׉?4ׁB!בCט  (u׉׉	 7cassandra://ieQtgy0a5aBSmNMBxsbZsmGMlVvBJDJS2dKuxIj0pCg `׉	 7cassandra://qoVzUpxruFyZ9ZAfXF2yAbqry62_f2qHFi0-wjwu2cE5E`s׉	 7cassandra://Pcyo336iGBiQAQQp0SAtDfSaP0yXiZgCuLZ_Oa1Hhk4` ׉	 7cassandra://CBT2wq7ms5Y2z7PSpt-FHRO20-ev-9oqo1ZnfjV0k6E ͠]_w@dp\ט   (u׈   .|  ׈E_w@dp[׉E 'Siouxland Medical Center
Patient Guide
׉	 7cassandra://Pcyo336iGBiQAQQp0SAtDfSaP0yXiZgCuLZ_Oa1Hhk4` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://7yBtROfq_33_MP168voL366efn0S6lXcu88qW0EZRVM ` ׉	 7cassandra://bhF1-YCDo0bGiqnhdUc6ATbZVRGoPT4xKCWln3U8XpI\u`s׉	 7cassandra://H28opb7vOi2ImmfdLzCkP6hMdOcpLjV3KkiBFa-l_r8w` ׉	 7cassandra://Z12slPM9P9CMaRXVux3JXbkbvppOYhgPlSU0j-B3nZ8d ͠]_w@dp\ט  (u׉׉	 7cassandra://pVVb_KzQO2yTucl8ZYb2gKCCedMT84DUh_CNn3seYbI ` ׉	 7cassandra://jSrF4VkVoA5alRNs9RAAvVbUpdwNRlhv6CH9zFtT24Y\`s׉	 7cassandra://jU7c7hiRpptoG73s7_hjcsPJeWwwbeedAVM7_7tiMIc8` ׉	 7cassandra://1ni6Pa-E3n02WN_T4qzcCdpEVRyulyaPFyOnNgd3RQ4 ͠]_w@dp\׉EGMission, Vision and Values
Our Mission
SERVICE EXCELLENCE
MercyOne serves with fidelity to Gospel as a
compassionate, healing ministry of Jesus Christ to
transform the health of our communities.
Our Vision
MercyOne will set the standard for a personalized and
radically convenient system of health services.
Our Values
Integrity. We are faithful to who we say we are.
Commitment to the Poor. We stand with and
serve those who are poor, especially the most
vulnerable.
Compassion. Solidarity with one another, capacity
to enter into another’s joy and sorrow.
Excellence. Preeminent performance, becoming the
benchmark, putting forth our personal and professional
best.
Justice. We foster right relationships to promote the
common good, including sustainability of the earth.
Stewardship. We honor our heritage and hold
ourselves accountable for the human, financial and
natural resources entrusted to our care.
Reverence. We honor the sacredness and dignity of
every person.
Please share any concerns regarding your care by
talking with a nurse manager.
Additionally, you may receive a survey in the mail
shortly after your stay. We value your responses and
your feedback. Our goal is for you to experience
excellence in your care and the way we care for you as
a person.
Our goal is for you to
experience excellent,
individualized and
personal care.
At MercyOne, service excellence means taking the time
to understand your needs, treating you with respect and
compassion, helping you understand what’s happening
and why, and going the extra mile to exceed your
expectations.
You can expect us to:
⬤ Protect your privacy and the confidentiality of your
health information.
⬤ Maintain clean and safe surroundings.
⬤ Respond promptly to your health care needs.
⬤ Treat you with courtesy, friendliness and respect.
⬤ Provide safe and high-quality care.
׉	 7cassandra://H28opb7vOi2ImmfdLzCkP6hMdOcpLjV3KkiBFa-l_r8w` _w@dp[׉EPatient Guide
1
Welcome to
MercyOne
Siouxland
Welcome and thank you for trusting MercyOne
Siouxland for all your health care needs. Our
compassionate health care providers are
dedicated to caring for you during and after
your stay. This guide provides information or
answers to your questions. Our goal is to
support, educate and empower you as an
active participant in your care. Please ask
questions and let us know how we can help you.
Thank you again for choosing MercyOne.
TABLE OF CONTENTS
Your Care Team .................................................................... 2
Your Safety .............................................................................. 3
Stop the Spread of Infection ............................................. 5
Pain and Comfort Management .....................................6
What Observation Status Means .....................................8
Staying Connected ...............................................................8
Patient Accommodations ...................................................9
For Your Loved Ones ...........................................................10
Your Personal Privacy and Security ................................11
Other Services ......................................................................12
TV Channel Guide ................................................................19
Campus Map .......................................................................20
QUICK REFERENCE PHONE NUMBERS:
Home Medical Equipment
712-233-5151
Billing/Insurance /Medicare Questions
712-279-2446
Financial Counseling/Assistance
712-279-2323
Patient Financial Services regarding your bill
866-494-3001
׉	 7cassandra://jU7c7hiRpptoG73s7_hjcsPJeWwwbeedAVM7_7tiMIc8` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://ZxxUNZegOYLp2gzFdKdW8tO6WBdZxEEu1aJZdlMp_J0 C` ׉	 7cassandra://6-YmYQ09M-E8GJOjaWkc5RrRkUl-nwvzZGkS-AiTxTcv`s׉	 7cassandra://3Ru5I3yPVR5QGTcDoFXTD5L9J7p8QVl1A7v9ONnn6DwT` ׉	 7cassandra://aP5N-yqOJjTJMsAB9KwfJKYQ_btXzi-C5Hx-bMxv-uU4'͠]_w@dp\
ט  (u׉׉	 7cassandra://7GnzMB23uCvfk_KamYVQH7q9rim625dgOxF2zMm5fXk ` ׉	 7cassandra://rVYscGKMp2jAaEAyoVhJS1TXVxyu-nN7TAH1WvChL5shT`s׉	 7cassandra://BL4POHT_fh9ZSOcXe1Y_GLHYPjL1yxp7npngP8hYmMk` ׉	 7cassandra://sXq1Iz11ValJLEhAE4hl9jWM9xMk-TnvgZGxiCwuoVc ͠]_w@dp\׉E	2
Patient Guide
Your Care Team
MercyOne is devoted to keeping you wellinformed
so you can be an active and engaged
member of your health care team. If you do not
understand something about your care or a
procedure, ask your caregiver to explain it
before giving consent. We also recommend
inviting a trusted family member or friend to be
with you, to ask questions and to take notes
while talking with your health care provider.
