Welcome to B6/5 B6/5 provides a setting that helps you reach the goals set in your treatment plan. We offer a stable setting that is set apart by respect, structure, routine, and predictability to achieve a range of purposes. The aim of our unit is to provide a safe and secure place that promotes growth. Our unit is designed to help you attain the goals listed below. 1. Reduce acute symptoms. 2. Smooth the movement to a sense of self control. 3. Develop coping skills. 4. Engage in group activities that promote feelings of self worth. 5. Learn skills for living on your own. 6. Inspire hope and enlist support needed for you to risk change. We are a team of professionals who are here to help you. We are trained to reflect basic values, behaviors, and work skills of our society. We commit to serving as role models and sources of support, encouragement, and compassion as well as running the unit. We display attitudes, behaviors, and shared values of the therapeutic community. Our unit stresses a competent, caring, ethical staff. We respond to a patient’s behavior by trying to understand the meaning and the function of that behavior. We encourage families to take part in the healing and stabilizing process. Treatment Psychiatric Services Your skilled care will involve the evaluation by a psychiatrist who will assess your needs which may include medicine and other treatments. Groups The main approach to treatment takes place in group settings, some of which are focused on education and some of which are focused on psychodynamics. About the Unit B6/5 is an 18 bed psychiatric unit. Patients on this unit receive treatment for problems such as depression, schizophrenia, bipolar disorder, anxiety disorders, and obsessive-compulsive disorder, among others. Each patient on the unit has a private room with a private bathroom. There are three public areas on the unit for day use: an open day area with a TV, a group room with a TV, and a conference room for computer use. Two of these rooms are also used by the staff for morning rounds. What to Expect on Your First Day Your care team will consist of your ▪ resident psychiatrist ▪ supervising psychiatrist ▪ nurse ▪ social worker ▪ occupational therapists ▪ pharmacists ▪ psychologist ▪ chaplains On your first day or the next morning, you will meet with your B6/5 care team. This meeting is called your “staffing.” The purpose of the staffing is to create a treatment plan for your care. This is your chance to discuss your concerns with your team. Your plan may include making changes in your medicines or starting a new one. It will include getting involved in daily groups with members of our staff. We will also talk with you about plans for discharge. After the staffing, you will be given a written copy of your plan of care. Your primary nurse will coordinate your care. Daily Routine Treatment Rounds The care team conducts rounds each morning. Each day sometime between breakfast and lunch, we will meet with you. The length of time the doctors spend with you may vary. There is space in this journal for you to write down any questions you have for your team. Morning rounds are a good time to ask about your plan of care, discharge plans, medicine changes and any changes in your off unit status. Nursing Change of Shift Rounds The nursing staff will meet with you when the shifts change. You will be introduced to your new nurse and we will discuss how your day is going. Most often, this will happen between 7:00 and 7:30 am; 3:00 and 3:30 pm, and 11:00 and 11:30 pm. Patients are asked to be in their rooms by 11:00 pm to get ready for bed on Sunday through Thursday. On the weekend, Friday and Saturday, you may stay up until 1:00 am. Off unit privileges At first, all B6/5 patients are not able to leave the unit. The privilege to go off the unit will be granted based on your clinical status, legal status, and safety. Unit privileges include: ▪ Staff/Student – You may only go off the unit with a staff person. Many times this is for tests done elsewhere in the hospital. Do not expect staff to take you outside. ▪ RA (Responsible Adult) – You may go off the unit only with an adult who is not a patient or a staff member. ▪ Full – You may go off the unit by yourself on hospital grounds. Time may be limited to 30 or 60 minutes. ▪ Off unit passes – Time away from the hospital may be possible. You will need to discuss this with your team. Off unit privileges can be used at specific times listed on the board in the day room. They may not be used during group time and cannot interfere with treatment. Tobacco The UW campus is tobacco free. If you use tobacco, a nicotine patch or gum is offered. Meals We are pleased to offer you “Room Service.” This allows you to choose your meals and order by phone from the menu in your room. Please ask for help if needed. You will need to order your meals at least 2 hours before the scheduled meal time. If you forget to order a meal, a tray will be sent for you anyway, but it may not be what you would have chosen. Meals are scheduled at the times listed below: Breakfast: 8:00 am Lunch: 12:45 pm Dinner: 6:15 pm B6/5 patients are welcome to dine together at the dining tables. Snacks are kept in the patients’ kitchen. These include fruit, soda crackers, graham crackers, ice cream, juice, milk and sodas. You may call the kitchen for other snacks on the menu. The latest time for calling the kitchen for a snack is 7:00 pm. You are welcome to have