TABLE of CONTENTS About Us

TABLE OF CONTENTS About Us...... 2 Mail & Flowers...... 12 Banking...... 12 Welcome...... 2 Notary...... 12 Our Mission ...... 2 Our Vision...... 3 Medical Emergency Team. . . . . 12 Physician Finder Service . . . . . 3 Meet Your Medical Team. . . . . 13 Equal Access to Care ...... 3 Pain Management...... 14 Important Phone Numbers. . . . .3 Side Effects of Pain Medications . .14 Your Stay...... 4 Your Discharge...... 14 Your Room ...... 4 Instructions...... 14 Using the Telephone & Television. .4 Pharmacy ...... 15 Your Meals...... 4 Care Management...... 15 Bathing...... 5 Billing...... 15 Interpreters...... 5 Medical Records...... 16 For Your Comfort, Safety & Cashier...... 16 Security...... 5 Giving ...... 16 Smoking...... 5 Cell Phones...... 5 Your Privacy & Information . . . . 17 Patient Identification...... 6 Patient Rights & Personal Items & Valuables. . . . 6 Responsibilities...... 19 Fall Prevention...... 6 Your Care...... 7 Your Rights...... 19 Advance Directives...... 7 Your Responsibilities...... 20 Medications ...... 7 Smoking Cessation...... 20 Your Physician & Your Treatment.7 Infection Prevention & Control . . . 8 TV Guide...... 21 Residents...... 9 Medications List...... 23 SPEAK UP...... 9 Spiritual Care...... 10 Questions for My Doctor. . . . 24. The advertisers included in this book are For Patients & Visitors...... 11 not necessarily endorsed by Saint Agnes Visiting Hours...... 11 Hospital. Gift Shoppe...... 11 1 ABOUT US Welcome Welcome to Saint Agnes Hospital ..Our key services include the Cancer Institute, The Maryland Metabolic Institute, The Cardiovascular Institute, The Orthopedic & Spine Institute, as well as the Bunting Health Institute for Women & Children and the Plastic and Reconstruction Surgery Institute .. In 1862, The Daughters of Charity began Saint Agnes Hospital, carrying on their centuries-old mission of service ..The first Catholic hospital in Baltimore, Saint Agnes was originally created to provide nursing care for the poor ..The facility moved to its present location in 1876 and was reorganized as a full-service hospital in 1906 . At Saint Agnes Hospital, we believe that the care we provide our patients is second to none ..We offer a full range of health care services and are proud that the doctors, nurses, and health care professionals on our staff are the best in the industry ..We believe it is our privilege to serve the people of the Baltimore/ Washington area and to care for all patients who enter our doors . Our goal is to make your stay as pleasant and comfortable as possible ..We’ve prepared this guide to provide you with basic information about our hospital and its services, and what you and your family can expect while you are here ..If you have any questions during your stay, please do not hesitate to ask your nurse or caregiver . Our Mission We, at Saint Agnes Hospital, commit ourselves to spiritually-centered health care that is rooted in the healing ministry of Jesus .. In the spirit of Saint Elizabeth Ann Seton, and in collaboration with others, we continually reach out to all persons in our community with a special concern for those who are poor and vulnerable .. As a Catholic health care ministry and member of Ascension Health, we are dedicated to the art of healing to sustain and improve the lives of the individuals and communities we serve ..We are also called to advocate for a just society .. Through our words and deeds, our ministry is provided in an atmosphere of deep respect, love, and compassion ..

