Health Navigation Tip#4: The Hospital

A hospital admission whether an emergency or planned is stressful.  It is easy to feel overwhelmed by the institution's rules and regulations.  A consumer does not loose their rights upon entering a hospital.  It is just a more daunting task to get what you need.  Remember, hospitals work like a clock, regulated and timed.   Here are some tips to help you.

                             You or a family member should:
  Know what surgery, procedure or test you are having and why.
  What are the potential outcomes, side effects and adverse reactions.
  How long will the stay be?
  Bring a list of medications (It is always good to keep a list in a wallet in case of emergency)
  Bring a list of your medical history.
   If  having a surgery,  mark the area in big letters, for instance "Right toe"
  Have a signed HIPAA form with a list of authorized people who can speak with staff in your chart. 
  If there is an unexpected decline or infection, ask for a rapid response team to make an assessment,
     or contact the doctor in charge of the floor, and if needed the medical director.
  If You feel you are not being listened to, contact the Patient Relations department immediately. 
  You can get a copy of your records before leaving.
  Many hospitals allow a family member or friend to stay overnight in the room.  
  Ask for an explanation of any new medications being given.  
  If possible have a signed Living Will and medical power of attorney in your chart.
  You can ask for an itemized bill.  Even with insurance, there may be coinsurance payment.  Hospitals do make mistakes
    with bills.
  If Discharge planing is needed, start the process as early as possible.  Make sure you are involved with the discharge           planner or care manager.  The plan should not be a surprise to you or your family.
  Make sure you have  prescriptions to take home and get filled.
  ASK ALL THE QUESTIONS YOU WANT UNTIL YOU HAVE CLARITY!

The best way to accomplish your goals is to communicate with the staff from the first day.  Make sure the staff knows who the point person is and the information you will be wanting on a regular basis.  I always advise use the chain of command to get desired results.  If you or your family feel stuck or feel unheard, get an advocate.   
  
  
    

 

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