน หากคุณต้องการความ ช่วยเหลือการสื่อสารโปรดแจ้ง ให้พยาบาลหรือพนักงานของคุณ (318) 212-4000.

4 Your Visit BE ACTIVELY INVOLVED IN YOUR • Cleanliness. Hospital staff should wash CARE their hands or use hand foam before As the patient, you should be actively and after every contact with you. Why? involved in your care and decisions made Clean hands are critical to preventing about your health. Here are suggestions hospital infections. If you do not see of things about which you should be them doing this, ask your caregivers if aware, to the extent possible: they have washed their hands.

• Pay attention to the care you receive. MANAGING PAIN Hospital staff will explain every Our staff will ask you about your pain medical task. If you have questions, regularly. If you have pain, tell them, even ask them. If you don’t understand if they do not ask. You will be asked to something, please say so. If describe how bad your pain is on a scale something doesn’t seem right, express from 1 to 10, with 0 being no pain and 10 your concern. If you are not well being the worst pain. Special pain scales enough to understand, please be sure are available for children and infants. that your designated support person can be your advocate. • Ask for pain relief medications when your pain first begins. Tell your doctor • Medications. Be sure that your doctor or nurse if your pain gets worse or if and healthcare providers have accurate your pain medicine is not helping. and complete information about all There are also ways to treat pain medications you have been taking. without taking medicine like changing These providers want to know the your position, physical therapy, heat dosage of each medication and how or cold, exercise and others. Ask your frequently you take them. Over-the- caregiver for suggestions. counter medications, vitamins or herbal supplements count, too. Do not • Side effects from pain medications can take medications brought from home include constipation, nausea, vomit- without the approval of your doctor or ing, itching and sleepiness. Call your nurse. When you receive a medication nurse if you notice any medication from a hospital caregiver, you will be side effects. told what you are receiving and what • PCA (Patient Controlled Analgesia) it is intended to do. If it is not familiar may be prescribed for you to manage or if you do not feel well after taking your pain. It allows you to give your- medication given to you, please call self a predetermined amount of pain the nurse. medication. A maximum safe amount • Confirmation. Every time you receive is programmed into your PCA pump treatment, you will be asked for your so you cannot give yourself too much name and date of birth. Yes, every medication. You should push the but- time. This will happen when blood ton when you become uncomfortable; is drawn, when you receive tests like simply push the button and release. No X-rays or when medications are given. one other than you should push your Staff may also check the information PCA button. on your armband. Do not be alarmed. This verification is for your safety.

5 Your Visit

INFORMATION FOR PATIENTS AND FAMILIES ABOUT Examples of Opioids OPIOID PAIN MEDICINES GENERIC NAME BRAND NAMES Opioid medicines are used to treat pain. Codeine Tylenol #1, 2, 3; Opioids are also known as narcotics. Atasol 8, 15, 30 These medicines may be needed while you are in hospital and also after you go Fentanyl Duragesic home. This information sheet will review Hydromorphone Dilaudid, some important safety information about Hydromorph opioids. Contin Patients, family members, and other Morphine Statex, MS Contin, caregivers can play an important role M-Eslon in the safe use of these medicines by Oxycodone Percocet, becoming better informed. OxyContin, With opioids there is a fine balance OxyNEO between effective pain control and Tramadol Tramacet, Ultram, dangerous side effects. Zytram XL

GOAL Safe balance between pain control and side effects Requires regular assessment of opioid effect and need

Pain Management Not Effective Safe Balance Dangerous Side Effects

Opioids Pain Medicines Content ©2013 Institute for Safe 6 Medication Practices Canada, Used with Permission Your Visit How is pain assessed? • Pain scales (e.g., 0 to10) are often used When should I contact my health- to help the healthcare team assess pain care team? and monitor the effect of pain Signs that the dose of opioid is too medicines. high: • Only you can describe the level of pain • Severe dizziness you are feeling. • Inability to stay awake Are opioids safe? Treatment of pain is an important part • Hallucinations of the healing process. Many people have used opioids without any problems. • Heavy or unusual snoring However, serious problems, including • Slow breathing rate overdose and addiction, have happened. It is important to use the lowest possible Do not take any more opioid med- dose for the shortest possible time and to icine and contact your healthcare be aware of signs that you are getting too team right away. much opioid. The following side effects happen Some people are more sensitive to the often with opioids: side effects of opioids. These people constipation, nausea, dry mouth, may need a lower starting dose or more itchiness, sweating, and dizziness. careful monitoring. It’s important to tell your healthcare team about any health Contact your healthcare team if your conditions that could increase your risk. side effects are hard to manage. You may be at HIGHER RISK of dangerous side effects if: • You are older (age greater than 65) • You have certain health conditions, for example: - Sleep apnea - Lung disease (e.g., asthma, COPD) - Kidney or liver problems • You are already taking other opioids • You are taking medicine for anxiety or to help you sleep • You have never taken opioids before • You have had a bad reaction to an opioid before

Opioids Pain Medicines Content ©2013 Institute for Safe Medication Practices Canada, Used with Permission 7 Your Visit What to expect while in the Use your call bell to get help right away HOSPITAL H if you feel: • Before each dose, your nurse will • Very dizzy ask about your pain level and see how sleepy you are. The nurse may also • Very weak check your breathing and other vital • You are having hallucinations signs such as your pulse, blood pres- sure and oxygen level. • Your heart rate is slow or unusual Or if family members observe: • Your nurse will come back, usually • You are confused or can’t speak clearly within an hour, to check on how you are feeling after a dose of opioid. The • It is hard to wake you up nurse will ask about your pain level and check your breathing. • Your lips or fingernails are purple • You are making unusual heavy snoring, • Over the course of the day and night, gasping, gurgling or snorting sounds your nurse will recheck your pain level, while sleeping sleepiness, breathing and other vital signs. • You are not breathing or have no heartbeat

If an opioid is being given to you If you or someone close to you needs through a patient-controlled pump, help for substance use disorder, talk only YOU are allowed to push the to your doctor or call SAMHSA’s button to administer the pain National Helpline at 1 (800) 662- medicine. HELP or go to SAMHSA’s Behavioral Health Treatment Services Locator This is to prevent an accidental (https://www.findtreatment.samhsa. overdose. gov/)

Opioids Pain Medicines Content ©2013 Institute for Safe 8 Medication Practices Canada, Used with Permission Your Visit What to expect when you go Stop taking your opioid medicine and HOME contact your healthcare provider that day if you feel: It is important to be aware of signs of a • Too sleepy to participate in normal problem with your opioid dose after you activities (e.g., you fall asleep while go home. eating) Be sure you understand the plan for pain • Very dizzy control before you leave the hospital. If you need opioids for more than a few • Very weak weeks after leaving hospital, it is import- ant to work closely with your doctor on a • You are having hallucinations plan for longer term pain control. • Your heart rate is slow or unusual This medicine was prescribed for you. If you cannot reach your doctor or phar- Never share your opioid medicine with macist, you can call the poison informa- anyone else. Take any unused opioids tion center or health information service back to your pharmacy for safe disposal. for advice. See page 60. Your family member or caregiver needs to call 911 if: If you would like to learn more about • You can’t speak clearly when you wake the safe use of opioids, you can watch up a video at: • They can’t wake you up http://youtube/SDMz4IqnpPk • Your lips or fingernails are blue or purple • You are making unusual heavy snoring, Never leave a person alone if you are gasping, gurgling or snorting sounds worried about them. Always get help! while sleeping Institute for Safe Medication Practices Canada • You are not breathing or have no www.ismp-canada.org heartbeat

Opioids Pain Medicines Content ©2013 Institute for Safe Medication Practices Canada, Used with Permission 9 Your Visit NUTRITIONAL SERVICES MAIL AND DELIVERIES A dietart worker will visit you daily to Mail, flowers or other gifts will be take your meal order. If you are on a delivered to your room. After you leave restricted diet, you will be given choices the hospital, mail that arrives for you will appropriate for your dietary needs. be forwarded to your home address. Other deliveries will not be accepted. If you cannot be left alone and your Patients in intensive care and isolation support person cannot be relieved for are not permitted to receive flowers due meals, a guest tray can be ordered to be to infection control concerns. served with your meal. Each guest tray will be charged to your hospital bill at a cost of $5. As a courtesy to the parent or guardian of pediatric patients younger than age 12, one guest tray is provided at no charge.

SMOKING RESTRICTIONS Smoking of tobacco products or e-ciga- rettes is prohibited on all Willis-Knighton properties. The decision to quit smoking is an important step in becoming health- ier. If you need help to quit smoking, ask your nurse to have Social Services tell you about the WK Tobacco Treatment Clinic or call (318) 212-4402 for information. Preparation is the key to quitting. Here are steps that you will find helpful: • Set a quit day. • Remind yourself of your personal reasons to quit. • Become aware of what tobacco is doing to you. Meal Times • Monitor your habits (keep a record). Breakfast...... 7 to 8 a.m. Lunch...... 11 a.m. to Noon • Learn about and prepare for Dinner...... 4 to 5 p.m. withdrawal symptoms. • Gain support from family, friends and loved ones. • Reward yourself and relish the benefits. • Practice new coping skills. • Practice relapse prevention.

10 Your Visit LOST AND FOUND Contact the switchboard for assistance with lost and found items. We keep lost items for 60 days.

ATM An ATM is located in the lobby of each hospital.

SECURITY Willis-Knighton has a full-time security staff that regularly patrols the parking lots and buildings. Visitors leaving the hospital during the evening may call the operator to request an escort to the parking area.

WI-FI Wireless service is available for patients and visitors who want to access the internet. Like other public access locations, the guest wireless network is not secure. Please take precautions when using this service because the informa- tion could be intercepted by another wireless user. A computer or wireless device, like any valuable, is at risk if not secured. Willis-Knighton does not accept responsibility for the personal equipment of patients and visitors.

11 Sudoku Puzzle

(Solution on page 74)

12 Your Room The hospital room is designed for the healthcare environment and for your comfort. How you are assigned a room is based on several factors, including your doctor’s orders, the type of care you need and room availability. Willis-Knighton gives priority to patients who are critically ill or who have experienced an emergency. While you are in your room an identification card outside your door will include your last name, first initial and physician’s name. No diagnostic information is permitted to be record- ed on that card. If you do not want an identification card on your door, please tell the nurse. ELECTRICAL APPLIANCES As a safety measure, only battery- powered devices are permitted in patient rooms. Please do not bring items such as hair dryers, curling irons, razors or radios. TELEPHONE For an outside line, press 9 and the number. A directory of Willis-Knighton telephone numbers is provided on pages 59-60. NURSE CALL Your bed is equipped with a nurse call system. Press the nurse call button to let someone know you need assistance. When you call, someone will respond to your request on an intercom system.