family or friends bring other snacks and drinks for you if your diet is not restricted. Any food items stored in the patient kitchen and refrigerator need to be labeled with the patient’s name and the date and time the item was placed there. See your nurse or request a visit with a dietitian if you have any concerns about your diet. Electronics For safety reasons, as well as patient privacy, some electronics are not allowed on the unit. For example: ξ Cameras ξ Cell phones with a camera/cord ξ Laptops with a camera/cord ξ Tape recorder ξ I pods or CD players with headphones Devices with cords may be charged on the unit at the nurse’s station. B6/5 has portable radios, ipods with cordless speakers, and sound machines that patients can use. Phones If your cell phone has a camera, your phone will be locked up and you will not be able to use it on the unit. On admission, write down your numbers that you would like to call so you will be able to find them during your stay. There is a phone in your room for local calls only. If you wish to make a long distance call, please ask at the nurses’ station to borrow a unit cell phone. You must dial “9” first to get out of the building. You can use these free of charge. You must sign for a cell phone on the sign out sheet. Cell phones may be used for 10 minutes at a time since others may want to use the phone. Parking The Admissions Office will stamp your parking ticket. Also, each patient can get one free parking pass. You may give it to whomever you choose. The B6/5 staff does not stamp parking passes. Visiting Hours Visiting hours are from 8:00 am to 9:00 pm daily. Children 17 years old and younger may visit on B6/5 if they are supervised by an adult visitor. Groups Getting involved in group work is a vital part of your treatment. You will find a schedule of daily groups posted on the board in the day room. Staff members from pharmacy, occupational therapy, psychology, nutrition services, and nursing lead the groups. Nurses offer a Community Meeting in the morning and a Relaxation group in the evening. Group topics include medicine, coping, living skills, communication, and planning for discharge. Occupational therapy (OT) is a form of therapy that is offered in many different health settings as well as in schools and the community. As with any therapy, the goal is to help people gain skills and function better. Mental health occupational therapists use many activity-based methods in therapy. On B6/5, OT is done in groups and the focus is mental wellness. OT is not psychotherapy and you will not be asked to disclose deeply personal information. OT is not “arts and crafts,” though the therapy may include art activities. Volunteer Activities There are times when it is good to take a break from the hard work of therapy. The volunteer activity group is a time when patients can choose an activity to do together with the guidance of a hospital volunteer. Some of the group activities are: ξ Bingo ξ Group crossword puzzles ξ Card Games ξ Movie group ξ Board Games ξ Scrabble ξ Group Sudoku ξ Relaxation Group Free Time Unless there is a scheduled group, or your doctor or nurse have asked you to meet with them, you are free to relax on the unit. B6/5 has two TV viewing areas. We have movies and games to borrow. They must be signed out and returned by the patient. You can access a computer for 30 minutes at a time. Since others may want to use it, time should be used in respect of others. For Your Information 1. Nurses will check all belongings and items you or your guests bring into the unit. Please limit your supply to three days worth of items. Valuables can be locked in your room or sent to the hospital safe. We suggest you send your valuables home. 2. Cameras and tape recorders are not allowed on the unit. We will ask you to send these items home, or we will lock them up until you leave. 3. TV in the open day room can be used until 11:00 pm. 4. Your nurse must OK any exception to visiting hours. All evening guests need to leave by 9:00 pm. If your support person plans to spend the night, please talk to your nurse as early as you can. 5. We expect you to return from evening passes no later than 9:00 pm. If for any reason you may be late, please call the unit. 6. The use of alcohol, other drugs, or non-prescribed medicine is not allowed on the unit or while on pass. Use of the above will result in reevaluation of your treatment. All prescribed medicine from home will be locked up during your stay here. If you want to use these medicines here, you must speak to your doctor. 7. You are not allowed in other patients’ rooms. There are lounges where you can spend time with other patients. 8. We suggest that you eat all your meals in the dining room. 9. Please change your bed linens as needed. Extra linens are stored in the cabinets by the nurse’s station. Laundry bags are for hospital laundry only. 10. There is a washing machine and dryer near the nurses’ station for your use, free of charge. Please keep track of your laundry. The hospital is not responsible for lost laundry or other valuables. 11. After discharge you will not be allowed to return to the unit to visit for at least one month. 12. Violence or destruction of property is not allowed. 