2 Our Vision Patients are our passion ..Our physicians and associates are our pride ..Healing is our joy .. Together, we promise to deliver health care that works, health care that is safe, and, health care that leaves no one behind .. Physician Finder Service Saint Agnes Hospital has more than 800 physicians serving on our medical staff .. Our physician referral service can provide you with the information you need to select a qualified physician and specialist in any area ..Our physician referral specialists are available 24/7 by calling 866-690-WELL (9355) ..A complete listing of our medical staff also is available at www .stagnes .org .. Equal Access to Care The services and facilities of Saint Agnes Health Care are offered to patients on a non-discriminatory basis ..In this regard, the hospital places patients according to diagnosis and/or gender, without regard to race, color, creed, disability, national origin, or ability to pay . IMPORTANT PHONE NUMBERS Admitting ...... 410-368-3165 Billing...... 410-368-2175 Care Management...... 410-368-2890 Dietitian...... 410-368-2153 Food Services...... 410-368-2157 Gift Shoppe...... 410-368-2955 Medical Records...... 410-368-3185 Spiritual Care ...... 410-368-3197 Patient Information...... 410-368-2929 Patient Representative...... 410-368-2146 Physician Finder...... 866-690-9355 Security...... 410-368-2080 Telephone display for the deaf...... 410-368-2001 NeighborCare Pharmacy...... 410-951-4050 Hospital TTY ...... 410-368-2001 3 YOUR STAY Your Room Your nurse call bell is located at your bedside ..When you press the red nurse button, the nurse’s station is alerted that you need assistance and a staff member will respond to you as soon as possible .. In an effort to conserve energy, your linens will be changed on Tuesday, Thursday, and Saturday, unless there is a need or you request a linen change more frequently .. Using the Telephone & Television In an effort to make you more comfortable, Saint Agnes provides cable TV and telephone service in your room ..There is a combined charge for these services of $8 per day and a one-time activation fee of $4 .50 ..These charges are billed to your home telephone ..The maximum charge for one admission is $60 .50 (seven days plus the activation fee .) For a complete list of available TV channels, see page 21 ..Closed captioning is available at no additional charge ..To activate this service, press the button on your remote control marked “CC .” Video phone, TTY and TTD services are available upon request at no additional cost . For calls within the hospital, dial the four-digit extension ..For local calls, dial 9, then the 10-digit number ..For long-distance calls, dial 9 + 00, and wait for operator assistance .. If you wish to decline these services, you must dial 7777 from your room telephone and follow the prompts ..If there is a problem with your bill, please call 800-775-8352 .. Your Meals Meals are served between the following times: Breakfast: 7:15 to 9 a .m . Lunch: 11:15 to 1 p .m . Dinner: 4:30 to 6 p .m . If you miss a mealtime due to a procedure, accommodations will be made .. Kosher and special meals are available by a request to your nurse or nutritionist .. A Registered Dietitian is available on every floor for consultation ..Your doctor will order the appropriate diet for you .. 4 There are a variety of dining options located off the main lobby on Main Street .. The hospital has a cafeteria, that serves breakfast from 6:30 to 9:30 a m. ,. lunch from 11 a m. ..to 2 p m. ..and dinner from 4:30 to 6:30 p m. ..Our coffee bar is open from 7 a .m ..to 8 p .m ..A Chick-fil-A, which is located within the cafeteria, is open from 11 a .m ..until 6:30 p .m ..Subway is open from 8 a .m ..until 1 a .m .. Bathing If you are capable of bathing on your own and need toiletries such as shampoo, toothpaste, a toothbrush or a comb, please ask your nurse ..If you need assistance bathing please ask a member of our nursing staff . Interpreters Saint Agnes Hospital provides access to interpreter services free of charge in order to facilitate communication with patients and families who speak a language other than English ..To request the service, ask your nurse or call Nursing Services at 410-368-2900 .. Saint Agnes Hospital provides access to sign language interpreter services, including onsite interpreters and video interpretation services, free of charge for our deaf/hard-of-hearing patients and families ..Please inform our staff if you have need of these services . FOR YOUR COMFORT, SAFETY, & SECURITY Smoking For the safety, health, and comfort of our visitors, patients and staff, Saint Agnes Hospital is pleased to provide a smoke-free environment ..Smoking is prohibited in all areas of the Saint Agnes campus, indoors and out ..Physicians are not permitted to write orders for patients to go off their units to smoke, and any such orders will not be honored ..If you smoke, your nurse can help you obtain nicotine patches in the appropriate dosage for your needs . Cell Phones Cell phone use is not permitted on patient floors, as it may interfere with . patient monitoring equipment ..We appreciate your cooperation on this very important matter ..