Providers
Health care providers may include physician
assistants, nurse practitioners:
⬤ Your attending physician–supervises your
treatment
⬤ Hospitalists–physicians who make rounds
at the hospital in place of your personal
physician
⬤ Residents–those who have received their
medical degrees and are now specializing
in a selected field of medicine
Nurses
Nurses are a critical link between you and
other members of your health care team,
and help communicate your needs, explain
important treatment information, plan and
evaluate your care and administer
medications and IV placements.
⬤ Hourly nurse rounding
Completed by staff on the unit to ensure that we have
the patient needs met in a timely fashion. This includes
your primary nurse as well as nursing assistants and
therapy staff.
⬤ Nurse leader rounding
Leaders will round each patient room as well as our
regular staff. Nurse leaders are available Monday
through Friday and attempt to get to every room every
day. This is a great opportunity for you as the patient to
acknowledge great care received and to get any
questions or issues addressed as soon as possible.
Patient Care Assistants/Technicians
Under the supervision of providers and
nurses, Patient Care Assistants/Technicians
help make sure you are comfortable and
safe during your stay.
Patient and Family Care
MercyOne offers social workers and case
managers who are dedicated to helping you
and your family cope with the ongoing
social, emotional and financial issues you
may face during your stay.
Pharmacists
A pharmacist will review your medication
orders and work with your providers and
nurses to ensure you are given safe and
accurate medication.
Interpreter
An interpreter is available 24 hours a day.
This may be through face-to-face,
telephonic and/or video remote methods of
communication. Patients and families have a
right to be communicated with in a
language they can understand. Please
request these services through your nurse or
care provider. We also have access to
hearing amplifiers, magnifiers and a
computer with sign language options for our
hearing impaired.
׉	 7cassandra://3Ru5I3yPVR5QGTcDoFXTD5L9J7p8QVl1A7v9ONnn6DwT` _w@dp[׉EPatient Guide
3
Your Safety
Other Health Care Professionals
Other members of your health care
team may include rehabilitation
services, food and nutrition services,
lab personnel, environmental services
technicians, chaplains and more.
UNIFORM COLOR CODE:
⬤ Navy: Registered Nurse
⬤ Light Blue: Nursing Assistant
⬤ Maroon/Gray: Housekeeping
⬤ Black: Respiratory
⬤ Red: Lab (white lab coat)
⬤ Green: Surgery and Obstetrics
⬤ Teal: Pharmacy
⬤ Olive green: Physical Therapy
⬤ Royal Blue/Black: Dietary
⬤ Brown: Unit Secretaries
⬤ Gray: Heart and Vascular Center
Your safety is our top priority. We invite you
to be an active member of your health care
team, working with us to keep you safe
during your stay.
Contacting Your Nursing Team
Our team is devoted to anticipating and
responding to your needs as quickly as
possible. Contact your nursing team by using
your call light located at your bedside.
Patient Identification
Before providing care, such as giving
medications or performing a test, your
health care team will confirm your name
and date of birth to be sure you receive the
care that has been personalized to meet
your needs. We encourage your active
participation in maintaining your safety.
Medication Safety
⬤ Inform your provider and nurse of all
medications you are taking, including
over-the-counter vitamins and herbs.
⬤ If you have brought medications from
home, please tell your nurse immediately
and do not take any medication without
approval from your health care provider.
⬤ If you do not recognize a medication, ask
your nurse or health care provider for
more information about the medication
and its purpose.
׉	 7cassandra://BL4POHT_fh9ZSOcXe1Y_GLHYPjL1yxp7npngP8hYmMk` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://hfr94dVaW526w6JcJjrDY4k1fXtvRlEdjA3Y84xjPKs :` ׉	 7cassandra://_6i56smEOnMVlw6DymKXCXPXqoyufekSD5TVaAz_qqol`s׉	 7cassandra://iqQc10n7xCDFMWt8EZmLRMbqN10pBK6d84jj7GmzZiA` ׉	 7cassandra://YubhwKXnDSqZVRhDpuirvn8R4E2pJgNHzk7iIDxR0_M4"͠]_w@dp\ט  (u׉׉	 7cassandra://8kAHgZTuwtVXAn_gmf_7YHv0lKXmSC8LJmblWZ_UnXw ` ׉	 7cassandra://Rgl8AjTaIyr-39JEcqdKIX1SF1xuEQG--hNVxJv1Ewck8`s׉	 7cassandra://AF9rMXUbTQPEoOTinbSE_k0re2sffUAMQ5VDqLNKdJ0]` ׉	 7cassandra://oN4QplX2vgitNN9YD4YYvqbBzenTwTLo-O9-jGZQti0l ͠]_w@dp\׉E4
Patient Guide
Your Safety
Fall Safety
When ill or weak, you may feel dizzy or
confused which increases your risk of falling.
Use these safety tips:
⬤ Make sure your call light and things you
need are within reach.
⬤ Ask your nurse or health care provider
which activities are safe for you to do on
your own.
⬤ Ask for help to get in and out of bed.
⬤ Wear slippers, slip-resistant socks or shoes.
⬤ Use the toilet often to avoid needing to
hurry.
⬤ Use walking aids (canes, walkers and
wheelchairs) as instructed.
⬤ Wear your eyeglasses, contacts or hearing
aids.
⬤ Notify your nursing team if you see a spill
or slippery area on the floor.
We will:
⬤ Make hourly rounds
⬤ Keep room free of clutter
⬤ Make sure your room is adequately lit
⬤ Keep your bed in low and locked position
⬤ Video/bed/chair alarm as needed
We need you to:
⬤ Tell us if you have fallen recently
⬤ Tell us all the medications you take
⬤ Participate with physical therapy
⬤ Call for assistance to get out of bed/chair
Pressure Ulcers Prevention
Ulcers occur when pressure on skin cuts off
blood supply. Usually when person lies or sits
in one position for too long. Most often on
the heels, buttocks, back and head.
Prevention:
⬤ Change position with help every 2 hours
⬤ Elevate heels off the mattress
⬤ Special mattress if appropriate
⬤ Keep skin clean, dry, moisturized
⬤ If incontinent– use barrier cream
⬤ Eat a healthy diet, visit with a MercyOne
dietitian for ideas to help your appetite
⬤ If you smoke, quit.