13 Your Room TELEVISION The television is provided for your convenience. While viewing television, please keep the volume as low as possible to avoid disturbing other patients. If you need help operating the television, ask a member of our staff. If you are hearing-impaired, close captioning is available. Notify your nurse if you need this. Your television receives basic and expanded channels from the local cable provider. Use this guide to locate the channel number for channels available. Please note that the channels are different for Shreveport and Bossier. Special Stations! During your stay, we encourage you to watch Channel 95. WKTV provides valuable insight and information 24 hours a day to help you take an active role in your own care. The Newborn Channel offers essential information for new mothers and also is available in Spanish. Station North South Pierremont Rehab QVC 3 3 3 3 KTBS - ABC 4 4 4 4 HSN 5 5 5 5 HSN 2 - - - 6 KTAL - NBC 7 7 7 7 KMSS - Fox 8 8 8 8 KSHV 9 9 9 9 KPXJ 10 10 10 10 LPB 11 11 11 11 WGN 12 12 12 12 KSLA - CBS 13 13 13 13 C-SPAN - - - 14 TBS 15 15 15 15 Discovery 16 16 16 16 TNT 17 17 17 17 USA 18 18 18 18 Disney 19 19 19 19 FreeFora 20 20 20 20 OWN 21 21 21 21 Lifetime 22 22 22 22 ONE Tv 23 23 23 23 CNN 24 24 24 24 HLN 25 25 25 25 CNBC 26 26 26 26 Fox News 27 27 27 27 MSNBC 28 28 28 28 14 Weather Channel 29 29 29 29 Station North South Pierremont Rehab JTV - - - 30 ESPN 31 31 31 31 ESPN 2 32 32 32 32 SEC Network 33 33 33 - FOX Sports - - - 34 FOX Sports 1 35 35 35 35 GOLF 36 36 36 36 NBC Sports 37 37 37 37 FX 39 39 39 39 Comedy Central 40 40 40 40 HGTV 41 41 41 41 A&E 42 42 42 42 TRUE TV 43 43 43 43 SciFi 44 44 44 44 Hallmark 45 45 45 45 Cartoon Network 46 46 46 46 Nickelodeon 47 47 47 47 TV Land 48 48 48 48 Animal Planet 49 49 49 49 Travel Channel 50 50 50 50 TLC 51 51 51 51 History Channel 52 52 52 52 UNIVISION - - 53 - BRAVO 54 54 54 54 AMC 55 55 55 55 FOOD Network 57 57 57 57 E! 58 58 58 58 BET Her 59 59 59 59 BET 60 60 60 60 VH1 61 61 61 61 MTV 62 62 62 62 Shop HQ 64 64 64 64 National Geographic 65 65 65 - Lifetime 67 67 67 - Oxygen 68 68 68 - JTV 70 70 70 - KTBS Mega 3 Weather 71 71 71 - Bounce 72 72 72 - Create 73 73 73 74 15 Station North South Pierremont Rehab LPB 74 74 74 - KTBS News 75 75 75 - GRIT 76 76 76 - Me Tv 77 77 77 - Inspire 78 78 78 - WKTV 95 95 95 95 WK Newborn - 96 96 - WK Newborn Spanish - 97 97 - WK Med. Serenity 98 - - 98 WK Spiritual Channel 99 - - 99

Bossier HSN 2 CNN 40 NBC 4 HLN 41 ABC 5 Fox News 42 CW 7 History Channel 43 KMSS 8 TLC 44 MyTV 9 Cartoon Network 45 CBS 10 Sprout 46 TV Paid Programming 11 UP TV 47 PBS 13 Disney 48 SEC Alternative 14 E! Network 49 TV Paid Programming 15 CNBC 50 C-SPAN 16 BRAVO 51 EWTN 19 Food Network 52 TBS 20 Outdoor 53 C-SPAN 2 21 TRVL 54 LifeTime 23 MSNBC 55 ESPN 24 WGN 56 ESPN-2 25 CNBC 57 GULF 26 GAC 58 Freeform 27 ID Channel 59 FX 28 Hallmark 60 USA 29 HGTV 61 TNT 30 BCSN 62 TruTV 31 OWN 74 Animal Planet 32 TCM 75 Discovery Channel 33 COX SPORTS 76 A&E 34 TBN 77 Weather Channel 35 WKTV 95 AMC 36 WK Newborn 96 Fox Sports 37 WK Serenity Channel 98 16 SEC Network 38 WK Spiritual Channel 99 Sudoku Puzzle

(Solution on page 74)

17 Your Healthcare Team In the hospital environment, many HOSPITALISTS different people may provide care to you. Some physicians prefer to have a hospi- No matter how simple or complex your talist provide care for their patients who treatment is, they will keep you fully need to be hospitalized. Unlike doctors informed. We encourage you to ask who treat patients in an office setting, questions at any time. hospitalists specialize in caring for patients in the hospital. If your personal DOCTORS physician asks a hospitalist to care for Doctors order patient care at Willis- you while you are hospitalized, you can Knighton. When you are hospitalized, rely on the hospitalist to carefully direct your doctor will direct your care, from your care. After you are discharged, you admitting you, to issuing orders for your will return to your personal physician for care and treatment, to determining when your follow-up care. you leave. Throughout your stay, your doctor will identify tests you need, per- NURSING STAFF form specialized treatment services and Nurses at Willis-Knighton provide care order medications. The doctor may also and carry out doctors’ orders 24/7. Our consult with other specialized doctors caring nursing staff will work closely to review your condition. When you no with your doctor to coordinate all aspects longer need our care, your doctor will of your care. During your stay you may release or discharge you. Our medical encounter the following nursing staff: staff has hundreds of doctors in a variety registered nurses (RNs), licensed practi- of specialties who are authorized to order cal nurses (LPNs), certified nursing assis- services for you while you are a patient. tants (CNAs), clerical staff and nursing Some of these doctors are in the Willis- students. Your care team is supervised Knighton Physician Network, meaning by a registered nurse or RN. The RN not they are employed by Willis-Knigh- only supervises your care but directs ton. Other physicians are independent those who work under her/his direction doctors or private practitioners who on each unit. provide services at Willis-Knighton. You may also encounter teaching physicians. The teaching physicians are sometimes accompanied by resident physicians who are completing their postgraduate educa- tion in specialized fields.

18 Your Healthcare Team TECHNICIANS AND SUPPORT STAFF TECHNOLOGISTS Throughout your hospitalization you will While you are at Willis-Knighton you meet people who do not directly provide will probably receive services from one care but who are essential to our team. or more of our highly skilled allied These will include people who clean your health professionals. These staff mem- room, deliver your food or even make bers perform specific services, either to repairs, such as replacing a light bulb that diagnose your health problem or provide has burned out. All of these people are treatment ordered by your doctor. Allied here to help make your stay as positive as health professionals offer services such possible. While they do not provide care, as X-rays, MRIs, CT scans, lab tests, they understand and respect your privacy breathing treatments, physical therapy and will perform their jobs as discretely and other similar procedures. as possible. YOU AND YOUR DESIGNATED SUPPORT PERSON You are an important part of the care team. We at Willis-Knighton want you to speak up and be involved in your care and the decisions made about you. Because there may be times when you cannot participate in those decisions, for instance, when you are under sedation, you should appoint a support person. The designated support person is typically a loved one or friend who agrees to be your advocate and participate in care discus- CASE MANAGERS/SOCIAL sions at those times. WORKERS When you are in the hospital, it is not unusual to wonder about what the future will bring after your hospital stay. You may be concerned about who will care for you when you leave the hospital or how long it will take for your recovery. You may be concerned about payment for the services you receive. You may worry about how you will deal with the results of your illness or accident. Social workers and case managers can help. They can offer encouragement and practical solutions and can help you make arrangements. A social worker/ case manager is available from 8 a.m. to 4:30 p.m. daily. Their numbers at each hospital are found on pages 56-57. If you need help after 4:30 p.m., ask the hospital operator to contact a social worker/case manager for you. 19 Your Healthcare Team SPIRITUAL LIFE SERVICES Spiritual care can be an integral part of the healing process. Clergy of all faiths are welcome to visit their members. If you need assistance contacting our clergy or spiritual advisor or wish to speak to someone who can pray with you for healing, the Spiritual Life Services Department can help. Call (318) 212-2188 to make your request. The Spiritual Life Services Department offers a confidential Prayer Line. You can leave a message with your prayer request and a member of the Spiritual Life Services Department will pray for you. To access this service, call (318) 212-PRAY (7729) or email [email protected]. In addition, you can visit the Spiritual Life Services Department on the Willis-Knighton website for prayers and words of comfort from various faith groups (wkhs.com/patients/spiritual).

20 Sudoku Puzzle

(Solution on page 73)

21 Your Rights and Responsibilities NOTICE OF RIGHTS PRIVACY AND CONFIDENTIALITY Patients will be informed of their rights The patient has the right to personal in advance of furnishing or discontinuing privacy and to confidentiality of his/her patient care whenever possible. clinical records. Privacy applies in many ways therefore the patient has the right ACCESS TO CARE to: Individuals shall be afforded impartial • Have a family member (representa- access to treatment or accommodations tive) of his/her choice and his/her that are available or medically indicated, own physician notified promptly of regardless of age, race, handicap, color, his/her admission to hospital; creed, sex, gender identity, national ori- gin, religion, disability, veteran or other • refuse to talk with or see anyone not protected status, or source of payment for officially connected with the hos- care. pital, including visitors, or persons officially connected with the hospital but who are not directly involved in Willis-Knighton Health System his care; Patient Bill of Rights

