Patient Welcome Book - Harrington Memorial Hospital

We l c o m e t o 

Harrington 

H O S P I T A L 

Total Local Care 

100 South St., Southbridge, MA 01550 • 508-765-9771 • www.harringtonhospital.org

Personal Wishes Statement 

form is an expression of my wishes and is not legally binding. 

_________________________________________________________, sign this form for the 

Health Care Agent guidance so that he or she may make decisions based on an assessment of 

ell as medical information provided by my physicians. My Health Care Agent has authority to 

accordance with Massachusetts law. 

General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 

If You Need Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 

le expectation for my recovery and, in the opinion of my physician, I will die without life 

hat only prolongs the dying process, I ask that my Health Care Agent consider the following: 

to the lines that express your wishes.) 

Your Feedback . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 

Your Accommodations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 

should be given to maintain my dignity, keep me comfortable and relieve pain. 

t stops, I do not want it to be restarted. 

Dining / Special Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 

reathing, I do not want to have a breathing tube put into my throat and be 

to a breathing machine. 

Visiting Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 

ian may withdraw or withhold treatment that only serves to prolong the dying 

reatment that may be withheld shall include, but not be limited to, the following: 

For Your Convenience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 

I cannot drink, I do not want to receive fluids through a needle placed in my vein. 

For Your Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-14 

I cannot swallow, I do not want a tube inserted in my nose, mouth or surgically 

ced to give me food or fluids. 

Services Available To You . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 

I have an infection, I do not want antibiotics administered to prolong my life, 

thout hope of cure, unless necessary to keep me comfortable. 

Helping You Relieve Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 

, I would like to die at home with hospice care or in a hospice residence. 

Going Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 

nursing home I would like to die with hospice care. 

essary for my comfort, I would prefer NOT to be hospitalized. 

Important Information For Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-20 

adition is ________________________________________________________________. 

Volunteers Working For You . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 

al contact person is ________________________________________________________. 

mmunity is ______________________________________________________________. 

Patient Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 

ave spiritual support. 

Stroke Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 

, I wish to be an organ/tissue donor. 

is additional guidance for my Health Care Agent’s consideration: 

Universal Medication Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25-26 

____________________________________________________________________________ 

Health Care Proxy Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27-28 

____________________________________________________________________________ 

____________________________________________________________________________ 

____________________________________________________________________________ 


______________________________________________________ H O S PDate: I T ______________ 

A L 


as adapted from “My Choices: An Advance Directive for Health Care Choices,” Missoula Demonstration Project, Missoula, Montana, and 

setts Partnership to Improve Care at the End of Life. The Partnership grants permission to reproduce this document in its entirety, so long as 

, is shown. 8/07 

1 

Contents

HARRINGTON HOSPITAL 

From the 

Office of the 

President 

Welcome to Harrington Hospital. 

On behalf of the staff and trustees of Harrington Hospital, we sincerely 

welcome you as our patient. Our goal is to deliver optimal healthcare that 

embodies the highest standards of excellence. We are committed to Total 

Local Care (TLC), providing personalized, compassionate care and 

advanced technology close to home. 

Our vision at Harrington Hospital and throughout the Harrington HealthCare 

system is to continue a long tradition of caring while we expand our integrated 

services, including comprehensive inpatient and outpatient care 

along with community outreach programs, a freestanding Cancer Center 

on our campus and satellite medical facilities throughout our region. 

This booklet provides information about accommodations and services at 

the hospital. Please don’t hesitate to ask your nurse when you have 

questions concerning your hospitalization. 

We welcome any suggestions to improve our program of patient care. If I 

can be of personal assistance to you, please contact me directly at 508- 

765-9771, ext. 3002. 

We know you have a choice of health care providers and we thank you for 

choosing Harrington Hospital. 




EDWARD MOORE 

PRESIDENT and CEO 

Additional copies of this form are available HARRINGTON in the HOSPITAL lobby of Harrington Hospital on 

education table and at affiliated physician's offices. Also available on the hospit 

www.harringtonhospital.org 

If you need assistance in understanding this information, please tell the nurse 

and language assistance will be provided. 

Si necesita ayuda para entender esta informacion, favor d notificar a al enfermaera y le 

proveeremos asistencia. 



2

EALTH CARE PROXY FORM — page 1 of 2 

__________________________________________________________(the principal), 

________________________________, __________________ County, Massachusetts, 

husetts General Laws Chapter 201D, appoint the following person to be my Health Care 

_________________________ Phone #: ___________________________________ 

_____________________ City/State/Zip: ___________________________________ 

gent named above is not available, I name as an alternate Health Care Agent: 

_________________________ Phone #: ___________________________________ 

_____________________ City/State/Zip: ___________________________________ 

are Agent authority to make all health care decisions on my behalf if I become incapable 

General Information 

isions for myself, including but not limited to decisions concerning initiation, continuing, 

using any life-prolonging care, treatment, service or procedure, EXCEPT (here list the 

, you wish to place on your Agent's authority): 

Your personal physician, who is a member of Harrington’s medical staff, has 

____________________________________________________________________ 

made all arrangements for your admission. Your physician’s office will advise you 

of your exact admitting time. Please be sure to arrive at the Hospital on time. 

____________________________________________________________________ 

Your pre-admission information is usually completed during your pre-admission 

interview with Patient Registration. The form is mailed to maternity patients 

____________________________________________________________________ 

before admittance. If you are admitted through to the emergency room, your 

____________________________________________________________________ 

primary care physician, or the physician on call, will be notified of your admission 

to Harrington Hospital. 

____________________________________________________________________ 

Please present your health insurance identification card at the time of admission. 

ent shall make Most insurance health care companies decisions have for restrictions me in accordance which require with notification my Health and Care approval Agent's 

ishes, including before admission. my religious If you and are moral presently beliefs. employed, If my check wishes with are the unknown, Personnel my Health 

ake such decisions 

Department 

for 

at 

me 

your 

only 

place 

in accordance 

of employment. 

with 

If 

my 

necessary, 

Health 

bring 

Care 

any 

Agent's 

appropriate 

assessment 

forms, 

of 

properly signed and completed, to Patient Registration when you enter the Hospital. 

Acceptance of gratuities tips by employees from patients, or their friends, is 

ain any and all medical information, including confidential medical information, as I 

prohibited. Please do not offer money or gifts to Hospital personnel. 

receive. Photocopies of this Health Care Proxy shall have the same force and effect as the 

given to other We welcome health your care suggestions, providers. comments and safety concerns. You may be contacted 

and asked to complete a survey, or you can contact the CEO’s Office at the hospital, 

nt's authority 100 South to act Street, on my Southbridge, behalf shall MA, exist or only call 508-765-9771. for the period You during may also which e-mail my us attending 

s that I lack comments@harringtonhospital.org. 

capacity to make or communicate health care decisions for myself 

h Care Proxy Any concern ________________, or complaint should 20_____ be brought in the to the presence immediate of two attention witnesses. of the 

appropriate nurse manager or department head, and, if the resolution is not 

satisfactory, to the Hospital’s President & CEO. Should you or your family 

____________________________________________________ 

members experience concerns about the care you are receiving, and a manager 

is not available, please feel free to contact the on-duty nurse supervisor. You may 

not sign) The call the principal nurse supervisor unable during to sign your and hospitalization at the direction by dialing of the zero principal for the I have signed 

/her presence operator and in and the asking presence the hospital of two operator witnesses. to have a nurse supervisor call your 

room. Your concerns are important to us in our effort to constantly provide 

________________________________________________________________ 

quality patient care. 

_______________________ City/Town: ______________________________ 

3 

1 

Patient 

Registration 

Insurance 

Gratuities 

Surveys and 

Patient Satisfaction 

Concerns 

During Your 

Hospitalization

Before your 

Surgery 

For Parents & 

Children 

Recovery 

Following Your 

Surgery 

Derechos del Paciente 

Para su conveniencia ofrecemos servicios de interprete. Si usted desea los servicios de un interp 

saber a su enfermera. 

El hospital se esfuerza en resolver los problemas o las quejas que tengan que ver con los asunto 

al paciente. La norma del hospital es oficialmente reconocer cualquier queja en un plazo de un 

resoluci n final puede tomar de cuatro a seis semanas. 

En este folleto encontrara algunas del las reglas y regulaciones que se siguen en este hospital, v 

19. Para los asuntos que tengan que ver con su cuidado medico y sus derechos como paciente 

las paginas 14-15. Usted tambi n puede presentar una queja con el Departamento de Salud Pub 

ejemplo su queja puede ser debido a la calidad del cuidado que obtuvo como paciente en nu 

puede quejarse por que usted siente que lo dieron de alta prematuramente, o por cualquier ot 

que tenga que ver con las Directrices Anticipadas (Ordenes Anticipadas) que se incluyen en es 

Manejo del Dolor 

Todo paciente tiene derecho a ser involucrado en como se maneja su tratamiento mientras est 

incluyendo la forma en como se maneja el dolor. El hospital trabaja en equipo para darle m xim 

paciente. 

Responsabilidades del Paciente 

If You Need Surgery 

Usted como paciente, tiene un rol muy importante y vital para hacer que su tratamiento sea el 

Usted es la persona m s importante que formara parte en su equipo de tratamientos m dicos al 

parte activa, envolvi ndose e inform ndose bien de su condici n y tratamiento. 

Este al tanto del tratamiento que usted este recibiendo. Aseg rese de que este recibiendo los tr 

medicamentos correctos por el proveedor de salud apropiado. No tenga miedo en hacer preg 

If your surgery is in the morning, you should not eat or drink after midnight. 

sus preocupaciones. Usted tambi n puede identificar un miembro de su familia, u otra persona, 

If surgery 

preguntas 

is scheduled 

por usted y 

later 

nos deje 

in the 

saber 

day, 

si 

your 

usted 

anesthetist 

tiene alguna 

may allow 

you preocupaci to have some n. morning beverages. Talk with your doctor before taking 

any of your medications before surgery. Remember that all of your outpatient 

tests (lab, x-ray, etc.) must be completed prior to your surgery day. 

To file a complaint you may contact: 

For the comfort of parents and children, pediatrics offers a teaching program 

for children and parents to prepare them for surgery. A parent may 

stay with their young child until he or she is “asleep”. Call 508-765-9771, 

Accreditation: 

Licensure: 

ext. 5051 to participate in this program. 

• The JOINT COMMISSION 

• DEPARTMENT OF PUBLIC 

You will be One taken Renaissance to the Post-Anesthesia Blvd. Care Unit after surgery, where HEALTH COMMONWEAL 

Oakbrook Terrace, IL 60181 

nurses will monitor your vital signs until you are ready to return to your MASSACHUSETTS 

800-994-6610 

room or the Intensive Care Unit (if your surgeon feels you would benefit 99 Chauncy Street, 2nd F 

630-792-5000 

Boston, MA 02111 

from this level of care). You can expect to continue having frequent 

800-462-5540 

checks Certified on your pulse, for breathing Participation and blood inpressure, as well as observation 

617-753-8000 

of your surgical site dressings. Be sure to tell your nurse if you are 

Medicare and Medicaid: 

uncomfortable in any way. If you are to have a minor procedure scheduled 

• DEPARTMENT OF MENTA 

for ambulatory • DEPARTMENT surgery, OF you HEALTH will be AND returned to the Ambulatory Care 25 Unit Staniford Street 

(ACU). There HUMAN you will SERVICES be monitored REGION until I you are ready to be discharged. Boston, MA 02114 

One Ashburton Place 

Please inform ACU personnel if you become nauseated or are experiencing 617-626-8000 


discomfort. You must be discharged from the ACU in the care of a 

617-573-1600 

responsible adult. 



