Guide Key Information For Your Stay

A COMMUNITY BUILT ON CARE

CA00760G11_FountainValleyHMC_A1_COV.indd 1 12/16/20 2:50 PM CA00760G11_FountainValley_ADs.indd 1 12/16/20 3:08 PM Anaheim Terrace Care Center Alta Gardens Anaheim Terrace Care Center is one of Orange Care Center County’s premier skilled centers.

We specialize in short-term rehabilitation services for recently disabled by injury or illness. Our specialized Transitional Care Unit offers comprehensive rehabilitation services including physical, occupational and speech therapies seven days a week. Anaheim Terrace offers beautifully renovated semi-private patient rooms with in-room cable, telephone and Wi-Fi access, a designated Transitional Care Unit for short-stay patients, two rehabilitation gyms, and an enhanced dining experience including in-room or restaurant-style options. The combination of our on-staff Nurse Practitioner and 24-hour RN coverage allows us to deliver a recovery experience that is second to none. We care about our community – we’re a valuable resource, a place for Alta Gardens Care Center is an intimate and charming expert advice, quality care, and willing help. facility that serves the Vietnamese community and is • Post-Acute Services • Rehabilitation Therapy conveniently located in the heart of Garden Grove. • Memory Support Unit • Comfortable Surroundings • Post-Acute Services • Comfortable • Short-Stay Care • Private and Semi-Private Rooms • Rehab Therapy Team Surroundings • Long-Term Care • Spacious Rooms • Memory Support Unit • Social Services • Respite Care • Private Bathroom or Secured Unit • Recreation Specialist • • Fully Air Conditioned • Vietnamese Program

714-821-7310 714-530-6322 141 S. Knott Ave., Anaheim, CA 92804 13075 Blackbird St., Garden Grove, CA 92843 www.anaheimterracecc.com www.altagardenscc.com

CA00760G11_FountainValley_ADs.indd 2 12/16/20 3:08 PM in this guide fountainvalleyhospital.com Map 2 Do You Have Pain? 10 Welcome Letter 3 Speak Up! 11 Telephone Directory 4 Stay Safe 11-12 During Your Stay 4-7 Fighting Infections 12 Visitation Guidelines 4 Preventing Falls 12 Visitation Rights 4 Your Satisfaction 13 Public Restrooms 4 Your Rights 14-15 Parking 5 Advance Directives 15-16 Your Room 5 What Are Advance Directives? 15 Calling Your Nurse 5 Patient Services Advance Directives 15 Consent Forms 5 Living Will 15 Interpreters 5 Healthcare Proxy 15 Telephone 5 Durable Power of Attorney 16 Medications From Home 5 Bioethics Committee 16 Valuables and Lost & Found 5 Privacy & Your Health Information 16 Condition H – Where to Call for Help 5 Be Prepared 17-18 Leave Your Valuables at Home 6 Don’t Leave Until 19-20 6 Preparing to Leave 21-22 Fire Safety 6 Billing: What a Hospital Bill Covers 21 Smoking 6 Pre-Certification 21 Electrical Devices 6 Coordination of Benefits 21 ATM 6 When You Are Discharged 21 Mail and Email for Patients 6 Government Programs 22 Flowers 6 Medicare 22 TV Guidelines 6 Medicaid 22 Healthy Living Channel 6 Commercial Insurance 22 TV Channel Listing 6 For Self-Pay Patients 22 Patient Meals 7 Medical Eligibility Program (MEP) 22 Spiritual Care 7 For the Caregiver 23 Online Health Records 7 24 Cafeteria 7 Viruses or Bacteria Vending Machines 7 Know Your Medications 8 Questions for My Doctor 8 Medication Side Effects 9

Due to COVID-19, visitor policies and other amenities are subject to change or may be unavailable. Hospital entry points are limited, and you will be given a health screening before entering. Safety measures are in place throughout the entire hospital campus. Thank you for your understanding.

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1 MAIN NUMBER: 714-966-7200

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T. HO

EMERGENCY ENTRANCE 12 MAIN ENTRANCE 7

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HOSPITAL CAMPUS DRIVE

1. Main Entrance 8. Hyperbaric /Wound Care 2. Emergency Entrance 9. Medical Office Building – 11100 Warner Avenue 3. MRI Meeting Rooms – Suite 320 Hospital Business Office – Suite 318 4. Saltzer Conference Room Human Resources – Suite 316 5. Fountain Valley East Tower – 11250 Warner Avenue 10. Medical Office Building – 11160 Warner Avenue First Floor Computer Lab/IMPACT Heart Healthy 11. Medical Office Building – 11180 Warner Avenue NICU Developmental Center 12. Facilities Building Outpatient CAT Scan (CT) Outpatient Diabetes Center ENTRANCES Outpatient Wound Care Emergency Parking Entrance Pre-Admission Testing Center (PAT) Medical Office Parking Entrance Second Floor Pulmonary Medical Unit (M2) Third Floor Telemetry (M3) Visitor, Patient and Employee Parking Entrance Fourth Floor Telemetry/Medical/Oncology Units (M4) P Patient Parking 6. Medical Office Building – 11190 Warner Avenue First Floor Center for Breast Care – Suite 106 Newhope Imaging Center – Suite 110 Second Floor Outpatient Surgical Center – Suite 212 Employee Health Office – Suite 212 Conference Center – Suite 214 7. 11170 Warner Avenue First Floor Facilities Office – Suite 100 Health Information Management – Suite 102 Shipping and Receiving – Suite 104 Second Floor Information Systems – Suite 202 Accounting Office – Suite 204 Case Management – Suite 206 Hospital Business Office – Suite 206

Fountain Valley Regional Hospital & Medical Center (714) 966-7200 17100 Euclid St. at Warner Fountain Valley, CA 92708 (Main hospital entrance off Hospital Campus Drive) FountainValleyHospital.com

FVH-60525E (6/20) Effective 6/20

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CA00760G11_FountainValley_A1_ED.indd 2 12/16/20 3:10 PM welcome to our hospital! At Fountain Valley Regional Hospital, Tenet Health Pacific Coast, every caregiver is devoted to providing safe, high-quality healthcare with compassion for your unique needs. In order to meet this commitment, you can expect us to: Check on you approximately every hour. We do this for your safety and to help you to the restroom, reposition you in the bed for your comfort, address your pain control needs and provide any other care you may need. Conduct report at your bedside, in your presence, at each shift change. This allows us to keep you better informed about the care we are providing, medications, tests and your overall progress, and to introduce you to the oncoming nurse. We encourage patients and their loved ones to be part of the healthcare team, but if you are uncomfortable about information being discussed at your bedside, let the nurse know and other arrangements will be made. Display the names of your care team and contact information on your care board at each shift. Additional information specific to your care plan will be posted as well. Kenneth D. McFarland If you have questions or concerns about your care or safety, talk to any member of our hospital Chief Executive staff. The Department Director or Nurse Manager also will routinely visit with you during your stay Officer with us. We are continually striving to improve our services. Should you find our service anything less than excellent, please let us know how we can better meet your needs. About Us Caring for you is a privilege we take very seriously. Thank you for choosing our hospital for your Fountain Valley Regional Hospital healthcare needs. has provided high-quality Most Sincerely, healthcare to residents of western Orange County since 1971. Our 400-bed hospital has grown to Kenneth D. McFarland meet its communities’ needs to Chief Executive Officer become the full-service hospital it is today. With more than 40 OUR MEDICAL SERVICES specialties spanning maternal/ MATERNAL & NEWBORN HEART & VASCULAR CARE: fetal care, acute pediatric care, CARE: Cardiac, thoracic and vascular surgery surgical services and advanced Private birthing suites including open and minimally invasive cardiac and stroke care, Fountain Routine and high-risk pregnancies and options Valley Regional Hospital provides deliveries Catheterization labs and Cardiac ICU a full spectrum of quality Hybrid OR Gestational Diabetes Program healthcare services for the entire OB hospitalist on-site 24/7 Primary and Thrombectomy Stroke Center family. Level III Neonatal ICU and High-Risk Infant Outpatient Heart Healthy Clinic Follow-Up Program CANCER CARE: INFANT AND PEDIATRIC Accredited Commission on Cancer Program CARE: American College of Radiology Accredited Certified Pediatric Unit and Pediatric ICU for CT and MRI Board-certified pediatric and intensivists on-site 24/7 DIABETES AND WOUND Child Life specialists CARE: Joint Commission-Certified Inpatient SURGICAL SERVICES: Diabetes Care Program Specialties in cardiac, general, bariatric, Certified Outpatient Diabetes Education gynecological, thoracic, vascular, Program (ADA) gastrointestinal and urological surgeries Outpatient Wound Care & Hyperbaric Robotic surgery including da Vinci and Medicine Mazor Total Joint & Spine Program