Notice of Rights: You as a patient will be informed of your rights in advance of furnishing or discontinuing patient care whenever possible. Access to Care: You will be afforded impartial access to treatment or accommodations that are available or medically indicated, regardless of age, race, handicap, color, creed, sex, national origin, religion, disability, veteran or other protected status or source of payment for care. Respect and Dignity: You have the right to considerate, respectful care at all times and under all circumstances, with recognition of your personal dignity. Privacy and Confidentiality: You have the right to personal privacy and to confidentiality of your clinical records. Privacy applies in many ways; therefore you have the right to: ▶ have a family member or a representative of your choice and your own physician notified promptly of your admission to hospital. ▶ refuse to talk with or see anyone not officially connected with the hospital, including visitors, or persons officially connected with the hospital but who are not directly involved in your care. ▶ wear appropriate personal clothing and religious or other symbolic items, as long as they do not interfere with diagnostic procedures and treatment. • wear appropriate personal clothing ▶ be interviewed and examined in surroundings designed to assure reasonable visual and auditory privacy. ▶ have a person of your own sex present during certain parts of a physical examination, treatment or procedure performed by a health professional of the opposite sex; and the right not to remain disrobed any longer than is required for accomplishing the medical purpose for which you were asked to disrobe. ▶ expect that any discussion or consultation involving your case will be conducted discreetly and that individuals not directly involved in your care will not be present without permission. ▶ have your medical records read only by individuals directly involved in your treatment or monitoring of its quality and by other individuals only on your written authorization or that of your legally authorized representative. ▶ expect all communications and other records pertaining to your care, including the source of payment for treatment to be treated as confidential, except in cases such as suspected abuse and public health hazards when and religious or other symbolic reporting is permitted or required by law. ▶ access information contained in your clinical records within a reasonable time frame. ▶ privacy as it relates to regulations as specified in HIPAA (Health Insurance Portability and Accountability Act of 1996) regulations. Personal Safety: You as the patient have the right to: ▶ receive care in a safe setting. items, as long as they do not inter- ▶ be free from all forms of abuse or harassment. Identity: You as the patient have the right to: ▶ know the identity and professional status of the individuals providing service to you and to know which physician or other practitioner is primarily responsible for your care. ▶ refuse participation in clinical training programs or in the gathering of data for research purposes that affect your patient care. Patient Information/Decisions: You as the patient have the right to: fere with diagnostic procedure and ▶ participate in development and implementation of your plan of care, including pain management, and are encouraged to obtain from the physicians and other direct caregivers relevant, current and understandable information concerning diagnosis, treatment and prognosis (the degree known). When it is not medically advisable to give such information to the patient, the information should be made available to an appropriate family member, designee or legally authorized individual. ▶ review the records pertaining to his/her medical care and to have the information explained or interpreted as necessary, except when restricted by law. ▶ consult with a specialist at your own request and expense. treatment; ▶ be informed of the hospital policies and procedures that relate to patient care, treatment and responsibility applicable to his/her conduct as a patient. ▶ expect reasonable responses to requests appropriate and medically indicated care and services. You and your representative have the right to be informed about the outcomes of care, including unanticipated outcomes. Consent: You (or your representative) have the right to make informed decisions regarding your care. Your rights include being informed of your health status, being involved in care planning and treatment and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate. ▶ You have the right to reasonable informed participation in decisions involving your healthcare. To the degree possible, this should be based on clear, concise explanation of your condition and of all proposed technical procedures, including the possibilities of any risk of mortality, serious side effects, problems related to recuperation and probability of success. ▶ You will be informed if the hospital proposes to engage in research/educational projects requiring direct patient involvement and the right to refuse to participate in any such activity. Communication: You have the right of access to people outside the hospital by means of visitors and by verbal and written communication. If you do not speak or understand the language preference, you will have access to an interpreter at no charge. Refusal of Treatment: You as the patient may refuse treatment or plan of care to the extent permitted by law and hospital policy and are to be informed of the medical consequences of this action. In cases of such refusal, you are • be interviewed and examined in sur- entitled to other appropriate care and services that the hospital provides or transfer to another hospital. The hospital should notify you of any policy that might affect patient choice within the institution. When the refusal of treatment by you or your legally authorized representative prevents the provision of appropriate care in accordance with ethical and professional standards, the relationship with you as the patient may be terminated upon reasonable notice. Transfer and Continuity of Care: ▶ You will not be transferred to another facility unless you have received a complete explanation of the need for, risks, benefits and alternatives to such a transfer. In addition, the transfer has to be accepted by the hospital roundings designed to assure reason- receiving the patient. ▶ You have the right to be informed by the physician and caregivers of any available and realistic patient care options following discharge from the hospital. Advance Directives: You as the patient have the right to provide the hospital staff with your decisions concerning medical care. Additional information regarding Advance Directives may be requested from your healthcare provider. Hospital Charges: You as the patient have the right to: ▶ request and receive itemized and detailed explanation of your total bill for services rendered in the hospital, regardless of source of payment for your care. able visual and auditory privacy; ▶ receive timely notice prior to termination of your eligibility of reimbursement by any third party-payer for the cost of your care. Withholding of Resuscitative Services — Withholding/Withdrawing Life Support Procedures: ▶ You as the patient have the right to request the withholding of resuscitative services and the withholding/withdrawing of life-sustaining procedures. ▶ When you as a patient request that resuscitative or life-sustaining procedures be withheld or withdrawn, hospital policy will be followed. These policies were developed in consultation with the medical staff and approved by the governing body. The policies describe: ▶ The mechanism(s) for reaching decisions about withholding of resuscitative services from the individual patient or forgoing or withdrawing of life-sustaining treatment. ▶ The mechanism(s) for resolving conflicts in decision making, should they arise. ▶ The roles of physicians and, when applicable, of nursing personnel, other appropriate staff and family members in decision to withhold resuscitative services or forgo or withdraw life-sustaining treatment. Your rights will be respected when the withholding or withdrawing of resuscitative or life-sustaining procedures are requested. Complaints/Concerns: • have a person of one's own sex pres- ▶ You have the right to express any complaint or concern to the individual involved. Unresolved complaints may be directed to a nursing supervisor or administrative personnel for investigation and resolution. ▶ You may file a complaint or concern by contacting a nursing supervisor, administrative personnel or by calling the compliance hotline at (888) 884-2499. ▶ You have the right to contact the Louisiana Department of Health and Hospitals as well as, or instead of, utilizing the hospital’s process for filing a complaint. The telephone number is (844) 280-7737. ▶ If a complaint concerns premature discharge or termination of benefits for Medicare patients or for questions about Medicare rights, patient may call KEPRO toll-free at (844) 430-9504 for all appeal requests and quality of care concerns. ent during certain parts of a physical Conflict of Care Issues — Ethics: You as the patient have the right to fair treatment conducted in an honest, decent and proper manner. You have the right to participate in ethical questions that arise in the course of your care, including issues of conflict resolution, withholding resuscitative services, forgoing or withdrawal of life-sustaining treatment and participation in investigational studies or clinical trials. If you have ethical issues that cannot be resolved with a department, please notify the nursing supervisor who will contact the Ethics Committee chairman. examination, treatment, or proce- Patient Responsibilities dure performed by a health profes- Accurate Information: You as the patient are responsible for: ▶ providing, to the best of your knowledge, accurate information about present complaints, past illnesses, hospitalizations, medications and other matters relating to your health. ▶ reporting unexpected changes in your condition to your doctor or caregiver. ▶ making it known whether you clearly understand a proposed course of action and the expected results. Following Instructions: You as the patient are responsible for: sional of the opposite sex; and the ▶ following the treatment plan recommended by the doctor or healthcare professionals primarily responsible for your care. This includes following the instructions of nurses and allied health personnel as they carry out the coordinated plan of care and implement the doctors’ orders and as they enforce the applicable hospital rules and regulations. ▶ keeping appointments and notifying the healthcare professional or hospital if you are unable to do so. Refusal of Treatment: You are responsible for your actions if you refuse treatment or do not follow the healthcare professional’s orders. Hospital Charges: You are responsible for assuring that the financial obligations of your healthcare are fulfilled promptly. right not to remain disrobed any lon- Hospital Rules and Regulations: You are responsible for following hospital rules and regulations affecting patient care and conduct. Respect and Consideration: You are responsible for: ▶ being considerate of the rights of other patients and hospital personnel. ▶ assisting in the control of noise. ▶ limiting of visitors. ger than is required for accomplish- ▶ not smoking on the campus. ▶ being respectful of the property of other persons and the hospital. ing the medical purpose for which the patient was asked to disrobe. (SAMPLE) • expect that any examination, dis- RESPECT AND DIGNITY cussion or consultation involving The patient has the right to considerate, his case will be conducted discreetly, respectful care at all times and under all and that individuals not directly in- circumstances, with recognition of his volved in his care will not be present personal dignity and comfort. Privacy without permission; and Confidentiality • have his medical records read only by individuals directly involved in his treatment or monitoring of its 22 quality, and by other individuals only Your Rights and Responsibilities

• on his written authorization or that IDENTITY of his legally authorized representa- • The patient has the right to know the identity and professional status of the tive; individuals providing service to him/ her, and to know which physician • expect all communications and or other practitioner is primarily other records pertaining to his care, responsible for his/her care. including the source of payment for treatment, to be treated as confiden- • The patient has the right to refuse tial, except in cases such as suspected participation in clinical training abuse and public health hazards programs or in the gathering of data when reporting is permitted or for research purposes that affect his/ required by law; and her patient care. • request a transfer to another room if other patient or visitors in the room are unreasonably disturbing

• access information contained in his/ her clinical records within a reason- able time frame.

• have a support person present except during certain procedures, care interventions or treatments, during critical or life-threatening situations. PATIENT INFORMATION/DECISIONS • privacy as it relates to regulations as • The patient has the right to partici- specified in HIPAA regulations. pate in the development and imple- mentation of his/her ongoing plan PERSONAL SAFETY of care, including pain management, The patient has the right to receive care patient issues and discharge planning in a safe setting. including discharges to post-hospital • The patient has the right to be free settings such as home health, skilled from all forms of abuse or harass- nursing, inpatient rehabilitation and ment including humiliation or nursing home care. neglect • The patient and their family have • The patient has the right to receive the right to be informed about the care that is free from exploitation outcomes of care, including unantic- in any form including financial ipated outcomes. exploitation. • The patient has the right to and is • The patient has the right to be free encouraged to obtain from the physi- from unnecessary restraints. When cians and other direct care givers rel- they are necessary, restraints must evant, current, and understandable be authorized by a physician for a information concerning diagnosis, limited period of time to protect you treatment, and prognosis or others from injury. 23 Your Rights and Responsibilities • (to the degree known). When it is not medically advisable to give such information to the patient, the in- formation should be made available to an appropriate family member, designee or legally authorized indi- vidual.

• The patient has the right to review the current records pertaining to his/her medical care and to have the information explained or interpreted as necessary, except when restricted by law.

• The patient has a right to request and receive their records in the form and format they request. If records are not available in the form requested, a hard copy will be provided. • The patient has the right to rea- sonable informed participation in • The patient, at his/her own request decisions involving in his/her health and expense, has the right to consult care. To the degree possible, this with a specialist. should be based on clear, concise explanation of his condition and of • The patient has the right to be all proposed technical procedures, informed of the hospital policies and including the possibilities of any risk procedures that relate to patient care, of mortality, serious side effects, and treatment, and responsibility appli- problems related to recuperation, cable to his/her conduct as a patient. and probability of success.

• The patient has the right to expect • The patient shall be informed if the reasonable responses to requests hospital proposes to engage in or appropriate and medically indicated perform human experimentation or care and services. other research/educational projects requiring direct patient involvement, CONSENT and the right to refuse to participate • The patient or his/her representa- in any such activity. tive has the right to make informed decisions regarding his/her care. • The patient has the right to know if The patient's rights include being video/electronic monitoring is being informed of his/her health status, used. being involved in care planning and treatment, and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnec- essary or inappropriate. 24 Your Rights and Responsibilities COMMUNICATION ADVANCE DIRECTIVES • The patient has the right of access to • Patients have the right to provide people outside the hospital by means the hospital staff with their decisions of visitors, and by verbal and written concerning medical care. Additional communication. information regarding Advance Di- rectives may be requested from your • When the patient does not speak health care provider. or understand the predominant language of the community, he/she HOSPITAL CHARGES should have access to an interpreter. • Regardless of source of payment for his/her care, the patient has the right REFUSAL OF TREATMENT to request and receive itemized and • The patient may refuse treatment or detailed explanation of his total bill plan of care to the extent permitted for services rendered in the Hospital. by law and hospital policy and is to be informed of the medical conse- • The patient has the right to timely quences of this action. In cases of notice prior to termination of his such refusal, the patient is entitled to eligibility of reimbursement by any other appropriate care and services third party-payer for the cost of his that the hospital provides or trans- care. fers to another hospital.

• The hospital should notify patients of any policy that might affect patient choice within the institution. When the refusal of treatment by the patient or his legally authorized rep- resentative prevents the provision of appropriate care in accordance with ethical and professional standards, the relationship with the patient may be terminated upon reasonable notice.

TRANSFER OF CONTINUITY OF CARE • A patient may not be transferred to another facility unless he/she has re- ceived a complete explanation of the need for risks, benefits, and alterna- tives to such a transfer. In addition, the transfer has to be accepted by the hospital receiving the patient.

• The patient has the right to be informed by the physician and care givers of any available and realistic patient care options following dis- charge from the Hospital.

25 Your Rights and Responsibilities • The rights of the patient will be respected when the withholding or withdrawing of resuscitative or life-sustaining procedures are requested.

COMPLAINTS/GRIEVANCES • The patient has the right to express any complaint or concern to the individual involved. Unresolved complaints maybe be directed to a Nursing Supervisor or Administra- tive personnel for investigation and WITHHOLDING OF resolution. RESUSCITATIVE SERVICES WITHHOLDING/WITHDRAWING • Patients may file a grievance by OF LIFE SUPPORT PROCEDURES contacting a Nursing Supervisor, • The patient has the right to request Administrative personnel or calling the withholding of resuscitative ser- the compliance hotline at 1-888-884- vices and the withholding/withdraw- 2499. ing of life sustaining procedures. • Patients can be assured that initiat- • When a patient requests that resus- ing a complaint will not result in any citative or life sustaining procedures form of retaliation. be withheld or withdrawn hospital policy will be followed. These policies were developed in consultation with the medical staff and approved by the governing body. THE POLICIES DESCRIBE: A. The mechanism(s) for reaching deci- sions about withholding of resuscitative services from the individual patients or for going or withdrawing of life-sustaining treatment.

B. The mechanism(s) for resolving conflicts in decision making, should they arise.

C. The roles of physicians and, when applicable, of nursing personnel, other appropriate staff, and family members in decision to withhold resuscitative ser- vices or forgo or withdraw life-sustaining treatment.

26 Your Rights and Responsibilities • Patients have the right to contact drawal of life-sustaining treatment the Louisiana Department of Health and participation in investigational and Hospitals as well as, or instead studies or clinical trials. If you have of, utilizing the hospital's process for ethical issues that cannot be resolved filing a complaint. The phone num- with a department, please notify the ber is 1-225-342-0138. the address is nursing supervisor who will contact Louisiana Department of Health and the Ethics Committee chairman. Hospitals, 1201 Capital Access Road, P.O. Box 629, Baton Rouge, Louisi- Revised 2/19/2020 ana 70821. Sources of information: CMS Hospital Conditions of Participation (COPS) 2020 Code of Federal Regulations, 42CFR482.13, 10/01/2002 • If a complaint concerns premature Centers for Medicare Medicaid Services (CMS) discharge or termination of benefits AHA, A Patient's Bill of Rights, 10/21/1992 for Medicare patients, or for ques- tions about Medicare rights, patients may contact KEPRO, Medicare Rights Beneficiary Hotline at 1-844- 430-9504. The address is KEPRO, 5700 Lombardo Center Drive Suite 100, SEVEN HILLS, OH 44131.

