[00:00:03.600] For patients at Duke University Hospital [00:00:06.320] there is no typical experience. [00:00:08.760] Each individual faces a unique set [00:00:11.280] of emotional and physical challenges. [00:00:14.600] What all patients share is the need to understand [00:00:17.480] their medical care and to know the people who are providing it. [00:00:21.000] When we first learned that my son was seriously ill, [00:00:24.280] the news in itself was shocking [00:00:26.800] and overwhelming and [00:00:29.880] facing going to someplace with which we weren't familiar except [00:00:32.520] by reputation, was also overwhelming. [00:00:35.480] When we got here, we were [00:00:38.040] extremely pleased. [00:00:39.320] The experience was extremely positive from [00:00:41.880] the way in which everybody handled us in terms of friendliness, [00:00:44.920] and answering our questions, and giving us information [00:00:47.960] to the concern, and caring for [00:00:50.520] my son and for us as his parents. [00:00:53.200] Sometimes some patients come to a place this size [00:00:56.480] they feel overwhelmed. [00:00:59.080] They feel like perhaps they shouldn't ask questions or things [00:01:01.880] that they should already know, and they tend [00:01:04.640] sometimes to lose their sense of control. [00:01:07.800] What is helpful for them to remember is that they can [00:01:10.320] have some sense of control when they ask questions, [00:01:13.480] when they're able to get answers [00:01:16.080] to their concerns, and to also participate [00:01:18.760] in letting us know what is they would like to get from their [00:01:21.320] hospitalization. [00:01:22.760] Learning who your nurses are from the care nurse [00:01:25.440] who meets your daily needs to the head nurse who manages [00:01:28.200] the entire unit will help you feel a sense [00:01:30.720] of connection with the entire medical team, [00:01:33.280] which is large and sometimes confusing. [00:01:36.360] Patients at Duke are often surprised by the wide [00:01:38.680] array of individuals in white coats that visit their rooms. [00:01:42.600] These individuals may be consultants [00:01:45.280] or resident doctors in training or other health care providers. [00:01:49.320] These individuals assist the primary doctor [00:01:52.240] in the care of patients. [00:01:54.080] However, it is the primary doctor that is always responsible for your care here at Duke. [00:01:59.360] In addition to your nurses and [00:02:00.800] primary doctor, your treatment team will include [00:02:03.600] a variety of specialized caregivers from [00:02:06.240] dietary and environmental services staff [00:02:08.960] to blood drawers and physical therapists. [00:02:12.240] Each test or therapy they administer is [00:02:14.760] based on the latest medical research developed [00:02:17.560] and tested in the laboratories at Duke. [00:02:20.720] This research enables Duke to [00:02:22.320] offer the most effective treatments and cures available in the country. [00:02:26.760] But even the best medical care cannot cure the [00:02:29.400] emotional trauma you experience with an illness. [00:02:32.600] A team of social workers, chaplains, [00:02:35.120] and volunteers is available to provide comfort, [00:02:38.280] reassurance, and assistance with family [00:02:40.920] and personal issues. [00:02:42.920] The emotional and psychological [00:02:46.760] components of any chronic [00:02:49.760] disease brings special needs. [00:02:52.480] And one of these special needs [00:02:55.360] is that they need people [00:02:58.120] to depend on, to be there, to listen. [00:03:01.920] And I think one of the things [00:03:04.440] that we do best, as volunteers [00:03:07.640] in this program, is to really, [00:03:10.560] really listen. [00:03:12.520] When I work here as a volunteer visiting patients [00:03:15.280] in the hospital, frequently, [00:03:18.480] they'll ask me, "What's it going to be like when [00:03:21.000] I get out of here?" And [00:03:23.640] I have a kind of a [?], maybe even flippant answer for that. [00:03:27.240] If you follow the advice they give you here [00:03:29.880] life is going to be exactly what you want it to be. [00:03:32.400] You can go home and sit in the corner and decide [00:03:35.040] you're sick and you're gonna be sick, [00:03:37.760] or you can go home and just appreciate what [00:03:40.360] you've got and go out and live your life like I do, [00:03:43.600] and you're probably going to feel better than you ever felt in your life. [00:03:46.560] Coming into the hospital as a patient [00:03:48.960] you don't have to give up who you are. [00:03:51.280] It's your body [00:03:52.480] and you should be part of the whole process that's about to take place. [00:03:56.760] Ask questions. [00:03:58.560] Speak up. [00:04:00.200] Tell what's bothering you. [00:04:02.240] Make sure you understand when someone [00:04:04.880] explains something to you. [00:04:06.160] If you don't ask them to explain it again, [00:04:08.720] be part of the entire healing process [00:04:11.640] and treatment process and it will help [00:04:14.160] in the long run in terms of your, [00:04:17.560] of the outcome of your your hospital visit. [00:04:20.520] Everybody pulls for everybody else. [00:04:23.720] I know when I lost my husband, [00:04:25.320] I think the people in there were about as devastated as I was [00:04:30.320] because I'd been there long. [00:04:32.720] But my point in the whole thing is [00:04:35.640] this is a magnificent [00:04:38.960] hospital and people [00:04:41.720] come here with that knowledge. [00:04:45.040] So why not take advantage of all the information [?]