Patient Guide Key Information for Your Stay

Brought to you by: FREE Take this copy home with you Patient Guide Key Information for Your Stay

Facts for Your Stay Know Your Rights Home Safety Frequently Asked Questions Checklist

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Patient Guide

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Contents

Welcome ...... 2 About Us ...... 3 Phone Directory ...... 4 Fast Facts About Your Stay ...... 5 Hospital Medicine...... 9 On Our Cover Your Safety ...... 10 Facts for Your Stay Medication Side Effects...... 11 Frequently Asked Questions...... 5 Fall Prevention...... 13 Know Your Rights...... 15 Rights & Responsibilities ...... 15 Home Safety Checklist...... 30 Notice of Nondiscrimination...... 18 Advance Directives ...... 20 Before You Leave...... 21 Understanding Your Bill...... 24 Hospital Services and Programs...... 26 Giving Back ...... 29 Home Safety Checklist ...... 30 Medicine Tracker ...... 32

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Tell T.J. Comment Cards It’s important that we hear from our patients and visitors what we’re doing well and areas where we can improve your experience. You will see “Tell T.J.s” located throughout the hospital—in particular, on the inpatient units, in the lobby and in the cafeteria area. These cards make it easy for our patients and visitors to provide us with comments, compliments or suggestions. All cards are sent directly to our president, T.J. Senker, then distributed to the appropriate areas. Once you’ve completed the card, please feel free to give it to anyone on your clinical care team or drop it off with our lobby attendants at the front of the hospital. Once you leave Thank You for Trusting Us the hospital, you can mail the self-addressed card to 18101 Dear Patient and Family Members, Prince Philip Dr., Olney, MD 20832, or email us at DearT.J.@ Thank you for choosing MedStar Montgomery Medical medstarmontgomery.org. Center and entrusting your care to our excellent staff. Your comments are always We take great pride in providing our patients with welcome. the best possible medical care and wish to make our patients stay as pleasant and comfortable as possible. We want to know if you have compliments, concerns or suggestions about your care. Please don’t hesitate to ask any associate or volunteer for assistance. We are all here to assist and serve you in any way we can. This guide has been compiled to help you find information about many topics such as services, amenities, the discharge process, financial and insurance information, medical records and support for emotional and spiritual needs. We hope you find it to be a helpful resource. Thank you for choosing MedStar Montgomery Medical Center for your family’s healthcare needs. Respectfully, T.J. Senker, FACHE President, MedStar Montgomery Medical Center

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Mission, Vision & Values Why We Are the Right Choice for Your Care Mission MedStar Montgomery Medical At MedStar Montgomery Medical Center, we’ve got the most advanced medical Center, a proud member of technology available, all in a setting where you’ll get the personalized attention MedStar Health, is dedicated you deserve. Located centrally in Olney, Maryland, MedStar Montgomery Medical to enhancing our community’s Center is a proud member of MedStar Health and has a family of healthcare health and well-being by offering high-quality, compassionate and professionals dedicated to providing quality healthcare to the community we serve. personalized care. According to our patients, our strength is in the care and compassion shown by Vision our staff. For nearly 100 years, MedStar Montgomery Medical Center has been To be the trusted leader in caring dedicated to meeting the health needs of Montgomery County and surrounding for people and advancing health. communities. We have been recognized and commended for our friendly staff Values and our commitment to providing quality services in a compassionate and caring Service: We strive to anticipate and meet the needs of our manner. patients, physicians and co-workers. Award-Winning Excellence Gold Seal of Approval and Certified Primary Stroke Center, The Joint Commission Patient first: We strive to deliver the best to every patient every Cancer Center Accreditation with Commendation, American College of Surgeons day. The patient is the first Commission on Cancer priority in everything we do. Accredited Sleep Center, American Academy of Sleep Medicine Integrity: We communicate NICHE Exemplar Redesignation (Nurses Improving Care for Healthsystem openly and honestly, build Elders) trust and conduct ourselves Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program according to the highest ethical (MBSAQIP), the bariatric surgery program at MedStar Montgomery Medical standards. Center has been accredited as a Comprehensive Center under the MBSAQIP, Respect: We treat each individual, signifying that it meets the highest standards for patient safety and quality those we serve and those of care with whom we work, with the highest professionalism and Accredited by the American Association of Cardiovascular and Pulmonary dignity. Rehabilitation Innovation: We embrace change Echocardiography accreditation in Adult Transthoracic Services, Intersocietal and work to improve all we do in Accreditation Commission a fiscally responsible manner. Ultrasound accreditation, American College of Radiology Teamwork: System effectiveness is built on the collective strength and cultural diversity of everyone, working with open communication and mutual respect.

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Hospital Services

Case Management/Social Work Pediatric Emergency Department KEY NUMBERS 301-774-8890 301-774-8882 Main Community Education Philanthropy Office 301-774-8882 301-774-8881 301-774-8777 24-Hour Physician Referral Service Crisis Intervention Services Physician Relations 866-963-3782 301-774-8888 301-570-8578 Health Information Management Emergency Medical Services Radiology (Medical Records) 301-774-8882 301-774-8950 301-774-8661 Executive Offices Rehabilitative Medicine (Physical MedStar Health Compliance/ 301-774-8770 & Occupational) Privacy Hotline 301-774-8737 877-811-3411 Helen P. Denit Center for Radiation Therapy Room Dining Service Patient Advocate 301-260-3700 301-774-8744 301-570-8539 Housekeeping Sleep Disorders Lab Patient Financial Accounts 301-774-8857 301-774-8736 410-933-2424 or 866-423-2734 Human Resources Speech Therapy 301-774-8666 301-774-8737 Addiction and Mental Health Center 301-774-8800 Joint & Spine Center Security 301-774-8799 301-774-8655 Admissions 301-774-8670 Maternal Newborn Center Surgical Services 301-774-8700 301-774-8665 Cancer Care Navigator 301-774-8693 MedStar Visiting Nurse Association Volunteer Services 800-862-2166 301-774-8629 Cardiac and Vascular Laboratory 301-774-8952 Pastoral Care 301-774-8885 Cardiopulmonary Services 301-774-8735 Patient Information 301-774-8680

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ATM Hand Hygiene An ATM is located in the cafeteria At MedStar Montgomery, we are and is available 24 hours a day. committed to reducing the spread of infection by using proper hand hygiene. All associates are expected to Cafeteria wash their hands before and after Location: Second floor caring for patients. All visitors should Monday through Friday Hours: wash their hands before entering and 7:00 a.m. to 7:00 p.m. when leaving a patient room. There is Light Fare: 10:00 a.m. to 11:30 a.m.; hand sanitizer in every patient room, in 3:00 p.m. to 4:30 p.m. the main lobby and in the Emergency Saturday and Sunday Hours: Department lobby. Breakfast: 8:00 a.m. to 10:00 a.m. Lunch: 11:30 a.m. to 3:00 p.m. Dinner: Closed Housekeeping and Maintenance Visitors are welcome to dine in the We make it our mission to make cafeteria. sure every patient room is kept clean. If you have other housekeeping needs during regular business hours, Calling Your Nurse please call ext. 8857 or ext. 7200 and There are three devices you can ask for Mr. Clean. If it is later than 5:30 use to call a nurse. If you are in p.m. or a weekend, please make bed, there is a button located on your housekeeping requests to your nurse. bed rail, and another on a hand-held device you can keep in bed with you. Interpreters There also is a pull cord located in your MedStar Montgomery Medical bathroom. Pressing any button will Center provides access to free send a signal to the nurses station. Feel interpreter services, including the free to ring any time you need Language Line® dual headset, in order assistance. to communicate with patients and families who speak a language other Focused on You than English. To request the service, ask You can read the latest issues of your nurse. our free publication, “Focused on The hospital provides access to sign You.” This newsletter also includes the language interpreters, including on-site schedule of our classes, free community interpreters, for our deaf and hard-of- services and events. To get your free hearing patients and families. copy, visit MedStarMontgomery.org/ FocusedonYou. Our Language Access Coordinator is available to answer any questions you may have during business hours; she Gift Shop can be reached at 301-570-8539. If Location: Main lobby you have a question or concern after Visiting the Hospital? Hours: business hours, please inform your Thanks for taking the time Monday through Friday: 9:00 a.m. to nurse. to support your loved one’s 6:00 p.m. care and recovery. See p. 8 for Saturday and Sunday: 1:00 p.m. important visitor information. to 4:00 p.m. Lost and Found If you have lost an item or found Books, flowers, magazines and anything that belongs to someone personal care items are available in else, contact Lost & Found, which is our Gift Shop. All proceeds benefit the located in the Security Office near the hospital. For more information, call ext. Emergency department admitting area, 2297. by calling ext. 8655. 5

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Mail, Newspapers and Deliveries assistance during emotionally stressful Patient Meals Our volunteer staff will deliver situations. If you or any member of your MedStar Montgomery Medical your mail directly to your room. If family would like us to contact the Center is pleased to offer a Room you have mail you need to send out hospital chaplain on your behalf, please Service Program. This service allows through the U.S. Post Office, our staff let your caregiver know or dial 0 for the more freedom and flexibility with your will be happy to take care of it for you. operator. meal times and selections. Once your Postage stamps are available in the gift physician prescribes a diet for you, it is Chapel shop. entered into the system and you are You or your family may want to spend free to order meals. Any flowers or other gifts that are sent some quiet time in our chapel. It is to you will be delivered to your room by located on the first floor and is open 24 A restaurant-style menu is available our volunteer staff. Latex balloons are hours each day. in each room so you you may make not allowed in the hospital. your meal selections. Simply dial ext. Patient Education Channel 3463 (DINE) from your room phone and trained staff in the dietary office Medicines To better understand health will assist you in choosing meal items. Please do not bring any issues from admission to after If calling from a cell phone or outside prescription or over-the-counter discharge, MedStar Montgomery phone, dial 301-774-8744. medicines to the hospital. All Medical Center has installed the patient medicines you take in the hospital need education channel in our inpatient to be prescribed, filled and given to you rooms. In addition to a library of Patient Portal by hospital staff. Tell your doctor about educational videos, the patient Access your health information any medicines you regularly take. If you education channel gives you quick anywhere you are through the still need them, hospital staff will give access to hospital-specific information, Patient Portal. The Portal is a secure, them to you. relaxation videos and family-friendly unique website where you can view movies. your test results, review physician names and contact information, review Noise Level your medications, and review your Patient Information Boards Our staff will do everything allergies and immunizations. possible to keep noise to a Your room is equipped with a minimum. However, there are white hanging board. This is used If you have questions about access to occasions when this may not be to help you identify the members of the Patient Portal, ask your nurse or call possible. The staff can help address your healthcare team and monitor other 301-774-8661. the source of the noise or provide you important information during your stay. with earplugs to reduce the noise. We have headphones for the television to help control room noise. If you prefer you door closed, please tell your caregiver.

