GUIDE Your Guide to Patient Services

DESERT REGIONAL MEDICAL CENTER

1150 North Indian Canyon Dr., Palm Springs, CA 92262 | (760) 323-6511 DesertCareNetwork.com

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CA03436G09_DesertRMC_COV_B1.indd 1 6/24/20 10:27 AM CA03436G09_DesertRMC_ADs.indd 1 6/26/20 1:51 PM Long-Term, Respite and Day Programs Respecting the past, anticipating the future

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Home Health provided “At Your Service” • Our clinicians are trained to provide expert, accurate, and compassionate care in your home • Medical services provided by licensed nurses 7 days a week, 24 hours a day • Physical, occupational, and speech therapists dedicated to your rehabilitation • Industry-leading clinical outcomes Ask your discharge planner about our services.

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

Turn to p. 13 for more tips to Step help you stay safe.

DESERT REGIONAL to PreventUp Falls MEDICAL CENTER

Desert Regional Medical Center is not, in any way, responsible for the advertisements in this booklet. Desert Regional Medical Center makes no representation or endorsement of any kind related to the advertised services, entities, or businesses. Desert Regional Medical Center receives no remuneration in exchange for any advertisement.

CA03436G09_DesertRMC_ADs.indd 2 6/26/20 1:51 PM IN THIS GUIDE DesertCareNetwork.com

Welcome to Desert Regional Medical Center ...... 2 SERVICIOS DE Our Commitment to Care & Your Satisfaction ...... 3-4 INTÉRPRETES Patient Information 5 A DISPOSICIÓN Visitor Information ...... 6 DE NUESTROS Physicians & Nurses Caring for You 7-8 PACIENTES Food & Nutrition ...... 8 n Los servicios del intérprete para el lenguaje, la Services ...... 9 audiencia y/o la visión ASK ME 3® 10 deterioradas están Speak Up & Stay Safe 11-14 disponibles para el Do You Have Pain? ...... 15 paciente y sus familias. Medication Side Effects ...... 16 n Si usted está en la necesidad de los servicios Blood Transfusions & Blood Clots ...... 17 del intérprete notifican Patient Rights & Responsibilities ...... 18-19 su personal o dial “0” del Privacy & Your Health Information ...... 20 hospital para entrar en Advance Directives ...... 21 contacto con al operador Preparing to Leave the Hospital ...... 22 del hospital. n Si usted no está satisfecho Billing & Insurance Coverage ...... 23 con nuestro servicio de Staff Definitions 24 interprete, por favor TV Channel Listing 25 contacta (760) 323-6441. Silent Help Healing ...... 26 Usted también puede The DAISY Award ...... 27-28 contractar el California Department of Public Health, Riverside District TELEPHONE DIRECTORY Office, 625 East Carnegie Admitting (760) 323-6123 Drive, Suite 280, San Cafeteria (760) 323-3036 Bernardino, CA 92408. Cashier (760) 323-6127 Teléfono (909) 388-7170. Chaplain Services (760) 323-6165 Financial Counseling (760) 323-6602 Food Service (760) 323-3451 MAIN NUMBER Gift Shop (760) 323-6240 (760) 323-6511 Housekeeping (760) 323-6208 Medical Records (760) 323-6331 WEBSITE DesertCareNetwork.com Notary Public (760) 323-6394 Operator 0 CALLING WITHIN Patient Relations (760) 323-6312 THE HOSPITAL Physician Referral (800) 491-4990 Dial the last four digits of the Security Services (760) 323-6214 number. Social Services (760) 323-6611 Volunteer Services (760) 323-6394 CALLING YOUR ROOM DESERT REGIONAL Advertisements in this Guide are purchased Call the main number (760) independently and do not indicate an 323-6511 and ask for the room MEDICAL CENTER endorsement by Desert Regional Medical Center. number or patient name. The editorial content displayed here is the responsibility of PatientPoint. This material is for your educational use only. It does not contain, nor should it be construed as containing, medical advice. Talk to your doctor before making any lifestyle or treatment changes. Sponsors are responsible for the material provided, and your healthcare provider’s participation in the program does not represent an explicit or implied endorsement of any material presented. The people shown are models and are not known to have any health condition. Images are for illustrative purposes only. Image credits: Getty Images, iStockphoto. ©2020 PatientPoint®

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CA03436G09_DesertRMC_ED_B1_8X10.indd 1 6/24/20 10:31 AM WELCOME TO DESERT REGIONAL MEDICAL CENTER

Thank you for choosing Desert Regional Medical Center to meet your healthcare needs. The staff of Desert Regional Medical Center is committed to providing you the highest quality care as we fulfill our mission to be the hospital you trust to care for those you love. Founded in 1948, Desert Regional Medical Center is a 385-bed hospital that offers services unique to the Coachella Valley. We are the region’s only designated Trauma Center, and we provide the only neonatal intensive care unit. We also offer outpatient , including our Comprehensive Cancer Center, our Institute of Clinical Orthopedics and Neurosciences and Advanced Wound Healing Center. Rest assured that you are receiving some of the region’s highest levels of care. Our hospital is accredited by The Joint Commission and has received advanced certification for our programs in heart failure, perinatal care, hip and knee replacement, and spine surgery. We have received Get With the Guidelines® awards from the American Heart Association for heart failure and stroke, and we are the first hospital in Riverside and MISSION San Bernardino counties to be named a Comprehensive Stroke Center by DNV GL, an The Hospital You Trust To international accrediting organization. Care For Those You Love We want you to receive excellent care in a comfortable environment. Please let your nurse or one of our staff members know if there is anything you need during your time VISION with us. To Be The Hospital Where: This guide is designed to orient you to Desert Regional Medical Center and to n Choose To Get answer some common questions you may have during your stay. Our patients and Their Care n Physicians Choose To families contributed to its contents with the goal of making your stay easier. We hope Practice this guide answers questions you have. We wish you all the best. n Employees Choose To Work ABOUT US VALUES Founded in 1948, DRMC is a 385-bed tertiary hospital located in Palm n Patient Focus Springs. Our emergency department is the Coachella Valley’s only designated Trauma n Accountability Center serving more than 8,000 square miles of Southeastern California. DRMC is n Compassion fully accredited by The Joint Commission and is the recipient of many awards and n Continuous Improvement designations for providing high-quality patient care. n Diversity n Innovation OUR MEDICAL SERVICES n Integrity n n n Joy Acute Inpatient Rehabilitation Unit Laboratory and Pathology n Teamwork n Cardiology and Heart Surgery n Neonatal Intensive Care Unit n Comprehensive Cancer Center n Neurosurgery and Breast Center n Pediatrics n Comprehensive Stroke Center n Physical, Occupational and Speech n Bariatric Surgery Therapies n Diagnostic Imaging n Pulmonary Services n General Medical and Surgical Services n Skilled Facility n Institute of Clinical Orthopedics n Trauma Center and 24-hour ER and Neurosciences n Women and Infants’ Center/Obstetric n Intensive Care Unit (Adult) n Wound Care

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At this time, when you may feel overwhelmed by being in the hospital, the employees OUR GOAL IS TO and volunteers of Desert Regional Medical Center want to do everything we can to PROVIDE THE BEST assist you with any questions you might have and alleviate any fear or frustration. PATIENT CARE Our goal is to provide the best patient care possible. If, at any time, you have questions POSSIBLE. or concerns about the quality of care that you are receiving or have received at our If, at any time, you have hospital, please speak with your nurse or the nursing supervisor. If you feel that your questions or concerns about issue was not resolved, please contact Patient Relations at (760) 323-6312. Preferably, the quality of care that you we ask you to communicate your concerns or compliments while you are in the hospital are receiving or have received at our hospital, please speak so we can rectify your situation. However, you may call at any time during or after your with your nurse or the nursing stay, and we will be delighted to follow through with the staff involved in your care. supervisor. If you feel that Patient relations volunteers may visit you to make sure everything is meeting or your issue was not resolved, exceeding your level of satisfaction. Our volunteers are trained to listen, so feel free please contact Patient to share your thoughts. Please let them know if there is any problem with your room, Relations at (760) 323-6312. food services, or communicating with your physician or nurse. We want to make the corrections necessary to ensure your stay is as pleasant as possible. ETHICS COMMITTEE When a healthcare choice also involves an ethical concern—such as a family member’s wish to refuse life-sustaining treatment, or a disagreement between family members or other caregivers concerning advance directives—decision-making can become overwhelming. Our Bioethics Committee is available to hear such concerns. Requests for a consultation may be made by you, a family member, the physician, nurse or other staff member. To find out more or to request a consultation, please ask your physician or nurse to contact the bioethics chair. Desert Regional Medical Center urges you to get involved in your care. You, as the patient, play a vital role in making your care safe by becoming an active, involved and informed member of your healthcare team. The following is simple advice on how you can help make your hospital stay a positive and safe experience.

