Kaweah Delta Health Care District PG 2020

WE WANT TO HEAR ABOUT YOUR EXPERIENCE

Share your story with our Patient Experience Team
Call (559) 624-5051

WELCOME

Welcome to Kaweah Delta Medical Center. On behalf of the
entire Medical Center team, thank you for choosing us to
support your health care needs.

We view our work as a calling to serve our community and as an
opportunity to deliver personal, professional, and compassionate
experiences, every person, every time. It is our sincere
commitment to offer patients world-class health care and a
broad range of services to meet virtually any health care need.

Kaweah Delta is widely-recognized as a healthcare leader in the
Central Valley, and we are committed to demonstrating that to
every patient who walks through our doors.

Visits to the hospital can be stressful for patients and their families, so we’ve created this
guide to answer many of your questions and to make your stay with us as comfortable and
positive as possible.

We are here to provide you with safe, high-quality and patient-centered services and
medical care. If you have any questions or concerns, please ask your nurse or contact the
office of patient experience at (559) 624-5151.

Again, thank you for choosing Kaweah Delta and allowing us to serve you.

Gary K. Herbst
Chief Executive Officer
Kaweah Delta Health Care District

OUR MISSION, OUR VISION, OUR PILLARS

OUR MISSION
Health is our passion.
Excellence is our focus.
Compassion is our promise.

OUR VISION
To be your world-class healthcare choice, for life.

OUR PILLARS
• Achieve outstanding community health
• Deliver excellent service
• Provide an ideal work environment
• Empower through education
• Maintain financial strength

2 | www.kaweahdelta.org

ABOUT US

Kaweah Delta is proud to provide comprehensive health care in Tulare County. We
are a 581+ bed hospital staffed with over 5,000 dedicated medical professionals and
employees. We are committed to meeting the community’s health needs through state-
of-the-art medicine, high-quality preventative services and specialized health centers
and clinics. Our impeccable health and safety standards have earned us a number of
national awards and recognitions, which are a testament to the tireless work of our
medical team and hospital staff, who bring the highest levels of care to our community.
We have been meeting the health needs of Tulare County for nearly 55 years and strive
to deliver experiences that are consistently personal, professional, and compassionate.

IMPORTANT NUMBERS
MAIN NUMBER: (559) 624-2000
CASE MANAGEMENT: (559) 624-2235
CHAPLAIN CARE: (559) 624-2263
FINANCIAL SERVICES: (559) 624-4200
MEDICAL RECORDS: (559) 624-2218
PATIENT EXPERIENCE: (559) 624-5151
RISK MANAGEMENT: (559) 624-2340
WEBSITE: kaweahdelta.org
ADDRESS: 400 W. Mineral King Ave.
Visalia, CA 93921

Content in this patient guide has been provided for educational purposes only by Kaweah Delta Health Care District.
Kaweah Delta Health Care District has reserved the right to use royalty-free images and illustrations provided by Kaweah Delta Health Care District,
AdobeStock, and Big Stock Photo.

www.kaweahdelta.org | 3

Key Medical Group
in partnership with

Kaweah Delta
Health Care District
is part of the integrated
delivery network known as
Sequoia Integrated Health.
Partners, caring for You.

Who is Key Medical Group?
Key Medical Group is an Independent
Physician Association (IPA) of primary care
doctors and specialists who work together
to provide excellent health care to our
members. Key Medical Group is owned by
local primary care providers and specialists
within Tulare & Kings County.
Key Manages your participating Commercial
and Medicare Advantage Plan. That means
we are the local Tulare and Kings County
team here to help coordinate your care.
Give us a call at (559) 802-1991. We are
here to assist you.

How many Primary Our Clinical Care Team What can our staff
Care Providers are consists of: assist with?
in our network? • Medical Directors • Care Coordination
140 • Registered Nurse Case • Referrals/Authorizations
• Medical Needs
How many Specialists Managers • Medication Needs
are in our network? • Social Workers • Social Needs
400+ • Health Coaches • High Cost Medications
• Inpatient Case • Diabetes Management
Physicians are located • COPD Management
Managers • Heart Failure Management
in: • Department Assistants • Transitions of care from
• Clinical Pharmacists
Corcoran Lindsay • Pharmacy Technicians hospital to home
Dinuba Porterville
Exeter Tulare
Hanford Visalia
Lemoore

Helpful Resources

Key Medical Group, Inc.
Phone: 559-802-1991,559-735-3892
Fax: 559-334-0112
www.keymedical.org
Medicare Advantage Carriers Accepted: Humana
Commercial Carriers Accepted: Blue Cross,
Blue Shield, Health Net, and UnitedHealthcare

Jonathan C. Liu, MD & Meryl S. Livermore, MD

(559) 731-2009

2300 West Sunnyside Avenue
Visalia, CA 93277

On Mooney, Behind Pepboys

DURING YOUR STAY

YOUR SAFETY AND SECURITY
To protect your personal well-being while providing you with the best medical care
possible, Kaweah Delta has implemented key safety procedures and practices to reduce
the possibility of safety errors. There are some common risks that are inherent in all
hospitals. Please review these simple tips to avoid or minimize those risks:
ID BRACELET
Once you are admitted, you will be given an identification band with your name and
medical record number on it. For your safety, do not remove the band until you are
discharged from the hospital.
RECOGNIZE YOUR MEDICATION
Our nurses follow a careful procedure to ensure that the right medications are given
to the right patient. Our nurses will explain the purpose and common side effects of
new medications. If the medications you receive do not look familiar, alert your nurse.
Chances are, despite its appearance, the medication is correct. But it is always advisable
to be an informed patient.
CHANGE IN CONDITION
We take your concerns seriously regarding the way you are feeling. If you or a family
member thinks there has been a change in your condition, please tell a member of the
healthcare team (care partner, nurse, physician, etc.) immediately. You can feel confident
that any concern you express will be addressed.
TOBACCO-FREE ENVIRONMENT
For everyone’s health, safety and comfort, we are a tobacco-free environment
throughout all indoor and outdoor areas to include all surrounding streets, sidewalks
and parking structures. The use of all tobacco-related products and devices, such as
e-cigarettes and chewing tobacco, are also prohibited on campus grounds. Tobacco-
cessation patient education materials are available from your nurse. Additional resources
and information are available by calling 1 (800)-NO-BUTTS (1 (800) 662-8887).

6 | www.kaweahdelta.org

DURING YOUR STAY

FALL PREVENTION
Good communication among patients, visitors
and nursing staff is key to preventing falls.
Visitors can help prevent falls by staying alert to
the needs and capabilities of the person they are
visiting and notifying a nurse with any concerns.
Patients should use the call light to request
assistance getting out of bed, and they should
wear nonskid footwear (if a shoe, then it needs
a back or back strap; flip flops or slippers are
dangerous) when mobile. Patients at high risk of
falling need to have a care partner or nurse with them during all bathroom activities.

CLEANLINESS
Kaweah Delta expects that every care provider, including doctors, nurses and other
staff, wash their hands before and after performing any “hands on” procedures with
patients. Overwhelming evidence shows that washing hands is the single most
important precaution that anyone (including your doctor or nurse) can take to effectively
prevent the spread of infection. If you notice that any members of your healthcare team
have forgotten to wash their hands, remind them — it is for everyone’s benefit.

PERSONAL BELONGINGS
We encourage patients to send home their belongings as items that they keep are their
responsibility. Found items will be sent to our Lost & Found and will be held for 30 days.
Any unclaimed items will be donated to charity or discarded. Lost & Found can be
reached at (559) 624-2044.

QUIET ENVIRONMENT
We understand the importance that rest has in the
mental and physical well-being of our patients. At
Kaweah Delta, we promote H.U.S.H. (Help Us Support
Healing) in which care providers, patients and visitors
partner to minimize noise. Two simple ways to help are
by 1) using indoor voices and 2) limiting visitors to two
people at a time. Subject to change during COVID.

THE DAISY AWARD
Kaweah Delta has partnered with The DAISY Foundation to offer our very deserving
nurses The DAISY Award.

The DAISY Award celebrates nurses who provide extraordinary, compassionate and
skillful care every day. It was created to recognize and say “thank you” to exceptional
nurses who go above and beyond the call of duty.

If you have been the recipient of or have witnessed extraordinary care by a nurse
and would like to nominate him or her, please ask a nurse or the nurse station for a
nomination form.