Parking Convenient, free parking is available throughout the campus as well as in our three-level parking garage. Handicap parking is available close to the main entrance of each building.

Pastoral Care We recognize that patients and family members have differing spiritual and emotional needs, so we offer a 24-hour chaplain service to patients of all faith traditions. Pastoral care can provide sacramental and spiritual services, as well as special

MD05478G05_MedStar_Montgomery_ED_B1.indd 6 8/23/18 1:04 PM Personal Belongings and Valuables Personal belongings, such as phones and laptops, and personal care items such as contact lenses, eyeglasses, hearing aids and dentures can be stored in your bedside stand when not in use. Please do not put them on your bed or food tray to help avoid them being lost or damaged. Leave valuables like jewelry or cash at home, or give them to a trusted relative or friend to watch over. If a family member is unable to take the belongings home, please ask your nurse for a safety deposit form and an envelope for your valuables. The our medical staff also is available online Smoking envelope will be sealed and stored in at MedStarMontgomery.org. the Security Office. Upon your We promote a healthy discharge, have your nurse arrange for environment for our patients, the return of your valuables from the Public Restrooms visitors and staff. MedStar Montgomery safe. MedStar Montgomery cannot be For everyone’s health and safety, Medical Center is tobacco- and tobacco responsible for replacing personal we ask visitors not to use patient simulation-free. No tobacco or tobacco belongings. restrooms. Restrooms are in the main simulation use of any kind is allowed on lobby near the Information Desk, main any property owned or leased by corridor of the Emergency Department MedStar Montgomery Medical Center. Pharmacy—Retail/Outpatient entrance and outside the cafeteria on Visitors or guests that would like to use Location: Main lobby the second floor. Ask hospital staff to tobacco products must leave the Hours: direct you to the nearest one. campus. Monday through Friday: 10:00 a.m. to 6:00 p.m. Thrift Shop The MedStar Pharmacy offers The Women’s Board Thrift Shop is convenient bedside delivery. A Safety and Security located at the corner of Route 108 pharmacy staff member will deliver We are committed to maintaining and Prince Philip Drive and offers a your prescription medications directly a safe, healing environment and variety of secondhand items. Donations to your room before discharge. If you’d expect all patients, visitors and staff to are appreciated. The Women’s Board of like to use this service, please notify treat each other with dignity and MedStar Montgomery Medical Center your nurse or physician before you are respect. We will not tolerate physical operates the Thrift Shop. All proceeds discharged. violence, verbal threats or abuse; benefit the hospital. Call 301-774-9638 MedStar Pharmacy accepts most major photographing or video recording of for more information. pharmacy plans, including Medicare staff, patients or activities of care without express permission; or carrying Part D. Have your prescription card Transportation Service available. Co-pays are due at the time of unauthorized weapons on our Our first floor information desk of discharge. For more information, call premises. staff will be happy to arrange 301-774-8682 (Fax: 301-774-8683). Anyone who threatens or harms transportation for you. In addition, the others will be subject to removal from Note: You have the option to use the Metro Y8, Z2 and Ride-On 53 bus the premises by hospital security pharmacy of your choice. MedStar comes by the hospital every half hour. or the Montgomery County Police Pharmacy is one option for your The bus stop is located in front of the Department. convenience. parking garage. For assistance, please call ext. 8600. Physician Referral Information MedStar Montgomery Medical TV Center has more than 600 We provide a television in your physicians serving on our medical staff. room, free of charge. You’ll find a Our physician referral service can remote control on the right handrail of provide you with the information you your bed. The TV also can be controlled need to select a qualified physician and from your hand-held bed control. specialist in any area. Our physician referral service is available 24/7 by calling 301-774-8881. A complete list of CONTINUED ON NEXT PAGE 7

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Visiting Hours To promote healing and safety and limit infection, some units may limit the number of visitors you can receive at one time. General Hours: 24-hour open visitation Emergency Department, Crisis Evaluation Unit: Visitors are not allowed. Intensive Care Units: Visitors are not allowed to sleep in the patient’s room. Operating Room: Visitors are not allowed. PACU: Visitors are not allowed in the main recovery room. Maternal Newborn Center: 11:00 a.m. to 8:00 p.m. The father of the baby or the Visitor Information mother’s significant other is not considered a visitor. No more MedStar Montgomery Medical Center understands that having loved ones by than five visitors at a time. One your side can help with your healing and care. You have the right to choose and adult may spend the night. prioritize visitors from among family, friends, partners, personal care aides or other Addiction & Mental Health individuals (regardless of the person’s gender or your relationship to the person). Center: 6:00 p.m. to 7:30 p.m. weekdays, 2:00 p.m. to 3:30 You also can choose a support person to be present throughout your stay, unless p.m. and 6:00 p.m. to 7:30 p.m. that person’s presence affects your health or the rights or safety of other patients. weekends. If you have any questions about your visitation rights, contact our Patient Advocate 6 East Floor: Visitors must be at 301-570-8539. age 12 or older. Addiction & Mental Health Visitor Passes Center, Chemical Dependency MedStar Montgomery uses an electronic badge system to create visitor badges. Unit: Visiting is scheduled in The sticker badge will feature the visitor’s name, picture, destination and expiration association with unit programs date. This information will be gathered quickly by scanning the visitor’s state- on Tuesday and Thursday provided ID card. When a visitor is unable to produce an ID, he or she will have his evenings and Sunday afternoons. or her picture taken. Badges will become void after approximately 8 to 12 hours. Visit the front desk for a new badge once it has become void. Visitors will not need to re-take a picture or show an ID card again. Visitor Guidelines To provide a restful and safe environment, we ask that visitors follow these guidelines: Do not visit if you have a cold, sore throat, fever or other illness. Avoid noisy, disruptive behavior to help respect the healing of all patients. Ask before bringing foods, drinks or items that might trigger allergies—like balloons, flowers or perfume—into patient rooms. Wash your hands before entering patient rooms. Make sure all children have a supervising adult with them at all times.

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Bringing State-of-the-Art Medicine to You How Do I Contact a Hospitalist? The MedStar Georgetown Department of Hospital Medicine at MedStar If you have questions about who Montgomery Medical Center brings state-of-the-art medicine to Montgomery your hospitalist is during your County. Our team of hospitalists specializes in internal medicine and geriatric stay, ask your nurse to contact the hospitalist on call. services, and cares for hospitalized patients. A hospitalist will serve as the primary care physician for patients who do not have a private physician or whose physician is not available once they are admitted to the hospital. What Services Does a Hospitalist Provide? Treats most, if not all, of your stay in the hospital. On-site inpatient care is provided 24 hours a day, seven days a week. Collaborates with your entire medical team and your primary care provider. Answers questions and discusses your care with you and your family. Provides arrangements for care with other specialists as needed. Attends emergencies that may arise. Will I See the Hospitalist After Discharge? When you are discharged from the hospital, you will return to the care of your primary care physician. It is important that you schedule an appointment with a primary care physician for follow-up care. If you do not have a primary care physician, the hospitalist will refer you to one. To make this transition as smooth as possible, your primary care physician will have access to your medical records from your hospital stay

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Be an Active Member of Your Healthcare Team Managing Your Pain While you are here in the hospital, our first priority is your care and safety. The Managing your pain is a priority single most important way to achieve this is to have you as an active member of at MedStar Montgomery. We will your health team. do everything we can to keep your pain well-controlled, meaning you Make sure all of your doctors know about everything you are taking. This are able to do the activities you includes prescriptions, over-the-counter medicines and dietary supplements need to do in order to recover such as vitamins and herbs. without experiencing severe pain. Make sure your doctor knows about any allergies and adverse reactions you It does not mean you will be have to medicines. pain-free. Please see the enclosed When your doctor writes you a prescription, make sure you can read it. brochure, Personal Comfort and Pain Control Options, for Ask for information about your medicines in terms you can understand. Do this more information about pain when your medicines are prescribed and when you receive them. management. When you pick up your medicine from the pharmacy, ask: Is this the medicine my doctor prescribed? We Want to Know Ask your pharmacist for the best device to measure your liquid medicine. Also, ask questions if you’re not sure how to use it. Let us know if you have compliments, concerns or Ask for written information about the side effects your medicine could cause. suggestions. Contact us at Carry a list of medications you take at all times. 301-570-8539 or WeWant2Know@ If you are in a hospital, consider asking all healthcare workers who have direct medstarmontgomery.org. Also, contact with you whether they have washed their hands. make use of the provided We When you are being discharged from the hospital, ask your doctor to explain the Want to Know notepad and write treatment plan you will use at home. down questions for your doctor, If you are having surgery, make sure that you, your doctor and your surgeon nurse or care provider. agree and are clear on exactly what will be done. Make sure that all health professionals involved in your care have important Included With Your Guide health information about you. More information about Delirium, Ask a family member or friend to stay with you and be your advocate (someone Pain Management, and the who can help get things done and speak up for you if you can’t). Prevention and Treatment of Constipation are provided with Contemporary Primary Nursing your Patient Guide in the back At MedStar Montgomery, our nurses follow the Contemporary Primary Nursing care folder pocket. model. This means you will have one primary nurse who works closely with you and your family to coordinate your care. He or she will communicate with you throughout your stay and coordinate your discharge plan. When your primary nurse is not working, an associate nurse will take care of you. He or she works closely with your primary nurse to ensure you are receiving the best care according to plan. In order for us to better take care of you, be sure to let your nurse know what is important to you, and actively participate in your care and ask questions. 10

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Information Sheet

This chart provides you with information about the most common side effects of the medicines you may take during your hospital stay or be prescribed to take following your stay. Please ask your nurse if you have any questions or concerns.

