|
Introducing You to Your Inpatient Unit
CRITICAL CARE unit
The Critical Care patient care area meets the health care needs of critical cardiac, medical and surgical patients who require continuous monitoring and life-saving treatments. Care is provided by a highly specialized team of Registered Nurses, Physicians, Respiratory Therapists, Registered Dieticians, Physiotherapists, Pharmacists, Social Workers and Unit Co-ordinating Assistants.
Visiting:
Family is defined as whomever the patient would consider family. Patients in critical care require a balance of family visiting and opportunities for rest and recuperation from life-threatening illness.
Visiting hours are open however the nurse may request family discretion to promote adequate rest for the patient. Between the hours of 7 to 8 a.m. and 7 to 8 p.m., it is appreciated if phone calls and visits can be minimized. These times are shift changes for the nurses and the nurses are with your family member completing a critical assessment.
Except in special circumstances, it is requested that no more than two persons visit at a time in order to promote a quiet environment that fosters recovery for all patients.
Children are welcome in critical care when the family deems that their visit would be of benefit to either the patient or the child. Please remember that the hospital environment can be hazardous to young children and thus it is important that children are under close adult supervision at all times.
A telephone is located on the wall outside of critical care. Out of respect for the privacy and dignity of all patients, all family and visitors must phone in to the unit prior to each entry.
Waiting Areas:
There is an open lounge area just outside of critical care where families can rest. In addition, there is one small room that offers a place of privacy to families in crisis. Please speak to your loved one's nurse to arrange to use this room. The need is often great for this room and your assistance in offering privacy to another family, if needed, is appreciated.
The critical care team strives to provide excellence in patient care in every capacity. If you have any questions or concerns please feel free to address them with any member of the health care team.
LABOUR AND DELIVERY
The labour and delivery unit provides a family-centred approach to the childbirth experience. There are six birthing suites, one labour room, and an assessment/triage area. In addition, caesarean births are performed in fully equipped operating room suites located on the unit. A recovery room is also located on the unit.
Visiting Hours:
Please check in at the nursing station regarding visitation.
PALLIATIVE CARE
Palliative care is based on a philosophy that the combination of active and compassionate therapists comfort and support individuals and families who are living with a terminal illness. Further, the promotion of optimal quality of life is a key focus of the unit.
The goal of palliative care is to meet the physical, psychological, social and spiritual needs of patients and families with sensitivity to their personal, cultural and religious beliefs and practices. Patients may be admitted to the palliative care unit from home or hospital.
Families are an important aspect of care and may contribute to their family members' care to the level to which they are comfortable.
Visiting Hours/Restrictions:
There is no limitation or restrictions on visitation.
Meal Times:
Breakfast: 8:45 a.m.
Lunch: 12:00 noon
Dinner: 5:30 p.m.
SPECIAL CARE NURSERY
This unit is designed for the care of moderate to low-risk newborns. Although we have the experience and equipment to stabilize high-risk infants born here, they are transferred to a Level 3 (high-risk) nursery as quickly as possible. Generally, babies are kept here until they are stable enough to room-in with mother on our post-partum unit, or to go home.
Your first visit may be at a time of great stress. Your baby is not well, and needs extra attention. Priorities in the first hours include making sure your baby is warm, pink, breathing well on his/her own or with assistance, and maintaining an adequate blood sugar level. The nurse assigned to your baby will answer any questions you have, as soon as the information becomes available. When your primary nurse is not on duty, an associate nurse or other member of the care team will be assigned. They will assist you with basic newborn care until you feel comfortable taking over. Feel free to bring in clothing linen, a toy and pictures for your baby.
If Your Baby Has Been Transferred to CVH from a Level 3 Facility:
The upset of the transfer may make your baby unstable for the first two to three days. It is quite common for apneas, bradycardias, feeding disturbances and lethargy to occur. Please be patient - when the initial upset is over, your baby will be ready to pick up where he/she left off. You may notice different ways of caring for your baby, compared to the other unit. We encourage you to learn more than one way to care for your baby. This will allow you to choose which way is best for you and your family at home.
