Hospital Rules and Regulations

Rules

1st Assistant Surgeons will hand a Morning Report to the Surgeon of those in ward or private
quarters who are ready for duty, with a list of all convalescents who can be transferred.

2nd All patients recommended to be furloughed or discharged must be examined by the

Surgeon in Charge.

3rd The Assistant Surgeon must daily examine the register, seeing that their patients names
are all registered, and that deaths, discharges, furloughs, and returns to duty, are therein
stated by the clerk correctly. The Diagnosis of every case must, at the earliest opportunity,
be recorded on the register.

4th The blanks for all requisitions upon the storeroom and linen room must be signed by the
Assistant Surgeons themselves.

5th The Assistant Surgeon will make weekly reports to the Surgeon of such patients as are
in private quarters reporting to them.

Rules for the Ward

1st All patients must be at their beds during the morning and evening visits of the Surgn.

2nd No baggage allowed in the ward.

3rd No one is to loiter on another bed, each person being accountable for the neatness of his
own.

4th No smoking allowed in the wards or stair-cases.

5th Cleanliness being an object of consistent solicitude, patients are required to contribute
to this end in every possible way. Spittoons are provided for each bed.

6th Patients are not to leave the premises nor loiter about the Hospital without special
permission from the wards Surgeon.

7th Any one leaving the Hospital without permission shall be reported as a Deserter.

8th The ward master will have separately labeled with name, rank, regiment and company, all
clothes to be washed, indicating the ward and number of bed.

9th Ward master will see that the ward and stair case be swept at least three times daily,
attending also to general cleanliness of the apartment.
10th Any negligence on the part of the nurses or employees must be reported to the
Surgeon in charge.

11th The Ward Masters will, at all times, see to the comfort of the sick, and strictly carry
out the directions of the Surgeons.

12th Every Ward Master shall be held responsible by the Surgeon in charge for the condition
of his ward, its bedding and furniture.

13th The Ward Master must make duplicate accounts of all articles for the laundry, one to
go to the linen-room, the other for the laundress.

Rules for the Apothecary

1st Carefully label every vial indicating the patients name and No of bed.

2nd Examine the labels on medicines before using them.

3rd Clean mortars, spatulas, and pill tiles after using them, and return all bottles to their
places.

4th No patients or Soldiers allowed in the Apothecary shop.

Hospital Rules & Regulations

UMHC welcomes visitors. We request that visitors follow these guidelines:

• Routine visiting times end at 9 p.m. so that patients may get adequate rest.
• Specialty areas within the hospital may have more detailed visitation guidelines
based upon those patient's condition and needs.
• Clergy may visit at any time at the request of the patient.
• We encourage only two visitors at a time.
• Please remember to check with the nurse before sending plants or flowers. Some
areas have restrictions concerning these.
• Visitors are encouraged to ask questions. However, because of confidentiality and
privacy considerations, patients must first give permission before any personal
health information is released.
• Visitors must follow all hospital rules, including the "no tobacco" policy. See more on
this policy below.
• Please avoid visiting hospital patients if you are ill.
• We hope that you have a pleasant visit.
Your health care and safety are our top priorities. The University of Mississippi Medical
Center is a smoke-free, tobacco-free campus. Smoking or the use of tobacco products is
prohibited on the campus and in all buildings.

Most patients are eligible for tobacco replacement therapy (nicotine patches) during
hospitalization. You may request this service by asking your nurse or doctor. Please be aware
that patients are not permitted to leave the hospital to smoke.

DOs and DONTS

Do ask your patient's permission to visit before you arrive. Ask her to be candid with
you, and if she prefers you not visit, ask her if another day would be better, or if she would
prefer you visit once she gets home. Many patients love visitors, but some just don't feel up
to it. Do your patient the courtesy of asking permission.

Do wash your hands and sanitize them before you touch the patient or hand the
patient something you've been touching. If you wash your hands, then touch something
else, like a telephone or TV remote or even the bed linens or your jacket, wash your hands
and sanitize them again. Infections come from almost any source and the pathogens can
survive on surfaces for days. You can't risk being responsible for making your favorite
patient even sicker than she already is.

Do take balloons or flowers as long as you know your patient isn't allergic to them, and
is in a room by herself. If your patient shares a hospital room, you won't want to take
either, because you don't know if the roommate has an allergy. Most solid color balloons are
latex, which is rubber, and some people are allergic to rubber. When in doubt, take mylar
balloons or don't take any at all.

Do consider alternatives to balloons and flowers: a card, something a child has made
for you give to the patient, a book to read, a crossword puzzle book, even a new
nightgown or pair of slippers are good choices. The idea isn't to spend much money;
instead it's about making the patient feel cared for without creating problems that might
trigger an allergic reaction.