3 MAIN NUMBER: 714-966-7200

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MAIN NUMBER Admitting Ext. 8077 714-966-7200 Chaplain/Spiritual Care Ext. 1205 Financial Counselor Ext. 7294 COMPLIMENTARY Food Services Ext. 4090 WI-FI Housekeeping Ext. 3970 FVRGUEST Medical Records Ext. 8021 Social Services Ext. 8171 fountainvalleyhospital.com

during your stay

VISITATION We have policies and procedures in place to help you and your family work with our doctors, GUIDELINES nurses and staff to get the most from your hospital stay. Please take a few minutes to review We encourage visitors for emotional these guidelines with your loved ones. support and recovery. We ask that all visitors: VISITATION RIGHTS Be considerate of other patients The patient (or support person, where appropriate) has the right to be informed of his or her by keeping noise to a minimum. visitation rights, including any clinical restriction or limitation on such rights, when he or she is Refrain from visiting if you informed of his or her other rights under this section. have a cold, sore throat or any contagious disease. The patient (or support person, where appropriate) has the right, subject to his or her consent, to Observe precaution signs before receive the visitors whom he or she designates, including, but not limited to, a spouse, a domestic entering the room. partner (including a same-sex domestic partner), another family member or a friend. Abide by the hospital’s tobacco- The patient (or support person, where appropriate) has the right to withdraw or deny such consent free policy. at any time. Leave the patient’s room during tests or treatments if asked. The patient (or support person, where appropriate) has the right to receive visitors of his or her To ensure that our patients receive choice without regard to race, color, national origin, religion, sex, gender identity, sexual orientation proper rest and care, please check or disability. with the nurse before entering All visitors designated by the patient (or support person, where appropriate) shall enjoy visitation a patient’s room. Keep in mind privileges that are no more restrictive than those that immediate family members would enjoy. that we strive to maintain a quiet environment and restrictions may Overnight visitors must have the permission of the charge nurse/clinical manager, and his or her be implemented as directed by the presence must be necessary for the well-being and safety of the patient (i.e., translation, parent of Centers for Disease Control (CDC) a pediatric patient, disoriented). and Prevention or local health department. Overnight visitors will not be allowed in semi-private rooms without the verbal consent of the If you are in a semi-private room and patient’s roommate and at the discretion of the charge nurse. visitors of the neighboring patient are disrupting your ability to rest, PUBLIC RESTROOMS notify your nurse or another staff Please do not use the bathrooms in patient rooms. They are reserved only for patients in order to member. protect their health. Public restrooms are located throughout the hospital. The nursing staff can direct you to the closest restroom within the hospital.

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PARKING CONDITION H Parking is free. Minimal parking is available in front of the hospital. The majority of our parking spaces Your Call for Help are located on the south side of the main hospital entrance. Designated parking for emergency CALL 4357 services is located near the Emergency Room entrance. What is Condition H? Condition H was created to meet YOUR ROOM a National Safety Goal to improve Our patient rooms are designed with your needs in mind. Your remote-controlled bed enables you to recognition and response to adjust the head and foot of the bed for maximum comfort. A wardrobe closet and bedside stand offer changes in a patient’s condition. a convenient place to store your belongings, such as clothing and toiletries. Your personal TV provides The H stands for help and reflects our commitment to patient safety entertainment for you and your visitors during your stay. and patients first. Condition H allows the patient or CALLING YOUR NURSE his or her family to call for help when All patient rooms are equipped with a nurse call system. The nurse call button is located by each bed. the patient’s condition appears to be It can be used to alert the nurse that you need assistance. worsening.

CONSENT FORMS When to Call You will be asked to sign consent forms for certain types of treatment, tests and/or procedures. If If there is a change in the you do not understand the procedure or test to which you are asked to consent, tell your nurse, and patient’s condition that needs your doctor will be notified. It is important for you to understand the risks, benefits and alternatives immediate attention. available to you. If, after speaking with the healthcare team (i.e. nurses, INTERPRETERS physicians), you continue to have We are pleased to provide CyraCom telephone translation service, allowing us to communicate in serious concerns about how almost any spoken language. We also offer the sign language service of LIFESIGNS, Inc. There is no care is being given, managed or planned. charge for these services. Please ask your nurse for assistance in arranging for these services. TELEPHONE Warning signs that a patient is getting worse: Local calls are free. To place a local call, press 9 + the number. To make a long-distance call, dial 8-0­ Change in the heart or respiratory 0 for collect calls and 8-0 for calling-card calls. Long-distance calls may not be charged to your room. (breathing) rate Patients may call outside the hospital anytime; however, incoming calls are only put through to your Change in blood pressure room between 7:00 a.m. and 9:00 p.m. If you need assistance, please dial the operator (0). Public Change in urinary output (much telephones are located in the lobbies. more or much less urine) Change in level of consciousness MEDICATIONS FROM HOME All medications you may have brought to the hospital, including over-the-counter medications and Where to Call Call 4357 (HELP), a dedicated line herbal medications, should be returned home unless directed otherwise by your physician. We offer a that routes directly to the hospital secure area in the pharmacy to hold your medications if you do not have someone who can take your operator from any facility phone. medications home for you. Please notify the nurse for assistance. Calling a Condition H is much like To use your own medication from home, a physician order must be obtained. The medication then will calling 911 and should not be used casually. It should be used only if be kept in the pharmacy and given to you by your nurse. If you have any questions about the use of any you have concerns about your loved of your medications, please do not hesitate to ask your nurse. You also may request one of our clinical one’s condition after you’ve spoken pharmacists to speak with you. to the nurse, the doctor or another member of the patient’s healthcare VALUABLES AND LOST & FOUND team. If you cannot send your valuables home, please speak with your nurse about storing them in the hospital safe. An itemized receipt and claim ticket will be provided to you. Unclaimed articles are turned in to the Lost and Found and are kept for 90 days. To inquire about lost articles, please speak with your nurse. The hospital cannot be responsible for any valuables left in your room.

5 MAIN NUMBER: 714-966-7200

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LEAVE YOUR MAIL AND EMAIL FOR PATIENTS VALUABLES AT Mail and packages are delivered to each unit of the hospital Monday through Friday. Any mail received HOME after your discharge will be forwarded to your home address. Personal valuables such as extra Family members are welcome to send email Cheer Cards to patients. To send an email, visit money, medications, credit cards, fountainvalleyhospital.com/cheer and select the Cheer Card type that you would like to send. wallets and jewelry should be left at home or given to a family member FLOWERS or friend for safekeeping. Fountain Flowers are welcomed on all units, except in critical care areas and with high-risk patients. Flowers are Valley Regional Hospital is not responsible for valuables left in your available for purchase in the cafeteria. Flowers also may be ordered over the phone and delivered to the room. Please notify the hospital staff patient’s room by calling ext. 8187. as soon as you discover anything missing. For essential items, such as TV GUIDELINES dentures and hearing aids, ask your Televisions are provided in each patient room. Please be considerate of others by keeping the TV nurse to give you a special container volume down and turning off your TV at bedtime. Nursing personnel may request that you turn off your for them. TV after 10:00 p.m., especially if you are sharing a semi-private room. Pharmacy HEALTHY LIVING CHANNEL Our pharmacy department does Channel 41 is the hospital’s Healthy Living Channel. Programming on the Healthy Living Channel not provide outpatient dispensing covers a spectrum of topics including asthma, cancer, diabetes, heart disease, high blood pressure, services. A private pharmacy is smoking cessation, parenting, health/wellness and other healthcare topics. located in the Medical Office Building adjacent to the hospital at The programming is available in English, with Spanish closed captioning; Vietnamese is available on 11100 Warner Ave. the same channel in different time slots. Please ask your nurse for the schedule. If you aren’t able to view Patient Channel programming on your television, please let your nurse know. You can access Fire Safety Patient Channel programs anytime online at www.thepatientchannelnow.com. Please use the Fire alarms may sound while you hospital’s password (03151) when you log in. are in the hospital (loud ringing bells accompanied by flashing lights). When a fire alarm sounds, we request your cooperation. Please TV Channel Listing return to your room and remain 2 CBS 21 HGTV 38 Reelz there until “All Clear” is announced. Our hospital is required to test our 3 Animal Planet 23 MSNBC 39 Freeform fire system on a regular basis. In 4 NBC 24 National 40 PBS the event of an actual emergency, 5 KTLA Geographic 41 Healthy Living directions and assistance will be 6 Bravo 25 Nick Jr. Channel provided. 7 ABC 26 TBS 42 TCM Smoking 8 Bloomberg 27 TLC 43 Hallmark Smoking and/or the use of any 9 KCAL 28 TNT 44 Nature Sounds tobacco products is not permitted 10 Cartoon Network 29 USA 45 Hon Viet TV anywhere in the hospital or on Fox 30 Fox Sports 46 SBTN hospital grounds. 11 12 Fox News 31 Spectrum Cable 47 Vietface TV Sports 13 KCOP 48 Newborn Electrical Devices 32 Prime Ticket Channel/ Personal electrical appliances are CNN 14 Investigation not permitted in the hospital. 33 C-SPAN 15 Discovery Discovery (East 34 Univision 16 Disney Tower Only) Telemundo ATM 35 Newborn Channel For your convenience, an automated 17 E! 49 36 AMC Spanish/Ovation teller machine (ATM) is located near 18 Food Network 37 A&E (East Tower Only) the back wall of the café. 19 FX