We will be constantly adjusting our care to challenge his/her abilities to prepare for the earliest discharge home. We will use your baby's cues to tell us when we can keep challenging or whether we need to slow down. Please feel free to ask for updates on your baby's progress - and expect some setbacks!
Each time you enter the nursery, please leave your coat/outer clothes in the cloak area, and wash your hands at the outer sink. Practicing consistent handwashing before handling your baby is essential to your baby's health.
We encourage mothers to breastfeed. If your baby is too ill to go to the breast, we will be glad to instruct you in the use of the breast pump. Please talk to your baby's assigned nurse, or your nurse in the post-partum unit. Building a milk supply while your baby is too ill to suck will require pumping every three to four hours, even at night. If you have difficulties with breastfeeding or pumping, a lactation consultant is available to provide additional help. Please inform your baby's nurse if you are taking any medication.
We strongly encourage you to ask questions and seek clarification. We are open 24 hours a day, so if you have any concerns, please do not hesitate to call. The unit direct line is (905) 813-3945.
Visiting Hours/Restrictions:
Parents are encouraged to visit at any time, except between 7:15 to 7:45 a.m. and 7:15 to 7:45 p.m. This is our shift change and the information discussed at this time is confidential.
For the security of your baby, visitors must be accompanied by the baby's parent. Only one visitor is allowed at a time. By request, "grandparent passes" are available, which allow grandparents to visit unaccompanied by a parent. Grandparents must bring the pass with them for each visit and may not bring other visitors with them.
Siblings may visit; however, other children under the age of ten are not permitted.
Please inform staff if visitors have been exposed to any communicable diseases during the past month (specifically chicken pox, hepatitis, measles, mumps, rubella, or whooping cough) or if you currently have a cold (i.e. cough, sore throat, fever), vomiting, diarrhea, rash, itchy skin, or an infection of any kind.
There may be instances when visitors are asked to leave. The nurse will advise you if this occurs.
UNIT 1B SURGERY
Unit 1B cares for patients who are being investigated for surgical problems, or who have had surgery. We service the following surgical specialties: ENT, dental, ophthalmology, plastics, general and thoracic surgery, vascular, orthopedic and urology.
The unit is staffed by registered nurses (RNs). A coordinating nurse and a unit coordination clerk is at the nurse's desk from 7:00 a.m. to 7:30p.m. Monday to Friday, and Saturdays and Sundays from 7:00 a.m. to 3:00 p.m.
Visiting Hours/Restrictions:
Daily from 11:30 a.m. to 8:30 p.m.
These times can be flexible in special circumstances, upon discussion with the nurse manager or coordinating nurse.
PAEDIATRICS (UNIT 1C)
Unit 1C cares for both paediatric patients and adult medical/surgical patients. Our goal is to provide quality patient care through a family-centred philosophy and multidisciplinary team approach.
We welcome your help in your child's daily care. This can include bathing, feeding and special hugs!
The paediatric unit offers a child life program which provides play and learning for the child to promote growth and development. The program is staffed by a child life worker, assisted by students and volunteers. The playroom, family room and playground (weather permitting) are open daily. Please check with your child's assigned nurse to find out if your child is permitted to attend the playroom. Activities will be provided at your child's bedside if he/she is unable to attend the playroom. Please do not return toys directly back to the playroom as they need washing before being used by other children. The toys can remain in the patient room until they are discharged. We encourage parents to bring a treasured toy from home for their child.
Please note that there are a limited number of private rooms available and they are usually assigned to children who require close monitoring and/or isolation. Patients in isolation should not have any visitors who have been exposed to an illness that can spread to others. Often times there are two patients in the same room, and even though we strive to keep "like illnesses" together, it would be prudent for patients to remain in their own specific area.
Please feel free to discuss any special requests or questions you may have with your assigned nurse. Please also let us know of any particular routines which may help to ease your child's anxiety.
