Yeditepe University Koşuyolu Hospital Inpatient Guide

Admission Procedures

You can apply to the Patient Hospitalization Department for your hospitalization procedures. Our hospitalization officer will initiate your hospitalization procedures in line with your reservation and will ask you to fill in and sign the hospital forms.

Please have the following documents with you to carry out the admission procedures:

• Identity card or driver's license (TR Identity Number)
• Passport for non-Turkish citizens
• Insurance card for patients with private health insurance

 After your hospitalization procedures are completed, one of our staff will take you to your room with your belongings.

Information on Treatment Costs

Patients or their relatives will be informed periodically by the Patient Discharge Officer about the treatment costs incurred during hospitalization.

For patients who do not have private health insurance or whose approval cannot be obtained from the insurance institution, a certain amount of 75% of the average amount of information can be requested as an advance payment during the patient hospitalization process. Payment requests by check and bills are not accepted.

Discharge Procedures

After your doctor informs your nurse that you can be discharged, your procedures on the floor (such as the preparation of your file, accounts, and reports) will be initiated as quickly as possible by the Patient Discharge Officer. After these procedures are completed, your file will be delivered to the Patient Discharge Department by our Floor Secretary Officer. Your invoice will be made ready for payment by completing the final checks by the Patient Discharge Department and completing the institutional authorization procedures/cash payment preparation procedures. All these procedures may take between 30 minutes and 2 hours. After your transactions are completed, you will be directed to the Patient Discharge Department. You will be given explanations about your invoice and after making the necessary payments, you will have completed your discharge procedures.

Our Hospitalization Officer will wear your ID bracelet with your name, surname, hospital protocol number, and date of birth on your arm. Please do not remove this wristband, which will become your identity in the hospital, until you are discharged. If it wears out or comes off, you must inform your department nurse.

The healthcare team taking care of you will check the accuracy of your information with a wristband containing your identity information before medication applications, examinations, and some radiological procedures. After you are admitted to your hospitalization floor, you will be questioned by your nurse about your allergies and if you are allergic to any substance, you will be given a red-colored wristband.

All Yeditepe University Kozyatağı Hospital employees carry an ID card with their names and duties on it so that you can recognize the medical and administrative team caring for you. If a person without an ID card is taking care of you, for your safety, please ask who they are and do not allow him/her to give you any treatment or procedure. During your stay at our hospital, all staff responsible for you will identify themselves. You can ask them any questions about your treatment and care and ask them to contribute to your care. Being part of your treatment plan is your most important responsibility and right. All staff, from physicians to nurses to administrative staff, will ensure that your diagnosis and treatment process are safe and comfortable.

Physicians

During your stay in our hospital, many physicians may be involved in your treatment. However, the physician who makes the hospitalization decision will be responsible for you. The physician who approves your admission will organize and follow up on your treatment during your stay. Once you are settled in your room, our physicians will make their first visit and review the information in your file and the medications you were taking before your hospitalization. They will organize the medications you will take and the diet you will follow during your hospitalization according to your treatment. If necessary, they will coordinate with other medical departments and decide when you will be discharged. If there is a floor physician in the department where you are hospitalized, they will take care of you in all processes together with your responsible physician during your stay in our hospital.

Nurses

The nursing team is one of the most important members of the health care team. Our nurses will help you in your treatment and care process by evaluating the patient as a whole in physical, psychological, and social terms. They will support you to receive treatment in a safe care environment by administering your treatment in a timely and accurate manner and sharing information about your health with your physician and other relevant healthcare team members. They will provide you with the necessary information and training you need while you are in the hospital and before you are discharged. If there is anything you need to consult about nursing services, you can contact the nurse in your department.

Pharmacist

During treatment and care, the pharmacist will work with our doctors and nurses to organize your medication. They will adjust your medication doses and take the necessary precautions to ensure that you do not suffer from side effects.

Dietitian

The dietitian works in coordination with physicians and nurses to prepare a diet that best suits your needs and treatment. Considering your calorie needs and medication regimen, the dietitian prepares a completely customized nutrition program when necessary.

Floor Secretaries

As long as you are in our hospital, they always work to assist you with all kinds of information about the use of your room, assistance in solving problems, making the necessary appointments, and discharge procedures.

Hand Hygiene

To prevent infections, you and your relatives should observe good hand hygiene. Therefore, wash your hands frequently. At Yeditepe University Kozyatağı Hospital, there are hand sanitizers in all patient care areas and in front of patient rooms.