? [00:04:47.880] For non-medical aspects of your stay. [00:04:51.360] A patient guide in each room provides detailed [00:04:54.120] information on lodging for relatives, parking, [00:04:57.920] banking, dining, and much more. [00:05:01.520] Patient representatives at the information desks [00:05:04.120] of Duke North or Duke South can assist [00:05:06.880] visitors with patient room numbers, directions, [00:05:10.120] or other questions about the hospital. [00:05:12.560] Whatever you can't find in the guide or at the [00:05:15.160] information desk is just a phone call away [00:05:18.000] through patient and visitor relations, or [00:05:20.520] through your health unit coordinator who sits at the entrance [00:05:23.400] to your unit. To resolve both routine [00:05:26.280] questions and serious concerns, [00:05:28.760] contact your primary nurse or patient [00:05:31.360] and visitor relations, who will consult with [00:05:33.880] hospital administrators if necessary. [00:05:36.480] I think one of the most important things for patients to know and [00:05:39.120] remember is that nurses are here to help them. [00:05:42.800] We are their first line of defense. [00:05:44.600] We're the ones that they can ask their questions to, share [00:05:47.320] their concerns, and we'll do whatever we can [00:05:50.280] to have those needs and concerns addressed. [00:05:52.920] And that same concern extends to family members. [00:05:56.280] The staff here realizes [00:05:59.480] that the family is, in a sense, [00:06:02.160] just as important as the patient. [00:06:04.480] Matter of fact quite often the family [00:06:07.200] is more concerned than the patient might be. [00:06:09.280] The patient is in the bed. [00:06:11.240] He or she knows what's happened and what's [00:06:13.800] going to happen, perhaps even sedated or something like that. [00:06:17.920] The poor family though is left to wander around in this [00:06:20.600] immense structure, not knowing what's [00:06:23.120] going on and probably very, very concerned for their [00:06:25.680] loved one who is here as the patient. [00:06:28.640] So I think it's just an especially favorable [00:06:32.760] aspect of the staff, the hospital [00:06:35.280] itself, that they they have that family concern [00:06:38.680] and they are willing to talk and help [00:06:41.680] the family through what might otherwise be [00:06:44.280] an even more difficult experience for them. [00:06:46.720] There are times, however, when it is hard to [00:06:49.280] anticipate a patients or relatives needs. [00:06:52.200] Telling your caregivers how you feel can help [00:06:54.800] them assess your recovery, both physically and emotionally, [00:06:59.840] and tailor [00:07:00.360] medical therapies to fit your individual needs. [00:07:03.520] After a detailed admission [00:07:06.040] interview with factual information that the nurse asked [00:07:09.280] when I was admitted in my room, [00:07:12.280] she asked me one more question, [00:07:14.560] and it was, "Is there anything special you would like?" [00:07:16.880] And it threw me for a second, [00:07:18.440] but I recovered quickly and I said, "Yes. [00:07:21.520] When people when staff people come into my room, I'd [00:07:24.040] like them to smile." [00:07:25.880] And I was pleased to have thought of that and pleased with the results. [00:07:30.040] Such concern for patient's well-being extends [00:07:32.880] to the home environment, where patients often receive [00:07:35.680] follow up care or rehabilitation. [00:07:38.360] When patients are here for prolonged hospitalization, [00:07:42.160] we will contact the referring doctor [00:07:45.120] on a regular basis, either on a daily or every other day [00:07:47.680] basis, just to give them an update on their patient's care. [00:07:51.600] From start to finish, the care you receive [00:07:54.480] at Duke Hospital is driven by two missions: [00:07:57.560] to treat your illness with the most advanced medical [00:08:00.480] and surgical treatments available, and to do [00:08:03.200] it with compassion and sensitivity. [00:08:06.160] Input from our patients, relatives, and [00:08:08.680] visitors can help us fulfill these missions. [00:08:12.280] I suppose there are many compliments [00:08:15.000] I could pay to Duke University Medical Center [00:08:17.560] and to its staff for their