4 

24




Surveys and Patient Satisfaction 

Harrington Hospital strives to deliver high quality 

healthcare and also make your stay as comfortable 

as possible. To monitor the quality of our care, we 

employ an independent research organization that 

evaluates our service by mailing surveys to patients 

and shares the overall survey results with us. Please 

take the time to fill out the survey and mail it back to 

the survey company using the Stamped Envelope 

enclosed with the survey. Your opinions and experiences 

are critical in helping us improve our services. 

We welcome suggestions, comments and safety 

concerns. Please feel free to e-mail us at: comments 

@harringtonhospital.org or patientsafety@ 

harringtonhospital.org. If you are not satisfied with 

our response, other avenues to pursue may include 

contacting The Joint Commission at 800-994-6610 

or E-mail: complaints@jointcommission.org, or the 

Department of Public Health at 800-462-5540. 

Your Feedback 

Compliment Cards 

I wish to compliment a staff member: 

(As much as possible, please provide us with a name or 

description of the staff member, the department/time/place) 

for outstanding service in helping patients and/or visitors. Specifically,: 

Stationed around the hospital in patient 

waiting areas are plastic holders that 

contain compliment cards. Feel free to 

fill out one of these cards either during 

or after your visit. You can mail the 

card (postage is free) to the hospital. 

I was: ____ A Patient ____ Visiting a Patient ____ Other 

Optional: Your Name __________________________________________ 

Phone: _____________________ Email: ______________________________ 

Thank you for recognizing our staff for making a contribution! 

BUSINESS REPLY MAIL 

FIRST-CLASS MAIL PERMIT NO. 335 SOUTHBRIDGE, MA 

NO POSTAGE 

NECESSARY 

IF MAILED 

IN THE 

UNITED STATES 

POSTAGE WILL BE PAID BY ADDRESSEE 

OFFICE OF COMMUNITY RELATIONS 


PO BOX 8002 

SOUTHBRIDGE MA 01550-8002 

5

What To Bring 

Your Accommodations 

Patient Respons 

Your Role In Your Care: Your You, Room as the patient, 

respectful of the property o 

Please bring a list of all medications 

can also 

you 

play 

are 

a vital role in 

Rooms 

making 

include 

your care 

a bedside 

safe of the hospital. 

stand or closet for 

currently taking. Upon admission 

by becoming 

you will be 

an active, involved, 

your belongings 

and informed 

such as toiletries, a bed table 

provided with hospital attire. However, 

member of 

if you 

your health care 

which 

team. 

No catalogue of rights can 

opens, and a nurse call button patient which the kind of treatme 

prefer, you may bring your own Be nightgown attentive to orthe care you rings are at receiving. the nurses’ Make station and can right be to answered expect. A hospital h 

pajamas, bathrobe, slippers, toiletries sure you’re andgetting the right by treatments intercom. and Most beds are equipped to perform, with an including the pr 

reading material. It is also helpful medications to have any by the right heath electrical care professionals. 

unit which can be used ment to raise of disease, or the educa 

assistive devices, i.e. canes or Don’t walkers. be If afraid possible, 

please label items. or concerns or to designate your a family level member, of comfort. or There is an of emergency 

clinical research. All thes 

to speak up lower with any the head questions and foot of the professionals be to meet and patients, 

button in your bathroom, should you require 

As we cannot accept responsibility 

someone 

for valuables 

else, to ask questions and raise issues 

conducted with an overridi 

assistance. 

left in your room, we strongly encourage 

for you. 

you 

patient, and, above all, the 

to give extra money, medications, credit cards, 

her dignity as a human bein 

wallets, jewelry, etc. to a family Compliance member or with Instructions: TelephoneA patient is 

achieving this recognition a 

close friend to take home. Or, responsible ask your nurse for following the 

All 

treatment 

patient rooms 

plan recommended 

safe. by the An practitioner 

defense of the rights of the 

are equipped with a private 

to put your valuables in the Hospital 

phone. 

primarily 

On 

responsible 

request, a 

for 

telephone device for the 

itemized receipt and claim ticket his or will her be care. given This includes 

deaf 

following 

(TDD 

the 

unit), 

instructions 

as well as assisted Notice listening of Privacy Prac 

to you. PLEASE DO NOT BRING of VALUABLES. 

nurses and other health personnel 

devices, are 

as they 

also available. 

carry 

Except your for visits long to distance 

Harrington Hos 

Eyeglasses, dentures and hearing 

out the 

aids 

coordinated 

are an 

plan of care 

calls, 

and implement 

the charge for your offered phone a is included copy of our Priva 

important part of your life. These 

the 

items 

practitioner's orders, and 

as 

as 

part 

they 

of 

enforce 

your regular 

the 

room rate. provides To make a full a description o 

require special care. Tell your 

applicable 

nurse that you 

hospital rules and 

local 

regulations. 

call, simply 

The 

dial “9”-“1” wait disclose for the your dial individually ide 

use these, and you will be provided 

patient 

with 

is responsible 

a 

for keeping 

tone, and 

appointments, 

dial the local number. information, To make a including long uses 

special container for their safety. 

and, 

Take 

when 

care 

he or she is unable 

distance 

to do 

call, 

so for 

dial 

any 

“9”-“1” and the treatment, number payment you are and he 

not to leave any of these items 

reason, 

on your 

for 

meal 

notifying the responsible 

calling. You 

practitioner 

will then 

or 

reach an outside purposes operator. (including AIDS, m 

tray or lying on your bed, as they 

the hospital. 

may be 

Again, if you have 

You may 

any 

call 

questions, 

collect, bill your call alcohol). to another This Notice also ex 

inadvertently disposed of or lost. 

please 

Piercing 

speak 

has 

up. 

number, or use a credit card. Your you family have will regarding your he 

become more popular. You must remove all 

be able to call you directly. Please Harrington share your Hospital reserves 

piercing prior to surgery. Refusal of Treatment: The telephone patient is number responsible with them. its Privacy Notice at anytime 

for his or her action if he or obtain a current copy upon 

Please 

she refuses 

contact 

treatment 

the telephone operator our website: if you 

or does not follow the practitioner’s www.harringto 

experience 

instructions. 

problems. 

Hospital Charges: The 

Television 

patient responsible for 

assuring that the financial obligations of his or 

her health care is fulfilled as A promptly television as is possible. provided at your bedside at no 

extra charge. In addition to available commercial 

channels, your set also includes Harrington 

channels (10-13, a guide will be in your room) where 

is responsible for following hospital rules and 

you can access health educational programs and 

regulations affecting patient care and conduct. 

services. For the rest and welfare of all of our patients, 

the television must be kept at a low volume 

(headphones are available from your nurse and 

responsible for being considerate are required of the after rights 10:00 of p.m.). 

other patients and hospital personnel, and 

assisting in the control of noise, and the number 

of visitors. The patient is responsible for being 

Hospital Rules and Regulations: The patient 

Respect and Consideration: The patient is 



6 

22

Publications 

health care institution, we recognize the hazards 

signs of stroke, even though it is the third leading cause of death in the 

of 

U.S., 

smoking 

killing 

and enforces a no smoking policy 

Most of Harrington Hospital’s services are listed 

r. Stroke, which is a brain attack, cutting off vital blood flow and oxygen 

throughout 

to the brain, 

the institution. Please speak to your 

on the website and most of our publications are 

se of adult disability. 

physician in regard to alternative measures to 

there. You may also contact the Marketing 

assist you to quit smoking, or call Quit at 

Department for the printed versions. They can 

s of stroke, and acting FAST when they occur, could save your life or the 


life of a 

Hospital’s 

loved 

G.B. Wells Program at 

be reached at 508-765-9771 ext. 3146. You may 

ms include: 

508-765- 9167, ext. 2228. 

also call the main telephone number 

ess or weakness 508-765-9771 of the and face, ask arm the or operator leg, especially to direct on one side of the body. 

your call to the appropriate department, if you Patient Safety 

on, trouble 

are 

speaking 

looking for 

or 

something 

understanding 

specific. 

The Hosptial staff will work closely with you and 

seeing in one eye or both eyes 

your family. Unless clinically necessary, it is our 

walking, Tobacco dizziness, Policy loss of balance or coordination 

philosophy that patients experience freedom 

from restraints used in providing medical/surgical 

headache Harrington with no known Hospital cause is a smoke-free campus. As a 

care and behavioral management. 

you detect stroke symptoms and act F.A.S.T. 

Stroke Information 

Ask the person to smile. Does one side of the face droop? 

Nutrition & Food Services 

sk the person to raise both arms. Does one arm drift downward? 

The Nutrition and Food Services Department welcomes you to Harrington Hospital. It is our department’s 

goal to make your stay as pleasurable as possible. You will find an “At Your Request” room service style 

h. Ask the person menu at to your repeat bedside a simple table sentence. for meal ordering. You may call your order via your telephone using 

he speech sound extensions slurred 7777 or or strange? 7778 any time from 6:45 a.m. until 6 p.m. (You may also leave a message and 

someone will call you back.) 

f you observe any of these signs, Suggested it’s time to “At call Your 9-1-1 Request” or Room services times are: 

the nearest stroke center or hospital. 

Breakfast: 7:30 -8:30 a.m. • Lunch: 11:45 a.m.-1:00 p.m. • Dinner: 4:45 p.m. – 6:00 p.m. 

roke, previous 


episode of 

also 

transient 

offers a 

ischemic 

full-service 

attack 

cafeteria 

(TIA) or 

for 

mini-stroke, 

staff, visitors 

high 

and 

cholesterol, 

patients located at the mezzanine 

eart disease, 

level. 

atrial 

We 

fibrillation 

offer a 

and 

variety 

carotid 

of food 

artery 

items 

disease. 

which 

These 

include, 

medical 

but are 

risk 

not 

factors 

limited 

can 

to, hot entrees, fresh 

h your doctor 

sandwiches, 

about what 

homemade 

will work best 

soups, 

for you. 

an extensive salad bar, and many beverage choices. 

REDUCING STROKE RISK: 

WEEKDAYS: 

e, stop. Breakfast: 7:00 –10:30 a.m. • Lunch: 11:15 a.m. –1:30 p.m. • Dinner: 4:45 p.m. – 6:30 p.m. 

alcohol, do so in moderation. 

WEEKENDS: 

Breakfast: 8:00 –10:30 a.m. • Lunch: 11:30 a.m. –1:30 p.m. 

cholesterol number. If it is high, work with your doctor to control it. 

• Dinner: 4:45 p.m. – 6:30 p.m. 

r diabetes. If you are diabetic, follow your doctor’s recommendations carefully. 

Special Services 

rcise in the activities you enjoy in your daily routine. 

er sodium (salt) lower fat diet. 

ctor if you 

Chapel 

have circulation problems. 

Chaplains 

An ecumenical chapel is located on the third 

If you would like a clergy visit, please tell your nurse 

any stroke floor symptoms, and is available seek immediate 24 hours medical a day for attention. prayer, or Pastoral Volunteer. 

meditation and private consultations with clergy. 

A Roman Catholic Mass is offered weekly at midday 

on Wednesdays. 

23 

7 

accommodations continued 

Your Dining Guide 

The current hours of operation for the cafeteria are:

For Family 

and Friends 

of treatment, tests and/or procedures. Your 

physician will explain these tests or procedures. 

