入院生活

入院生活のご案内～安全に入院生活を送っていただくために～

Juntendo University Hospital
3-1-3 Hongo, Bunkyo-ku, Tokyo 113-8431
TEL (03)3813-3111（main）
http://www.juntendo.ac.jp/hospital/ihc/

This pamphlet is designed to encourage patients
admitted to our hospital to actively participate in theirown medical care for a fast recovery of health.

We would also recommend patients’ family members toread this pamphlet as well.

入院したら.....
When you are admitted to our hospital◆ Check the locations of the nearby emergency exits.
◆ Confirm your name and date of birth indicated on your wristband.
◆ Check the names of your attending doctor and nurse.
◆ Please inform us in advance if you have a donor card or living will.

安全にお過ごしいただくために.....
To ensure your safety in the hospital◆ Bed rails are designed to prevent falls. As your hospital stay is different fromlife at home, for your safety, we ask you to keep the bed rails up. Additionally,
there is an electric remote control for the bed to raise, changing your upper body
into a reclining position or to sit up. Please be careful not to get body parts orobjects caught between the bed rails when adjusting.
◆ Removable bedside tables are available for your use. Be careful not to lean ontables, as there is a risk of the table moving and the possibility of injury.
◆ Please be aware that opening and closing the refrigerator door while lying in
bed may cause you to fall.
◆ Lockers are provided in certain rooms. Please refrain from standing on the bed
while using the locker, as there is a risk of falling.
◆ Patient call button:
A patient call button is located near your bedside. Please place it in a position
that is easy for you to reach so that you can call the nurse at any time.
◆ Electronic devices (televisions, radios, computer devices, etc.):
If you are in a room with other patients, please use earphones when using
electronic devices so as not to disturb others.
* Depending on the type of rooms, some televisions require prepaid TV cards.
These can be purchased from the vending machines located on the ward floors.

1

ご入院される方、手術を受けられる方へのお願い
Patients scheduled for hospitalization or surgery

During or after your surgery, medical devices may be attached to your finger tomonitor your condition. Nail polish or other factors may interfere with accurate
measurements. For proper function of monitoring equipment, any nail art, manicure(including pedicure), nail extensions, or gel nails are to be removed and nails
trimmed short and evenly.

During surgery, medical tape will be placed on your eyelids for eye protection. Whenthe tape is removed after your surgery, false eyelashes or extensions may be torn
off. There is also a risk of damage to the cornea due to falling eyelashes, which canbe dangerous to your eye health. Please do not wear false eyelashes or extensions
upon admission.
To ensure safety during examinations or surgery during hospitalization, please comethoroughly prepared before admission.

2入院中の生活について
During your hospital stay
1.

Meals
(1） Your meals will be served at ◆Breakfast 8:00 ◆Lunch 12:00 ◆Dinner 18:00
Times may vary slightly.
(2） Patients with general standard meals may select between two meal menu
options.
(3） Please inform your doctor or nurse if you have dietary allergies or certain
foods you cannot eat for religious reasons.

2. Bath / Shower(1) Bathing and showering may be restricted due to your medicalconditions.
Please consult with your attending doctor or nurse for permission.
（２） Instructions on how to use the bath or shower will be provided after
admission.
3. Environmental Services
Hospital rooms are cleaned eveyday by the housekeeping staff on weekdays.
Room cleaning services on holidays and weekdays will be limited to collecting
waste.
4. Bed Linen Change
Bed sets will be changed once a week and also when soiled.
5. Lights out time
Lights are turned off at 21:00 (20:00 in the pediatric wards).
Please check that your patient call button is easily accessible before you sleep.
Nursing rounds will be continued during nighttime hours.
◆ Please do not disturb other patients after the lights are out.
◆ Please note that J-STAT announcements in the hospital for emergencies will
alert at nighttime even after lights out.
◆ When staying in rooms with multiple patients, suctioning and other medical
procedures may be performed depending on patients’ medical needs. Thankyou for your understanding.
6. Laundry◆ Coin laundry machines (fee required) are available in the hospital.
◆ A laundry service (fee required) is also available. Your laundry will bedelivered back to you in about 5 days. Please have your name written on all
your belongings.