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CA03436G09_DesertRMC_ED_B1_8X10.indd 3 6/24/20 10:31 AM 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 HOSPITAL COMPARE is a government of Health Providers and Systems (HCAHPS) survey. The HCAHPS website that allows users to compare the quality survey measures your satisfaction with the quality of your care. It of care provided by hospitals. The information is designed to be a standardized tool for measuring and reporting provided on this website is based on HCAHPS satisfaction across all hospitals in the U.S. survey results. After you are released from the hospital, you may be selected to www.medicare.gov/hospitalcompare/search.html participate in the HCAHPS survey. The survey asks multiple-choice questions about your hospital stay. Please take the time to fill out the THE LEAPFROG GROUP rates hospitals HCAHPS survey; your feedback is valuable! that take part in the Leapfrog Hospital Quality and Safety Survey. The survey measures What is HCAHPS? how well hospitals meet the Leapfrog Group’s The HCAHPS survey is backed by the U.S. Department of Health quality and safety standards. Survey results and Human Services. The survey is used to improve the quality of are reported on Leapfrog’s website for users to healthcare. HCAHPS makes survey results public so hospitals are compare hospitals. aware of where changes are needed. The results also enable healthcare www.leapfroggroup.org/compare-hospitals consumers to review and compare hospitals before choosing a healthcare provider. THE JOINT COMMISSION has created quality and safety standards for healthcare organizations. The Joint Commission reviews, YOU ARE PART OF THE TEAM accredits and certifies healthcare organizations that meet its high standards. Quality reports for COMMUNICATE: It’s your health; don’t be afraid to ask your all accredited organizations are available doctors and nurses questions. on its website. www.qualitycheck.org

PARTICIPATE: You are the center of your healthcare team so ask questions, understand your treatment plan and medications, and communicate with your doctors and nurses.

APPRECIATE: There are hundreds of people in the hospital who need help; please be patient as doctors and nurses attend to everyone.

YOUR OPINION COUNTS Soon after your discharge, an independent company may call you on behalf of this hospital to conduct a confidential patient satisfaction survey. Please take the time to speak with the representative and share your opinions about your hospital stay. Your feedback is an important part of our goal of improving the care and services we provide.

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We have policies and procedures in place to help you and your family work with our doctors, nurses and staff to get the most from your hospital stay. Please take a few minutes to review these guidelines with your loved ones. PATIENT GUIDELINES Smoking The hospital is a tobacco-free campus. This means that smoking of tobacco products of any kind is not permitted anywhere on the hospital property. This applies to all patients, family members, visitors, staff, volunteers and physicians.

Fire Safety The hospital periodically conducts fire drills. Stay where you are if you hear an alarm. In the event of an actual emergency, hospital staff will notify you.

Electrical Appliances Electrical appliances with cords including hairdryers, curling irons, razors, radios, heating pads, portable heaters, DVD players and other devices are not permitted in the patient’s rooms. You may use only battery-operated devices.

Wireless Internet A Wi-Fi network is provided for your convenience. Sign on to the “DRMC guest” network.

Cameras Use of cameras and photography within the hospital is not allowed without appropriate permission from hospital administration.

PERSONAL BELONGINGS Please limit the personal items you need in the hospital. These must remain in your control at all times. This includes: n Cellphones n Hearing aids and extra batteries n Assistive devices (walker, cane, dentures, eyeglasses) n Bathroom supplies (shampoo, toothbrush, toothpaste, deodorant, denture cup and cleaning supplies, comb or brush, shaver, lip balm, lotion) n Phone calling card if you think you will make long-distance calls n Reading material (books, magazines or money for the gift shop)

The hospital is not responsible for lost or missing items. Please do not keep money, valuables, credit cards, purses or wallets in your room. If you wish to secure any valuable items in the hospital safe, please contact your nurse.

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VISITOR GUIDELINES Upon arrival to the hospital, please check in with Security at the main entrance to receive your visitor pass. The pass must be worn at all times in all areas of the hospital. Each patient has the right to receive the visitors he or she designates and has the right to withdraw or deny such consent at any time. Visitors will not be restricted, limited or otherwise denied visitation privileges on the basis of race, color, national origin, religion, sex, gender identity or expression, sexual orientation or disability. We will support the patient’s right in allowing a support person visitation if there is not a valid clinical restriction or limitation. We encourage visitors for emotional support and recovery. To provide a restful and safe environment, we ask that all visitors comply with the following guidelines: n Be considerate of other patients by keeping noise to a minimum. n Refrain from visiting if you have a cold, sore throat or any contagious disease. n Observe precaution signs before entering the room. n Leave the room during tests or treatments if asked. n Please remember there is no smoking on the premises of the hospital campus. PARKING For your convenience, valet parking is available from 7:00 a.m. through 5:00 p.m. Monday through Friday at the main hospital entrance. Tipping is not required. PUBLIC RESTROOMS Please do not use the bathrooms in patient rooms. They are reserved only for patients in order to protect their health. Public restrooms are located throughout the hospital. WAITING ROOMS Waiting areas are available throughout the hospital. As a courtesy to all families using such areas, large groups are asked to limit the number of people in waiting areas. Visitors are encouraged to keep noise to a minimum. Please avoid bringing personal items such as pillows, blankets, etc., to the hospital. Waiting areas are not monitored or secure, so do not leave personal items unattended. Use of electrical appliances such as coffee pots, crock pots, etc., are not permitted. Overnight sleeping in waiting areas is discouraged. If you do not have overnight accommodations, please ask a staff member for help with the appropriate accommodations. Confinement in waiting areas is difficult for young children; families are encouraged to avoid having children in waiting areas for lengthy times. Children must be closely supervised at all times and maintain quiet and appropriate behavior.

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CA03436G09_DesertRMC_ED_B1_8X10.indd 6 6/24/20 10:31 AM PHYSICIANS & NURSES CARING FOR YOU DesertCareNetwork.com

PATIENT AND EMPLOYEE/STAFF the high quality of care that you expect as a patient at Desert IDENTIFICATION Regional Medical Center. Hospital identification bracelets are placed on all patients. Check the accuracy of your name, date of birth and TESTS AND TREATMENTS medical record number. Make sure that all staff checks your You may be awakened during the night for monitoring identification bracelet before any procedure, treatment, and treatment. This will be done with the least amount of test or medication is administered. You should have your disruption possible. On most units, you will be awakened identification bracelet on at all times. If it comes off, ask early in the morning for vital signs (temperature, pulse, someone to get you another one. respiratory rate, etc.). Also laboratory specimens often are Please note that hospital employees and staff are required obtained in the morning. This allows your physician to have to wear a badge at all times while on duty. The badge will current information about your condition. normally be displayed between the collar and the waist. The badge may vary in color depending on the status of the MEDICATIONS AND ALLERGIES caregiver. It is important to tell your admitting nurse about any allergies you have, including food and medication allergies. PHYSICIAN VISITS Your nurse will need to have a list of all of your home Many physicians make their hospital rounds in the medications including dosage and frequency. This includes afternoon or evening, after their office hours or surgery prescription and over-the-counter medications as well as schedule. natural supplements.

CALLING YOUR NURSE MEDICATIONS FROM HOME To speak with a nurse, please call the number on the Medications brought from home (prescription, over-the- whiteboard or push the button on the hand-held unit or bed counter or illegal drugs) are not permitted. All medications rail. This will turn on a light at the nurses station, and the you take while a patient at Desert Regional Medical Center nurse can speak with you through the intercom system or have been prescribed by your physician, are dispensed come to your room to assist you. by the hospital and administered by a trained professional. Patients are not permitted to administer BEDSIDE HANDOFF their own medications or keep personal medications, We conduct a bedside shift handoff to keep you better unless approved by their physician. If you have brought informed about your plan of care, medications, tests and medications from home, they will be sent to the pharmacy progress while you are here. This process involves the nurses for safekeeping and will be returned to you when you are and you. At shift change, you will be introduced to your discharged. oncoming nurse and bedside reporting will take place to QUIET KITS ensure proper communications. Quite Kits are available to help you get rest and maintain In the event that you have visitors in your room at the time your comfort during your stay. Quiet Kits include ear plugs, of the handoff, or if any time you feel uncomfortable about an eye mask, lip balm, pencil and paper for questions or the information being discussed, please let your nurse know comments, and a puzzle book for your enjoyment. Your and arrangements will be made to honor your wishes. The nurse can bring you a kit, as well as other personal grooming staff will inform you ahead of time before the change of shift items and hand sanitizer, upon your request. handoff. If you are sleeping, the verbal report will be done privately elsewhere to ensure your continued rest, unless you RAPID RESPONSE ask us to wake you up during the handoff. If you or your family has a concern over a sudden change in We know that performing handoff at the bedside will your medical condition, please contact your nurse or medical benefit you, as a patient, by keeping you informed of your professional immediately or dial 0 from any hospital phone. condition and involved in your care. It allows us to maintain This includes:

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CA03436G09_DesertRMC_ED_B1_8X10.indd 7 6/24/20 10:31 AM PHYSICIANS & NURSES CARING FOR YOU continued

n A change in alertness STROKE IS AN EMERGENCY … EVERY n Sudden changes in breathing, either faster or slower MINUTE COUNTS – ACT F.A.S.T.! n Something that just doesn’t “seem right” It is important to be familiar with the signs of stroke. It is important to Act F.A.S.T. The Rapid Response Team is a group of critical care nurses Face Does one side of the face droop? Ask the person and respiratory therapists trained to respond if it appears to smile. that you are rapidly getting sicker. The Rapid Response Team Arms Is one arm weak or numb? Ask the person to works with your caregivers as an expert set of eyes, ears and raise both arms. Does one arm drift downward? hands to respond to your needs and concerns. The Rapid Speech Is speech slurred? Ask the person to repeat Response Team is not intended to replace the staff on a simple sentence. Is the sentence repeated your unit. correctly? Time If the person shows any signs of these symptoms, contact the nursing staff immediately.

