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  • 7/28/2019 OA004305 Patient First Book

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    A Picture Book Guide to

    Patient FirstFunded by WA Health.

    Health Consumers Council March 2012

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    Informed Consent......................................................................................................................3

    Making the right decisions for you.................................................................................5

    Understanding your risk.......................................................................................................6

    Your Rights and Responsibilities......................................................................................9

    Managing medications safely at home........................................................................12

    Managing medications in hospital................................................................................13

    Correct patient, correct site, correct procedure......................................................16

    Preventing falls in hospital...............................................................................................17

    Preventing pressure ulcers................................................................................................21

    Avoiding infection...................................................................................................................25

    What happens to your health information?.............................................................27

    Your health information......................................................................................................30

    Comments, complaints and feedback...........................................................................32

    Patient medication record form......................................................................................33

    ContentsPage

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    Thisdiscussionmayexploredifferenttypesof

    surgery,choiceofmedicalproceduresorwhat

    willhappenifyoudontdoanythingatall

    Youhavetherighttoasecondopinionandtoask

    questions

    Onceyouareinformedaboutthepossiblerisks

    andbenetsyoucanjudgewhichoutcomesyou

    arewillingtoacceptaspartofyourdecision

    When it comes to having an operation or test, especially one that may

    involve risk, you are required to give what is called Informed Consent.

    In other words, you will need to agree to the procedure or treatmentsuggested for your medical condition.

    Informed

    3

    Informed Consent in health care means that you are givenaccurate information in a way you can understand so youcan make the right decision for you.

    Thedoctororhealthprofessionalwilldiscussyourtreatmentoptions

    withyou.

    Yourjobistoaskquestionsifthereisanythingyoudontunderstand.

    Thedoctororhealthprofessionalgetsyourconsentornotand

    recordswhatisagreedto.

    Inotherwords,youdecidewhethertoundergotheprocedureor

    treatmentforyourcondition.

    Your medical team has the expertise andknowledge to suggest the best treatment however

    THE TREATMENT YOU RECEIVE IS YOUR CHOICEand is achoice you must agree to before your treatment can proceed.

    Beforeyougiveyourinformedconsent,yourdoctororhealthprofessional

    hastotellyouoryourparent/guardiantherisksandbenetsofthe

    treatmentoptionsbeingdiscussed.

    At this point you have the right to ask questions such as:

    Informed consent

    Consent

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    Itisalsoimportantforyoutothinkaboutthe

    likelihoodofsuccessandthepossiblecomplications

    ofyourtreatmentoptionsinmakingyourdecision

    FOR EXAMPLE:

    FOR EXAMPLE:

    Health professionals have to tell

    you about your treatment, answer

    your questions and gain your

    consent before treatment begins.

    Informed consent

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    5/365Making the right decisions for you

    TREATMENTOPTIONS

    Mostconditionswill

    havemorethanone

    treatmentoption;each

    withdifferentrisksandexpectedoutcomes.

    RISKS ANDBENEFITS

    Youneedtoweighup

    therisksandbenets

    dependingonyour

    situation.

    It may be helpful for you to list thethings you need to consider in order

    to make an informed decision.

    Whilst your health professional can advise you on treatment options,

    only you know about such things as your:

    In order to arrive at the best decision regarding your treatment,

    you will need to factor in these things as well as exploring:

    decisions for youMaking the right

    LIFESTYLE

    Youliketo:

    Playsport

    Walkthedog

    Beindependent

    PERSONALPREFERENCESAND NEEDS

    Youmightneedto

    makesomedietary

    changes.

    WORK DEMANDS

    Dependingonthekindof

    workyoudoyoumight

    needtothinkabout

    possiblybeingoffwork

    forweeks.

    FAMILY DEMANDS

    Youmightneedtoconsider:

    Anageingfamilymember

    Children

    Yourpartner

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    Understanding

    6 Understanding your risk

    your risk

    Any medical procedure involves risks which must be weighed against

    the likely benets of the treatment. It is vital that you fully discuss the

    risks with your health professional to ensure that you are fully informedbefore giving your consent to proceed.

    To help you gain a clearer picture of the risks and

    benets of your procedure, your doctor may use a visualaid called the Paling Palette (see overleaf) to explain.