Do turn off your cell phone, or at least turn the ringer off. Different hospitals have
different rules about where and when cell phones can be used. In some cases, they may
interfere with patient-care devices, so your patient can be at risk if you don't follow the
rules. In other cases, it's simply a consideration for those who are trying to sleep and heal
and don't want to be annoyed by ring tones.

Do stay for a short time. It's the fact that you have taken the time to visit, and not the
length of time you stay, that gives your patient the boost. Staying too long may tire her out.
Better to visit more frequently, but for no more for a half an hour or so each time.
Do leave the room if the doctor or provider arrives to examine or talk to the patient.
The conversation or treatment she provides is private, and unless you are a proxy, parent,
spouse or someone else who is an official advocate for the patient, that conversation is not
your business. You can return once the provider leaves.

Here are some "don'ts" for hospital visitors:

Don't enter the hospital if you have any symptoms that could be contagious. Neither
your patient nor other hospital workers can afford to catch whatever you have. If you have
symptoms like a cough, runny nose, rash or even diarrhea, don't visit. Make a phone call or
send a card instead.

Don't take young children to visit unless it's absolutely necessary. Even then, check with
the hospital before you take a child with you. Many hospitals have restrictions on when
children may visit.

Don't take food to your patient unless you know the patient can tolerate it. Many
patients, especially those with certain diseases or even those who have recently had
anesthesia for surgery, are put on special diets while in the hospital. our goodies could cause
big problems.

Don't visit if your presence will cause stress or anxiety. If there is a problem in the
relationship, wait until after the patient is well enough to go home before you stress her out
by trying to mend that relationship.

Don't expect the patient to entertain you. Your friend or loved one is there to heal and
get healthy again, not to talk or keep you occupied. It may be better for your patient to
sleep or just rest than to carry on a conversation with you. If you ask her before you visit,
gauge her tone of voice as well as the words she uses. She may try to be polite, but may
prefer solitude instead of a visit.

Don't stay home, on the other hand, because you assume your friend or loved one
prefers you not visit. You won't know until you ask, and your friend or loved one will
appreciate the fact that you are trying to help her by asking the question.

Don't smoke before visiting or during a visit, even if you excuse yourself to go
outdoors. The odor from the smoke is nauseating to many people, and some patients have a
heightened sense of smell while taking certain drugs or in the sterile hospital environment.
At most it will cause them to feel sicker and if your friend is a smoker herself, you'll cause
her to crave a cigarette, and that may be problematic.

DOs and DON'Ts for HOSPITAL VISITS

DO...

1. Call first to determine patient's availability for a visit.

 2. Knock before entering a room and depend of the Lord to direct your visit.
3. Observe signs, notices, and precautions on patient's door.
4. If possible, sit where you can maintain comfortable eye contact with the patient.
5. Be cheerful, make pleasant conversation
6. Shape the tone and substance of your conversation from cues offered by the
patient.
7. Listen attentively by giving the patient your undivided attention.
8. Let patient know he/she can talk about sensitive subjects
9. Excuse yourself when the doctor enters the room unless requested to stay.
10. Share Scripture and ask patients of they have special needs as you prepare to pray.
11. Inform the Pastoral Care Department of your visit if possible.

DON'T...

1. Be insulted by patient's words/attitudes or register shock at a patient's

appearance.
2. Offer false optimism or participate in criticism about the doctor or the treatment.
3. Touch the equipment or sit on the patient's bed.
4. Tell the patient unpleasant news - including your own troubles.
5. Whisper when talking to family members or medical staff.
6. Break hospital rules or violate confidentiality issues.
7. Awaken the patient unless nurse gives approval.
8. Help the patient get out of bed or give food or drink without nurse's approval.
9. Assume anything.

NURSES Dos and DONTs

The Dos:

1. When doing documentation, it is important to write legibly. The information you are
writing isn’t only for your personal reference. It is for other nurse’s/doctor’s use as
well because it is a hospital record. Make it a habit to write in a way that others may
understand your handwriting.
2. Charting is one of the most important tasks a nurse does in a day. It is highly
advisable to do it with great precision. There are times it can get repetitive but if
you know the hospital’s software pretty well, do it as fast and accurate as you could.
This saves you from getting bored. You can still finish more tasks which you are
more interested at.
3. Although there are times it is difficult to tell your patients their real situation, it is
important that you’re honest with them. In cases you need to make another round of
injection (which most patients are afraid of), tell them that it indeed hurt but you’ll
do it as fast so they won’t feel the pain at all.
4. It is important to be organized at all times. This enables you to have a clear mind, to
think with more focus. A nurse should be able to put medicines, tools and equipments
 in their proper places. This will help your co-workers find things faster whenever
needed.
5. It is important to muster how certain procedures are done such as performing
physical examinations, interpreting X-ray results and other laboratory tests, and
counseling patients on the things to do. People’s health/life is at stake therefore, a
nurse should be very well aware of the right things to do.
6. A nurse should be able to manage time properly. It is important to exercise being
prompt all the time, especially when administering medications. There are certain
medications which can achieve better results when medication is done at the
required time.
7. A nurse on duty must always exercise accuracy. He/She must be certain on details
like who to provide medication to, what medication to give and when to give it. If
required to make a solution on the said medication, he/she must also do it with great
precision.