FOOD & NUTRITION DesertCareNetwork.com

CLINICAL NUTRITION SERVICES Our highly qualified team of registered dietitians is PATIENT MEALS While in the hospital, your doctor will prescribe a diet available seven days per week to discuss any nutritional for you. If you have a special need or request, please concerns and provide diet education upon request. speak with your catering associate. Meals are delivered at approximately 6:30 a.m., 11:30 a.m. and 4:30 p.m. At DESERT PALMS CAFÉ (CAFETERIA) times, your meal may have to be changed, delayed or Our hospital café is available for patients’ families and canceled due to exams, tests, isolation or surgery. Your visitors. For your safety, it is against policy for patients food services representative is available to assist you with nutritional needs. If you have any questions, please to purchase items directly from the café. Located on the call the food and nutrition supervisor at ext. 3451. ground floor, directly behind the information desk, the cafeteria is open for hot meals for: n Breakfast: 6:30 a.m. to 10:00 a.m. n Lunch: 10:30 a.m. to 2:30 p.m. n Dinner: 4:30 p.m. to 7:00 p.m. COFFEE KIOSK (LOBBY) Our barista proudly serves Starbucks coffees, espresso, cappuccino, latte, frozen beverages and a variety of other hot and cold drinks. There also are hot and cold food items and snacks available. We are open Monday through Friday. Hours vary. VENDING MACHINES Vending machines offering beverages and snacks are located throughout the hospital. They are available 24 hours a day, seven days a week.

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ATM For your convenience, an automated teller machine (ATM) is located in the hospital lobby near the gift shop. CHAPLAIN SERVICES Chaplains are here to help you with your spiritual needs. Volunteer chaplains are available to make patient visits daily. If you would like to receive chaplain services or would like assistance in contacting your own spiritual minister, please ask you nurse or dial 0 and the hospital operator will assist you. Everyone is welcome to use our chapel (open 24 hours a day), located on the first floor near the main entrance of the hospital. GIFT SHOP The Desert Regional Medical Center Hospital Auxiliary operates a gift shop in the main lobby. The gift shop carries a variety of items including cards, stuffed animals, snacks, toys, books and seasonal decorations. The gift shop accepts MasterCard, Visa and cash. Hours for the gift shop are: n Monday through Friday: 9:00 a.m. to 8:00 p.m. n Saturday: 9:30 a.m. to 4:30 p.m. n Sunday: 10:00 a.m. to 4:00 p.m. HANSON HOUSE Hanson House is a “home away from home” for the loved ones of critically ill and injured hospitalized patients, cancer center patients receiving chemotherapy and radiation treatment, parents of newborn babies, and military and first responder families. Services are provided at low or no cost. Hanson House guests stay as long as their loved one remains in critical condition. Please ask your nurse or case manager for details. HOUSEKEEPING SERVICES All patient rooms are thoroughly cleaned and sanitized for each new patient and also cleaned daily. Should you require additional housekeeping needs, please call Environmental Services at ext. 6208 from your room phone.

FLOWERS & MAIL Flowers/Balloons: If flowers arrive for you, we will bring them right to your room. No flowers are allowed in the intensive care units. Flowers and plants received after your discharge will be returned to the florist so they can be sent to your home. Latex balloons are not allowed in the hospital because many people are allergic to latex.

Mail: Volunteers deliver patient mail daily. Any letter or package sent to you while you are at the hospital will be brought to your room.

The hospital’s address is: Desert Regional Medical Center 1150 N. Indian Canyon Dr. Palm Springs, CA 92262

For questions about mail, please contact Volunteer Services at ext. 6394.

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CA03436G09_DesertRMC_ED_B1_8X10.indd 9 6/24/20 10:31 AM Every time you talk with a provider ASK THESE 3 QUESTIONS 1 2 3

What is What do Why is it my main I need important problem? to do? for me to do this?

When to ask questions What if I ask and still Who needs to ask 3? You can ask questions when: don’t understand? Everyone wants help with • You see a doctor, nurse, • Let your health information. You are pharmacist, or other know if you still don’t not alone if you find information health care provider. understand what you need. about your health or care confusing at times. Asking • You prepare for a medical • You might say, “This is new test or procedure. questions helps you understand to me. Will you please explain how to stay well or to get better. • You get your . that to me one more time?” • Don’t feel rushed or embarrassed if you don’t understand something. Ask your health care provider again.

Ask Good Questions for Your Good Health Me3

To learn more, visit ihi.org/AskMe3 Ask Me 3 is a registered trademark licensed to the Institute for Healthcare Improvement. IHI makes Ask Me 3 materials available for distribution. Use of Ask Me 3 materials does not mean that the distributing organization is affiliated with or endorsed by IHI.

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CA03436G09_DesertRMC_ED_B1_8X10.indd 10 6/24/20 10:31 AM Speak UP! Take charge of your care. During your stay, the doctors, nurses and staff of your hospital will treat you and your family as partners in your own care. One important way that you can be involved is to speak up. “Wait A Minute” (WAM) is a process we use to keep our patients safe. If you see something that is or could be a patient safety concern, please speak up and notify a Desert Regional Medical Center employee. You are part of the team, and everyone has a role to play. When a safety issue is discovered, we conduct a debriefing to discuss the concern, and we will ask you to be involved; your input is vital to help keep our patients safe. REMEMBER n Write down any questions you have n Choose a support person to communicate with the SPEAK UP & STEP UP doctors and staff n SPEAK UP Keep a list of doctors you see and the medications they prescribe Ask questions and voice concerns. It’s your body, and you have a right to know. PAY ATTENTION Make sure you’re getting the right treatments and . EDUCATE YOURSELF Learn about the medical tests you get and your treatment plan. FIND AN ADVOCATE Pick a trusted family member or friend to be your advocate or support person. WHAT MEDICATIONS & WHY Know what medicines you take and why you take them. CHECK BEFORE YOU GO Use a hospital, , surgery center or other type of healthcare organization that meets The Joint Commission’s quality standards. PARTICIPATE IN YOUR CARE You are the center of the healthcare team.

Courtesy of The Joint Commission.

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CA03436G09_DesertRMC_ED_B1_8X10.indd 11 6/24/20 10:31 AM PLEASE LET US HELP YOU STAY SAFE You can contribute to healthcare safety. While you are in the hospital, many people will enter your room including doctors, nurses and aides. The following information will Check ID make your hospital stay safe and comfortable.

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.

DON’T BE AFRAID TO ASK… A number of people may enter your hospital room. Be sure to: n Ask for the ID of everyone who comes into your room. n Speak up if hospital staff doesn’t ask to check your ID. n Ask if the person has washed his or her hands before he or she touches you. n 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. FIGHTING Infections Proper handwashing, or de-germing with alcohol hand gel, is the single most effective way to prevent infections. At Desert Regional Medical Center, we strive to keep our patients infection free. Our employees are all expected to wash their hands or use alcohol hand gel before and after patient contact. Please feel free to ask your caregivers before they take care of you, “Did you wash and de-germ your hands?” Please ask your nurse for assistance regarding isolation precautions. This information will keep you and your family members safe from unnecessary infections.

YOU, YOUR FAMILY AND FRIENDS SHOULD WASH HANDS AFTER TOUCHING OBJECTS OR SURFACES IN THE HOSPITAL ROOM, BEFORE EATING AND AFTER USING THE RESTROOM.