    It is important that you take the time to understand theinformation and are comfortable with your decision.

    Remembertherisksandbenetscanneverbe

    guaranteed

    Ariskisimportantifitinuencesyourdecision

    e.g.thinkaboutfamily/workresponsibilities

    Itislawthatyoubetoldaboutprobable,frequent

    orseriousrisksandanyhealthcomplications

    Askquestionsifyouarenotsure

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    Ask your doctor to explain how many people (out of a thousand) have

    positive or negative results from the procedure you are considering

    using the Paling Palette.

    Understanding the risks of my procedure

    Whenyourdoctorisexplainingtherisksoftheproceduretoyou,llinthefollowingpageinyourown

    words.AskthedoctortollintherelevantnumberofguresonthePalingPaletteof1,000peopleprovided

    overleaf,andtoexplainthepossiblepositiveandnegativeoutcomesandanysignicantrisksyoumay

    haveasapatient.

    Mydoctorhasinformedmethatmyconditioniscalled:_________________________________________

    TheprocedureIwillbehavingiscalled:_____________________________________________________

    Iunderstandthatthiswillinvolve:__________________________________________________________

    ______________________________________________________________________________________

    ______________________________________________________________________________________

    ______________________________________________________________________________________

    Mydoctorhasexplainedtomethatthebenetsandpositiveandpossiblenegativeoutcomesofmehavingthisprocedureare:

    1.____________________________________________________________________________________

    2.____________________________________________________________________________________

    3.____________________________________________________________________________________

    4.____________________________________________________________________________________

    Mydoctorhasexplainedtomethatthepossiblerisksofthisprocedureare:

    1.____________________________________________________________________________________

    2.____________________________________________________________________________________

    3.____________________________________________________________________________________

    4.____________________________________________________________________________________

    Iunderstandthattheriskofmeexperiencinganadverseeventduringtheprocedureis________percent.

    WhenusingaPalingPalettetheriskcanbecalculatedas_____________in1,000.

    AskyourdoctortollintherelevantnumberofguresonthePalingPaletteof1,000providedoverleaf.

    Yourdoctormaywishtouseadifferentcolourpentohighlighteachriskonthepalette(overleaf).

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    Note to the Doctor: Whenexplainingtheriskstothepatient,translatethepercentageriskintoarateper1,000thenllintherelevantnumberofguresbelow,explainingthepositiveandnegativeoutcomes

    simultaneouslyandthesignicanceofanyrisksforthepatient.

    Understanding your risk

    ThePalingPaletteof1,000people.Copyright2001JohnPaling&Co.Forlicensingrights,contactwww.riskcomm.com

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    Your Rights and

    9Your Rights and Responsibilities

    Responsibilities

    You have rights and responsibilities

    as a patient/consumer.

    As a patient you have the right to:

    Receivefreepublichospitalservicesasa

    publicpatient

    Emergencydepartmenttreatmentandyouwill

    betreatedaccordingtohowsickyouareandtold

    approximatelyhowlongyouwillhavetowait

    Plannedsurgeryandyouwillbeclassied

    accordingtohowsickyouareandtold

    approximatelyhowlongyouwillhavetowait

    Accesstoservicessuchasinterpreters

    Haveacarerwithyou

    Betreatedwithrespectanddignity

    Begivenaclearexplanationofyourtreatmentandhaveyourquestionsanswered

    Agreeorrefusetoparticipateinstudenttraining

    ormedicalresearch

    Sayyesornototreatment

    Seekasecondopinionanddiscussoptionswith

    familyorfriends

    Beinformedofongoinghealthcarerequirementspriortoleavinghospital

    Condentialityofyourmedicalrecords

    Complainaboutorcomplimentyourtreatmentand

    careandtobetoldhowtomakeacomplaint

    Applytogetacopyofyourmedicalrecordsunder

    theFreedomofInformationAct(FOI)1992

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    If you choose to be treated as a private patient in a public hospital you

    will be charged for the cost of medical services, accommodation and

    other related costs.

    It is your responsibility to:

    Providemedicalstaffwithyourmedicalhistory.