5 Patient Identification Your safety is important to us! Saint Agnes Hospital staff will frequently ask you to repeat your name and birth date ..They will compare what you tell them to your wristband or to hospital documents to make sure the information matches .. Make sure your nurse or other care provider confirms your identity by checking your wristband and asking your name and birth date before he or she gives you any medicine, draws blood, or gives you a treatment .. Personal Items & Valuables Dentures, hearing aids, and eyeglasses should be placed in a protective case from home when not in use ..Never wrap them in tissue or place them on your meal trays or in your pillow case as they may be inadvertently discarded or damaged .. Valuables such as jewelry, radios, CD players, cell phones, or other personal electronics should not be stored in your room ..Please send all valuables home with a family member ..If this is not possible please ask your nurse to contact our Protective Services Department to have them secure your valuables in the Hospital safe ..NO electronic devices are permitted without safety clearance from our bio-med department .. Saint Agnes Hospital assumes no responsibility for the loss and/or damage to personal belongings including dentures, glasses, hearing aids, or other prosthetic devices . Fall Prevention At Saint Agnes Hospital, our patients’ safety is our main concern ..Hospital falls can cause delays in your recovery ..Falls can be caused by: 1 ..Medications we give you for sleep, pain, your blood pressure, fluid, etc . 2 ..Equipment attached to your such as an IV pole . 3 ..Muscle weakness, due to your illness, surgery, or bedrest . Here are some reminders to help you stay safe from falls: • Always use your call bell to ask for help ..Please be patient ..Remain lying or sitting while waiting; staff will be there as soon as possible ..Do not walk or stand without help . • Do not use objects such as IV poles or bedside tables for support while walking or standing ... 6 • Please do not try to get on or off the toilet by yourself ..Wait for staff or a capable family member to help you . • Family is encouraged to stay with you ..Family members, please alert the nurse when leaving the patient alone . • Remember to keep your call bell and other personal items (phone, tissues, glasses, bedside table, etc ). within reach while lying or sitting in bed or chair . • Help us keep your bedside area free of clutter ..Keep items off the floor so there is a clear path to the bathroom and to the door of the room .. • Keep the bedrails at the head of the bed up at all times . • Please review the Fall Prevention Program brochure for more information about how to prevent falls in the hospital . It is important that everyone, including patients, staff, and family and friends, help prevent hospital falls .. YOUR CARE Advance Directives Advance directives are written instructions on your health record, which are used if you become unable to communicate your wishes ..These instructions can include the name of someone who can make health care decisions for you if you are unable to do so ..If you have an advance directive, please provide it to your doctor ..If you do not have an advance directive prepared, you can prepare one here and have it added to your medical record . Medications It is extremely important that you provide your doctor with a complete list of the medications you are taking, including over-the-counter medications, herbal supplements, and vitamins ..Ask your doctor before taking any of these medications during your stay .. * Reminder: Do not keep any medications at your bedside; please send them home. Your Physician & Your Treatment Each patient is in the care of a specific physician ..If you did not have a physician when you were admitted to the hospital, you were assigned one here ... 7 Your physician is responsible for your care, including ordering tests and providing test results, ordering or changing your medications or treatments, and discharging you from the hospital . Infection Prevention & Control The most important step in preventing the spread of infection is proper hand cleaning by all staff, visitors, and patients ..Please feel free to ask our staff if they have washed their hands . Wash Your Hands: The Right Way When washing hands with soap and water: • Wet your hands with clean running water and apply soap ..Use warm water if it is available .. • Rub hands together to make a lather and scrub all surfaces .. • Continue rubbing hands for 15-20 seconds ..Need a timer? Imagine singing “Happy Birthday” to a friend .. • Rinse hands well under running water .. • Dry your hands using a paper towel or air dryer ..If possible, use your paper towel to turn off the faucet .. • Always use soap and water if your hands are visibly dirty .. Alcohol-based hand rubs significantly reduce the number of germs on skin and are fast-acting . When using an alcohol-based hand sanitizer: • Apply product to the palm of one hand .. • Rub hands together .. • Rub the product over all surfaces of hands and fingers until hands are dry .. Information courtesy of the Centers for Disease Control and Prevention It is very important to protect all patients, visitors, and staff from infection .. To do this, we sometimes need to use special work practices called “isolation precautions .” Some patients may have a higher risk of getting infections while they are in the hospital, especially if they are very sick . Isolation precautions include: • Health care workers must wear protective clothing such as gloves, gowns, and sometimes masks when performing your care .