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CA03436G09_DesertRMC_ED_B1_8X10.indd 12 6/24/20 10:32 AM PREVENTING Falls FALLS RISK: Hospital patients often fall because they are weak or unsteady due to illness or medical procedures, their A Self-Assessment* medications make them dizzy, or they’ve been sitting or Do you think there is the possibility that you might be lying down for too long. Desert Regional Medical Center at risk for falling while you’re in the hospital, or has your cares about our patients’ safety. caregiver indicated that you may be a Fall Risk? PLEASE HELP US KEEP YOU SAFE BY To find out, let’s answer the following questions as FOLLOWING THESE GUIDELINES DURING truthfully as possible. You should ask your caregiver for YOUR HOSPITAL STAY. assistance if necessary. n Do not get out of bed by yourself. Your hospital bed QUESTIONS: YES NO SCORE is probably higher and narrower than your bed at Do you have a history of falling? 1 0 home, and you can easily fall while trying to get in or out of it. Please use your nurse call button and ask for Do you experience dizziness and/or 1 0 assistance. have trouble keeping your balance? n Keep often-used items—call button, tissues, water, Is walking difficult due to muscle 1 0 eyeglasses, telephone, TV remote—within easy reach. weakness, stiff joints or foot problems? n Do not walk in bare feet. Wear nonskid socks or Do you use an assistive device when 1 0 slippers. walking such as a cane or walker? n Make sure your robe or pajamas don’t drag Do you have history of fractures? 1 0 on the floor; they can cause you to trip. n Use the handrails in your bathroom and throughout Have you had a surgical 1 0 procedure recently? the hospital at all times. n Ask your nurse to show you Are you on more than three medications? 1 0 how to properly walk Do you have problems with your vision? 1 0 with your IV pole, Do you make frequent or hurried trips to drainage bags or any the toilet, or did your caregiver tell you 1 0 other equipment. that you are taking a medication that will n Be sure your give you strong urges to go to the toilet? wheelchair Do you have a fear of falling? 1 0 is locked when Are you experiencing problems with 1 0 getting in or out of concentration, confusion or dizziness? it. Never step on Do you have any of the following the footrest. medical conditions: low blood sugar, 1 0 n If you see low blood pressure or overweight? a spill on TOTAL RISK POINTS FIGHTING Infections the floor, report it Risk Scale: 0-2 points minimal risk for falling; at once. 3-5 points moderate risk for falling; >6 points high risk for falling The areas listed above make you at risk for falling and PATIENTS OF ALL AGES should not be seen as a deterrent to standing or walking; ARE AT RISK OF FALLS BECAUSE OF moreover, this is meant to help you be aware of your fall risk MEDICATIONS THAT MAY MAKE and to ask for assistance when necessary. THEM DIZZY, WEAK OR UNSTEADY *Assessment is not based on the Morse Fall Scale and should not be interpreted as such.

13 MAIN NUMBER: (760) 323-6511

CA03436G09_DesertRMC_ED_B1_8X10.indd 13 6/24/20 10:32 AM PLEASE LET US HELP YOU STAY SAFE ROOM/TOILETING SAFETY n Do not get out of bed if you have taken a sleeping aid. n Know the location of the call light, bed control, television n Remember to call for assistance. If you are unsteady on control and bathroom. your feet, do not get out of the bed, stand up from a chair n Ask your caregiver to keep the commode, bedpan or urinal or go to the bathroom by yourself. Good times to ask for within your reach (especially if you are taking laxatives or assistance are when we take your temperature, after meals water pills such as Lasix or Bumex). and before bedtime. n Please wear the hospital-issued slippers with grips or other n Have your nurse or the nurse’s aide orient you to the room. appropriate footwear at all times when out of bed. n Remind your caregivers to place the call light within your n Please do not leave the unit without notifying your nurse. reach. Do You Need VACCINES? Vaccines work with your immune system to help protect you from infections and disease. As you age, you’re more at risk of certain health conditions because your immune system isn’t as strong as it used to be. And if you do get sick, the symptoms can be more serious.

Three types of vaccines are especially received the older vaccine. You’ll need two doses, two to six important for older adults, including: months apart.

Influenza Vaccine—The flu vaccine Pneumococcal Vaccines—These vaccines can is recommended for all ages every year, and prevent serious infections like pneumonia and meningitis. there are special vaccines for adults over Pneumococcal polysaccharide or PPSV23: You need at age 65. You need the vaccine every year because the flu virus least one dose of this vaccine after you turn 65 years old. changes over time. Pneumococcal conjugate or PCV13: Adults age 65 and Zoster or Herpes Zoster Vaccine—The CDC older may need one dose of this vaccine one year before recommends a shingles vaccine called Shingrix for all adults receiving the PPSV23 vaccine. Talk to your doctor about age 50 and older—even if you’ve already had shingles or whether you should get the PCV13 vaccine.

Stop Pressure INJURIES TURN, TURN, TURN EVERY TWO HOURS What puts someone at risk for a bed sore (pressure n Patient/caregiver education on pressure injuries injuries) development? development, treatment and preventive measures. n Ill and has to stay in bed or a chair, either at home or in a Other factors to consider are: hospital. n Eating habits n Cannot move because of an illness or medical condition. n Sweating (moisture) n Painful when moving. n Bladder- and bowel- associated conditions n A surgery that may take longer than three hours. n Skin cleaning and care n Incontinence (moisture from stool or urine). What if you have a pressure injury or one develops? How do you stop bed sores (pressure injuries)? Sometimes it is not possible to prevent a pressure injury Physicians or nurses will help you take steps to stop a from developing despite everyone’s best efforts. The physician pressure injury from developing by one or more of the and/or nurse will use actions to help the injuries heal, such as following: a special cover dressing. It is important that the steps taken to n Changing or helping to change position at regular periods try and stop pressure injuries from developing continue to be of time, at least every two hours. used during the entire treatment of the pressure injuries and n Provide specialty beds and/or cushions for wheelchairs and after discharge, if necessary. Ask your physician or nurse for chairs. more information on pressure injury development, treatment and preventive measures. MAIN NUMBER: (760) 323-6511 14

CA03436G09_DesertRMC_ED_B1_8X10.indd 14 6/24/20 10:32 AM Access your personal health information anytime, anywhere with our FREE Patient Portal.

Get 24/7 online, secure access from any computer, smartphone or tablet!

You can use the Patient Portal to:

View test and Receive email and text Request Rx refills lab results care reminders Request physician Manage your account Access your hospital appointments and pay your bill and healthcare provider medical records

Ask your healthcare provider to help you register today. DesertCareNetwork.com/portal

DESERT REGIONAL MEDICAL CENTER

Desert Regional Medical Center is not, in any way, responsible for the advertisements in this booklet. Desert Regional Medical Center makes no representation or endorsement of any kind related to the advertised services, entities, or businesses. Desert Regional Medical Center receives no remuneration in exchange for any advertisement.

CA03436G09_DesertRMC_ADs.indd 3 6/26/20 1:51 PM Devonshire Care Center Post-Acute Services Devonshire Care Center offers 24-hour licensed professional nursing care to individuals dealing with illness or recovering from injury as well as those seeking extended stays.

We provide post-acute medical • Spacious Private and Semi-Private Rooms and rehabilitation services to • Comfortable Common and Lounge Areas patients with many conditions, • Recreation Rooms, Dining Rooms and Private including, but not limited to: Dining Rooms for Family Gatherings pulmonary impairment, diabetes • Beautiful Gardens and Courtyards management, wound care, joint • Beauty Salon/Barber Services replacement, orthopedic injuries, • Cable Television and Wireless Internet stroke and neurological • Housekeeping and Laundry Facility On-Site conditions, cardiac-related • Mail and Newspaper Service problems, and oncology care. • Pharmaceutical Delivery Service

951-925-2571 1350 E. Devonshire Avenue Hemet, CA 92544

Desert Regional Medical Center is not, in any way, responsible for the advertisements in this booklet. Desert Regional Medical Center makes no representation or endorsement of any kind related to the advertised services, entities, or businesses. Desert Regional Medical Center receives no remuneration in exchange for any advertisement.

CA03436G09_DesertRMC_ADs.indd 4 6/26/20 1:51 PM When Only the Best Care Will Do

Assisted Living • Luxurious one-bedroom and spacious studio apartments with kitchenettes • 24-hour staffing • Licensed nurse overseeing , wellness programs • Three delicious meals and snacks included, served in elegant surroundings • Scheduled (wheelchair-equipped) bus transportation • Beauty salon on premises • Much more

(760) 322-3955 • www.hallmarkpalmsprings.com Lie. # 336412441 344 N. Sunrise Way, Palm Springs, CA 92262

Locally Owned and Operated Since 1975

A Caring Hands representative is available to answer Caring Hands any and all questions, Coachella Valley 24 hours a day, 7 days a week Meet owner Debbie Olson For Your FREE Evaluation,

Please Call 760.323.1122 or A Referral Agency for Custodial 760.341.7160 and Respite Care "We Refer Professional Caregivers” 490 S. Farrell Dr #202 Palm Springs CA 92262 CaringHandsCoachellaValley.com

Home Health Aides • Certified Nurse Assistants • Personal Care Aides & Companions

Where Heart and Mind Meet to Serve and Care

• Always at your service 24 • Social services and home hours a day, 7 days a week health aides • Certified nurses specialized • English, Spanish and Tagalog in wound care, mental health, spoken (interpreter services orthopaedic and cardiac care for other languages available at no charge) • Physical, occupational and speech therapy  Call Us: (760) 318-9006

558 S. Paseo Dorotea, Unit 3 • Palm Springs, CA 92264 • www.deserthomehealth.net

Desert Regional Medical Center is not, in any way, responsible for the advertisements in this booklet. Desert Regional Medical Center makes no representation or endorsement of any kind related to the advertised services, entities, or businesses. Desert Regional Medical Center receives no remuneration in exchange for any advertisement.

CA03436G09_DesertRMC_ADs.indd 5 6/26/20 1:51 PM

LIFTA CHILD YOU LOVE WITHOUT THEYOU HIP HATE PAIN

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TAKE OUR FREE ONLINE RISK ASSESSMENT www.DesertCareNetwork.com/ConquerHipPain If you’ve tried it all to reduce hip pain, it may be time to consider a more permanent medical solution. Start with a free, online assessment to evaluate the health of your hips. We o er minimally invasive options that may eliminate hip pain and get you back to a more active lifestyle. Visit DesertCareNetwork.com to nd a doctor near you, or call (844) 819-6554.