3

7. Temporary leave from hospital (daytime or overnight)
You will need your attending doctor’s permission for a temporary leave orovernight leave from the hospital. Before you leave, you will receive a“permission form”. Please keep the form with you throughout your absence andreturn it to the nurse in your ward when you come back to the hospital.
8. Family members accompanying patients (overnight stay)
In general, family members accompanying the patient in ward rooms and othermedical care locations is not allowed. However, if you require family members
accompaniment due to medical conditions, permission from the attending doctor
is required. Please consult with the patient’s attending doctor or nurse for
permission.
9. Transferring rooms (Changing room types)
Please be advised that patients may be asked to change rooms for medical
reasons. Conversely, if you wish to be transferred to a different room, please
consult with the ward nurse.
10. Ward / Patient room facilities◆ Television- Please use earphones when staying in multi-patient rooms.
- In rooms where a television fee is required; a TV prepaid card will need tobe purchased from vending machine located on the wards.
Refunds can be made using the deposit refund vending machine locatednext to the “sky elevator” (light blue) on the 1st floor of Building No. 1 andat the entrance of the Inpatient Cashier Counter on the 1st floor of Building
B.
◆ Electrical appliances
In general, we ask you not to bring in any electrical appliances. For use ofelectrical appliances, please consult your ward nurse.
◆ Internet accessWi-fi connection is available. We ask patients to set up/reset your own
devices for Wi-fi connection.
◆ Telephone calls made from private rooms
Please refrain from using toll free ・ fixed rate services by telephonecompanies. High billing charges can occur due to the malfunction of charging
systems for telephone calls.
(ex. IP call (numbers starting with 050), GoGo card (0800 080 0055))◆ Use of equipped refrigerator- A compact refrigerator for cold storage is provided in patient rooms.
- Please consume food or beverage as soon as possible once opened. Openbeverages should be consumed within a day or two.
- Please refrain from bringing perishable food items such as fruits or raw
foods.
4◆ Temperatures checks inside the refrigerators are performed once a week forhygiene and safety management. Thank you for your understanding.

診療に関してRegarding medical care

1.

Consultation
Your attending doctor will explain your treatment method and protocol for yourhospitalization. Please do not hesitate to ask if you have any questions or inform
us of any suggestions.
Your attending doctor (or a designated substitute doctor in case of yourattending’s absence) will meet you daily for doctor’s round visits. If you do not
feel physically well or would like to discuss any problems that you are having attimes other than during rounds, please feel free to let your nurse know anytime,so that a consultation with your doctor can be arranged.

2. Measurement of vital signs
In general, body temperature is measured once a day. Your heart rate (pulse)and blood pressure will be measured as needed. It is important that you know
your health conditions and results will be informed to you. Body weight will bemeasured on the day of admission and once a week thereafter. If necessary fortreatment, body weight will be measured as needed accordingly.
3. Medication
If you were taking your medications by yourself before hospitalization, ournurses and pharmacists will explain the effects and side-effects of your
medication, and how to continue taking them during your stay. Please let our
staff know if you forgot to take your medication or have misplaced them.
4. Discharge
In order to accommodate emergency patients, non-critical inpatients who are
medically stable may be asked to transfer to another medical institutions. We
also ask to have discharges completed during morning hours. Thank you for yourunderstanding and cooperation. Our multidisciplinary medical team will support
you for early discharge. Please feel free to contact our staff for queries.
5. Other
Our staff do not accept tips or monetary gifts. We appreciate your kindunderstanding and your thoughtfulness.

5

患者さんの安全について
Regarding Patient Safety
1.

Patient Identification -wearing wristbandsTo prevent patient misidentification, we require all patients admitted to our
hospital to wear their wristband at all times. Please wear your wristband in away so that our staff can read your name (facing our staff). Your wristband will
be used to verify your identity in various settings such as consultations,
examinations, when administering medication, and when providing medical
documents. When performing IVs and blood transfusions during the night,
patient identification will be performed. Thank you for your understanding andcooperation.
Please let us know if your wristband becomes soiled
so that we can provide a new one for you.

2. Preventing tumbles and falls
The hospital endeavors to maintain a safe environment that prevents falls andaccidents for all our patients. Nurses in the ward will evaluate you regarding
your risk of falling on admission to the hospital. In addition , devices such as bed
rails and bed alarm sensors (an alarm that alerts staff if the patient leaves thebed) will be used depending on the level of risk. Please be advised that patientswith a high risk of falling will be asked to wear a red or yellow wristband in orderfor us to better identify and support your safety. Thank you for your cooperation.
Spending prolonged time in bed while hospitalized can substantially decrease
muscle strength. Simple exercises are recommended to prevent this (pleaserefer to the fall prevention exercises on page 10).
We would also like family members to let us know if there are any safety issues
noticed in the patient’s daily life. We will consult with you to decide what
preventive measures will be best for you.