8 • Special equipment that stays in the patient’s room . • Limited movement in and out of the room . For Visitors • If you are sick or not feeling well, please do not visit the patient until you are well . • Before entering an isolation room, please check in at the nursing station . • Before entering an isolation room, please read the sign posted outside the isolation room ..The sign shows what protective clothing is needed to enter the room . • Clean your hands with soap and water OR use waterless hand sanitizer before entering and when leaving a patient’s room . • When leaving the patient’s room, remove protective clothing – gowns, gloves, and masks ..Please dispose of these in the trash just inside the patient room door . • Visitors may be limited to two at a time . • Take as few things as possible into the isolation room . Infections can be spread by contact with clothing, hands, personal items, surfaces (such as furniture and countertops), or health care equipment .. If you have questions please ask a Saint Agnes Hospital staff person or physician .. Residents Saint Agnes is a community-teaching hospital ..We have residency programs in medicine and surgery, and we participate with Johns Hopkins University in a pediatrics residency program ..Residents are physicians who have earned their undergraduate and medical degrees, and are continuing their training in a chosen specialty ..A resident will, in most cases, assist your attending physician in your care .. SPEAK UP At Saint Agnes Hospital we want you and your family to be an active partner in your health care ..One way that you can be involved is to speak up .. Speak up if you have questions or concerns, and if you don’t understand, ask again ..It’s your body and you have a right to know .. Pay attention to the care you are receiving ..Make sure you’re getting the right treatments and medications by the right health care professionals ..Don’t assume anything ..

9 The following tips are provided by The Joint Commission, which encourages patients to “Speak Up” and take an active, informed role in their care .. Educate yourself about your diagnosis, the medical tests you are undergoing, and your treatment plan .. Ask a trusted family member or friend to be your advocate .. Know what medications you take and why you take them ..Medication errors are the most common health care mistakes .. Use a hospital, clinic, surgery center, or other type of health care organization that has undergone a rigorous on-site evaluation against established, state-of-the-art quality and safety standards, such as that provided by The Joint Commission .. Participate in all decisions about your treatment ..You are the center of the . health care team .. As a patient at Saint Agnes Hospital, you have rights and responsibilities that protect you and allow us to deliver the best care during your stay .. Spiritual Care The Spiritual Care Department at Saint Agnes Hospital provides for the spiritual well being of patients, families, and staff members ..We help all people experience the presence and companionship of God, whomever they perceive their God to be, in times of stress and crisis ..Priest, Chaplains and Spiritual Care volunteers make regular rounds throughout the hospital ..Specific referrals can be made to Spiritual Care though your health care team or by calling x3197 .. The hospital chapel is located on the first floor, near the North Tower visitor elevators ..The Mass schedule is posted outside the door to the chapel . Masses in the chapel are broadcast on Channel 12 ..Additional Masses and liturgical services can be viewed on EWTN channel 31 .

10 FOR PATIENTS & VISITORS General Visiting Hours 8:30 a.m. to 8:30 p.m. All visitors must check in at the front desk and get a visitor pass ..Visitors to the third and fifth floors must provide a photo ID in order to obtain a pass ..In areas where children under the age of 12 are permitted, adult supervision is required . Visitors should be limited to two per patient ..In order to protect patients, visitors and staff, all visitors of patients in isolation will be required to wear the appropriate protective equipment while visiting . Maternity patients’ visitors can access the hospital’s front entrance 24/7 . Medical & Surgical ICU/Coronary Care Unit No Visitation between 7:00 a.m. to 9:00 a.m. and 7:00 p.m. to 9:00 p.m. • Only two visitors per patient • Children under 12 years of age are discouraged • No food or drink permitted • Cell phones should be turned off • No photography permitted Pediatrics, Pediatric & Neonatal ICU • 24/7 as condition allows . • Parents & grandparents only . Maternity • Fathers any time . • Visitors limited to five at a time .. Gift Shoppe Our gift shop, located off the main lobby, offers a variety of cards, gifts, flowers, balloons, and sundries for patients and visitors ..There are also plenty of snacks, magazines, and toys to help pass the time for visitors ..Accepted forms of payment are Visa, Mastercard, and cash . Gift shoppe hours are: 10:00 a .m ..to 6:00 p .m . Saturday - Sunday: Noon to 4:00 p .m .

11 Mail & Flowers Mail is delivered to each floor daily ..Our Auxiliary and Gift Shoppe staff delivers flowers to patient rooms .. Banking A Bank of America ATM is located across from the coffee bar on the first floor .. ATMs affiliated with our credit union are located near the Bank of America machine and in the Emergency Department waiting area .. Notary A notary public is available ..To request the notary, please call Ext ..3328 . MEDICAL EMERGENCY TEAMS A MET Team (Medical Emergency Team) much like 911 is used here in the hospital ...The team enables us to respond urgently to changes in a patient’s condition, often before a severe medical crisis occurs ...The team is made up of highly trained medical professionals – an ICE nurse, physician, and respiratory therapist ...The team works with providers already at the bedside to evaluate the patient quickly, address concerns and intervene immediately when needed .