Visiting Hours/Restrictions:
Daily from 11:00 a.m. to 8:30 p.m., with a limit of two visitors visiting at one time. Parents and grandparents can visit at any time. Brothers and sisters are welcome to come for brief visits providing your child's condition allows for this.
Only one parent may stay overnight, as we have a limited number of cots available. Parents are encouraged to bring pillows and blankets from home. Shower facilities are available for parents.
Meal Times:
Breakfast: 8:30 a.m.
Lunch: 12:00 noon
Dinner: 5:00 p.m.
We provide age-specific menus for children. Please feel free to bring food from home if selections are not up to your child's specifications.
Ice Machine/Kitchen Location:
The ice machine is located in the nourishment centre, Room 1204, which is located in the hall entering the nursing unit.
Formulas and bottled jars of baby food are available for young children/infants.
There is a refrigerator in the kitchen, please be sure to label any food or containers with your name.
A microwave oven is available for heating up food. Please use carefully as it heats items well. Be sure to test the temperature prior to feeding your child. Breast milk must be warmed using hot water only.
Juices, milk, cereals, bread, popsicles and ice cream are available for our patients. As quantities of these items are very limited, please do not offer to siblings or visitors. Thank you for your understanding and cooperation.
REHABILITATION (UNIT 1D)
Unit 1D is an acute rehabilitation unit and geriatric assessment unit. Rehabilitation is offered to adults with neurological, medical, orthopaedic, and cognitive disabilities. Geriatric assessment is offered to the elderly person requiring assessment and multidisciplinary team involvement is required to enable the person to maximize functioning. Both programs offer a coordinated program of assessment, treatment, and education by a multidisciplinary team of health professionals.
Visiting Hours:
Daily from 11:00 a.m. to 8:30 p.m.
Meal Times:
Breakfast 8:30 a.m.
Lunch 12:00 noon
Dinner 5:30 p.m.
CONTINUING CARE (UNIT 1E)
Unit 1E is for patients who are medically stable and whose acute stage of illness is over. For example, renal, stroke, and multiple sclerosis patients.
The unit is staffed by registered nurses and registered practical nurses. A unit coordination clerk is usually at the nurse's desk from 8:00 a.m. to 8:00 p.m. Monday to Friday and Saturdays and Sundays from 8:00 a.m. to 12:00 noon.
Patients are encouraged to dress in street clothes and bring some articles from home to personalize their rooms to provide a more home-like environment.
An intake meeting with patient and family is set within one to three weeks of admission to the unit. At this meeting, the patient/family has an opportunity to meet with the multidisciplinary team and review patient goals.
The resident's council meets monthly to provide an opportunity for patients and their families to discuss any issues relating to their stay on 1E. Concerns are then forwarded to the attention of the appropriate person.
Visiting Hours:
Daily from 11:00 a.m. to 8:30 p.m.
These times are flexible to conform, where possible and appropriate, to the patient’s individual needs and wishes.
Meal Times:
Breakfast 8:15 a.m.
Lunch 12:00 noon
Dinner 5:15 p.m.
MEDICAL/ NEUROLOGY/ NEPHROLOGY (UNIT 2B)
Patients are admitted to 2B for medical reasons such as stroke (CVA) or pneumonia or, for treatment, management, and care related to kidney disease. The goal of 2B is to provide quality care by combining teamwork, respect and compassion within an environment that encourages patient and family involvement in the development of the plan of care.
An interdisciplinary care team, consisting of physician, nurses, clinical nurse specialists, physiotherapists, occupational therapist, dietician, speech and language pathologist and social work, meet on a regular basis to review and continue to develop the plan of care as needs change. Literature is readily available on a variety of issues and can be obtained from the nurses or social workers on the unit.
Visiting Hours/Restrictions:
Daily from 2 p.m. to 8:30 p.m.
Times can be modified according to patient condition and family needs.
Meal Times:
Breakfast: 8:45 a.m.