Established in 1999, The DAISY Foundation was formed by the family of J. Patrick Barnes
who died at age 33 from complication of Idiopathic Thrombocytopenic Purpura (ITP). The
nursing care that Patrick received when hospitalized for eight weeks profoundly touched
his family and The DAISY Foundation was formed. DAISY is an acronym for Diseases
Attacking the Immune System. Over 2,200+ health care facilities in all 50 states and over
15 countries are now committed to honoring their nurses with The DAISY Award.

www.kaweahdelta.org | 7



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PAIN MANAGEMENT

WHAT IS PAIN MANAGEMENT?
Pain management is the care and medicine that are used to help lessen your pain, so
that you can take care of yourself. The goal of pain management is not to get rid of pain;
this is often not possible or safe. The goal is to help make it easier to take a deep breath,
turn in bed, walk around, and maintain a social life. The medicines may be different
based on what is causing your pain, the type of pain, and what has worked for you
before.

Your doctors and nurses can help you understand your type of pain, how much pain you
may have, and how long it may last.

Medicines for pain may include pills, creams, pumps, films, or shots:
• Opioids (morphine, hydromorphone, hydrocodone, etc.)

• Non-Opioids: Acetaminophen (Tylenol), NSAIDs (ibuprofen-Motrin, naproxen- Aleve,
celecoxib-Celebrex, etc.), Nerve pain medications (gabapentin and pregabalin)

Your nurse, doctor, and pharmacist can tell you more about your medicines. Each of these
medicines will have different side effects and risks.

WHAT ELSE MAY HELP MY PAIN?
There are easy things that you, your family, or nurses can do to help you have less pain.
Getting extra rest, warm blankets, cool or heat pack, extra pillows, taking a short walk, or
moving in bed can help. You can also use puzzles, coloring books, laptops, and tablets to
help distract you from the pain.

Things you can do to help your pain are deep breaths or trying to be calm and relax by
taking slow deep breaths can help you relax and lessen your pain, or closing your eyes
and imagining a place that is calm for you. Think about the sights and sounds you enjoy.

Physical and/or Occupational Therapy may also improve your pain.

HOW SHOULD I TELL MY CARE TEAM ABOUT MY PAIN?
You will be asked many questions about your pain:

• How bad is your pain on a scale of 0-10?

• Please tell me about your pain, does it feel: sharp, shooting, dull, achy, burning, etc.?

• Is your pain better, worse, or the same as before?

The more you can tell your care team about your pain, the better they will be able to help you.

HOW WILL MY PAIN BE AFTER I LEAVE THE HOSPITAL?
Remember that you may have more pain when you go home. As you go back to your
normal life, it is important to take your medicine as you were instructed. Keep doing the
things listed above; such as resting, and deep breathing to calm the pain. Talk to your
doctors and nurses and read your hospital instructions for any reasons why you may
need to see your doctor or come into the emergency department.

10 | www.kaweahdelta.org

PAIN MANAGEMENT

WHAT SHOULD I DO WITH EXTRA MEDICINE AT HOME?
Keep medicines in a safe place and out of reach of others (children, friends, family, and
visitors).
Do not leave medicine or pill bottles on countertops, tables, nightstands, or in open
view.
Lock travel cases when traveling with prescription medicine.
DO NOT flush medicine down the toilet unless it is a patch [i.e. Duragesic (fentanyl) or
Butrans (buprenorphine)].
Throw out extra medicine in the trash:
1. Remove or cross out your name and the drug name on the label.
2. Mix medicine with water or soda and then add something like kitty litter, dirt, spices,
or coffee grounds.
3. Close and seal medicine bottles with strong tape.
4. Place sealed bottles in a box or a bag you can’t see through.
5. Throw out in trash bin just before garbage pickup time.
Places in the community that will take back your medicine:
Please contact each place before taking your medicine there to make sure they will
accept controlled substances.
1. Drop box locations:

Walgreens- On Walnut Ave. & Court St. (559) 635-7810.
2. Medicine collection events:

Drug Enforcement Administration (DEA) “Got Drugs” event happens one Saturday in
April and October of each year.
Call Visalia Police Department at (559) 734-8116 OR City of Visalia at (559) 713-
4531 for more information.
Don’t live in Visalia? Find your local take-back or mail-back program at:
1. DEA Office of Diversion Toll-free number: 1-800-882-9539
Online: www.deadiversion.usdoj.gov/drug_disposal/takeback/
2. National Safety Council Toll-free number: 1-800-621-7615
Online: www.NSC.org/disposalresources

www.kaweahdelta.org | 11



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KNOW YOUR HOSPITAL STAFF

All Kaweah Delta employees — doctors, nurses, medical residents and staff — wear
their photo identification in a prominently displayed manner. Although we secure the
premises, we ask that you first alert a nurse by call light and then question anyone
unknown to you who walks into your hospital or examination room without a photo
identification badge. Kaweah Delta Medical Center is an academic medical center and
a teaching hospital, so a team of doctors will take care of you, and you may see many
doctors.
Throughout your medical care, you will come into contact with many people. All
employees, including physicians, are expected to introduce themselves, let you know
what role they have in your health care, what they are planning to do, when they are
going to do it, what effect it will have on you and what to expect next. If you have any
questions, please do not hesitate to ask.
Physicians are your team of doctors led by an attending physician, who is in charge of
your care. The doctors, including the attending physician, may rotate on and off your
care. In other words, the residents and your attending physician may change during your
stay and may result in your treatment by many doctors. New physicians will introduce
themselves as they join the team. Each doctor on your team contributes to your care.
Residents are doctors who have recently graduated medical school. They work under
the guidance of an attending physician. As a patient, you are contributing to the
education and training of future physicians.

14 | www.kaweahdelta.org

KNOW YOUR HOSPITAL STAFF

Registered Nurses provide a critical link between
the patient and the healthcare team. In addition
to contributing to your care, nurses communicate
your needs to your doctors and other team
members and inform you about your medications,
in-hospital treatment and post-hospital home care.
Registered nurses also oversee other healthcare
workers, such as care partners, to ensure that your
comfort and hygiene needs are met.

Charge Nurses take a leadership role in the day-to-day operations of a nursing unit.
They can serve as a resource for you if you are in need of additional assistance.

Nurse Managers / Nursing Directors are leaders that are responsible for the clinical
outcomes and service that is delivered on their unit. They provide direction, oversight
and support of clinicians.

Pharmacists are important members of your
healthcare team, meticulously preparing
medication, and monitoring drug therapy for
effectiveness, potential side effects, allergies
and possible food and drug interactions.

Chaplains are a part of your healthcare team
and are available to meet with you to support
your spiritual care needs during your stay.
Chaplains can listen to your concerns, share in
your faith struggles, assist you and your family
members in seeking inner peace and strength,
and bring you scriptures or holy writings from your specific faith tradition. They can also
help you access/receive religious sacraments, assist you in contacting religious leaders
from your faith tradition, and/or help with other spiritual needs. If you would like a visit
from the chaplain on your unit, tell your nurse, or call the Department of Spiritual Care.
(559) 624-2263

Case Managers work with you, your family and your healthcare team to coordinate your
hospital stay. They are also available to assist with the planning and coordination of your
transition from the hospital to home or to other care facilities. (559) 624-2235

Discharge Advocates work in collaboration with case managers to help you transfer to
a continuing care facility or home. Their goal is for you to have a successful transition
out of the hospital and to support you in your journey to improved health.

Social Workers can assist you and your family members
with any personal, emotional and/or family problems and
difficulties due to your illness or injury. Individual, family
and group support for sudden illness, separation from
home and job, bereavement, substance abuse, domestic
violence and other issues can be arranged, as well as
referrals to community resources.

Dietitians work closely with your healthcare team and
ensure that you are receiving the appropriate balance of
nutritional meals throughout your stay.

www.kaweahdelta.org | 15

We are proud to partner with Kaweah Delta in
providing exceptional care to families.



YOUR COMFORT

SECURITY
(559) 624-5597

If you have questions or concerns about
safety while visiting patients, day or night,
please contact Security.

VALET PARKING
Valet services is located at our Mineral King
Wing entrance and is free for patients and
visitors. Ask about Flash Valet.

Hours: Monday – Friday: 8 a.m.-9 p.m.;
Saturday-Sunday: 8 a.m.-7 p.m.

To retrieve a valet-parked vehicle after
hours, please call Security at
(559) 624-5597.

RESPITE HOUSE
(559) 624-2396

People whose loved ones are hospitalized
and have no place to stay may qualify for
lodging to keep them nearby thanks to a
community partnership forged by Visalia
Rotary Clubs and Kaweah Delta Health
Care District. Contact a social worker to
assess availability.

FINANCIAL SERVICES
(559) 624-4200

We are committed to fulfilling our mission of
providing high-quality, customer-oriented,
and financially strong healthcare services to
meet the needs of those we serve. If you
have questions regarding coverage, financial
assistance or how to pay your bill, call us.