Reason for Medicine Medicine Names: Generic (Brand) Most Common Side Effects

Pain Relief Examples: May Cause: Hydrocodone/Acetaminophen (Vicodin®, Lortab®, Dizziness Norco®) Drowsiness Hydromorphone (Dilaudid®) Constipation Morphine Queasiness Oxycodone/Oxycontin Throwing Up Fentanyl Rash Tramadol (Ultram®) Confusion Acetaminophen (Tylenol®)

Queasiness or Throwing Up Examples: May Cause: Ondansetron (Zofran®) Headache Scopolamine patch Constipation Fatigue

Heartburn or Reflux Examples: May Cause: Pantoprazole (Protonix®) Headache Esomeprazole (Nexium®) Diarrhea Lansoprazole (Prevacid®) Omeprazole (Prilosec®)

Lowers Cholesterol Examples: May Cause: Atorvastatin (Lipitor®), Pravastatin (Pravachol®) Muscle pain Rosuvastatin (Crestor®), Simvastatin (Zocor®) Diarrhea

Lowers blood glucose Examples: May Cause: Rapid acting insulins: Low blood sugar Insulin lispro (Humalog®) Trembling Insulin aspart (Novolog®) Sweating Long-acting insulins: Hunger Insulin glargine (Lantus®) Insulin levemir (Detemir®) 11

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Reason for Medicine Medicine Names: Generic (Brand) Most Common Side Effects

Blood Thinner/Blood Clot Examples: May Cause: Prevention Apixaban (Eliquis®), Rivaroxaban (Xarelto®) Risk of bleeding (slows formation of blood Warfarin (Coumadin®) Upset stomach clots) Dabigatran (Pradaxa®) Enoxaparin (Lovenox®), Heparin Aspirin Clopidogrel (Plavix®)

Heart Rhythm Problems Examples: May Cause: Amiodarone (Pacerone® or Cordarone®) Dizziness Digoxin (Digitek® or Lanoxin®) Headache Dofetelide (Tikosyn®)

Lowers Blood Pressure Examples: May Cause: and Heart Rate and May Be Calcium Channel Blockers Headache Used to Treat Heart Failure Diltiazem (Cardizem (CD)®, Cartia XT®,Tiazac®) Dizziness Amlodipine (Norvasc®) Drowsiness Low blood pressure Beta Blockers Atenolol (Tenormin®) Carvedilol (Coreg®) Metoprolol (Lopressor®, Toprol XL®) Bisoprolol (Zebeta®)

Lowers Blood Pressure and Examples: May Cause: May Be Used to Treat Heart ACE Inhibitors, Angiotensin Receptor Blockers Cough Failure Benzapril, Captopril, Enalapril, Lisinopril, Quinapril, Dizziness Ramipril Candesartan (Atacand®) Irbesartan (Avapro®), Olmesartan (Benicar®), Valsartan (Diovan®) Losartan (Cozar®)

Antibiotic to Treat and Examples: May Cause: Prevent Bacterial Infections Amoxicillian/Clavulanate (Augmentin®) Upset stomach Piperacillin/tazobactam (Zosyn®) Diarrhea Ciprofloxacin (Cipro®) Rash/flushing Clindamycin (Cleocin®) Headache Levofloxacin (Levaquin®) Metronidazole (Flagyl®) Vancomycin (Vancocin®)

Helps With Inflammation Examples: May Cause: Celecoxib (Celebrex®) Upset stomach Dexamethasone (Decadron®) Sleeplessness Ibuprofen (Motrin®) Risk of bleeding Ketorolac (Toradol®)

Calms Nerves or Makes Examples: May Cause: You Sleepy Diazepam (Valium®) Dizziness Lorazepam (Ativan®) Drowsiness Zolpidem (Ambien®) Headache Diphenhydramine (Benadryl®) Confusion

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Stay Safe in the Hospital Contact a Patient Safety Officer Are You at Risk? If you were injured, wish to Certain conditions make us more prone to falls and other accidental injuries. Here report an adverse event, want to discuss concerns you have with are just a few: the quality of care you received Multiple medications. The more medications you take, the more likely you are to or an unanticipated outcome, or even wish to offer suggestions experience dizziness or other risky side effects. Tell all your healthcare providers for patient safety, please contact about all the drugs you take. Ask them about any side effects that might place the Patient Safety Officer/Risk you at risk for falls. Management at 301-570-7208. Walking difficulties. Shuffling, weakness, stooped over posture, inability to walk a straight line, numbness or tingling of toes can make falls more likely. Ask your doctor about assistive devices such as a cane or walker and learn how to use them correctly. Impaired vision or hearing. Let your doctor and nurse know if you have a vision or hearing impairment. Two or more falls in the past three months. If you are falling frequently, see your doctor. It’s important to find out why. Fear of falling. Do not cut back on your normal activities. Inactivity can lead to more falls because of the lost muscle strength. Your doctor also can recommend an exercise program to increase muscle strength and coordination, which can help reduce the risk of falling. If you feel unsteady on your feet, talk to your doctor. You may benefit from a cane or walker. Guidelines to Prevent Falls in the Hospital Always follow your physicians’ orders and the nurses’ instructions regarding whether you must stay in bed or if you require assistance to go to the bathroom.

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When you need assistance, use your call light or bell by your bed or in the bathroom and wait for the nurse/assistant to arrive to help you. Preventing Falls After Ask the nurse for help if you feel dizzy or weak getting out of bed. Remember, Discharge you are more likely to faint or feel dizzy after sitting or lying for a long time. For more information on fall prevention and staying safe, refer Wear nonskid slipper socks whenever you walk in the hospital. If you don’t have to the Home Safety Checklist any, ask your nurse. on p. 30 to prepare a safe environment at home for when Remain lying or seated while waiting for assistance. Please be patient. Someone your loved one is discharged will answer your call as promptly as possible. from the hospital. Do not tamper with side rails that may be in use. Side rails are reminders to stay in bed and designed to ensure your safety. Walk slowly and carefully when out of bed. Do not lean or support yourself on rolling objects such as IV poles or your bedside table. Do not use furniture to assist yourself. Partner With Us to Keep Your Loved One Safe At MedStar Montgomery Medical Center, we are committed to providing our patients with safe, high-quality care and excellent service. One way we do this is by partnering with our patient’s loved ones to ensure a safe environment. The risk of falling is very real for people in the hospital. There are several factors that increase this risk, including: Illness and being in unfamiliar surroundings Certain medications such as sleeping aids, pain relievers, water pills and laxatives A previous history of falls Shortness of breath, stroke, muscle weakness, unsteady gait, fever or urgent need to use the bathroom Confusion, dementia, depression or psychosis Sensory impairments such as numbness and vision or hearing problems Treatments, surgery and procedures We need your commitment to partner with us to prevent falls, especially if your loved one has any risk factors. You can help us prevent your family member from falling by: Informing us of any changes you see in your loved one’s condition, thinking or behavior Maintaining a clear pathway in the room Leaving the bed in the lowest position Notifying us when you are leaving your loved one alone The most important thing you can do is stay with your loved one as much as possible. We have open visitation so you can be involved in their care. If your loved one is at risk for falling and you are unable to be here, please ask the nurse for a list of caregivers that you can hire to stay with your loved one.

MD05478G05_MedStar_Montgomery_ED_B1.indd 14 8/23/18 1:04 PM Rights & Responsibilities

You Have the Right to the Best Care

Patient Rights providing you with needed help if you have vision, speech, As a patient, you or your legally responsible party has the hearing or cognitive impairments. right to care without discrimination due to age, AIDS or HIV A ccess to protective and advocacy services. status, ancestry, color, culture, disability, education, gender Designate a support person, if needed, to act on your identity, income, language, marital status, national origin, behalf to assert and protect your patient rights. race, religious creed, sex, sexual orientation or who will pay your bill. As our patient, you have the right to safe, respectful Informed Decisions and dignified care at all times. You will receive services and Receiv e information about your current health, care, care that are medically suggested and within these rights: outcomes, recovery, ongoing healthcare needs and future health status in terms that you understand. Communication H ave a family member, another person that you choose, or Be informed about proposed care options including the your doctor notified when you are admitted to the hospital. risks and benefits, other care options, what could happen without care, and the outcome(s) of any medical care Receiv e information in a way that you understand. This provided, including any outcomes that were not expected. includes interpretation and translation in the language you You may need to sign your name before the start of any prefer for talking about your healthcare. This also includes procedure and/or care. “Informed consent” is not required in the case of an emergency. Be involved in all aspects of your care and to take part in Advocacy and International Services decisions about your care. Department Mak e choices about your care based on your own spiritual If you have a question or concern, the first place to turn is to your doctor, nurse or another member of and personal values. your healthcare team. When the staff does not help Request care. This right does not mean you can demand you to your satisfaction, or you have a special concern care or services that are not periodically needed. or need, call a patient advocate. Patient advocates provide advocacy and assistance Refuse any care, therapy, drug or procedure against the to patients, families and physicians in all care settings medical advice of a doctor. There may be times that care and act as liaisons between patients, physicians, must be provided based on the law. hospital staff and departments to recognize and Expect the hospital to get your permission before taking remove any obstacles to providing high-quality care. photos, recording or filming you, if the purpose is for Advocates can be contacted Monday through Friday something other than patient identification, care, diagnosis 8 a.m. to 4:30 p.m. at 301-570-8539. or therapy.