If you do not understand the procedure or test 

you are asked to consent to, tell your nurse and 

your doctor will be notified. It is important for 

you to understand the risks, benefits and alternatives 

available to you. 

The patient has the right to informed participation 

in decisions involving his or her health care. To the 

degree possible, this should be a clear, concise 

explanation of your condition and of all proposed 

technical procedures, including the possibilities of 

any risk or mortality or serious side effects, or 

problems related to recuperation, and probability 

of success. The patient should not be subjected 

to any procedure without his or her voluntary, 

competent, and understanding consent or that 

of his or her legally authorized representative. 

Where medically significant alternatives for care or 

treatment exist, the patient shall be so informed. 

Mental Health Unit 

– Monday-Friday 6:00 -8:00 p.m. 

– Saturday, Sunday and Holiday 1:00 - 8:00 p.m. 

Transfer and Continuity 

ient may not be transferred 

unless he or she has receive 

explanation of the need for 

the alternatives to such a tra 

the transfer is acceptable to 

The patient has the right to 

responsible practitioner, or h 

of any continuing health ca 

following discharge from the 

Hospital Charges: Regar 

payment for care, the patie 

request and receive an item 

explanation of the total bill 

in the Hospital. The patient h 

timely notice prior to termina 

eligibility for reimbursement 

payer for the cost of his or h 

shall have the right, upon re 

from a person designated b 

information that the facility 

Visiting Policy 

The patient has the right to know who is 

responsible for authorizing and performing the 

to financial assistance and f 

procedures or treatment. The patient shall be 

informed if the Hospital proposes to engage in Hospital Rules and Reg 

or Family perform and human friends experimentation brighten your day or and other can help speed ient your should recovery. be informed of t 

research/educational During your hospitalization projects our affecting goal is to his provide or heran environment regulations that applicable to his 

care promotes or treatment. healing and The patient a positive has experience the right tofor you and your patient. visitors. Patients are entitled 

refuse In order to to participate accommodate in any such the varied activity. needs of our patients, about the following the Hospital’s mecha 

guidelines should be explained to your visitors upon their arrival: review, and resolution of pa 

Pain Management: Each patient has the right 

to Visiting be involved hours are in the from management 1:00 to 8:00 p.m. of his daily. or her The exceptions 

The 

are 

Hospital 

listed 

fosters 

below: 

resolving 

care, including pain management. The Hospital 

issues at the level closest to 

staff works Pediatrics as a team – Parents to maximize may visit anytime. patient Space comfort. allows for one Patients parent to have sleep the on a right to file 

cot in the child’s room. Children 2 years old and older may visit from 1:00 p.m. to 

For more information refer to page 16 in this booklet. concerns regarding quality 

8:00 p.m., as long as they are not ill. There are no accomodations discharge. for siblings Grievances to stay may 

the hospital overnight. 

Consultation: The patient, at his or her own request 

Maternity and expense, – Labor has and the Delivery right to Phase: consult Support with persons a to the Director of Quality As 

in writing to either the Presid 

designated by the patient, 

specialist. 

effort is made to resolve issu 

and others, will be allowed during this period at the discretion of the attending 

physician and/or nurse. After Delivery: Fathers, siblings and grandparents manner. Additionally, will be conce 

Refusal permitted of Treatment: to visit any The time; patient however, may children refusemust be accompanied addressed and to regulatory bod 

treatment supervised to the by extent an adult. permitted Other visitors: by law. Visiting When hours for persons other than those 

In addition, many individual 

refusal 

mentioned 

of treatment 

above 

by 

are 

the 

from 

patient, 

1:00 to 

or 

8:00 

his 

p.m. 

or her 

guarantee further rights to t 

legally authorized representative, prevents the 

Intensive/Coronary Care – Visiting by immediate family members request, is the encouraged. 

Visits may be made twenty-four hours a day. Short visits list are of requested. these extended The rights. 

Hospital will pro 

provision of appropriate care in accordance with 

ethical ICCU and nurse professional caring for standards, your loved one the will relationship 

assist you in planning a visit that is best for 

with the the patient. may Special be circumstances terminated can upon be reasonable 

notice. situation with the nurse. 

patient”, they do not infring 

While these enumerated rig 

accommodated by discussing the 

the patient’s guardian, next 

designee to exercise these r 

is unable to do so. 



8 

20

Visitors 

Volunteers Working For You 

If there are individuals whom you do not wish to see, if 

you want to limit the length of your visiting hours, notify your 

nurse. If needed, Public Safety will be advised. 

n Hospital Some are a families valuable may part have of special our organization circumstances and that do represent not many segments of our 

d old, male follow and our female, visiting hours retired policy. and Special employed, needs students are considered and home-makers. 

Visitors During 

People work 

Your Surgery 

because they a priority. want Please to be tell involved the nursing or their unit community, manager of your 

Even the most minor of surgical procedures may produce 

feelings of anxiety. Harrington Hospital encourages 

stay active, meet new people, 

requests and every effort will be made to meet any special 

unities and enjoy helping others. 

needs that arise. 

you to have someone, with whom you are close, visit 

you before and after your surgery. Having a friend or 

rk in many • different We encourage areas family of the visits. Hospital, However we small try to children match should vounteer interests family member and skills present can relax you and give you a 

Hospital. For be more held information, by the hand for call their 508-765-9771 safety. To prevent extensions transmission 

of germs, children should never be allowed to sit or 

6471, 6472, sense or 6473. of comfort and security. While you are in the 

lie on the floor. 

Escort visitors, provide ineliver 

flowers and create a 

ing environment. You may 

answering questions for 

ers alike and other clerical 

n desk is located in our 

Entrance ATM of the on Hospital. site 

iday shifts are usually 

., 1 p.m. - 5 p.m. and 

• Children and adults who are sick should not visit. 

Office Assistance: Filing, 

collating, data entry and 

various projects. Opportunities 

in many departments as 

requested. Shift varies depending 

on the department’s 

needs and requests for volunteers. 

is located directly 

For your convenience, an ATM machine 

across the elevators on the Lobby level of the Hospital. 

• Only the nurse or doctor should administer prescription 

medications, over-the-counter medications, 

vitamins and herbal supplements to the patient. 

Special circumstances will require a doctor’s order. 

Surgical Suite, your family and friends may wait in the 

lounge of your unit. Parents of children 11 years old and 

under, may go into the operating room for induction of 

anesthesia if desired. 

For Your Convenience 

Support Groups 

In some cases your physician may recommend that you 

attend a support group. For information about these 

groups, you can visit our website or use the printed 

Book Cart: Volunteers provide 

magazines, giving patients most an of opportunity our services including to health education, and 

material that is provided on admission. The website lists 

Internet Available 

We have WiFi for our patients and their guests. The Harrington 

Guest Wireless network provides easy and convenient 

: Your mail and flowers are 

borrow from donated selections. support groups. You may also contact the Education 

Department at 508-765-9771 ext. 3050, and the Social 

soon as possible internet connectivity after they – no password or authentication 

Services Department at 508-765-9771, ext. 2423. 

eliver flowers required. at any The time Harrington Guest Wireless network will display 

Transport Services: Assist Transportation 

ing. If mail as is an received available, at unsecured wireless network on any personal 

Staff with transporting patients to all areas of 

ou are discharged, laptop or wireless it will be device. (SSID of HarringtonGuest) Should Professional Physician Billing 

the Hospital including patient discharges. 

ome. any issues arise during connection to the Harrington Guest Depending upon your insurance plan, physicians involved 

areas in your as care may bill you separately from the 

Wireless, please contact the hospital Deliver Helpdesk specimens at extension to laboratory 

4357 for assistance. 

designated. Assist with delivery Hospital’s of patient charges. careThese physicians can include 

ue: Greet customers; ring up equipment and medical/surgical anesthetists, supplies surgeons, to cardiologists, radiologists, pathologists 

days and a week. other specialists. If you have any questions 

ash register and stock shelves. Nursing Care Units. Available 5 Health Care Dilemmas 

regarding these bills, please call their billing offices 

referred but Harrington not necessary. Hospital and the medical staff support your right 

directly at the telephone numbers listed on the statement 

sent In to order you. to 

eek. to actively participate in decisions regarding your care, 

Pastoral Outreach Volunteers: 

including the right to refuse life-sustaining treatment. For 

enhance spiritual care for Harrington Hospital 

more information about your rights, see the section on 

“Patient Responsibilities” at the end patients of this booklet. and staff, we developed a Volunteer 

Pastoral Outreach program to provide spiritual 

The Ethics Committee provides consultation and emotional services support to to patients, families and 

patients, families, physicians and Hospital staff in personnel the complexities when that arise from 

ethical considerations or personal hospitalization, dilemmas arise. The health Ethicscare decision making, 

Committee may meet when any of treatment, the involved illness, parties trauma, and death. 

relating to treatment planned for you, are unable to resolve 

differences. If you feel you or your family members would 

like to meet with the Ethics Committee, Join our or if Volunteer you would like Team Today! 

the committee to review your care Potential in terms of Volunteers ethical will fill out an application, 

treatment, kindly inform your nurse. have Your nurse their will references contact checked, discuss volunteer 

the appropriate parties, and a meetingof the Ethics 

options in a personal interview, and then receive 

Committee will be arranged. 

a thorough Hospital orientation. TB tests are also 

required. 

21 

9

Medication 

For Your 

Access to 

Safety 

Care 

Important Inform 

Please give your nurse a list of The all medications patient has the you right are taking to considerate, includingrespectful c 

under all circumstances, with recognition of his or he 

non prescription vitamins and herbal supplements, as well as dosages and 

times. The physician will make a decision on which medications you should 

Respect and 

Individuals will receive access to treatment or accom 

available or medically indicated, regardless of race 

origin, religion, or sources of payment for care. 

continue to take during your hospitalization. In providing care, You hospitals will receive have your the medication 

as ordered Dignity by the physician. All medications you may have 

right to expect 

patients, their relative and friends, which, considerin 

illness, is reasonable and responsible. 

brought with you, including aspirin, should be returned home as they can 

interfere or interact with tests or medicines ordered for your treatment. If 

Advance The patient has the right to participate in the advan 

there is no one to give your medications to, we will store them in the 

An advance directive is a written instruction relating 

Hospital pharmacy 

Directive/ 

and return medical them to care you at in the time event of an your individual discharge. 

incapacit 

Health Care receive written information concerning their rights un 

For your safety and Proxy 

make decisions concerning their medical care, acc 

protection, 

treatment, 

only medications 

and to formulate 

approved 

advance 

by your physician 

and supplied by our Pharmacy vance will directive be given upon to admission. you during A your nurse stay. or social w 

directives. Yo 

with this process. See Health Care proxy form at the 

We have a Rapid Response Team to respond quickly to patient needs. 