CONFLICT OF CARE ISSUES - ETHICS • Patients have the right to fair treat- ment conducted in an honest, decent and proper manner. All patients have the right to participate in ethi- cal questions that arise in the course of their care, including issues of con- flict resolution, withholding resus- citative services, forgoing or with-

27 Sudoku Puzzle

(Solution on page 73)

28 Your Safety Your safety is one of the highest priorities INFECTION PREVENTION at Willis-Knighton. We continuously • Clean your hands – use soap and warm work to maintain the highest safety water. Rub your hands really well for standards for healthcare in our hospitals. at least 15 seconds. Rub your palms, You, along with your family, friends and fingernails, in between your fingers and support people, play a critical role in the backs of your hands. If your hands enhancing your care. do not look dirty, you can clean them with an alcohol-based hand sanitizer. Clean hands before touching or eating food, after you use the bathroom, after coughing or sneezing or touching any wounds. • Sneeze or cough into your sleeve to prevent the spread of infection to others. When you sneeze or cough, the germs can travel 3 feet or more. • Get shots to avoid disease and fight the spread of infections. Make sure your vaccinations are current including CONDITION H – CALL FOR HELP seasonal flu shots. Check with your Willis-Knighton has created a simple way doctor about shots you may need. to call for help if you have a health emer- gency or if you or your family have • Notify your doctor or nurse immedi- immediate concerns about your condi- ately if you begin to have signs of tion. It is called “Condition H.” Please infection including fever, pain, redness note this is to be used only for patient or foul smelling drainage from a condition concerns. (For other concerns, wound, surgical incision or IV site. see page 51.) Here is how you call Also if you have pain or burning when Condition H: you urinate or your urine has a foul odor—especially if you have a urinary • Call the hospital operator by pressing catheter or the catheter has recently “0” on the telephone by the patient been removed—contact your nurse bed. Give the operator the following immediately. information: your name (if not the patient), patient’s name and location, and your concern. • The operator activates Condition H and notifies a nursing supervisor to come to the room to address the concern. Additional clinical support may be called as needed.

29 Your Safety • Drug-Resistant Germs – Some infec- Airborne Isolation – means that tions are caused by germs that are more no staff member or doctor difficult to treat. These germs are called should enter your room without Multi-Drug Resistant Organisms, wearing a special mask. It also or MDROs. If you have one of these means that you will be admitted germs, your doctor will let you know, to a special type of isolation and the hospital staff will provide you room and if you must leave with more specific information. If you your room for any reason, you know that you have an MDRO when will be required to wear a mask you are admitted, please notify the yourself. hospital nursing staff to make sure you • Devices – IVs, dialysis catheters and get the appropriate treatment. urinary catheters all can be sources of • Isolation – If an infection is the reason infection. To avoid infection of these you are being admitted to the hospital, device sites: it is possible that you may be treated Avoid handling the device with some type of isolation precau- yourself. tions, depending on the germ causing your infection and where in your body Make sure healthcare providers the infection is located. The purpose of clean their hands before han- isolation is to protect the staff, your dling these devices. doctors and visitors from getting the infection that you have or prevent the Make sure healthcare providers staff from giving the infection to other disinfect the IV access port patients. If you have any questions before giving any medications or about why you are on isolation, please drawing blood from your IV. ask your doctor. This may include, but Keep track of how long the might not be limited to: device has been in place and ask Contact Isolation – means that your doctor if the IV or urinary no staff member or doctor catheter can be removed when it should enter your room to is no longer needed. provide care without wearing If the IV or port site becomes a gown, gloves and, in some red, swollen, warm or painful, instances, a mask (depending on notify your nurse immediately. where in the body the infection is located). Droplet Isolation – means that no staff member or doctor should enter your room to provide care without wearing a mask, a gown and gloves.

30 Your Safety SURGICAL PRECAUTIONS There are risks and potential dangers involved any time you have surgery. Willis-Knighton takes precautions to avoid any mistakes or problems with your surgical procedure. Some of these Call, precautions may seem strange to you, but they are essential elements of our patient safety program. don’t fall! • The staff will ask for your name, date of birth, type of procedure and the location of the procedure quite often Do not get up without during your pre-admission and admis- sion process. the help of hospital staff. • For some procedures, the doctor or person performing the procedure will • If you feel dizzy or weak getting out of write his or her initials on the spot bed, ask the nurse/nursing assistant for where your incision will be made. help. Remember you are more likely to • Once you are in position for your faint or feel dizzy after sitting or lying procedure, the doctor, nurses, or other in bed for a long time. If you must get healthcare providers will check every- up without waiting for help, sit in bed thing one more time. This is called the a while before standing. Then rise care- “final timeout.” You may not be awake fully and slowly begin to walk. for this final check. Don’t be con- • Wear slippers or shoes with rubber cerned; we do this for all procedures soles whenever you walk in the hospi- and patients! tal. Walk slowly and carefully when out FALL PREVENTION of bed. Never lean or support yourself A person who is ill and unsteady is at risk on rolling objects such as IV poles or of an accidental fall when in the hospital. your bedside table. Don’t let this happen to you! Our health- • Please be patient. Someone will answer care team of nurses, doctors, physical your call as quickly as possible. Use therapists and assistants is here to help your call bell to call for help and wait you have a speedy recovery and to help for someone to arrive to assist you. prevent unnecessary injury. Remain lying or seated while you wait Please observe these safety guidelines for for assistance. preventing falls: • Side rails are reminders to stay in bed • Follow your doctor’s orders and the and are designed to ensure your safety. nurses’ instructions regarding whether you must stay in bed or call for assistance to go to the bathroom.

31 Your Safety For family, friends and support person: In many cases, when a family member, If your loved one is unsteady or at risk friend or loved one is available to sit and for falls, PLEASE call for help if he or be with a patient, his or her presence she needs to get out of bed. Do not try to alone has a calming effect. The loved one help him or her by yourself. is helpful in keeping you aware of your surroundings. They also can engage you RESTRAINTS in pleasant activities such as reading, A restraint is a device used to limit or conversation or providing quiet company restrict freedom of movement, physical and reassurance. activity or normal access to the body. They are prescribed for your safety. PRESSURE ULCER PREVENTION Devices such as bandages, protective A pressure ulcer is an injury usually helmets and orthopedically prescribed caused by pressure that damages the skin devices are not considered restraints. and underlying tissue. Pressure ulcers form where bone causes the greatest force • Restraints are ordered by the doctor on the skin and tissue. For people who only when absolutely necessary to need to stay in bed, bed sores can form prevent harm to you or others. on the lower back, hips, and heels. Staff • Staff will routinely assess patients for will be checking your skin frequently. alternative measures instead of using • If you notice any reddened areas on the restraints. Some alternatives may skin after you have changed positions, include: asking family/support person let your nurse know. or friends to sit with you, use of bed alarms or special alarming equipment, • Keep your skin dry. Report wet sheets creating a tranquil environment, con- or clothing to your nursing staff. trolling your pain, and reorienting you to your surroundings. • Change your position in bed often, at least every two hours. • Restraints are removed as soon as you are safe without them. The restraint is regularly removed to offer exercise and movement, to check the condition of the skin, and to allow for bathroom breaks.

32 Your Safety COMMUNICATING WITH CAREGIVERS If you don’t understand what your care- giver is saying, tell him or her that you do not understand. Ask questions. When you do so, you help them understand what you need. • Tell your healthcare provider about your culture or religious beliefs. Explain to them what you need. When they know what is important to you, they can better understand how to take care of you. • Remember, if you are deaf or hard of hearing, Willis-Knighton provides appropriate auxiliary aids and services free of charge. Please ask your nurse or other hospital personnel for assistance.

CARING FOR A HOSPITALIZED CHILD Check your child’s identification band. Make sure the information on the band is correct. Staff will check the armband and date of birth before tests, medications or procedures. • A parent or trusted person must remain with your child at all times. Children should never be left alone. • Immediately tell caregivers if your child is in pain or if you are concerned about your child’s condition. • All staff caring for your child should wear an identification badge. Ask to see a badge if you can’t see it. • Comfort your child with your voice or touch. Read to your child or play his or her favorite music. Allow your child rest periods by helping to decrease noise, activity and number of visitors. • Take care of yourself. Having a child in the hospital is very stressful. Get adequate rest, eat well-balanced meals, and have a support person with you to relieve you. 33 Children’s Crossword Puzzle

16

4 Across 3 14 1 2 2 3 13

4

5 11 6 7

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(Solution on page 72)

34 Your Discharge WHEN YOUR HOSPITAL STAY ENDS WHAT TO EXPECT DURING When your doctor feels that you no DISCHARGE longer need the care we offer in the When your doctor writes a discharge hospital, he or she will authorize a order he or she no longer believes you hospital discharge. The best time to talk need the complex services of an acute about your discharge plans is early in care hospital. So where do you go? your hospital stay. That way you will have time to consider your options and be • Home. If you are able to care for well-prepared for the future. yourself safely, home is probably your preferred option. If you need assistance at home, you should arrange that in advance. If you require medical assis- tance or monitoring, Willis-Knighton Home Health is available to provide that. • Short-Term Care. If you are unable to care for yourself safely, you may qualify for short-term rehabilitation to extend your care. Short-term care is generally a month or less. Willis-Knighton offers WK Extended Care Center, Progressive Care Center and Health Center at Live Oak. • Long-Term Care. If you require care for a longer period of time, a rehabil- itation center or long-term acute care hospital will be a good choice. A care manager can discuss options and work with your doctor and you or your family to find an option that is right for you.

35 Your Discharge As you are preparing to leave the hospital, write an order for this. This could include your nurse will give you a great deal of something large like a hospital bed or information and will go over it with you. something small like crutches. Your care Please pay close attention to it and follow manager will help you make these ar- the instructions given to you. It is helpful rangements. Equipment will be delivered to have your support person available to to you at the hospital or at your home, go through the discharge process with whichever is more appropriate. you. Be sure to ask any questions about these instructions before you leave. A nurse will come to your room with discharge papers for you to complete and Here are some of the things you will sign. If you have any questions, be sure to receive with information about why they ask them. are important: When your transportation has arrived, a Discharge Summary hospital employee will assist you into a This is a document that outlines your wheelchair and take you to an exit. general care while at the hospital, includ- The wheelchair is standard procedure ing why you were admitted, what doctors required by the hospital regulations, so you saw, what procedures you received relax and enjoy the ride! and what medications you were given. Medication Information You will receive a list of all medications you are taking with the name of the doc- tor who prescribed them. You may also receive one or more prescriptions that should be filled and taken as instructed. Follow-Up Instructions This tells you information about your care after you leave. You will be giv- en care instructions about things like dietary restrictions, activity restrictions, medications you should take, when you should see your physician for a follow-up appointment or follow-up tests, what to do if you have questions about your con- dition or things to watch for that could signal a problem. If you had surgery, you will be given information about caring for the incision. Please be sure to pay careful attention and be sure to keep your follow-up appointment with your doctor as needed. Order for Equipment If your doctor determines you will require some type of equipment, durable medical equipment (DME), he or she will

36 Your Discharge PRESCRIPTIONS • Diabetes and Nutritional Counseling The hospital’s pharmacy does not fill – Services designed to help patients prescriptions but there are local and and their families deal with dietary national pharmacies nearby. Please be restrictions related to their health. This sure to have your prescriptions filled is available at all WK hospitals. promptly and take them as directed by • WK Tobacco Treatment Clinic – your physician. Clinics at Willis-Knighton hospitals CARE OPTIONS FOLLOWING that offer proven methods for smoking DISCHARGE cessation. With an alliance with the Please remember that you have the Louisiana Smoking Cessation Trust, option of using Willis-Knighton for many of these services may be free for many of the services that will support Louisiana residents who meet require- your recovery. We would be honored to ments. continue quality care for you from our • Hospice – In-home care for patients Willis-Knighton staff. If you would like to (and their families) with terminal use Willis-Knighton for your care, please illnesses. If inpatient hospice care is tell your doctor. A social worker or case preferred, the care manager can make manager can make the arrangements for arrangements. you. Willis-Knighton offers the following: • Support Groups – Services available at • Home Health – Healthcare services Willis-Knighton (and throughout the provided in the home by qualified community) to help people and their Willis-Knighton staff. Home Health is caregivers learn how to deal with their accredited by The Joint Commission health conditions. Learn more at (TJC) and is Medicare and Medicaid wkhs.com “classes and events.” certified. • Residential Options – These include • Skilled Nursing – Inpatient care for independent living for adults 55+ and patients who continue to need nursing assisted living. A hospitalization can support. often signal that it’s safer and healthier • Cardiac Rehabilitation – Outpatient not to live at home alone. Details program to support patients recovering available at www.oaksofla.com.

from heart conditions. • WK Fitness & Wellness Centers – • Pulmonary Rehabilitation – Outpa- Pledge to live a healthy lifestyle with tient program to help patients deal membership in a WK Fitness & with breathing issues. Wellness Center. When you join one of the centers on our hospital campuses • Inpatient Physical Rehabilitation – (North, South, Bossier or Pierremont), Dedicated hospital-based program of you have membership privileges at all intensive rehabilitation. four. Get details at wkfitness.com. • Outpatient Physical Therapy, Occupational Therapy and Speech Therapy – Services dedicated to helping patients regain or strengthen capabilities.