DVT (Blood Clot) Prevention
⬤ Work with physical therapy as ordered
⬤ Use incentive spirometer
⬤ Walk frequently if possible
⬤ Wear your SCDs pumps/ted hose if
ordered
⬤ Do leg exercises in bed/chair
⬤ Take medications as ordered for
prevention
⬤ Don’t smoke
Keeping You Safe
It is important for your care team to know
where you are at all times. For your safety,
please remain on the unit where you are
staying. Should you need to leave the unit,
please contact a member of your health
care team. We’re happy to help!
׉	 7cassandra://iqQc10n7xCDFMWt8EZmLRMbqN10pBK6d84jj7GmzZiA` _w@dp[׉EPatient Guide
5
Stop the Spread of Infection
During your stay at MercyOne, you can help
stop the spread of germs and infections by
following these tips:
⬤ Cover your mouth and nose with a tissue
when coughing or sneezing. Discard the
tissue in the trash and clean your hands
thoroughly. If no tissue is available, please
cough or sneeze into your sleeve.
⬤ Wash your hands frequently using hand
sanitizer or soap and water.
— When using hand sanitizer, rub the
sanitizer over all surfaces of your
hands until they are completely dry.
— When washing with soap and water,
scrub your hands and wrists for at
least 15 seconds before rinsing and
use a paper towel to turn off the
faucet.
⬤ Be empowered to ask your caregivers if
they have cleaned their hands before
coming into contact with you.
⬤ If family members or friends have
symptoms of an illness or if they have
been around someone with an illness, ask
them to wait until they are healthy before
visiting you in the hospital.
⬤ If you are in “isolation” because of an
infectious disease, you and your loved
ones should follow all precautions to
prevent spreading the illness to others.
— Everyone should clean their hands
before leaving your room
— Foam in/foam out with hand sanitizer
— Signs will be posted on the door to let
visitors and staff to follow precautions
— Remind everyone, including visitors to
clean their hands before leaving your
room.
׉	 7cassandra://AF9rMXUbTQPEoOTinbSE_k0re2sffUAMQ5VDqLNKdJ0]` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://-_b0gqQRivzg26Il0lN0EW3SkyPn2TSqcXv4KMntT1I _` ׉	 7cassandra://3ivE9vl-8reD7wizgOyNXXO5ij8CMFl5E34ckLGnkLwo`s׉	 7cassandra://JihkjcPiMvsQzwcNcG4tLGAa1SMMwCx9_kpkni_QD0I` ׉	 7cassandra://h8dqjHSjbNPqPPnidufkfY9F1FjSMuhGbStgdbyWc8wK[P͠]_w@dp\ט  (u׉׉	 7cassandra://BIR-fAKauqZqP81jAW1gmOS5NKXc2qbEmgaIkXN0WNA ` ׉	 7cassandra://G_G-whLJW8Z_GUzrVioZZqzex2aMA1r1P6Lu-KKPWP8Z?`s׉	 7cassandra://UrR4wav2uLw_gu956OSJz_5Jc4cDvB72kqzw0UvZOoo` ׉	 7cassandra://5pD_5cBvSnDzqQe1B1PfwlObk7Iukn8TPOsYA6zAMrw.͠]_w@dp\׉E6
Patient Guide
Pain and Comfort Management
Your MercyOne team is dedicated to
providing a comfortable environment during
your stay. Managing pain is an important
piece to maintaining your comfort. You will
be asked frequently to rate your pain.
However, some pain and discomfort can be
expected with certain procedures. Talk with
your provider to know what to expect.
Pain Rating Explanation
10
9
8
7
6
5
4
3
2
1
0
SEVERE:
7-10
UNBEARABLE
MODERATE:
4-6
MISERABLE
MILD:
1-3
ANNOYING
NO PAIN: 0
Types of Pain Control
There are many types of pain medication
and different ways to give them. You may
have one type of medication or a
combination of medications to best control
your pain.
It is very important to tell your nurse if your
medicine is not working. Sometimes the
medicine needs to be changed to give you
better pain control.
Patient Controlled Analgesia (PCA)
PCA allows you to push a button and get
your pain medicine through your IV. The
medicine works within minutes and can
control even severe pain. One safety feature
of the pump is that only a certain amount of
medicine can be given.
Once you are able to eat and drink, you may
be started on pain pills. Usually your PCA will
be stopped 30 minutes after your first dose
of pain pills to ensure uninterrupted pain
control.
Family and friends should not push the pain
button for the patient, as this may give more
medication than needed and can result in
problems with breathing. Only the patient
should push the pain button.
׉	 7cassandra://JihkjcPiMvsQzwcNcG4tLGAa1SMMwCx9_kpkni_QD0I` _w@dp[׉EPatient Guide
7
Pain Pills
You may be taking medication by mouth to
control your pain. Pain pills take about 45
minutes to start working. They will work best if
taken prior to activity that may increase pain.
If possible, always take pain pills with food.
Intravenous
You may be given pain medication directly
into your IV. This type of pain relief works
within minutes and can control even severe
pain.
Epidural
An epidural allows pain medication to be
given through a tiny tube in your back. Pain
medication given through an epidural can
be given continuously or as necessary. With
an epidural, you will still be able to lie on
your back. An epidural is usually used for
one to three days. When your epidural is
discontinued you will be started on pain pills,
or another type of medication to control your
pain.
MercyOne is dedicated to maintaining your
comfort, and has several options to meet
your personal needs:
⬤ Frequent position changes
⬤ Supportive devices, such as pillows
⬤ Gentle exercise such as range of motion
⬤ Massage
⬤ Heat or cold applications
⬤ Dimming lights
⬤ Soft music
⬤ Meditation
⬤ Pain medications–may come in a pill, or
may be given through an IV or epidural
Be sure to let your nurse or health care
provider know if you experience constipation,
nausea or drowsiness as these are common
side effects of pain medication. Your health
care team will work with you to manage
these side effects and improve your comfort.
Tobacco/Nicotine Free Facility
All MercyOne facilities are tobacco/nicotine
free. Now is a good time to quit, and we’re
happy to recommend resources to help you
be successful.
Talk with provider about getting a nicotine
patch or gum during your stay if appropriate.