10 

18

Information: The patient has the right to 

obtain from the practitioner responsible for 

coordinating his or her care, complete and 

fidentiality 

right, within The single the law, most to important thing you can do to ensure 

ational 

good 

privacy, 

care 

as manio: 

current information concerning his or her 

and prevent errors is to be an active partner in 

your own health care – that means getting involved in 

anyone not officially 

he Hospital, your including care and visitors, asking questions of your health care professional. 

with the We encourage you to use the ly connected following. 

diagnosis (to the degree known), treatment, 

and any known prognosis. This information 

should be communicated in terms the patient 

are not directly involved in 

can understand. When it is not medically 

advisable to give such information to the 

✓ Make sure that all medicines 

patient, the 

you 

information 

take are 

should be made 

personal clothing intended and for you. available to a legally authorized individual. 

symbolic items, Your as long health as care professional Every should patient check shall your have identity the right, with upon you 

ere with diagnostic before procedures giving any medicine. request, Before to taking inspect medication, his or her medical ask what records 

medicine they are providing. and to receive a copy thereof and the fee for 

d examined in surroundings 

said copy shall be determined by the rate of 

e reasonable ✓ Make sure that those copying caring expenses. for you have washed 

y. This includes 

their hands. 

rson of one’s own 

Hand 

sex 

washing is an important way to prevent the spread of 

rtain parts of a 

infection. 

physical 

This includes your visitors. 

tment, or procedure 

ealth professional of 

and the right 

✓ 

not 

If you 

to 

are having surgery, make sure that you and 

ny longer than your is doctor are clear on exactly what will be done. 

mplishing the medical The Hospital marks the site where surgery is to be performed with a 

the patient was permanent marker prior to surgery. 

Hospitalist Service 

iscussion or consultar 

admission To will assure coordinated efforts from multiple healthcare professionals, 

screetly, and Harrington that intly 

involved care in your of patients of participating physicians. During your inpatient stay 

Hospital employs a Hospitalist approach for the inpatient 

resent without at Harrington, your your care may be directed and coordinated by a 

Hospitalist. 

our medical What record is a Hospitalist? A Hospitalist is a physician who specializes in 

iduals directly inpatient involved treatment and only cares for patients who are admitted to 

or the monitoring the hospital. of its When a patient Communication: requires hospitalization The and patient when has that the right 

ther individuals patient’s only on primary your writor 

that of your this service legally authorized 

the patient does services not have if necessary. a physician The with Hospital hospital provides 

care physician to access (PCP) assistance has chosen devices to participate and interpreter 

privileges, the patient’s care will TTY be units, directed portable by amplification the Hospitalist. devices, 

nications and other 

word and picture boards and electrolarynx 

As a single point person overseeing 

to your care, including the 

voice generators. 

the patient’s 

The 

care, 

Massachusetts 

the Hospitalist 

checks on the patient daily or 

nt for treatment, to be treated Commision 

throughout 

for 

the 

the 

day, 

Deaf 

monitors 

and Hard 

the 

of Hearing 

patient’s in-hospital care, and 

may 

works 

provide 

to coordinate 

emergency 

care 

services. 

with the 

Interpreter 

patient’s primary care physician 

to another room if 

services 

and 

are 

other 

available 

physician 

from 

specialists. 

our medical 

The 

Hospitalist will discuss treatment 

r visitors in the room are 

approved 

options, 

bilingual 

answer questions 

staff interpreter, 

for the 

contracted 

patient and his/her family, monitor 

urbing you by their actions. 

agency 

test 

and 

results, 

telephonic 

obtain 

language 

consultations 

service. 

when needed, and respond to any changes in the patient’s condition. 

ective privacy when 

Once the patient is discharged Consent: from the The hospital, patient the will patient’s be asked to sign a 

sary for personal safety. 

Primary Care Physician will provide consent any form necessary upon admission follow up. in order If for us 

me on the hospital patients directory. do not have a Primary to perform Care Physician, certain routine a hospital Hospital affiliated procedures, 

me given to physician clergy unless will be assigned to e.g., you for blood post-discharge test, medications, follow-up etc. care. You may also 

be asked to sign consent forms for certain types 

Health Care 

Checklist 

For Patients 

19 

11

for your safety continued 

Patient Safety 

A patient has the right to expect reasonable safety regarding Hospital practice and environmental care. 

Your suggestions to improve patient safety are important to us. Please feel free to share your ideas with the 

staff or the President and CEO at ext. 3002. 

Identity 

Pay attention to who is giving you care: Expect health care workers to introduce themselves when they are 

entering your room. Look for their identification badges. If you have any questions, please ask your nurse. 

Getting Involved in Your Care — Our entire Harrington Hospital team makes patient safety a 

priority. While you are our patient, we ask you to play a part in making your care safe, too. Here is how 

you can be an active, involved, and informed member of your health care team. 

Speak up if you have questions or concerns. 

• Do not feel embarrassed to ask questions if you 

do not understand something your doctor, nurse 

or health care professional tells you. 

• Do not hesitate to speak up if you think a health 

care professional has you confused with someone 

else. 

• Notice whether your caregivers have washed 

their hands or used the foam cleaner. Do not be 

afraid to remind them to wash their hands. 

Know the medications you take and why 

you take them. 

• Make sure you are getting the right medications. 

If you do not recognize a medication, verify with 

a nurse that it is for you. 

• Tell your doctor and nurse if you are taking 

over-the-counter medications, such as aspirin, 

ibuprofen, vitamins, herbal supplements 

and dietary supplements. 

• Make sure your doctor or nurse knows of any 

allergies or unusual reactions you have had to 

medications. 

• Make sure we check your wristband and ask 

your name or other questions before we 

administer any medication or treatment. 

• Ask the purpose and side effects of all medications. 

Ask for written information about the medication, 

possible side effects, and food interactions. 

Educate yourself about your diagnosis, 

the medical test you are undergoing, 

and your treatment plan. 

• Read all medical forms thoroughly and be sure 

you understand them before you sign anything. If 

you do not understand, ask you doctor or nurse 

to explain. 

• Be sure you and your doctor agree on exactly 

what will be done during your hospitalization. 

• If you are having surgery on one side of your 

body, your physician will “mark” the appropriate 

site for surgery. 

• Your doctor should tell you about the risks, 

benefits and alternatives to the procedure, 

surgery, or care planned. 

Participate in all decisions about your 

treatment. 

• Know who will be taking care of you. 

• Ask for a second opinion. We want you to be 

satisfied with the recommendations you 

receive. 

• Ask your doctor or nurse how and when you 

can expect to receive the results of 

tests and procedures. 

• Make certain you understand all the instructions 

for your follow-up care. It is important to 

avoid misunderstandings when you are being 

discharged. 


12

for your safety continued 

Patient / Family Information on Safety 

We at Harrington Hospital want our patients to 

have the safest stay possible while they are with 

us. We encourage families to join us in reaching 

this goal. 

There are times when a patient may be at 

risk for injury due to their illness or confusion. 

At this time, a restraint may be chosen as an 

option to promote healing and keep them as 

safe as possible. You may be asked to sign a 

form giving us permission to use restraints. 

Restraints can prevent your loved one from 

falling out of bed or a chair, from wandering 

into unsafe areas or from removing bandages 

or tubes. If all four bed rails are in the “up” 

position, this is also considered a restraint 

and written consent will be requested. 

The family may opt to provide an alternative 

plan, such as providing a companion to sit 

with the patient in lieu of using a restraint. 

Restraints are used only after alternative 

methods have been tried. Some of these 

alternative methods are toileting, changing 

position, offering nourishment, reducing 

noise and listening/talking. 

Listed below are a few ideas for the families 

that may help your loved one feel comfortable 

and secure in unfamiliar surroundings. Perhaps 

someone could bring in: 

• A calendar with pictures so that patient will be 

able to see the date and associate the month 

with the season. 

• Pictures of their family, close friends or a special 

occasion often help with reorientation. 

• Pictures of their pets. At times, it can be arranged 

for them to visit with their pets. Please 

speak to the nursing staff BEFORE bringing 

pets in. 

• A special afghan, quilt, pillow or piece of 

clothing often can be very comforting. 

• Magazines or books, if they have special 

interest, may help pass the time (e.g. hunting or 

crossword puzzles). 

• Music can be very relaxing and soothing. 

Please check with the nursing staff before 

bringing a radio or other music player. 

Please label all articles you bring in with the 

patient’s name. This will help prevent items from 

getting lost. 

Encourage friends and family to continue to visit as 

often as they can. Short, frequent visits are often 

less tiring than long ones. During these visits, it can 

be helpful to remind your loved one of where they 

are, the time of day, day of the week, month and 

season. 

Our goal is to use restraints as little as possible. We 

will gladly remove them when designated family 

members are present. Notifying the nursing staff 

before you leave will help prevent injuries. 

If you feel your loved one's condition has 

changed, please call a nurse immediately. 

13

for your safety continued for your safe 

Preventing Falls Preventing Falls Preventing Infection Preventing Infection 

You may find it difficult to get You out may of bed find or it difficult to get out Practicing of bed or good hand hygiene Practicing is the single good most hand hygie 

you may be unsteady on your you feet may while be you unsteady on your feet important while you thing you can do to important stop the thing spread you of can do 

are with us. Our staff is committed are with to helping us. Our staff is committed infection. to helping While you are a patient infection. wash While your you are a p 

you take precautions to prevent you a take fall precautions while in to prevent a hands fall while frequently in or use the convenient hands frequently foam or use the 

the hospital. Here is how you the can hospital. help. Here is how you can hands help. rub that is located in every hands room. rub that is located in 

• For your precaution, if you are • For asked your precaution, to if you are asked to 

Proper hand hygiene is a team Proper effort hand hygiene is a tea 

get up only with the assistance get of up a only staff with the assistance of a staff 

everyone’s responsibility. Anyone everyone’s caring responsibility. for you An 

member, please wait for that member, assistance. please wait for that assistance. 

should clean their hands, as well should as your clean visitors. their hands, If as 

you do not see the doctor, nurse you or do other not see the doctor, n 

• Check to make sure that your • Check call button, to make sure that your call button, 

healthcare provider clean their healthcare hands with provider soap clean th 

telephone and any other personal telephone items and areany other personal items are 

and water or use the foam hand rub water when or use the foam h 

within your reach. 

within your reach. 

entering your room to provide entering care remember… 

your room to provid 

“It Is OK To Ask” someone to clean “It Is OK their To hands. Ask” someone to 

• Ask the staff to lower your bed • Ask to the the staff lowest to lower your bed to the lowest 

On admission you will receive On information admission on you our will receiv 

position to make it easier for position you when to make it easier for you when 

“It Is OK To Ask” campaign. A “It brief Is OK educational To Ask” campaign. A 

getting up. 

getting up. 

video is also available on the video education is also channel. available on the 

• You may feel dizzy or have • a You lightheaded may feel dizzy or have a lightheaded 

feeling when you stand up quickly feeling from when a you stand up quickly Some from patients a are placed in Some isolation patients rooms are placed in 

lying or sitting position. This occurs lying or when sitting position. This occurs because whenof their illnesses. A precaution because of holder their illnesses. will A 

there is significant change in there your blood is significant change in your be on blood your room door that includes be on your gowns, room door that i 

pressure or pulse. It sometimes pressure happens or pulse. It sometimes gloves happens and masks as well as precautionary gloves and masks signs. as well as 

when you are dehydrated or when taking you certain are dehydrated or taking We want certain you to understand that We want these you measures to understand 

types of medication. We suggest: types of medication. We suggest: protect you and others against protect possible you and others aga 

infections. Your nurse will explain infections. the necessary Your nurse will exp 

1. Before getting up, sit at the 1. edge Before of getting the up, sit at the 

procedures 

edge of the 

to you and your procedures family should to you you and your 

bed for a few minutes, then stand bed for upa few minutes, then 

require 

stand up 

isolation. 

require isolation. 

slowly. 

slowly. 

2. If you do feel lightheaded 2. or If dizzy, you do tellfeel lightheaded or Please dizzy, welcome tell your family and Please friends welcome to visit your family 

your doctor or nurse, and ask your for assistance doctor or nurse, and ask during for assistance your stay, but restrict visiting during when your stay, they but restrict 

when getting up by using your when bedside getting up by using your are bedside not feeling well. A visitor with are not a simple feeling cold, well. A visitor 

call bell. 

call bell. 

cough or rash can easily spread cough infections or rash to can you easily spr 

and other patients. and other patients. 