もし、転んでしまったら......
If you fall......

Precautions to take after falls
Tumbles and falls can happen to anyone at anytime, anywhere, not just in thehospital. In the event of a fall, prompt medical care, and sometimes treatment, isnecessary to avoid serious damage. If you’ve fallen, please be sure to inform yourdoctor or nurse as soon as possible, even if you have only a minor bump on the headand don’t feel like you need care.
Various changes can occur in the brain and body especially when falling from a bed
and bumping your head or body; in some cases, falls can result in brain hemorrhages6

(bleeding in the head) or fractures (broken bones) in limbs. Even if you seem to befine immediately after the fall, symptoms can take a few days to appear.
Therefore, please be sure to inform your doctor or nurse if you have any of thefollowing symptoms.
◆ Progressive (worsening) headache◆ Nausea or vomiting◆ Abnormal vision◆ Stiffness (difficulty moving arms and legs), swelling, numbness, or weakness(dropping things)

Precautions to prevent falls◆ We recommend you wear comfortable shoes that you are used to wearing at
home.
◆ It is safer to choose shoes that cover your heels and those that are made of nonslip material. (Please be warned that slippers are dangerous as they can beslippery and can easily come off.)◆ Please bring eyeglasses, hearing aid, walking canes, etc. that you normally use
on a daily basis.
◆ Hems of your sleepwear (nightgown or pajamas) should be the length thatproperly suits your height.
◆ When getting out of bed, first sit at the bedside and then take your time to put
on your shoes.
◆ It is dangerous to lean or hold on to objects that move (ex. rolling bedside table,
IV stand).
◆ Please do not stand on the bed while using your locker.
◆ When you are walking and want to change directions, slow down to make yourturn.
◆ Bathroom floors can be wet and slippery so please hold on to the handrails toprevent slipping.
◆ Exercise to prevent muscle weakness.
◆ For small children, bed rails on children’s bed should be in proper position at all
times.
◆ For infants and toddlers, always fasten seatbelt of baby strollers.

7褥瘡（じょくそう）予防について
Prevention of bedsores (pressure ulcers)
Pressure ulcers are commonly known as bedsores. They can occur when body parts,
such as heels, buttocks, back, and protruding bones, directly contact to bed, causing
compression that lead to poor blood circulation and breakdown of tissue. They canalso occur when a person stays in the same position for an extended period of time,such as on prolonged bedrest or when unable to move a body part. As such,
periodical changes in body position and shifting of mattresses are performed.
Depending on the patient’s condition, preventing pressure ulcers can be difficult.
In such cases, our pressure ulcer prevention team will collaborate with yourattending doctor and nurses to prevent and treat the condition.

点滴治療時の注意について
Precautions for patients receiving IV fluid infusion
Despite the utmost precaution to patients receiving IV medications, leaks of infused
IV fluid from the vein into surrounding tissue can occur due to many reasons, suchas brittle blood vessels, shifting or displacement of the needle during movement in
bed or walking , or multiple injections into the same area. In some situations,
treatment may be necessary.
The nurses will continuously observe your infusion, but if you notice any of thesymptoms below, please inform a nurse immediately.
◆ Swelling around the IV needle insertion site
◆ Pain around the IV needle insertion site
◆ Redness around the IV needle insertion site
◆ If the drip rate of IV fluid slows, quickens, or stops
For safe infusion◆ When leaving the ward, please inform your nurse.
◆ Avoid vigorous movement or applying force to the arm with the IV.
◆ If you notice the drip rate of IV fluid is slower, faster, or stops, please call thenurse. Never try to adjust the infusion on your own.
◆ Please be sure to inform the nurse when you want to get out of bed while using
a flow control device/ infusion pump .
◆ We ask for your cooperation while nurses check the needle insertion site anddrip rate.
◆ If you wish to change your clothes, please inform the nurse. Nurses will help
you get changed without accidentally disconnecting a tangled tube or changing
your drip rate .
8

肺血栓塞栓症予防のために
Prevention of Pulmonary Embolism

Pulmonary embolism (PE) is commonly known as “Economy Class Syndrome,” as it
tends to occur when sitting immobile, such as in a plane, for long periods of time.
PEs can also occur when you stand and walk, or while in the bathroom, for the firsttime after surgery.
Blood-thinning medications, Flowtron intermittent pneumatic compression devices(a machine that hugs the lower limbs while expanding and contracting by pressure),
or compression stockings may be used for prevention. If the compression stocking
is too tight or painful, please inform the nurse immediately. We also recommend you
to actively do dorsal feet flexion exercises by bending and stretching yourankle/feet.