׉	 7cassandra://UrR4wav2uLw_gu956OSJz_5Jc4cDvB72kqzw0UvZOoo` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://0RC2RldLCjqhINTiRKwmlkXByPw_4Qer00p3jD0C8gs X9` ׉	 7cassandra://6JHHmKCOXEsHBegVkQAuwwB49WmO3-RQO8xQajEWfW0͊` s׉	 7cassandra://-CKAON2nn2GY31dC8jhpEmM0-8sybBhbe-Xksa1bU0k` ׉	 7cassandra://5wYGnvyL1xnHfeUmwLqWkiwv3xsTq8oHrZ0i7LaROkY>͠]_w@dp\ט  (u׉׉	 7cassandra://7kFYb2VKewyN6UYbru4UzFVajrJONeTLzrj7r8VGmvw ` ׉	 7cassandra://2Aikk0fDq07pKzsfi_ZGIhPrCttoZXDgplb-xUW6J9gh`s׉	 7cassandra://WulIZKObKJ35PY4o01WURWBM9vwyzlb7h1jIoOqW1M0` ׉	 7cassandra://cS4nuoimOv-Qeq0br66KMeE-kUgXeqy2MbVd31Ur3xc:Y͠]_w@dp\׉EE8
Patient Guide
What Observation Status
Means for Your Care
If you have been placed in observation
status, it means that we will continue to
closely observe and manage your medical
condition as an outpatient for a period of
time. Your doctor will determine if you should
be discharged to home or admitted to the
hospital.
⬤ Expect to be admitted or dismissed within
24-48 hours
⬤ You will be updated on your condition and
plan of care throughout your stay
⬤ Observation services are billed by the
hour
⬤ Time spent in observation does not count
towards the skilled care benefit under
Medicare
⬤ Your Doctor determines that you are
ready for discharge, this could be anytime
day or night
⬤ If you have more questions please ask
your nurse for further assistance
Staying Connected
In-Room Telephones
For your convenience, MercyOne provides
telephones in each patient room.
⬤ To make a local call, pick up and dial 9
followed by the number you wish to reach.
⬤ To make a long distance call, dial 0 and
the facility operator will assist you.
Cellular Phones and Mobile Devices
You are welcome to use your mobile/cellular
device as needed. For your safety and for
privacy purposes, there may be some areas
where you are asked to reduce or restrict the
use of your mobile device. We thank you for
your understanding and working with us to
ensure safety and privacy for you and all
those we serve.
Wireless Network Access Guidelines
We know it is important to stay connected.
MercyOne provides free WiFi access within
our facilities. To utilize our WiFi network,
please follow these steps:
⬤ Set your network name (SSID) to Guest.
⬤ Open your web browser.
⬤ Review the MercyOne Public Internet
Access disclaimer and accept the terms
and conditions by clicking “Accept.”
⬤ Accept the security certificate that
appears by clicking “Yes.”
׉	 7cassandra://-CKAON2nn2GY31dC8jhpEmM0-8sybBhbe-Xksa1bU0k` _w@dp[׉E2Patient Guide
9
Patient Accommodations
Dining Options
Guest meals are available for an additional
fee. Some items may not be available,
based on your doctor’s instructions. If you
miss a meal because of tests or treatment,
your nurse can arrange for it to be delivered
on your return.
Our cafeteria, located on the third floor of
the south building, is available for visitors
and guests. It is open during specific hours
for meals. Snacks are available any time.
The cafeteria accepts credit cards, debit
cards and cash.
Monday—Friday:
Breakfast 6:30-10 a.m.
Lunch 11 a.m.–1:30 p.m.
Dinner 4:30-7 p.m.
Salad/Sandwich Bar and Grille 11 a.m.-close
Weekends and Holidays:
6:30 a.m.–6:30 p.m.
ATM Machine
An ATM machine is located outside the
cafeteria on the third floor of the south
building.
Spiritual Care Services
Our interdenominational staff of chaplains
offers emotional and spiritual support for
patients and their families. We respect the
beliefs and traditions of all faith communities
and welcome pastors and parish visitors as
they minister with patients. Upon request we
will assist you in contacting your spiritual
leaders and pastors. For spiritual support,
call Ext. 12024
Sacramental Ministry
The Sacrament of the Sick and Reconciliation
for Catholic patients is available on request.
Holy Communion is offered daily to Catholic
patients who choose to receive.
Patient Requests for sacraments, rituals, or
ceremonies of their personal faith may be
honored after consultation with our
chaplains.
Chapel Services
All chapel services are televised on Channel
72.
Environmental Services
Your room will be cleaned every day. If you
have any comments or concerns you may
call Ext. 12767
Your bed linens will be changed as needed.
If you would like clean linens or they need to
be changed, please talk with your nursing
staff.
׉	 7cassandra://WulIZKObKJ35PY4o01WURWBM9vwyzlb7h1jIoOqW1M0` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://AzVBortEIzJ6Z0swkmacQ-Kuc9u5rEN0SY5sGNAdVr0 R` ׉	 7cassandra://SoWnfuPHQPVOes5NSdQksrN1wRBjkPzMMXhnzL6xd2ov6`s׉	 7cassandra://uh5eeFXQPnfBxxB4EqNSvJ54YMoypR5sbwZwtURalHc` ׉	 7cassandra://11IGeAG5S_xB5CTcitxncf02R_JSzjyd8ppE5u1r0qk:I͠]_w@dp\ט  (u׉׉	 7cassandra://vTN2dPD0yKmFW1PYDx_cnewgmhX_3PK0617TgbeC2-w ` ׉	 7cassandra://eBNaBgNJWaAIRTIbmPBDacFhmWqwAg__0fxc4N8fNh0Y`s׉	 7cassandra://fbt1QVMLNCK1PgGMe1uk81GhEpgA9ldujdTIM9XwVzo` ׉	 7cassandra://f_m9j7v8t3E3HBsbvEwf7A8d8jZdR1X8hGplST-zVrEc ͠]_w@dp\׉E	&10
Patient Guide
For Your Loved Ones
MercyOne has many opportunities for your
loved ones to stay connected with you
during your stay. Family and friends may
visit you and/or send mail, emails, gifts and
non-latex (mylar) balloons.
Visiting
Suggested visiting hours are from 11 a.m. to
8:30 p.m. to allow patients to rest and
recover.
Visitors may be asked to step out of the room
at the request of physicians or staff for
treatment or personal cares.
If family members or friends have symptoms
of an illness or if they have been around
someone with an illness, ask them to wait
until they are healthy before visiting you in
the hospital.
Visitors are requested to adhere to code:
⬤ Tobacco free hospital grounds
⬤ Not be under the influence of drugs and/
or alcohol
⬤ Dress appropriately (shirt and shoes
required)
⬤ Minors should be accompanied by an
adult at all times
Anyone breaking hospital code of conduct
may be asked to leave by hospital security
staff.