3. Call for assistance when you 3. Call need for help assistance when you need help 

with toileting. 

with toileting. 

• Make sure to wear nonskid • footwear Make sure when to wear nonskid footwear when 

getting out of bed. getting out of bed. 

• Check to make sure that your • Check walking to make path sure that your walking path 

is clear of any obstacles and is that clear a light of any is obstacles and that a light is 

on so that you can see where on you so that are going. you can see where you are going. 

• Take your time and get your • Take balance your before time and get your balance before 

you move about; use handrails you when move about; use handrails when 

available. 

available. 



14 

14

Services Available Services Available To You To You 

Care system The Harrington offers you HealthCare a wide array system of medical offers you services, a wide some array within of medical Harrington services, Hospital some within Harrington Hospital 

throughout and others region, at facilities including throughout a new freestanding the region, including cancer treatment a new freestanding center on cancer our treatment center on our 

ical office hospital buildings campus, housing medical primary office care buildings and specialty housing physicians primary care and and other specialty medical physicians and other medical 

prehensive services, outpatient and our facility, comprehensive Harrington outpatient HealthCare facility, at Hubbard, Harrington also HealthCare known as our at Hubbard, also known as our 

40 Thompson Webster Road, campus, Webster. at 340 Thompson Road, Webster. 

re listed A few below. of our For services more information, are listed below. call our For main more number, information, 508-765-9771, call our go main to number, 508-765-9771, go to 

al.org or www.harringtonhospital.org dial the number next the or offering. dial the number If you are next looking to the for offering. a physician If you to are meet looking for a physician to meet 

ll 508-765-3145. your needs, please call 508-765-3145. 

re* Ambulatory Care* Intensive Coronary Care Intensive Unit Coronary Care Unit 

Audiology 

Laboratory*………………......508-764-3060 

Laboratory*………………......508-764-3060 

— Webster Campus.…...............508-949-8613 

— Webster Campus.…...............508-949-8613 

nt Center...508-764-2400 

Cancer Treatment Center...508-764-2400 

cology Surgeons • Specialty Oncology Surgeons Maternity 

Maternity 

s/Medical Oncology • Blood Services/Medical Oncology 

Nutritional Education and Nutritional Counseling Education and Counseling 

ment • Pain Management 

rapy • Radiation Therapy Orthopedic Surgery Orthopedic Surgery 

rdiopulmonary* Cardiology/Cardiopulmonary* Obstetrics/Gynecology Obstetrics/Gynecology 

ging*……….508-765-3030 

Diagnostic Imaging*……….508-765-3030 

Pain Management Pain Management 

us…...............508-909-8668 

-— Webster Campus…...............508-909-8668 

Pediatrics 

Pediatrics 

ography • Digital Mammography 

• MRI 

Outpatient Rehabilitation*...508-764-3120 

Outpatient Rehabilitation*...508-764-3120 

metry • Bone Densitometry — Webster Campus…................508-949-9124 

— Webster Campus…................508-949-9124 

• X-Ray 

• Physical Therapy • Physical Therapy 

• Radiology 

• Occupational Therapy • Occupational Therapy 

rlton…………….508-248-4446 

— MRI at Charlton…………….508-248-4446 

• Speech Therapy • Speech Therapy 

rtment……508-765-3050 

Education Department……508-765-3050 

Respiratory Therapy Respiratory Therapy 

reach Education • Diabetes and Support Outreach Education and Support 

Sleep Lab at Webster.….....508-949-8960 

Sleep Lab at Webster.….....508-949-8960 

abilitation • Cardiac Rehabilitation 

• CPR training 

Surgery 

Surgery 

ucation • Child Birth Education 

aining • Babysitting Training Women’s Center…………....508-765-3079 

Women’s Center…………....508-765-3079 

• Digital Mammography • Digital Mammography 

re Center* Emergency Care Center* • Ultrasound 

• Ultrasound 

• Urogynecology 

• Urogynecology 

h Services*....508-765-9167 

Behavioral Health Services*....508-765-9167 

• Breast Biopsies 

• Breast Biopsies 

l health and psychiatry • Adult mental health and psychiatry 

• Bladder Services • Bladder Services 

mental health• Child, family mental health 

ergency Services • Psychiatric Emergency Services Wound Care with Hyperbaric Wound Care with Hyperbaric 

buse • Substance abuse Oxygen Chambers Oxygen Chambers 

ssation • Tobacco Cessation 

— Charlton..............…............508-248-6780 

— Charlton..............…............508-248-6780 

, Infants and • Children) WIC (Women, Infants and Children) 

espite) • Viewpoint (Respite) 

*Denotes services also available at our Webster campus, Harrington 

15 

*Denotes services also available at our Webster campus, Harrington 

HealthCare at Hubbard, 340 Thompson HealthCare Road, Webster at Hubbard, 340 Thompson Road, Webster 

15

Helping You Relieve Your Pain 

A patient has the right to expect reasonable safety regarding Hospital practice and e 

Your suggestions to improve Pain patient management safety are requires important good to communication. 

us. Please feel free to shar 

staff or the President and If CEO you at hurt, ext. say 3002. so! Do not assume that your family, 

1. Recognize your pain and describe it. 

doctor or nurses will know you are in pain. 

Identity 

2. Take an active role in choosing Pay options attention forto who is giving you care: Expect health care workers to introduce them 

treating your pain. entering your room. Look for Remember 

their identification badges. If you have any questions, ple 

3. Be part of a team made up of your family, 

1. Pain medication can help control pain. 

doctors and nurses to manage your pain. 

Getting Involved in Your 2. Pain Care medication, — Our entire used correctly, Harrington is Hospital not team makes 

priority. While you are our patient, addictive. we ask you to play a part in making your care saf 

you can be an active, involved, and informed member of your health care team. 

3. Pain should be reported to your health care 

Pain is a sensation that hurts. It may be 

provider. 

sharp, dull, shooting, aching, Speak deep, up constant, if you have questions or concerns. Educate yourself about 

on and off, burning, or pounding. 

4. Pain medication should not be rejected due 

• Do not feel embarrassed to ask to questions fear of side if you effects. Not 

the 

all 

medical 

people gettest you are 

To help us relieve your pain, we do will not ask understand you something your side doctor, effects. nurse If you experience and your side effects, treatment plan 

these questions and often use or the health graphic care professional tells report you. them to your care team 

• Read 

and 

all 

they 

medical 

will 

forms tho 

below to help identify your level of pain. 

help to treat them. 

• Do not hesitate to speak up if you think a health 

you understand them befo 

• Where is the pain? care professional has you confused 5. Pain with medication someone 

else. 

needed. Do not wait until pain to explain. is severe! 

should be taken you do when not understand, ask 

• What does the pain feel like? 

• How bad is the pain? 

• Notice whether your caregivers 

• What makes the pain better or worse? 

6. Pain have can washed be a normal part • of Be healing.Taking 

sure you and your docto 

their hands or used the foam cleaner. medication Do not to be make you more what comfortable 

will be done during yo 

• Has the pain changed? 

afraid to remind them to wash their will help hands. — not interfere — 

• 

with 

If you 

healing. 

are having surgery on 

7. Pain can be relieved by some body, alternative your physician will “m 

Know the medications you methods take and -- such why as massage, site meditation, for surgery. 

• Why manage pain? People you whose take pain them. is 

hot or cold, etc. (ask your 

• 

health 

Your doctor 

care 

should tell you 

well controlled seem to heal better. 

provider for more information). 

• Make sure you are getting the right medications. benefits and alternatives to 

If you do not recognize a medication, verify with surgery, or care planned. 

a nurse that it is for you. 

We want to help you to: 

What is Pain? 

Managing Pain 

How to use the Pain Scale 

• Tell your doctor and nurse if you are taking Participate in all decisio 

1. 0 is no pain, 10 is over-the-counter the worst pain. medications, such as aspirin, treatment. 

2. Choose the number, 

ibuprofen, 

or the 

vitamins, 

face, 

herbal 

to tell 

supplements 

how much pain you are having. 

No Pain 

No Dolor 

Patient Safety 

and dietary supplements. 

• Make sure your doctor or nurse knows of any 

allergies or unusual reactions you have had to 

medications. 

• Make sure we check your wristband and ask 

your name or other questions before we 

administer any medication or treatment. 

• Ask the purpose and side effects of all medications. 

Ask for written information about the medication, 

possible side effects, Moderate and Pain food interactions. 

Dolor Moderado 

for your saf 

• Know who will be taking ca 

• Ask for a second opinion. W 

satisfied with the recomme 

receive. 

• Ask your doctor or nurse ho 

can expect to receive the 

tests and procedures. 

• Make certain you understa 

tions for your follow-up care 

Worst avoid Pain misunderstandings w 

Dolor discharged. 

Peor 



16 

12

Discharge 

nformation on 

Planning 

Safety 

spital want our patients to 

possible while they are with 

amilies to join us in reaching 

n a patient may be at 

their illness or confusion. 

int may be chosen as an 

healing and keep them as 

u may be asked to sign a 

ission to use restraints. 

nt your loved one from 

r a chair, from wandering 

r from removing bandages 

ed rails are in the “up” 

considered a restraint 

t will be requested. 

Paying for 

Services 

to provide an alternative 

ing a companion to sit 

ieu of using a restraint. 

only after alternative 

n tried. Some of these 

s are toileting, changing 

urishment, reducing 

talking. 

Going 

Home 

At Home 

Going Home 

for your safety continued Health Care 

Checklist 

For Patients 

Our patient care team members work together with you to plan for your safe 

Listed return below to the are community. a few ideas A discharge for the families planner can provide you with information 

that about may health help and your community loved one resources feel comfortable as well as referrals for services at home to 

and help secure you recover in unfamiliar from your surroundings. illness. In addition, Perhaps information and referral assistance 

someone about health could insurance bring in: benefits and eligibility for federal and state programs is 

available. Please call the Social Services Department at 508-765-9771 extension 

2423, • A calendar if you would with like pictures information so that or patient assistance. will be 

able to see the date and associate the month 

with the season. 

Your insurance carrier will be billed upon your discharge. Please make sure our 

Business Office has all the needed information before you leave the hospital. We 

• Pictures of their family, close friends or a special 

will verify your insurance coverage either prior to or during your stay. If you have 

occasion often help with reorientation. 

any questions about your bill, please contact our Business Office at 508-765-9771 

from 8:00 a.m. to 4:30 p.m. Monday through Friday. Co-pays and deductibles 

• Pictures of their pets. At times, it can be arranged 

for them to visit with their pets. Please 

will be billed to you. We accept Mastercard and Visa. You can also pay online at 

our website. 

speak to the nursing staff BEFORE bringing 

Patients pets in. who do not have insurance will be contacted by our Business Office, 

at some point, to settle payment either in full or through a payment plan. Free care 

or • government A special afghan, assistance quilt, is pillow available or piece to people of who cannot pay their account. 

Please clothing call extension often can 3134. be very comforting. 

If you wish to pay your bill (or co-payment) you can do so on our website using 

• Magazines or books, if they have special 

a credit card. You can call patient accounting, which is open six days a week, if 

interest, may help pass the time (e.g. hunting or 

you have questions about the bill or finances. 

crossword puzzles). 