MD05478G05_MedStar_Montgomery_ED_B1.indd 15 8/23/18 1:04 PM Rights & Responsibilities CONTINUED Decide to take part or not take part in research or clinical Request a consultation by another healthcare provider. trials for your condition, or donor programs, that may be Receiv e proper assessment and management of pain, suggested by your doctor. Your participation in such care including the right to request or reject any or all options to is voluntary, and written permission must be obtained from relieve pain. you or your legal representative before you participate. A decision to not take part in research or clinical trials will Receiv e care free from restraints or seclusion unless not affect your right to receive care. necessary to provide medical, surgical or behavioral healthcare. Visitation Decide if you want visitors or not while you are here. The Receiv e efficient and quality care with high professional hospital may need to limit visitors to better care for you or standards. other patients. Privacy and Confidentiality Designate those persons who can visit you during your Limit who knows about your being in the hospital. stay. These individuals do not need to be legally related to Be interviewed, examined and discuss your care in places you. designed to protect your privacy. Designate a support person who may determine who can Be advised why certain people are present and to ask visit you if you become incapacitated. others to leave during sensitive talks or procedures. Advance Directives Expect all communications and records related to care, Cr eate advance directives, which are legal papers that including who is paying for your care, to be treated as allow you to decide now what you want to happen if you private. are no longer healthy enough to make decisions about Receiv e written notice that explains how your personal your care. health information will be used and shared with other H ave hospital staff comply with these directives. healthcare professionals involved in your care. A sk about and discuss the ethics of your care, including Request an amendment to, and obtain information on resolving any conflicts that might arise, such as deciding disclosures of your health information, in accordance with against, withholding or withdrawing life-sustaining care. law and regulation. Care Planning Re view and request copies of your medical record unless Receiv e a medical screening exam to determine treatment. restricted for medical or legal reasons. P articipate in the care that you receive in the hospital. Receiv e instructions on follow-up care and participate in decisions about your plan of care after you are out of the Questions? hospital. If you have questions about Privacy and Confidentiality, please contact the Entity Compliance Receiv e a prompt and safe transfer to the care of others Officer at 301-570-7670 or the MedStar Integrity Line when this hospital is not able to meet your request or at 877-811-3411. need for care or service. You have the right to know why a transfer to another healthcare facility might be required, as well as learning about other options for care. The hospital cannot transfer you to another hospital unless that hospital has agreed to accept you. Care Delivery Expect emergency procedures to be implemented without unnecessary delay. Receiv e care in a safe setting free from any form of abuse, harassment and neglect. Receiv e kind, respectful, safe, quality care delivered by skilled staff. K now the names of doctors and nurses providing care to you, and the names and roles of other healthcare workers and staff that are caring for you.

MD05478G05_MedStar_Montgomery_ED_B1.indd 16 8/23/18 1:04 PM when you work with us, your family member becomes our family member.

The Lisa Vogel Agency provides custodial care on an hourly basis for clients who require long-term, rehabilitation or hospice care.

now serving: Bethesda, Chevy Chase, Silver Spring THE Lisa lisavogelagency.com 301-664-7945 Vogel We bill and collect from all long term care insurances. Agency License No.R2635 Licensed as a residential service agency by the Maryland Department of Health and Mental Hygiene, Office of Health Care Quality. IN-HOME CARE

MD05478G5_MedStar Montgomery_ADS.indd 1 9/13/18 10:58 AM Convenience. Service. Excellent Advice. That’s MedStar Pharmacy. For your convenience there is a MedStar Pharmacy located right here at MedStar Montgomery Hospital Center. We can deliver to your room just prior to discharge. Just ask your doctor or nurse about our convenient bedside delivery program. MedStar accepts most major pharmacy plans, including Medicare Part D. Just call 301-774-8682 or ask your doctor to fax your prescription to 301-774-8683. Our friendly pharmacists will be happy to serve you.

Hours: Monday through Friday, 10 a.m. to 6 p.m. The pharmacy is located to the left inside the main entrance across from the security desk.

MD05478G5_MedStar Montgomery_ADS.indd 2 9/13/18 10:58 AM 26

BCAT CERTIFIED

Offering boutique assisted living communities specializing in memory care, ALFREDHOUSE mental health support and more. ASSISTED LIVING MEMORY CARE Schedule your tour today. www.alfredhouse.com (301) 260-2080

MD05478G5_MedStar Montgomery_ADS.indd 3 9/13/18 10:58 AM Today, there’s dialysis care you can thrive on

Taking care of both your emotional and physical health is essential with kidney disease.

Fresenius Kidney Care oers highly personalized dialysis care, encouragement and inspiration to help you live your fullest.

Locations throughout Maryland, the District of Columbia, and Northern Virginia.

Learn more at FreseniusKidneyCare.com or call 1-877-867-7543

MD05478G5_MedStar Montgomery_ADS.indd 4 9/13/18 10:58 AM Meet Your Healthcare Team.

Your entire team of caregivers work together to provide high-quality care. Here are a few members of the team. You can easily identify them in color-coded uniforms.

Diagnostic and Therapeutic Professionals Support Service Technicians Nurse Technicians Registered Nurses Unit Assistants 15-MMMC-1461.052015

For more information about your stay or visit, ask any member of your healthcare team.

MD05478G5_MedStar Montgomery_ADS.indd 5 9/13/18 10:58 AM Our team of 30 physical, occupational, and speech therapists dedicated to post- acute recovery, along with our nurses and seven full-time, on- staff physicians, will work with you to return home to your everyday life, routine, and responsibilities. We evaluate your unique circumstances and challenges. Together, we set aggressive but achievable goals. Our therapists help you practice and adapt in settings that replicate home.

Post-Acute Care Center Personalized therapy. at the Hebrew Home of Greater Washington Positive outcomes. 301.770.8476 www.smithlifecommunities.org

MD05478G5_MedStar Montgomery_ADS.indd 6 9/13/18 10:58 AM In-Home Senior Care

Hospital to Home... at Last!

Our transition services typically include: • Transportation home • Schedule follow-up appointments and tests ordered upon discharge • Prescription pick-up • Meal preparation • Personal care assistance • Grocery shopping • Light housekeeping • Laundry and bed linen change

There’s no place like home, and there’s no one to make you feel right at home quite like Comfort Keepers®. Serving Olney, the surrounding area and all Montgomery County Call today to schedule.

(301) 945-7606

ComfortKeepers.com/Montgomery-MD

MD05478G5_MedStar Montgomery_ADS.indd 7 9/13/18 10:58 AM With everything in front of you, put joint pain behind you.

If hip or knee pain is keeping you from doing what you love, MedStar Orthopaedic Institute is here to help. Our team of fellowship-trained surgeons, expert nurses, and rehabilitation specialists works together using the most advanced surgical and nonsurgical methods and pain management techniques, as well as less invasive treatment options, to help you achieve real relief. And best of all, with our coordinated care, all your questions are answered. So you know what to expect every step of the way.

Don’t waste another day in pain. Discover what we can do for you.

Call 301-774-8958 or schedule an appointment online at MedStarMontgomery.org/Our-Services/Orthopaedics.

MD05478G5_MedStar Montgomery_ADS.indd 8 9/13/18 10:58 AM Do you want to go home? At Cadia Healthcare, At Cadia Healthcare, Atwe Cadia start theHealthcare, discharge weprocess start beforethe discharge you arrive. processwe start beforethe discharge you arrive. processRehab before you arrive. Rehab Evidence-based physical therapy, occupational Rehab Evidence-based therapy and speech-language physical therapy, pathology occupational Evidence-basedtherapy Clinical andprograms speech-language physical tailored therapy,to resident pathology occupational needs Clinicaltherapy Newly expanded programsand speech-language onsite tailored therapy to resident pathology gym needs(Annapolis) NewlyClinical expanded programs onsite tailored therapy to resident gym (Annapolis)needs NursingNewly expanded onsite therapy gym (Annapolis) Nursing Excellent care and personal attention Nursing ExcellentOffering a care positive and personaltherapeutic attention experience Offering ExcellentHighly trained a care positive andhealthcare personaltherapeutic professionals attention experience HighlyOfferingIn-house trained a dialysis positive healthcare (Springbrook therapeutic professionals experience and Hyattsville) In-houseHighly trained dialysis healthcare (Springbrook professionals and Hyattsville) Pulmonary In-house dialysis (Springbrook and Hyattsville) Pulmonary In-house, long-term care ventilator units Pulmonary In-house,(Annapolis long-term and Hyattsville) care ventilator units In-house,(AnnapolisComprehensive long-term and Hyattsville)post-acute care ventilator care units Comprehensive(AnnapolisCare for long-term and Hyattsville)post-acute trach and care ventilator dependent CareComprehensivepatients for long-term post-acute trach and care ventilator dependent Carepatients for long-term trach and ventilator dependent patients

cadiahealthcare.com cadiahealthcare.com Intensive Therapy 7 days a week to get you STRONGER,cadiahealthcare.com FASTER Intensive Therapy 7 days a week to get you STRONGER, FASTER OurIntensive Maryland Therapy Locations 7 days a week to get you STRONGER, FASTER Our Maryland Locations OurWheaton Maryland LocationsSpringbrook Hyattsville Annapolis Hagerstown Wheaton4011 Randolph Road Springbrook12325 New Hampshire Ave Hyattsville4922 Lasalle Road Annapolis900 Van Buren Street Hagerstown14014 Marsh Pike, 4011WheatonSilver Randolph Spring, MD Road 20902 12325SpringbrookSilver Spring, New Hampshire MD 20904 Ave 4922HyattsvilleHyattsville, Lasalle MD Road 20782 900AnnapolisAnnapolis, Van Buren MD 21403Street 14014HagerstownHagerstown, Marsh MDPike, 21742 (301) 933-2500 (301) 622-4600 (301) 864-2333 (410) 267-8653 (301) 733-8700 4011Silver Randolph Spring, MD Road 20902 12325Silver Spring, New Hampshire MD 20904 Ave 4922Hyattsville, Lasalle MD Road 20782 900Annapolis, Van Buren MD 21403Street 14014Hagerstown, Marsh MDPike, 21742 Silver(301) Spring, 933-2500 MD 20902 Silver(301) Spring, 622-4600 MD 20904 Hyattsville,(301) 864-2333 MD 20782 Annapolis,(410) 267-8653 MD 21403 Hagerstown,(301) 733-8700 MD 21742 (301) 933-2500 (301) 622-4600 (301) 864-2333 (410) 267-8653 (301) 733-8700

OG18033 Patient Guide Ad for Medstar Montgomery.indd 1 9/5/18 2:33 PM

MD05478G5_MedStar Montgomery_ADS.indd 9 9/13/18 10:58 AM

Comforting Hospice Care from Our Compassionate Team

Hospice care focuses on your quality of life when you're facing a life-limiting illness, providing you and your family comfort and support during a very vulnerable time.