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PATIENT MEALS Fountain Valley Regional Hospital provides a culturally diverse menu using lower fat, higher fiber whole foods, flavored with fresh herbs and low salt seasonings to promote your recovery. Diets are provided in accordance with your doctor’s orders based on your needs for health and safety. Our “Catering to You” delivery system provides a printed and spoken menu for your convenience. The following are times for hot meal deliveries: Breakfast: 6:45 a.m. to 10:00 a.m. Lunch: 11:30 a.m. to 2:00 p.m. Dinner: 4:45 p.m. to 7:00 p.m. Boxed meals as well as a selection of unit pantry items are available before or after the above hot meal times. If you require special foods, please discuss this with your catering associate at the time WHERE’S THE of your meal selection. You can call food services directly at ext. 4090, or your nurse can contact food CAFETERIA? services for you. LOCATION: First floor, near ER entrance. If a family member wants to dine with you, he or she may go to the café located near the Emergency Department, purchase a meal and take it back to your room. For your safety and recovery, outside Visitors are welcome to dine in foods are not permitted related to potential food and drug interactions and food-borne illness. the cafeteria, and food can be purchased in the café. SPIRITUAL CARE WEEKDAY HOURS: A nondenominational chaplain is available to visit. A hospital stay for you or someone you know can Breakfast bring out a range of emotions, thoughts and questions—many of them difficult to understand. Our 6:30 a.m. to 10:00 a.m. chaplain and spiritual care volunteers here at FVRH are available to listen, understand and care for your Lunch spiritual needs in light of your own faith experience. Or, if you wish, the chaplain can arrange for a visit 10:45 a.m. to 2:15 p.m. from a minister, priest, rabbi or spiritual counselor of your choice. You may call the chaplain’s office Dinner directly at ext. 1205 or your nurse will contact the chaplain upon your request. 4:30 p.m. to 9:00 p.m. The café is closed from 9:00 p.m. ONLINE HEALTH RECORDS to 6:30 a.m. Completing a few steps will give you easy access to health records and the ability to manage your account online. Visit FountainValleyHospital.com/Portal to: WEEKENDS & HOLIDAYS: View your health records (from a computer and/or the Health app for iPhone users) Breakfast 7:00 a.m. to 10:00 a.m. Pay healthcare bills online Lunch Get tailored health reminders 10:45 a.m. to 2:15 p.m. Learn about free classes and events Dinner Patient Portal Enrollment Instructions 4:30 p.m. to 6:30 p.m. You can sign up for the Patient Portal in two ways, then you can use your login to access records from the Health App on your iPhone. The café is closed from 6:30 p.m. to 7:00 a.m. Option 1 - Enroll at Patient Registration When you check in with patient registration, request access to the portal and provide your email address. Vending Machines Option 2 - Patient Portal Self-Enrollment Vending machines offering 1. Go to FountainValleyHospital.com/Portal and complete the form. beverages and snacks are located 2. Confirm the information on the Patient Match Found screen. in the cafeteria and on the first 3. Complete your Patient Portal account. floor in the East Tower. They are available 24 hours a day, seven Health App for iOS Users days a week. 1. Open the Health app on your iPhone. 2. At the bottom, select Health Data. 3. Scroll down and select Health Records, then select Get Started. 4. Select Fountain Valley Regional Hospital from the list of hospitals. 5. Follow the prompts to log in to your hospital Patient Portal.

7 MAIN NUMBER: 714-966-7200

CA00760G11_FountainValley_A1_ED.indd 7 12/16/20 3:10 PM know your medications: Remember—you play an important role in helping to reduce medication errors. At Fountain Valley Regional Hospital, we want to make sure that you and your loved ones understand your medications during your hospital stay, and when you are discharged. Partner with us to know your medications.

We would like you to ask the following PREVENTING MEDICATION three questions every time a caregiver ERRORS comes to give you any medication: By taking part in your own care, you can help the members of your healthcare What is the name of the medication? team avoid medication errors. Here’s how: Why do I need to take it? Be sure that all of your doctors know what medications you have been taking, What are the possible side effects? including prescription drugs, over-the-counter medications, herbal and vitamin supplements, natural remedies and recreational drugs. If you have any questions about your medications, please ask Be sure that all of your doctors know of any allergies you may have—to before you leave the hospital. medications, anesthesia, foods, latex products, etc. Thank you for helping us help you! When you are brought medications or IV fluids, ask the person to check to be sure you are the patient who is supposed to receive the medications. Show that person your ID bracelet to double-check. questions for my doctor BE INFORMED: You and your caregiver need to stay it with your physician during your next visit. These informed about your medical condition and treatments while checklists will help you ask questions while in the hospital and you are hospitalized. Once you are released from the hospital, it keep track of vital health and medication information. is important to have this information available so you can share

ABOUT MY : Once you are discharged from the hospital, your pharmacist can help answer your questions about medications, including what the label on the medicine bottle means. Ask your pharmacist to put your medicines in easy-to-open containers, and ask for large-print labels. Also, see “Know Your Meds” above.

ABOUT MY MEDICAL TESTS ABOUT MY CONDITION Why do I need this test? What effect did my hospitalization have on my condition? Is What will this test show about my health? it cured or just under control for now? What will the test cost? Will my insurance cover the costs? How can my condition be treated, managed or made better? What do I need to do to get ready for the test? How will this condition affect me? Will I need to change How is the test done? What steps does the test involve? some of my activities? Are there any dangers or side effects? Are there long-term effects of my condition? How will I find out the results of my test? How long will it take How can I learn more about my condition? to get the results? What will we know after the test? Will I get a written copy of the test results?

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CA00760G11_FountainValley_A1_ED.indd 8 12/16/20 3:10 PM medication side effects This is a generalized list of side effects and should be used as a face, chest tightening). Discuss common side effects with your guide only. Immediately report any serious drug side effects (e.g. physician if they do not subside or become bothersome. severe fever, rash/hives, difficulty breathing, swelling of the lips/

YOUR PURPOSE OF MEDS COMMON SIDE SPECIAL INSTRUCTIONS CLASSIFICATION MEDICATION HOW IT WORKS EFFECTS and PRECAUTIONS Antibiotics Zithromax Inhibits growth of infective Diarrhea, nausea, Please finish the full course of Zosyn agents vomiting, and irritation treatment. Levaquin of mouth and throat Bactrim Pain Morphine Helps reduce inflammation Constipation, dizziness, May cause drowsiness, may be habit Ibuprofen & pain drowsiness, nausea, forming. Take with food. Tylenol vomiting, and upset Codeine stomach Heart/Blood Lisinopril Works to reduce blood Drowsiness, dizziness, and Do not stop taking these Pressure Furosemide pressure and relieve stress weakness medications without the consent of Valsartan on the heart your doctor. Coreg Blood Thinners Warfarin Inhibits the clotting of Bruising, pain, swelling, Inform all healthcare workers that (Coumadin) blood and bleeding nose and you are on these meds. Pradaxa gums Xarelto Lovenox questions for my doctor Mental and Ativan Decreases or increases Dizziness, drowsiness, Drowsiness. May be habit forming. Emotional Ambien one of several nerve blurred vision, dry mouth, The meds may require weeks of use Clonazepam transmissions and constipation before becoming effective. Thyroid and Diabetes Synthroid Inhibits or stimulates Low blood sugar, nausea, Regular lab tests or blood sugar tests Metformin hormonal activity vomiting, weight loss/gain, are required. Glyburide and changes in menstrual Insulin cycle Lungs and Breathing Albuterol Dilates the epithelial cells Nausea, vomiting, May cause insomnia. Note that some Pulmicort that line the lungs irritability, and dry mouth inhalers are needed every day even Advair when you don’t have symptoms. Brovana Stomach and Pepcid Facilitates the movement Nausea, vomiting, Report severe cramping, weakness, Digestion Protonix of the GI tract and also may flatulence, diarrhea, or fever, headache, vomiting, or Prevacid help reduce acidity constipation yellowing of the skin. Stool Softener Cholesterol Simvastatin Decreases the amount of Abdominal pain, loss of Follow diet and exercise instructions. Pravastatin cholesterol produced by the appetite, gas, indigestion, Stop taking these medications if Atorvastatin body rash, muscle pain, and dark you become pregnant and call your urine doctor immediately.