Can Patients/families call the METS team directly?

Yes, you can call the METS team by dialing extension 5555 from your room phone ...Say “METS Team needed,” and give the operator your name or the patient’s name and room number ...This provides a safety net in addition to the primary staff caring for you and can be used for you or your loved ones if there is a sudden severe change in condition ..

When should I call the METS Team?. If the patient is having: . • Difficulty breathing . • Seizures . • Stroke symptoms- facial droop, arm or leg weakness, speech.. . . difficulty, or change in alertness . • Chest Pain 12 Meet Your Medical Team Attending Physician - The doctor who is directly responsible for your care . Consulting Physicians - Physicians who have been asked to see you by your attending physician . Resident - A resident is a physician who has received their medical degree and who are continuing their specialty training ..A resident may assist your attending physician . Nurses - Nurses will be your primary contact and will provide care for you 24 hours a day ..Your care is coordinated by a registered nurse ..Your registered nurse will oversee a team including certified nursing assistants, technicians, clerks and other patient care associates ..Any questions or concerns regarding your care should be directed to a nurse or nurse manager . Spititual Care - The spiritual care associates at Saint Agnes Hospital understand the need for patients and families to not only be cared for physically, but sometimes spiritually as well ..Their services are available 24 hours a day .. Case Managers - Case Managers are Registered Nurses who specialize in working with some patients to insure that their care is coordinated before, during and after their hospital stay . Social Workers - A wide variety of services can be provided by a Social Worker including discharge planning, referrals to outside agencies and more . Dietitians - Dietitians can help to insure that your nutritional needs are met . Patient Escort Services - These associates will transport you to different areas of the hospital . Environmental Services - The associates in environmental services clean your room daily, remove trash, and replenish any products necessary . Patient Advocate - A patient advocate will help resolve any issues that you may have as well as answer any questions regarding hospital policies and procedures .

13 PAIN MANAGEMENT The severity of pain and the amount of medication required to treat it vary from patient to patient ..The physicians and nurses caring for you must rely on you to help determine the best way to treat your pain ..You will be asked to asses your pain and rate the level on a scale of 0 to 10, 0 being no pain and 10 being the worst possible pain ..With the use of this scale your physicians and nurses can gauge the effectiveness of their pain control methods and adjust accordingly .. Side Effects of Pain Medications All medications that are used to treat pain have side effects but, not everyone experiences them ..Common pain medication side effects include constipation, nausea, sleepiness, slowed breathing, and itching ..These side effects are treatable ..If you have any questions or concerns about side effects please ask any member of your health care team . YOUR DISCHARGE Instructions Your doctor will determine whether you are ready to leave the hospital, and will write a discharge order for you at that time ..You should be given printed discharge instructions, including which medications you are to take at home .. For your health and safety, be sure to discuss these directions with your doctor and nurse ..Checkout time is two hours after your doctor writes your discharge order ..Your discharge may be coordinated by a nurse, social worker, or an administrator with the hospital ..You or your care giver should meet this person towards the beginning of your stay ..Make sure that you are given the following information before you leave the hospital: • Discharge summary . • A medications list . • A prescription for any medications that you will need . • Any documentation detailing further instructions that you may need to follow once you have left the hospital such as dietary restrictions, activity restrictions, wound or incision care instructions, or care giver instructions .