Typically, there’s no cost to our patients

(including Medicare and Medicaid). as most insurances offer hospice bene�its You deserve to enjoy this time focusing on what matters most to you. Let us help!

You’re not alone. Our team is dedicated to your care. CALL US TODAY! 202-966-3720 | www.thewashingtonhome.org We’ve got you Skilled Nursing Memory Care covered for: Rehabilitation Hospice Services

Skilled Nursing and Rehabilitation Centers Memory Care Communities Our comprehensive medical and rehabilitation centers Arden Courts was created to help people with memory serve the care needs of a wide variety of patients. impairments enjoy residential living, while receiving the Locations in: professional assistance they need 24-hours a day. Adelphi, Bethesda, Chevy Chase, Hyattsville, Largo, Locations in: Potomac, Silver Spring and Wheaton Annandale, Fairfax, Kensington, Potomac and Silver Spring 800.736.4427 888.478.2410

Hospice Care Serving: Heartland Hospice o ers support, comfort care, pain Central Maryland/Baltimore Metro Area 866.834.1528 management, counseling, education and pastoral support Northern Virginia 703.273.8693 for a patient and their family facing an advanced illness To learn more about our service continuum wherever they call home. or to ﬁnd a location nearest you, visit: hcr-manorcare.com

MD05478G5_MedStar Montgomery_ADS.indd 10 9/13/18 10:58 AM Insource HealthCare Services, LLC Your Source for the Best in Nursing Staffing

CNAs, Med Techs, LPNs & RNs Available We accept private pay and clients • Personal Care • Part-Time, Full-Time or qualified under the Medicaid Waiver • Companionship 24-Hour Care Plans for Older Adults. • Laundry Service • Hourly or Live-In Care • Meal Preparation • Skilled & Non-Skilled 301-421-9670 • Escort Services Nursing 301-421-9672 (fax) • Shopping & Light • Medication Reminders 240-603-7954 (cell) Household Chores [email protected] A registered nurse is on-site 7 days a week, 24 hours 14623 Blackburn Road a day to answer any questions you may have about Burtonsville, MD 20866 these services and costs involved.

TheThe VeryVery BestBest inin Care

Ranked “Highest in Customer Satisfaction Among Senior Living Communities” by J.D. Power. Ranked “Highest in Customer Satisfaction Among Senior Living Communities” by J.D. Power.

At Bedford Court, we offer personalized rehabilitation services for seniors faced with an unexpected At Bedford Court, we offer personalized rehabilitation services for seniors faced with an unexpected hospitalhospital stay stay or or scheduledscheduled surgery. WithWith MedStar MedStar physicians physicians and and nurse nurse practitioners practitioners on-site, on-site, we we allowallow for for continuity continuity inin youryour care throughoutthroughout recovery—all recovery—all in in a awarm warm and and welcoming welcoming environment. environment.

CallCall our our admissions admissions office office atat 240-513-2801 oror visit visit BedfordCourtSeniorLiving.com BedfordCourtSeniorLiving.com toto schedule schedule a a tour tour and and inquireinquire about inpatientinpatient rehabilitation rehabilitation availability. availability.

© ©2018 2018 Sunrise Sunrise Senior Senior Living Living SunriseSunrise Senior Senior Living Living received received the the highest highest numerical numerical scorescore in the J.D. PowerPower 20182018 Senior Senior Living Living Satisfaction Satisfaction Study, Study, based based on on2,539 2,539 total total responses responses among among 7 senior 7 senior living living communitiescommunities measuring measuring experiences experiences and and perceptions perceptions ofof residents/familyresidents/family members/friends,members/friends, surveyed surveyed October–December October–December 2017. 2017. Your Your experiences experiences may mayvary. vary. Award Award applicable applicable to United States only. Visit jdpower.com. to Unitedto United States States only. only. Visit Visit jdpower.com. jdpower.com.

MD05478G5_MedStar Montgomery_ADS.indd 11 9/13/18 10:58 AM Regency Care of Silver Spring is a 4-star CMS-rated building with 92 beds and is a proven leader in skilled nursing and rehabilitation. Our flexible interdisciplinary approach to healthcare is centered on caregiver compassion and offered in a comfortable, home-like setting. We are certified for Medicare and Medicaid, and we honor other qualified insurance carriers.

Services & Features Rehabilitation Therapy • Skilled, Intermediate • Registered Dietician • Physical Therapy & Palliative Care Services • Speech Therapy • Private & Semi-Private • Cable TV & Wi-Fi • Occupational Therapy Rooms • Social Services • Licensed Personnel • Activities, Programs & Respite Care (RN & LPN) Planned Social Events Traditional Care • Beauty Salon

9101 Second Avenue | Silver Spring, MD 20910 | phone 301.588.5544 www.regencycaresilverspring.com

THIS IS WHAT HIGH BLOOD PRESSURE LOOKS LIKE.

You might not see or feel its symptoms, but 182 the results – a heart attack or stroke – are far from invisible or silent. If you’ve come off your treatment plan, get back on it, or talk with 100 your doctor to create a new exercise, diet and medication plan that works better for you.

Go to LowerYourHBP.org before it’s too late.

JODI, heart attack and stroke survivor.

Friends Health Center It’s a Gift • Short-Term Rehabilitation • Skilled Nursing to Be Simply • Call (301) 924-7530 for the Best more information Friends House Retirement Community Taking Applications for 2019 • Affordable Apartment Homes • Cottage Residences • Call (301) 924-5100 for more information • www.friendshouse.com Friends Health Center A Proven Leader in Quality Care Not-for-Profit • Under the care of Baltimore Yearly Meeting of the Religious Society of Friends • 17340 Quaker Lane, Sandy Spring, Maryland 20860

MD05478G5_MedStar Montgomery_ADS.indd 12 9/13/18 10:58 AM Our Next Step Home program will get you home as quickly and safely as possible

We offer large, private rooms with private showers

Premier provider of short-term rehabilitation, post-acute, respite, hospice, wound, IV and long-term care

For more information, please call Montgomery Village admissions at 301-527-2501 Health Care Center or our main line at 301-527-2500 19301 Watkins Mill Road Montgomery Village, MD 20886 All major insurance www.montgomeryvillagehealthcarecenter.com carriers accepted

Helping people heal in the comfort of home MedStar Visiting Nurse Association provides in-home healthcare services for the disabled, homebound and those living with a chronic condition. We also support community health through our vaccination and wellness programs. In-Home Healthcare Services • Skilled nursing • Medical social work • Rehabilitation: physical, • After-hours care and occupational and speech support therapies • Activities of daily living • Remote patient monitoring support • IV therapy and nutritional support

Vaccination and Wellness Services • On-site vaccination clinics • Health screenings: • Weigh-to-Win healthy cholesterol, blood pressure, eating and weight loss blood glucose, and body program mass analysis

Visit MedStarVNA.org or call 800-862-2166 for more information.

MD05478G5_MedStar Montgomery_ADS.indd 13 9/13/18 10:58 AM We Are Like Wedding Planners for Growing Older.™ Care Management Our Aging Life Care™ Managers provide expert recommendations and individualized support to you and your family. Comprehensive in-home assessments and office consultations available. Debbie's Angels Our concierge companion service for social engagement and life enrichment activities. WellSenior ™ Our unique program for aging adults who want to plan for potential future care needs.

Serving Washington DC and Maryland Suburbs Celebrating 30 Years of Helping Seniors (301) 593.5285 | [email protected] | www.care-manager.com Spot a Stroke F. A. S. T. Face. Arm. Speech Time to call 911. StrokeAssociation.org

MD05478G5_MedStar Montgomery_ADS.indd 14 9/13/18 10:58 AM Comprehensive care for aging adults and their families

HOME CARE • TRANSPORTATION HOSPICE CARE • MENTAL HEALTH SERVICES CARE COORDINATION www.jssa.org 301-881-3700

LICENSED AllCare @ Home, LLC BONDED “Care that counts” INSURED Skilled & Non-Skilled Nursing 24 HOURS A DAY / 7 DAYS A WEEK (In Your Home or Place of Choice) Our Experienced, Qualified & Caring Staff Includes: RNs • LPNs • LNAs • CMAs Home Health Aides Companions & Homemakers Medicaid Waiver Program We Also Accept Private & Self Pay

EXTENSIVE CRIMINAL BACKGROUND CHECKS • LICENSED BY MARYLAND DEPT. OF HEALTH & MENTAL HYGIENE 240.839.5221 (Office) 966 Hungerfold Drive, Suite 6B 240.839.5220 (Fax) Rockville, MD 20850 [email protected] • www.allcarehomedmv.care

MD05478G5_MedStar Montgomery_ADS.indd 15 9/13/18 10:58 AM Connect with fighters CANCER survivors caregivers like you. Talk to someone one-on-one who has been there.

Text SURVIVORSHIP to 51555 to learn more about Imerman Angels. 1-866-IMERMAN (463-7626)

All services are free. Imerman Angels is a federally registered 501(c)(3) nonprofit organization.