Lunch: 12:00 noon
Dinner: 5:30 p.m.
MEDICAL/ ONCOLOGY (UNIT 2C)
Patients are admitted to 2C for medical reasons such as stroke (CVA), pneumonia or, for the treatment, management, and care related to cancer diagnosis. The goal of 2C is to provide patients and families with the highest quality of care within an environment that encourages patient/family involvement with the development of the care plan.
The entire health care team meets on a regular basis to review and continue to develop the plan of care as needs change. Literature is readily available on a variety of issues and can be obtained from the Oncology Information Centre on Unit 2C.
Visiting Hours/Restrictions:
Daily from 11:00 a.m. to 8:30p.m.
These times can be modified according to patient condition and family needs.
Meal Times:
Breakfast: 8:45 a.m.
Lunch: 12:00 noon
Dinner: 5:30 p.m.
PSYCHIATRY (UNIT 2D)
Unit 2D is an inpatient psychiatry unit that supports the mental health of the acutely ill patient. The nursing team provides assessment, crisis intervention, skill teaching, resource development, and referral to outpatient services, as well as community based programs. A strong multidisciplinary team focus exists in order to devise and evaluate the multidisciplinary plan of care. Goal setting continues on an individual and team basis within a primary nursing model.
Visiting hours:
Monday to Friday 4:00 p.m. to 8:30 p.m. and weekends 9:00 a.m. to 8:30 p.m.
Meal Times:
Breakfast 8:30 a.m.
Lunch 12:00 noon
Dinner 5:30 p.m.
STEPDOWN UNIT (UNIT 3B)
Unit 3B operates as a cardiac/medicine unit and is the stepdown unit caring for patients being transferred from CCU/ICU post myocardial infarction and also for patients who might need telemetry monitoring post surgery. Unit 3B also cares for unstable medical patients including patients with CVA, pneumonia and diabetes.
The unit offers a cardiac rehab teaching program which runs daily Monday to Friday and includes topics such as anatomy of the heart, risk factors associated with heart disease, dietary implications, physiotherapy, medications used to treat heart disease and stress reduction techniques. The classes are held on the unit and are offered by members of the multidisciplinary team.
Weekly meetings are held with the multidisciplinary team members to discuss and plan for the care and discharge needs of each patient. These meetings ensure that the necessary supports are in place for patients upon discharge. Patients and families are encouraged to participate in establishing and meeting patient goals. All members of the multidisciplinary team are available to discuss patient progress as well as concerns relating to the stay in hospital and/or discharge.
Visiting Hours:
Visiting hours are from 11:00 a.m. to 8:30 p.m., with a limit of two visitors visiting at one time. These guidelines help our patients get the rest they need and are flexible under special circumstances.
Meal Times:
Breakfast: 7:30 a.m.
Lunch: 11:30 a.m.
Dinner: 4:30 p.m.
OBSTETRICS GYNAECOLOGY (UNIT 3C)
Unit 3C cares for mothers and their babies after delivery. We also have obstetrical and gynaecology patients. Mothers and babies will remain in the hospital until they are considered medically well by their doctors.
Patients are encouraged to care for their babies. Nurses will assist you as required and teach new moms how to care for their baby in the first few weeks at home.
Visiting Hours:
General visiting hours are from 11:00 a.m. to 8:30 p.m., with a limit of two visitors visiting at one time. Fathers can stay 24 hours if the patient has a private room. Brothers and sisters are welcome to come for brief visits, but children under ten are not permitted.
Meal Times:
Breakfast: 8:00 a.m.
Lunch: 11:45 a.m.
Dinner: 5:30 p.m.
RENAL SERVICES/HEMODIALYSIS UNIT
The hemodialysis stations are located in the new ambulatory care centre on the main level (2). At times, it is necessary to adjust the seating location of our patients. While a maximum of two visitors are welcome to come to see a patient, the nurses may restrict this at the start and end of each treatment.
Meal Times:
No meals provided |