DESERT INSTITUTE OF CARE CLINICAL ORTHOPEDICS NETWORK & NEUROSCIENCES www.deserticon.com

CA03436G09_DesertRMC_ADs.indd 6 6/26/20 1:51 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: n When the pain began. n Where you feel pain. n How the pain feels—sharp, dull, throbbing, burning, tingling. n If the pain is constant, or if it comes and goes. n What, if anything, makes the pain feel better. n What, if anything, makes the pain feel worse. n How much, if any, pain your medicine is taking away. n If your medicine helps with the pain, how many hours of relief you get. USE THE PAIN RATING SCALE TO TELL YOUR DOCTOR OR NURSE HOW SEVERE YOUR PAIN IS. MEDICATIONS FOR PAIN In addition, there are other Pain medications are ordered as needed and may be given in different forms. nonmedicinal ways to relieve pain. You may not self-administer pain medication brought from home. Speak with your doctor about n Tablet or liquid whether any of these treatments n Injections into your skin or a muscle (IM) may be right for you: n Injections into a vein (IV) n Acupuncture, which uses small n Through a small tube in your back (an epidural) needles to block pain n Via Patient-Controlled Analgesia (PCA): A method of giving medicine into n Physical therapy the vein with a pump that you control so you receive medicine when you n Exercise need it n Electrical nerve stimulation, which uses small jolts of WHAT YOU CAN DO electricity to block pain If your current pain treatment is not working, talk with your caregiver about n Hypnosis finding other methods that will help reduce or relieve your pain. Some things n Massage you can do: n Heat or cold n Hold the incision or painful area with a blanket or pillow when coughing or n Relaxation moving n Walk if your doctor allows

Are you afraid that you’ll n Take your mind off the pain by watching a movie, reading or playing a game become addicted to pain medicine? This is a common concern of patients. Studies show that addiction is unlikely, especially if you have never had a history of addiction to drugs or alcohol. Talk to your doctor or nurse about your fears.

01983 Wong.Saker FACEse Foundation. Visit us at www.wongbake-rFACES.org. used with permission.

15 MAIN NUMBER: (760) 323-6511

CA03436G09_DesertRMC_ED_B1_8X10.indd 15 6/24/20 10:32 AM COMMON MEDICATION SIDE EFFECTS

Drug Class Examples Indication - Common Side Effects What is it for? Antibiotics Cipro, Levaquin, Keflex, Bacterial infections Diarrhea, Nausea, Light Amoxicillin, Bactrim Sensitivity Anticoagulants Lovenox, Coumadin, Protection from Blood Bruising, Nose bleeds, Heparin, Xarelto Clots Gum Bleeding Anticonvulsants Dilantin, Phenobarbital Seizures Drowsiness, Dry mouth, Blurred vision, Constipation Anti-Diabetics Glucotrol, Micronase, High blood sugar levels Tiredness, Dizziness, Glyburide, Metformin Confusion, Shakiness, Hunger, Stomach Upset Anti-Fungals Clotrimazole, Fluconazole Fungal infections Diarrhea, Nausea Anti-Inflammatories Naproxen, Aspirin, Inflammation, Swelling Heartburn, Nausea, Motrin, Celebrex Stomach Upset, Cramps Anti-Nauseants Zofran, Compazine, Nausea Drowsiness, Dizziness, Phenergan, Reglan, Light- headedness, Dry Meclizine, Scopolamine Mouth Blood Pressure Lopressor, Toprol, High blood pressure Tiredness, Dizziness, Loss Medications Cozaar, Lisinopril of Balance Heart Protective Agents Digoxin, Propranolol, Improve heart Altered heart rate, Amiodarone contraction and heart Dizziness, Tiredness rate Allergy Medication Benadryl, Claritin, Congestion Tiredness, Dry mouth, Sudafed, Afrin Increased Heart Rate, Constipation Diuretics (water pills) Hydrochlorothiazide, Fluid retention Dizziness, Frequent Dyazide, Lasix, Bumex urination Cholesterol Medication Zocor, Lipitor, High Cholesterol Gl irritation, Loose stool, cholestyramine, Gas, Muscle cramps Simvastatin Inhalers Albuterol, Advair, Breathing difficulties Altered heart rate, Dry Symbicort, Serevent Mouth, Anxiety Muscle Relaxants Flexeril, Lioresal, Soma, Muscle strain Drowsiness, Dry mouth, Robaxin Blurred vision, Nicotine Supplements Nicoderm, Habitrol Patch, Smoking Cessation Increased heart rate, Vivid Nicorette dreams, Mood Changes Pain Medication Vicodin, Oxycontin, Pain Control Drowsiness, Itching, Norco, Dilaudid, Tiredness, Constipation Morphine, Fentanyl Sedatives Ativan,Klonopin, Resto ril, For Anxiety and Sleep Dizziness, Drowsiness, Ambien, Lunesta, Sonata Daytime sleepiness, Confusion Our pharmacy department also offers consultation for patients who would like more information. Please contact our department by calling ext. 6205

MAIN NUMBER: (760) 323-6511 16

CA03436G09_DesertRMC_ED_B1_8X10.indd 16 6/24/20 10:32 AM BLOOD TRANSFUSIONS & BLOOD CLOTS DesertCareNetwork.com

BLOOD TRANSFUSIONS Community Donors. Hospitals maintain a supply of If you need blood, you have several options. These options blood from volunteer (unpaid) community donors to meet include receiving blood from the community, using your transfusion needs. Community blood donors are screened own blood (autologous) or blood from donors that you have by a thorough medical history, then tested with the most selected (designated donors). Your options may be limited accurate technology available. by time and health factors. Although you have the right Our nation’s blood supply is very safe and high in quality. to refuse a blood transfusion, this decision may hold life- Nothing in life is risk free; however, the risks associated with threatening consequences. blood transfusions are very small. The chance that a unit It is important to weigh the risks, costs and benefits of (pint) of blood will transmit Human Immunodeficiency donating your own blood before surgery. Many elective Virus (HIV) (the virus that causes Acquired surgeries do not require blood transfusions. If you have Immunodeficiency Syndrome (AIDS)) or hepatitis C is questions about transfusion needs or options, please ask your about one in 2 million. The chance that a unit (pint) will doctor. Check with your insurance company about your transmit hepatitis B is less than one in 200,000. Although costs for donation. If you choose not to donate your own the risk for other serious infections exists, that risk is much blood, or if more blood is required than expected, you may less than the annual risk of dying in a motor vehicle accident receive blood other than your own. in the United States (one in 7,000). Donating BEFORE Surgery. Blood banks can draw your blood and store it for your use. This process usually BLOOD CLOTS is performed for a planned surgery. Blood can be stored Protect yourself from blood clots while in the hospital: for only a limited period of time, so coordinating the n Are you at risk of developing a blood clot? Some donations with the date of surgery is important. of the risk factors for developing a blood clot while in Donating DURING Surgery and/or After Surgery. the hospital include immobility (sitting too much); not Immediately before surgery, your doctor may be able to walking; recent surgery; some acute and chronic medical remove some of your blood and replace it with other fluids. conditions; obesity; smoking; dehydration; varicose veins or you have a previous history of blood clots. After surgery, the blood that was removed may be returned to you. n What can you do to prevent blood clots while in the hospital? Your physician will assess your risk for blood In addition, the surgeon may be able to recycle your blood clots, and if you are not walking, will request that you during surgery. Blood that normally is shed and discarded use stockings that inflate and deflate with air (sequential during surgery could be collected, processed and returned compression devices – SCDs) and/or order a medication to you. A large volume of your blood can be recycled in this that thins the blood. way. n Do you know the symptoms of developing a blood Blood that is lost after surgery may be collected, filtered clot? You will probably not see the clot develop as this and returned to you. is an internal condition. It will present itself in the leg Designated Donors. Although the blood supply today or arm as a deep vein thrombosis (DVT). Possibly you is very safe, some patients prefer to receive blood from will experience pain, swelling, redness, discoloration or people they know – “designated (or directed) donors.” This warmth at the site. It also could develop in the lungs as a pulmonary embolus blood is not safer than blood from volunteer community (PE). The symptoms will be shortness of breath, chest pain, donors. In some cases, it may be less safe because donors fast heart rate or an unexpected cough (may even be bloody known to the patient may not be truthful about his or cough). her personal history. Blood donated by someone who was The consequences of a blood clot can be serious, causing recently exposed to HIV or other infections could pass the long-term medical problems like permanent swelling in the screening tests and infect you. legs, varicose veins, leg ulcers and even death. When your Designated donors must meet the same requirements as nurse or doctor begins treatment to prevent blood clots, community donors. Several days notice is required for the take care of yourself and go along with the treatment. To be effective, you must use these methods of prevention additional processing of designated donors. correctly. If you have additional questions about your options for The best way to prevent blood clots is to “get moving” blood transfusion, please ask your doctor. Information also and out of bed as soon as possible. can be obtained by calling your local community blood center or hospital blood bank.