MD05478G5_MedStar Montgomery_ADS.indd 16 9/13/18 10:58 AM Hospital Bills Provide Information Re view, obtain, request and receive a detailed explanation As a patient, family member or guardian, we ask that you: of your hospital charges and bills. Pr ovide accurate and complete information about current Receiv e information and counseling on ways to help pay healthcare problems, past illnesses, hospitalizations, for the hospital bill. medications and other matters relating to your health. Request information about any business or financial Repor t any condition that puts you at risk (e.g., allergies or arrangements that may impact your care. hearing problems). Complaints, Concerns and Questions Repor t unexpected changes in your condition to the T ell hospital staff about your concerns or complaints healthcare providers taking care of you. regarding your care. This will not affect your future care. Pr ovide a copy of your advance directive, living will, durable Seek assistance by contacting Patient Advocacy at 301- power of attorney for healthcare and any organ/tissue 570-8539 if you encounter discrimination. This also applies donation permissions to the healthcare professionals to your representative and/or your support person. You taking care of you. also have the right to contact the Office of Civil Rights at Respect and Consideration 877-696-6775 (TDD: 800-537-7697). As a patient, family member or guardian, we ask that you: Seek review of quality of care concerns, coverage Recogniz e and respect the rights of other patients, families decisions and concerns about your discharge. and staff. Threats, violence or harassment of other Expect a timely response to your complaint or grievance patients and hospital staff will not be tolerated. from the hospital. Complaints or grievances may be made Comply with the hospital’s no smoking policy. in writing, by phone or in person. The hospital has a duty to respond to these complaints or grievances in a manner Refr ain from conducting any illegal activity. that you can understand. To share your concerns with Safety the hospital, please contact the hospital’s Patient and As a patient, family member or guardian, we ask that you: Physician Advocacy staff. Pr omote your own safety by becoming an active, involved If your complaint or concern is not satisfactorily and informed member of your healthcare team. addressed, you have the right to contact: A sk questions if you are concerned about your health or Office of Quality and Patient Safety safety. The Joint Commission Mak e sure your doctor knows the site/side of the body that One Renaissance Blvd. will be operated on before a procedure. Oakbrook Terrace, IL 60181 Fax: 630-792-5636 Remind staff to check your identification before Website: www.jointcommission.org, medications are given, blood/blood products are then click “Report a Patient Safety Event” administered, blood samples are taken, or before any procedure. Maryland Department of Health and Mental Hygiene Office of Health Care Quality Remind caregivers to wash their hands before taking care Spring Grove Center, Bland Bryant Building of you. 55 Wade Ave. Be informed about which medications you are taking and Catonsville, MD 21228 why you are taking them. 410-402-8000 or 877-402-8218 A sk all hospital staff to identify themselves. dhmh.maryland.gov Charges MedStar Montgomery Medical Center does not take As a patient: disciplinary or punitive action against employees, physicians or other individuals when they report safety or Y ou are responsible for paying for the healthcare that you quality of care concerns to The Joint Commission or the received as promptly as possible. Maryland Department of Health and Mental Hygiene. Cooperation As a patient: Your Patient Responsibilities As a patient, family member or guardian, you have the right Y ou are expected to follow the care plans suggested to know all hospital rules and what we expect of you during by the healthcare professionals caring for you while your hospital stay. in the hospital. You should work with your healthcare professionals to develop a plan that you will be able to follow while in the hospital and after you leave the hospital. 17

MD05478G05_MedStar_Montgomery_ED_B1.indd 17 8/31/18 1:11 PM Notice of Nondiscrimination

MedStar Montgomery Medical Center complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, Civil Rights Complaint disability or sex. MedStar Montgomery Medical Center does not exclude people or You also can file a civil rights treat them differently because of race, color, national origin, age, disability or sex. complaint with the U.S. MedStar Montgomery Medical Center: Department of Health and Human Services, Office for Civil Provides free aids and services to people with disabilities to communicate Rights, electronically through the effectively with us, such as: Office for Civil Rights Complaint Qualified sign language interpreters Portal, available at https:// Written information in other formats (large print, audio, accessible electronic ocrportal.hhs.gov/ocr/portal/ formats and other formats) lobby.jsf, or by mail or phone at: MedStar Montgomery Medical Center provides free language services to people U.S. Department of Health and whose primary language is not English. Human Services Office of Civil Rights If you need these services, contact the Patient Advocacy Office at 301-570-8539. If 200 Independence Ave. SW you believe that MedStar Montgomery Medical Center has failed to provide these Washington, D.C. 20201 services or discriminated in another way on the basis of race, color, national origin, HHS Hotline: 877-696-6775 age, disability or sex, you can file a grievance with: TDD: 800-537-7697 MedStar Montgomery Patient Advocacy Office at 301-570-8539 Complaint forms are available at www.hhs.gov/ocr/office/file/ You may file a grievance in person or by mail, fax or email. If you need help filing a index.html. grievance, the MedStar Montgomery Medical Center Grievance Coordinator Officer is available to help you.

MD05478G05_MedStar_Montgomery_ED_B1.indd 18 8/23/18 1:04 PM Spanish Ibo ATENCIÓN: Si habla español, tiene a su disposición servicios Ntị: Ọ bụrụ na asụ Ibo, asụsụ aka ọasụ n’efu, defu, aka. Call 1-301- gratuitos de asistencia lingüística. Llame al 1-301-570-8539. 570-8539. Chinese Yoruba 注意：如果您使用繁體中文，您可以免費獲得語言援助服 AKIYESI: Bi o ba nsọ èdè Yorùbú ọfé ni iranlọwọ lori èdè wa fun 務。請致電 1-301-570-8539。 yin o. Ẹ pe ẹrọ-ibanisọrọ yi 1-301-570-8539. Korean Urdu مالحظه: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다 번으로 전화해 주십시오. مفت میں دستیاب ہیں ۔ کال کریں 1-301-570-8539. 1-301-570-8539 . Vietnamese Farsi CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn توجه: اگر به زبان فارسی صحبت میکنید، خدمات کمک در زمینه زبان .phí dành cho bạn. Gọi số 1-301-570-8539 به صورت رایگان در دسترس شما قرار دارد. با این شماره تماس بگیرید: French 1-301-570-8539 ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-301- French Creole 570-8539. ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-301-570-8539. Tagalog – Filipino PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit Portuguese ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa ATENÇÃO: Se fala português, encontram-se disponíveis serviços 1-301-570-8539. linguísticos, grátis. Ligue para 1-301-570-8539. Russian Arabic ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر لك ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-301-570-8539. بالمجان. اتصل برقم 301-570-8539 1. Amharic ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ Gujarati ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-301-570-8539. સચના:ુ જો તમે ગજરાતીુ બોલતા હો, તો નિ:શલ㚕ુ ભાષા સહાય Bassa સેવાઓ તમારા માટે ઉપલબ㚧 છે. ફોન કરો 1-301-570-8539. Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ Ɓàsɔɔ́ -wùɖù-po-nyɔ̀ ̀ jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ ̀ ɓɛìń m̀ gbo kpáa. Ɖá 1-301-570-8539.

MD05478G05_MedStar_Montgomery_ED_B1.indd 19 8/23/18 1:04 PM Advance Directives

A Simple and Smart Way to Fill Out Your Forms Take Charge of Your Care Make sure you submit advance directives each time you go One of the most important decisions you can make about your care is to fill to the hospital so your most out advance directives in case you can no longer speak for yourself. Advance current information and wishes are on file. You do not need a directives are documents that let others know your wishes about the type of lawyer to fill these out. For more care you want. And they will only be used if you become unconscious or too ill to information and to get the forms communicate yourself. you need, call ext. 8998.

Different states have different laws about advance directives. Check with your Ethics Committee Admissions department or nurse if you have any questions. Directives can include: Sometimes healthcare becomes Living Will complicated and families must struggle with difficult This set of instructions explains the type of life-prolonging medical care you wish ethical decisions. The hospital to accept or refuse. It can include your wishes about the use of resuscitation Ethics Committee provides (CPR) if your heart stops, a ventilator if you stop breathing, or feeding tubes or IVs compassionate support to if you cannot eat or drink. patients and their loved ones facing such issues. If you need Durable Power of Attorney to speak with the committee, call For healthcare: This is a legal document that names your healthcare proxy— ext. 8998. someone who can make medical decisions for you if you’re unable to do so. An official healthcare proxy can represent your wishes on emergency care but also on other medical issues like potential treatment options, blood transfusions, kidney dialysis, etc. Choose someone you trust, discuss your medical wishes and make sure the person agrees to represent you in this role. For finances:You also have the right to appoint someone or the same person to help manage your finances if you cannot.

MD05478G05_MedStar_Montgomery_ED_B1.indd 20 8/23/18 1:04 PM Before You Leave the Hospital Checklist for Discharge

Discharge Medicine summary list This includes why you were in the This may be part of your discharge summary. It hospital, who cared for you and your should include new and existing prescriptions, procedures and medicines. over-the-counter medicines, vitamins and supplements. Ask if there are any medicines you can stop taking or that are not good to take together. Also make sure you know why, how and when to take each one.

New Local prescriptions resources Check that your pharmacy has your new Ask your discharge planner for help prescriptions, and that you have a plan to finding local after-care services or other get them filled and picked up. support groups that you may need.

After-hospital Follow-up care services instructions

Know if you’ll need support in these areas and Beyond medicine, this can include: make a plan for getting it: foods or activities to avoid Personal care: bathing, eating, dressing, toileting tests or appointments Home care: cooking, cleaning, how to care for incisions or laundry, shopping use equipment Healthcare: taking your warning signs to watch for medicines, doctor’s daily living adjustments (like how appointments, physical to get into bed) therapy, wound care, who to call with questions injections, medical equipment

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MD05478G05_MedStar_Montgomery_ED_B1.indd 21 8/23/18 1:04 PM Planning Ahead Before You Leave

Plan Early Not Ready to Leave? Reduce your chances of being readmitted and increase your chances for a Our goal is to have you ready to healthy recovery by planning early. Take steps as soon as possible during your leave by 11:00 a.m. on the day of stay to plan for a successful transition from the hospital. your discharge. To begin, ask to speak with your discharge planner, and review the following: If you feel you are not ready to go your discharge summary and discharge plan home, you have the right to appeal your complete medicine list and instructions your upcoming appointments your discharge. Speak with your what to do if you don’t feel well doctor or nurse, and share your concerns. You also may need to A Reason to Plan Early reach out to Medicare, Medicaid or Our goal is to have you ready to leave by 11:00 a.m. on the day of your discharge. your insurance company. It’s important to make preparations for transportation home. Your care team will keep you informed of your anticipated discharge day throughout your stay so you can plan accordingly.