Prevention is important for Pulmonary Embolism!

The key to prevention is to move your leg muscles.

Toes downToes up

Up and down

Ankle Plantar Flexion Exercise

Compression stockings

Flowtron (for thighs and calves)

Flowtron (for feet)9転倒予防体操
Exercieses to prevent falls

Lying Knee Bend and Stretch

Side-lying leg raise(10 times each)(10 times each)

Raise your leg pointing feet and toes up
and straightening the knee. Lower down
slowly.

Keep your knees straight and lift theheel. Lower down slowly.

Lying Bottom lifts (20 times)

Overhead reach for side stretch(10 times each)

Keep your back on the floor andlift your bottom.
Count to 5 and slowly lower down.

Raise one arm as far out as possible andlean to the other side while keeping
your chest facing forward.

Torso twist (10 times each)

Toe/Feet lift (10 times each)

Twist your torso at the waist whilerotating your chest.

Slowly with wide movement.

Let’s try, without overdoing it!

10

感染対策へのご協力のご案内
Infection control measures
Many patients in hospital have a decreased resistance to infections. Our hospital
staff are taking countermeasures in all areas to prevent healthcare-associatedinfections. Many of the hospital staff will be seen wearing personal protective
equipment (glove, mask, apron, gown, etc.) when in contact with patients. This is
one of the control measures to protect patients from infection. Our wearing gloves
after hand hygiene prevents the transmission of microorganisms to patients.
However, infections cannot be prevented by hospital staff’s countermeasures alone.
It is of utmost importance to receive the cooperation of all patients and visitors.
Pathogenic microorganisms are invisible to the naked eye and hard to detect.
Therefore, we thank you for your understanding and cooperation in preventing
microorganism invasion into our hospital.

Please refrain from visiting if you have the following symptoms
To protect inpatients, visitors with any of the following symptoms will not be
permitted.
● Fever (above 38℃)
● Diarrhea● Runny nose

● Red eyes

● Fatigue● Cough● Nausea/vomiting● Children under 15

Hand Hygiene
There are two methods of hand hygiene.
◆ Handwashing with soap and running water◆ Rubbing hands with disinfectant formulas (liquid, jel)
While you are at the hospital, please select one of the above methods andperform good hand hygiene frequently.
Hand hygiene should be performed before entering rooms, before leavingrooms, before eating, and after using the restroom.

Restrictions of patients and visitors with symptoms
Viral diseases that cause cold symptoms such as cough, runny nose and fever,as well as tuberculosis, measles, and varicella (chickenpox), can easily betransmitted to patients.
- Cough Etiquette ◆ Wear a mask if you have a cough.
◆ When coughing, cover your nose and mouth with a tissue and cough in a
direction away from other people.
◆ Please perform hand hygiene after coughing up sputum (phlegm) or blowing
your nose.
◆ For visitors, please refrain visitations if you have any symptoms.
11◼

Regarding hospital environment

Maintaining a clean environment is essential in a hospital where microorganisms,
including resistant bacteria, are more likely to exist.
- Please minimize the number of belongings you bring with you.
- Keep your belongings on tables or chairs, or inside the locker; do not placethem on the floor.

◼

Regarding bringing in plants- Please refrain from bringing potted plants into the hospital.
The soil of potted plants can contain fungi (molds)
that can be harmful to patients having low immune resistance.
- Fresh flowers can be brought into general wards, but please be informed thatthe following areas are restricted:
Intensive care units (ICU), hematology wards,
and rooms of isolation patients who have low resistance- For infection prevention purposes, hospital staff will not take care of fresh
flowers, so if you choose to bring them, please arrange for a family member orvisitor to take care of them.
- Water in flower vases should be changed daily.
- Dispose of flowers as soon as they are wilted.

◼

Regarding transferring rooms- We may ask you to transfer rooms to prevent the spread of infection.
- You may be asked to wear personal protection equipment (glove, mask, apron,gown, etc.) when entering rooms. Please follow the hospital staff’s
instructions.
- Always perform hand hygiene whenever entering or leaving the rooms.

◼

Regarding needlestick injury, cuts wounds, and mucosal exposure- As a precautionary measure, we may need to collect blood samples from apatient to test for infectious disease if a medical staff member accidentallypunctures their skin with a needle that contains a patient’s blood. Testing will
be performed after providing the necessary explanations and obtaining
informed consent. Incurred medical expenses for this testing will be covered
entirely by the hospital.