Wash your hands;

• Before and after using the toilet,
• After touching dirty objects,
• Before and after meals,
• Before and after touching the dressing area,
• Each time entering and leaving the patient room.
• All health personnel is obliged to ensure hand hygiene before performing any procedure on you.
• If you have a catheter, needle, tube, or dressing on any part of your body for treatment, keep that area clean and dry. In case of redness, pain, discharge, wetting, and deterioration of the dressing in these areas, be sure to inform your department nurse/physician.
• Make sure your visitors do not have any contagious infections such as influenza. Depending on the type of infection, masks, gloves, gowns, and even visitor restrictions may be required to protect other hospitalized patients and staff. In such cases, your physician and department nurse will inform you about the precautions to be taken.

Medicine Safety

Please pay attention to the following points to ensure that your treatment is carried out correctly and effectively during your stay at our hospital:

• Inform your physician or department nurse about all medications you are taking.
• If you have any medication with you, give it to your department nurse.
• Do not take any medication other than the medication prescribed by your department nurse.
• Find out from your nurse which medication is given for what purpose and at what time it is to be taken.

Fall Prevention

During your treatment in the hospital, your risk of falling may be higher than in your daily life. Medications, interventions, and surgical interventions are the main reasons that increase the risk. Read the "Patient Fall Prevention Brochure" carefully to minimize your risk of falling.

For your safety, please observe the following precautions:

• If your doctor or nurse warns you not to get up on your own, pay attention and ask for help to get up.
• Keep your phone, nurse call button, or any other personal item you need within easy reach.
• Ask your nurse to make your bed at a level where you can lie down and get up easily.
• If you are allowed to walk unassisted, make sure there is sufficient light in the walking area.
• To prevent your feet from slipping, prefer slippers with rubber soles. Pay attention to the signs indicating that the ground is wet.
• If you need to walk with a cane or walker, make sure you use them safely and comfortably.
• If you are going to take a bath, ask your nurse for help.

Your contribution to your treatment and care is very important. Your participation in your treatment and care plan is essential so that you know what is being done and why.

Therefore;

• Discuss your treatment and care with your nurse and doctor.
• Make sure you understand your treatment and do not hesitate to ask if you do not understand.
• If you are going to have surgery, ask your doctor for information about the procedures to be performed.
• If you are in pain, inform your nurse and doctor. They will make the necessary interventions. In our hospital, shift handover between nurses is done at the patient's bedside. Share your observations and questions with your nurses during this handover.

During your admission, our care team will be there for all your needs. Your family and friends may also notice small changes in your patient. These changes - changes in breathing or unusual confusion or problems with thinking - may indicate that something is wrong or that your patient's condition may become serious.

If you feel that something is not right with your patient, please contact your nurse.

Pain

Yeditepe University Kozyatağı Hospital accepts the principle of evaluating the pain problem and applying the necessary pain treatment, which is the personal right of every patient. One of our primary goals is to ensure that our medically compromised patients can benefit from pain assessment and treatment opportunities at every stage of their treatment.

In order for you to benefit from these opportunities;

• Always ask your doctor/nurse if you have pain medication and how to use it.
• Do not wait until the pain gets worse to take your pain medication. "Waiting a little longer" will only make your pain worse and it may take longer and more medication to get it under control again.
• Please be aware that the pain treatment plan prepared for you will not completely eliminate your pain, but will help you to move freely, be able to do your daily tasks, and rest comfortably.
• Do not delay taking your medicine for fear of becoming dependent on it. Remember that you are taking this medicine for a medical reason.
• Tell your nurse or doctor if the medicine does not help to reduce your pain.

At the end of your treatment, your discharge time will be determined by your doctor. When you are discharged, you can get information about what you need to do for your continued care, your follow-up appointments, medications, physical therapy, other rehabilitation needs, and nutrition. When discussing your post-discharge care with your physician, taking notes or asking for written information will help you remember the details of your treatment.

During the interview, do not hesitate to ask questions and note down the answers. As you continue your care at home, please take care to follow the recommendations below:

• Examine your prescription. Make sure you are taking the right medicines at the right time, that you are taking your medicine correctly, and that you know the possible side effects.
• Take precautions against the risk of falling.
• Pay attention to your diet and nutrition.
• Do not smoke.
• Ask for information documents about your illness and how to protect your health.
• Please make sure that you attend your follow-up appointment on the day and time indicated.

During your stay at our hospital, you can call the call center 24/7 for all your requests, suggestions, and complaints, and you can also contact the Patient Communication Department during working hours. You can reach the Patient Communication Department at 4073 or send an e-mail to infohastane@yeditepe.edu.tr.

There may be issues on quality and safety that you would like to communicate to "Joint Commission International (CI)". You can access detailed information for these notifications on the JCI web page.