The Dont’s:

1. When doing documentation, do not just erase any information with any kind of
eraser. You must utilize the hospital’s subscribed way or erasing or deleting details.
2. Do not forge someone else’s signature. It may cause you your job or your co-worker’s
if proven. Even when you think that there is really no harm on putting a forged
initial, you will never know what sort of emergency will happen soon.
3. When doing physical examination/ tests, don’t use inappropriate description such as
“button-like scar”. Instead, use an appropriate description of its measurements
such as its actual measurement in centimeter or milliliter.
4. Do not bad mouth co-workers to patients. It gives a negative image to the hospital
where you are working at.

Hospital Policies & Information

Hosptial Policies & Information for Nursing Students

Nursing Student Policy The College of Nurses of Ontario (CNO) believes a nursing student
is accountable for:

• Contributing to the setting of objectives for the experience

• Understanding his or her role in the provision of care
• Using good communication with health care professionals with whom they interact
• Being accountable to the educator for the quality of his or her care within the
established goals
Who is Accountable for a Nursing Student's Error?
College of Nurses' Standards for Nurses Working with Nursing Students, 1996
When an error is made by a nursing student, the content of the situation is taken into
account. Nurses who are working with the student are not accountable for the student's
actions if they have fulfilled their responsibilities as outlined and if they had no way of
knowing that the error was going to occur.

Hospital Attire/Uniforms
Students are expected to wear nursing uniforms while completing their clinical. Scrubs
should be worn in operative settings, reprocessing areas and any other areas where there is
a high likelihood of exposure to body fluids. It is Sunnybrook's policy that all students
maintain their work appearance in accordance with the work they are performing and in
conjunction with uniform requirements, health and safety regulations and infection control
practices and policies.

Sunnybrook does not provide nursing uniforms.

Fragrance Free Policy

Sunnybrook maintains a fragrance-free environment.

Healthy Workplace
It is Sunnybrook's policy to minimize the risk of spreading infection in the work place in
order to provide a healthy environment for staff and patients.

Students are not to come to work if they have any of the following symptoms and are
to inform Occupational Health and receive clearance to return to work:

• Vomiting
• Diarrhea
• Symptoms of acute respiratory tract infection including cough, sore throat, runny
nose, and/or fever
• Flu-like generalized muscle aches
• Fever within the last 24 hours
• Conjunctivitis (eye infection, pinkeye)
• Infectious rashes or concern of possible transmission of a communicable illness (e.g.
chickenpox/shingles, mumps, measles)
• If a direct caregiver has other symptoms such as dermatitis (skin infection), open
sores, or cold sores, they must be assessed by the Occupational Health and Safety
Department.

If experiencing signs and symptoms as identified in this policy, students are required to:

• Inform the Occupational Health and Safety Department when condition and/or
actions pose a potential risk to the health and safety of themselves or others
• Notify the person to whom they report that they have been sent home.
• Notify their unit/department.
 • The student must be cleared by the Surveillance Nurse electronically, prior to
returning to work.

Influenza

• It is strongly recommended that all students who have contact with patients or
work in patient care areas get vaccinated for influenza (flu shot) annually in the
early fall.
• Non-vaccinated students that have no medical contraindication to the vaccine will be
excluded from work during an Outbreak.
• Documentation of receipt of vaccine may be required before starting placement.

Workplace Injuries

Any injury, however minor, to a student in a work education program should be reported by
the student to the employer and to the appropriate teacher with full details, including when,
where, and how the injury occurred. Accidents requiring only first-aid treatment do not
have to be reported to the Workers' Compensation Board, but a record of the details must
be kept by the school board. If medical treatment by a doctor, dentist, hospital, or other
treatment agency is required, or if an accident results in loss of time from the program, a
report must be sent by the school board representative to the Workers' Compensation
Board.

Privacy & Confidentiality

Protecting Personal Health Information Privacy - It's our obligation.

Sunnybrook takes a leadership position in the promotion and protection of personal health
information privacy rights on behalf of all members of our staff and patient communities.
We are taking active steps to ensure that we comply with both the legal requirements and
best practices in respecting these obligations.

What is Personal Health Information Privacy?

Personal health information is anything that can identify an individual such as their name,
their social insurance number, their health card number, or other personally identifying
information which can be related to their health status or care. Generally, any information
that is in a patient's paper or electronic patient record is considered to be personal health
information. According to Ontario's Personal Health Information Protection Act (PHIPA),
an individual has the right to know and control where their personal health information is
being used within the hospital and Sunnybrook has an obligation to ensure that the
information is kept confidential.