9 MAIN NUMBER: 714-966-7200

CA00760G11_FountainValley_A1_ED.indd 9 12/16/20 3:10 PM do you have pain? Manage your pain so your hospital stay is as comfortable as possible. You are the expert about how you are feeling. Be sure to tell your doctor or nurse when you have any kind of pain. TO HELP DESCRIBE YOUR PAIN, BE SURE TO REPORT: When the pain began. What, if anything, makes the pain feel better. Where you feel pain. What, if anything, makes the pain feel worse. How the pain feels—sharp, dull, throbbing, burning, tingling. How much pain, if any, your medicine is taking away. If the pain is constant, or if it comes and goes. If your medicine helps with the pain, how many hours of relief you get.

In addition, there are other non- USE THE PAIN RATING SCALE BELOW TO TELL YOUR DOCTOR OR medicinal ways to relieve pain. Speak NURSE HOW YOUR PAIN IS AFFECTING YOU. with your doctor about whether any of these treatments may be right for you: MEDICATIONS FOR PAIN Acupuncture, which uses small Pain medication may be given in different forms: needles to block pain Tablet or liquid Hypnosis Injections into your skin or a muscle (IM) Physical therapy Injections into a vein (IV) Massage Through a small tube in your back (an epidural) Exercise Via Patient-Controlled Analgesia (PCA): A method of giving medicine into the vein with Heat or cold a pump that you control so you receive medicine when you need it Electrical nerve stimulation, which uses small jolts of electricity to block pain WHAT YOU CAN DO If your current pain treatment is not working, talk with your caregiver about finding other Relaxation methods that will help reduce or relieve your pain. Some things you can do:

Are you afraid that you’ll become Hold the incision or painful area with a blanket or pillow when coughing or moving addicted to pain medicine? This Walk if your doctor allows is a common concern of patients. Studies show that addiction is Take your mind off the pain by watching a movie, reading or playing a game unlikely, especially if you have never had a history of addiction to drugs or alcohol. Talk to your doctor or nurse about your fears.

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CA00760G11_FountainValley_A1_ED.indd 10 12/16/20 3:10 PM REMEMBER Write down any questions you have speak up! Choose a support person to communicate with the doctors and staff Take charge of your care. Keep a list of doctors you see and the SPEAK UP & STEP UP meds they prescribe During your stay, the doctors, nurses and staff of your hospital will treat you SPEAK UP Ask questions and voice concerns. It’s your body, and you have a right to know. and your family as partners in your own care. One important way that you can be PAY ATTENTION Make sure you’re getting the right treatments and medicines. involved is to speak up. Ask questions, EDUCATE YOURSELF Learn about the medical tests you get and your voice your concerns, and don’t be afraid treatment plan. to raise any issues relating not only to your care and treatment, but also to FIND AN ADVOCATE Pick a trusted family member or friend to be your overall hospital services. advocate or support person. In the pages that follow, you’ll find a step­ WHAT MEDS & WHY Know what medicines you take and why you take them. by-step guide to making the most of CHECK BEFORE YOU GO Use a hospital, clinic, surgery center or other type your hospital stay—how to stay safe, get of healthcare organization that meets The Joint Commission’s quality standards. the information you need, ask the right questions and interact effectively with PARTICIPATE IN YOUR CARE You are the center of the healthcare team. your doctors, nurses and hospital staff. stay safe You can contribute to healthcare safety.

While you are in the hospital, PATIENT IDENTIFICATION many people will enter your room, Any time staff members enter your room to from doctors and nurses to aides administer medications, transport you or perform and orderlies. The following procedures and treatments, they must check your information will help make your birth date and name before they proceed. At times, Check IDs hospital stay safe and comfortable. you may be asked the same questions repeatedly. We are aware that this may be annoying. Please understand, however, that this verification process is a critical component in our patient safety program DON’T BE AFRAID TO ASK… in order to guarantee that all of our patients receive A number of people may enter your hospital room. Be sure to: the correct medications and treatments. Ask for the ID of everyone who comes into your room. Speak up if hospital staff doesn’t ask to check your ID. Ask if the person has washed his or her hands before he or she touches you. If you are told you need certain tests or procedures, ask why you need them, when they will happen and how long it will be before you get the results.

EMPLOYEE IDENTIFICATION All hospital employees wear identification badges. Feel free to ask any staff member for his or her name and job classification. If you do not see an ID badge on an employee, please call your nurse immediately.

11 MAIN NUMBER: 714-966-7200

CA00760G11_FountainValley_A1_ED.indd 11 12/16/20 3:10 PM fighting infections While you’re in the hospital to get well, there is the possibility of developing an infection. The single most important thing you can do to help prevent infections is to wash your hands and make sure that everyone who touches you—including your doctors and nurses—washes his or her hands too. You and your family should not be afraid or embarrassed to speak up and ask them to wash their hands. YOU, YOUR FAMILY AND FRIENDS SHOULD WASH HANDS: 1. after touching objects or surfaces in the hospital room 2. before eating 3. after using the restroom

NO SOAP? NO PROBLEM. Alcohol-based hand cleaners are as effective as soap and water in killing germs. To use, apply the cleaner to the palm of your hand and rub your hands together. Keep rubbing over all the surfaces of your fingers and hands until they are dry.

HAPPY BIRTHDAY TO YOU! Wash your hands with soap and warm water for 20 seconds. That’s about the same amount of time that it takes to sing the “Happy Birthday” song twice. preventing falls Hospital patients often fall because they are weak or unsteady due to illness or medical procedures, their medications make them dizzy, or they’ve been sitting or lying down for too long. Fountain Valley Regional Hospital cares about our patients’ safety. PLEASE HELP US KEEP YOU SAFE BY FOLLOWING THESE GUIDELINES DURING YOUR HOSPITAL STAY: Do not get out of bed by yourself. Your hospital bed is probably higher and narrower than your bed at home, and you can easily fall while trying to get in or out of it. Please use your nurse call button and ask for assistance. Keep often-used items—call button, tissues, water, eyeglasses, telephone, TV remote—within easy reach. Do not walk in bare feet. Wear nonskid socks or slippers. Make sure your robe or pajamas don’t drag on the floor; they can cause you to trip. Use the handrails in your bathroom and throughout the hospital at all times. Ask your nurse to show you how to properly walk with your IV pole, drainage bags or any other equipment. Be sure your wheelchair is locked when getting in or out of it. Never step on the footrest. If you see a spill on the floor, report it at once.

PATIENTS OF ALL AGES ARE AT RISK OF FALLS BECAUSE OF MEDICATIONS THAT MAY MAKE THEM DIZZY, WEAK OR UNSTEADY

MAIN NUMBER: 714-966-7200 12

CA00760G11_FountainValley_A1_ED.indd 12 12/16/20 3:10 PM “Where caring makes all the difference.”

REHABILITATION NURSING Fast Recovery Unit With: • TPN • Physical, Occupational • Complex Wound Care and Speech Therapy SUBACUTE CARE • Joint Replacement • Tracheostomy and • Stroke and Brain Injury Ventilators • Cardiac Rehabilitation ADVANCED RESPIRATORY CENTER Received HHHHH, the highest overall rating • Severe COPD and CHF From Centers for Medicare and Medicaid Services. Multicultural Program With Vietnamese-Speaking Staff 12072 Trask Ave. | Garden Grove, CA 92843 | 714-534-1942 | Fax: 714-534-0222 | pachaven.com KnoW Your Meds

Make sure you understand:

n What your n Why you need them medicines treat n How to take them

Questions about your meds? Talk to your doctor or nurse.