Room Introduction

After you enter the room, your floor secretary/department nurse will introduce the room and the items in the room and show you how to use the items.

Nurse Call System

There are two separate systems in patient rooms to facilitate access to our nurses in case of need. In the system located on the panel at the bedside of your bed, you need to press the red button. Our nurse who hears the warning signal will be with you as soon as possible. The cable system in the restroom alerts the staff at the nurse's desk. Our nurse who hears the warning signal will be with you as soon as possible.

Companion Bed

Please take care to stay with your companion in your room during your stay. Companion accommodation and meals are included in your room rate. You can ask the Auxiliary Staff for sheets, pique, and pillows for your companion if necessary. If there is no one to accompany you, especially if you are at high risk of falling, you can inform your department nurse to make the necessary arrangements.

Safe

You should only bring the necessary and important things to the hospital with you. It is very important to protect your glasses, dentures, or hearing aids. Please do not forget these items and do not leave them wrapped in paper/napkins.

Inside your locker, there is an electronically locked safe to store cash, valuable documents, and belongings that you may have with you. Our hospital is not responsible for lost items left outside the safe. You can learn how to use the safe from the "Safe Usage Guide".

Switchboard-Phone Services

You can use the telephone on your bedside table to make internal calls within the hospital and receive calls from outside. The room number is the four-digit number printed on the phone. When you want to make an in-hospital call, just dial the extension number.

When you want to make a call outside the hospital, please dial "0" for the switchboard and inform the operator of your external call request. Your relatives who want to talk to you from outside should call our hospital switchboard (578 40 00) and code the internal number written on the phone or ask the switchboard to connect the phone number of the room.

Television Service

Each patient room has a television with remote control. The television has a 54-channel Digiturk and Lig TV system. The list of television channels is included in the introductory file. Please pay attention to the sound so as not to disturb other patients.

Refrigerator / Mini Bar

Inside your locker, there is a mini fridge for your personal use. Please do not leave the refrigerator door open. Please do not keep food in the rooms for your safety and infection control.

Food Services

For the health of our patients, food and beverages are not accepted from outside the hospital. When you receive inpatient service in our hospital, you will receive service for the following meals.

• Breakfast: 06:30-07:00
• Snack: 09:30-10:30
• Lunch: 12:00-13:00
• Snack: 15:00-15:30
• Dinner: 17:30-18:00
• Snack: 21:30-22:00

You can choose your meal from the special menu that will be given to you by our service staff. Dietitians have calculated daily menus and quantities, taking into account the nutritional values of each meal.

Internet Service

Our hospital offers wireless internet service. If you have any problems with the connection, please notify the floor secretary or your service nurse.

Electrical Appliances and Lighting

You can use the sockets in the bathroom and on the room wall to operate your appliances. We kindly ask you not to use appliances such as kettles in your room as this may cause technical problems. The lights in your room are controlled by the switches on the entrance wall. Please make sure that you only use the switches that turn your room lights on and off.

Air Conditioning System

In-room heating and cooling processes are carried out by a central computer system. The system of our hospital also ensures that the air inside is cleaned. For this reason, our hospital does not have a window system that opens to the outside. You can adjust the temperature of the room and the operating speed of the air conditioning system by means of the thermostat mounted on the wall at the entrance of your room. Room windows are kept closed for the safety of our patients.

Cleaning Services

The housekeeping staff cleans the room every day. Please inform your service nurse about any other cleaning requests. You can use the household waste bins in your bathroom for general waste. Please inform the department nurse about your sharp and piercing waste.

Satisfaction Survey

The patient satisfaction survey is designed to inform your opinions about the service you receive and to improve the service we provide. As a result of this responsibility, it is very important for us that you fill out the "Inpatient Satisfaction Survey" before your discharge.

Newspaper Service

A newspaper of your choice will be left in your room free of charge. Our floor secretary will find out your newspaper preference from you and the newspaper you prefer to read will be brought to your room in the morning.

Religious Requests

In line with your faith, you can inform the chaplain you would like to see, the floor secretary on the floor, or the department nurse. The Patient Communication Department will assist you with your request. The prayer room in our hospital is located on the 2nd floor.

ATM

There are ATMs near the back entrance door of our hospital. You can get help from your department nurse and the floor secretary for guidance.

Food and Room Service

Our dining room service is available 24/7. The restaurant on the 2nd floor of our hospital is open 7 days a week between 08:00 and 21:00 and offers room service. The cafeteria on the ground floor of our hospital is open 7 days a week between 08:00 and 24:00 and offers room service.

Flower

Live flowers are not accepted in our hospital to prevent infection. Flowers on your behalf will be accepted by our staff and you will be informed by phone. You can receive your flower when you apply to the Information Desk during discharge.

