Inpatient Psychiatric Unit Patient Handbook

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Inpatient Psychiatric Unit Patient HandbookRules and Guidelines for client safety and wellbeing

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Welcome
To
Inpatient
Psychiatry

Dear Valued Emory Healthcare Patient:
Welcome to the Inpatient Behavioral Health Unit.
Our mission is to provide our patients and families with the highest quality
care and service. The goal of treatment is to aid you and your family in
achieving and maintaining a higher function and quality of life.
Dealing with health care concerns is stressful for any patient and their
family, and we want your visit with us to be as productive as possible. The
guidelines that follow were developed to promote your mental health and
facilitate your independence.
It is vital for us to hear your thoughts about your care while you are here.
We look forward to receiving your opinion and feedback. We invite you to
partner with us to improve our care to you and your family, as well as future
patients and their families.
If you have any questions or concerns during your stay, please feel free to
contact me directly at 404-728-6915.
Margarete Brunache, RN
Unit Director
Psychiatry Services
Emory Wesley Woods Hospital

In-Patient Behavioral Health Units
Orientation Letter
We hope that your family member’s stay at Emory University Hospital at Wesley Woods meets your
expectations. We will do everything that we can to help you. There are a few basic guidelines listed
below to help us provide quality care and keep patients, visitors, and staff safe on the unit at all times.
Thank you in advance for following these guidelines.

Members of Your Health Care Team
The Emory inpatient behavioral health unit is a teaching facility for the Emory University School of
Medicine and the Emory University Department of Psychiatry and Behavioral Sciences. As a result of
this collaboration, the treatment team includes various members. You may ask any member of your
treatment team, including your Attending Physician, questions about your treatment plan.
By taking care of you and other patients, students and residents learn to be doctors and psychiatrists.
We are deeply appreciative of your participation in medical education.
Patient: You are the most important member of the team. We encourage you to ask questions and
express your needs. Your participation and cooperation is vital.
Your Family: With your permission your family may be included in treatment planning and discharge
planning decisions, and as a source of shared information important to your care.
The Attending Physician: The Attending Physician is a Medical Doctor (MD) and a board certified
psychiatrist. The Attending Physician supervises the medical care of patients.
Resident: The resident is an MD who is receiving specialized training in the field of Psychiatry. The
resident will be working closely with you and is supervised by The Attending Physician.
Medical Student: Medical students spend several weeks on the unit as part of their medical
education. The students also work with you under the supervision of the resident and The Attending
Physician

 

Registered Nurse: Your nurses keep you informed and serve as a link between you, your family, and
the other members of the team. The nurses provide the day to day care during your treatment, such
as medication administration, patient education, and group facilitation.
Nursing Technician/Patient Care Assistant: The nursing technicians assist you and support
independence in performing daily life tasks such as bathing, dressing, and tidying your room.
Mental Health Assistant: The mental health assistant provides education, support, coordinates
activities on the unit, facilitates therapeutic groups and may assist you in performing daily life tasks.
Nursing Student: Nursing students spend several weeks on the unit as part of their nursing
education. The students also work with you under the supervision of the Clinical Nursing Instructor
and Emory Wesley Woods Nursing leadership.
Certified Addiction Counselor (CAC): The CAC is available for assessments, interventions,
individual and group activities for addiction care and other therapeutic activities.

Care Coordinator: The Care Coordinator may be a Licensed Clinical Social Worker or Licensed
Professional Counselor. He/she addresses psychosocial needs, facilitates various groups, assists
with discharge planning and refers to community resources. You and your family may communicate
with him/her during the hospitalization.
Spiritual Care Advisors: Spiritual Health embraces the traditional religious care provided by
professional health care chaplains, but also expands beyond to include spiritual and cultural qualities
associated with whole person health. Rituals and prayers from particular faith traditions and active
listening continue to be important functions in responding to distress. Spiritual Health also
incorporates evidence-based interventions derived from a wide circle of spiritual practices such as
mindfulness and guided meditation, relaxation response, group, and individual sessions. Chaplains
provide spiritual health consultations that target symptoms and bring relief to affective behaviors that
impede health. Our role on the interdisciplinary team is critically integrated into Emory Healthcare’s
goal of caring for the whole person.
You will also meet housekeepers, transporters, lab technicians and pharmacists. Feel free to ask any
questions about how they contribute to your care.