MEDICAL RECORDS
(559) 624-2218

A patient, or his/her legal representative, may inspect and/or obtain a copy of their
medical records, or have copies of medical records sent to another facility. For
information on medical records, call us.

INTERPRETERS
(559) 624-5902

Language differences should never be a barrier to quality health care. We are staffed
with interpreters for over 150 different languages who represent patients at no cost.

18 | www.kaweahdelta.org

YOUR COMFORT

WIRELESS ACCESS
Kaweah Delta offers wireless internet. To access the internet, search for “guest”
network. No password is required.

VISITING HOURS
Hours: 8 a.m.-9 p.m. (Regular hours when COVID-19 restrictions have been lifted.)

Children under 13 years of age are not permitted on the patient care units. You may
request an exception by contacting security.

RETAIL PHARMACY
(559) 624-4880

Kaweah Delta provides prescription delivery
to patients and provides the community
a retail pharmacy steps from the hospital
where people can conveniently get
prescriptions filled.

Hours: Monday – Friday: 9 a.m.-7 p.m.;
Saturday: 9 a.m.-1 p.m.; Sunday: Closed

CASUAL DINING
Cafeteria
Location: 1st floor of Mineral King Wing

The Siren Grill
Location: The Siren Grill is parked on the west side of the Acequia Wing entrance at the
south end of the parking lot.

Hours: 5:30 a.m.-7 p.m. daily (weather permitting)

BREASTFEEDING / LACTATION SERVICES
For one-on-one assistance with breastfeeding, please call (559) 624-6012.

Location: Kaweah Delta Medical Center – 305 W. Acequia Ave., Visalia – Mother Baby
Unit, third floor of the Acequia Wing

Assistance with: Latch difficulties, slow weight gain, baby not regained birth weight at
two weeks, sore nipples, decrease in milk supply, severe engorgement, and free weight
checks.

The American Academy of Pediatrics recommends exclusive breastfeeding for at least
the first six months from birth and beyond for as long as mutually desired by mother and
child. But your baby benefits from any amount of breastfeeding you can do.

www.kaweahdelta.org | 19

ADVANCE CARE PLANNING

We want to be certain that your values and preferences guide our medical care.
Advance care planning is the process of discussing your values in the context of your
medical care and identifying goals for care. This is an important part of communication
between physicians and patients. You can complete an advance directive that records
your values and indicates who you would want to speak for you if you are unable to
speak. Ask your physician, nurse or social worker for an advance directive to complete if
you do not already have one.
OTHER IMPORTANT POINTS
• Make sure that you know which doctor is in charge of your care. This is particularly

important when many people are involved in your treatment.
• Speak up if you have questions or concerns. You have the right to know about your

care and to ask questions of any member of your care team.
• If you have a test taken, always ask your doctor for the results.
• When surgery is involved, be informed. Make sure that you, your doctor and your

surgeon all agree on what exactly needs to be done.
• Get an advocate. Ask a family member or trusted friend to serve as your advocate to

protect your best interests, especially when you may be distracted by the stress of
illness.
If you need additional assistance with your care, please ask to speak with a charge nurse,
a manager or you can contact the office of Patient Experience at (559) 624-5151.

20 | www.kaweahdelta.org

Everyone - including patients and visitors - is invited to nominate
a nurse who goes beyond the call of duty.

KAWEAH DELTA HOSPITAL FOUNDATION

uardian
Angel

If you have received exceptional care
from a doctor or any member of our caring staff
please nominate them for a Guardian Angel award.

If you also want a way to give back, please consider a donation
(optional) to the Kaweah Delta Hospital Foundation, in honor of the
doctor, nurse, or medical staff member that cared for you or your
family member. Go to, kaweahdelta.org/angel for more information.

LEARN MORE kaweahdelta.org/foundation

KAWEAH DELTA HOSPITAL FOUNDATION

The Kaweah Delta Hospital Foundation was established in 1979 as a not-for-profit
corporation organized to meet the philanthropic needs of the Kaweah Delta Health Care
District (KDHCD). Each year, the Foundation receives grants, charitable donations and
bequests, which provide funding for new medical equipment and technology, expansion
and renovation of hospital facilities and support for quality health care services. The
Foundation is governed by a volunteer board, which serves without compensation. Over
the past 40 years the Foundation’s volunteers have raised over $60 million dollars to
advance medical technology, services, and facilities for the Kaweah Delta Health Care
District.

TV CHANNELS

LOCAL/IN-HOUSE SATELLITE

6 KFTV 26 CNBC
7 KSEE 27 TNT
8 KMPH 28 HLN
10 KGPE 29 CARTOON
12 KAIL 30 DISNEY
13 KTFF 31 TLC
14 KFRE 32 ABC FAMILY
15 PEDS IN-HOUSE 33 AMC
16 PEDS IN-HOUSE 34 ANIMAL PLANET
20 PATIENT EDUCATION 35 USA
21 NEWBORN SPANISH 36 ESPN
22 NEWBORN ENGLISH 37 FOX NEWS
21.1 UNI 38 DISCOVERY
24.1 NBC
26.1 FOX MUSIC
30.1 ABC
47.1 CBS 39 CONTEMPORARY
50.1 RELIGIOUS 40 SONIC
7.1 MYN 41 COUNTRY
61.1 TEL
59.1 CW

22 | www.kaweahdelta.org

Family Owned & Operated Since 1989

Recognize an
Extraordinary
Nurse!

Healing, helping,

caring, and gettTihnegDAISY AWARD honors the superhuman
again.work nurses do every day for patients and their
you home families. Please complete a nomination form at

kaweahdelta.org/daisy

We are the righStUcBhMoIiTceA.NOMINATION

Everyone - including patients and visitors - is invited to nominate
a nurse who goes beyond the call of duty.

Rapid Recovery Rehabilitation Program

KAWEAH DELTA HOSPITAL FOUNDATION

uardian
Angel

If you have received exceptional care
from a doctor or any member of our caring staff
please nominate them for a Guardian Angel award.

If you also want a way to give back, please consider a donation
(optional) to the Kaweah Delta Hospital Foundation, in honor of the
doctor, nurse, or medical staff member that cared for you or your
family member. Go to, kaweahdelta.org/angel for more information.

THE preferred provider of

LEARN MORE kaweahdelta.org/foundation



When you donate blood, you never know whose life you may be saving.

DONATE TODAY! | 2245 W. Caldwell Ave., Visalia, CA 93277

Ron
Morrison
Blood Donor

Fernando
Quintanar
Life Saved

RIGHTS & RESPONSIBILITIES

YOU HAVE THE RIGHT TO:
1. Considerate and respectful care, and to be made comfortable. You have the right
to respect for your cultural, psychosocial, spiritual, and personal values, beliefs and
preferences.

2. Have a family member (or other representative of your choosing) and your own
physician notified promptly of your admission to the hospital.

3. Know the name of the licensed health care practitioner acting within the scope of his
or her professional licensure who has primary responsibility for coordinating your care.
Also, know the names and professional relationships of physicians and non-physicians
who will see you.

4. Receive information about your health status, diagnosis, prognosis, course of
treatment, prospects for recovery and outcomes of care (including unanticipated
outcomes) in terms you can understand. You have the right to effective communication
and to participate in the development and implementation of your plan of care. You
have the right to participate in ethical questions that arise in the course of your care,
including issues of conflict resolution, withholding resuscitative services, and forgoing or
withdrawing life-sustaining treatment.

5. Make decisions regarding medical care, and receive as much information about any
proposed treatment or procedure as you may need in order to give informed consent
or to refuse a course of treatment. Except in emergencies, this information shall include
a description of the procedure or treatment, the medically significant risks involved,
alternate courses of treatment or non-treatment and the risks involved in each, and the
name of the person who will carry out the procedure or treatment.

6. Request or refuse treatment, to the extent permitted by law. However, you do not
have the right to demand inappropriate or medically unnecessary treatment or services.
You have the right to leave the hospital even against the advice of members of the
medical staff, to the extent permitted by law.

7. Be advised if the hospital/licensed healthcare practitioner acting within the
scope of his or her professional licensure proposes to engage in or perform human
experimentation affecting your care or treatment. You have the right to refuse to
participate in such research projects.

8. Reasonable responses to any reasonable requests made for service.

9. Appropriate assessment and management of your pain, information about pain, pain
relief measures and to participate in pain management decisions. You may request or
reject the use of any or all modalities to relieve pain, including opiate medication, if
you suffer from severe chronic intractable pain. The doctor may refuse to prescribe the
opiate medication, but if so, must inform you that there are physicians who specialize in
the treatment of pain with methods that include the use of opiates.