care, [00:08:20.520] their concern, their comfort, [00:08:22.800] but maybe the simplest and most straightforward comment [00:08:25.360] of all I can make is that I'm alive today because of what they've done for me here [00:08:29.560] and I'm deeply appreciative of that. [00:08:40.240] Duke Hospital North houses the inpatient units, [00:08:43.400] the operating rooms, dining facilities, [00:08:46.320] bank teller machines, and the Pink Smock gift shop. [00:08:51.600] On the basement level of Duke Hospital North, [00:08:53.560] you can board the personal rapid transit to the parking [00:08:56.360] deck on Erwin Road or to Duke Hospital South. [00:09:00.640] Duke Hospital South, known for its Gothic [00:09:03.280] architecture, is a group of nine interconnected buildings. [00:09:07.440] Each building, or clinic, has its own color zone [00:09:10.320] to help you find your way. Inside the [00:09:12.920] buildings of Duke Hospital South, you will find the outpatient clinics, [00:09:17.600] the bank, the post office, [00:09:21.040] the pharmacy, another cafeteria, [00:09:24.480] and hospital administration. [00:09:30.640] Parking is available in the deck across from Duke [00:09:33.160] Hospital North on Erwin Road or [00:09:35.720] the deck across from Duke Hospital South off of Trent Drive. [00:09:39.760] Discount parking books for inpatients and their families [00:09:42.640] can be purchased in the Pink Smock gift shops [00:09:45.400] in Duke North or Duke South. [00:09:46.640] Special parking is available [00:09:49.480] for campers and other large vehicles. [00:09:53.080] In addition to using the personal rapid transit, [00:09:55.960] patients and visitors can take the underground [00:09:58.480] walkway from the Erwin Road parking deck to [00:10:01.040] Duke Hospital North. [00:10:04.920] Lodging for visitors is available through local [00:10:07.440] hotels and motels or through host homes. [00:10:11.040] A service that places relatives of Duke patients [00:10:13.720] with families in Durham. The host homes [00:10:16.480] information desk is located in the lobby of Duke [00:10:19.160] Hospital South. [00:10:24.280] 684-3211 or 684-5351. [00:10:29.200] If you need assistance, the call button is [00:10:31.720] located on the inner panel of your bed. [00:10:34.760] To operate the bed, [00:10:36.200] press the up or down buttons on the same [00:10:38.720] control panel. In most rooms [00:10:41.880] the telephone is located on the right inner panel [00:10:44.640] of your bed and your telephone number is written on the receiver. [00:10:48.840] Hospital calls and local calls within Durham [00:10:51.480] can be dialed directly. [00:10:53.360] All long distance calls must be made collect [00:10:56.240] or charged to your home phone or credit card. [00:10:59.400] When receiving phone calls in your room, [00:11:01.640] you will first hear a recording that tells the caller [00:11:04.360] he or she cannot make collect calls to you. [00:11:07.320] Wait for the recording to end before you try to speak to the caller. [00:11:11.320] A weekly television guide in each room provides [00:11:13.960] programming information about the twelve available [00:11:16.560] channels, including the patient channel. [00:11:20.800] You can order your meals and snacks by filling out [00:11:23.440] the menu that arrives on your meal tray the previous day. [00:11:26.240] For meal times [00:11:28.920] ask your care nurse. [00:11:30.800] Visitors, and patients not on special diets, [00:11:34.080] are welcome to eat in the Duke North cafeteria [00:11:36.760] as well as the commons restaurant, located [00:11:39.280] in the [?] Center, [00:11:40.600] just a few minutes walk from Duke North. [00:11:43.320] The Duke North cafeteria is open for lunch [00:11:45.760] from 11:00 A.M. [00:11:46.960] to 3:00 P.M. [00:11:48.360] and for dinner from 4:30 P.M. [00:11:50.160] to 7:00 P.M. [00:11:51.880] The North Deli is open from 9:45 A.M. [00:11:54.760] to 4:30 P.M. [00:11:56.520] and at night from 8:30 P.M. [00:11:58.440] to 3:00 A.M. [00:12:01.560] Smoking is not allowed inside any medical [00:12:04.160] center building. [00:12:05.760] Check with an information desk representative to find the [00:12:08.280] designated outdoor smoking area closest to you. [00:12:12.400] Visitation hours vary in each patient unit. [00:12:15.600] Please consult with a nurse or the health unit coordinator [00:12:18.720] to find out the visitation hours in your unit. [00:12:25.360] As you prepare to return home, your medical [00:12:28.160] team will help you identify community and medical [00:12:31.040] resources, you'll need to continue your treatment or recovery. [00:12:35.440] Please feel free to ask them for assistance if [00:12:38.000] you have questions or concerns about follow up care. [00:12:41.680] To obtain additional information on these and other topics [00:12:45.440] please refer to the patient guide in your room [00:12:48.480] or call 681-2020 [00:12:51.840] to speak with a patient representative.