ward coordinator: nurse manager: general surgery

OPERATIONS GUIDE

GENERAL SURGERY

Ward B

Service Director:

Prof. Guilherme Tralhão

Ward Coordinator:

Dr. António Ribeiro

Nurse Manager:

Fernando Sousa

Coimbra, 2020

HUC/242-i, Versão 0, Dez/20

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Useful Contacts Telephone Coimbra University Hospitals 239 400 400 General Surgery Service– Building HUC Ward A – 2nd floor 239 400 626 Ward B – 2ndfloor 239 400 627 Ward C – 3rdfloor 239 400 624 Ward D – 3rdfloor 239 400 625 Outpatient Consultation 2ndfloor 239 400 529 Outpatient Consultation 3rdfloor 239 400 528

Other Services Intermediate Surgical Care Unit 239 400 681 Post Anaesthetic Care Unit (Recovery Unit) 239 400 677

General Hospital 239 800 100 General Surgery Service– Building HG Ward E 239 800 145 / 239 800 154

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Welcome Message

Welcome to the General Surgery Service of the Coimbra Hospital and

University Centre, EPE.

All the staff working here endeavor to provide you with the best care, and

are available to inform you should you have any queries relating to your

illness/diagnosis and treatment.

We hope you have a pleasant stay with us, and wish you a full recovery.

This document outlines the basic functioning rules of the ward. It is for

information purposes only, and is subject to change due to internal

regulation.

Greetings from the whole staff.

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1 | The Coimbra Hospital and University Centre

The Coimbra Hospital and University Centre (CHUC) has a mission to

provide high quality and differentiated health care, in a context of

training, teaching, research, scientific knowledge and innovation, in order

to consolidate its position as national and international reference in

healthcare.

The centre consists of 6 hospital buildings: Coimbra

University Hospitals, General Hospital, Paediatric Hospital,

Daniel de Matos Maternity, Bissaya Barreto Maternity and

Sobral Cid Hospital.

The General Surgery Service has inpatient units and outpatient

consultation at the Coimbra University Hospitals and the General Hospital.

Coimbra University Hospitals (HUC)

Address: Praceta Prof. Mota Pinto, 3004-561 Coimbra Telephone: 239 400 400 Email: [email protected]

Addicional Services

Floor Designation Opening Hours

0

ATM Kiosk Hairdresser Citizens Advice Bureau Telephone Chapel

08:00 – 20:00 Mon-Fri: 08:00 -18:00; Sat.: 09:00-13:00 Mon-Fri: 09-16:30 Daily Mass: 17:15; Sunday Mass: 11:00

-1 Bar ATM

How to get here - Directions

Car: Arriving viaA1 motorway, exit Coimbra Sul direction IC2 and follow sign “Hospitais da Universidade de Coimbra – HUC”

Train: Exit at Coimbra-B Train Station Bus (SMTUC):Lines n.º 6, 7, 29, 35 e 37

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There is a free wifi available on Coimbra University Hospitals.

Visit our institutional website to find more information:

www.chuc.min-saude.pt

General Hospital (HG)

Address:Rua 5 de Outubro, S. Martinho do Bispo, 3049-002 Coimbra Telephone: 239 800 100 Email: [email protected]

Addicional Services

Floor Designation Opening Hours

1 Social services Mon-Fri: 09:00 – 16:00

0 Chapel Telephone

-1 Bar

ATM At the ER and Outpatient Consultation

How to get here - Directions

Car: Arriving via A1 motorway, exit Coimbra Sul direction IC2 and follow sign “Hospital dos Covões”

Train: Exit at Coimbra-B Train Station

Bus (SMTUC): Lines n.º 6, 14, 14T, 22

mailto:[email protected]

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2 | The General Surgery Service

The General Surgery Service is divided into 5 wards and 2 outpatient

consultation units:

Ward A –Hepatobiliopancreatic Surgery Unit

Ward B –Colorectal Surgery Unit

Ward C –Esophagogastric and Obesity Surgery Unit

Ward D – General Surgery

Ward E – General Surgery

General Surgery Outpatient Consultation 2nd Floor

General Surgery Outpatient Consultation 3rd Floor

2.1 | Who we are

The team of healthcare professionals in this department includes many

different healthcare professionals such as doctors, nurses, operating

assistants and technical assistants.