10. Formulate advance directives. This includes designating a decision maker if you
become incapable of understanding a proposed treatment or become unable to
communicate your wishes regarding care. Hospital staff and practitioners who provide
care in the hospital shall comply with these directives. All patients’ rights apply to the
person who has legal responsibility to make decisions regarding medical care on your
behalf.

26 | www.kaweahdelta.org

RIGHTS & RESPONSIBILITIES

11. Have personal privacy respected. Case discussion, consultation, examination and
treatment are confidential and should be conducted discreetly. You have the right to be
told the reason for the presence of any individual. You have the right to have visitors
leave prior to an examination and when treatment issues are being discussed. Privacy
curtains will be used in semi-private rooms.

12. Confidential treatment of all communications and records pertaining to your care
and stay in the hospital. You will receive a separate ‘’Notice of Privacy Practices” that
explains your privacy rights in detail and how we may use and disclose your protected
health information.

13. Receive care in a safe setting, free from mental, physical, sexual or verbal abuse
and neglect, exploitation or harassment. You have the right to access protective and
advocacy services including notifying government agencies of neglect or abuse.

14. Be free from restraints and seclusion of any form used as a means of coercion,
discipline, convenience or retaliation by staff.

15. Reasonable continuity of care and to know in advance the time and location of
appointments as well as the identity of the persons providing the care.

16. Be informed by the physician, or a delegate of the physician, of continuing health
care requirements and options following discharge from the hospital. You have the right
to be involved in the development and implementation of your discharge plan. Upon
your request, a friend or family member may be provided this information also.

17. Know which hospital rules and policies apply to your conduct while a patient.

18. Designate a support person as well as visitors of your choosing, if you have decision-
making capacity, whether or not the visitor is related by blood, marriage, or regis­tered
domestic partner status, unless:

• No visitors are allowed.

• The facility reasonably determines that the presence of a particular visitor would
endanger the health or safety of a patient, a member of the health facility staff, or
other visitor to the health facility, or would significantly disrupt the operations of the
facility.

• You have told the health facility staff that you no longer want a particular person to
visit.

However, a health facility may establish reasonable restrictions upon visitation,
including restrictions upon the hours of visitation and number of visitors. The health
facility must inform you (or your support person, where appropriate) of your visitation
rights, including any clinical restrictions or limitations. The health facility is not
permitted to restrict, limit, or otherwise deny visitation privileges on the basis of race,
color, nation­al origin, religion, sex, gender identity, sexual orientation, or disability.

19. Have your wishes considered, if you lack decision-making capacity, for the purposes
of determining who may visit. The method of that consideration will comply with federal
law and be disclosed in the hospital policy on visitation. At a minimum, the hospital shall
include any persons living in your household and any support person pursuant to federal
law.

www.kaweahdelta.org | 27

RIGHTS & RESPONSIBILITIES

20. Examine and receive an explanation of the hospital’s bill regardless of the source of
payment.

21. Exercise these rights without regard to sex, economic status, educational
background, race, color, religion, ancestry, national origin, sexual orientation, gender
identity/expression, disability, medical condition, marital status, age, registered domestic
partner status, genetic information, citizenship, primary language, immigration status
(except as required by federal law) or the source of payment for care.

22. File a grievance. If you want to file a grievance with this hospital, you may do so in
writing or by calling (name, address and phone number of hospital):

Kaweah Delta Health Care District
Patient Experience Department

400 W. Mineral King Ave.,Visalia, CA 93291

Telephone: (559) 624-5151

The grievance committee will review each grievance and provide you with a written
response within 30 days. The written response will contain the name of a person to
contact at the hospital, the steps taken to investigate the grievance, the results of the
grievance process, and the date of completion of the grievance process. Concerns
regarding quality of care or premature discharge will also be referred to the appropriate
Utilization and Quality Control Peer Review Organization (PRO).

23. File a complaint with the California Department of Public Health regardless of
whether you use the hospital’s grievance process. The California Department of Public
Health’s phone number and address is: (local address and phone number of CDPH)

California Department of Public Health
1200 Discovery Plaza, Suite 120
Bakersfield, CA 93309

Telephone: (661) 336-0543

The Joint Commission, Division of Accreditation Operations,
Office of Quality Monitoring
One Renaissance Boulevard
Oakbrook Terrace, IL 60181

Telephone: (800) 994-6610 I Fax: (630) 792-5636

E-mail: [email protected]

These Patient Rights combine Title 22 and other California laws, The Joint Commission and
Medicare Conditions of Participation requirements. (3/17)

California Hospital Association • 1215 K Street, Suite 800 • Sacramento. CA 95814
(916) 443-7 401 • www.calhospital.org

28 | www.kaweahdelta.org

LOCATIONS & SERVICES

SPECIALISTS
Kaweah Admissions and Testing Services (KATS), 1633 S. Court St., Visalia • (559) 624-6000
Kaweah Delta Breast Center, 4949 W. Cypress Ave., Visalia • (559) 624-3209
Kaweah Delta Chronic Disease Management Center, 325 S. Willis, Visalia • (559) 624-4080
Kaweah Delta Home Health Care Services, 402 W. Acequia, Visalia • (559) 624-6400
Kaweah Delta Home Infusion Pharmacy, 602 W. Willow, Visalia • (559) 624-4244
Kaweah Delta Hospice, 623 W. Willow St., Visalia • (559) 733-0642
Kaweah Delta Imaging Center, 4949 W. Cypress Ave., Visalia • (559) 624-3200
Kaweah Delta Lab Services, 400 W. Mineral King Ave., Visalia • (559) 624-2251
Kaweah Delta Medical Center, 400 W. Mineral King Ave., Visalia • (559) 624-2000
Kaweah Delta Mental Health Hospital, 1100 S. Akers St., Visalia • (559) 624-3300
Kaweah Delta Neurosciences Center, 202 W. Willow, Suite 202, Visalia • (559) 624-6570
Kaweah Delta Non-Invasive Cardiovascular Diagnostics, 202 W. Willow, Suite 204, Visalia •
(559) 624-2291
Kaweah Delta Outpatient Diabetes Center, 325 S. Willis St., Visalia • (559) 624-2849
Kaweah Delta Private Home Care, 101 S. Floral, Visalia • (559) 624-2854
Kaweah Delta Radiology (Medical Center), 305 W. Acequia Ave., Visalia • (559) 624-2000
Kaweah Delta Rehabilitation Hospital, 840 S. Akers St., Visalia • (559) 624-3700
Kaweah Delta Sequoia Cardiology Clinic, 820 S. Akers St., Suite 130, Visalia • (559) 624-6520
Kaweah Delta Sleep Disorders Center, 126 S. Floral St., Visalia • (559) 624-2338
Kaweah Delta Sub Acute, 1633 S. Court St., Visalia • (559) 624-6024
Kaweah Delta Transitional Care, 1633 S. Court St., Visalia • (559) 624-6037
Kaweah Delta Visalia Dialysis, 5040 W. Tulare Ave., Visalia • (559) 624- 3600
Kaweah Kids Center, 507 W. Willow Ave., Visalia • (559) 624-2170
Sequoia Regional Cancer Center - Radiation Oncology, 1443 W. 7th St., Hanford • (559) 585-7115
Sequoia Regional Cancer Center - Radiation Oncology, 4945 W. Cypress Ave., Visalia •
(559) 624-3100
The Lifestyle Center, 5105 W. Cypress Ave., Visalia • (559) 624-3400
Therapy Specialists – Akers, 820 S. Akers St., Suite 200, Visalia • (559) 624-3427
Therapy Specialists – Dinuba, 355 Monte Vista, Suite C, Dinuba • (559) 595-7630
Therapy Specialists – Exeter, 1131 W. Visalia Rd., Exeter • (559) 592-7342
Therapy Specialists – Hand, 2342 W. Sunnyside Ave., Visalia • (559) 624-3428
Therapy Specialists - Lovers Lane, 1337 S. Lovers Lane, Suite C, Visalia • (559) 624- 2626

HEALTH CLINICS
Sequoia Health & Wellness Centers, 202 W. Willow Ave., 5th Floor, Visalia • (559) 624-4820
Kaweah Delta Dinuba Health Clinic, 355 Monte Vista Dr., Dinuba • (559) 595-7630
Kaweah Delta Exeter Health Clinic, 1014 San Juan Ave., Exeter • (559) 592-7342
Kaweah Delta Lindsay Health Clinic, 839 North Sequoia Ave., Lindsay • (559) 562-1546
Kaweah Delta Woodlake Health Clinic, 180 E. Antelope Ave., Woodlake • (559) 564-1800
Kaweah Delta Exeter Pediatric Specialty Clinic, 1014 San Juan Ave., Exeter • (559) 592-7371
Kaweah Delta – Tulare, 1000 N. Mooney Blvd., Tulare