37 Maze Puzzle

(Solution on page 70)

38 Prevention and Management of Common Illnesses As part of our mission to continuously Things you can do to control CHF improve the health and well-being of the • Weigh first thing in the morning after people we serve, we offer the following urinating and before eating. Wear the educational information on some of same amount of clothes each time you the most common conditions that we weigh and write your weight on card. treat in our hospitals and clinics. These conditions are: Congestive Heart Failure, • Try to sleep 6 to 8 hours each night. Cardiopulmonary Disease, Heart Attack, Rest between activities during the day. Diabetes, and Stroke. We hope that this • Plan your day so that you are not will be beneficial to you and/or a loved rushing. one in your quest to live a healthy and vibrant life. • Take your medicines as prescribed. • Follow your low sodium diet. CONGESTIVE HEART FAILURE Signs and Symptoms of Congestive • Exercise as instructed. Heart Failure Remember: Slower and longer is better • Increased shortness of breath with or than faster and shorter. without frequent cough. • Swelling in ankles, feet, abdomen, or legs. • Increased difficulty breathing at night, propping up with two or more pillows. • Whistling or wheezing sound when you breathe. • Fast, pounding heart beat or “flutter beating”. • Weight gain of 2 to 3 pounds for two days in a row or 10 pounds above hos- pital discharge weight or if your clothes or shoes suddenly become tight. • Extreme fatigue or weakness or decreased ability to do normal daily activities. Call your doctor if you have any of these signs and symptoms.

39 Prevention and Management of Common Illnesses Monitor your important CHF numbers by using the chart below.

Name:______Age:______

Address:______Phone No.:______

Physician:______Phone No.:______

Medications:______

Allergies:______

Blood Comments (List symptoms or Date Time Pulse Weight Pressure any problem you have)

40 Prevention and Management of Common Illnesses CARDIOPULMONARY DISEASE Take care of yourself Activity and rest • If you smoke, stop smoking. Ask your • Try to get 6 to 8 hours of sleep each doctor about a program to help you night. quit, or contact the WK Health & Fitness Center at (318) 212-4450 to • Space activities so you can rest between participate in the smoking cessation them and your heart can rest too. program or call the toll free QUIT- • Stop and rest during an activity if you LINE at (800) QUIT-NOW feel tired or short of breath. (800-784-8669). • Build your strength with the help of the • Weigh yourself every morning before Cardiac Rehab exercise and education you eat and after using the bathroom, program provided for you at WK wearing similar clothing. Use the same Health & Fitness Center and WK scale each day. Write it on your weight Bossier Wellness Center. card and keep it posted above your scales. Bring your weight card to your Diet follow−up appointments. • Maintain a low-fat, low-sodium diet as directed by your doctor. • Keep regular appointments with your doctor. • Read labels on food. Watch for high sodium ingredients such as MSG and Call your doctor’s office, if you: baking soda. • Have marked difficulty breathing.

Medications • Notice you’re getting tired much faster. • Take medications as prescribed by your Start coughing at night. doctor. • Gain 2 pounds two days in a row or • Take your pills at the same time each gain 10 pounds above discharge day. weight. • A pill organizer with days labeled may • Have dizzy spells or faint. help. • Begin urinating much less frequently. • If you cannot afford to buy your • Have significant increase in tightness medicines as prescribed by your or pain in chest. doctor, contact the Social Services department (318) 212-4650 for a list • Have increased swelling in your feet or of medication assistance programs. ankles.

41 Prevention and Management of Common Illnesses HEART ATTACK These symptoms can occur any time of ACUTE MYOCARDIAL INFARCTION (AMI) day but often appear in the early hours of AMI is the leading cause of death the morning or associated with demand- throughout the world. Approximately ing physical activity. Most heart attacks 450,000 people in the United States die start slowly with approximately 50% of from coronary disease per year. Fifty patients having some warning. Unfor- percent of AMIs occur in people younger tunately, some are sudden and intense. than 65 years old. Often people aren’t sure what’s wrong and wait too long before getting help. Myocardial infarction occurs when blood If occlusion persists for more than 20 supply to the heart is diminished. This minutes, irreversible damage can occur is often because an artery to the heart to the heart. If blood flow can be restored becomes blocked due to plaque and/or quickly more heart muscle can be saved. thrombus (blood clot). This is most commonly referred to as a heart attack. If you experience symptoms, call 911, There is a 95% survival rate for those who even if you are not sure you are having a are treated at a hospital primarily because heart attack. Minutes matter. Emergency of improvements in emergency medical medical services (EMS) can begin treat- response and treatment strategies. ment sooner. The signs and symptoms that you may be Six primary risk factors have been having a heart attack range from none at associated with contributing to all to sudden cardiac death. Ones without cardiovascular disease: symptoms are not necessarily less severe but are more often associated with dia- • High cholesterol betics. The most common symptoms are: • Diabetes • Chest pain (pressure, fullness, • High pressure squeezing) • Tobacco use • Radiation of chest pain into jaw, teeth, shoulder, arm and/or back • Male gender • Shortness of breath • Family history • Abdominal discomfort with or without Control those that you can by exercising, nausea/vomiting eating a healthy diet, and restricting use of tobacco. • Sweating • Syncope (fainting/collapse) • Impairment of cognitive function without other cause

42 Prevention and Management of Common Illnesses DIABETES For some people, the symptoms of diabe- Basic Facts for Everyone tes may be so mild they go unnoticed for Diabetes is a disease that occurs when a period of time. Common symptoms of your body cannot make enough of the diabetes include: hormone insulin or does not use insulin • Urinating often very well. The result is too much sugar stays in the blood. Insulin helps carry • Feeling very thirsty sugar from the foods you eat into your • Feeling very hungry – even though you body cells to be used for energy. Without are eating insulin, your body cells cannot get the sugar they need to keep you healthy. • Feeling very tired There are primarily two types of diabetes. • Blurry vision Type 1 diabetes occurs when your body • Cuts and bruises that are slow to heal does not make any insulin. For this type, it is necessary to take insulin shots. The • Weight loss – even though you are exact cause of type 1 diabetes is not eating (type 1) known. It occurs most frequently in children, but adults develop it too. If you are experiencing any of the symp- toms described, be sure to discuss them Type 2 diabetes is the most common with your doctor. There is no cure for type. Your body makes insulin, it just diabetes. You can control it with diet, does not use it very well. Anyone can get exercise and medication. type 2 diabetes.

Your risk may be higher if you: • Are over age 45 • Are obese or overweight • Have family members with type 2 diabetes • Have been diagnosed with pre-diabetes • Don’t exercise • Have low HDL cholesterol levels or high triglyceride levels • Have high blood pressure • Are a member of certain racial or ethnic groups Early discovery and treatment of diabetes can decrease the risk of developing complications. You can prevent or delay type 2 diabetes. You should stay at a healthy weight, be active and eat well.

43 Prevention and Management of Common Illnesses What if you already have diabetes? Being active is part of living healthy and Even though there is no cure for diabe- managing diabetes. Any type of exercise tes, controlling your sugar level is very will help lower your blood sugar level. important. Talk to your doctor about which activities are right for you. Your doctor may have Too much sugar in the blood can lead you start testing your blood sugar levels to other serious health problems. Make at home. You will need a small machine sure you see your healthcare provider on called a glucometer. Your doctor or dia- a regular schedule. Follow up with other betes educator can help you select a members of your diabetes care team. meter that works best for your needs and Your diabetes care team: Who are they? is covered by your insurance. Your doctor Your diabetes care team can include or diabetes educator will be able to guide as few or many people as you need to you on how often you should test your help you take care of yourself. Your blood sugar level. You might test your diabetes care team will help you, but your sugar before a meal or two hours after day-to-day care is up to you. Your team eating. Your doctor or diabetes educator can include your doctor, nurse, dietitian, can assist you in determining what your certified diabetes educator as well as target numbers should be. family and friends. You need to make sure to get help with What can your team do for you? your diabetes. Talk to your doctor, diabe- • Assist you with meal planning tes educator, family or friends about how you’re feeling. Your diabetes team can be • Help with getting physically active a great source of support. • Checking your sugar levels at home if your doctor recommends it • Teach you about your medication if your doctor prescribes it • Making sure you know as much as you need to in order to be healthy What can you do day to day to manage your diabetes? Choosing what, how much and when to eat is an important part of managing di- abetes. You can work with your dietitian or diabetes educator to learn how to eat the right foods, in the right amounts, at the right times.

44 Prevention and Management of Common Illnesses Routine care is important! Every three months, make sure you see your doctor for a checkup. Your doctor should check your blood pressure and weight as well as inspect your feet. Blood should be taken to check your hemoglo- bin A1c level, which is a test to measure if your sugar level is under control over an extended period of time. At least once a year you should have a complete physical with your doctor. You should have blood taken to check your cholesterol at least once per year. Your urine should be checked yearly to make sure your kidneys are working well. You should get your flu shot every year. Don’t forget to have a dilated eye exam each year as well. People with diabetes can live long, healthy lives. Even though there is no cure, there is a lot you can do to control your sugar levels. Remember, you have to balance the food you eat with exercise and medicine (if prescribed) to keep your blood sugar levels in a healthy range. If you are struggling with your day-to- day care or have questions related to managing diabetes, ask your doctor to refer you for diabetes education.

45 Prevention and Management of Common Illnesses STROKE What are the symptoms? What is a stroke? Symptoms of a stroke are different for A stroke is a condition that occurs when everyone. Symptoms depend on where the blood supply to part of the brain is the stroke damages the brain. Symptoms reduced or stopped. It results in part of may come on slowly or they may be sud- the brain dying. Anyone who thinks they den. Some warning signs to be aware of: may be having a stroke should call 911 and get immediate medical attention. • Feelings of weakness or numbness on one side of the body Why do people have strokes? When blood is not available to your • Tingling in your face, arm, or leg brain your brain will stop working. This • Dizziness or a sudden loss of balance can happen in a few different ways. For example: • Difficulty speaking • A blood clot: In this way an artery may • Difficulty understanding others be blocked that restricts blood flow to • Blurred vision the brain. • Sudden confusion or disorientation • Bleeding: In this way an artery in the brain may break and bleed into the • Difficulty swallowing brain. • Loss of bowel or bladder control You are more likely to have a • A severe headache stroke if you have any or many of the following: • Loss of consciousness • High blood pressure • Heart disease • Diabetes • Severe sleep apnea • Sickle cell anemia • Use of illicit drugs, specifically cocaine • High cholesterol • Smoke cigarettes • Family history of stroke • Obese or overweight • Atherosclerosis or fatty deposits on the walls of your arteries

46 Prevention and Management of Common Illnesses How long does it take to get better? What can I do to prevent a stroke? The most common thing about a stroke is • If you have high blood pressure, go to that each one is different. Because of this, the doctor regularly. Listen to those people recover at different rates of speed. recommendations and follow them Most of the time the amount of brain that strictly. Exercise or medicine should be was injured will determine how bad the done routinely. symptoms are and how long it will take a person to get better. Important things to • If you smoke, quit. remember: • Eat a healthy diet. • People may continue to improve up to • Exercise every day. Ask your doctor for and beyond 1 year after a stroke. an exercise program. • Hard work and lifestyle changes will • Keep a healthy weight. help with the recovery. • Seek help if you feel like you are • Relying on physicians and their stressed out all the time. knowledge will help in the understand- ing of your potential. • It is important that you continue regular appointments with your doctor • A good support system is important to to help you monitor and control your have following a stroke. risk factors for having another stroke. What can I do to help myself after my • Be sure to continue all medicines as stroke? ordered to help prevent another stroke There are many resources that can give or other medical emergencies. If you you advice on how a lifestyle change can’t afford your medicines or are can help after a stroke. Some of those having trouble getting them filled, resources are in this packet but there are contact your physician immediately. many others. Your doctor will be able to They may have another medication give you advice on what to eat, how to that will work or can get you informa- exercise, how to handle stress, and what tion on resources that may help reduce things to avoid in the future. the cost of certain medications. Call 911 if you think you are having a stroke.