14 Pharmacy Prescriptions may be filled at the pharmacy of your choice, or at NeighborCare pharmacy, located on the first floor of the hospital, next to the North Tower visitor elevators ..NeighborCare also may have some of the medical equipment you may need ..The pharmacy is open to patients, visitors, and the community .. Hours are: Monday through Friday, 8:30 a .m ..to 6 p .m ... Saturday, 9 a .m ..to 1 p .m ..Sunday, Closed .. NeighborCare offers a variety of services, including: free delivery to patient rooms, homes and offices in the surrounding area, 24-hour online refills, and hard-to-find specialty products .. For more information or to access the pharmacy’s 24-hour prescription refill service, call 410-951-4050 .. Care Management A case manager is available to assist you and your family with concerns or needs related to care required after hospitalization ..Social workers and nurse care coordinators are available to make arrangements for: home care; equipment in the home; transfer to another facility, including nursing homes or rehabilitation facilities, treatment programs, and referrals to community agencies .. The department is open weekdays from 8 a .m ..to 4:30 p .m ..For more information, call 410-368-2890, or talk to your care provider .. Billing Your room charges include: room, meals, nursing, housekeeping, and laundry .. All other procedures and services are itemized on your account ..Please note, charges may be increased or decreased during your stay ..These changes will be reflected on your bill .. You will receive separate billing from your attending physician and from the radiologists, anesthesiologists, pathologists, emergency room doctors, and other physician specialists who render professional services to you .. If you wish to discuss financial arrangements during your stay, call Ext ..2188 ..If you have any questions after discharge regarding your bill, call 410-368-2175 .

15 Medical Records Your medical record is a confidential document and cannot be accessed by anyone but you or other authorized persons, according to Maryland law ..You can get a copy of your medical record by completing an authorization form, available from your health care provider, or by visiting the Medical Records Department on the first floor ..Medical records are available after discharge . Cashier Our cashier’s office is open Monday through Friday from 8 a .m ..to 4:30 p .m ... We accept Visa, MasterCard, check, and cash for bill payment . GIVING Transformation ..Supporting the Mission ..Changing Lives ..For over 150 years the Daughters of Charity and the physicians of Saint Agnes Hospital have delivered exceptional care to generations of Marylanders ..Today, the physicians and associates of Saint Agnes continue to be committed to providing the best medical care to our patients ..Your gifts help Saint Agnes Hospital and Saint Agnes Foundation accomplish this in ways large and small . Donations to the Saint Agnes Foundation support the Hospital’s medical reasearch and education, it’s six centers of excellence, and improvement of facilities and epuipment .

WAYS TO GIVE The Saint Agnes Fund You can help transform lives and provide affordable care by making a gift to the Saint Agnes Fund ..This fund supports the areas of greatest need within the hospital .

Gifts to Specific Areas of Care Perhaps you or a loved one received care at one of our centers of excellence .... You can choose to support the work of our institutes by designating your gift to the funds that support them ...The Foundation’s funds for the Cancer Institute, the Bunting Women’s and Children’s Health Institute, the Cardiovascular Institute, 16 the Orthopaedic & Spine Institute, the Plastic & Reconstructive Surgery Institute and the Maryland Metabolic Institute all enhance Saint Agnes Hospital’s ability to deliver the best in patient care ...Our physicians and nurses are truly grateful for your gifts .

Make a gift in Honor of a Relative or Friend and send them an e-card! Birthdays, anniversaries or just a simple wish to get well ...Saint Agnes now offers you the ability to make a contribution to the Saint Agnes Fund and send an e-card to the recipient ...It is as easy as clicking below and browsing our inventory of e-cards ...Quick, simple, and your gift helps support patient care at Saint Agnes .

For more information or to make a gift online go to give .stagnes .org . Saint Agnes Foundation 900 S ..Caton Avenue, MS 123 Baltimore, MD 21229 410-368-3155

YOUR PRIVACY & INFORMATION You have privacy rights under federal law that protect your health information .. These rights are important for you to know ..Federal law sets rules and limits on who can look at and receive your health information . Who Must Follow This Law? • Most doctors, nurses, pharmacies, hospital clinics, nursing homes, and many other health care providers . • Health Insurance companies, HMOs, and most employer group health plans . • Certain government programs that pay for health care, such as Medicare . or Medicaid .

