For Inpatient

For Inpatient

Points to remember and preparation for admission

【standard schedule】
-Six weeks before admission:
 It is strongly recommended that patients are up-to-date on immunizations (e.g., for chickenpox) before admission. In particular, we believe it is best to have the chickenpox vaccine administered twice. Please have the second vaccine administered at least two weeks before admission. If this is not possible, please have it administered by a minimum of two days before admission.
 In general, children will develop a fever about 10 days after immunization, but this will rarely develop into a high fever. This is a normal immune response to the vaccine and not out of the ordinary.
 However, it may be difficult to differentiate this fever from that of a cold or other type of infection. In the event of a high fever, tests or surgical procedures or may need to be postponed. To avoid this situation, it is best to get immunized as soon as possible.

-From three weeks before admission to the day of admission:
 Contact the attending doctor (or a doctor at the respective clinical department if there is no designated attending doctor) if the child has been in contact with someone with the measles, chickenpox, rubella, the mumps or other serious infection. *Hospitalization may be postponed.
 Take care to prevent catching a cold or other illness.
 Prepare any necessary items to bring.

-From one week before admission to the day of admission:
 Contact the attending doctor (or a doctor at the respective clinical department if there is no designated attending doctor) if the child develops any of the following symptoms: a fever of 38°C (100.4°F) or higher, a rash (spots aside from atopic eczema or other forms of dermatitis originally present), coughing, runny nose, vomiting, or diarrhea. *Hospitalization may be postponed.

-From two days before admission to the day before admission:
 You will receive a phone call from the Medical Affairs Section for final confirmation of the admission date, time to arrive at the hospital, and details of the procedure.

-Day before admission:
 -Fill out the Infection Check Form
 -Fill out the Hospital Admission Form
(This form must also be filled out by the individual serving as both the representative and the guarantor for medical bills.)
 -Fill out the Hospitalization Food Allergy Survey

Those undergoing a surgical procedure must also complete the following forms:
 - Signed Surgery Consent Form (you may receive this after hospital admission)
 - Signed Anesthesia Consent Form (you may receive this after hospital admission)
 - Completed Preoperative Questionnaire Form (not required if already submitted)

-Day of admission:
 On the day of admission, go to the No. 6 counter at the first floor “Hospital Admission Desk.” After completing the admission procedure, the patient will be taken to their hospital room.

Items required for admission procedure:
 - Hospital Admission Form and other necessary forms (you will receive them in advance at the “Hospital Admission Desk.”)
 - Be sure to give a working emergency contact number other than that of your own current number.
 - Health insurance card, maternity health record book (“Boshi Techo”), and any medical certificates
 - Children's Medical Center Hospital ID card and Personal seal (inkan)
* Our hospital does not require a deposit for admission.

Pre-admission orientation

 A “hospitalization orientation” is held in the first floor south lounge “preparation room” on weekdays from 11:00 a.m. and 3:00 p.m for patients planning to stay at the hospital.
 The orientation covers topics such as daily life at the hospital and hospital facilities. No appointment is required, and the orientation lasts about 15 minutes.
 You are welcome to come on any day before hospital admission. After orientation, patients can take a basic tour of the hospital facilities upon request.
 This hospital orientation is strictly voluntary, and patients do not have to participate as a requirement for admission.

* Admission to the Child and Adolescent Psychiatry Ward (Kokoro Ward)
 Before being admitted on the day of admission, patients will receive an examination at the outpatient clinic. After completing returning patient check-in at your appointed time, please go to the No. 20 reception desk (Usagi counter) at the second floor specialist outpatient clinic. The doctor will examine the patient and explain the admission procedure.

Daily life at the hospital

- Wristbands
 The patient is requested to wear a wristband during their hospital stay. These wristbands facilitate smooth and safe treatment during hospitalization.
 On the day of admission, a ward nurse will check the information on the wristband and attach it to the patient’s wrist or ankle. Your cooperation is appreciated.

- Examinations and nursing care
 The patient will be designated a primary physician, an attending doctor, and an attending nurse upon admission.
 Nurses are split into two or three teams for nursing duties.
 The nurses will explain any changes in the patient’s condition. If you would like a meeting with the doctor, please request one ahead of time. Questions about the patient’s condition cannot be answered by telephone.
 Doctor consultations are generally limited to the period between 9:30 a.m. and 5:00 p.m. (excluding Saturdays, Sundays, and holidays).

- Meals
 The hospital will prepare meals for the inpatients based on their condition. Please refrain from bringing your own food.
 Patients will be asked about food allergies at the time of hospital admission. Your cooperation is appreciated.

- Going outdoors, overnight stays
 Permission is required from the primary physician. Please complete a Permission Request Form for going outdoors/overnight stays.
 Be sure to contact the ward if you will be returning later than expected.

- Items patients are not permitted to bring into their hospital room:
 To prevent accidents, patients are restricted from bringing the following items into their hospital room. Please note that this list may vary somewhat depending on factors such as the age and sex of the patient, their symptoms, and the ward.
 Sharp objects
 Scissors, utility knives (cutters), razors
 Pointy objects
 Eyeleteers, thumbtacks
 Sexually explicit materials (e.g., magazines or DVDs)
 Flammable objects
 Paint thinner
 Non-prescription drugs, alcohol
 Objects of high value
 Large sums of cash, precious metals
 Sewing sets, string, yarn, thread, electronic devices (e.g. cameras, video cameras, or portable audio devices.)
 Matches, lighters, communications devices (e.g. mobile phone or computer)
 Any other dangerous items
 Tools, bleach
 Cosmetics (makeup)
 Nail polish, nail polish remover, perfume
 Fragile items
 Glass or ceramic items
 Any other objects deemed to be unnecessary or objectionable for treatment by the doctor.