13. Threats, racial slurs, or verbal aggression are also not allowed. Discharge The treatment team will discuss a discharge date with you. Discharge instructions will include scheduled follow up appointments, emergency contact phone numbers, and a list of your medicines. You will be seen by a pharmacist about your prescribed medicine. You will meet with your nurse about all other discharge issues. Staff My attending doctor’s name is: ____________________________________________________ My resident doctor’s name is: _____________________________________________________ My primary nurse is: ____________________________________________________________ I also work with these nurses: _____________________________________________________ ______________________________________________________________________________ The psychologist I will work with in groups is Dr. Deborah Stec. My social worker is: (circle one) Thomas Karen The nurse manager is Rachel Edwards. The occupational therapists that I will work with in groups are Tisha, Sally, and Emily. Students I am working with include: ________________________________________________ ______________________________________________________________________________ Hospital Day 1 My diagnosis is: ______________________________________________________________ My medicines are: ____________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ My off-unit privileges are: _______________________________________________________ My anticipated discharge date is: __________________________________________________ Things that need to happen before I am discharged: ___________________________________ _____________________________________________________________________________ _____________________________________________________________________________ My questions/concerns for the doctors are: ___________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Things I need to do today: ________________________________________________________ ______________________________________________________________________________ Groups I attended today are: ______________________________________________________ _____________________________________________________________________________ The most important thing that happened today: _______________________________________ _____________________________________________________________________________ Something I feel good about accomplishing today: _____________________________________ ______________________________________________________________________________ Hospital Day 2 Things I need to do today: ________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Things I need to ask my doctor: ____________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Groups I attended today: _________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ The most important thing that happened today: _______________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Something that I feel good about accomplishing today: _________________________________ ______________________________________________________________________________ ______________________________________________________________________________ My notes, thoughts, feelings and ideas: ______________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Your health care team may have given you this information as part of your care. If so, please use it and call if you have any questions. If this information was not given to you as part of your care, please check with your doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each person’s health needs are different, you should talk with your doctor or others on your health care team when using this information. If you have an emergency, please call 911. Copyright © 1/2018 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6112. Patient Rights As a patient you have rights. Our staff will review these rights with you. You have the right: ▪ To be informed orally and in writing of your rights. ▪ If you agree to voluntary admission, you can submit a written request of discharge to your attending doctor. Your discharge request will be honored unless the Treatment Director files a statement of emergency detention with the court within one business day of your request. ▪ To be given a copy of patient rights section of the statute upon request. ▪ To prompt and adequate treatment and services. ▪ To be informed and involved in planning your treatment and care. ▪ To the least restrictive treatment needed for your care. ▪ To refuse to perform labor that is of benefit to the hospital. ▪ To send and receive sealed mail. ▪ To refuse all medicine and treatment except as ordered by the court. ▪ To be free from unnecessary or excess medicines. ▪ To be free from restraints or isolation, except in emergencies. ▪ To not be subject to research without your expressed informed consent. ▪ To worship while in the hospital, or to be free from worship. ▪ To a humane environment. ▪ To confidentiality of all treatment records. ▪ To access your hospital chart and review it with staff. ▪ To not be filmed or taped unless you have signed a consent. ▪ To make and receive phone calls within limits. ▪ To wear your own clothing and use your own personal items. ▪ To reasonable privacy while going to the bathroom and while bathing. ▪ To see visitors each day. ▪ To present grievances. This process is explained in a pamphlet given to you. ▪ To use your money as you choose. ▪ To be informed of any liability you may have for the cost of your care. ▪ To be treated with respect and dignity by all staff. ▪ To receive notice if any rights are denied for any reason.