Security

Security services at our hospital are uninterrupted 24 hours a day for your peace of mind. All public areas of our hospital are monitored by a closed-circuit camera system. If you have any questions, you can call the number 4300.

Parking Lot

Relatives of martyrs, veterans, and their relatives, and our disabled guests can benefit from free parking. You can also benefit from valet service in our hospital for a fee.

Visiting Hours

Our visiting hours are between 09:00-22:00. Children under the age of 12 are not accepted for visits due to the risk of possible infection. Children over 12 years old can visit patients accompanied by an adult. In special cases, after 22:00, visitors can only enter through the Emergency Room door. Your visitors must leave the room while you are being cared for. Ask your visitors to wash their hands before entering your room or use the hand sanitizers in front of the room. Thank you for not accepting more than two visitors at the same time for your health, limiting the duration of your visit to 15 minutes, and following social rules to avoid disturbing other patients on the floor and not making noise.

The Right to Benefit from Health Services following Justice and Equity

• Every individual who applies to our hospital has the right to benefit from diagnosis, treatment, and rehabilitation opportunities, regardless of their physical, mental, intellectual, social, and religious characteristics.

Right to Choose and Change Health Institution

• Our patients have the right to choose their physician and/or healthcare institution and to change them at any stage of treatment.
• If our patients do not accept the treatment and care to be applied, they can leave our institution by signing the Medical Procedure / Treatment Refusal Form, or request a transfer to a different institution.

Right to Recognize, Select, and Change Personnel

• Our patients have the right to know the identities and professional responsibilities of all the staff they come into contact with in our hospital while receiving services.
• All employees wear the hospital ID card at all times and introduce themselves before service.
• While diagnosis and treatment services continue, our patient has the right to request a consultation at every stage of treatment within the framework of the provisions of the legislation, even if the primary physician does not deem it necessary.

Right to Request Prioritization

• Our patients have the right to have their right to priority determined on the basis of medical criteria.
• Elderly and disabled patients are given priority for examination.

Right to Prohibition of Intervention Except for Medical Necessities

• In our hospital, no application is performed or requested without the purpose of diagnosis, treatment, and protection.

Right to be Treated with Medical Attentiveness

• Our hospital provides care that respects the dignity, personal values, and beliefs of patients and responds to their spiritual and religious needs.

Right to Request and Receive Information on Health Status

Our patients have the right to request and receive information through themselves or their legal representatives as detailed below.

• Possible causes and course of the disease
• By whom, where, how, and how the medical intervention will be performed
• Estimated duration of the intervention
• Other diagnostic and treatment options and the benefits and risks of these options and their possible effects on the patient's health, possible complications
• Potential benefits and risks of refusing the intervention
• Important characteristics of the medicines to be used
• Lifestyle recommendations critical for good health
• How to access medical assistance on the same issue when needed

Procedure for Providing Information

• Information is given as simply as possible, without hesitation or doubt, and in a way that the patient can understand in accordance with his/her social and cultural level. Our patients are informed by the person who will perform the medical intervention.
• It is essential that patients themselves are informed. In the event that patients request that someone else is informed instead of themselves, only the persons requested to be informed will be informed, provided that this request is recorded in writing with the signature of the person.
• Our patients may request a second opinion about their health condition from another physician regarding the same complaint. By informing the Patient Communication Manager of this request, they can receive information about the subject and functioning of the hospital, and contracted external physicians or a physician of the patient's own choice can be invited.
• Except in emergencies, information is given to patients in an appropriate amount of time.
• Information is provided in an appropriate environment and patients' privacy is protected.
• If requested by patients, information on the cost of the procedure to be performed is provided by the relevant units of the hospital.

Cases Where Disclosure of Information is Inappropriate and Precautions Should be Taken

• Patients are informed about their condition every day by their physicians and nurse.
• It is appropriate to withhold the diagnosis if there is a possibility that the disease may be exacerbated by having a detrimental effect on the patient's mental state and if the prognosis and outcome of the disease are considered unfavorable.
• It is up to the doctor's discretion, depending on the course of the disease, whether or not to inform patients/relatives about the health status of the patients.
• An incurable diagnosis is reported by the patient's primary physician.
• All information is given to the patient's legal representative and decisions are made together.

Right to Withhold Information

• Except for legal obligations, our patients may request that they and their families not be informed about their health condition if they think that the real information about their health condition will affect them. In this case, the person's decision is taken in writing. The patient can change his/her request for withholding information at any time and request information to be provided.