17 MAIN NUMBER: (760) 323-6511

CA03436G09_DesertRMC_ED_B1_8X10.indd 17 6/24/20 10:32 AM RIGHTS & RESPONSIBILITIES DesertCareNetwork.com PATIENT RIGHTS You and/or your representative has the right to: proposes to engage in or perform human experimentation 1. Considerate and respectful care, and to be made affecting your care or treatment. You have the right to comfortable. You have the right to respect for your cultural, refuse to participate in such research projects. psychosocial, spiritual and personal values, beliefs and 8. Reasonable responses to any reasonable requests made for preferences. The right to an environment that preserves service. dignity and contributes to a positive self-image. 9. Appropriate assessment and management of your 2. Have a family member (or other representative of your pain, information about pain, pain relief measures, and choosing) and your own physician notified promptly of to participate in pain management decisions. You may your admission to the hospital. request or reject the use of any or all modalities to relieve 3. Know the name of the licensed healthcare practitioner pain, including opiate medication, if you suffer from severe acting within the scope of his or her professional licensure chronic intractable pain. The doctor may refuse to prescribe who has primary responsibility for coordinating your care, the opiate medication, but if so, must inform you that there and the names and professional relationships of physicians are physicians who specialize in the treatment of pain with and non-physicians who will see you. methods that include the use of opiates. 4. To receive information about your health status, diagnosis, 10. Formulate advance directives. This includes prognosis, course of treatment, prospects for recovery and designating a decision-maker if you become incapable of outcomes of care (including unanticipated outcomes) in understanding a proposed treatment or become unable to terms you can understand. You have the right to effective communicate your wishes regarding care. Hospital staff communication, and to participate in the development and practitioners who provide care in the hospital shall and implementation of your plan of care. You have the comply with these directives. All patients’ rights apply to right to be provided information in a manner that meets the person who has legal responsibility to make decisions your needs if you have a vision, speech, hearing or cognitive regarding medical care on your behalf. impairment. You have the right to participate in ethical 11. Have personal privacy respected. Case discussion, questions that arise in the course of your care, including consultation, examination and treatment are confidential issues of conflict resolution, withholding resuscitative and should be conducted discreetly. You have the right services, and forgoing or withdrawing life-sustaining to be told the reason for the presence of any individual. treatment. You have the right to have visitors leave prior to an 5. Make decisions regarding medical care, and receive as examination and when treatment issues are being much information about any proposed treatment or discussed. Privacy curtains will be used in semi-private procedure as you may need in order to give informed rooms. consent or to refuse a course of treatment. This right also 12. Confidential treatment of all communications and extends to your healthcare representative if you are unable records pertaining to your care and stay in the hospital. to make decisions. Except in emergencies, this information You will receive a separate “Notice of Privacy Practices” shall include a description of the procedure or treatment, that explains your privacy rights in detail, and how we the medically significant risks involved, alternate courses may use and disclose your protected health information. of treatment or nontreatment and the risks involved in 13. Receive care in a safe setting, free from mental, each, and the name of the person who will carry out the physical, sexual or verbal abuse and neglect, exploitation procedure or treatment. You and/or your healthcare or harassment. You have the right to access protective representative has the right to give or withhold informed and advocacy services including notifying government consent to produce or use recordings, films or other images agencies of neglect or abuse. of you for purposes other than your care. 14. Be free from restraints and seclusion of any form used as a 6. Request or refuse treatment, to the extent permitted means of coercion, discipline, convenience or retaliation by law. However, you do not have the right to demand by staff. inappropriate or medically unnecessary treatment or 15. Reasonable continuity of care and to know in advance services. You have the right to leave the hospital even the time and location of appointments, as well as the against the advice of members of the medical staff, to the identity of the persons providing the care. extent permitted by law. 16. Be informed by the physician, or a delegate of the 7. Be advised if the hospital/licensed healthcare practitioner physician, of continuing healthcare requirements and acting within the scope of his or her professional licensure options following discharge from the hospital.

MAIN NUMBER: (760) 323-6511 18

CA03436G09_DesertRMC_ED_B1_8X10.indd 18 6/24/20 10:32 AM DesertCareNetwork.com

You have the right to be involved in the development condition, marital status, registered domestic partner and implementation of your discharge plan. Also, status or the source of payment for care. upon your request, a friend or family member may be 22. File a grievance. If you want to file a grievance with this provided this information. hospital, you may do so by writing or calling: Desert 17. Know which hospital rules and policies apply to Regional Medical Center, Patient Relations Advocate: your conduct while a patient. Be informed of your 1150 N. Indian Canyon Dr., Palm Springs, CA 92262, responsibilities related to your care, treatment and (760) 323-6312. The grievance committee will review services. each grievance and provide you with a written response 18. Be informed of your right and/or your representative’s within seven days. The written response will contain right regarding visitation, including any clinically the name of a person to contact at the hospital, the necessary or reasonable restrictions and/or limitations. steps taken to investigate the grievance, the results of You and/or your representative has the right to consent the grievance process, and the date of completion of to receive visitors whom you designate including, but the grievance process. Concerns regarding quality of not limited to, a spouse, a domestic partner (including a care or premature discharge also will be referred to same-sex domestic partner), another family member or a the appropriate Utilization and Quality Control Peer friend, and your right to withdraw or deny such consent Review Organization (PRO). at any time. To know the health facility is not permitted 23. File a complaint with the California Department to restrict, limit or otherwise deny visitation privileges of Public Health regardless of whether you use the on the basis of race, color, national origin, religion, hospital’s grievance process. The California Department sex, gender identity or expression, sexual orientation of Public Health’s phone number and address is: or disability. To be ensured that all visitors enjoy full California Department of Public Health, Riverside and equal visitation privileges consistent with patient District Office, 625 E. Carnegie Dr., Suite 280, San preferences. Bernardino, CA 92408, (909) 388-7170. 19. You have the right to access protective and advocacy 24. File a complaint with The Joint Commission:The services. Joint Commission’s phone number and address is: The 20. Examine and receive an explanation of the hospital’s Joint Commission, One Renaissance Blvd., Oakbrook bill regardless of the source of payment. Terrace, IL 60181; fax 630-792-5636 or visit www. 21. Exercise each of these rights without regard to age, sex, jointcommission.org, then click “Report a Safety Event.” socioeconomic status, educational background, race, 25. File a complaint as a Medicare beneficiary to the color, religion, ethnicity, cultural language, ancestry, Center for Medicare Services - Quality Improvement national origin, sexual orientation, gender identity or Organization (CMS-QIO), Health Services Advisory expression, physical or mental disability, medical Group (HSAG); California Medicare Beneficiary Complaints Helpline by calling (866) 800-8749. PATIENT RESPONSIBILITIES 1. Provide accurate and complete information to your 7. Be considerate of the rights of other patients and hospital healthcare providers about your present and past medical personnel. conditions and all other matters pertaining to your health. 8. Know which hospital rules and policies apply to your 2. Reporting unexpected changes in your condition to conduct while a patient. your healthcare providers. 9. Fulfill your financial obligations to the hospital as 3. Informing your healthcare providers whether or not you promptly as possible. understand the plan of care and what is expected of you. These Patient Rights incorporate the requirements of The Joint 4. Follow the treatment plan recommended by your Commission; Title 22, California Code of Regulations, Section healthcare providers. 70707; Health and Safety Code sections 1262.6, 1288.4, and 5. Keep appointments and, if you cannot, notify the proper 124960; and 42 C.F.R. Section 482.13 (Medicare Conditions person. of Participation). 6. Know the consequences of your own actions if you refuse treatment or do not follow the healthcare providers’ Updated 6/19/13 instructions.

19 MAIN NUMBER: (760) 323-6511

CA03436G09_DesertRMC_ED_B1_8X10.indd 19 6/24/20 10:32 AM PRIVACY & YOUR HEALTH INFORMATION DesertCareNetwork.com

If you believe your health You have privacy rights under state and federal law that protect your health information was used or information. These rights are important for you to know. These laws set rules and shared in a way that is not limits on who can look at and receive your health information. Normally physicians allowed under the privacy and hospital staff will address only patient or other duly authorized individuals. law, or if you weren’t able to exercise your rights, WHO MUST FOLLOW THIS LAW? you can file a complaint or n All doctors, nurses, , hospitals, clinics, nursing homes and many other report to staff or the hospital healthcare providers and their vendors. compliance officer. n Health insurance companies, HMOs and most employer group health plans. n Certain government programs that pay for healthcare, such as Medicare and HOW DO I GET Medicaid. COPIES OF WHAT INFORMATION IS PROTECTED? MY MEDICAL n RECORDS? Information your doctors, nurses and other healthcare providers put in your medical records. Contact the Health n Conversations your doctor has with nurses and others regarding your care or Information Management Correspondence Department treatment. n by calling (760) 323-6133 for Information about you in your health insurer’s computer system. information on obtaining n Billing information about you at your clinic. copies of medical records. n Most other health information about you held by those who must follow this law. YOU HAVE RIGHTS OVER YOUR HEALTH INFORMATION. Providers and health insurers who are required to follow these laws must comply with your right to: n Ask to see and get a copy of your health records. n Request to amend patient information. n Receive a notice that tells you how your health information may be used and shared. n Decide if you want to give your permission before your health information can be used or shared for certain purposes, such as for marketing. n Get a report on when and why your health information was shared for certain purposes. n File a complaint.