CA00760G11_FountainValley_ADs.indd 3 12/16/20 3:08 PM CARMEL VILLAGE Fountain Valley’s #1 Choice for

A WellQuest Living Community & Memory Care Considering safe discharge options? Carmel Village is a beautiful Independent Living, Assisted Living and Memory Care community. We have a caring, tenured Call for team to provide assistance with mobility, Move­In transferring and medication management Special! in coordination with a personalized plan of care following hospitalization. 17077 San Mateo, 714­962­6667 Fountain Valley, CA 92708 CA RCFE License #306005513 Step to PreventUp Falls

Use the nurse call button if you or a loved one needs to get out of bed.

Wear nonslip socks or footwear when walking around.

Lock your wheelchair before getting up or sitting down.

CA00760G11_FountainValley_ADs.indd 4 12/16/20 3:08 PM 714-638-9470 gardengrovech.com 12882 Shackelford Lane • Garden Grove, CA 92841

Physician On Call 24/7 Skilled Nursing Facility Physical, Occupational & Speech Therapy

Services we offer: Also provided at our facility: • IV Therapy • Vietnamese Cultural Program & • Pain Management Vietnamese-Speaking Staff • Care • Large Dining & Activity Room • Group Outings • Free Wi-Fi • Specialized Diet Services Most insurances accepted • Beautician Services

A Community Built on Healing

Research proves rest contributes to faster recovery and healing. Please help us create a quiet healing environment for our patients by speaking quietly and turning phones to silent or vibrate. Visit FountainValleyHospital.com.

CA00760G11_FountainValley_ADs.indd 5 12/16/20 3:08 PM Access your personal health IN QUICKER. information anytime, anywhere with our FREE Patient Portal. HOME FASTER. Check in online and Get 24/7 online, secure access from wait at home.

any computer, Take some of the stress out of smartphone or emergencies that aren’t life threatening: tablet! 1. Check in online. 2. Select the time you want to be seen. 3. Wait in the comfort of your home. Fountain Valley Regional Hospital doctors and specialized staff have advanced training to handle your emergency. And we have precautions in place for your safe care. Your Safe Care is our #1 Priority You can use the Patient Portal to:

View test and Receive email and text Request Rx refills lab results care reminders Social Wear Clean Separate Request physician Manage your account Access your hospital Distancing a Mask Environment Covid-19 Areas appointments and pay your bill and healthcare provider medical records

Ask your healthcare provider to help you register today or self-enroll at Check in online at FountainValleyHospital.com/Portal FountainValleyER.com

For life-threatening emergencies, call 911.

CA00760G11_FountainValley_ADs.indd 6 12/16/20 3:08 PM your satisfaction We encourage your feedback to improve care.

Your healthcare is our priority. To determine where improvements are needed, this hospital takes part in the Hospital Consumer Assessment of Healthcare CARE COMPARE is a government Providers and Systems (HCAHPS) survey. The HCAHPS survey measures your website that allows users to compare the quality satisfaction with the quality of your care. It is designed to be a standardized tool for measuring and reporting satisfaction across all hospitals in the U.S. of care provided by hospitals. The information provided on this website is based on HCAHPS After you are released from the hospital, you may be selected to participate survey results. www.medicare.gov/care - in the HCAHPS survey, which is conducted by Press Ganey Associates compare on behalf of Fountain Valley Regional Hospital. The survey asks multiple- choice questions about your hospital stay. Please take the time to fill out the

HCAHPS survey; your feedback is valuable! THE LEAPFROG GROUP rates hospitals that take part in the Leapfrog What is HCAHPS? Hospital Quality and Safety Survey. The survey The HCAHPS survey is backed by the U.S. Department of Health and Human measures how well hospitals meet the Leapfrog Services. The survey is used to improve the quality of healthcare. HCAHPS Group’s quality and safety standards. Survey makes survey results public so hospitals are aware of where changes are results are reported on Leapfrog’s website for needed. The results also enable healthcare consumers to review and compare users to compare hospitals. hospitals before choosing a healthcare provider. ratings.leapfroggroup.org What to Expect During Your Stay Our goal is to serve you and provide you with excellent quality and service- THE JOINT COMMISSION oriented care. Here’s what you can expect during your stay with us: has created quality and safety standards for Your healing and comfort are our priority. healthcare organizations. The Joint Commission Your choices and preferences matter to us. reviews, accredits and certifies healthcare organizations that meet its high standards. We are here to explain your treatment plan to you. Quality reports for all accredited organizations are We are here to provide you with many resources to educate you about your available on its website. www.qualitycheck.org medication and their effects. Ask your nurse for comforting amenities such as Quiet Packets (Earplug and Eye Cover) to help you with your rest. YOUR OPINION COUNTS We will provide you with information Soon after your discharge, a regarding your responsibilities in caring confidential patient satisfaction for yourself before your discharge from survey will be mailed to you. the hospital. Your feedback is an important We want to hear from you. Please share your experience with us. part of our goal of improving and providing excellent care and services.

13 MAIN NUMBER: 714-966-7200

CA00760G11_FountainValley_A1_ED.indd 13 12/16/20 3:10 PM your rights As a patient, you have the right to respectful and considerate to participate in pain management decisions. You may care. In addition, there are specific rights and responsibilities you request or reject the use of any or all modalities to relieve have during your hospital stay. pain, including opiate medication, if you suffer from severe chronic intractable pain. The doctor may refuse to prescribe YOU HAVE THE RIGHT TO: the opiate medication, but if so, must inform you that there Considerate and respectful care, and to be made are physicians who specialize in the treatment of pain with comfortable. You have the right to respect for your cultural, methods that include the use of opiates. psychosocial, spiritual and personal values, beliefs and Formulate advance directives. This includes designating a preferences. decision-maker if you become incapable of understanding Have a family member (or other representative of your a proposed treatment or become unable to communicate choosing) and your own physician notified promptly of your your wishes regarding care. Hospital staff and practitioners admission to the hospital. who provide care in the hospital shall comply with these Know the name of the licensed healthcare practitioner acting directives. All patients’ rights apply to the person who has within the scope of his or her professional licensure who has legal responsibility to make decisions regarding medical care primary responsibility for coordinating your care, and the on your behalf. names and professional relationships of physicians and non- Have personal privacy respected. Case discussion, physicians who will see you. consultation, examination and treatment are confidential and Receive information about your health status, diagnosis, should be conducted discreetly. You have the right to be told prognosis, course of treatment, prospects for recovery and the reason for the presence of any individual. You have the outcomes of care (including unanticipated outcomes) in right to have visitors leave prior to an examination and when terms you can understand. You have the right to effective treatment issues are being discussed. Privacy curtains will be communication and to participate in the development and used in semi-private rooms. implementation of your plan of care. You have the right to Confidential treatment of all communications and records participate in ethical questions that arise in the course of pertaining to your care and stay in the hospital. You will your care, including issues of conflict resolution, withholding receive a separate “Notice of Privacy Practices” that explains resuscitative services, and forgoing or withdrawing life- your privacy rights in detail and how we may use and disclose sustaining treatment. your protected health information. Make decisions regarding medical care, and receive as much Receive care in a safe setting, free from mental, physical, information about any proposed treatment or procedure as sexual or verbal abuse and neglect, exploitation or you may need in order to give informed consent or to refuse a harassment. You have the right to access protective and course of treatment. Except in emergencies, this information advocacy services, including notifying government agencies shall include a description of the procedure or treatment, of neglect or abuse. the medically significant risks involved, alternate courses of Be free from restraints and seclusion of any form used as a treatment or nontreatment and the risks involved in each, means of coercion, discipline, convenience or retaliation by and the name of the person who will carry out the procedure staff. or treatment. Reasonable continuity of care and to know in advance the Request or refuse treatment, to the extent permitted by law. time and location of appointments as well as the identity of However, you do not have the right to demand inappropriate the persons providing the care. or medically unnecessary treatment or services. You have Be informed by the physician, or a delegate of the physician, the right to leave the hospital even against the advice of of continuing healthcare requirements and options following members of the medical staff, to the extent permitted by law. discharge from the hospital. You have the right to be involved Be advised if the hospital/licensed healthcare practitioner in the development and implementation of your discharge acting within the scope of his or her professional licensure plan. Upon your request, a friend or family member may be proposes to engage in or perform human experimentation provided this information also. affecting your care or treatment. You have the right to refuse Know which hospital rules and policies apply to your conduct to participate in such research projects. while a patient. Reasonable responses to any reasonable requests made for Designate a support person as well as visitors of your service. choosing, if you have decision-making capacity, whether Appropriate assessment and management of your or not the visitor is related by blood, marriage or registered pain, information about pain, pain relief measures and domestic partner status, unless:

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CA00760G11_FountainValley_A1_ED.indd 14 12/16/20 3:10 PM fountainvalleyhospital.com

No visitors are allowed. disability, medical condition, marital status, age, registered The facility reasonably determines that the presence of domestic partner status, genetic information, citizenship, a particular visitor would endanger the health or safety primary language, immigration status (except as required by of a patient, a member of the health facility staff or other federal law) or the source of payment for care. visitor to the health facility, or would significantly disrupt File a grievance. If you want to file a grievance with this the operations of the facility. hospital, you may do so by writing or by calling: You have told the health facility staff that you no longer Fountain Valley Regional Hospital want a particular person to visit. 17100 Euclid St. However, a health facility may establish reasonable Fountain Valley, CA 92708 restrictions upon visitation, including restrictions upon 714-966-7200 the hours of visitation and number of visitors. The The grievance committee will review each grievance and health facility must inform you (or your support person, provide you with a written response within seven days. The where appropriate) of your visitation rights, including written response will contain the name of a person to contact any clinical restrictions or limitations. The health facility at the hospital, the steps taken to investigate the grievance, is not permitted to restrict, limit, or otherwise deny the results of the grievance process and the date of completion visitation privileges on the basis of race, color, national of the grievance process. Concerns regarding quality of care origin, religion, sex, gender identity, sexual orientation or or premature discharge also will be referred to the appropriate disability. Utilization and Quality Control Peer Review Organization (PRO). Have your wishes considered, if you lack decision-making File a complaint with the California Department of Public capacity, for the purposes of determining who may visit. Health regardless of whether you use the hospital’s grievance The method of that consideration will comply with federal process. The California Department of Public Health’s phone law and be disclosed in the hospital policy on visitation. At a number and address is: minimum, the hospital shall include any persons living in your California Hospital Association household and any support person pursuant to federal law. 1215 K St., Suite 800 Examine and receive an explanation of the hospital’s bill Sacramento, CA 95814 regardless of the source of payment. 916-443-7401 Exercise these rights without regard to sex, economic These Patient Rights combine Title 22 and other California status, educational background, race, color, religion, ancestry, laws, The Joint Commission and Medicare Conditions of national origin, sexual orientation, gender identity/expression, Participation requirements. (3/17) what are your advance directives? WHAT ARE ADVANCE DIRECTIVES? Here is a brief description of each kind of directive: A living will, healthcare proxy and durable power of attorney are the legal documents that allow you to give direction to medical LIVING WILL A set of instructions documenting your wishes about life- personnel, family and friends concerning your future care when sustaining medical care. It is used if you become terminally ill, you cannot speak for yourself. You do not need a lawyer in order incapacitated or unable to communicate or make decisions. to complete advance directives. A living will protects your rights to accept or refuse medical care PATIENT SERVICES ADVANCE and removes the burden for making decisions from your family, DIRECTIVES friends and medical professionals. You have the right to make decisions about your own medical treatment. These decisions become more difficult if, due to HEALTHCARE PROXY A person (agent) you appoint to make your medical decisions illness or a change in mental condition, you are unable to tell if you are unable to do so. Choose someone you know well and your doctor and loved ones what kind of healthcare treatments trust to represent your preferences. Be sure to discuss this with you want. That is why it is important for you to make your the person before naming him or her as your agent. Remember wishes known in advance. that an agent may have to use his or her judgment in the event of a medical decision for which your wishes aren’t known. 15 MAIN NUMBER: 714-966-7200

CA00760G11_FountainValley_A1_ED.indd 15 12/16/20 3:10 PM what are your advance directives? fountainvalleyhospital.com DURABLE POWER OF ATTORNEY choose the same person for both, or choose different people For healthcare: A legal document that names your to represent you. healthcare proxy. Once written, it should be signed, dated, witnessed, notarized, copied and put into your medical record. BIOETHICS COMMITTEE The Bioethics Committee is available to patients, physicians For finances: You also may want to appoint someone to and hospital personnel when ethical considerations or personal manage your financial affairs when you cannot. A durable dilemmas arise. You and/or your family can request a family power of attorney for finances is a separate legal document conference with your healthcare team by contacting the Social from the durable power of attorney for healthcare. You may Services Department at ext. 8171. privacy & your health information Get a report on when and why your health information was You have privacy rights under a federal law that protect your shared for certain purposes health information. These rights are important for you to know. File a complaint Federal law sets rules and limits on who can look at and receive your health information. To make sure that your health information is protected in a way that doesn’t interfere with your healthcare, your information WHO MUST FOLLOW THIS LAW? can be used and shared: Most doctors, nurses, , hospitals, , nursing For your treatment and care coordination homes and many other healthcare providers and their To pay doctors and hospitals for your healthcare and help vendors run their businesses Health insurance companies, HMOs and most employer With your family, relatives, friends or others you identify who group health plans are involved with your healthcare or your healthcare bills, Certain government programs that pay for healthcare, such unless you object as Medicare and Medicaid To make sure doctors give good care and nursing homes are clean and safe WHAT INFORMATION IS PROTECTED? To protect the public’s health, such as by reporting when the Information your doctors, nurses and other healthcare flu is in your area providers put in your medical records To make required reports to the police, such as reporting Conversations your doctor has with nurses and others gunshot wounds regarding your care or treatment Information about you in your health insurer’s computer Without your written permission, your provider cannot: system Give your health information to your employer Billing information about you at your clinic Use or share your health information for marketing or Most other health information about you held by those who advertising purposes must follow this law Share private notes about your mental health counseling sessions YOU HAVE RIGHTS OVER YOUR HEALTH Adapted from U.S. Department of Health & Human INFORMATION. Services Office for Civil Rights Providers and health insurers who are required to follow this law must comply with your right to: If you believe your health information was used or shared in a way Ask to see and get a copy of your health records that is not allowed under the privacy law, or if you weren’t able to Have corrections added to your health information exercise your rights, please contact the hospital’s privacy officer Receive a notice that tells you how your health information at 714-966-5096. You also can file a complaint with the U.S. government. Go online to https://ocrportal.hhs.gov/ocr/ may be used and shared smartscreen/main.jsf for more information. Decide if you want to give your permission before your A separate law provides additional privacy protections to patients health information can be used or shared for certain of alcohol and drug treatment programs. For more information, go purposes, such as for marketing online to www.samhsa.gov.

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CA00760G11_FountainValley_A1_ED.indd 16 12/16/20 3:10 PM be prepared How you can make your surgical procedure and follow-up care as safe as possible. As an active member of your healthcare team, you can make your surgical procedure and follow-up care as safe as possible. Here’s what you need to know.

BEFORE YOUR SURGERY sure everything on the form is correct. If you don’t understand Bring a list of any questions you have about your surgery to your something, ask questions before you sign the form. pre-surgical doctor’s visit. Bring all of your prescriptions, over-the-counter and herbal BEFORE YOUR PROCEDURE BEGINS medications you are currently taking or that you took until very Staff at the hospital or surgical center should ask you the recently. Call your surgeon, review the medications with him or following questions more than once before your surgery: her and ask if there are any you should stop taking prior to your Your name procedure. What kind of surgery you’re having Be sure your surgeon knows about any allergies you have to The part of your body that is being operated on medications and foods. A healthcare professional will mark the spot on your body that Ask your surgeon whether you can eat or drink before your is going to be operated on. Make sure he or she marks only the procedure, and if so, what kinds of food or drink, and within how correct part. If he or she makes a mistake and has to make a new many hours of your surgery. mark, be sure the old mark is completely cleaned off. Ask your surgeon whether you should remove nail polish or temporary dental appliances (such as a bridge), if you can wear deodorant or body lotion and if there are other preparations you need to make prior to surgery. Most patients need to be fasting 6 to 8 hours prior (no food or drink). Find out if you will need therapy after your surgery, who will arrange for it and whether you can have therapy at home. Arrange for transportation to and from the hospital or surgical center because you will not be able to drive yourself home. Ask a relative or friend to go to the hospital or surgical center with you, to stay during your procedure and accompany you home afterward.