During hospitalisation there will always be a nurse

who is responsible for you during each shift. At 8:00,

14:30 and 22:30, there is a shift change briefing,

where all relevant information for the continuity of

care will be transmitted.

The Medical Visit occurs preferably during the

morning, this being the moment to obtain information regarding your

diagnosis, treatment and clarification of any doubts.

In addition to these professionals, we also have the support of :

Social Services: Monday to Friday, from 09:00 to 16:00 on Floor 0.

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Nutrition and Dietician Service: When needed, support can be

requested weekdays from 08:00 to 16:00. After your discharge you

can schedule a consultation.

Spiritual and Religious Assistance: On floor 0, there is an ecumenical

space. The hospital also offers the religious services of a chaplain,

available at any time, as well as spiritual assistance from any other

religious belief, which may be requested from your nurse.

2.2 | The Ward B

Ward B is located in the 2nd Floor of the central building of Coimbra

University Hospital, EPE (HUC) and it is equipped with 28 beds.

Free Wi-Fi available (whucfree).

Inpatient units provide:

Living room/dining room with TV;

Rooms of 1, 3 or 6 beds, with toilet and shower.

The Patient´s Unit has:

Bed, bell, bedside table, side table, lockable wall

closet and chair.

2.3 | Service Portfolio

Our Service Portfolio is available at the information board at

the entrance to the ward. If you would like further information,

please ask a member of our team.

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3 | Welcome

Upon being admitted by the clinical secretariat, you will be welcomed

by a nurse, who will be available to explain the functioning of the ward,

and answer any questions you may have.

3.1 | General Information

You should tell your doctor/nurse about your allergies,

food intolerances, illness and all medication or herbal

products which you may be taking.

You should not leave the ward without informing the

nurse staff.

Flowers are prohibited in the rooms.

Smoking is prohibited inside the hospital.

You may use your mobile phone or any other

electronic devices as long as they do not interfere

with the treatments and/or equipment used. The

phone should be in silent mode.

Avoid talking loudly and shouting, and advise

your visitors to behave the same way. Please

contribute to a quiet environment, especially

during the 22:00 to 08:00 period.

You should wash or disinfect your hands with the available substances

and in accordance with the posted guidelines to prevent the spread of

infection. Do not allow visitors to sit or place objects on your bed.

For confidentiality and privacy reasons, image or

audio recordings are not allowed within the ward.

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3.2 | Personal effects and clothing

We have basic toiletry and clothing items on hand. For your

convenience you may bring some personal effects such as:

-Toiletries and bath slippers;

- Robe, pajamas/ nightdress and underwear;

- Books and magazines;

-A change of clothes to wear upon discharge;

-Walking aids or prosthetics, if applicable.

You must not bring valuables (jewellery, money, etc.).

The hospital does not accept any responsibility for damage

or loss of patients’ valuables.

You may request the storage of your belongings from our

nursing staff.

3.3 | Meals Your diet will be prescribed according to your clinical situation and, if

necessary, may be adjusted to your preference.

Meals can be eaten at the living room. If you are unable to go to this

room, your meal will be brought to you personally by the food service

staff.

Do not eat or drink food brought-in without the explicit permission of

the healthcare team.

Meal Time

Breakfast: 8h30 – 9h30

Mid-Morning: 10h30 – 11h00

Lunch: 12h30 – 13h30

Snack: 16h00 – 17h00

Dinner: 19h00 – 20h00

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3.4 | Visitors

Visitors are subject to the schedule established by the CHUC Board of

Directors (available on https://www.chuc.min-

saude.pt/paginas/informacoes/ao-cidadao-utente/regulamentos.php):

Inpatient Units

- 14:30 to 20:00 – 2 simultaneous visitors per patient

Intermediate Surgical Care Unit

- 08:30 to 09:00 – 1 visit

- 17:00 to 19:00 – 2 visitors with 1 person per visit permitted

Post Anaesthetic Care Unit (“Recovery Unit”)

- Strictly no visitors allowed

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4 | During your stay

Report any symptoms that may occur to

the healthcare team.