Visitor Parking
Free parking is available in the hospital’s
ramp. You can enter the ramp from either
Fifth or Sixth streets, or from MercyOne
Siouxland Medical Center’s south circle
drive. Visitors can take elevators to the first
floor where there is an information desk in
the south lobby.
Valet parking is available at the Jones Street
entrance for scheduled ambulatory patients
and in the emergency department entrance
from 9 a.m.-1 a.m. for your convenience.
Handicapped parking spaces are designated
in MercyOne’s parking ramp, in the vicinity of
the emergency/trauma department (near
Sixth and Jennings streets), and near the
entrance of the MercyOne Rehabilitation
Center (near Seventh and Jones streets).
Gift Shop
The Shop Within offers a wide variety of gifts
including fresh flowers, inspirational jewelry,
angel figurines, balloons, scented candles,
boxes of chocolates and other items. Get a
sneak peak of our current items on the The
Shop Within’s Facebook page.
The gift shop is open 9 a.m.-5 p.m.
weekdays and noon-4 p.m. Saturday. We
accept Visa, Discover, American Express and
MasterCard. To place an order contact us by
calling 712-279-2165 and a staff member or
volunteer will deliver for you.
The Shop Within is a project of the
MercyOne Siouxland Auxiliary and all
proceeds are used for hospital projects that
benefit our patients and staff.
׉	 7cassandra://uh5eeFXQPnfBxxB4EqNSvJ54YMoypR5sbwZwtURalHc` _w@dp[׉EPatient Guide
11
Your Personal Privacy
and Security
Protecting Your Privacy
MercyOne is dedicated to protecting your
privacy. Personal information about a
diagnosis or treatment must come from your
health care provider and is only shared with
people you choose. You can also choose to
have your name removed from our directory
if you do not want information shared with
callers.
Personal Belongings
MercyOne has a process to collect and store
your personal items during your stay with us.
Whenever possible, please leave your
valuables at home or with a loved one as
MercyOne is not liable in the event of theft,
loss or damage to personal belongings. If an
incident occurs, please report it to your nurse
so our security team can be involved.
Fire, Tornado, Other Drills
MercyOne regularly conducts fire and
disaster drills to prepare staff for emergency
situations. Work together with your care
team by following all directions to ensure
your safety while in our facilities.
Search of Property
To ensure the safety of you and everyone in
our MercyOne facilities, we may request
your cooperation during a search for a
missing person or missing property. Before
searching you or any of your belongings, we
will ask for your permission.
׉	 7cassandra://fbt1QVMLNCK1PgGMe1uk81GhEpgA9ldujdTIM9XwVzo` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://uNTmI2vuJmK-oaFYkBPf12sKtCCZ6MH7eC-6nwvEXjk ` ׉	 7cassandra://ONiZeh9Wsl18brRAn0dl426HLrthygjUvo4i2qHa6Isi`s׉	 7cassandra://YaeTUx8-AJN6c3HbyVc3YvTYWrcKDA_uVFk4FZqAGVA` ׉	 7cassandra://an-KpkDR0ciMN4in6fA1tO6Q8uj8cKz-8C51zFMLwVc:dD͠]_w@dp\ט  (u׉׉	 7cassandra://fFEXjOxRaCn4s7W0QD9psumh9wAy9YUlVFn9SwOg94o R` ׉	 7cassandra://k_00OTEK8vP-KAPDqD4ibyJBzKXagpfTDXpKLxEeaSMm`s׉	 7cassandra://nu9tUds8u9XurqyzXkwZCQ5sa3Z8oHKFK0ClT6BKeug$` ׉	 7cassandra://1GlyQXUCHZysGW1Li_CTDZHh9ww-x1on6F7J1k4UHJU>T͠]_w@dp\נ_w@dp\# /̓9ׁHhttp://jointcommission.orgׁׁЈ׉EP12
Patient Guide
Other Services
Ethics Committee
Ethical choices are based on beliefs and
values about life, health, suffering and
death. The MercyOne Ethics Committee can
assist with conflicts in beliefs within families
or between patients/families and caregivers.
When hospitalized, we are often faced with
decisions regarding our health. Many have
a significant impact on our lives. Clergy can
provide spiritual guidance. Your medical
team can give you medical information and
advice.
You, the patient, make the final decisions
regarding your treatment. You have the
responsibility and right to decide what is
best for you. If you become unable to make
decisions your closest relative or legally
appointed person will make your medical
decisions.
Advance Directives (Durable Power of
Attorney for Health Care/Living Will)
Advance Directives (Durable Power of
Attorney for Health Care and a Living Will) are
legal documents that enable you to make
medical decisions in the event you are unable
to speak for yourself.
MercyOne chaplains are available for
education and completion of living Wills and/
or Durable Power of Attorney for Health Care.
Contact your nurse to request additional
information and consultation with a chaplain.
Ask about our 5 Wishes Booklet for end of life
planning.
Notary Public Services
MercyOne offers Notary Public Services free
of charge for current patients regarding
medical issues. Please ask your nurse or
health care provider if you need this service.
Patient Portal
MyMercy is the free and easy online way to
access your health information 24 hours a
day. You will need to provide your email
address, date of birth and answer security
questions to create the account.
mercyone.org/siouxland/patient-portal/
With the portal you can:
⬤ Get hospital test results
⬤ Access your hospital medical records
⬤ View and pay hospital bills
׉	 7cassandra://YaeTUx8-AJN6c3HbyVc3YvTYWrcKDA_uVFk4FZqAGVA` _w@dp[׉EPatient Guide
13
Patient Rights
As a patient at MercyOne, you have the right, consistent
with laws and regulations to:
⬤ Compassionate and respectful care, and to be free from
any form of abuse, neglect or harassment
⬤ Know what rules and regulations apply to you as a
patient
⬤ Have your personal privacy respected, and your
individual dignity and comfort preserved
⬤ Reasonable access to care, without regard to race, color,
creed, national origin, age, sex, sexual orientation,
diagnosis, handicap, ability to pay or source of payment,
within the capacity of the hospital
⬤ Reasonable accommodations shall be made for those
with communication impairments and those who are
Limited English Proficient persons to ensure that
meaningful access to programs and services is not
denied.