47 Prevention and Management of Common Illnesses HOW TO PREVENT BLOOD CLOTS Repeat this motion 10 times or more A blood clot found in the deep vein at least each hour while you are inside your leg is a deep vein thrombosis awake. or venous thromboembolism. It is also • Your doctor may advise you to wear called a DVT or VTE. You may have pain compression stockings to help with redness, itching, burning, or swelling blood flow. along the vein. DVT’s are most common in the lower leg in your calf but can also When at home or traveling: happen in other places in your body. The blood clot can travel to other parts of • Move around as much as you are your body and cause serious problems. If able a clot travels to the lungs, it will be hard • Do not sit for long periods of time. for you to breathe. It can also lead to Get up and move around every 1 to death. hours, unless you are sleeping. • Walking can speed up recovery. It Because of this, it is important to learn may also help prevent blood clots about blood clots and work to prevent • Wear loose-fitting clothing around them. You are more likely to have blood your legs and waist. clots if you: • Stretch your legs or wiggle your toes during log trips. Flex and extend • Have had surgery or will be spending your knees and ankles. Change posi- a lot of time resting in bed tion often • Have a history of serious illnesses • Wear compression stockings to help like heart, lung, or kidney problems with blood flow. • Have a history of blood clots • Do not cross your legs while sitting • Have an injury or problem that keeps or lying in bed you from being able to walk • Drink 6 to 8 glasses of water each • Are over 40 years old and do not day. exercise a lot • Avoid agents that might make you • Have been traveling and sitting for sleep for a long time. Do not drink more than 2 hours at a time, espe- beer, wine, and mixed drinks, or take cially on an airplane sleeping pills • Smoke • Do not smoke • Are overweight Go to the emergency room if you expe- While you are in bed or in a chair: rience sudden shortness of breath, chest pain, or coughing up blood. • Prop your leg on a pillow when in bed and on a chair or footstool when you sit. Do not put the pillow under your knee sideways so that your knee is bent in bed. Instead, put it long ways to support your knee and lower leg. • To help increase blood flow to you lower legs, point your toes and then bring them back toward your knees. 48 Prevention and Management of Common Illnesses LOCAL RESOURCES If you are unable to return to work and For more information about stroke, want to determine your eligibility for contact the American Stroke Association Social Security Disability benefits, call the at (888) 4−STROKE (888−478−7653) local Shreveport office at (800) 772-1213 or visit them online at or (318) 676-3209. www.StrokeAssociation.org. They are located at 1240 South Pointe The American Stroke Association’s Parkway, Shreveport, LA 71105 or apply "Warmline" at (888) 4−STROKE online at: www.socialsecurity.gov/pgm/ (888−478−7653) is available to help you: disability.htm. • Speak with other stroke survivors and caregivers trained to answer your questions and offer support. • Get information on stroke support groups in your area. The “Strokers” group is local and has met together for years. • Sign up to get Stroke Connection, a free magazine for stroke survivors and caregivers. For local resources (support groups, transportation, equipment loan closet, attendant care programs, advocacy, information and referral) contact New Horizons Independent Living Center, 8508 Line Ave., # D, Shreveport, LA 71106. (318) 671-8131. Or visit their website at www.nhilc.org.

49 Across the USA Word Search O G A N H J O P A S L U T Z E H R U V A B H H R A H V E G T A A E E M P I R E S T A T E X D N I G E C O L O R U K X V D I D O C O L O R A D O U A E O A C E R P N E I G H S E T R V W A N S A N D I E G O S L G E A N N A R B O R O R G I I L R C Y C L E A H O U S T O N A H O O W A L A B A M A W B C D O C N F B S A T O N A S A X E T K A A N F A S S T M H I T S S T R T G P N L V R E L A F R P O L O M E L C T E T R E R T R P M K Y U M A I L G U L F O I E V A H W E R C A A A K A N N M I D H S E J I E T K S N I G K A N S A S N E W K A E T M S

WORD LIST

Alabama Empire State Houston New York San Diego Ann Arbor Erie Idaho Niagra South Boise Everglades Iowa Ohio Texas Colorado Gulf Kansas Omaha Tulsa Dakota Grand Canyon Las Vegas Oregon Waco Dover Hot Springs Minot Salt Lake Yuma

50 (Solution on page 71) Financial Issues YOUR HOSPITAL BILL INSURANCE COVERAGE The hospital bill you will receive includes Most insurance covers a portion of your the cost of the room, 24/7 nursing care, bill. As a courtesy to you, we will assist diagnostic tests (like X-rays or laboratory you by billing your insurance provider or analysis), procedures (like surgery), ther- providers. Although we will bill the com- apy and rehabilitation services, meals, panies, you are responsible for ensuring and any other services our hospital staff that payments are made. provided during your stay. Please be sure to give us all information PHYSICIAN CHARGES about your coverage, including the name You will receive a separate bill from your of the insurance company or companies physicians for the professional services (if you have more than one policy) as they provided when you were in the hos- well as your policy number and group pital. In some cases, you may receive bills number, where applicable. If your hospi- from doctors you did not see in person, talization is covered by more than two in- for instance, a doctor who reviewed and surance providers, one will be considered reported on your test results. In addi- primary (paying most of the bill) and tion to the bill from your doctor, you the other will be secondary. For instance, may receive charges from pathologists, Medicare would be considered primary radiologists, anesthesiologists, CRNAs, and a supplement would be secondary. emergency room physicians, cardiol- ogists, surgeons and other specialists. Traditional insurance requires you to When you receive them, remember that pay a deductible and a percentage of they are not included in your hospital bill other costs. If these were not collected and you/your insurer must pay for these when you were admitted, someone will separately. contact you during your stay to arrange for payment. Your insurance policy is a contract be- tween you and your insurance provider. After the insurance company processes your claim, the remaining balance must be paid within 30 days unless other arrangements have been made with the Business Office. MEDICARE/MEDICAID Willis-Knighton accepts Medicare and Medicaid insurances. All services billed to these providers will be processed according to federal and state regulatory billing guidelines. These insurances may not cover all of the costs associated with your care. You are responsible for deduct- ibles or any costs that are not covered.

If your insurance coverage is a Medicare plan, you have the right to receive the Important Message (IM) for patients with Medicare.

51 Financial Issues QUESTIONS ABOUT BILLING Completed applications may be mailed For questions or information about to: billing, please call (318) 212-4030. Willis-Knighton Health System P. O. Box 32600 PAYING YOUR BILL Shreveport, LA 71130-2600 Willis-Knighton accepts checks, money orders and credit cards. You may pay by Applications may be picked up or taken mail using the envelope provided with to any of these Business Office locations: your statement. Willis-Knighton also offers a convenient online payment Willis-Knighton Medical Center option with your credit card. Go to the 2600 Greenwood Road, Shreveport, LA Willis-Knighton website, 71103 www.wkhs.com, and click on the pay- WK Bossier Health Center ment link to pay using a secure server. 2400 Hospital Drive, Bossier City, LA FINANCIAL ASSISTANCE 71111 As a part of its mission, Willis- Willis-Knighton South & the Center for Knighton Health System (WKHS) pro- Women’s Health vides financial assistance to patients who 2510 Bert Kouns Industrial Loop have healthcare needs and are uninsured, Shreveport, LA 71118 underinsured, ineligible for government programs or otherwise unable to pay. The WK Pierremont Health Center Willis-Knighton Health System\Finan- 8001 Youree Drive, Shreveport, LA 71115 cial Assistance Policy provides eligible patients with partially or fully discounted DETERMINATION OF FINANCIAL hospital care. ASSISTANCE ELIGIBILITY Willis-Knighton Health System will use If you are not currently enrolled in a the current federal poverty guidelines to government program, our staff can help determine patients’ eligibility to receive determine if you qualify for assistance financial assistance. Individuals quali- from the programs available and assist fying for financial assistance will not be with the enrollment process. charged more than the average generally billed for emergency or other medically In order to determine eligibility for necessary care. Patients whose family financial assistance, you must complete a income is 200% or less of the federal pov- Financial Assistance Application and pro- erty guideline will be eligible for fully dis- vide documentation about your support counted charges. Patients whose family household income and family size. A income exceeds 200% but no more than copy of the Financial Assistance Policy 400% of the federal poverty guideline and Financial Assistance Application are are eligible to receive financial assistance free on our website at www.wkhs.com/fa. equal to 71% of charges. You can also get copies by contacting the Business Office at (318) 212-4030 or (318) 212-5030 or by visiting one of our Business Office locations between 8:00 a.m. and 4:30 p.m.

52 ‘Happy Thoughts’

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©MJWKHS 2020 All rights reserved. ACROSS 38 Jolly text 9 First two letters 1 A budding time of year 39 Group that helps soldiers 10 A duo 8 Sandy spot 40 Unique 11 What a bunny does 12 Happy dance (teen) 41 Simile word 18 Fragrance 13 Feminine friend (French) 42 Genderless pronoun 19 Spring holiday 14 Kids’ greeting in the 43 Happiness on wheels 22 It’s good for the soul October 45 Multiples of these come at 23 Roller coaster result 15 Where balloons sometimes Christmas 26 Kids’ confections go 47 Diddley or Derek 28 Tuneful pleasure 16 Vacations, often 49 Mom’s mom 30 Bird homes 17 Windy activity playthings 50 Ditto 15 across 31 A type of dancing 20 Home to pecans, oranges, 51 Everything’s coming up this 33 Volunteers of America etc. (abbr.) 21 Cool summer treat DOWN 36 Mom may say this 24 Common preposition 1 Fairly quiet fireworks 37 Allow 25 Hopefully, yours is getting 2 Business want this to be 40 Sign of engagement better good 41 Mamma Mia Band 27 Louisiana’s team 3 Sunday entrée 42 Group of vowels 29 Health specialist above the 4 Contraction for “I am” 44 Sweet potato neck health (abbr.) 5 A type of map 46 Distress signal 33 Fifty-six (Roman) 6 The one who birthed you 34 What the bird says 48 You Are (text language) 7 Dickens or Bronte 35 Hard to believe 8 Potatoes taste ______(two words) (Solution on page 70)

53 Your Satisfaction Your satisfaction is important to us. Our seven days a week. We will respond to staff at Willis-Knighton is dedicated to you as quickly as possible. meeting your needs and offering you If you do not feel your concern has been quality care. If at any time during your resolved to your satisfaction, you may stay you have concerns or questions, contact: Louisiana Department of Health please ask a staff member for help so we – Telephone: (866) 280-7737. can address them for you right away. Address: LDH, Health Standards Section, P.O. Box 3767, Baton Rouge, LA To measure patient satisfaction, Willis- 70821. Knighton has contracted with LSU researchers (LSU) at the Shreveport Insti- If a complaint concerns premature tute for Human Services & Public Policy) discharge or termination of benefits for to provide this service. Patients are ran- Medicare patients or for questions about domly chosen for a telephone survey. If Medicare rights, patients may contact the you receive a call from a Willis-Knighton following number for all appeal requests surveyor, please provide feedback about and quality of care concerns: KEPRO – how we met your expectations. Telephone: toll-free (844) 430-9504 The standard of care is “always” to pro- If you believe that you have been dis- vide “very good” care. Your comments criminated against because of your race, help us to recognize outstanding provid- color, national origin, disability, age, sex ers and identify any areas that may need (including sex stereotyping and gen- our attention. Thank you for choosing der identity) or religion, you may file a Willis-Knighton! complaint with: Centralized Case Man- agement Operations, U.S. DHHS, 200 Independence Avenue, S.W., Room 509F CONCERNS AND COMPLAINTS HHH Bldg., Washington, D.C. 20201 Our mission at Willis-Knighton is to Email: [email protected] continuously improve the health and well-being of the people we serve. While we strive to provide you with the best possible care, we understand there may be times when you have a complaint. We ask you to give us an opportunity to re- solve your complaint. You have the right to express your concerns or complaints, and we appreciate the opportunity to help you and correct difficulties whenever possible. Complaints may be directed to the nursing supervisor, administrative personnel, or compliance hotline at (888) 884-2499 or email [email protected] for investi- gation and resolution. Hospital administrators can be reached by calling the main number of the hospital as listed on page 56. The main numbers are answered 24 hours a day,