    Familyandfriendscouldhelpwiththis

    Reportmedicinesyouareusingincludingover-the-

    counter,vitaminsandherbalmedicines

    Tellhealthstaffaboutchangesinyourconditionor

    problemswithtreatment

    Berespectfulofstaff.Aggressiveorviolent

    behaviourwillleadtowithdrawaloftreatment

    Followtreatmentinstructionsortellstaffifyou

    cantordontwishtodoso

    Sayifyoudontwantstudentsinvolvedinyourcare

    Keepappointmentsorletstaffknowinadvanceif

    youcannotattendtheappointment

    Costs and rebates should

    be discussed prior to

    commencement of treatment.

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    Health care professionals

    have a responsibility to:

    Berespectfulandtakeaccountofyourwishes

    Listenattentively

    Addressyourfearsbyprovidinginformation

    Speakinwaysyoucanunderstand

    Answeryourquestionshonestly

    Informandeducateyouaboutyourillnessincluding:

    Treatment options

    - risksandbenetsofoptions

    - likelihoodofsuccess,risksorcomplications

    - whatyoucanexpectfromtreatmentandchecktoseethatyouunderstand

    - gainyourconsentfortreatment

    - askifyouwanttoparticipateinanyresearchduring

    yourtreatment

    - provideadequateinformationandtimeforyoutomake

    aninformeddecisionaboutyourtreatment

    - tellyouhowurgentyourcaseisandwhereyouarein

    thetreatmentqueue

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    Managing medications

    12

    safely at home

    Medication mistakes can happen in hospital or at home when medicines

    are prescribed, given or taken incorrectly.

    Accidents can occur when :

    Medicineshave

    thesameorsimilar

    packaging

    Adoseismissedor

    doubledorthereis

    amisunderstanding

    astoinstructions

    onhowtotake

    medicines

    Make sure you tell your health professional about all your health

    problems and the medicines you are taking for them.

    Medicinesclashwitheachother Yourhealthcondition

    mayincreasethe

    likelihoodofsideeffects

    fromyourmedication

    To manage your medicines safely, the

    following steps should be taken: Keepalistofallmedicinesyouaretaking,

    includingover-the-countermedicines,

    vitaminsandherbalmedicines

    Askyourdoctorforinformationon:

    - whatyourmedicineisfor

    - whenyoushouldtakethismedicine- sideeffectstolookfor

    - whetherthismedicinecansafelymix

    withyourothermedicines

    Managing medications safely at home

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    13/3613Managing medications in hospital

    Managing medications in hospital

    Keeptrackofmedicinesyoureceiveinhospitalandnote

    thetimeanddosage.Speaktostaffaboutdifferencesin

    dosage,ifyouhavebeenrefusedmedicationorifithasbeendelayed

    Askfamilyorfriendstohelpwiththis

    Ifthereisaproblemaskquestions.Sometimesthings

    cangowronginhospitals Tellstaffstraightawayifyouarefeelingunwellafter

    takingmedicine

    Makesureyouunderstandallinstructionsabout

    yourongoingmedicinesbeforeyouleavehospital,includingwhethertocontinuemedicinesyouwere

    takingpriortohospitalisation

    Buyadosagebox(availableatpharmaciesandsupermarkets)

    Getyourmedicinefromthesamepharmacyevery

    timesoitcanbemonitoredbyyourpharmacist

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    14/3614 Managing medications in hospital

    For further reference, ask your doctor for written information known

    as Consumer Medications Information (CMI) or visit the National

    Prescribing Service at www.nps.org.au/consumers

    You will nd a sample Patient Medication Record Form below

    Alwayswritedownthemedicationsthatyouaretakingsothatinanemergencyhealthcarestaffcan

    accesstheinformationquickly.YouwillndasamplePatientMedicationRecordFormbelow.

    Medication StrengthWhat was it

    prescribed for?

    How much

    do I use?Date started

    Example:

    Paracetamol500mgtablets Arthritispaininknee 2tablets,4times/day

    PatientName:__________________________________________________________________________

    Ishouldreviewmymedicationson:_________________________________________________________

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    Patient medication record form

    Ifyouarescheduledtogointohospital,takeallofyourmedicationswith

    you(unlessthehospitalasksyounotto).Thiswillhelpyourdoctorand

    otherhealthpractitionerstoprovideyouwiththecorrectmedicationsand

    enablethemtoupdateyourmedications,ifitisrequired.