State your questions and suggestions. We

want you to be our partner so that we can

provide you with the best care.

4.1| Preparing for surgery

Pre-operative care (period before operation)

On the eve of your surgery, the nurse responsible for you will give you

general information regarding your surgery, such as:

· Routine exams to perform;

· Need for fasting;

· Tricothomy – consists on the removal of all hair from the intended site of

surgical incision;

· Shower and scrub with specific product provided by the nurse.

On the day of the operation

On the day of the operation you must:

· Keep fasting until the nurse tells you otherwise.

· Remove all prosthesis (dental, hearing and eye), as well as adornments

(watches, glasses, wedding rings, necklaces, piercings, etc.) and store

them as directed by the staff, in the locker, to prevent their

disappearance/ damage.

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· Be mindful of your hygiene (take a shower with a specific product

provided by the nurse, brush your teeth and shave).

· Only wear a gown which will be provided to you.

You will be taken in your bed by the nurse and the operating assistant

to the operating room.

Post-operative (period after surgery).

After the operation you may remain for a while at the UCPA (Post

Anaesthetic care Unit) and/or at the UCCI (Intermediate Surgical Care

Unit).

A nurse will always be present to meet all your needs.

During this period, you must not get up without the presence of a

nurse and must not eat/drink until you are told so.

4.2 | Privacy and Data Protection

All professionals will respect their patients’

privacy and data protection:

- Professionals are legally and ethically bound

by professional secrecy;

- Your data will not be used outside the

context of the treatment of your illness nor

any other context that has not been

authorized by you or determined by law;

- Access to data is ruled by standards and consented to by users;

- The General Surgery Service manages data by safe, responsible and

auditable procedures.

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4.3 | Informed Consent

Informed consent is the explanation of the procedure to be performed,

and its most common risks.

During your stay on our wards you may be

subject to some procedures, diagnostic tests,

treatments or investigation protocols which

require your authorisation.

Clarify all your doubts with your doctor. If

you agree with what has been proposed, you

should sign the informed consent form.

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5 | Discharge

Your discharge will be decided by the medical staff

and, whenever possible, informed in advance. We

advise you to speak to your healthcare team and

family in order to plan your return home.

If desired, we can inform your family of your

discharge.

Before leaving the ward:

- Validate with the Nursing Staff that all precautions are taken care

of to endure you may leave safely

- Make sure that you do not leave any personal effects or medication

behind you;

- Please collect any items or exams which you may have handed in

- Make sure you have all the documentation you need:

Medical discharge letter

Nursing discharge letter

Prescription (if applicable)

- If necessary, request the declaration of hospitalisation (at the

ward´s secretariat) or the fit note/medical certificate (medical

assessment);

- Please clarify all your doubts before leaving (diet, medication,

treatments, etc.).

Your opinion is fundamental in order to

improve our quality of service; therefore, we

kindly ask for your assistance in filling out a

questionnaire where you may express your

opinion on how you have been taken care of.

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6 | Other Information

6.1 | Patient Bill of Rights and Duties

Bill Nº15/2014, 21nd March

1 –Right of free choice

The Patient has the right to choose health care services and providers to

the extent available.

The right to health protection is delivered taking into account the rules

of the organisation of health services.

2 – Right to consent/ refuse

Consent or refusal to health care must be stated in a free and informed

manner, unless otherwise stated by law.

The Patient may, at any moment, revoke the consent.

3 – Right to adequacy of health care provision

The patient in entitled to receive, promptly or within a period of

clinically accepted time, the health care he or she needs.

The patient is entitled to the most appropriate and technically correct

health care.

Health care must be provided humanely and with respect for the

patient

4 – Right to personal data and privacy protection

The patient is entitled to data protection and privacy.

Processing health data must comply with the law, by ensuring that the

data collected is adequate, relevant and not excessive for the purpose

pursued.

The patient is entitled to access the collected personal data, and may

request the rectification of inaccurate information and inclusion of totally

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or partially omitted information, in accordance with the law.

5 – Right to confidentiality

The patient is entitled to confidentiality over his or her personal

information.

Healthcare professionals are obliged to maintain confidentiality about

all data and information about a patient, unless they are obliged by law or

a court order requiring disclosure.