Patient and Family Information and Guidelines
The goal of treatment is to aid you and your family in achieving and maintaining higher function and
quality of life. The information and guidelines listed below are designed to promote care and facilitate
your recovery and independence.
Treatment Plan: An individual plan of care is developed with you (and your guardian, if applicable)
focusing on problems and strengths to maximize treatment and promote health. The physician team
reviews the plan with you daily and asks for your input. Other members of the treatment team are
also familiar with your treatment plan and address specific issues within their professional practice.
If you do not want people to know you are a patient here, please inform the staff as soon as possible.
Visiting Hours and Guidelines: Visitation from family or friends is an important part of your care and
recovery. As patients are encouraged to participate in the therapeutic milieu of the unit, family and
friends may call 404-728-6222 to obtain information regarding visiting hours. No children under the
age of 16 may visit on the units at any time. This rule is for your child’s safety. Adults must supervise
children at all times. You are responsible for giving all visitors the confidentiality code issued to
you during admission, or we cannot allow them to know you are here.
Gifts from Family/Friends:
Any packages that are brought to the unit for you need to be reviewed by staff before you receive
them. Your family may bring a single serving of food to you in a disposable container as long as the
food is agreeable with any special diet you are ordered. We serve only decaffeinated beverages here,
so no caffeinated drinks can be brought from home. For a complete list of items that cannot be
brought to the unit, please see the unit safety section at the end of this handbook.

Telephones
 are
 available
 
for
 your
 use
 during
 

 free
 time.
 

Phone Use: We have two phones from which you can make
and receive calls. Personal cell phones are not used while in
treatment here. We will secure your cell phone with public
safety services, or you can arrange to have the phone sent
home. Please write down phone numbers that are stored in
your cell phone. The hospital telephone will be available for use
between the hours of 0900-1000, 1600-2000, and 2100-2200
(only outside of groups and other structured activities).

Telephone calls will be limited to 10 minutes.
A Word about Confidentiality:
You will be given a confidentiality code number at the time
of your admission. This code number helps us protect your
privacy while you are here and should be given to specific
family or friends you want to call or visit you while you are
here, and allows the staff to acknowledge that you are on
the unit. Otherwise staff will not disclose that you are a
patient here and will not honor the call.


 

Your
 confidentiality
 code
 
helps
 us
 protect
 your
 
privacy.
 

Please respect the privacy of other patients by not disclosing other patients’ treatment issues to
family, friends, or visitors.
Clothing: Because you will be participating in unit groups and activities during the day, you are asked
to dress in casual street clothes. Shoes, without laces, are required.
Valuables: We encourage valuables to be sent home when possible; alternatively, public safety will
secure valuables and return them to you at the time of
discharge. We do not have suitable space on the unit to store
Ask
 us
 to
 help
 you
 secure
 
your valuables, and we cannot be responsible if those items
are lost.
your
 valuables,
 or
 have
 

family
 take
 them
 home
 for
 
safekeeping.
 

Automobiles: Personal transportation is rarely needed while
hospitalized. Please notify us if you have parked your vehicle
on Emory’s campus or in hospital parking.

Electrical Appliances: Small items such as hair dryers, and
electric razors, are allowed, if in good repair. Nursing staff will check these items for safety upon
admission. For additional safety, these items are labeled with the patient’s name and kept secure in
the multi-purpose room. You may ask to use them, and return immediately after use.
Personal Leisure Items: Reading materials and hobby items may be used during free time if they do
not pose a safety risk.
This is a non-smoking hospital. We have several smoking cessation tools available to assist you.

This
 is
 a
 non-­smoking
 
hospital.
 

Medications: Medication given to you while here must be prescribed by the physician and dispensed
by the nursing staff at the scheduled times. Please ask questions if you have them – you should know
the name, the actions, and any potential side effects of the medicines you are given. Medication
brought in at admission usually is returned to you, or may be disposed of at your doctor’s suggestion.
Groups: You are expected to attend all therapy and education groups. These groups are designed
with your goals in mind; they are based on the most up-do-date research about how to improve
symptoms and optimize health. You will be provided with a schedule of group therapies and there is a
schedule posted in the group therapy room.

Meals
 are
 served:
 
Breakfast:
 8:00
 am
 
Lunch:
 12:00
 pm
 
Dinner:
 5:00pm
 

Meals: Meals are served to you in the common areas. We ask that
you are dressed in your street clothes at the breakfast meal. Pleasant
mealtimes are important on the unit and are times of socializing with
others. You will be asked to fill out food preference sheets each day,
one day in advance. Eating in your room is discouraged. Please do
not stash food in your room; this keeps our environment clean and
pest free.