    Always write down the medications that you are taking so that in anemergency health care staff can access the information quickly.

    TheNationalPrescribingServicerecommendsthatyoulistallmedicationyouare

    currentlytakingincludinganythat:

    youtakeonprescription;

    havebeenrecommendedbyyourpharmacist;

    youhavereceivedwhilstinhospital;and/or

    youhavepurchasedover-the-counter.

    When you visit your general practitioner, pharmacist or go into hospital,

    always take your Patient Medication Record Form with you. See example

    on page 14.

    Ask your general practitioner or pharmacist about your medication and

    for information that you can take home and read in your own time.

    YoucanalsoobtaininformationbyphoningtheNationalPrescribingService

    MedicinesLineon1300 888 763(MondaytoFriday9.00amto6.00pm(EST))

    orbyvisitingtheConsumerspageoftheNationalPrescribingService

    websiteat:www.nps.org.au/consumers

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    16/3616 Managing medications in hospital

    Always tell your Health Professional:

    Thehealthproblemthatisbeingtreated

    Otherhealthproblems

    Ifyouarepregnant,breastfeedingorplanto

    becomepregnantwhilstonmedication

    Othermedicinesyouaretakingincludingover-

    the-counterorherbalmedicinesorvitamins

    Anyallergicreactionstomedicinesthathave

    madeyoufeelunwellinthepast

    Riskfactorssuchassmoking,alcoholor

    recreationaldrugs

    Yourpreferencese.g.tablets,capsulesorliquid

    Youcanalwaysaskifthereisacheaperbrandof

    themedicineavailable

    Keeping track of your medications is vitally important.If you are too unwell to do so yourself, ask a familymember or friend to help you.

    If you have more questions, talk to your doctor

    or pharmacist or speak to a pharmacist at:

    National Prescribing Service Medicines Hotline 1300 888 763

    Monday to Friday 9.00am to 6.00pm (EST) Cost of local call

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    17/3617Correct patient, correct site, correct procedure

    Correct patient, correct site correct procedure

    Surgery on the wrong patient or the wrong site (place on your body)

    rarely happens but the outcome can be severe.

    Check your details.

    Checkyourfullname,dateofbirth,thetypeofprocedure

    andthatthesideandplaceonyourbodywherethe

    procedureyouareabouttoundergoiscorrect

    Remindstafftocross-checkyourprocedurewithyour

    identicationband,medicalrecordandconsentform

    Make sure that the surgery or procedure is what you consented to when

    you signed it. Should there be an error obtain a new consent form.

    Before surgery begins, the clinical team will make a nal checkto verify correct patient, type of procedure and conrm the site.

    You can help us by the following safety checks:

    Ask to see your consent form

    Readtheformcarefullybeforeyourprocedureorsurgery

    Check your consent form

    Checktheformbeforetakinganymedication

    Check that the correct site/side is clearly marked

    Youshouldensurethatyourclinicianhas

    markedthesiteandsideoftheprocedure

    onyourskinwithawater-resistantpen

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    Preventing falls in hospital

    Falls can happen more easily when you are unwell as a result of poor

    balance, low blood pressure, some medications, physical inactivity,

    unfamiliar places, poor eyesight and unsafe footwear.

    To lower the chance of falls when in hospital you should:

    Wearcomfortableclothingandfootwear

    Takeyourtimegettingupfromaseatedpositionorlyingdownandletstaffknow

    ifyoufeelunwellorunsteadyonyourfeet,particularlywhenusingthetoilet

    Bringyourwalkingaidswithyou.Ifstaffrecommendassistance

    orsupervisionwhenwalking,askandwaitforassistance

    Bringyourglasseswithyouandwearthecorrectpair

    forwalking.Takespecialcareifusingmulti-focallenses

    Familiariseyourselfwithyourhospitalroom,furniture

    andbathroomlocation.Tellstaffofanyclutterorspills

    Drinkplentyofuids

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    Falls can also happen at home or when you are out and about.

    Prevent falls with the following simple steps:

    Professional Assessment

    Beforeyouleavehospital,askyourhealthprofessionaltoassessyourriskofafallandseektheir

    adviceifyouareatrisk.