Get your medications for home before you leave the hospital! The outpatient MedStar Pharmacy, located in the main lobby, offers bedside delivery. A pharmacy staff member will deliver your prescription medications directly to your room before discharge. Notify your nurse or physician if you’d like to use this service. For more information about the MedStar Pharmacy, including insurance and payment options, see p. 7.

Try the teach-back method. Repeat back what you hear to make sure you understand the details correctly.

SPECIAL FEATURE

MD05478G05_MedStar_Montgomery_ED_B1.indd 22 8/23/18 1:04 PM Preparing for Discharge Before You Leave

Have Your Aftercare Plan When it is time for you to leave our care, your physician will approve your discharge. You will be sent home with an Aftercare Plan/Discharge Instructions. Medical Records This document gives specific instructions about your recovery. Your medical records always are available to you. To get a copy, Ensure a Safe and Timely Discharge call 301-774-8661 during business Make sure you have: hours. The Health Information Keys to enter your home Management Services hours are: A ride home by 11:00 a.m. Clothing to go home in Monday through Friday: 7:30 a.m. Food at home to 6:00 p.m. Medical equipment/supplies at home Saturday and Sunday: 8:00 a.m. to Medicine prescriptions filled 4:00 p.m. Our goal is to ensure a safe discharge. If you need assistance going home or once Note: You will need to sign a you arrive, Family and Nursing Care, a local company, is available to help meet some release form. immediate needs for your discharge home. For help making arrangements, ask your social worker or contact Family and Nursing Care directly at 301-588-8200.

Patient Experience Survey After you are discharged from the hospital, you may receive a call from Discovery Research to participate in our patient experience survey. We would greatly appreciate any comments you have to share. Your feedback is important to us and helps us improve the patient experience.

SPECIAL FEATURE

MD05478G05_MedStar_Montgomery_ED_B1.indd 23 8/23/18 1:04 PM Understanding Your Bill

Take Charge of Your Payments Commonly Confused Terms Deductible: The amount you The hospital billing process may seem complicated, but you can feel more in owe each year before your control by knowing exactly what your bill covers. For example, if you stay overnight, insurance begins making you can expect to see charges for your room, meals, 24-hour nursing care and payments. medicines. The bill also will show charges for any special services, such as X-rays Co-payment: A flat fee you pay and lab tests. You’ll receive bills for doctors, surgeons and specialists separately for a specific service, usually from the hospital. due at the time of service. Coinsurance: The portion of Medicare your medical expenses that If you have Medicare, you’ll have to fill out an MSP (Medicare Secondary Payer) you’re personally responsible for paying. For example, form. This ensures that Medicare only pays for services not covered by other your insurance may cover 80 insurance you may have. If you have secondary insurance, this usually covers percent of a bill, while you Medicare deductibles. If you don’t have secondary insurance, you need to pay have to pay the remaining 20 these amounts yourself. Also be sure to read your quarterly MSNs (Medicare percent. Summary Notices) to review: The amount your doctor(s) charged The amount Medicare approved and paid The amount you owe Keeping Track Your current deductible status One of the key ways to feel well- If you have questions, call the customer service number listed on your statement. informed and less overwhelmed about the hospital billing process Commercial Insurance Providers is to stay organized. Keep all If you use a commercial insurance provider, then the hospital forwards your claim of your statements and bills together and review each one as based on the information you provide at registration. About a month after you it arrives. leave the hospital, you’ll get an explanation of benefits (EOB) statement from your insurance provider. This isn’t a bill. EOBs show: The amount billed by your doctor or hospital How much of that cost is covered by your insurance How much you owe

MD05478G05_MedStar_Montgomery_ED_B1.indd 24 8/23/18 1:04 PM Understanding Coordination of Benefits (COB) COBs happen when you’re covered under two or more insurance companies. This may occur when spouses or partners are listed on each other’s insurance policies, or when both parents carry their children on their individual policies. To prevent duplicate payments, COBs determine the primary payer. You choose who this is when you’re admitted. Insurance companies usually request completed COBs from you before paying a claim, so make sure you address these requests quickly.

Review this and all other bill-related documents carefully. If you have questions, Need Help? contact your doctor or the customer service number listed on the statement. Call 410-933-2424 or 1-800-280- 9006 with questions concerning: Self-Pay Patients and Payment Arrangements Your hospital bill If you’re planning to pay your bills without help from Medicare or a commercial Y our rights and obligations insurance provider, then you’ll get bills directly from the hospital. When the first bill with regard to your hospital bill arrives, call the hospital’s financial services department at 866-423-2734 to set up H ow to apply for Maryland a payment plan. Medicaid H ow to apply for free or Communicate with the financial services department as soon as possible. If you reduced care don’t set up a payment plan, or if you stop making payments, then your account For information about Maryland may be placed with a collection agency. The hospital wants to work with you, so Medical Assistance, contact reach out with any questions or concerns you have. your local Department of Social Services, TTY: 1-800-925-4434, or Financial Assistance Policy visit www.dhr.state.md.us. MedStar Montgomery Medical Center is committed to ensuring that uninsured patients within its service area who lack financial resources have access to medically necessary hospital services. If you are unable to pay for medical care, have no other insurance options or sources of payment including Medical Assistance, litigation or third-party liability, you may qualify for free or reduced-cost medically necessary care. MedStar Montgomery Medical Center meets or exceeds the legal requirements by providing financial assistance to those individuals in households below 200 percent of the federal poverty level and reduced cost-care up to 400 percent of the federal poverty level.

MD05478G05_MedStar_Montgomery_ED_B1.indd 25 8/23/18 1:04 PM Hospital Services and Programs

Find Out More About Our Hospital’s Offerings Addiction and Mental Health Center arteries, aneurysms and blood clots nonurgent care. Our 41-bed Emergency (AMHC) in the legs, kidneys, head and neck. department is staffed 24 hours a day by The Addiction and Mental Health Center Procedures are minimally invasive, physicians and nurses who are trained (AMHC) is an important component meaning patients require less time for to care for a range of emergency of the services the hospital provides recovery and often can return home the health concerns that affect people of to our community. We offer a range of same day. all ages—from mild to life-threatening inpatient, outpatient, crisis intervention, conditions. Using the new equipment, physicians community education and outreach can view the insides of vessels in great Heart Failure Program services that are integrated to provide detail. Then, depending on the problem, Our heart failure program offers a treatment program tailored to each the physician can choose laser therapy, advanced treatments such as patient—from adolescents to adults. For balloon angioplasty, stenting or ultrafiltration therapy (or aquapheresis). more information on our programs and cryotherapy. Ultrafiltration therapy allows our services, call 301-774-8800. cardiology team to treat patients with Chest Pain Center Cardiac and Vascular Program fluid overload that do not respond to Our Chest Pain Center allows MedStar Montgomery Medical Center’s traditional medications. Our affiliation cardiologists to quickly and effectively Cardiac and Vascular Program offers with the MedStar Heart and Vascular screen and treat patients who come advanced diagnosis and treatment for Institute and the Advanced Heart to the Emergency department all types of vascular disease, performed Failure Team at MedStar Washington exhibiting chest pains or chest pain- by some of the leading doctors in Hospital Center allows us to refer like symptoms. Our affiliation with the area. We are proud to share our appropriate patients for therapy with the MedStar Heart and Vascular accreditation by The Joint Commission Left Ventricular Assist Device (LVAD) or Institute allows us to quickly refer as a Primary Stroke Center and for our heart transplantation. We also can refer patients to area cardiac centers for Chest Pain Center by the Society of patients for repair or replacement of advanced treatment such as cardiac Chest Pain Centers. faulty heart valves. catheterization or open heart surgery. Cardiac and Vascular Laboratory The Joint & Spine Center at MedStar Emergency Department MedStar Montgomery has a Montgomery Medical Center When you or a loved one experiences Cardiac and Vascular Laboratory, or The Joint & Spine Center is designed a medical emergency, the Howard angiography suite, which features to maximize recovery and minimize R. Gudelsky Emergency Department the most technologically advanced discomfort. Our specially trained staff (ED) provides fast emergent-urgent or equipment and therapies for blocked and multidisciplinary team work closely

MD05478G05_MedStar_Montgomery_ED_B1.indd 26 8/23/18 1:04 PM with you and your physician throughout your stay. To learn more, call 301-774- 8937. Maternal Newborn Center At MedStar Montgomery, we believe the birth of a child is one of life’s most cherished moments. Since 1920, we’ve been welcoming newborns and their families with warm, personalized care to make this special time as happy and healthy as possible. All rooms are private, spacious and beautifully decorated. Each room features a pull-out bed so your spouse can stay overnight in comfort. Once your baby arrives, you can keep the little one with you in your room, or our staff will care for your baby in our nursery. Our Maternal Newborn Unit has highly skilled neonatologists who are available to care for babies with special needs in our neonatal nursery. We also have board-certified pediatricians available 24/7. Childbirth education classes are offered to help prepare couples for a positive birthing experience. To learn more about the class schedule or to register, call 301-774-8881. Medical Imaging only find in a community hospital. The Helen P. Denit Cancer Resource Center program offers a range of services and The Cancer Resource Center serves as The department of Imaging Services at resources for diagnosis, treatment and a resource for individuals diagnosed MedStar Montgomery is accredited in support of patients with cancer. Our with cancer, their family and others ultrasound and features state-of-the-art staff of doctors, nurses and technicians interested in learning more about equipment, including a 64-Slice CT and is dedicated to treating each patient as cancer. The Helen P. Denit Cancer SPECT/CT. an individual. Resource Center is a lending library in Services include: a comfortable, relaxed and beautiful Cancer Care Navigator Angiography setting. Internet access to reputable MedStar Montgomery provides a Cardiac Catheterization cancer information, websites and personal guide, called a cancer care Computed Tomography (CT) films are available to enhance your navigator, through tests and treatments CT Angiography, Cardiac Calcium knowledge about cancer in regard encountered by cancer patients Scoring to diagnosis, treatment and options. and their families. The cancer care Fluoroscopy Contact the cancer care navigator at navigator is a registered nurse certified Image Guided Biopsy 301-774-8693 for more information. in oncology who has many years of MRI experience in the care, treatment and Helen P. Denit Center for Radiation Nuclear Medicine education of cancer patients. The Therapy Radiography navigator educates patients about Thousands of patients have benefited Ultrasound (General, OB, Vascular, cancer and treatments, provides from the comprehensive radiation Cardiac) emotional support and encouragement, planning and treatment services they Oncology Services answers questions and makes have received at The Helen P. Denit The Cancer Center Program at recommendations for cancer screening Center for Radiation Therapy. Now, MedStar Montgomery prides itself procedures. The cancer care navigator after a major expansion of the center, in delivering state-of-the-art care may be reached by calling 301-774- we offer even more treatment options coupled with the personal touch you 8693. to our patients. Patients receive personalized care in a welcoming environment that features spacious 27