URGENT CARE
Kaweah Delta Urgent Care – Court, 1633 S. Court St., Visalia • (559) 624-6090
Kaweah Delta Urgent Care – Demaree, 3600 W. Flagstaff Ave., Visalia • (559) 624- 6800

PROMPT CARE
Sequoia Prompt Care - Ben Maddox, 1110 S. Ben Maddox Way, Visalia • (559) 624- 4800

www.kaweahdelta.org | 29

MEET YOUR COMMUNITY HEALTH PROVIDERS

GRADUATE MEDICAL EDUCATION
Kaweah Delta’s Graduate Medical Education Program began officially in 2013. The first
class of physicians graduated in June of 2016 and we celebrate the fact that more than
45 percent of graduates have decided to stay and practice in the local area.
At full complement, when all programs are fully mature, Kaweah Delta will be home to
121 resident physicians in training at any given time. Resident physicians are trained
in quality improvement, patient safety and evidence-based medicine. They stay on top
of the latest and greatest in their respective fields of practice. These physicians are an
important asset to the care that is delivered at our institution.
The six pipeline programs at Kaweah Delta includes:
• Anesthesiology
• Emergency Medicine
• Family Medicine
• Psychiatry
• General Surgery
• Transitional Year
THE STREET MEDICINE PROGRAM
The Street Medicine program is a committed group of physicians, residents, and
community volunteers who travel the roads of Tulare County reaching out to our most
vulnerable patients: the undocumented worker, uninsured, and homeless population.
The group offers preventive screenings (diabetes, HTN, HIV, glaucoma, valley fever),
wound care, health education, referral to social services and community health centers.
The program is under the direction of Omar Guzman, MD, Director of Undergraduate
Medical Education, Department of Emergency Medicine at Kaweah Delta.
Defining Street Medicine:
• Direct delivery of health care to the unsheltered homeless
• All care is provided free of charge and delivered onsite
• “Go to the People”

30 | www.kaweahdelta.org

Your world-class
healthcare choice,
fo life.

Services
Provided
• Family Medicine
• Well-Child Services
• OB/GYN
• Family Planning
• Courtesy Lab Draws
• Preventive Screening
• Immunizations

Hours:
Monday - Friday
8:00 AM-5:00 PM

First and third
Saturday of month
9:00 AM - 1:00 PM

Accepting new patients 202 W. Willow Ave., Visalia
and walk-in appointments
Hablamos español (559) 624-4820

2018, 2019, 2020 2018, 2019

We are proud to be recognized for
delivering excellence in cardiac surgery

Leheb Araim, MD, FACS, FACC Gonzalo Carrizo, MD Sergio Caminha, MD

Golden State Cardiac & Thoracic Surgery, Inc. is excited to welcome Dr. Gonzalo
Carrizo to the team. Dr. Carrizo joins us from Miami, Florida. Dr. Carrizo, like Drs.
Araim and Caminha, is committed to serving our community with the most cutting-
edge techniques and technology. Golden State Cardiac & Thoracic Surgery, Inc.
provide cardiac and thoracic (chest and lung) surgery and all surgeons are board
certified in Cardiothoracic surgery.

We provide comprehensive cardiothoracic surgery at Kaweah Delta Medical Center,
recognized by Healthgrades for the past 2 years as one of America’s 50 Best Hospitals
for Cardiac Surgery. Kaweah Delta is one of just four hospitals in California and the
only one in the Central Valley to receive these distinctions.

Your health is the heart of our calling

505 W. Main Street, Visalia

Entrance is on Acequia, next to Suncrest Bank.

GoldenStateCardiac.com | 627-8600 | [email protected]

PODIATRIC SURGERY DR. PAUL R. MAYO, DPM

Dr. Paul R. Mayo, DPM is board certified by the American Board of Podiatric
Surgery. He has provided residents specialty foot and ankle care in podiatry in
Tulare, Kings and Fresno County since 1998. He graduated from Hanford High
School in 1986 and then went on to Cuesta College in San Luis Obispo to receive
his Bachelor Degree. He received his Doctorate at California College of Podiatric
Medicine. Dr. Mayo then went on to receive his surgical training at Youngstown
Osteopathic Hospital in Youngstown, Ohio. He is a Diplomate of the American Col-
lege of Foot and Ankle Surgeons; he is an active member of American Podiatric
Medical Association, California Podiatric Medical Association and past president
of Midstate Podiatric Medical Society. He takes pride in treating all aspects of your
foot and ankle problems.

DR. SETH J. BRAZIER, DPM

Dr. Seth J. Brazier, DPM completed his medical school training at Western Uni-
versity of Health Sciences. He went on to complete a surgical residency with an
emphasis in rearfoot reconstruction at the VA/Stanford residency program. His
wife grew up in Visalia and they are happy to be back and to serve those with
foot and ankle conditions in Tulare county. He has interests in all aspects of the
foot and ankle including sports pathology, forefoot and rearfoot surgery, trauma,
and diabetic foot care. He was an NCAA Division I athlete and is an avid runner.
He is also a member of the American Podiatric Medical Association and Midstate
Podiatric Medical Society. Dr Brazier takes pride in his patients and getting them
back healthy and pain free.

116 N. Akers St., Visalia, CA 93291
(559) 636-3668
www.cvfootandankleinc.com

SEQUOIA INSTITUTE FOR
SURGICAL SERVICES

Jonathan C. Liu, MD

Board Certified Hand and Wrist Surgeon

Dr. Liu is a Board Certified Hand and Wrist Surgeon that
has been practicing in our community and taking care of
both traumatic and degenerative diseases of the upper
extremity and hands. He is a Fellow of American College
of Surgeons (FACS), Member of American Society for
Surgery of the Hand (ASSH), and Member of American
Association for Hand Surgery (AAHS). In addition he
is also Board Certified in General Surgery. Special
training in Microvascular and Microsurgery, he also uses
micrwoscope during surgery to perform replantation and
revascularization of amputated fingers, hands, and arm.
Dr Liu’s education includes: Christine M. Kleinert Institute
for Hand and Upper Extremity Fellowship, Memorial
Sloan Kettering Cancer Center, Monmouth Medical
Center, Jersey Shore Trauma Center, Newark Beth Israel
Med Center, University of California Riverside.
Dr. Liu’s professional experience includes: Kaweah
Delta Medical Center, Adventist Health Hanford Medical
Center, Kaweah Delta Woodlake Rural Health Clinic,
Jonathan C. Liu, MD Inc., and Sequoia Institute for
Surgical Services Inc.

SEQUOIA INSTITUTE FOR
SURGICAL SERVICES

Meryl S. Livermore, MD

Board Certified Plastic Surgeon
Board Certified Hand Surgeon

Hand and Upper Extremity Surgery 2010-2011
Fellowship
Department of Orthopedic Surgery
University of California Davis, Sacramento, CA
Reconstructive Microsurgery 2009-2010 Fellowship
Department of General Surgery
Division of Plastic Surgery
University of California San Francisco, San Francisco, CA
General Surgery 2004-2007
Plastic Surgery 2007-2009
Department of General Surgery
Division of Plastic Surgery
University of California San Francisco, San Francisco, CA

I am a board certified plastic surgeon with subspecialty
certification in hand surgery. Hand surgery has been the
focus of my practice the last ten years, working at a level
one trauma center and teaching surgical residents in
Colorado. In my free time I enjoy rock climbing, outdoor
activities with my dogs, yoga and cooking.

PAIN MANAGEMENT + SPINE + REHAB HANY NASR, MD

After receiving his medical education from one of the
oldest and most renowned medical schools, Kasr El-Aini
Faculty of Medicine, Cairo Egypt, Dr. Nasr then continued
on his residency and double fellowships in the US, during
which time he published multiple papers. He completed
a preliminary year of surgical residency then a primary
residency at SUNY Stony Book in New York, where he was
elected Chief Resident. Next, he went on to finish the first
of two fellowships in spine intervention at Cedars-Sinai
Medical Center Institute for Spinal Disorders in Los Angeles,
California. That was followed by a second fellowship
in Pain Management at the University of Pittsburgh
Medical Center Department of Anesthesia in Pittsburgh,
Pennsylvania. Dr. Nasr is double board-certified with the
American Board of Physical Medicine and Rehabilitation
with a board subspecialty in Pain Medicine. After finishing
his second fellowship, Dr. Nasr and his family now reside
in Visialia, California. His hobbies include restoring muscle
cars, playing squash, and playing golf.