    Besuretotellyourhealthprofessionalwhatyourhomeislike.Ifyouthinkyouneedmodicationsat

    home,youmightbeeligibleforgovernmentassistanceforhomemodications.Askaboutthis.

    Keep active

    Walking30minutesadaywillimproveyourbalanceandyour

    tness,evenifyoudoitintenminutelots.

    Walk tall

    Goodpostureandthewayyouwalkcanpreventfalls.Holdyourheaduphigh.

    Vision

    Haveannualeyechecksandgiveyourselftimetoadjustto

    newglasses,especiallybi-focals.

    Outdoors

    Outdoorstepsshouldbewelllitandhavesturdy

    handrails.Checkandrepairunevenpaths,

    deckingordriveways.Keeppathwaysclear.

    Out and about

    Reportanyhazardsinyourcommunitysuchasmissinghandrails,uneven

    paths,slipperysurfacesorpoorlighting.

    Reportanysliphazardstocouncilsorshoppingcentreorstoremanagers.

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    At home

    Ensureyourhomeiswelllit,especiallystairsorsteps

    Fitbathroomandkitchenwithnon-slipsurfacesandusenon-slipmats

    Cleanupspillsimmediately

    Ensurewalkwaysare

    freeofobstructions

    Removerugsthatcanslideorsecurethem

    Installhandrailsbystairsorstepsandinbathroomandtoilets

    Installanightlightoralampthatiseasilyreachedifyouneedtogetupfrequentlyduringthenightorkeepatorchnearby

    Keepfrequentlyuseditemswithineasy

    reachtoavoidusingastepladderorchair

    Beawareofpetswhenmovingaroundthehouse

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    Further help

    Medication

    Makesureyougetyourmedicinesregularlyreviewed

    Makesureyouunderstandtheeffectsofyourmedicine

    Manage your condition

    Haveregularcheck-upswithyourdoctortodiscussconcerns,prevent

    complicationsandreducepossiblesideeffects.

    Makesureyoutellthedoctorallthemedicinesyouaretakingincluding

    vitaminsandherbalmedicines.

    Improve your balance

    Do30minutesofgentleexerciseeachdayto

    improveyourbalance.

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    22/3622 Preventing pressure ulcers

    Preventing pressure ulcers

    A pressure ulcer is a sore, break or blister of the skin caused by constant

    unrelieved pressure on an area of the body over a long period.

    Pressure ulcers can be very painful and take a long time to heal and may reduce mobility.Though movement may be difcult, a few simple actions can save a lot of pain.

    To prevent pressure ulcers you should:

    Adoptgoodposture

    whensitting

    Changeyourbodypositionatleastevery1-2hoursif

    inbedorevery15minutestoonehourifseated.Ifyou

    cannotmoveyourself,askforassistance

    Usespecialequipmentsuchasspecialised

    mattressesorheelelevators

    Watchforearlysigns:

    -Constantredness

    -Brokenorblisteredskin

    -Localisedpain

    -Tingling

    -Numbness

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    If you notice any symptoms, advise your doctor or nurse immediately.

    If you cannot check all of your body, ask a nurse, family member or friend to checkregularly for you.

    23

    Batheorwashwithwarmwateranda

    mild,non-dryingcleanser

    Usemoisturisinglotiontopreventdryness;

    however,avoidvigorousrubbingasthismay

    damageunderlyingtissue

    Keepyourskincleananddryatalltimes.

    Ifyouuseanincontinencedevice,change

    itregularlytoavoidskinirritation

    Applyaspecialdressingtoanyexistingor

    potentialpressureareatoprotectthesite

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    24/3624 Preventing pressure ulcers

    Who is at risk from pressure ulcers?

    Anyone can get pressure ulcers but you are at greater risk if you are frail,elderly or if you have:

    Where do pressure ulcers occur?

    Pressure ulcers can occur anywhere on the body but are more likely to appear on thebony areas where there is little padding, as shown below:

    Beenconnedto

    abedorchair

    Poordietor

    uidintake

    Diabetes,poorcirculation,

    historyofsmokingPoorcontrolof

    bladderorbowel

    Reducedmentalawarenessdueto

    illness,medicationsoranaesthetics

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    Key point to remember:

    Pressure ulcers, or bed sores can be very painful and take a long time to heal.The depth of skin damage can vary from shallow to very deep. It is worth makingthe effort to prevent them.