ON THE DAY OF YOUR SURGERY Shower or bathe and wash your hair. Don’t wear makeup or perfume. Be sure to follow any other pre-surgery instructions you were given. If you feel ill or have a fever or cough, call your surgeon for further instructions. Leave your jewelry, money, credit cards and other valuables at IT’S HARD TO REMEMBER home. EVERYTHING YOURSELF. Allow yourself plenty of time for travel. When you meet with your doctor, bring your questions and a friend. Once you arrive at the hospital or surgical center, you will be Your friend can help listen, take notes and ask questions too! given an Informed Consent form to sign. Read it carefully. Make

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CA00760G11_FountainValley_A1_ED.indd 17 12/16/20 3:10 PM be prepared

If you won’t be awake for the marking, be sure your relative or friend watches the marking. Ask your surgeon if the team will take a “time out” just before your procedure. This is done to make sure he or she is doing the right surgery on the right body part of the right person.

AFTER YOUR SURGERY Speak up about any pain you are having and ask for relief. Be specific about the intensity and location. If you are given medications right after surgery, ask what they are and what they are for. Ask about side effects. If you are given a prescription for medications you must take while recovering, be sure you understand the instructions for the dosage, how frequently you need to take the medications and for how long. If you are given IV (intravenous) fluids right after A TEAM EFFORT surgery, ask what they are and what they are for. Be Here’s how to work with your surgical team to get the best outcome: sure someone monitors the fluid level. Know the preparations you must make before your surgery. Ask your surgeon if your activities need to be limited Get to the hospital or surgical center early on the day of your surgery. and, if so, for how long. Ask when you will be able to Review paperwork carefully before signing. resume work, exercise and travel. Make sure the proper part of your body is marked for surgery. Be sure to get instructions for post-surgical care in Get your post-surgical care instructions in writing before you leave. writing before you leave.

REFERENCE Q’S Before surgery or procedure After surgery or procedure What will happen before the (surgery or procedure)? When should I call my doctor? How long will it take? How long should I stay in bed? Where can my family wait for me? How much activity can I do? What effects (temporary or permanent) will the surgery have What type of diet should I eat? on me? How soon can I drive? What is the doctor’s experience in performing this procedure? When can I go back to work? What medicines will be prescribed (short term/long term)? Can I have sex? For how long will I have to rest at home after surgery? When should I schedule a visit to the doctor? What changes should I make in my lifestyle?

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CA00760G11_FountainValley_A1_ED.indd 18 12/16/20 3:10 PM don’t leave until... 6 things to know before you walk out that hospital door.

W hen it’s time to be released from the hospital, your 4. Follow-up care instructions. physician will authorize a hospital discharge. This doesn’t Make sure you have paperwork that tells you: necessarily mean that you are completely well—it only means what, if any, dietary restrictions you need to follow and for that you no longer need hospital services. If you disagree, you how long or your caregiver can appeal the decision (see If You Disagree, what kinds of activities you can and can’t do, and for how below). long how to properly care for any injury or incisions you have On the other hand, you may be pleased to learn that your what follow-up tests you may need and when you need to doctor has approved your discharge. But before you can leave schedule them the hospital, there are several things that you or your caregiver what medicines you must take, why, and for how long must attend to. when you need to see your physician any other home-care instructions for your caregiver, such as The first step is to know who will be involved in your discharge how to get you in and out of bed, how to use and monitor any process. This starts with the hospital’s discharge planner, equipment and what signs and symptoms to watch out for who may be a nurse, social worker or administrator, or may telephone numbers to call if you or your caregiver has any have some other title. You and your caregiver should meet this questions pertaining to your after-hospital care person relatively early in your hospital stay; if not, find out who this person is and be sure to meet with him or her well before BE SURE TO MEET WITH THE HOSPITAL’S your expected discharge date. DISCHARGE PLANNER EARLY IN YOUR STAY TO ENSURE A SMOOTH DISCHARGE PROCESS HAVE THE FOLLOWING INFORMATION LATER ON. BEFORE YOU LEAVE THE HOSPITAL: 1. Discharge summary. This is an overview of why you were in the hospital, which healthcare professionals saw you, what procedures were done and what medications were prescribed.

2. Medications list. This is a listing of what medications you are taking, why, in what dosage and who prescribed them. Having a list prepared by the hospital is a good way to double- check the information you should already have been keeping track of.

3. Rx. A prescription for any medications you need. Be sure to fill your prescriptions promptly so you don’t run out of needed medications.

IF YOU DISAGREE You or your support person can appeal your doctor’s discharge decision. If you are a Medicare patient, be sure you are given “An Important Message from Medicare” from the hospital’s discharge planner or caseworker. This details your rights to remain in the hospital for care and provides information on who to contact to appeal a discharge decision.

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CA00760G11_FountainValley_A1_ED.indd 19 12/16/20 3:10 PM don’t leave until... 5. Other services. When you leave the hospital, you may need 6. Community resources. You and your caregiver may feel to spend time in a rehabilitation facility, nursing home or other unprepared for what will happen after your discharge. Make institution. Or you may need to schedule tests at an imaging sure your discharge planner provides you with information about center, have treatments at a cancer center or have in-home local resources, such as agencies that can provide services like therapy. Be sure to speak with your nurse or physician to get all transportation, equipment, home care and respite care. the details you need before you leave.

AFTER-HOSPITAL CARE THAT IS TAILORED

TO YOUR NEEDS CAN SPEED YOUR

RECOVERY AND HELP YOU GET BACK TO

YOUR NORMAL ROUTINE.

Here’s a brief explanation of the various services that you may use during your recovery.

Home Healthcare a high level of care. Assisted living facilities provide assistance Part-time healthcare provided by medical professionals in a with medications, meals in a cafeteria or restaurant-like patient’s home to maintain or restore health. Home healthcare setting, and housekeeping services. Nursing staff is on-site. includes a range of skilled and nonskilled services, including Most facilities have social activities and provide transportation part-time nursing care, therapy and assistance with daily to doctor’s appointments, shopping, etc. activities and homemaker services, such as cleaning and meal preparation. Medicare defines home healthcare as intermittent, Nursing Home physician-ordered medical services or treatment. A residential facility for people with chronic illness or disability, particularly elderly people who need assistance for most or all Durable Medical Equipment (DME) of their daily living activities, such as bathing, dressing and Medical equipment that is ordered by a doctor for use in a toileting. Nursing homes provide 24-hour skilled care, and also patient’s home. Examples are walkers, crutches, wheelchairs are called long-term care facilities. Many nursing homes also and hospital beds. DME is paid for under Medicare Part B and provide short-term rehabilitative stays for patients recovering Part A for home health services. from an injury or illness. Some facilities also have a separate unit for residents with Alzheimer’s disease or memory loss. Independent Living Communities for seniors who are very independent and have Hospice A licensed or certified program that provides care for people few medical problems. Residents live in private apartments. who are terminally ill and their families. Hospice care can be Meals, housekeeping, maintenance, social outings and events provided at home, in a hospice or other freestanding facility, or are provided. within a hospital. Hospice care emphasizes the management of pain and discomfort and addresses the physical, spiritual, Assisted Living An apartment in a long-term care facility for elderly or disabled emotional, psychological, financial and legal needs of the people who can no longer live on their own but who don’t need patient and his or her family.

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MAIN NUMBER: 714-966-7200 PB CA00760G11_FountainValley_A1_ED.indd 20 12/16/20 3:10 PM preparing to leave the hospital fountainvalleyhospital.com

When it is time to be released from the hospital, your physician will authorize a hospital discharge. There are several team members involved in your discharge process, including the hospital’s case manager and social worker. Your case manager or nurse will go over your discharge summary with you, which summarizes your hospital stay and important things to know.