VISALIA
201 E. Noble Ave., Visalia, CA
(559) 627-6500
www.stgeorgespine.com
7P6ONR.TDERSVt.I,LSLtEe A, Porterville, CA
(559) 782-8400





WORD SEARCH

1 Our goal is to consistently deliver safe, high quality,
patient-centered care.

2 In an effort to give you the best possible service, our team will
listen carefully to you.

3 We will try hard to explain things in a way that you understand.

4 Our team will work together to respond quickly when you press
the call button.

5 We strive to keep your room and bathroom clean.

6 There are many ‘care’ noises in hospitals, but we will try to keep
the area around your room quiet at night.

7 Although all pain cannot be avoided, we will try to keep you as
comfortable as possible.

8 Knowing the purpose and side effects of new medications is
important.

9 We want you to be successful when you get home, so we will see
if you have any discharge preferences that we can help with.

10 Our desire is to serve our community with compassion and
kindness.

11 We realize our patients are our families, our friends, and our
neighbors, so we strive to give them the best possible care!

38 | www.kaweahdelta.org

WORD SEARCH

U C QF GL MV S P F S Z
AP UANI UT GJ AJ C
C ONS I S T E NT L Y Z
T BP J F T GCDXBVT
K U GC NE MP I T I U M
I T P AI NBS S E F NE
NOB C K ANVC R J X D
DNE GJ ARP HDE DI
NQS R E S B UAK X F C
E OV L Z F C OR J P OA
S R C X S K DB GZ L MT
S E J RL UCE E F AP I
B QUI E T L S C GI X O
X UJ F GB UT T ONC N
P RE F E RE NCE S E S

We want to hear about your experience.
Share your story with our Patient Experience Director.

ED LARGOZA

BSCS, RN, MSN, NE-BC
PATIENT EXPERIENCE DIRECTOR
O: 559.624.5051
C: 559.300.3121
E: [email protected]
VISIT US at www.kaweahdelta.org

www.kaweahdelta.org | 39

BIENVENIDOS

Bienvenido a Kaweah Delta Medical Center. De parte de todo
nuestro equipo en el Centro Médico, gracias por su preferencia
al elegirnos para atender sus necesidades de salud.

Para nosotros este trabajo es un llamado de servir a la
comunidad y es una oportunidad de brindar una experiencia
personal, profesional, y compasiva a cada persona en cada
ocasión. Nuestro sincero compromiso es ofrecer a nuestros
pacientes atención médica de clase mundial y una amplitud de
servicios para prácticamente cumplir con todas las necesidades
de atención médica.

A Kaweah Delta se le reconoce como un líder de atención médica en el Valle Central. Nos
hemos comprometido a demonstrar esto a todo paciente que entra por nuestras puertas.

Las visitas al hospital pueden ser estresantes para los pacientes y sus familiares, por esto
hemos creado esta guía para contestar varias de sus preguntas y para que su estadía con
nosotros sea la más cómoda y positiva posible.

Estamos aquí para brindarle servicios y atención médica de manera segura, de alta calidad y
siempre enfocándonos en el paciente. Si tiene alguna pregunta o inquietud, por favor pida
hablar con su enfermera o comuníquese con la Oficina de la Experiencia de los Pacientes al
(559) 624-5151.

Una vez más, gracias por su preferencia al elegir a Kaweah Delta y permitirnos servirle a usted.

Gary K. Herbst
Jefe Ejecutivo Principal
Kaweah Delta Health Care District

NUESTRA MISIÓN, NUESTRA VISIÓN, NUESTROS PILARES

NUESTRA MISIÓN
Salud es nuestra pasión.
Excelencia es nuestro enfoque.
Compasión es nuestra promesa.

NUESTRA VISIÓN
Ser su elección para atención médica de clase mundial, de por vida.

NUESTROS PILARES
• Lograr excelente salud en nuestra comunidad
• Brindar un servicio excelente
• Proveer un ambiente laboral ideal
• Capacitar a través de la educación
• Mantener una solidez financiera

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SOBRE NOSOTROS

Kaweah Delta se enorgullece de brindar atención médica comprensiva en el condado
de Tulare. Somos un hospital con más de 581 camas atendidas por más de 5,000
profesionales y empleados médicos dedicados. Estamos comprometidos a satisfacer
las necesidades de salud de la comunidad a través de la última tecnología en medicina,
servicios preventivos de alta calidad y centros de salud y clínicas especializadas.
Nuestros impecables estándares de salud y seguridad nos han otorgado una serie de
premios y reconocimientos nacionales, que son un testimonio del trabajo incansable de
nuestro equipo médico y personal hospitalario, quienes brindan los más altos niveles
de cuidado a nuestra comunidad. Hemos estado satisfaciendo las necesidades de salud
del condado de Tulare por casi 55 años y nos esforzamos por brindar experiencias
consistentemente personales, profesionales y compasivas.

NÚMEROS IMPORTANTES

NÚMERO PRINCIPAL: (559) 624-2000
ADMINISTRACIÓN DE CUIDADOS: (559) 624-2235
CUIDADO DE CAPELLÁN: (559) 624-2263
SERVICIOS FINANCIEROS: (559) 624-4200
REGISTROS MÉDICOS: (559) 624-2218
EXPERIENCIA DEL PACIENTE: (559) 624-5151
GESTIÓN DEL RIESGO: (559) 624-2340
Sitio Web: kaweahdelta.org

El contenido de esta guía del paciente ha sido proporcionado con propósitos educativos solamente por Kaweah Delta Health Care District.
Kaweah Delta Health Care District se ha reservado el derecho de utilizar imágenes libres de derechos de autor y las ilustraciones proporcionadas
por Kaweah Delta Health Care District, AdobeStock y Big Stock Photo.

www.kaweahdelta.org | 41

CONOZCA LOS PROVEDORES DE SALUD DE SU COMUNIDAD

EDUCACIÓN MÉDICA DE POSGRADO
El programa de Educación Médica de Posgrado de Kaweah Delta comenzó formalmente
en 2013. La primera clase de médicos se graduaron en junio del 2016 y celebramos el
hecho de que más de 45 por ciento de los graduados han decidido quedarse en el área para
practicar medicina.

Una vez que todos los programas se completen, Kaweah Delta será el lugar donde, en
cualquier momento, 121 doctores residentes estarán realizando su entrenamiento. Los
médicos residentes reciben entrenamiento en el mejoramiento de calidad, la seguridad del
paciente y la medicina basada en evidencias. Ellos se mantienen bien informados de lo más
reciente y lo mejor de sus respectivos campos de trabajo. Estos médicos constituyen una
ventaja importante en la atención médica que se ofrece en nuestra institución.

El programa de Kaweah Delta que consta de seis partes incluye:
• Anestesiología
• Medicina de emergencia/urgencia
• Medicina Familiar
• Psiquiatría
• Cirugía general
• Año transicional

PROGRAMA DE STREET MEDICINE (SERVICIOS DE SALUD MÓVILES)
El programa de Servicios de Salud Móviles consta de un grupo dedicado de médicos,
residentes, y voluntarios de la comunidad quienes viajan las calles del condado de Tulare
para alcanzar a nuestros paciente más vulnerables, los trabajadores indocumentados, y
las personas sin hogar. Este grupo ofrece evaluaciones preventivas (Diabetes, HTN, VIH,
Glaucoma, Fiebre del valle), curaciones, educación de salud, referencias a servicios sociales y
centros de salud comunitarios.

El programa es dirigido por Omar Guzman, MD, Director dela Educación Médica para
Estudiantes Universitarios, Departamento de Medicina de Emergencia en Kaweah Delta.

Definición de Street Medicine:
Atención médica que se brinda directamente a personas sin hogar.
Todos los cuidados se hacen sin costo alguno y se llevan a cabo en el lugar
donde se encuentren
“Vayan a las personas”

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QUEREMOS
CAQPUAECRITEAMROLSO PARA
QUCEAPPAUCEIDTARLO PARA
TRQIUNEFPAUREDEASPUÉS
DETRSIAULNIRFADRELDESPUÉS
HODSEPSITAALLIR. DEL

HOSPITAL.

Sus
preferencias
son importantes.

¿Tiene alguna preferencia en que le podamos
ayudar antes de que le demos de alta?

¿Cuál farmacia prefiere usar?

¿Quiere que le avisemos a alguien de su
familia acerca del plan para darle de alta?

¿Cómo le podemos ayudar a sentirse más
preparado/a para ir a casa?

¿Necesita más educación antes
de que se vaya?

I1a wf I @ �1I'5\1., l{aweah Delta

MORE THAN MEDICINE. LIFE.