Your • Music physician can be will very decide relaxing when and you soothing. are ready to be discharged and will advise 

the Please nursing check personnel. with the When nursing you are staff ready before to be discharged, please pick up any 

valuables bringing you a radio may or have other in the music Hospital player. safe or pharmacy. The staff will assist 

you in gathering your belongings and check to make sure you return home 

Please with all label items all you articles had upon you bring arrival in to with the the Hospital. Wheelchair transportation 

patient’s is available name. to your This car. will Instructions help prevent will items be given from on follow-up care, medications, 

getting appointments, lost. etc. 

A responsible adult needs to be available to provide transportation to your home. 

Encourage friends and family to continue to visit as 

If this is not possible, the Hospital will make every effort to help you coordinate 

often as they can. Short, frequent visits are often 

your transportation. Should you experience difficulties with transportation, please 

less tiring than long ones. During these visits, it can 

notify your nurse or discharge planner for assistance. 

be helpful to remind your loved one of where they 

are, the time of day, day of the week, month and 

season. If there has been a visiting nurse or home health professional arranged to visit 

you in your home, you will be informed of this by the Hospital discharge planner 

Our or nurse. goal If is home to use care restraints services as little are as not possible. provided We as planned, please call 

will 508-765-9771, gladly remove Ext. 2423 them and when let designated the discharge family planner know, so that further 

members arrangements are present. can be Notifying made. Should the nursing you experience staff any condition that concerns 

before causes you you leave alarm, will help contact prevent your injuries. physician immediately. Our Emergency 

Care Center is open 24 hours a day. Should you be unable to contact your 

physician, or if your condition is such that you feel you should be seen immediately, 

If you arrange feel your for loved a responsible one's condition adult, or call has an ambulance to bring you to the 

Emergency changed, Care please Center. call a nurse immediately. 

13 

17

Access to 

Care 

Respect and 

Dignity 

Advance 

Directive/ 

Health Care 

Proxy 

Important Information 

Individuals will receive access to treatment or accommodations that are 

available or medically indicated, regardless of race, creed, sex, national 

origin, religion, or sources of payment for care. 

The patient has the right to considerate, respectful care at all times and 

under all circumstances, with recognition of his or her personal dignity. 

In providing care, hospitals have the right to expect behavior from 

patients, their relative and friends, which, considering the nature of their 

illness, is reasonable and responsible. 

The patient has the right to participate in the advance directive program. 

An advance directive is a written instruction relating to the provision of 

medical care in the event an individual is incapacitated. Each adult will 

receive written information concerning their rights under state law to 

make decisions concerning their medical care, accept or refuse medical 

treatment, and to formulate advance directives. You will be given an advance 

directive upon admission. A nurse or social worker can assist you 

with this process. See Health Care proxy form at the back of this booklet. 


18

Privacy and Confidentiality 

The patient has the right, within the law, to 

personal and informational privacy, as manifested 

by the right to: 

• refuse to talk with anyone not officially 

connected with the Hospital, including visitors, 

or persons officially connected with the 

Hospital but who are not directly involved in 

your care. 

• wear appropriate personal clothing and 

religious or other symbolic items, as long as 

they do not interfere with diagnostic procedures 

or treatment. 

• be interviewed and examined in surroundings 

designed to assure reasonable 

audiovisual privacy. This includes the 

right to have a person of one’s own sex 

present during certain parts of a physical 

examination, treatment, or procedure 

performed by a health professional of 

the opposite sex; and the right not to 

remain disrobed any longer than is 

required for accomplishing the medical 

purpose for which the patient was 

asked to disrobe. 

• expect that any discussion or consultation 

involving your admission will 

be conducted discreetly, and that individuals 

not directly involved in your 

care will not be present without your 

permission. 

• expect to have your medical record 

read only by individuals directly involved 

in your treatment or the monitoring of its 

quality, and by other individuals only on your written 

authorization or that of your legally authorized 

representative. 

• expect all communications and other 

records pertaining to your care, including the 

source of payment for treatment, to be treated 

as confidential. 

• request a transfer to another room if 

another patient or visitors in the room are 

unreasonably disturbing you by their actions. 

• be placed in protective privacy when 

considered necessary for personal safety. 

• not have their name on the hospital directory. 

• not have your name given to clergy unless 

requested. 

Information: The patient has the right to 

obtain from the practitioner responsible for 

coordinating his or her care, complete and 

current information concerning his or her 

diagnosis (to the degree known), treatment, 

and any known prognosis. This information 

should be communicated in terms the patient 

can understand. When it is not medically 

advisable to give such information to the 

patient, the information should be made 

available to a legally authorized individual. 

Every patient shall have the right, upon 

request, to inspect his or her medical records 

and to receive a copy thereof and the fee for 

said copy shall be determined by the rate of 

copying expenses. 

Communication: The patient has the right 

to access assistance devices and interpreter 

services if necessary. The Hospital provides 

TTY units, portable amplification devices, 

word and picture boards and electrolarynx 

voice generators. The Massachusetts 

Commision for the Deaf and Hard of Hearing 

may provide emergency services. Interpreter 

services are available from our medical 

approved bilingual staff interpreter, contracted 

agency and telephonic language service. 

Consent: The patient will be asked to sign a 

consent form upon admission in order for us 

to perform certain routine Hospital procedures, 

e.g., blood test, medications, etc. You may also 

be asked to sign consent forms for certain types 

19

of treatment, tests and/or procedures. Your 

physician will explain these tests or procedures. 

If you do not understand the procedure or test 

you are asked to consent to, tell your nurse and 

your doctor will be notified. It is important for 

you to understand the risks, benefits and alternatives 

available to you. 

The patient has the right to informed participation 

in decisions involving his or her health care. To the 

degree possible, this should be a clear, concise 

explanation of your condition and of all proposed 

technical procedures, including the possibilities of 

any risk or mortality or serious side effects, or 

problems related to recuperation, and probability 

of success. The patient should not be subjected 

to any procedure without his or her voluntary, 

competent, and understanding consent or that 

of his or her legally authorized representative. 

Where medically significant alternatives for care or 

treatment exist, the patient shall be so informed. 

The patient has the right to know who is 

responsible for authorizing and performing the 

procedures or treatment. The patient shall be 

informed if the Hospital proposes to engage in 

or perform human experimentation or other 

research/educational projects affecting his or her 

care or treatment. The patient has the right to 

refuse to participate in any such activity. 

For Family 

and Friends 

Pain Management: Each patient has the right 

to be involved in the management of his or her 

care, including pain management. The Hospital 

staff works as a team to maximize patient comfort. 

For more information refer to page 16 in this booklet. 

Consultation: The patient, at his or her own request 

and expense, has the right to consult with a 

specialist. 

Refusal of Treatment: The patient may refuse 

treatment to the extent permitted by law. When 

refusal of treatment by the patient, or his or her 

legally authorized representative, prevents the 

provision of appropriate care in accordance with 

ethical and professional standards, the relationship 

with the patient may be terminated upon reasonable 

notice. 

Transfer and Continuity of Care: A patient 

may not be transferred to another facility 

unless he or she has received a complete 

explanation of the need for the transfer and 

the alternatives to such a transfer, and unless 

the transfer is acceptable to the other facility. 

The patient has the right to be informed by the 

responsible practitioner, or his or her delegate, 

of any continuing health care requirements 

following discharge from the hospital. 

Hospital Charges: Regardless of the source of 

payment for care, the patient has the right to 

request and receive an itemized and detailed 

explanation of the total bill for services rendered 

in the Hospital. The patient has the right to 

timely notice prior to termination of his or her 

eligibility for reimbursement by any third-party 

payer for the cost of his or her care. Every patient 

shall have the right, upon request, to receive, 

from a person designated by the facility, any 

information that the facility has available relative 

to financial assistance and free health care. 

Visiting 


Family should and be friends informed brighten of the your Hospital day and rules can and help spee 

regulations During your applicable hospitalization to his our or goal her conduct is to provide as a an envir 

patient. promotes Patients healing are and entitled a positive to information experience for you and 

about In order the to Hospital’s accommodate mechanism the varied for the needs initiation, of our patie 

review, guidelines and should resolution be explained of patient to complaints. your visitors upon their 

The Hospital fosters resolving complaints and 

Visiting hours are from 1:00 to 8:00 p.m. daily. The except 

issues at the level closest to the patient. 

Patients Pediatrics have the – Parents right to may file visit grievances anytime. Space for allows for on 

concerns cot in regarding the child’s quality room. Children of care 2 years or premature old and older may 

discharge. 8:00 p.m., Grievances as long as may they are be filed not ill. verbally There are orno accomod 

in writing at the to hospital either the overnight. President and CEO or 

to the Director of Quality Assessment. Every 

effort 

Maternity 

is made to 

– Labor and Delivery Phase: Support persons de 

resolve issues in a timely 

and others, will be allowed during this period at the discretio 

manner. Additionally, concerns may be 

physician and/or nurse. After Delivery: Fathers, siblings and g 

addressed permitted to regulatory visit any bodies. time; however, (See page children 24.) must be ac 

supervised by an adult. Other visitors: Visiting hours for perso 

In addition, many individual departments 

mentioned above are from 1:00 to 8:00 p.m. 

guarantee further rights to the patient. Upon 

request, 

Intensive/Coronary 

the Hospital will provide 

Care – 

you with a 

Visiting by immediate family 

list of these aged. Visits extended may be rights. made twenty-four hours a day. Short vi 

ICCU nurse caring for your loved one will assist you in plann 

While these enumerated rights refer to “the 

the patient. Special circumstances can be accommodated 

patient”, they do not infringe upon the right of 

situation with the nurse. 

the patient’s guardian, next of kin, or legal 

designee Mental to Health exercise Unit these rights if the patient 

is unable – Monday-Friday to do so. 6:00 -8:00 p.m. 

– Saturday, Sunday and Holiday 1:00 - 8:00 p.m. 



20 

8

whom you do not wish to see, or if 

ngth of your visiting hours, notify your 

c Safety will be advised. 

• Only the nurse or doctor should administer prescription 

medications, over-the-counter medications, 

vitamins and herbal supplements to the patient. 

Special circumstances will require a doctor’s order. 

e special Volunteers circumstances at Harrington that do not Hospital are a valuable part of our organization and represent many segments of our 

policy. Special needs are considered Visitors During Your Surgery 

community: young and old, male and female, retired and employed, students and home-makers. People work 

e nursing or unit manager of your 

Even the most minor of surgical procedures may produce 

want feelings to of be anxiety. involved Harrington in their Hospital community, encourages stay active, meet new people, 

as Hospital volunteers because they 

ort will be made to meet any special 

explore career opportunities and you enjoy to have helping someone, others. with whom you are close, visit 

you before and after your surgery. Having a friend or 

ly visits. However Hospital small volunteers children work should in many family different member areas present of the can Hospital, relax you we and try give to match you a vounteer interests and skills 

for their with safety. the To needs prevent of transildren 

should never be allowed to sit or Surgical Suite, your family and friends may wait in the 

the Hospital. For sense more of comfort information, and security. call 508-765-9771 While you are extensions in the 6471, 6472, or 6473. 

lounge of your unit. Parents of children 11 years old and 

under, may go into the operating room for induction of 

who are sick should not visit. 

anesthesia if desired. 