⬤ Refuse treatment to the extent permitted by law and
MercyOne’s ethical standards as specified in “The
Ethical and Religious Directives For Catholic Health Care
Services (ERDs).” and to be informed of the medical
consequences of your decision
⬤ Discuss with your physician your diagnosis and
prognosis, the treatment prescribed for you, and any
instructions required for follow-up care
⬤ Receive from your physician the information necessary
to give informed consent prior to any procedures and/or
treatment
⬤ Have clinical decisions regarding your treatment based
solely on your identified health care needs
⬤ Formulate an advance directive and appoint a durable
power of attorney. MercyOne will not honor advanced
directives in the outpatient setting.
⬤ Refuse to participate in research projects, and to full
disclosure of the procedures, risks, benefits, and
alternatives if you decide to participate
⬤ Request a consultation or second opinion from another
physician or specialist
⬤ Change physicians and/or hospitals
⬤ Reasonable continuity of care
⬤ Know the names and professional status of the
physicians, nurses and staff responsible for your care
⬤ Make decisions regarding your own health care, and to
be involved in the development and implementation of
your treatment plan, including the management of your
pain
⬤ Appropriate assessment and management of your pain
⬤ The confidentiality of all communications and records
pertaining to your care
⬤ Access the information contained in your medical record
⬤ Obtain information about any relationship the hospital
and physicians have with other institutions and
physicians insofar as your care is concerned
⬤ Examine, and receive an explanation of, your bill.
⬤ Receive visitors of your choice and right to designate a
support person to assist while in the hospital. Visitation
may be limited based on your condition and/or specific
department policies for visitation
⬤ Have your spiritual needs addressed, either by the
Spiritual Care staff or by having your pastor of faith
community contacted at your request
⬤ Reasonable safety, and to access protective services,
during your stay
⬤ Be free from physical restraint, seclusion, and drugs
used as a restraint, unless your medical condition
warrants such use and other, less restrictive interventions
have been deemed ineffective. Be free of any restraint
used as a means of coercion, discipline, convenience or
retaliation
⬤ File a grievance/complaint with hospital administration
(712-279-2010)
⬤ File a complaint with the Office of Quality Monitoring,
The Joint Commission at (800) 994-6610 or www.
jointcommission.org
⬤ Iowa Clinics and Hospital: the info on DIA; Iowa Dept. of
Inspections and Appeals, Division of Health Facilities,
Lucas State Office Building, Des Moines IA 50319; phone
(515) 281-4115
⬤ Nebraska Clinics: the info regarding Nebr DHSS;
Nebraska Division of Public Health, Licensure Unit, P.O.
Box 94986, Lincoln, NE 68509; phone (402) 471-0316
׉	 7cassandra://nu9tUds8u9XurqyzXkwZCQ5sa3Z8oHKFK0ClT6BKeug$` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://pAq0kfY8W4XhMTgaTusR6Ko79-DR4E4BRsmJYJHnAwQ 5`׉	 7cassandra://GcPDC4CN5O1ZPaZ6ElYWGQ1H1g-4ocBDPKruE3MIuUwS`s׉	 7cassandra://0GYQNIiTib5E42oIzbphJGkwYs8qFevZh6o2OWM4kVsa` ׉	 7cassandra://d-DeH585R1ludSsQCts6jHSamLcXF-QcwCQQVMGujD4 ,H͠]_w@dp\"ט  (u׉׉	 7cassandra://emXSDOXixdRKjxmF33r5S1VkuvQ0gViz96y9OqDt34I ` ׉	 7cassandra://I3WVm3x7JCI_F_IXwOPISIZThwPvkhv0irrz4dVKx40t`s׉	 7cassandra://wIuiu_3nDywPx2v2EhwDlANne4SPy12DGrIjPIeibEE` ׉	 7cassandra://5KtSVgHVQG0SeAZUlD7HeeknyvUl1smQ_Ji6gz3ShysG͠]_w@dp\$׉E14
Patient Guide
Patient Responsibilities
As a patient at MercyOne you have the responsibility
to:
⬤ Provide accurate and complete information about your
present condition, including pain status, and past
illnesses, including hospitalizations and other matters
relating to your health
⬤ Tell us whether or not you understand your diagnosis
and prognosis and your role in your treatment plan
⬤ Follow the treatment plan recommended by your health
care team. You can refuse to accept treatment or to
follow your physician’s instructions; however, you are
responsible for your decision
⬤ Tell your health care team whether or not you have an
Advance Directive and, if you do, give them a copy
⬤ Observe the rules and regulations regarding patient
care and conduct to support safe and quality care for
patients and staff
⬤ Be considerate of the rights of other patients and staff,
especially of other patients’ right to privacy and to a
peaceful environment
⬤ Ensure that the financial obligations for your care are
promptly fulfilled
׉	 7cassandra://0GYQNIiTib5E42oIzbphJGkwYs8qFevZh6o2OWM4kVsa` _w@dp[׉EPatient Guide
15
Notice of Privacy Practices
Effective Date: April 14, 2003 • Revised Date: January 17, 2018
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT
YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET
ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
MercyOne Siouxland Medical Center is required by the Health
Insurance Portability and Accountability Act of 1996, and the Health
Information Technology for Economic and Clinical Health Act (found
in Title XIII of the American Recovery and Reinvestment Act of 2009)
(collectively referred to as “HIPAA”), as amended from time to time,
to maintain the privacy of individually identifiable patient health
information (this information is “protected health information” and
is referred to herein as “PHI”). We are also required to provide
patients with a Notice of Privacy Practices regarding PHI. We will
only use or disclose your PHI as permitted or required by applicable
state law. This Notice applies to your PHI in our possession including
the medical records generated by us.
MercyOne Siouxland Medical Center understands that your health
information is highly personal, and we are committed to
safeguarding your privacy. Please read this Notice of Privacy
Practices thoroughly. It describes how we will use and disclose your
PHI.
This Notice applies to the delivery of health care by MercyOne
Siouxland Medical Center and its medical staff in the main hospital,
outpatient departments and clinics. This Notice also applies to the
utilization review and quality assessment activities of MercyOne
and MercyOne Siouxland Medical Center as a member of
MercyOne a Catholic health care system with facilities throughout
Iowa and Nebraska.