DURANTE SU ESTANCIA

Y PROTECCIÓN
Para proteger su bienestar personal mientras le brindamos la mejor atención médica
posible, Kaweah Delta ha implementado procedimientos y prácticas de seguridad claves
para reducir la posibilidad de errores de seguridad. Hay algunos riesgos comunes que
son inherentes en todos los hospitales. Por favor revise estos consejos simples para
evitar o minimizar esos riesgos:
PULSERA DE IDENTIFICACIÓN
Una vez que sea admitido, se le dará una pulsera de identificación con su nombre y
número de registro médico. Para su seguridad, no retire la pulsera hasta que lo den de
alta del hospital.
RECONOZCA SU MEDICACIÓN
Nuestras enfermeras siguen un procedimiento cuidadoso para garantizar que los
medicamentos correctos se administren al paciente adecuado. Nuestras enfermeras
explicarán el propósito y los efectos secundarios comunes de los medicamentos nuevos.
Si los medicamentos que recibe no le resultan familiares, infórmele a su enfermera. Es
probable que, a pesar de su apariencia, el medicamento sea correcto. Pero siempre es
aconsejable ser un paciente informado.
CAMBIO DE CONDICIÓN
Tomamos en serio sus preocupaciones con respecto a la forma en que se siente. Si usted
o un miembro de su familia cree que ha habido un cambio en su condición, informe de
inmediato a un miembro del equipo de atención médica (cuidador, enfermera, médico,
etc.). Puede estar seguro de que se atenderá cualquier preocupación que exprese.
AMBIENTE QUE LIBRE DE TABACO
Para la salud, seguridad y comodidad de todos, somos un entorno libre de tabaco
en todas las áreas interiores y exteriores todas las calles, banquetas y estructuras de
estacionamiento alrededor. El uso de todos los productos y dispositivos relacionados
con el tabaco, como cigarrillos electrónicos y tabaco de mascar, también está prohibido
en la propiedad del hospital. Los materiales educativos para el paciente que dejan de
fumar están disponibles a través de su enfermera. Recursos e información adicionales
están disponibles llamando al 1 (800) -NO-BUTTS.

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DURANTE SU ESTANCIA

PREVENCIÓN DE CAÍDAS
La buena comunicación entre pacientes,
visitantes y personal de enfermería es clave para
prevenir caídas. Los visitantes pueden ayudar
a prevenir caídas al mantenerse alerta a las
necesidades y capacidades de la persona que
están visitando y notificar a una enfermera con
cualquier preocupación. Los pacientes deben
usar la luz de llamada para solicitar ayuda para
levantarse de la cama, y deben usar calzado
antideslizante (si es un zapato, necesita una
correa para atras o la parte de atrás cubierta, chanclas o pantuflas son peligrosas)
cuando están en movimiento. Los pacientes con alto riesgo de caídas necesitan tener un
compañero de cuidado o enfermera con ellos durante todas las actividades del baño.

LA HIGIENE
Kaweah Delta exige que todos los proveedores de atención médica, incluidos los
médicos, las enfermeras y demás personal, se laven las manos antes y después de
realizar cualquier procedimiento “práctico” con los pacientes. Abrumadora evidencia
muestra que lavarse las manos es la precaución más importante que cualquier persona
(incluso su médico o enfermera) puede tomar para prevenir la propagación de infección.
Si nota que algún miembro de su equipo de atención médica ha olvidado lavarse las
manos, recuérdeles - es para el beneficio de todos.

AMBIENTE SILENCIOSO
Entendemos la importancia que tiene el descanso
en el bienestar mental y físico de nuestros pacientes.
En Kaweah Delta, promovemos H.U.S.H. (Ayúdenos
a Apoyar la Curación) en la que los proveedores de
atención, los pacientes y los visitantes se unen para
minimizar el ruido. Dos formas simples de ayudar
son: 1) usar voces suaves y 2) limitar visitantes a dos
personas a la vez.

THE DAISY AWARD (PREMIO DAISY)
Kaweah Delta se ha asociado con The DAISY Foundation para ofrecerles a nuestras
enfermeras muy merecedoras el premio DAISY.

El premio DAISY celebra a las enfermeras que brindan cuidados extraordinarios,
compasivos y hábiles diariamente. Este premio fue creado para reconocer y decirle
“gracias” a las/los enfermeras que van más allá de lo que su trabajo requiere.

Si usted ha recibido o a visto cuidados extraordinarios por parte de una enfermera y le
gustaría nombrar a esta persona, favor de hablar con una enfermera o preguntar en la
estación de enfermería por un formulario de nombramiento.

La fundación DAISY se estableció en 1999 y fue formada por la familia de J.
Patrick Barnes. Barnes murió a la edad de 33 años por complicaciones de púrpura
trombocitopénica idiopática (ITP, por sus siglas en inglés). Los cuidados de enfermería
que recibio Patrick durante su hospitalización de ocho semanas tocó a la familia de
Patrick profundamente y cuando la fundación DAISY se formo. DAISY es un acrónimo
para enfermedades que atacan al sistema inmunológico. Más de 2.200 ubicaciones de
salud a lo largo de 50 estados y en más de 15 países están comprometidos en honrar a
sus enfermeras con el premio DAISY.

www.kaweahdelta.org | 45

EL CONTROL DE DOLOR

¿QUÉ ES EL CONTROL DE DOLOR?

El control de dolor son los cuidados y medicina que se usa para disminuir su dolor
y así usted pueda cuidar de sí mismo. La meta del control de dolor no es eliminar el
dolor; seguido esto no es posible ni seguro. La meta es ayudarle a que pueda respirar
profundamente con más facilidad, poder voltearse en cama, caminar y mantener una
vida social. Las medicinas pueden ser diferentes basadas en lo que le esté causando
su dolor, el tipo de dolor y lo que ha funcionado para usted en el pasado.

Sus doctores y enfermeras le pueden ayudar para que usted entienda su tipo de dolor,
cuánto dolor usted puede tener y cuánto tiempo le puede durar.

Las medicinas para el dolor pueden incluir pastillas, cremas, bombas, films,
o inyecciones:
• Opiáceos (morfina, hidromorfona, hidrocondona, etc.)

• No opiáceos: Acetaminofen (Tylenol), NSAIDs (ibuprofeno-Motrin, naproxen- Aleve,
celecoxib-Celebrex, etc.), medicamentos para el dolor de nervios (gabapentin y
pregabalin)

Su enfermera, doctor y farmacéutico le puede hablar más acerca de sus medicinas. Cada
una de estas medicinas puede tener diferentes efectos secundarios y riesgos.

¿QUÉ MÁS ME PUEDE AYUDAR CON MI DOLOR?
Hay cosas fáciles que usted, su familia o sus enfermeras pueden hacer para ayudarle
a tener menos dolor. El descansar mucho, usar cobijas calientitas, fomentos de
calor o fríos, más almohadas, el caminar una corta distancia, o moverse en cama le
pueden ayudar. También puede completar rompe-cabezas, colorear libros, y usar la
computadora y tabletas para ayudarle a distraerse del dolor.

Lo que usted puede hacer para disminuir su dolor es respirar profundamente o tratar
de mantenerse calmado y relajado. El respirar profundamente le puede ayudar a
relajarse y disminuir su dolor o cierre sus ojos e imagine que está en un lugar tranquilo.
Piense en las imágenes y sonidos que a usted le gustan.

La terapia ocupacional y/o física también le puede ayudar a mejorar su dolor.

¿CÓMO HABLO ACERCA DE MI DOLOR CON MI EQUIPO DE CUIDADOS?
Se le preguntará muchas preguntas acerca de su dolor:

•¿Qué tanto dolor tiene en la escala de dolor del 0-10?

• Por favor hábleme acerca de su dolor. ¿Cómo lo siente? ¿Agudo, punzante, sordo,
adolorido, con ardor?

•¿Su dolor está mejor, peor, o igual que antes?

Entre más le pueda hablar a su equipo médico acerca de su dolor, mejor le podrán ayudar.

¿CÓMO VA A ESTAR MI DOLOR DESPUÉS DE SALIR DEL HOSPITAL?
Recuerde que puede tener más dolor cuando se vaya a casa. Cuando regrese a su vida
normal, es importante que tome sus medicinas según le hayan indicado. Siga haciendo
las cosas listadas anteriormente, tal como descansar y respirar profundamente para
calmar el dolor. Hable con sus doctores y enfermeras y lea las instrucciones del

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EL CONTROL DE DOLOR

hospital para ver si hay alguna razón por la cual tenga que ir a ver a su doctor o ir al
departamento de emergencias.

¿QUÉ DEBO HACER CON LAS MEDICINAS EXTRAS QUE TENGO EN CASA?
Mantenga las medicinas en un lugar seguro y manténgalas fuera del alcance de otros
(niños, amigos, familia, visita).