You may be placed on a special diet depending on your health needs. The Food and Nutrition
Services staff will prepare your food according to this diet. If you have questions about your diet,
healthy eating or weight changes, please talk with staff; a dietitian consult might be ordered for you.
Free time activities: We encourage patients to socialize with others during free time. Please use the
common areas to socialize, and avoid potential conflicts by not visiting in each other’s room. We have
activity supplies available for you, or talk with the nursing staff about items you can bring from home.
Conduct: You are expected to conduct yourself in an appropriate manner while on the unit. Threats
of harm or fighting infringe on the rights of others and are taken seriously. Conflicts with peers should
be resolved with the assistance of staff if you are unable to resolve the situation.
You might make friends here with the other patients. We ask that you keep your relationship at the
friend level. We do not want anything interfering with your current treatment. The staff will observe all
the patients during the day and will make rounds at night, so that everyone can be safe and focused
on their treatment issues.
Environment: Emory Healthcare strives to provide surroundings that promote a caring environment
and quality treatment. You are asked to keep your room tidy and to make your own bed. Please pick
up after your activities in common areas. Housekeeping provides routine services such as cleaning
your restroom and emptying your trash can. Bed linens and towels are available upon request.
Please put your dirty linen in the proper receptacle.
Laundry: Washer/Dryer facilities are available.

UNIT SAFETY
Patient Safety - For Your Protection…………

In
 order
 to
 maintain
 a
 safe
 environment
 at
 all
 times,
 all
 potentially
 harmful
 items
 will
 be
 
removed
 from
 belongings
 upon
 admission
 or
 at
 any
 time
 during
 hospitalization
 when
 they
 
are
 brought
 to
 patients
 on
 the
 unit.
 
 Visitors
 will
 be
 greeted
 at
 the
 door
 and
 all
 bags
 and
 
other
 items
 will
 be
 searched
 at
 the
 nurses’
 station
 before
 they
 are
 given
 to
 patients.
 
 
Potentially
 harmful
 items
 will
 be
 sent
 home
 or
 locked
 in
 a
 secure
 room
 on
 the
 unit
 until
 
discharge.
 
 
 These
 items
 include:
 
 
 
1. All
 medications
 including
 prescription
 and
 over-­‐the-­‐counter
 medications,
 eye
 drops,
 and
 
ointments.
 
2. Any
 item
 made
 from
 glass
 or
 with
 a
 blade
 or
 sharp
 point
 such
 as:
 
bottles
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 nail
 clippers
 
 
 
 
 
 
 
 
 
 
 
 
 stick
 pins
 
 
 
 
 
 
 
 
 
 
 tweezers
 
 
metal
 utensils
 

 
craft
 tools
 
 
 
 
 
 
 
 
 
 metal
 nail
 files
 
 
 
 
 
 
 
 
 razors
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 knitting
 needles
  metal
 combs
 
thumbtacks
 
 
 
 
 
 
 knives
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 safety
 pins
 
 
 
 
 
 
 
 
 wire
 hangers
  scissors
 
3. Electronics
 or
 appliances
 with
 cords:
 cell
 phone,
 computer,
 i-­‐pad,
 curling
 iron,
 hair
 dryer,
 
heating
 pad,
 and
 electric
 razor.
 
4. Other
 items
 that
 can
 be
 used
 for
 self-­‐harm
 such
 as:
 
 cords,
 belts,
 shoe
 laces,
 ropes,
 dental
 
floss,
 yarn,
 guitar
 strings,
 metal
 soda
 cans/tabs,
 and
 plastic
 bags.
 
 
 
 
 
 
5. Any
 item
 containing
 alcohol,
 combustible
 fluids
 and
 all
 aerosol
 cans
 including:
 fragrances,
 
mouthwash,
 shaving
 lotion,
 hair
 products,
 cleaning
 products.
 
 
6. All
 illegal
 substances
 and
 weapons
 such
 as
 marijuana,
 cocaine,
 tobacco
 products,
 firearms,
 
and
 related
 items
 such
 as
 electronic
 cigarettes,
 matches,
 pipes,
 and
 lighters.
 
 
 
 
7. Any
 items
 not
 listed
 above
 that
 may
 present
 a
 potential
 hazard
 to
 others.
 


 
 
 


 
 
 
 
 
 
 
 
 


 
 
 
 
 
 
 
 
 
 
 
 
 

For
 safety
 purposes,
 please
 leave
 all
 of
 your
 valuables
 (except
 for
 car
 keys)
 in
 your
 vehicle.
 
No
 purses/handbags,
 computers,
 cell
 phones,
 or
 other
 valuable/potentially
 dangerous
 items
 
will
 be
 permitted
 on
 the
 unit.
 
 In
 accordance
 with
 HIPPA
 laws
 and
 to
 protect
 patient
 
confidentiality,
 no
 devices
 that
 can
 video,
 audio
 record,
 or
 photograph
 are
 permitted
 on
 the
 
unit
 by
 patients
 or
 visitors.
 If
 you
 have
 questions
 about
 a
 particular
 item,
 please
 ask
 a
 staff
 
member
 about
 the
 item
 prior
 to
 entering
 the
 unit.
 
 Thank
 you
 for
 your
 cooperation
 and
 your
 
assistance
 to
 maintain
 our
 safety
 at
 all
 times.
 
 

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