- Watching TV
 Each hospital room has a TV that can be watched with a fee-based TV card. Fees are charged by the minute.
 When watching TV for less than an hour, turn the TV off and then on again to charge by the minute.
 The TV will turn off automatically after an hour and the TV card will be ejected.

- Forwarding calls
 We do not forward phone calls from family members to patients. A message can be transmitted to the patient.

- Use of mobile phones by family members
 Please turn off your mobile phone while in the hospital. You may use your mobile phone in the designated mobile phone areas.
 Patients are not permitted to bring mobile phones into the ward.

- Use of outlets and electronic devices
Devices that can be used with the outlets
 Handheld games consoles, portable audio devices, laptop computers and other devices (including chargers) to be used by the patient at the hospital. Please consult a nurse when you are unsure if your device can be used.
 Laptop computers can only be used for inevitable reasons such as keeping up with school studies. Before use, please consult the primary physician or attending nurse.

- Points to remember when using outlets
 Use of outlets is the responsibility of the parent or guardian. Please take extra steps to prevent young children from using outlets (e.g., take power cords home with you when leaving the hospital).
 Please ask a nurse which outlets in the hospital room are allowed to be used.
 Do not use the red outlets, as those are for medical equipment only.
 Only use a single device with each outlet. Do not use extension cords or multisockets.

- Points to remember when using devices with outlets
 Be considerate of other patients and their family members when using electronic devices. As a general rule, use earphones with devices that emit sound.
 Use of electronic devices may be restricted or prohibited for treatment reasons or to maintain an optimal treatment environment.
 In such cases, an explanation will be provided by the primary physician or a nurse. Your cooperation is appreciated.
 Please refrain from bringing multiple electronic devices to the hospital. If it is necessary to bring multiple devices, please consult a nurse.
 Management of personal electronic devices is the responsibility of the patient or their family members. As a rule, the hospital accepts no responsibility whatsoever for theft or damage.
 Please refrain from connecting to the Internet (or sending or receiving e-mail or data) while in the hospital ward.

- Smoking
 Smoking is not permitted at the hospital. Your cooperation is appreciated.

Visiting patients

 Visiting hours are generally from 9:00 a.m. to 9:00 p.m. This may be changed to suit the patient’s circumstances. Please consult a nurse concerning any possible flexibility.
 Patient visits may be restricted depending on the patient’s condition or the circumstances in the hospital room.
 When visiting a patient, first complete the specified procedure at the first floor No. 10 “Visitor Reception” Counter (Security Office).
 As a rule, only parents, grandparents, and siblings of elementary school age or older are permitted to visit the patient.
 To prevent hospital-acquired infection, preschool children, those with an infection such as a cold, the measles, or chicken pox, and those who have been in contact with someone with one of the above or another type of infection are not permitted to visit.
 As a rule, due to lack of space and to prevent interference with treatment, only two people can enter the hospital room at the same time.

* Child and Adolescent Psychiatry Ward (Kokoro Ward)
 Visiting hours are from 10:00 a.m. to 3:00 p.m. for the Oka no 4-Banchi ward and generally from 10:00 a.m. to 4:00 p.m. for all other Kokoro wards (with the exception of ward program times for each ward).
 Please note that visiting hours may vary depending on the patient’s condition.
 Please consult the primary physician in advance if someone other than a parent or guardian wishes to visit.

* Patients staying in the pediatric intensive care unit (PICU) or high care unit (HCU)
 Visiting hours are from 2:00 p.m. to 9:00 p.m. (excluding the hour between 4:00 and 5:00 p.m.).
 Only parents, grandparents, and siblings of middle school age or older are permitted to visit the patient (only two people may enter the room at the same time).
 Please note that visitation may be restricted depending on the condition and/or treatment protocol of other patients.

* Neonatal wards (neonatal intensive care unit [NICU]/ growing care unit [GCU])
 As a rule, only parents are allowed to visit.
 Grandparents may only visit after the parents’ first visit, provided permission has been granted by the parents. Only one parent and one grandparent (two individuals) may enter the room at the same time. Please note that grandparents may not enter without one of the parents.
 Visiting is generally permitted 24-hours-a-day, but may be restricted for the patient’s checkup, any treatments required, or some other reason.

 Because parking space is limited, it is preferable for visitors to come to the hospital by public transportation.

Family members staying with the patient

 Nurses will provide nursing care during hospitalization, so family members do not need to stay with the patient. However, if a family member requests to stay with the patient for reasons such as the patient’s condition or other circumstances, please consult the doctor or nurse.
 Please note that depending on the patient’s condition or the circumstances in the hospital room, it may not be possible to fulfill such a request.

Eating and drinking by visitors in the hospital room

 As a rule, eating and drinking in the hospital room by those visiting or staying with the patient is not permitted (the same shall apply hereafter). This is due to treatment circumstances and in consideration of patients with meal and/or water restrictions.
 However, you are permitted to drink water or tea (in a bottle or thermos) in the hospital room to keep hydrated during your visit. When doing so, please understand the general no-eating and no-drinking rule for the hospital room and be considerate of other patients.
 The barley tea available in the ward is for patients only. Visitors are asked to refrain from drinking this tea.
 To prevent patients from mistakenly drinking from bottles and containers brought in from the outside, please take them with you when leaving the hospital or hospital room. If no visitor is present, any bottles or containers left behind will be disposed of by a nurse. Your understanding is appreciated.
 Please dispose of open containers in the designated waste bin.

* Child and Adolescent Psychiatry Ward (Kokoro Ward)
 Family members are not permitted to eat or drink in the ward. Please use the family room on each floor for eating and drinking.

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