I. PERMITTED USE OR DISCLOSURE
A. Treatment: MercyOne Siouxland Medical Center will use and
disclose your PHI to provide, coordinate, or manage your
health care and related services to carry out treatment
functions. The following are examples of how MercyOne
Siouxland Medical Center will use and/or disclose your PHI:
i. To your attending physician, consulting physician(s), and
other health care providers who have a legitimate need
for such information in your care and continued treatment.
ii. To coordinate your treatment (e.g., appointment
scheduling) with us and other health care providers such
as name, address, employment, insurance carrier, etc.
iii. To contact you as a reminder that you have an
appointment for treatment or medical care at our facilities.
iv. To provide you with information about treatment
alternatives or other health-related benefits or services.
v.
If you are an inmate of a correctional institution or under
the custody of a law enforcement officer, MercyOne
Siouxland Medical Center will disclose your PHI to the
correctional institution or law enforcement official.
B. Payment: MercyOne Siouxland Medical Center will use and
disclose PHI about you for payment purposes. The following
are examples of how MercyOne Siouxland Medical Center will
use and/or disclose your PHI:
i. To an insurance company, third party payer, third party
administrator, health plan or other health care provider (or
their duly authorized representatives) for payment
purposes such as determining coverage, eligibility,
pre-approval / authorization for treatment, billing, claims
management, reimbursement audits, etc.
ii. To collection agencies and other subcontractors engaged
in obtaining payment for care.
C. Health Care Operations: MercyOne Siouxland Medical
Center will use and disclose your PHI for health care
operations purposes. The following are examples of how
MercyOne Siouxland Medical Center will use and/or disclose
your PHI:
i. For case management, quality assurance, utilization,
accounting, auditing, population based activities relating
to improving health or reducing health care costs,
education, accreditation, licensing and credentialing
activities of MercyOne Siouxland Medical Center.
ii. To consultants, accountants, auditors, attorneys,
transcription companies, information technology
providers, etc.
D. Other Uses and Disclosures: As part of treatment, payment
and health care operations, MercyOne Siouxland Medical
Center may also use your PHI for the following purposes:
i. Fundraising Activities: MercyOne Siouxland Medical Center
will use and may also disclose some of your PHI to a related
foundation for certain fundraising activities. For example,
MercyOne Siouxland Medical Center may disclose your
demographic information, your treatment dates of service,
treating physician information, department of service and
outcomes information to the foundation who may ask you
for a monetary donation. Any fundraising communication
sent to you will let you know how you can exercise your right
to opt-out of receiving similar communications in the future.
ii. Medical Research: MercyOne Siouxland Medical Center
will use and disclose your PHI without your authorization to
medical researchers who request it for approved medical
research projects. Researchers are required to safeguard
all PHI they receive.
׉	 7cassandra://wIuiu_3nDywPx2v2EhwDlANne4SPy12DGrIjPIeibEE` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://JNBn9rwLzXp1VhVg1NxfQIR7dPZyzFM-onfvXZjkODA $` ׉	 7cassandra://kDrLynwqX9dVJnnz4iCljxPy_mjkvt6cvQGMgrJEBmE͂`s׉	 7cassandra://-rFTq3wrmGdahglHOABqxZQZKIi7i5qqWz8VpzXMw18 ]` ׉	 7cassandra://Yi0f96c84asDDLUqxyjUXdz7iJQTdZJb_KoF38l_H6oN ͠]_w@dp\'ט  (u׉׉	 7cassandra://jDbi_oaASndilSY8sM3MpXFb0jt43emw-HVrzf4qpr0 ` ׉	 7cassandra://dNMpxtU9E52C3_2CHCDb7TDyalQxDf0U6qUJM6X0vPw|$`s׉	 7cassandra://JtjnC_SBQRYhXM2AXLaX2WN2muyoJdgyvwrFJfCU6iMi` ׉	 7cassandra://J7LSVw02MhHm8m6DMGNhUrcoNTUBEr2Z9MlDH1ankjwG4 ͠]_w@dp\(׉E]16
Patient Guide
iii. Information and Health Promotion Activities: MercyOne
Siouxland Medical Center will use and disclose some of
your PHI for certain health promotion activities. For
example, your name and address will be used to send you
general newsletter or specific information based on your
own health concerns.
E. More Stringent State and Federal Laws: The State law of Iowa
is more stringent than HIPAA in several areas. Certain federal
laws also are more stringent than HIPAA. MercyOne Siouxland
Medical Center will continue to abide by these more stringent
state and federal laws.
i. More Stringent Federal Laws: The federal laws include
applicable internet privacy laws, such as the Children’s
Online Privacy Protection Act and the federal laws and
regulations governing the confidentiality of health
information regarding substance abuse treatment.
ii. More Stringent State Laws: State law is more stringent
when the individual is entitled to greater access to records
than under HIPAA. State law also is more restrictive when
the records are more protected from disclosure by state
law than under HIPAA. In cases where MercyOne
Siouxland Medical Center provides treatment to a patient
who resides in a neighboring state, MercyOne Siouxland
Medical Center will abide by the more stringent applicable
state law.
F. Health Information Exchange: MMercyOne Siouxland Medical
Center shares your health records electronically or otherwise
with a state-designated Health Information Exchange (“HIE”)
that exchange health records with other HIEs unless you opt
out of participating. MercyOne Siouxland Medical Center also
uses data exchange technology (such as direct messaging
services, HIPS, and provider portals) with its Electronic Health
Record (“EHR”) to share your health records for continuity of
care and treatment. HIEs and data exchange technology also
enable the sharing of your health records to improve the
quality of health care services provided to you (e.g., avoiding
unnecessary duplicate testing). The shared health records will
include, if applicable, sensitive diagnoses such as HIV/AIDS,
sexually transmitted diseases, genetic information, and mental
health substance abuse, etc. HIEs and data exchange
technology function as our business associate and, in acting on
our behalf, they will transmit, maintain and store your PHI for
treatment, payment and health care operation purposes. HIEs
and data exchange technologies are required to implement
administrative, physical and technical safeguards that
reasonably and appropriately protect the confidentiality and
integrity of your medical information. Iowa state law provide
you rights to restrict and opt-out of HIE(s). For more
information please contact MercyOne Siouxland Medical
Center’s Privacy Official at 712-279-5653.
II. PERMITTED USE OR DISCLOSURE WITH AN OPPORTUNITY
FOR YOU TO AGREE OR OBJECT
A. Family/Friends: MMercyOne Siouxland Medical Center will
disclose PHI about you to a friend or family member who is
involved in or paying for your medical care. You have a right
to request that your PHI not be shared with some or all of your
family or friends. In addition, MercyOne Siouxland Medical
Center will disclose PHI about you to an agency assisting in
disaster relief efforts so that your family can be notified about
your condition, status, and location.