To make sure that your health information is protected in a way that doesn’t interfere with your healthcare, your information can be used and shared: n For your treatment and care coordination. n To pay doctors and hospitals for your healthcare. n With your family, relatives, friends or others you identify who are involved with your healthcare, unless you object. n To make required reports to the police, such as reporting gunshot wounds. n To disclose medical information about you for public health activities. Without your written permission, your provider cannot: n Give your health information to your employer. n Use or share your health information for marketing or advertising purposes. n Share private notes about your mental health counseling sessions.

Adapted from U.S. Department of Health & Human Services Office for Civil Rights

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CA03436G09_DesertRMC_ED_B1_8X10.indd 20 6/24/20 10:32 AM WHAT ARE YOUR ADVANCE DIRECTIVES? DesertCareNetwork.com

A living will, healthcare proxy and durable power or make decisions. A living will protects your rights to of attorney are the legal documents that allow you to accept or refuse medical care and removes the burden for give direction to medical personnel, family and friends making decisions from your family, friends and medical concerning your future care when you cannot speak for professionals. yourself. You do not need a lawyer in order to complete advance directives. HEALTHCARE PROXY You must provide a new advance directive each time you A person (agent) you appoint to make your medical change your advance directive. You will be requested to decisions if you are unable to do so. Choose someone you provide a new copy on your next visit to the hospital. know well and trust to represent your preferences. Be sure For more information about advance directives or to to discuss this with the person before naming him or her as obtain forms, please speak with your nurse. your agent. Remember that an agent may have to use his or Additional information and blank forms are available at: her judgment in the event of a medical decision for which www.desertcarenetwork.com/services/hospice/advance- your wishes aren’t known. directives DURABLE POWER OF ATTORNEY PATIENT SERVICES ADVANCE For healthcare: A legal document that names your DIRECTIVES healthcare proxy. Once written, it should be signed, dated, You have the right to make decisions about your own witnessed, notarized, copied and put into your medical medical treatment. These decisions become more difficult if, record. due to illness or a change in mental condition, you are unable For finances:You also may want to appoint someone to to tell your doctor and loved ones what kind of healthcare manage your financial affairs when you cannot. A durable treatments you want. That is why it is important for you power of attorney for finances is a separate legal document to make your wishes known in advance. Here is a brief from the durable power of attorney for healthcare. You may description of each kind of directive: choose the same person for both, or choose different people to represent you. LIVING WILL A set of instructions documenting your wishes about ORGAN DONATIONS life-sustaining medical care. It is used if you become Are you a registered organ donor? To register or read terminally ill, incapacitated or unable to communicate more, go to www.organdonor.gov.

PATIENT PORTAL need your email address and a four-digit secret code (last Get Access four of: SSN, MRN or mother’s birth year) in order to send Our patient portal is an online tool available to patients who an invitation. The email invitation will be sent to your email have been admitted to the hospital. Patients can better manage account with instructions to create a secure patient portal their health by accessing the patient portal through our main account. hospital website at DesertCareNetwork.com/portal. If you don’t receive an email or have trouble activating your Get Informed account, please contact the Patient Portal Support Center at Whether you want to view your test results (not all test results (888) 252-8149. will be available), see your list of medications or share information with your doctor, the answers you need are easily accessible MANAGE YOUR HEALTH AT online at DesertCareNetwork.com/portal. YOUR CONVENIENCE Get Registered Our patient portal is available 24/7 from your computer or smart These are two ways to register for your secure patient portal device account. Use the patient portal to: 1. During the hospital admission process, a registration n Access your inpatient health records, including procedures, representative will ask you for your email address. An email immunizations, medications and allergies invitation will be sent to your email account with instructions n Download your health information to share with other to create a secure patient portal account. doctors 2. During hospitalization prior to being discharged, a nursing representative can send an invitation to you. He or she will n Pay your hospital bill n View your lab results

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ACUTE REHABILITATION Desert Regional Medical Center offers both inpatient and outpatient rehabilitation services for stroke patients and those patients who have had spinal cord and brain injuries. In addition, we provide cardiac and pulmonary outpatient services. Please discuss any questions you have with your physician.

WHEN YOU ARE DISCHARGED Your physician determines when you are ready to be discharged. Your physician and nurse will give you discharge instructions and answer any questions you have about managing your treatment and medications once you are home. If you are confused or unsure about what you need to do, what medications you must take or if you have to restrict your diet or activities, don’t be afraid to ask and take notes. Be sure you understand any instructions you have before going home. GOING HOME When your doctor feels that you are ready to leave the hospital, he or she will authorize a hospital discharge. Here are a few questions to consider about going home: n Do you have someone to help you at home? n Do you have someone to drive you home? n Do you have a doctor to see after you go home? n Do you have the ability to get your medicine when you go home? If you have answered no to any of these questions, let your nurse know so we can have someone talk to you about your discharge plan.

Some additional tips that may help your discharge go smoothly are: n Verify your discharge date and time with your nurse or doctor, and let your family or friends know so that they can be prepared to help you with transportation home. n Check your room, bathroom, closet and bedside table carefully for personal items. n Ask for any valuables that you may have stored in the hospital safe. n Make sure you or your caregiver has all necessary paperwork for billing, referrals, medication, etc. SOCIAL SERVICES As a member of your healthcare team, social workers are available to support you and your loved ones throughout your hospitalization and when you are being discharged. Social workers provide assessment and referral services that can assist you in understanding and managing your medical, psychological and social concerns. Ask your nurse for more information.

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FINANCIAL COUNSELING In some cases, a financial counselor may contact you while you’re in the hospital pertaining to co-pays/self-pay portions for your current admission. If you have any questions about your insurance coverage or hospital bill, financial counselors are available. Please call ext. 6602 to arrange an appointment. WHAT A HOSPITAL BILL COVERS The hospital bill covers the cost of your room, meals, 24-hour nursing care, tests, medication, therapy and the services of hospital employees. You will receive a separate bill from your physicians for their professional services. This includes, but is not limited to, radiology, pathology, anesthesia, Emergency Department and any physician treating you while in the hospital. If you have questions about these separate bills, please call the number printed on each statement. COMMERCIAL The hospital is responsible for submitting bills to your insurance company and will do INSURANCE everything possible to expedite your claim. You should remember that your policy is a As a service to our customers, we will forward a claim to your contract between you and your insurance company, and you have the final responsibility commercial insurance carrier for payment of your hospital bill. based on the information you provide at the time PRE-CERTIFICATION of registration. It is very Most insurance plans now require pre-certification for hospital stays and certain tests and important for you to provide procedures in order for you to be eligible for full policy benefits. It is your responsibility all related information such as to see that this is completed. This information can be found on your insurance card. If you policy number, group number are unsure of your pre-certification requirements, we recommend that you contact your and the correct mailing insurance company as soon as possible. address for your insurance company. COORDINATION OF BENEFITS (COB) Coordination of Benefits, referred to as COB, is a term used by insurance companies IF YOU HAVE NO when you are covered under two or more insurance policies. This usually happens when INSURANCE spouses or partners are listed on each other’s insurance policies, when both parents carry A representative of the Business Office will discuss their children on their individual policies, or when there is eligibility under two federal financial arrangements with programs. This also can occur when you are involved in a motor vehicle accident and have you. You also may speak with medical insurance and automobile insurance. a hospital representative Most insurance companies have COB provisions that determine who is the primary payer from the Social Services when medical expenses are incurred. This prevents duplicate payments. COB priority must department to assist you be identified at admission in order to comply with insurance guidelines. Your insurance in applying for Medicaid or may request a completed COB form before paying a claim, and every attempt will be made other government-assisted to notify you if this occurs. The hospital cannot provide this information to your insurance programs. company. You must resolve this issue with your insurance carrier in order for the claim to Please call the MEP Office at be paid. (760) 323-6592 for more information. MEDICARE We will need a copy of your Medicare card to verify eligibility and to process your claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and co-payments are the patient’s responsibility. MEDICAID/MEDI-CAL We will need a copy of your Medicaid card. Medicaid has payment limitations on a number of services and items. Please check with Medicaid and Medi-Cal for further details.