54 Visitor Guide Friends and family are welcomed and Can children visit? encouraged to visit patients at Willis- Families who want to bring children to Knighton. We recognize that the pres- visit in the hospital should check with ence of visitors can help by providing a the patient’s caregiver before arriving support system for patients and shaping with a child. In general, healthy children a more familiar environment. Good younger than age 12 may visit at the dis- visitors are supportive of their loved one, cretion of the hospital staff, based on the as well as the physicians and staff who clinical condition and well-being of the are charged with his or her care of the patient. Children should not visit if they patient. Please be positive and respectful have a runny nose, cough, sore throat, and do not go to the hospital unless you diarrhea, rash or fever. Children who are are in good health and well-rested. When visiting should be supervised at all times visiting a patient who is hospitalized for while at the hospital. Children younger an extended time, pay attention to your than age 12 should not remain in waiting own well-being by eating meals regularly areas. They should be brought for a visit and getting plenty of rest. and returned home promptly because the waiting areas are not designed to meet At Willis-Knighton, patient care always the needs of children. comes first. This means that visitation must occasionally be restricted if the Are there any restrictions on visitation? care team determines that the presence Hospital staff want to offer open access of visitors could affect the care of the for visitors, but, occasionally, visitors patient. Sometimes patients or designated must be limited in the best interests of support persons may also choose to limit the patient or visitor. Here are a few visitors, and the hospital staff must abide examples that cause the need to restrict by their wishes. Some areas in the hospi- visitors: tal have additional specialized guidelines. These guidelines will be posted or provid- • Patient’s need for privacy and rest ed at those locations. • Patient’s risk of infection by the visitor • Visitor’s risk of infection by the patient

• Extraordinary protections due to a pandemic or infectious disease out- break • Reasonable limitations on the number of visitors at any one time • Behavior disruptive of the functioning FREQUENTLY ASKED VISITOR of the patient care unit QUESTIONS • Behavior presenting a direct risk or What is the best time to visit? threat to the patient, hospital staff or In most areas, visitors are welcome others in the immediate environment between 10 a.m. and 8 p.m. • Restriction on visitors based on clinical How many people can visit at one time? conditions (or procedure in progress), Due to the size of rooms and recovery as deemed appropriate by the patient’s areas, it is best to limit visitors to two physician people at a time. Large families should alternate visitors during the day. 55 Visitor Guide Are Intensive Care Unit (ICU) • Keep your valuables with you at all guidelines different? times. Visitors’ belongings should not Yes, because people in the ICU have be stored in the patient’s room. conditions that are more serious, the Willis-Knighton Health System will guidelines here must be stricter and not be responsible for lost, stolen, or designed to meet each patient’s need for damaged items. rest, safety and privacy. We know that visitors can play an important role in the • Help us protect your loved one from healing process, so we balance that with infections as noted below: the ICU goal of providing care in a pri- Always wash your hands, use vate, respectful manner that focuses alcohol foam or hand sanitizer on preventing the development and before entering and upon spread of infection. During certain pro- leaving the ICU. cedures, care interventions or treatments, or if a critical or life-threatening situation Do not take food or beverages arises, you may be asked to leave the pa- into patient rooms. tient’s room. Please wait in the designated Do not give food or water to the waiting area during this time. Having patient without checking with a loved one in the ICU can be difficult the nurse. and stressful. We urge you to take care of yourself by eating meals and getting rest. Use restrooms in the visitor Therefore, we encourage you to return area. Do not use the bathroom home for the night. Join us in creating in the patient room/ICU. an atmosphere that promotes healing by Do not bring live plants or cut observing these ICU guidelines: flowers into ICU rooms.

• One support person may remain at the bedside, except during rest periods. • Children should be age 12 or older (no younger children, please). • Please wait in waiting areas provided for visitors rather than gathering in hallways. Keeping the hallways open helps to assure we can rapidly respond when there is a crisis situation. • Set your cell phone to vibrate for incoming calls and keep the calls as brief as possible to ensure a quiet, restful atmosphere.

• Use of photography, recording devices or social media by visitors in ICU is strictly prohibited.

56 Visitor Guide INFORMATION AND SECURITY COMMUNICATION ABOUT Our hospitals and campuses are PATIENTS regularly patrolled by qualified security To comply with federal guidelines, staff staff. Visitors leaving a patient care area members can only answer questions and late at night may call the operator to provide updates to a designated support request security accompaniment to their person or a decision-maker. The support vehicles. person will act as the spokesperson and is responsible for receiving updates and SMOKING RESTRICTIONS relaying the information to all other Visitors should note that smoking of family members and friends. Friends and tobacco products or e-cigarettes is extended family should be instructed to prohibited on all Willis-Knighton contact the spokesperson with questions properties. The decision to quit smoking instead of calling the ICU. When the is an important step in becoming health- support person leaves the ICU, he or she ier. If you need help to quit smoking, call should leave a phone number so we can the WK Tobacco Treatment Clinic, make contact if there is any significant (318) 212-4402. change in your loved one’s condition. TELEPHONE - WI-FI Telephones are provided for visitors in each waiting area. Calls can be received and local calls can be made. Long dis- tance calls can be connected by calling collect or using a credit card. Specific waiting areas are designated for patients in specific units, floors or areas (for -ex ample, ER waiting, day surgery waiting, ICU 5 Center, critical care waiting, etc.). Visitors should wait in the appropriate area so it will be easy to find them if needed. Wireless service is available if you wish to access the internet. Like other public access locations, the guest wireless network is not secure. Take pre- cautions when using this service because the information could be intercepted by another wireless user. A computer or wireless device, like any valuable, is at risk if not secured. Willis-Knighton does not accept responsibility for the personal equipment of patients and visitors.

57 Visitor Guide CAFETERIA SERVICE RESTROOM FACILITIES Our cafeterias serve meals daily at Handicapped restroom facilities and affordable prices. Visitors are welcome water fountains are available through the to eat in our cafeterias. The cafeterias hospital. Ask the switchboard operator are open daily, but hours vary. We offer for the location nearest you. Please do entrées, side dishes, sandwiches, salads, not use restrooms in patient rooms. desserts and snacks. OVERNIGHT VISITORS Willis-Knighton Medical Center Overnight visitors who choose to remain Daily 7 a.m. to 7 p.m. in a waiting area overnight can request a blanket and pillow from a patient Willis-Knighton South & the Center for representative. Due to infection control Women’s Health concerns, visitors should leave personal Monday – Friday 7 a.m. to 7 p.m. pillows and blankets at home. Saturday/Sunday 7 a.m. to 2 p.m. PRIVACY WK Bossier Health Center Privacy of patients hospitalized at Monday – Friday 7 a.m. to 7 p.m. Willis-Knighton Health System facili- Saturday/Sunday 7 a.m. to 2 p.m. ties is strictly protected by our patient WK Pierremont Health Center confidentiality policies. It is our policy Monday – Friday 7 a.m. to 7 p.m. to conform with all HIPAA regulations Saturday/Sunday 7 a.m. to 2 p.m. related to patient information. Please help us protect the privacy of patients by WK Rehabilitation Institute discussing information quietly and dis- Monday – Friday 7 a.m. to 2 p.m. cretely in a private area. Use of cameras is prohibited without permission from a Snacks and soft drinks are available 24/7 doctor, hospital administrator or nursing at vending areas in each hospital. supervisor.

58 Resources FREQUENTLY CALLED NUMBERS Local Calls – Dial 9 plus the number. Long Distance – Use a calling card or call collect. Long distance cannot be billed to a patient room. General Numbers for All Facilities Business Office...... (318) 212-4030 Compliance Hotline (Ethics Concerns)...... (888) 884-2499 Find a Doctor Physician Referral Service ...... (318)-212-9562 Prayer Line...... (318) 212-PRAY Spiritual Life Services (Pastoral Care)...... (318) 212-2188

Willis-Knighton Medical Center (North) 2600 Greenwood Road, Shreveport, LA 71103 Operator...... (318) 212-4000 Social Worker/Case Manager...... (318) 212-4650 ICU/CCU Waiting Room...... (318) 212-4660 Day Surgery Waiting Room...... (318) 212-4140 Cardiac Cath Lab Waiting Room...... (318) 212-8600

Willis-Knighton South & the Center for Women’s Health 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 Operator...... (318) 212-5000 Gift Shop...... (318) 212-5455 Social Worker/Case Manager...... (318) 212-5650 ICU/CCU Waiting Room...... (318) 212-5660 Day Surgery Waiting Room...... (318) 212-5140

WK Bossier Health Center 2400 Hospital Drive, Bossier City, LA 71111 Operator...... (318) 212-7000 Gift Shop...... (318) 212-7455 Social Worker/Case Manager...... (318) 212-7650 Day Surgery Waiting Room...... (318) 212-7140 Cardiac Cath Lab Waiting Room...... (318) 212-7660

59 Resources WK Pierremont Health Center 8001 Youree Drive, Shreveport, LA 71115 Operator...... (318) 212-3000 Social Worker/Case Manager...... (318) 212-3650 ICU/CCU Waiting Room...... (318) 212-3660 Day Surgery Waiting Room...... (318) 212-3140 Cardiac Cath Lab Waiting Room...... (318) 212-3165

WK Rehabilitation Institute 1111 Line Avenue, Shreveport, LA 71101 All Calls...... (318) 716-4545

WK Progressive Care Center 2715 Albert Bicknell Drive, Shreveport, LA 71103 Skilled Nursing & Rehabilitation...... (318) 212-8200

The Oaks of Louisiana 600 E. Flournoy Lucas Road, Shreveport, LA 71115 Information...... (318) 212-OAKS (6257) Independent Living Tower at The Oaks (concierge services, on-site spa and wellness center) Garden Apartments at The Oaks (one-story garden apartments) Assisted Living Savannah at The Oaks Skilled Nursing and Rehabilitation Services Health Center at Live Oak

WK Palmetto Village 4200 Palmetto Road, Benton, LA 71006 Clubhouse Event Rentals...... (318) 965-0890

Websites Willis-Knighton Website: wkhs.com The Oaks of Louisiana Website: oaksofla.com WK Palmetto Village Website: wkpalmetto.com

National Crisis Numbers Adult Protective Services – Louisiana...... (800) 898-4910 Family Violence Hotline...... (800) 799-7233 Poison Control...... (800) 222-1222 Sexual Assault Hotline...... (800) 656-4673 (HOPE) Suicide Hotline...... (800) 273-8255 (TALK) Northwest Louisiana Suicide Prevention HelpLine...... (877) 994-2275

60 Resources ORGAN DONATION Who Can Donate? Every year, the John C. McDonald Donors can be people of every age, race, Regional Transplant Center at Willis- gender and ethnic background. Specific Knighton offers new life to patients donations depend on the age and general through the generosity of organ donors. health of the donor. Please consider organ donation. At Religious Beliefs and Donations certain times in life, it is necessary to make difficult health decisions. When Most major religions support donation. you become an organ donor, you make The decision is considered a matter of it possible for your loved ones to avoid individual choice. In fact, many religions having to make the decision about organ actively encourage donation as the donation. Decide now to share life, then ultimate gift to a fellow human being. share your decision with your loved ones. What Can Be Transplanted? Organs include kidneys, heart, lungs, small bowel and pancreas. Tissues include bone, skin, heart valves, corneas, bone and bone marrow. When Should I Decide? Make the decision now. Donation only will become an option after all lifesaving efforts have been exhausted. How Do I Sign Up? A donor form is available from the hospital. Just ask your nurse. You also may sign up at the Office of Motor Vehicles and have the notice placed on your driver’s license.