17 What Information is Protected? • Information your doctors, nurses, and other health care providers put in your medical records . • Conversations your doctor has with nurses and others regarding your care . or treatment . • Information about you in your health insurer’s computer system . • Billing information about you at your clinic . • 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 this law must comply with your right to: • Ask to see and get a copy of my health records . • Have corrections added to your health information . • Receive a notice that tells you how your health information may be used . and shared . • Decide if you want to give your permission before your health information can be used or shared for certain purposes, such as for marketing . • Get a report on when and why your health information was shared for certain purposes . • File a complaint . To make sure that your health information is protected in a way that does not interfere with your health care, your information can be used and shared: • For treatment and care coordination . • To pay doctors and hospitals for your health care and help run their businesses . • With your family, relatives, friends, or others you identify who are involved with your health care or your health care bills, unless you object . • To make sure doctors give good care and nursing homes are clean and safe . • To protect the public’s health, such as by reporting when the flu is in . your area . 18 • To make required reports to the police such as reporting gunshot wounds . Without Your Written Permission, Your Provider Cannot: • Give health information to your employer . • Use or share your health information for marketing or advertising purposes . • Share private notes about your mental health counseling sessions . If you believe your health information was used or shared in a way that is not allowed under the privacy law, or if you weren’t able to exercise your rights, you can file a complaint with your provider or health insurer ..You can also file a complaint with the U .S ..government . Go online to www.hhs.gov/ocr/hipaa/ for more information . A separate law provides additional privacy protection to patients of alcohol and drug treatment programs ..For more information, go online to www.samhsa.gov . PATIENT RIGHTS & RESPONSIBILITIES Your Rights Patients have the right to: • Make advance directives and designate a health care agent to make health care decisions for them when they are unable .. • Be informed of any research/education projects affecting their care or treatment .. • Reasonable access to care .. • Considerate care that respects the patient’s personal values and beliefs .. • Informed participation in decisions regarding care .. • Participate in the consideration of ethical issues that arise in the provision of care, including information on the availability of an ethics committee .. • Privacy and confidentiality .. • Pain management .. • Prompt resolution of grievances .. • An explanation of hospital rules, regulations, and/or charges . • Refuse any care or treatment .

19 Your Responsibilities To ensure the best care, patients are obligated to: • Provide accurate information about their medical history as completely and accurately as possible .. • Request additional information or clarification about health status or treatment when they do not fully understand information and instructions .. • Cooperate with the physician and hospital staff in the provision of care .. • Provide a copy of their advance directives if they have completed one .. • Provide necessary information for the insurance claims and other financial arrangements .. When a patient has an issue or complaint, he or she may: • Notify the nurse manager .. • Contact the patient representative at 410-368-2146, Monday through Friday .. • Dial the operator to page the Nursing Supervisor on evenings, nights, and weekends . • Contact the Maryland State Department of Health and Mental Hygiene by phone at 410-402-8110 or by mail at 201 West Preston St ., Baltimore, MD 21201 .. • Contact The Joint Commission by phone at 800-994-6610 or by mail at Office of Quality Monitoring TJC, One Renaissance Blvd ., Oakbrook Terrace, IL 60181 .. SMOKING CESSATION Smoking tops the list of major risk factors for the nation’s No .1 killer—heart and blood vessel disease ..Smoking also harms thousands of nonsmokers who are exposed to cigarette smoke, including infants and children ..Saint Agnes Hospital prohibits smoking anywhere on its campus, indoors and outdoors . No matter how much or how long you’ve been smoking, when you quit, your risk of heart disease and stroke starts to drop .

20 When you quit TV GUIDE When you quit smoking, you can 2 ABC / WMAR expect a number of positive changes,. including the following: 3 NBC / WBAL • Your sense of smell and taste 4 CBS / WJZ is restored . 5 PCS / WMPT • Smoker’s cough goes away . 6 Patient Education • Your energy will improve . 8 FOX / WBFF • You will breathe much easier . 9 WB-WNUV • Your hair, clothes, and breath 10 CNN will not have the unpleasant . 12 Chapel and Arts smell of cigarettes . 13 HUB • You’ll live longer . 14 Animal Planet Tips for quitting 15 Fox Family Talk to your doctor, nurse, 16 TNT pharmacist, or other health care 17 USA professional about ways to help 18 Patient Education you quit smoking, or call your local American Heart Association at 20 Discovery Channel 800-242-8721 or American Stroke 21 The Learning Channel Association at 888-478-7653 ..Other 22 AMC tips for quitting include: 24 UPN • Write down your reasons for quitting and look at the list often . 25 TBS • Exercise ..It releases stress, 27 The Weather Channel improves your mood, and will be 28 HGTV a distraction from cigarettes . 29 Food Network • Avoid situations or places that 30 The Travel Channel trigger your urge to smoke . 31 EWTN • Reward yourself each time 32 Comcast Cable Sports you get through a day or week without smoking—but not with . 33 Music and Billing a cigarette! Information 21 Notes ______

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