◼

Regarding use of the bidet toilet (warm water washing toilet seat)- Please turn off the water spray when defecating. Using the water spray while
defecating can cause feces to scatter, contaminating the toilet seat and nozzleof the spray. Please comply to prevent the next user from using thecontaminated water spray.
- Please wash your hands well after using the toilet. Although unseen by naked
eyes, research (in a condition of using 6 layers of bathroom tissues) has foundthat there are 10,000 to 100,000 bacteria on the hand after wiping.

12当院における院内感染予防策のご案内
Infection control measures at our hospital
We are committed to protecting all patients and visitors from hospital-acquired
infections. In particular, we take the utmost protective precautions against
antibiotic-resistant bacteria* such as methicillin-resistant staphylococcus aureus(MRSA), vancomycin-resistant enterococci (VRE), and carbapenem-resistantenterobacteriaceae (CRE).
To provide appropriate treatment and protective measures, patients who have a
medical history of antibiotic-resistant bacteria may be examined for their bacterial
carrier state during outpatient consultation or at re-admission. Althoughprocedures may vary depending on the bacterial strain, specimens may becollected from a specific area or wound (with a cotton swab), or sputum collected
for a bacterial culture test. It will take about 3 operational days to determine thetest results. Until the test result is confirmed, the medical staff will assume thatthe patient is a carrier and medical care will be conducted with the necessary
precautions. Specifically, medical staff will perform handwashing before and after
contact with patients, and appropriate examination sequence depending on
patients’medical needs will be given consideration.
Moreover, in accordance with hospital regulations, patients positive or suspected
to be positive for carrying specific bacteria may be asked to stay in private rooms
until test results confirm that you are no longer a carrier. We thank you for yourunderstanding.
If you have any inquiries, please contact the Infection Control Unit through yourattending doctor or nurse.
*Antibiotic-resistant bacteria: bacteria that resist the effects of certain antibiotics
which were once able to be used.

13

個人情報の保護について
Protection of personal information◆ Use of Personal Information
Juntendo University Hospital may use patient’s personal information for the
purposes stated below.
Please be assured that when your personal information is required for any
other purposes, we will obtain your consent.
◆ Disclosure, correction, and discontinuance of personal information
Juntendo University Hospital discloses, corrects, and/or discontinues the use ofpatient’s personal information in accordance with the provisions of the “Act on
the Protection of Personal Information”.

◼

Purpose of using personal information at Juntendo University HospitalMedical provision
1.

Providing medical care services

2. Cooperation with other medical institutions (hospitals and clinics)
3. Responding to referrals from other medical institutions
4. Requesting opinions or advice for medical care from doctors of otherinstitutions
5. Consignment of medical laboratory testing services and other outsourced
services
6. Informing medical conditions to designated persons such as family
members
7. Other purposes pertaining to the provision of medical care for patients

Medical insurance related administrative work
1.

Administrative procedures or consignment of insurance related work for
medical care, long-term care, industrial accident compensation, andpublicly funded health care of our hospital

2. Submission of copies of receipts to patients along with medical
remuneration points to the insurance payment organizations
3. Responding to inquiries from insurance payment organization or insurer
4. Submission of copies of receipts to patients along with medical
remuneration points to insurance payment organization or responding toinquiries of government agencies pertaining to publicly funded medical
health care14

5. Other purposes of medical insurance administration or consignment of
medical care, long-term care, industrial accident compensation, andpublicly funded health careAdministrative management
1.

Patient payments, accounting

2. Reporting medical accidents
3. Improving patient medical care services
4. Ward management for hospitalization
5. Others pertaining to hospital administrative management tasks



Notification of company-commissioned health examination results tocompaniesConsultations and notifications to medical professional organizations or
insurance companies in relation to medical professional liability insurance

Basic documents for maintaining and improving medical care and long-termcare services

Cooperation with in-hospital medical training practices

Clinical research aimed to improve the quality of medical service

Provision of information to external audit agencies

Provision of information under the Pharmaceutical Affairs Law and Cancer
Control Act

If you do not wish to consent to the above provisions of personal information toother medical institutions, please notify the Medical Service Support Center.
If we do not receive any notification for disapproval, your personal information
will be managed per intended uses as listed above. You may change or withdraw
your consent at any time.

15

Juntendo University Hospital
順天堂大学医学部附属順天堂医院〒113-8431 東京都文京区本郷3－１−3
TEL (03)3813-3111（大代表）
http://www.juntendo.ac.jp/hospital/ihc/

International patients without Japanese public health insurance,
please contact International Healthcare Department through your medical coordinator.