Pass Life On For an organ donor, death is not the end. It’s also a beginning, a chance to pass life on to another person and to make a difference in the world. Nationally, lives could be saved or improved with organ transplant. In Louisiana, hundreds of patients are waiting for organs. There is no cost to the donor family. All organ recovery and distribution costs are paid by the Louisiana Organ Procurement Agency.

61 Resources BLOOD DONATION LOCAL LOCATIONS FOR Every two seconds, someone somewhere DONATION needs blood. One of every seven people Shreveport who enter the hospital will need blood. 8910 Linwood Avenue There is no substitute for human blood. Shreveport, LA 71106 The blood used at Willis-Knighton (318) 673-1471 hospitals come from LifeShare Blood (800) 256-4483 Center. Location Hours: 8 a.m. - 5:30 p.m. M, Tu, W 8 a.m. – 6 p.m. Th 8 a.m.-3 p.m. F 7 a.m.-1 p.m. Sat

Bossier City WHO CAN GIVE? 1523 Doctors Drive Anyone may give who is 16 years or Bossier City, LA 71111 older, weighs at least 110 pounds and is (318)742-4636 in good health. Some people may be tem- (877) 256-4115 porarily or permanently prevented from Location Hours: donating blood due to certain health 8 a.m. - 4 p.m. M, F conditions. You may refer to LifeShare’s website for additional information: life- Additional locations are available in share.org. Alexandria, Baton Rouge, Beaumont, Lake Charles, Monroe, and Texarkana. HOW LONG DOES IT TAKE? The process for donating whole blood, For more information visit lifeshare.org. from registration to screening and dona- tion, takes about 45 to 60 minutes. The actual time for the blood donation itself is 10 to 15 minutes.

WHO USES BLOOD? Blood can be given as whole blood and given to one patient or divided into its components and shared with several patients.

Patients Who Receive Blood

30% Cancer Patients 15% Bowel & Stomach Patients 15% Heart Patients 12% Burn Victims 12% Accident Victims 6% Liver & Kidney Patients 5% Babies & Prenant Women 5% Hemophiliacs

62 Resources

GOLD STAR SERVICE

We like to recognize employees who do an exceptional job. If you have received exceptional services, you may recognize an employee, a floor or an entire department for a Gold Star Nomination. Complete and mail to WK Gold Star Coordinator, 2600 Greenwood Road, Shreveport, LA 71103. Nominations are also accepted online at wkhs.com. Look for Gold Star Service under the “Patients & Visitors” section. Name of Person or Group Nominated Date of Nomination ______(We have thousands of wonderful employees, so please be sure to give the nominee’s first and last names when making a nomination.) Location Willis-Knighton Medical Center (North) Willis-Knighton South WK Bossier Health Center WK Pierremont Health Center WK Rehabilitation Institute

Clinic/Office (specify)______

Reason for Nomination (How did the employee or group provide Gold Star Service? Include a specific incident or activity.) ______When you encountered this Gold Star Service were you a:

Patient Family Member Visitor Physician Employee

Your Signature ______Your Name (printed) ______Address*______City______State______Zip ______*We will use this address to acknowledge that you submitted a nomination. 63 Resources HEALTH INFORMATION KidsHealth Do you want to know more about specific Offers information presented for three conditions, what is involved in a pro- specific groups: parents, kids and teens. cedure, or details about health issues? You will find information on nutrition Willis-Knighton offers you excellent and fitness, emotions and behavioral resources. issues, diseases and conditions. Children and teens can learn from content that PATIENT EDUCATION CHANNELS includes kid-friendly Q&A, videos and WKTV games as well as articles. This is a great Available in your room on Channel 95, teaching and informational source for offers a variety of programming on health parents to use when talking to children issues. Programming repeats to assure about health and wellness issues. that all patients have an opportunity to review programs on a variety of health Community Education and Support topics. Groups Willis-Knighton offers many support Newborn Channel groups and health education programs. Available in your room on Channel 96 Find a complete list online at wkhs.com, or on 97 (Spanish), gives insight into “Classes & Events.” care and parenting of your new family addition. Find a Doctor Are you looking for a physician? Search HEALTH INFORMATION ONLINE physicians at Find a Doctor at wkhs.com. Visit our website at www.wkhs.com for Many physician profiles include video the following resources: interviews with the physicians in the Health Library Willis-Knighton Physician Network. Willis-Knighton’s website offers a Health Library at your fingertips. Learn about conditions from A (Aarskog-Scott syndrome) to Z (Z-E syndrome). Check out procedures from A (AAA repair) to Z (Z-joint injection). Gain insight from online wellness centers with topics like “Aging and Health,” “Food and Nutrition” and “Disease Management.” Learn more about specific medications in the Drug Database.

64 Resources Advance Directive (Living Will) STATE OF LOUISIANA, PARISH OF______Declaration made this ______day of ______, 20______. I,______, being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below and do hereby declare: If at any time I should have an incurable injury, disease, or illness, or be in a contin- ual profound comatose state with no reasonable chance of recovery, certified to be a terminal and irreversible condition by two physicians who have personally examined me, one of whom shall be my attending physician, and the physicians have deter- mined that my death will occur whether or not life-sustaining procedures are utilized and where the application of life-sustaining procedures would serve only to prolong artificially the dying process, I direct: (Initial only one) _____ that all life-sustaining procedures, including nutrition and hydration be withheld or withdrawn so that food and water will not be administered invasively. _____ that life-sustaining procedures, except nutrition and hydration, be withheld or withdrawn so that food and water can be administered invasively. I further direct that I be permitted to die naturally with only the administration of medication or the performance of any medical procedure deemed necessary to provide me with comfort care. In the absence of my ability to give directions regarding the use of such life- sustaining procedures, it is my intention that this declaration shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment and accept the consequences from such refusal. DECLARANT SIGNATURE I understand the full import of this Declaration, and I am emotionally and mentally competent to make this Declaration. Signed______City, Parish and State of Residence______WITNESS SIGNATURES The declarant has been personally known to me, and I believe him or her to be of sound mind. Witness______Witness ______

65 Resources Durable Power of Attorney for Healthcare Decisions DECLARATION STATE OF LOUISIANA, PARISH OF______Declaration made this ______day of ______, 20_____. I,______, being of sound mind, willfully and voluntarily hereby make known my desire that ______,______Name Address ______, bearing the relationship of ______Phone Number to me be designated as the individual to make any and all treatment decisions for me in the event that I should become comatose, incompetent or otherwise mentally or physically incapable of communication. Consistent with the forgoing (and except to the extent necessary to give full effect to the provisions of any valid document executed by me providing for the donation of any of my organ(s), I further specifically authorize the person named above to make any and all decisions with regard to withholding or withdrawing life-sustaining procedures in the event that I should be certified by two (2) physicians who have per- sonally examined me (one of whom shall be my attending physician) to be suffering from a terminal and irreversible condition or to be in a continual profound comatose state with no reasonable chance of recovery, and the said physicians determine that the application of life-sustaining procedures would serve only to prolong artificially the dying process. In the event that the individual named above cannot be located when the need arises, or in the event that the individual named above is or becomes incapable to serve in the capacity indicated herein (and subject to the above exception), it is my ex- press wish and directive that my dying shall not be artificially prolonged under the following circumstances. If, at any time, I should have an incurable injury, disease or illness and be certified by two (2) physicians who have personally examined me (one of whom shall be my attending physician) to be suffering from a terminal and irreversible condition, or to be in a continual profound comatose state with no reasonable chance of recovery, and the said physicians determine that the application of life-sustaining process, I (subject to the above exception) direct that such proce- dures be withheld or withdrawn and that I be permitted to die naturally with only the administration of medication or the performance of any medical procedures deemed necessary to provide me with comfort care. In the absence of my ability to give directions regarding the use of such life-sustain- ing procedures and in the absence of a decision for whatever reason exception) this declaration be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment as provided herein and accept the consequences from such refusal.

(Continued on following page)

66 Resources (Continued from page 62)

I understand the full import of this declaration, and I am emotionally and mentally competent to make this declaration. This declaration is made and signed by me in the presence of the undersigned witnesses who are not related to me by blood or marriage. ______Signature of Declarant This declarant is personally known to me, and I believe the declarant to be of sound mind. Witness______

Witness______

67 Resources NOTES AND QUESTIONS ABOUT MY CARE

68 Resources NOTES AND QUESTIONS ABOUT MY CARE

69 Maze Answers

“Happy Things” Answers

S P R I N G T I M E B E A C H P R O M R A M I E B O O A A E I S U P R S F A M I L Y T R I P S K I T E S S Y F L L C U E G R O V E E I C E C R E A M I T R O N E S H E A L T H S A I N T S T D O R F M E N T L V I T W E E T U N R E A L L O L S U S O S P E C I A L R A S I I T T P I B I C Y C L E S J O Y N B O A O U P O G R A N D M A U P R O S E S 70 Word Search Puzzle Answers

O G A N H J O P A S L U T Z E H R U V A B H H R A H V E G T A A E E M P I R E S T A T E X D N I G E C O L O R U K X V D I D O C O L O R A D O U A E O A C E R P N E I G H S E T R V W A N S A N D I E G O S L G E A N N A R B O R O R G I I L R C Y C L E A H O U S T O N A H O O W A L A B A M A W B C D O C N F B S A T O N A S A X E T K A A N F A S S T M H I T S S T R T G P N L V R E L A F R P O L O M E L C T E T R E R T R P M K Y U M A I L G U L F O I E V A H W E R C A A A K A N N M I D H S E J I E T K S N I G K A N S A S N E W K A E T M S

71 Children’s Crossword Puzzle Answers

16

4 Across 3 14 1 P 2 2C 3A B B A G E 13 P A P C L 4C H E R R Y 5B E E T A 11 A 6G R A 7P E S 8 6 N R E L A 9O R A N G E N T S M 4 Down 10R A D I 11S H O 7 T N R 12 5 Down P O T A T O 13C 9 W 14O N I O N B R 15 W A T E R M E L O N 1 R 15 16P E A R Y 5 Across 8 10 12

72 Sudoku Puzzle Answers

1 4 3 2 7 9 8 8 3 9 5 1 2 7 2 9 8 5 9 1 5 7 1 8 9 5 7 2 6 1 6 7 8 1 8 7 1 3 1 8 3 9 7 (page 21)

6 2 8 4 9 3 4 5 7 6 8 9 3 6 1 4 9 1 5 2 6 3 3 2 1 9 7 8 6 7 3 2 5 9 2 8 1 5 3 5 8 3 9 2 4 9 2 5 1 (page 28)

73 Sudoku Puzzle Answers

4 9 7 1 5 5 7 6 4 1 8 6 9 8 5 7 4 7 9 2 4 6 5 1 6 2 8 4 3 7 8 4 7 6 1 2 7 5 6 3 8 4 3 4 7 8 5 2 8 6 9 2 1 (page 12)

5 6 9 8 1 7 3 2 9 5 8 3 1 6 2 7 1 4 6 3 3 6 5 2 7 4 1 4 5 1 7 8 9 2 1 5 4 3 8 2 1 2 3 7 4 9 6 8 (page 17)

74 live here Love It

Premier, healthy living community for active adults 55+ offers maintenance-free lifestyle with all the amenities, yet is surprisingly affordable. 24/7 gated security, chef prepared meals, spa and wellness center, unlimited transportation. Tower at The Oaks - luxury apartment homes Savannah at The Oaks - gracious assisted living apartments Garden Apartments at The Oaks - carefree independent living in cottages or interior apartment homes Health Center at Live Oak - skilled nursing and rehabilitative care

Leasing Office open 9 a.m. to 5 p.m. weekdays. After-hours/weekend tours available by appointment. 600 East Flournoy Lucas Road • (318) 212-OAKS (6257) • oaksofla.com • 75 Healthcare Close to Home

Hospitals Wellness Centers Doctors & Nurses Senior Living Quick Care Community Outreach Work Kare

WK Palmetto Village

BOSSIER

Bossier

NORTH REHABILITATION

Shreveport

PIERREMONT

SOUTH

This guide is also available online on the Willis-Knighton website, wkhs.com