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PHYSICIANS DIETITIANS Your primary care physician, a resident physician on A registered dietitian will review your medical record duty or a hospitalist will supervise your care while you and work with your healthcare team to develop a are in the hospital. nutrition care plan for you. Registered dietitians also are available to educate you about any diets you may need to PHYSICIAN HOSPITALISTS follow after you are discharged. A hospitalist’s only focus is to take care of patients when they are in the hospital. Hospitalists work in close PHARMACISTS consultation with the patient’s primary care physician While you are in the hospital, all of your medications and specialists. They manage a patient’s entire hospital are dispensed by our hospital pharmacists. They experience, from admission until discharge. can answer any questions you have regarding your medications. ADVANCED PRACTICE NURSES Advanced practice nurses are authorized to practice REHABILITATION THERAPISTS by the California Board of Nursing. They work in Physical therapists, occupational therapists, speech conjunction with physicians and are able to diagnose, pathologists and audiologists will work with you, your treat and prescribe medication to patients with acute family and your medical team to help meet goals of and chronic illnesses. Each of these nurses has specific recovery. Therapy may range from brief consultation training and skills in his or her specialty areas and has to long-term intervention, based on the extent of your gained this knowledge by advanced preparation for injuries or illness. expanded clinical practice and earning a master’s degree in nursing. Advanced practice nurses (APN) include RESPIRATORY THERAPISTS nurse practitioners (NP), clinical nurse specialists Respiratory therapists deal with a variety of patients (CNS), nurse anesthetists (CRNA) or nurse midwives each day, from newborn infants to the elderly. Under (CNM). physicians’ orders, they examine and assess patients with any type of cardiopulmonary condition, then NURSES perform necessary treatment. Desert Regional is In each nursing unit, a registered nurse is responsible proud to offer a Pulmonary Rehabilitation Program for supervising patient care and directing the nursing for those individuals with chronic pulmonary disease. and support staff of the unit. Registered nurses are DRMC has received the following recognition: Quality assisted by nursing assistants. The nursing staff is Respiratory Care Recognition, AARC. available around the clock. TECHNICIANS AND TECHNOLOGISTS CASE MANAGERS AND Skilled health professionals perform and assist with SOCIAL WORKERS laboratory and other procedures, including X-rays, Case managers will review your medical record mammograms, ultrasound, CT scans, MRIs, cardiac and discuss your discharge planning. They also are catheterization, radiation therapy and other procedures available to assist you with arrangement for home care, admission to a long-term care facility or that help in diagnosing and treating your illness or rehabilitation care. injury. Social workers offer emotional support, counseling and guidance to help patients and their families deal VOLUNTEERS/VOLUNTEENS with financial, social and emotional problems related to Volunteers give thousands of hours each year to our illness or hospitalization. hospital to enhance the care of our patients and their families. They provide support throughout the hospital, CHAPLAINS including staffing the information desk, delivering The hospital chaplains are available to all patients and mail and flowers, operating the gift shop and escorting their families. Please contact your nurse to request these patients. services. A chapel is located in the main lobby.

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2 NBC - KMIR 26 TLC 3 ABC - KESQ 27 Food Network 4 CBS - CBS 28 HGTV 5 FOX - KDFX 29 Bravo 6 PBS - PBS 30 E! 7 CW - CW 31 Lifetime 8 TMO - KUNA 32 Animal Planet 9 Weather Nation 33 Freeform 10 CNN 34 TV Land 11 MSNBC 35 Nickelodeon West 12 CNBC 36 Cartoon Network West 13 HLN 37 Disney West 14 Fox News 38 CMT 15 National Geographic 39 ESPN 16 TBS 40 ESPN2 17 TNT 41 ESPNews 18 USA 42 ESPNU 19 A&E 43 Sonic Tap 20 AMC 44 Sonic Tap 21 TCM 45 House Channel 22 Hallmark 46 House Channel 23 truTV 47 House Channel 24 History 48 House Channel 25 Discovery

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CA03436G09_DesertRMC_ED_B1_8X10.indd 25 6/24/20 10:32 AM SILENT HOSPITALS HELP HEALING

SResearch h proves that rest contributes h h to faster recovery and healing.

Please help us create a quiet healing environment for our patients. HOSPITAL QUIET TIMES 2PM-4PM & 9PM-7AM

In support of quiet time:

Please speak quietly ▸ Please turn phones and pagers to silent or vibrate ▸ Lights will be dimmed on units and in patient rooms ▸ Please ask staff what might ▸ help patients rest

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Want to Thank Your Nurse for Extraordinary Care?

Nominate a Nurse for The DAISY Award!

Share your personalized story!

About The DAISY Foundation

The DAISY Foundation was established in 1999 by the family of J. Patrick Barnes who died of complications of the auto-immune disease Idiopathic Thrombocytopenia Purpura (ITP) at the age of 33. (DAISY is an acronym for Diseases Attacking the Immune SYstem.) During Pat’s eight-week hospitalization, his family was awestruck by the care and compassion his nurses provided not only to Pat but to everyone in his family. So one of the goals they set, in creating a foundation in Pat’s memory, was to recognize extraordinary nurses everywhere who make an enormous difference in the lives of so many people by the super-human work they do every day.

What Is The DAISY Award?

The DAISY Award is an international program that rewards and celebrates the extraordinary clinical skill and compassionate care provided by nurses on a daily basis. Desert Regional Medical Center is proud to be a DAISY Award Partner, recognizing one of our nurses with this special honor every month.

To find out more about the program, please go to www.DAISYfoundation.org.

Each DAISY Award Honoree will be recognized at a public ceremony in her/his unit and will receive: a beautiful certificate, a DAISY Award pin, and a hand-carved stone sculpture entitled A Healer’s Touch. Additionally, everyone in the unit will celebrate with Cinnabon® cinnamon rolls – a favorite of Patrick’s during his illness. The Barnes Family asks that whenever and wherever nurses smell that wonderful cinnamon aroma, they stop for a moment and think about how special they are.

How To Nominate An Extraordinary Nurse

Patients, visitors, nurses, physicians or employees may nominate a deserving nurse by filling out the back side of this page and submitting it to Malia Gemmell, located in the Women and Infants Center, or mail to: Malia Gemmell Desert Regional Medical Center Women & Infants Center 1150 N Indian Canyon Drive Palm Springs, CA 92262

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Personalized DAISY Award ea r Story for Extraordinary Nurses T NOMINATION FORM

Thank you for taking the time to nominate an extraordinary nurse for this award!

Name of the nurse you are nominating: ______Unit where the nurse’s personalized story occurred/works: ______

Please share a personalized story that clearly demonstrates how this nurse made a meaningful difference in patient care. If needed, please feel free to attach additional pages.

______

______

______

______

______

______

Please tell us about yourself, so that we may include you in the celebration of this award should the nurse you nominated be chosen.

Your Name ______Unit: ______Phone: ______Email:______I am (check one): RN____ Patient ____ Family/Visitor ____ MD ____ Staff ____ Volunteer _____ Date of nomination: ______Nominations received by the 15th will be considered for the following month’s DAISY Award.

Please submit this nomination to MaMalialia Gemmell, located in the Women and Infants Center. If you have any questions, please contact Malia at x6529 from inside the hospital, or at outside number (760) 323-6529 or email [email protected].. Nomination forms can be mailed to Malia at the address on the front side of this page.

Mission: The Hospital You Trust To Care For Those You Love

Vision: To Be The Hospital Where: Patients choose to get their care Physicians choose to practice Employees choose to work

Values: Patient Focus – Accountability – Compassion – Continuous Improvement Diversity – Innovation – Integrity – Joy - Teamwork he re MAIN NUMBER: (760) 323-6511 28 ea r T

CA03436G09_DesertRMC_ED_B1_8X10.indd 28 6/24/20 10:32 AM Home Care Assistance named Best of Home Care by Home Care Pulse for 4 consecutive years! Learn why we are Coachella Valley’s premier licensed provider of in-home care: The Trusted Choice for Caregivers. Experienced, Trained, Fingerprinted, Licensed and Bonded. Our caregivers are W2 employees and California Registered Home Care Aides. Ongoing Client Care Management and Quality Assurance. Our care team is available 24/7 to check in and ensure the highest quality of care and total peace of mind! The Hospital to Home CareTM Experts. Visit HospitaltoHomeCare.Com to review our comprehensive post-hospitalization process. The Brain Health Experts. We are the only Home Care Agency that offers the Cognitive Therapeutics MethodTM, a patent pending brain stimulation program at no extra cost.

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Desert Regional Medical Center is not, in any way, responsible for the advertisements in this booklet. Desert Regional Medical Center makes no representation or endorsement www.deserticon.com of any kind related to the advertised services, entities, or businesses. Desert Regional Medical Center receives no remuneration in exchange for any advertisement.

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" Early Breast Screening Saved My Life. "

I didn't have cancer in my family. But I still knew how important annual mammograms are, and I made it a priority to get mine every year. My lump was so tiny, I would never have felt it or known it was there If I had put off my mammogram even six months, I would have had full-blown cancer.

Thankfully, it was caught early by the Comprehensive Cancer Center. From the moment I received the news until my last treatment, the Comprehensive Cancer Center's care could not have been more incredible

They didn't just help me survive - now I thrive I am back to doing the things I love most... like painting. We even started a program where we knit caps for cancer patients called CAPPS - Caring About People Palm Springs. I wanted to give back because I'm so grateful for the compassionate care that was given to me by the Karen Brobeck entire team of staff and physicians at the Comprehensive Cancer Center. Karen Brobeck, Artist, CANCER SURVIVOR

DESERT COMPREHENSIVE RE CANCER CENTER NETWORK

Schedule Your Mammogram Today! 844.367.3990 Locations in Palm Springs & La Quinta • DesertCareNetwork.com/cancer

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