6 – Right to information

The patient has the right to be informed by the health care provider

about his or her medical condition, possible alternative treatments and

probable status evolution.

Information must be transmitted in an accessible, objective, complete

and intelligible way.

7 –Right to spiritual or religious assistance

The patient is entitled to religious assistance regardless of religion.

Churches and religious communities, legally recognised, are granted

conditions which allow free spiritual assistance to users admitted to

health facilities of the SNS upon request, in accordance to the law.

8 –Right to complain

Each individual has the right to complain and the right to receive

compensation of any harm suffered.

Complaints may be present by filling in the complaints book, letter, fax,

e-mail or online, and a response to these is required by law.

Healthcare providers or healthcare goods providers are required to

keep a complaints book that may be accessed upon request.

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9 – Right of Association

The patient has the right to set up entities that represent and defend

his or her interests, namely in the form of associations for the promotion

and defense of health, groups of friends of health establishments.

10 – Minor and incapable rights

Law must foresee conditions in which legal representatives or minors or

incapable may exercise their rights, namely the right to refuse assistance

in compliance to constitution.

11 –Right to have a companion

In the emergency room of SNS.

In the case of a pregnant woman admitted in a health care facility,

during all stages of labour.

In cases of children admitted in a health care facility, people with

disabilities, people in a situation of dependency, and people with terminal

diseases of terminal stages.

The user of health care services:

1 – MUST respect other patients’ rights and those of the healthcare

professionals with whom he or she may relate.

2 – MUST respect the rules of the organisation and functioning of health

services and establishments.

3 – MUST collaborate with the healthcare professionals on all aspects of

the situation.

4 – MUST pay charges arising from the provision of healthcare, when

applicable.

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6.2 | Living Will (Advance Health Care Directive)

The Living Will is a formal document made by a

citizens’ initiative stating the type of treatment or

healthcare you wish or do not wish to receive when

you are not capable of expressing your will

independently.

It allows the naming of a healthcare executor and is valid for 5 years.

May be changed or revoked by the citizen at any time.

It can be accessed using the Patient Portal by downloading the form

(https://servicos.min-saude.pt/utente/Info/SNS/RENTEV). It must be

completed and handed in at the Health Centre in your area of residence.

Please inform your doctor in case you have completed this document.

6.3 | Patient portal and MySNS

The patient´s portal is available

athttps://servicos.min.saude.pt/utente/.

It is an initiative form the Ministry of Health in order to improve the

effectiveness of information sharing within the National Health Service,

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MySNS is an App which was created to

increase customer proximity and

transparency of the services provided.

You can access this application easily and

intuitively via mobile devices.

6.4 | How to request a Clinical

Report

The Clinical Report will be necessary if you wish to obtain

a second opinion of your health condition or any other

purposes.

Please go to the Clinical Reports Department (Floor 0),

weekdays from81:30 to 13:00 and from 14:00 to 16:30.

You must bring your National Identity Card and fill a form.

You may also send your request by e-mail to

[email protected].

Clearly state the reason for the request and attach a copy of the

document signed as in the national identity card.

6.5 | How to request a second medical opinion

All healthcare is provided by a multidisciplinary team, in physical

presence, and under the responsibility of the Service Director and the

Nurse Manager.

Should you wish to request a second medical opinion, your doctor will

write a complete report of your medical condition, upon request.

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6.6 | How to pay a compliment, make a suggestion/

complaint

All compliments/ suggestions/ complaints must be replied to, and are

recorded at the complaints/ suggestions management system (provided

they are identified by the complainant’s national identity card number).

Please go to the Citizen´s Office (floor 0) and write in the Complaints

Book, weekdays, from 09:00to 16:00.

You can also use the Complaints Book at the main entrance, Emergency

Room and at the Outpatient Consultation Admission.

You can also do it via e-mail ([email protected]

saude.pt), writing a letter to the CHUC Board of

Directors, or using the Health Regulatory Authority

(ERS – https://www.ers.pt/).

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GENERAL SURGERY SERVICE Coimbra Hospital and University Centre

[email protected]

ward coordinator: nurse manager: general surgery

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