For Your Convenience 

Office Assistance: Filing, 

collating, data entry and 

various projects. Opportun- 

help with mailings, answering questions for 

ities in many departments as 

visitors and customers alike and other clerical 

requested. Shift varies depending 

on the department’s 

tasks. The Reception desk is located in our 

lobby, at the Main Entrance Support of the Hospital. Groups 

needs and requests for volunteers. 

an ATM machine is located directly In some cases your physician may recommend that you 

Monday through Friday shifts are usually 

the Lobby level of the Hospital. 

attend a support group. For information about these 

from 9 a.m. - 1 p.m., 1 p.m. - 

groups, 

5 p.m. 

you 

and 

can visit our website or use the printed 

5 p.m. - 8 p.m. 

material that is provided on admission. The website lists 

e 

Book Cart: Volunteers provide 

magazines, giving patients an opportunity to 

most of our services including health education, and 

atients and their guests. The Harringork 

provides Mail easy and and Flowers: convenient Your mail and flowers are 

borrow from donated selections. 

support groups. You may also contact the Education 

Department at 508-765-9771 ext. 3050, and the Social 

no password delivered or authentication to you as soon as possible Services Department after they at 508-765-9771, ext. 2423. 

n Guest Wireless arrive. network Volunteers will display deliver flowers at any time 

ured wireless network on any personal 

Transport Services: Assist Transportation 

of the day or evening. If mail is received at 

ce. (SSID of HarringtonGuest) Should Professional Physician Billing Staff with transporting patients to all areas of 

the Hospital after you are discharged, it will be 

connection to the Harrington Guest Depending upon your insurance plan, the Hospital physicians including involved 

in your care may bill you separately Deliver from specimens the to laboratory areas as 

patient discharges. 

forwarded to your home. 

ct the hospital Helpdesk at extension 

Hospital’s charges. These physicians designated. can include Assist with delivery of patient care 

Gift Shop/Boutique: Greet anesthetists, customers; surgeons, ring upcardiologists, equipment radiologists, and pathologists 

and other specialists. If you have any questions 

medical/surgical supplies to 

mmas sales by using the cash register and stock shelves. Nursing Care Units. Available 5 days a week. 

regarding these bills, please call their billing offices 

d the medical Retail staff experience support your right preferred but not necessary. 

directly at the telephone numbers listed on the statement 

sent to you. 

in decisions Open regarding 7 days your per care, week. 

fuse life-sustaining treatment. For 

t your rights, see the section on 

s” at the end of this booklet. 

provides consultation services to 

icians and Hospital personnel when 

or personal dilemmas arise. The Ethics 

when any of the involved parties 

lanned for you, are unable to resolve 

you or your family members would 

thics Committee, or if you would like 

w your care in terms of ethical 

your nurse. Your nurse will contact 

s, and a meetingof the Ethics 

nged. 

Volunteers Working For You 

Reception Desk: Escort visitors, provide inhouse 

directions, deliver flowers and create a 

warm and welcoming environment. You may 

Pastoral Outreach Volunteers: In order to 

enhance spiritual care for Harrington Hospital 

patients and staff, we developed a Volunteer 

Pastoral Outreach program to provide spiritual 

and emotional support to patients, families and 

staff in the complexities that arise from 

hospitalization, health care decision making, 

treatment, illness, trauma, and death. 

Join our Volunteer Team Today! 

Potential Volunteers will fill out an application, 

have their references checked, discuss volunteer 

options in a personal interview, and then receive 

a thorough Hospital orientation. TB tests are also 

required. 

9 

21

Your Role In Your Care: What 

You, as 

To 

the 

Bring 

patient, 

Patient Responsibilities 

Your Accommod 

respectful of the property of other persons and 

can also play a vital role in making of the hospital. 

Please your bring care a list safe of all medications you are 

Rooms include a bedside sta 

by becoming an active, involved, currently and taking. informed Upon admission you will be 

your belongings such as toilet 

member of your health care team. 

No catalogue of rights can guarantee for the 

provided with hospital attire. However, if you 

which opens, and a nurse ca 

patient the kind of treatment he or she has a 

Be attentive to the care you are 

prefer, 

receiving. 

you may 

Make 

bring your own nightgown or 

rings at the nurses’ station an 

right to expect. A hospital has many functions 

sure you’re getting the right treatments 

pajamas, 

and 

bathrobe, slippers, toiletries and 

by intercom. Most beds are e 

to perform, including the prevention and treatment 

of disease, the education of both health 

medications by the right heath 

reading 

care professionals. 

material. It is also helpful to have any 

electrical unit which can be u 

Don’t be afraid to speak up with 

assistive 

any questions 

devices, i.e. canes or walkers. If possible, 

lower the head and foot of th 

professionals and patients, and the conducting 

or concerns or to designate a family 

please 

member, 

label 

or 

items. 

your level of comfort. There is 

of clinical research. All these activities must be 

someone else, to ask questions and raise issues 

button in your bathroom, sho 

As we cannot accept responsibility conducted for valuables with an overriding concern for the 

for you. 

assistance. 

left in your room, we strongly patient, encourage and, you above all, the recognition of his or 

to give extra money, medications, her dignity credit as cards, a human being. Success in 

wallets, jewelry, etc. to a family achieving member this orrecognition Telephone 

assures success in the 

responsible for following the treatment close friend plan to recommended 

by the practitioner primarily to put your responsible valuables for in the Hospital safe. An 

take home. Or, defense ask your of nurse the rights of the patient. 

All patient rooms are equippe 

phone. On request, a telepho 

his or her care. This includes following itemized the receipt instructions and claim 

Notice 

ticket will 

of 

be 

Privacy 

given 

Practices: deaf (TDD During unit), one as of well as ass 

of nurses and other health personnel to you. as PLEASE they carry DO NOT BRING 

your 

VALUABLES. 

visits to Harrington Hospital devices, you will are be also available. E 

out the coordinated plan of care Eyeglasses, and implement dentures and hearing offered aids a are copy anof our Privacy tance Practices calls, which the charge for yo 

the practitioner's orders, and as important they enforce part of the your life. These provides itemsa full description of as how part we of will your use regular and room r 

applicable hospital rules and regulations. require special The care. Tell your disclose nurse that your you individually identifiable local call, health simply dial “9”-“1” w 

patient is responsible for keeping use appointments, 

these, and you will be provided information, with aincluding uses and tone, disclosures and dial the for local numb 

and, when he or she is unable special to do so container for any for their safety. treatment, Take care payment and health distance care call, operations dial “9”-“1” and 

reason, for notifying the responsible not to practitioner leave any of or these items purposes on your (including meal AIDS, mental calling. health, You will and then reach an 

the hospital. Again, if you have tray any or questions, lying your bed, as they alcohol). may This be Notice also explains You may important call collect, rights bill your 

please speak up. 

inadvertently disposed of or lost. you Piercing have regarding has your health number, information. 

use a credit card. 

become more popular. You must Harrington remove Hospital all reserves be the able right to call change you directly. P 

piercing prior to surgery. its Privacy Notice at anytime, telephone but you may number always with them 

obtain a current copy upon request or by going to 

our website: www.harringtonhospital.org/archives. 

Please contact the telephone 

experience problems. 

Compliance with Instructions: A patient is 

Refusal of Treatment: The patient is responsible 

for his or her action if he or she refuses treatment 

or does not follow the practitioner’s instructions. 

Your Room 

Hospital Charges: The patient is responsible for 

assuring that the financial obligations of his or 

her health care is fulfilled as promptly as possible. 


is responsible for following hospital rules and 

regulations affecting patient care and conduct. 

Respect and Consideration: The patient is 

responsible for being considerate of the rights of 

other patients and hospital personnel, and 

assisting in the control of noise, and the number 

of visitors. The patient is responsible for being 

Television 

A television is provided at you 

extra charge. In addition to a 

cial channels, your set also in 

channels (10-13, a guide will 

you can access health educa 

services. For the rest and welf 

ients, the television must be k 

(headphones are available fr 

are required after 10:00 p.m.) 



22 

6

7 

accommodations continued 

health care institution, we recognize the hazards 

Few people know the signs of stroke, of smoking even though and enforces it is the a third no smoking leading cause policy of death in the U.S., killing 

ospital’s services are listed 

160,000 people a year. Stroke, which throughout is a brain the attack, institution. cutting Please off vital speak blood to your flow and oxygen to the brain, 

most of our publications are 

also is the leading cause of adult physician disability. in regard to alternative measures to 

contact the Marketing 

assist you to quit smoking, or call Quit at 

printed versions. They can 

Learning the symptoms of stroke, Harrington and acting Hospital’s FAST when G.B. they Wells occur, Program could at save your life or the life of a loved 

765-9771 ext. 3146. You may 

one. Common symptoms include: 508-765- 9167, ext. 2228. 

lephone number 

sk the operator ■ Sudden to direct numbness or weakness of the face, arm or leg, especially on one side of the body. 

ropriate department, if you Patient Safety 

■ Sudden confusion, trouble speaking or understanding 

ething specific. 

The Hosptial staff will work closely with you and 

■ Sudden trouble seeing in your one family. eye or Unless both clinically eyes necessary, it is our 

■ Sudden trouble walking, philosophy dizziness, loss that of patients balance experience or coordination freedom 

from restraints used in providing medical/surgical 

is a smoke-free 

■ Sudden 

campus. 

severe 

As a 

headache care with and no behavioral known cause management. 

This simple test will help you detect stroke symptoms and act F.A.S.T. 

Services 

Your Dining Guide 

F = Face. Ask the person to smile. Does one side of the face droop? 

A = Arm. Ask the person to raise both arms. Does one arm drift downward? 

Food Services Department welcomes you to Harrington Hospital. It is our department’s 

r stay as pleasurable as possible. You will find an “At Your Request” room service style 

S = Speech. Ask the person to repeat a simple sentence. 

side table for meal ordering. You may call your order via your telephone using 

r 7778 any time from 6:45 Does a.m. the until speech 6 p.m. sound (You may slurred also or leave strange? a message and 

you back.) 

Suggested “At T Your = Time. Request” If you observe Room services any of these times signs, are: it’s time to call 9-1-1 or 

get to the nearest stroke center or hospital. 

-8:30 a.m. • Lunch: 11:45 a.m.-1:00 p.m. • Dinner: 4:45 p.m. – 6:00 p.m. 

fers a full-service Risk factors: cafeteria Previous for stroke, staff, previous visitors and episode patients of transient located at ischemic the mezzanine attack (TIA) or mini-stroke, high cholesterol, 

ariety of high food blood items pressure, which include, heart disease, but are atrial not limited fibrillation to, hot and entrees, carotid fresh artery disease. These medical risk factors can 

emade be soups, controlled. an extensive Talk with salad your bar, doctor and many about beverage what will work choices. best for you. 

The current hours of operation for the cafeteria are: 

Stroke Information 

REDUCING STROKE RISK: 

WEEKDAYS: 

10:30 a.m. •• If Lunch: you smoke, 11:15 a.m. stop. –1:30 p.m. • Dinner: 4:45 p.m. – 6:30 p.m. 

• If you drink WEEKENDS: 

alcohol, do so in moderation. 

10:30 a.m. •• Know Lunch: your 11:30 cholesterol a.m. –1:30 number. p.m. If • it is high, Dinner: work 4:45 with p.m. your – 6:30 doctor p.m. to control it. 

• Control your diabetes. If you are diabetic, follow your doctor’s recommendations carefully. 

Special Services 

• Include exercise in the activities you enjoy in your daily routine. 

• Enjoy a lower sodium (salt) lower fat diet. 

• Ask your doctor Chaplains 

if you have circulation problems. 

pel is located on the third 

If you would like a clergy visit, please tell your nurse 

• If you have any stroke symptoms, seek immediate medical attention. 

e 24 hours a day for prayer, or Pastoral Volunteer. 

ate consultations with clergy. 

ass is offered weekly at mids. 