    Unrelieved,constantpressureisthemaincausebutothercausescanbe:

    - Friction

    - Shearing(draggingtheskinwhenslidingdowninthebed)

    - Toomuchexposuretomoisture

    Onadmissiontohospital,youwillbeassessedforriskofpressureulcersandaplanwill

    bearrangedtoreducetherisk.Ifyourconditionchanges,askforareassessment

    Inhospitalorathome,rememberto:

    - Changeyourbodypositionfrequently

    - Inspectyourskinforearlywarningsigns

    Donotvigorouslymassageorrubtheskin

    Ifwearingbandagesorsurgicalstockings,

    informyournurseordoctoriftheyare

    changorcausingdiscomfort

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    Avoiding infection

    The last thing you want when you are already feeling unwell is an

    infection and even when you are well, colds, u and other infections are

    best avoided.

    Here are some ways to minimise your risk of infection:

    IfyouarepreparingforsurgeryDONOTshavethearea

    Ifyouareasmokertrytoquitatleast30daysbefore

    youradmissionoratleastcutdown.Thisisespecially

    importantifyouarehavingsurgery

    Ifyouhaveanopenwound,carefullyfollowyourhealth

    practitionersinstructionsontreatmentandcare

    Avoidclosecontactwithpeoplewhohavean

    infectiousconditionandaskpeoplenottovisitiftheyareill.Ifyouaresickstayawayfromotherpatients

    Askifthosewhotreatyouhavewashed

    theirhandsbeforetouchingyou

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    At home, avoid infection by:

    Washingyourhandsregularlywithwarm

    waterandsoaporuseanalcohol-basedgel

    (availablefrompharmacies)

    Wash vigorously for at least 15 seconds especially after you have:

    Used the bathroom Taken out the rubbish Changed a nappy

    Handled money Played with a pet

    Coveryourmouthandnosewith

    atissuewhenyoucoughor

    sneeze,thenwashyourhands

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    28/3628 What happens to your health information?

    It is important for your health service provider to have your health

    records for the following reasons:

    What happens to your health information?

    Yourinformationcanbeaccessedquicklyincaseofanemergency

    Anewphysiciancanhaveaccess

    toyourprevioushealthhistory

    Youliveinaruralareawhereyourhealth

    informationmaybeaccessedthroughTelehealth

    Telehealth enables patients in rural and remote WA to talk to and see

    their health professional on a TV screen at their local health service.

    The health professional can see and hear the patient as well.

    Yourpreviousrecordsmayneedtobeshared

    electronicallyifyouarebeingtreatedatanother

    hospital(paperrecordsremainattheoriginalhospital)

    WhenyouareahospitalpatientinWesternAustralia,somepersonalinformation

    isrecorded,codedandsenttotheWAHealthDepartment

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    In addition, the WA Health Department is authorised to access and retain

    certain information by law in the following cases:

    Adiagnosisofcancer

    Adiagnosisofmentalillness

    Birthdetails

    Adiagnosisofanotiable

    communicabledisease

    Assistedreproductiveprocedures

    Information accessed by

    the Department of Health

    is coded to protect your

    personal information.

    TheDepartmentofHealthandhealthcareprofessionals

    arelegallyandethicallyobligedtokeepyourpersonal

    informationcondential.Healthinformationisusedforresearch,planningand

    serviceimprovementreports.

    For more information contact:

    Health Consumers Council Inc. WA(08) 9221 3422 or [email protected]

    Freecall 1800 620 780

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    You have a right to access your public hospital records and:

    Knowwhatinformationisheldaboutyou

    Accessthatinformationsubjecttosomeexceptions,forexample,ifitisunhelpful

    toyourrecoveryorisinformationprovidedforseriousclinicalincidents

    Requestthatamendmentsaremadetoanyincorrectinformation

    For more information:www.health.wa.gov.au/medical records/.Check out www.hconc.org.au for a modelletter under Our Services/Advocacy.

    Youmayalsorequestaccesstoinformationunderthe

    Freedom of information (FOI) Act 1992.