Evite dejar medicamentos o envases de pastillas en el mostrador, la mesa, o la mesa
de noche en plena vista.

Ponga seguro a los estuches de viaje cuando viaje con medicina recetada.

NO tire medicinas en la tasa del baño - la excepción a esto son los parches
transdérmicos, por ejemplo, Duragesic (fentanyl) o Butrans (buprenorphine).

Tire las medicinas extras a la basura:
1. Remueva o tache su nombre y el nombre de la medicina en la etiqueta.

2. Mezcle medicina con agua o refresco y añada una sustancia indeseable como arena
para gatos, tierra, especies en polvo, o granos de café.

3. Cierre y selle los frascos de medicina con una cinta fuerte.

4. Ponga los frascos sellados en una caja o bolsa que no sea transparente.

5. Tire la bolsa al basurero un poco antes de que recojan la basura.

Lugares en la comunidad que recibirán sus medicinas:
Por favor comuníquese con cada lugar antes de llevar sus medicinas para asegurarse
que aceptarán sustancias controladas.

1. Ubicación de buzón:

Walgreens- por la Walnut Ave y Court St. (559) 635-7810

2. Eventos de recolección de medicina:

El evento “Got Drugs” por parte del Drug Enforcement Administration (DEA, por sus
siglas en inglés). Sucede un sábado en abril y en octubre de cada año.

Llame al departamento de policía de Visalia al (559) 734-8116 o a la ciudad de Visalia
al (559) 713-4531 para más información.

¿No vive en Visalia? Encuentre su programa local de devolución o envío por correo en:

1. Número telefónico de DEA Office of Diversion: 1-800-882-9539

En línea: www.deadiversion.usdoj.gov/drug_disposal/takeback/

2. Número telefónico para el National Safety Council: 1-800-621-7615

En línea: www.NSC.org/disposalresources

www.kaweahdelta.org | 47

CONOZCA A SU PERSONAL DEL HOSPITAL

Todos los empleados de Kaweah Delta (médicos, enfermeras, residentes médicos y
personal) visten su identificación con foto de manera destacada. Aunque aseguramos
las instalaciones, le pedimos que primero avise a una enfermera por la luz de llamada
y luego interrogue a cualquier persona desconocida para usted que ingrese entre a su
cuarto de hospital o sala de examen sin una tarjeta de identificación con foto. Kaweah
Delta Medical Center es un centro médico académico y un hospital educativo, por lo
que un equipo de médicos lo atenderá y es posible que vea a muchos médicos.
A lo largo de su atención médica, se pondrá en contacto con muchas personas. Se
espera que todos los empleados, incluidos los médicos, se presenten, le hagan saber
qué función tienen en su atención médica, qué planean hacer, cuándo van a hacerlo,
qué efecto tendrá en usted y qué esperar después. Si tiene alguna pregunta, por favor
no dude en preguntar.
Su equipo de médicos está dirigido por un médico tratante, que está a cargo de su
cuidado. Los médicos, incluido el médico tratante, pueden rotar dentro y fuera de su
atención. En otras palabras, los residentes y su médico tratante pueden cambiar durante
su estadía y puede resultar en que su tratamiento s por parte de muchos médicos.
Nuevos médicos se presentarán a medida que se unan al equipo. Cada médico de su
equipo contribuye a su cuidado.
Los Residentes son doctores que recientemente se graduaron de la escuela de
medicina. Trabajan bajo la guía de un médico tratante. Como paciente, usted está
contribuyendo a la educación y capacitación de futuros médicos.

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CONOZCA A SU PERSONAL DEL HOSPITAL

Las Enfermeras Registradas brindan un vínculo
crítico entre el paciente y el equipo de atención
médica. Además de contribuir a su cuidado, las
enfermeras comunican sus necesidades a sus médicos
y otros miembros del equipo y le informan sobre
sus medicamentos, tratamiento en el hospital y la
atención domiciliaria posterior a la hospitalización. Las
enfermeras registradas también supervisan a otros
trabajadores de la salud, como los socios de atención,
para garantizar que se satisfagan sus necesidades de
comodidad e higiene.

Las Enfermeras a Cargo asumen un papel de liderazgo
en las operaciones cotidianas de una unidad de enfermería. Pueden servir como un
recurso para usted si necesita asistencia adicional.

Los Gerentes de Enfermería/Directores de Enfermería son líderes que son
responsables de los resultados clínicos y el servicio que se brinda en su unidad.
Proporcionan dirección, supervisión y apoyo de los médicos.

Los Farmacéuticos son miembros importantes de su equipo de atención médica,
preparan meticulosamente los medicamentos y controlan el tratamiento farmacológico
para determinar la efectividad, los posibles efectos secundarios, las alergias y las
posibles interacciones entre alimentos y medicamentos.

Los Capellanes son parte de su equipo de atención médica y están disponibles para
reunirse con usted para apoyar sus necesidades de atención espiritual durante su
estadía. Los Capellanes pueden escuchar sus inquietudes, compartir sus luchas de
fe, ayudarlo a usted y a los miembros de su familia a buscar paz interior y fortaleza,
y traerles escrituras o escrituras sagradas de su tradición de fe específica. También
pueden ayudarlo a acceder / recibir sacramentos religiosos, ayudarlo a ponerse en
contacto con líderes religiosos de su tradición de fe y / o ayudar con otras necesidades
espirituales. Si desea una visita del capellán de su unidad, informe a su enfermera o
llame al Departamento de Cuidado Espiritual. (559) 624-2263

Los Administradores de Casos trabajan con usted, su familia y su equipo de atención
médica para coordinar su estadía en el hospital. También están disponibles para ayudar
con la planificación y la coordinación de su transición del hospital a la casa o a otras
instalaciones de cuidado. (559) 624-2235

Los Defensores de la Descarga trabajan en colaboración con los administradores de
casos para ayudarlo a trasladarse a un centro de atención continua u hogar. Su objetivo
es que tenga una transición exitosa fuera del hospital y que lo apoye en su camino hacia
una mejor salud.

Los Trabajadores Sociales pueden ayudarlo a usted y a los miembros de su familia
con cualquier problema personal, emocional y / o familiar y dificultades debido a
su enfermedad o lesión. Se pueden organizar apoyo individual, familiar y de grupo
para enfermedades repentinas, separación del hogar y del trabajo, duelo, abuso
de sustancias, violencia doméstica y otros asuntos, así como referirlo a recursos
comunitarios.

Los Dietistas trabajan estrechamente con su equipo de cuidado médico y se aseguran
de que esté recibiendo el equilibrio adecuado de comidas nutritivas durante su estadía.

www.kaweahdelta.org | 49

SU COMODIDAD

SEGURIDAD
(559) 624-5597

Si tiene preguntas o inquietudes sobre la
seguridad al visitar pacientes, de día o de
noche, por favor
cumuníuese con Seguridad.

SERVICIO DE ESTACIONAMIENTO
Los servicios de estacionamiento se encuentran
en nuestra entrada Mineral King y son gratuitos
para pacientes y visitantes

Horario: Lunes – Viernes: 8 a.m.-9 p.m.; Sábado
- Domingo: 8 a.m.-7 p.m.

Para recuperar un vehículo estacionado con
este servicio fuera del horario de atención,
llame a Seguridad al (559) 624-5597.

HAGAR DE CUIDODOS TEMPORALES
(559) 624-2396

Las personas cuyos seres queridos están
hospitalizados y no tienen un lugar donde
alojarse pueden calificar para alojamiento para mantenerlos cerca gracias a una
asociación comunitaria forjada por Visalia Rotary Clubs y Kaweah Delta Health Care
District. Póngase en contacto con un trabajador social para evaluar la disponibilidad.

SERVICIOS FINANCIEROS
(559) 624-4200

Nos comprometemos a cumplir con nuestra misión
de proporcionar servicios de atención médica de
alta calidad, orientados al cliente y financieramente
fuertes para satisfacer las necesidades de las
personas a quienes servimos. Si tiene preguntas
sobre cobertura, asistencia financiera o cómo
pagar su factura, llámenos.

REGISTROS MÉDICOS
(559) 624-2218

Un paciente, o su representante legal, puede inspeccionar y/o obtener una copia de
sus registros médicos, o pedir que se envíen copias de los registros médicos a otra
instalación. Para obtener información sobre registros médicos, llámenos.

INTÉRPRETES
(559) 624-5902

Las diferencias de idioma nunca deben ser una barrera para la atención médica de
calidad. Contamos con intérpretes para más de 150 idiomas diferentes que representan
a pacientes sin costo.

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