23

Derechos del Paciente 

Para su conveniencia ofrecemos servicios de interprete. Si usted desea los servicios de un interprete d jeselo 

saber a su enfermera. 

El hospital se esfuerza en resolver los problemas o las quejas que tengan que ver con los asuntos m s cercanos 

al paciente. La norma del hospital es oficialmente reconocer cualquier queja en un plazo de una semana, y la 

resoluci n final puede tomar de cuatro a seis semanas. 

En este folleto encontrara algunas del las reglas y regulaciones que se siguen en este hospital, vea la pagina 

19. Para los asuntos que tengan que ver con su cuidado medico y sus derechos como paciente por favor vea 

las paginas 14-15. Usted tambi n puede presentar una queja con el Departamento de Salud Publica. Por 

ejemplo su queja puede ser debido a la calidad del cuidado que obtuvo como paciente en nuestro hospital, 

puede quejarse por que usted siente que lo dieron de alta prematuramente, o por cualquier otra preocupaci n 

que tenga que ver con las Directrices Anticipadas (Ordenes Anticipadas) que se incluyen en este folleto. 

Manejo del Dolor 

Todo paciente tiene derecho a ser involucrado en como se maneja su tratamiento mientras esta en el hospital, 

incluyendo la forma en como se maneja el dolor. El hospital trabaja en equipo para darle m xima comodidad al 

paciente. 

Responsabilidades del Paciente 

Usted como paciente, tiene un rol muy importante y vital para hacer que su tratamiento sea el mejor posible. 

Usted es la persona m s importante que formara parte en su equipo de tratamientos m dicos al convertirse en 

parte activa, envolvi ndose e inform ndose bien de su condici n y tratamiento. 

Este al tanto del tratamiento que usted este recibiendo. Aseg rese de que este recibiendo los tratamientos y 

medicamentos correctos por el proveedor de salud apropiado. No tenga miedo en hacer preguntas o en compartir 

sus preocupaciones. Usted tambi n puede identificar un miembro de su familia, u otra persona, que haga 

preguntas por usted y nos deje saber si usted tiene alguna 

preocupaci n. 

To file a complaint you may contact: 

Accreditation: 

• The JOINT COMMISSION 

One Renaissance Blvd. 

Oakbrook Terrace, IL 60181 

800-994-6610 

630-792-5000 

Certified for Participation in 

Medicare and Medicaid: 

• DEPARTMENT OF HEALTH AND 

HUMAN SERVICES REGION I 

One Ashburton Place 


617-573-1600 

Licensure: 

• DEPARTMENT OF PUBLIC 

HEALTH COMMONWEALTH OF 

MASSACHUSETTS 

99 Chauncy Street, 2nd Fl. 


800-462-5540 

617-753-8000 

• DEPARTMENT OF MENTAL HEALTH 

25 Staniford Street 


617-626-8000 


24

✃ 



Total Local Care


From the 

Office of the 

President 

Welcome to Harrington H 

On behalf of the staff and trustees of Harrington Ho 

welcome you as our patient. Our goal is to deliver op 

embodies the highest standards of excellence. We a 

Local Care (TLC), providing personalized, compassion 

advanced technology close to home. 

Our vision at Harrington Hospital and throughout the 

system is to continue a long tradition of caring while 

grated services, including comprehensive inpatient a 

along with community outreach programs, a freesta 

on our campus and satellite medical facilities throug 

This booklet provides information about accommoda 

the hospital. Please don’t hesitate to ask your nurse w 

questions concerning your hospitalization. 

We welcome any suggestions to improve our progra 

can be of personal assistance to you, please contac 

765-9771, ext. 3002. 

We know you have a choice of health care provide 

choosing Harrington Hospital. 

EDWARD MOORE 

PRESIDENT and CEO 


Additional copies of this form are available in the lobby of Harrington Hospital on the 

education table and at affiliated physician's offices. Also available If you on need the assistance hospital's in website: understanding this informat 

www.harringtonhospital.org 


and language assistance will be provided. 



Si necesita ayuda para entender esta informacion, favor d notific 

proveeremos asistencia. 

✃ 



2

✃ 

MASSACHUSETTS HEALTH CARE PROXY FORM — page 1 of 2 

I, ________________________________________________________________________(the principal), 

residing at________________________________________, __________________ County, Massachusetts, 

pursuant to Massachusetts General Laws Chapter 201D, appoint the following person to be my Health Care 

Agent: 

Name: ___________________________________ Phone #: ___________________________________ 

Address: ______________________________ City/State/Zip: ___________________________________ 

If my Health Care Agent named above is not available, I name as an alternate Health Care Agent: 

Name: ___________________________________ Phone #: ___________________________________ 

Address: ______________________________ City/State/Zip: ___________________________________ 

I give my Health Care Agent authority to make all health care decisions on my behalf if I become incapable 

eral Information 

of making such decisions for myself, including but not limited to decisions concerning initiation, continuing, 

withdrawing or refusing any life-prolonging care, treatment, service or procedure, EXCEPT (here list the 

limitations, IF ANY, you wish to place on your Agent's authority): 

Patient 

, who is a member ____________________________________________________________________________________ 

of Harrington’s medical staff, has 

s for your admission. Your physician’s office will advise you 

time. Please ____________________________________________________________________________________ 

be sure to arrive at the Hospital on time. 

Registration 

rmation is usually ____________________________________________________________________________________ 

completed during your pre-admission 

egistration. The form is mailed to maternity patients 

ou are admitted ____________________________________________________________________________________ 

through to the emergency room, your 

or the physician on call, will be notified of your admission 

____________________________________________________________________________________ 

lth insurance My identification Health Care card Agent at the shall time of make admission. health care decisions 

Insurance 

for me in accordance with my Health Care Agent's 

nies have restrictions assessment which of require my wishes, notification including and approval my religious and moral beliefs. If my wishes are unknown, my Health 

are presently Care employed, Agent shall check make with the such Personnel decisions for me only in accordance with my Health Care Agent's assessment of 

ce of employment. If necessary, bring any appropriate forms, 

mpleted, to Patient my best Registration interests. when you enter the Hospital. 

My Agent may obtain any and all medical information, including confidential medical information, as I 

es or tips by employees from patients, or their friends, is 

ot offer money would or gifts be to entitled Hospital to personnel. receive. Photocopies of this Health 

Gratuities 

Care Proxy shall have the same force and effect as the 

original and may be given to other health care providers. 

estions, comments and safety concerns. You may be contacted Surveys and 

a survey, or My you Health can contact Care Agent's the CEO’s authority Office at to the act hospital, on my behalf shall exist only for the period during which my attending 

ridge, MA, or physician call 508-765-9771. determines You may that also I lack e-mail capacity us at to make or Patient communicate Satisfaction health care decisions for myself 

ospital.org. 

I sign this Health Care Proxy on ________________, Concerns 20_____ in the presence of two witnesses. 

int should be brought to the immediate attention of the 

ager or department head, and, if the resolution is not 

During Your 

ital’s President & Signed: CEO. Should ___________________________________________________________ 

you or your family 

Hospitalization 

oncerns about the care you are receiving, and a manager 

feel free to contact (If the Principal the on-duty cannot nurse supervisor. sign) The You principal may is unable to sign and at the direction of the principal I have signed 

r during your his/her hospitalization name by in dialing his/her zero presence for the and in the presence of two witnesses. 

e hospital operator to have a nurse supervisor call your 

e important to us in Name: our effort ______________________________________________________________________ 

to constantly provide 

Street: _____________________________ City/Town: ______________________________ 

1 

3

✃

✃ 

Personal Wishes Statement 

This form is an expression of my wishes and is not legally binding. 

ation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 

gery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 

dations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 

l Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 

nience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-14 

ble To You . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 

lieve Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 

ation For Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . .18-20 

ing For You . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 

ibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 

on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 

ation Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25-26 

xy Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27-28 


Signature: ____________________________________________________________ H O S P I T A L 

Date: ______________ 


1 

Contents 

I, __________________________________________________________________________, sign this form for the 

purpose of offering my Health Care Agent guidance so that he or she may make decisions based on an assessment of 

my personal wishes as well as medical information provided by my physicians. My Health Care Agent has authority to 

make such decisions in accordance with Massachusetts law. 

If there is no reasonable expectation for my recovery and, in the opinion of my physician, I will die without life 

sustaining treatment that only prolongs the dying process, I ask that my Health Care Agent consider the following: 

(Write your initials next to the lines that express your wishes.) 

______ Treatment should be given to maintain my dignity, keep me comfortable and relieve pain. 

______ If my heart stops, I do not want it to be restarted. 

______ If I stop breathing, I do not want to have a breathing tube put into my throat and be 

hooked up to a breathing machine. 

______ My physician may withdraw or withhold treatment that only serves to prolong the dying 

process. Treatment that may be withheld shall include, but not be limited to, the following: 

______If I cannot drink, I do not want to receive fluids through a needle placed in my vein. 

______If I cannot swallow, I do not want a tube inserted in my nose, mouth or surgically 

placed to give me food or fluids. 

______If I have an infection, I do not want antibiotics administered to prolong my life, 

without hope of cure, unless necessary to keep me comfortable. 

______If possible, I would like to die at home with hospice care or in a hospice residence. 

______If I am in a nursing home I would like to die with hospice care. 

______Unless necessary for my comfort, I would prefer NOT to be hospitalized. 

______My faith tradition is ________________________________________________________________. 

My spiritual contact person is ________________________________________________________. 

My faith community is ______________________________________________________________. 

______I wish to have spiritual support. 

______If possible, I wish to be an organ/tissue donor. 

______Following is additional guidance for my Health Care Agent’s consideration: 

_____________________________________________________________________________________ 

_____________________________________________________________________________________ 

_____________________________________________________________________________________ 

_____________________________________________________________________________________ 

This Personal Wishes Statement was adapted from “My Choices: An Advance Directive for Health Care Choices,” Missoula Demonstration Project, Missoula, Montana, and 

prepared by The Central Massachusetts Partnership to Improve Care at the End of Life. The Partnership grants permission to reproduce this document in its entirety, so long as 

the source, including this statement, is shown. 8/07

Harrington Physician Services offices and other Harrington 

facilities are found in many convenient locations! 

Harrington Physician 

Services 

255 E. Old 

Sturbridge Road 

Brimfield 

Harrington HealthCare 

at Charlton, 

including physician 

offices and medical 

services 

10 N. 

Main Street 

Charlton 


Services 

61 N. 

Main Street 

Charlton 


Services 

161 W. 

Main Street 

Dudley 

Harrington Hospital, 

plus physician offices 

94 South Street 

100 South Street 

Southbridge 

The Cancer Center 

at Harrington 

55 Sayles Street 

Southbridge 


Services 

118 Main 

Street, Suite 3 

Sturbridge 


Services 

128 

Main Street 

Sturbridge 

Harrington HealthCare 

at Hubbard, 

outpatient services and 

physician offices 

340 

Thompson Road 

Webster 




To find a physician to meet your medical and 

personal needs, call 508-765-3145. 

2 M - 1 2 / 0 9 

H a r r i n g t o n H o s p i t a l • 1 0 0 S o u t h S t r e e t , S o u t h b r i d g e , M A 0 1 5 5 0 

5 0 8 - 7 6 5 - 9 7 7 1 • w w w . h a r r i n g t o n h o s p i t a l . o r g

Patient Welcome Book - Harrington Memorial Hospital

Create successful ePaper yourself

Delete template?

Save as template?