    Forward your written applicationdirectly to the hospital in whichyou were treated.

    It often takes time to access your records from a public hospital

    about 40 days.

    If you have difculty accessing your information from the hospital,

    contact the Freedom of Information Co-ordinator at the Department

    of Health on (08) 9222 6412

    or the Information Commissioner on (08) 9220 7888or Freecall 1800 621 244 or www.foi.wa.gov.au

    ForfurtherinformationorassistancecontacttheHealthConsumersCouncilofWA(08)92213422

    orifoutsidethemetropolitanareaFreecall1800620780.

    What happens to your health information?

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    Your health information

    Complaining to improve patient safety

    Health care is complex and sometimes things go wrong.

    Ifyouwanttocomplainortellthepeopleresponsibleyouhavesufferedharmanddontwantthe

    mistaketohappentoanyoneelse,youhavetocomplaintotherightpeople.Yourcomplaintisimportant

    asittellshealthorganisationswhattheyneedtochangetostopharmingpatients.

    Ifyoudontcomplaintotherightplace,yourimportantinformationwillgotothewrongpeopleandget

    ignoredorlostinthehealthsystem.

    Choose where to complain to from the list of organisations below, if your report orcomment relates to:

    Medications and medical devices

    Inmedicallanguagethesearecalledtherapeuticgoods.TheAustralia-widegovernmentagency

    responsibleforproblemswithmedicationsandmedicaldevices(egarticialhip/kneesorpacemakers)

    istheTherapeuticGoodsAdministration(TGA).TheTGAhasanon-linereportingserviceforboth

    patientsandhealthprofessionalstoreportproblemsat:www.tga.gov.au

    Alternatively,phone1300 134 237forproblemswithmedicinesorphone 1800 809 361forproblems

    withdevices.

    Health care professionals

    Ifyouarenothappywithhowyouhavebeentreatedbyahealthprofessionaloutsideahospital,

    youcancontactAustralianHealthPractitionerRegulationAgency(APHRA).www.aphra.gov.auor

    Freecall1300 419 495.

    Care, treatment or service in a hospital

    Youcanmakeacommentorcomplaintdirectlythroughanystaffmemberonthewardorthrough

    theComplaintsManageratyourhospital.

    Your health information

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    If you are not happy with what happened with your complaint to a

    hospital you can make a complaint to Health and Disability Services

    Complaints Ofce (HaDSCO) in WA which is an independent agencyestablished to deal with complaints about health and disability services.

    You need to make your complaint within twoyears of the event occurring. HaDSCO can becontacted by phoning: (08) 9323 0600Freecall: 1800 813 583 (for country residents)or by visiting: www.hadsco.wa.gov.au

    If you would like free advice or help to makea complaint or comment you can contact:

    HealthConsumersCouncilofWA

    Ph:(08)92213422,orFreecall1800620780,

    ifyouliveoutsidethemetropolitanarea.

    32 Your health information

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    Comments, complaints and feedback

    A copy of the Western Australian Public Patients Hospital Charter is availablefrom your hospital, the Department of Health (www.health.wa.gov.au)or the Health Consumers Council of WA (www.hconc.org.au)

    Comments

    Tellingthehospital/healthservicehowyouexperiencedtheirservicehelps

    healthproviderstounderstandtheservicefromapatientspointofview.

    Complaints

    Youhavetherighttocomplain

    Yourcomplaintmustbeinwriting

    Youshouldhearbackwithin5workingdaysthatyourcomplainthas

    beenreceived

    Ifyouhavenotheard,youcancalltheCustomerService/PatientLiaison

    ofceratthehospitalwhereyouweretreated

    Ifyouwanthelpwritingyourletter,contactHealthConsumersCouncilon

    (08) 9221 [email protected]

    By listening to the patient, the hospital and staff can improvepatient care and patient safety for everyone.

    Positive Feedback

    If you have received excellent care, please let the hospital know!

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    Notes

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    Health Consumers Council

    Unit 13/14 Wellington Fair

    40 Lord Street, East Perth WA 6004

    GPO Box C134, Perth WA 6839

    Ph: 9221 3422 Freecall: 1800 620 780

    www.hconc.org.au