MD05478G05_MedStar_Montgomery_ED_B1.indd 27 8/23/18 1:04 PM Hospital Services and Programs CONTINUED

exam rooms and private consultation closely to promote safety and prevent Sleep Disorders Center spaces. The addition of new state- adverse reactions. Quality sleep is important for a healthy of-the-art technology—a major focus lifestyle. Sleep restores not only the Rehabilitation Medicine of the expansion— makes it possible brain but also the entire body, and sleep Rehabilitation services may be important for us to provide the most advanced disorders have important connections in continued recovery after an illness, radiation treatments for a range of with all areas of medicine. Our surgery or other health concern. In cancers while increasing our ability center is accredited by the American partnership with MedStar Rehabilitation to care for more patients. For more Academy of Sleep Medicine and offers Network, MedStar Montgomery information, call 301-260-3700. comprehensive sleep evaluation with Medical Center offers physical therapy, state-of- the-art polysomnographic Infusion Services occupational therapy and speech tests. Patients can discuss their study The Shirley A. Smith Infusion Center therapy on an inpatient and outpatient with a board-certified sleep specialist is located on the ground floor of basis. We provide comprehensive to ensure appropriate follow-up and the hospital. Patients can receive evaluation, treatment and education to treatment. The center is located on the outpatient chemotherapy or infusions allow a maximum return to function for fourth floor of the hospital. To contact such as blood products, antibiotics each patient. or hydration when ordered by their the center, please call 301-774-8736. physician. Patients are encouraged to Cardiac and pulmonary rehabilitation bring reading materials and/or a music also are offered on an outpatient basis. player for each therapy session. During To learn more about these services, call treatment, patients are monitored 301-774-8778.

MD05478G05_MedStar_Montgomery_ED_B1.indd 28 8/23/18 1:04 PM Giving Back

Volunteer Opportunities MedStar Montgomery Medical Center offers volunteers a warm, friendly environment and a range of exciting opportunities. Volunteering gives you the chance to apply your skills and learn new ones, offer support to others, develop new friendships, learn about contemporary healthcare and contribute to the well-being of your community. We have a great need for your talents and time, and we will make every effort to ensure this will be a gratifying experience. For more information, please go to our Helping Us Help Others website at MedStarMontgomery. org and click on “Ways to Give” at As a result of our focus on quality, safety and compassionate care, many of our the bottom of the page. You also may call Volunteer Services at patients and their family members experience a deep sense of gratitude. They may 301-774-8629. Volunteers must be grateful for a physician or a nurse who had a big and positive impact during be at least 15 years of age to a difficult time, for a life-saving intervention or for a caregiver who shared a kind apply. word, a warm smile or a generous heart when it was needed most. We often are asked by patients, “How can I help?” or “How can I say thank you to the people here who made a difference in my life?” If you are grateful for your care and would like to explore ways to help, we welcome the opportunity to speak with you and to explore ways that you might get involved. Oftentimes, patients wanting to help find meaning in volunteering, sending thank you notes to their caregivers and exploring philanthropic investment opportunities that will make a real difference. For more information about ways to express your gratitude, visit us online at MedStarMontgomery.org/Philanthropy or contact the Office of Philanthropy at MedStar Montgomery Medical Center at [email protected] or 301-774-8777. Patient Family Advisory Council for Quality and Safety In order to continue our commitment to providing outstanding patient care, the healthcare team at MedStar Montgomery Medical Center invites you to share your important perspectives. The Patient Family Advisory Council for Quality and Safety brings patients, their families and loved ones together with clinical and administrative staff at MedStar Montgomery Medical Center to: Share information, ideas and concerns. Participate in program development, implementation and evaluation. Assist in establishing priorities related to patient and family needs. Function as a representative of our patients and their families. Serve as a liaison between MedStar Montgomery and our community. The goal is to enhance the hospital’s ability to deliver the highest standard of comprehensive, quality, safe healthcare based on the insight and recommendations of those we have cared for in the past. If you are interested or would like more information, call 301-570-7401.

MD05478G05_MedStar_Montgomery_ED_B1.indd 29 8/23/18 1:04 PM Home Safety Checklist

Making Your Home a Safe Home

Your home is your haven. Make it as Walkways and Hallways Have railings secured on both sides safe and fall-free as possible so you Keep outside walkways clear of snow, of stairs. can keep your independence and good ice and leaves, and don’t leave items Keep stairways clear and in good health. Here is a list of tips to help on walkways. repair. prevent accidents at home. Check off Ensure outside walkways are level, Ensure stairways have even surfaces each suggestion as it is completed. or have sturdy, easy-to-grip railings. with no metal strips or rubber mats Many are easy and inexpensive Also, make sure they are free from that can trip you. changes that can be done with the help cracks and holes. of a family member or friend. Keep Mark the edge of steps with yellow Keep hallways clear of unnecessary in mind these are only a few of the tape if your vision is decreased. preventive measures that can be taken furniture and other items. to make your home safe. For more Make sure carpets lie flat. General Room Safety information on home safety, check with Remove scatter rugs and carpet Use nonskid wax (or no wax at all) on your library. runners from floors. polished floors. Safe Lighting Ensure walkways are clear of tripping hazards such as low furniture, toys, Make sure outside stairs, walkways Safe and Sound Stairways Make sure you can see the outline and electrical and telephone cords. and entrances have good lighting. of each step as you go down (avoid These should be taped to the edges Ensure stairways have light switches carpets with busy patterns, shag of walls or overhead. at both the top and bottom of the carpets and deep piles). Have a phone easily accessible in stairs. Ensure you can wrap your entire hand every room. Keep a nightlight in the bathroom. around your railings. Use nonskid wax (or no wax) when Keep hallways well-lit, especially from Make sure secure railings are polishing floors without carpeting. bedroom to bathroom. installed on outside and inside stairways. Install a switch just outside each door so you don’t walk into a dark room.

MD05478G05_MedStar_Montgomery_ED_B1.indd 30 8/23/18 1:04 PM Bedroom Turn pot handles toward the center or Ensure an adequate number of Put a phone, flashlight and easy-to- back of the stove while cooking. smoke detectors and carbon read clock on a sturdy night stand monoxide detectors are installed, Keep clothes, towels and curtains or next to the bed. placed correctly and have fresh other items that could catch fire away batteries (replace yearly). Place a night stand or something from the toaster, stove and heaters. sturdy next to the bed to help you get Test smoke detectors monthly. Set timers as reminders of food in and out. cooking on the stove. Never smoke in bed. Have emergency phone numbers Keep a fire extinguisher within reach readily available and easy to read. Fire Safety Place space heaters at least three in the kitchen. Adjust bed height so that feet lie flat feet from all curtains and furniture. Make a plan to get out of the house on the floor when seated on the edge Move electric cords so they are not fast in case of a fire emergency. of the bed. under carpets where they can fray Bathroom and become a fire hazard. Set the water temperature so it’s not too hot. Set at or below the 120 degree setting on the water heater. Remove unnecessary items from the floor and edge of the tub. Place nonslip mats on the inside and outside of the tub. Ensure the bathroom floor is not slippery and has no loose rugs or tiles. Purchase a chair or stool with nonslip tips on the legs for use in the tub when balance, fatigue or weakness are a concern. Install grab bars in the side of the tub or into a wall stud above the tub so that a towel bar, soap dish, faucet or shower curtain are not aiding your balance. Ensure the toilet is easy to get on or off. If not, raise the seat or install handrails. Kitchen Make sure any mats or carpets have a slip-resistant backing. Put regularly used items within easy reach so no climbing is needed. Add good lighting around the stove, sink and counters if needed.

MD05478G05_MedStar_Montgomery_ED_B1.indd 31 8/23/18 1:04 PM Medicine Tracker

Know Your Medicines

Keep track of all the new medicines you are prescribed while in the hospital—plus any other medicines you already take including over-the-counter medicines, vitamins and supplements.

Drug name & dose What it treats How & when to take it Notes (With food, on an empty stomach, etc.) (Time of day, morning, night, etc.) (Prescribing doctor, pharmacy, side effects) MEDICINE 1 MEDICINE MEDICINE 2 MEDICINE MEDICINE 3 MEDICINE MEDICINE 4 MEDICINE 5 MEDICINE 6

MD05478G05_MedStar_Montgomery_ED_B1.indd 32 8/23/18 1:04 PM Access your health information anywhere you are.

As a patient, we offer you access to our patient portal, a unique website where you can view your health results and more: • Get test results from your hospital stay • Review your physicians’ names and contact information • Review your medications • Review your allergies and immunizations

If you have any questions about how to receive access to your health information, ask your nurse or call 301-774-8661.

FauxFolder_IBC pocket.indd 3 9/13/18 10:05 AM In Your Home, On Your Terms… for 50 Years and Counting.

301.588.8200 familynursingcare.com

Licensed as a Residential Service Agency by the Maryland Department of Health, Office of Healthcare Quality. RSA License R2519R. MD NRSA License 070605.

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