Here are a few tips to make the discharge process run smoothly: Be sure you and/or your caregiver has spoken with your case manager and nurse, and that you understand what services you may need after leaving the hospital. (See “Don’t Leave Until…” on page 19 for more discharge advice.) Verify your discharge date and time with your nurse or doctor. Checkout time is usually 11:00 a.m. Have someone available to pick you up. Check your room, bathroom, closet and bedside table carefully for any personal items. WHEN YOU ARE Make sure you or your caregiver has all necessary paperwork for billing, referrals, DISCHARGED prescriptions, etc. Your physician determines when If you had bloodwork or other tests done, be sure you know the results before you are discharged. you are ready to be discharged. Make certain your financial obligation to the hospital has been cleared by calling ext. 8077 Your physician and nurse will give or 7294. you discharge instructions and Hospital personnel will accompany you by wheelchair and assist you into your car, unless other answer any questions you have arrangements are required. about managing your treatment If transportation is not available at your time of discharge, you will be brought to a discharge and medications once you are waiting area. home. If you are confused or unsure These areas provide a safe and comfortable area for discharged patients to wait for about what you need to do, what transportation to home or other home setting, such as assisted living or board and care. medications you must take or if The discharge waiting areas are located in the main entrance lobby of the main hospital and the you have to restrict your diet or lobby of the east tower. activities, don’t be afraid to ask and take notes. BILLING AND INSURANCE: WHAT A HOSPITAL BILL COVERS Be sure you understand any The hospital bill covers the cost of your room, meals, 24-hour nursing care, laboratory work, tests, instructions you have been given medication, therapy and the services of hospital employees. You will receive a separate bill for before you leave the hospital. professional fees from each physician/specialist (e.g., cardiologist, radiologist, anesthesiologist, pathologist) who provides services to you for your care. If you have questions about these separate bills, please call the number printed on each statement. The hospital is responsible for submitting bills to your insurance company and will do everything possible to expedite your claim. You should remember that your policy is a contract between you Keep in touch! and your insurance company, and you have the final responsibility for payment of your hospital bill Sign up for our monthly e-newsletter and any physician bills related to your care. and continue your health by receiving preventive health tips, information on PRE-CERTIFICATION new services available at the hospital Most insurance plans now require pre-certification for hospital stays and certain tests and and upcoming events/lectures. procedures in order for you to be eligible for full policy benefits. It is your responsibility to see that Visit fountainvalleyhospital.com to this is completed. This information can be found on your insurance card. If you are unsure of your sign up. pre-certification requirements, we recommend that you contact your insurance company as soon Facebook.com/ as possible. Facebook.com/FVRMC FaFVRMCcebook.com/FVRMC COORDINATION OF BENEFITS (COB) @FVRMC Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are @FVRMC@FVRMC covered under two or more insurance policies. This usually happens when spouses or partners are

21 MAIN NUMBER: 714-966-7200

PB MAIN NUMBER: 714-966-7200 CA00760G11_FountainValley_A1_ED.indd 21 12/16/20 3:10 PM preparing to leave the hospital fountainvalleyhospital.com

listed on each other’s insurance policies, both parents carry their children on their individual policies GOVERNMENT or there is eligibility under two federal programs. This also can occur when you are involved in a PROGRAMS YOU motor vehicle accident and have medical insurance and automobile insurance. MAY QUALIFY Most insurance companies have COB provisions that determine who is the primary payer when FOR medical expenses are incurred. This prevents duplicate payments. COB priority must be identified If you are in need of assistance with your hospital bill, you may at admission in order to comply with insurance guidelines. Your insurance may request a completed qualify for: COB form before paying a claim, and every attempt will be made to notify you if this occurs. The Medicaid/Medi-Cal hospital cannot provide this information to your insurance company. You must resolve this issue Temporary Assistance for with your insurance carrier in order for the claim to be paid. Needy Families Social Security Disability MEDICARE This hospital is an approved Medicare provider. All services billed to Medicare follow federal Supplemental Security guidelines and procedures. Medicare has a COB clause. At the time of service, you will be asked Income County Indigent to answer questions to help determine the primary insurance carrier paying for your visit. This is Victims of a Violent Crime Fund referred to as an MSP Questionnaire and is required by federal law. Your assistance in providing You may obtain a Medi-Cal accurate information will allow us to bill the correct insurance company. application online at: Medicare deductibles and coinsurance are covered by your secondary insurance. If you do not have www.dhcs.ca.gov/services/ medi-cal/pages/applyfor secondary insurance, you will be asked to pay these amounts or establish a payment plan. If you are medi-cal.aspx unable to pay these amounts, we will help you determine if you qualify for a state-funded program. MEDICAID We will need a copy of your Medicaid card. Medicaid has payment limitations on a number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary. COMMERCIAL INSURANCE As a service to our customers, we will forward a claim to your commercial insurance carrier based on the information you provide at the time of registration. It is very important for you to provide all related information such as policy number, group number and the correct mailing address for your insurance company. FOR SELF-PAY PATIENTS Patient Financial Services Department will send statements for payment of self-pay accounts. You will receive two to three billing statements and two to three telephone calls over a 90-day period to obtain a payment or to make payment arrangements. If payment arrangements are not established and no payment is made during the 90-day period, the account will be placed with a collection agency. If you need an itemized statement, you can obtain one by calling our customer service department at 866-904-6871. If you have any questions regarding your billing statement, please call the number printed on the statement. MEDICAL ELIGIBILITY PROGRAM (MEP) The Medical Eligibility Program is a hospital service provided to you at no cost. You may qualify for government programs that pay for all or part of your hospital and medical expenses. If you are under 21 or over 65 years old, have children in the household, are pregnant, potentially disabled or have been a victim of crime, you may qualify. Our hospital patient advocates will assist you with the application process.

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CA00760G11_FountainValley_A1_ED.indd 22 12/16/20 3:10 PM for the caregiver Your role as a patient advocate. While your loved one is in the hospital, who will speak up for him or her? You can, by being the patient’s advocate—the person who will help the patient work with doctors, nurses and hospital staff. To help your loved one make the best decisions about his or her care and treatment, follow the advice in the caregiver list below. While you are making sure that your loved one’s needs are being met, don’t neglect your own. Caregiving is a stressful and time- consuming job. You may neglect your diet, your normal exercise routine and your sleep needs. You may find that you have little or no time to spend with friends, to relax or just be by yourself for a while. But downtime is important. Don’t be reluctant to ask for help in caring for your loved one. Find out more about how you can ease the stress of caregiving at www.caregiver.org.

CAREGIVER... CAREGIVER RESOURCES

Know what condition Eldercare Locator your loved one is being treated for. 800-677-1116 eldercare.acl.gov Patient’s rights Help with locating aging services Know your patient rights and throughout the U.S. responsibilities (see page 14). 800-MEDICARE Advance directives Official U.S. government resource for Know whether or not your loved one has people with Medicare an advance directive and if so, what it specifies (see page 15). National Academy of Elder Law Attorneys Ask questions www.naela.org If your loved one is too ill or reluctant to ask Legal help for seniors and people questions, make note of his or her concerns with special needs and any you may have, and don’t be afraid to speak up (see Speak Up! on page 11). National Alliance for Caregiving www.caregiving.org Help track medications Support for family caregivers and the Your loved one may be prescribed professionals who serve them medications while in the hospital and may be seen by several doctors. Keep track of it www.acl.gov Caregiver Action Network all with a wallet-sized notebook. Caregiver resources from the 202-454-3970 Administration for Community Living www.caregiveraction.org What’s next? Support for caregivers of chronically ill, Will your loved one need home care or www.caregiving.com aged or disabled loved ones care at another facility? Ask to speak with Online support groups and articles a case manager to find out what your on caregiving options are.

23 MAIN NUMBER: 714-966-7200

CA00760G11_FountainValley_A1_ED.indd 23 12/16/20 3:10 PM Viruses or Bacteria What’s got you sick?

Antibiotics are only needed for treating certain infections caused by bacteria. Viral illnesses cannot be treated with antibiotics. When an antibiotic is not prescribed, ask your healthcare professional for tips on how to relieve symptoms and feel better.

Common Cause Are Common Condition Antibiotics Bacteria Bacteria Virus Needed? or Virus

Strep throat Yes

Whooping cough Yes

Urinary tract infection Yes

Sinus infection Maybe

Middle ear infection Maybe

Bronchitis/chest cold (in otherwise healthy children No* and adults)*

Common cold/runny nose No

Sore throat (except strep) No

Flu No

* Studies show that in otherwise healthy children and adults, antibiotics for bronchitis won’t help you feel better.

To learn more about antibiotic prescribing and use, visit www.cdc.gov/antibiotic-use.

MAIN NUMBER: 714-966-7200 24

CA00760G11_FountainValley_A1_ED.indd 24 12/16/20 3:10 PM IN QUICKER. HOME FASTER. Check in online and wait at home.

Take some of the stress out of emergencies that aren’t life threatening: 1. Check in online. 2. Select the time you want to be seen. 3. Wait in the comfort of your home. Fountain Valley Regional Hospital doctors and specialized staff have advanced training to handle your emergency. And we have precautions in place for your safe care. Your Safe Care is our #1 Priority

Social Wear Clean Separate Distancing a Mask Environment Covid-19 Areas

Check in online at FountainValleyER.com

For life-threatening emergencies, call 911.

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