Right to Inspect Records

• Our patients can examine their files and records containing information about their health status and take a copy of them. These records can only be seen by the patient or those directly involved in his/her treatment (legal representative (guardian) or parent).

Right to Request Correction of Records

• If our patients request explanations or corrections in medical documents, the patient file is examined by the chief physician and a person to be determined by him/her. If deemed appropriate, the correction is made and the person is notified.

Right to Privacy and Confidentiality of Information

Our patients have the right to demand;

• Respect for privacy
• Medical evaluations related to health status are carried out with confidentiality
• Examination, diagnosis, treatment, and other procedures are carried out in an environment of reasonable confidentiality
• To be allowed to be with a relative in cases where there is no medical inconvenience
• Persons not directly involved in the treatment should not be present during the medical intervention
• Not to intervene in personal and family life unless necessary
• Keeping the source of health expenditures confidential
• Request permission for patient images used in experiments and research and not to make disclosures of their identity information. Death does not give the right to invasion of privacy.

Right Not To Be Subjected To Medical Treatment Without Consent

• Our patients are informed about any intervention/procedure to be performed. Consent is then obtained in writing.
• Patients may not be subjected to medical treatment without their consent or in a manner inconsistent with their consent.

Patient Consent and Authorization

• In our hospital, patients and their relatives are informed at every stage and their participation in the care and treatment process is ensured.
• Medical interventions require the consent of patients. If the patient is a minor or incapacitated, permission is obtained from their legal representative or guardian. This condition is not required in cases where the patient, legal representative/guardian is not present, cannot be present or the patient does not have the power of expression.

Scope of Consent and Circumstances where It will not be Sought

• When obtaining consent from our patients, the patient or his/her legal representative is informed about the subject and consequences of the medical intervention. The consent given by our patients also covers routine procedures that are a continuation of the process required by the medical intervention and may be considered mandatory.
• Medical intervention can be expanded without seeking consent when it is necessary to expand the intervention while performing medical intervention and in cases that may cause loss of organs or functions of our patients if not intervened.

Right to Refuse and Stop Treatment

• Our patients have the right to refuse the treatment or intervention to be applied to them, except in cases required by law and medical necessity. The consequences that may occur in case of refusal of treatment are explained to the patient by the physician. The patient is asked to sign the Medical Procedure / Treatment Refusal Form. One copy of the signed form is placed in the patient file and the other is delivered to the patient.
• This form is not valid the next time our patients come to the institution and/or when they apply with a different diagnosis. They have the right to receive necessary medical care and treatment. Our patient will not be reprimanded or insinuated about his/her previous refusal.

Application of Unconventional Treatment Procedures

• In our hospital, treatments that have been experienced as a result of clinical and laboratory research are applied.

Use of Pharmaceuticals for Medical Research Purposes

• No medicinal product may be used on a patient for the sole purpose of medical research without the patient's consent and the permission of the Ministry, even if permission or authorization has been obtained in accordance with specific legislation.

Right to Security

• All our patients have the right to receive healthcare in a safe environment.
• Our hospital takes the necessary measures to protect and ensure the safety of the life and property of patients and their relatives such as visitors and companions.

Right to Fulfill Religious Obligations and Benefit from Religious Services

• Our patients have the right to benefit from religious services within the framework of the rules of our hospital. Our patients can fulfill their religious worship provided that they do not affect other patients, do not risk their own health, and do not disrupt the hospital order.
• The patient has the right to bring a reverend to attend to his/her religious needs at his/her own request.

Right to Be Respected for Human Values

• Our patients have the right to receive health care at all times and under all circumstances, with respect, care, and attention, in a friendly, kind, compassionate environment, in all kinds of health conditions, with all noisy and disturbing factors eliminated.

Right to Have a Visit and a Companion

• Our patients have the right to receive visitors within the framework of hospital rules and to have a companion if deemed appropriate by the physician.

Right of Application, Complaint, and Litigation

• In case of violation of our patients' rights, they have the right to use all kinds of applications, complaints, and lawsuits within the framework of the legislation.

• Act in accordance with the rules and practices of the health institution and organization to which they apply and acts with the awareness that they are part of the diagnosis and treatment team with a participatory approach.
• Give as complete and accurate information as possible about their health complaints, previous treatments, previous illnesses and medical operations, and medications they use.
• Comply with the appointment date and time. Notify the relevant place when they want to change the appointment.
• Come for follow-up visits at intervals determined by the physician and provide feedback on the course of their treatment.
• Do not engage in verbal and physically aggressive behavior towards the personnel.
• Respect the rights of prioritized patients and other patients.
• When they think that their rights are violated or have a problem, they apply to the Patient Communication Directorate.