B. Hospital–Facility Directory: MercyOne Siouxland Medical
Center may include certain information about you in a
directory while you are a hospital patient at MercyOne
Siouxland Medical Center. This information will include your
name, location in MercyOne Siouxland Medical Center, your
general condition (e.g., fair, stable, critical, etc.) and your
religious affiliation. The directory information, except your
religious affiliation, will be disclosed to people who ask for you
by name. You have the right to request that your name not be
included in MercyOne Siouxland Medical Center’s directory.
you request to opt-out of the directory, we cannot inform
visitors of your presence, location, or general conditi.
C. Spiritual Care: Directory information, including your religious
affiliation, will be given to a member of the clergy, even if they
do not ask for you by name. Spiritual care providers are
members of the health care team at MercyOne Siouxland
Medical Center and may be consulted upon regarding your
care. You have the right to request that your name not be
given to any member of the clergy.
D. Media Reports: MercyOne Siouxland Medical Center will
release facility directory information to the media (excluding
religious affiliation) if the media requests information about
you using your name and after we have given you an
opportunity to agree or object.
III. USE OR DISCLOSURE REQUIRING YOUR AUTHORIZATION
A. Marketing: Subject to certain limited exceptions, your written
authorization is required in cases where MercyOne Siouxland
Medical Center receives any direct or indirect financial
remuneration in exchange for making the communication to
you which encourages you to purchase a product or service or
for a disclosure to a third party who wants to market their
products or services to you.
B. Research: MercyOne Siouxland Medical Center will obtain
your written authorization to use or disclose your PHI for
research purposes when required by HIPAA.
C. Psychotherapy Notes: Most uses and disclosures of
psychotherapy notes require your written authorization.
D. Sale of PHI: Subject to certain limited exceptions, disclosures
that constitute a sale of PHI require your written authorization.
E. Other Uses and Disclosures: Any other uses or disclosures of
PHI that are not described in this Notice of Privacy Practices
require your written authorization. Written authorizations will
let you know why we are using your PHI. You have the right to
revoke an authorization at any time.
IV. USE OR DISCLOSURE PERMITTED OR REQUIRED BY PUBLIC
POLICY OR LAW WITHOUT YOUR AUTHORIZATION
A. Law Enforcement Purposes: MercyOne Siouxland Medical
Center will disclose your PHI for law enforcement purposes as
required by law, such as identifying a criminal suspect or a
missing person, or providing information about a crime victim
or criminal conduct.
If
׉	 7cassandra://-rFTq3wrmGdahglHOABqxZQZKIi7i5qqWz8VpzXMw18 ]` _w@dp[׉E Patient Guide
B. Required by Law: MercyOne Siouxland Medical Center will
disclose PHI about you when required by federal, state or local
law. Examples include disclosures in response to a court order
/ subpoena, mandatory state reporting (e.g., gunshot wounds,
victims of child abuse or neglect), or information necessary to
comply with other laws such as workers’ compensation or
similar laws. MercyOne Siouxland Medical Center will report
drug diversion and information related to fraudulent
prescription activity to law enforcement and regulatory
agencies.
C. Public Health Oversight or Safety: MercyOne Siouxland
Medical Center will use and disclose PHI to avert a serious
threat to the health and safety of a person or the public.
Examples include disclosures of PHI to state investigators
regarding quality of care or to public health agencies
regarding immunizations, communicable diseases, etc.
MercyOne Siouxland Medical Center will use and disclose PHI
for activities related to the quality, safety or effectiveness of
FDA regulated products or activities, including collecting and
reporting adverse events, tracking and facilitating in product
recalls, etc.
D. Coroners, Medical Examiners, Funeral Directors: MercyOne
Siouxland Medical Center will disclose your PHI to a coroner or
medical examiner. For example, this will be necessary to
identify a deceased person or to determine a cause of death.
MercyOne Siouxland Medical Center may also disclose your
medical information to funeral directors as necessary to carry
out their duties.
E. Organ Procurement: MercyOne Siouxland Medical Center will
disclose PHI to an organ procurement organization or entity
for organ, eye or tissue donation purposes.
F. Specialized Government Functions: MercyOne Siouxland
Medical Center will disclose your PHI regarding government
functions such as military, national security and intelligence
activities. MercyOne Siouxland Medical Center will use or
disclose PHI to the Department of Veterans Affairs to
determine whether you are eligible for certain benefits.
G. Immunizations: MercyOne Siouxland Medical Center will
disclose proof of immunization to a school where the state or
other similar law requires it prior to admitting a student.
V. YOUR HEALTH INFORMATION RIGHTS
You have the following individual rights concerning your PHI:
A. Right to Inspect and Copy: SSubject to certain limited
exceptions, you have the right to access your PHI and to
inspect and copy your PHI as long as we maintain the data.
If MercyOne Siouxland Medical Center denies your request for
access to your PHI, MercyOne Siouxland Medical Center will
notify you in writing with the reason for the denial. For
example, you do not have the right to psychotherapy notes or
to inspect the information which is subject to law prohibiting
access. You may have the right to have this decision reviewed.
You also have the right to request your PHI in electronic format
in cases where MercyOne Siouxland Medical Center utilizes
electronic health records. You may also access information via
patient portal if made available by MercyOne Siouxland
Medical Center.
17
You may be charged a reasonable copying fee in accordance
with applicable federal or state law.
B. Right to Amend: You have the right to amend your PHI for as
long as MercyOne Siouxland Medical Center maintains the
data. You must make your request for amendment of your PHI
in writing to MercyOne Siouxland Medical Center, including
your reason to support the requested amendment.
However, MercyOne Siouxland Medical Center will deny your
request for amendment if:
i. MercyOne Siouxland Medical Center did not create the
information;
ii. The information is not part of the designated record set;
iii. The information would not be available for your inspection
(due to its condition or nature); or
iv. The information is accurate and complete.
If MercyOne Siouxland Medical Center denies your request for
changes in your PHI, MercyOne Siouxland Medical Center will
notify you in writing with the reason for the denial. MercyOne
Siouxland Medical Center will also inform you of your right to
submit a written statement disagreeing with the denial. You
may ask that MercyOne Siouxland Medical Center include
your request for amendment and the denial any time that
MercyOne Siouxland Medical Center subsequently discloses
the information that you wanted changed. MercyOne
Siouxland Medical Center may prepare a rebuttal to your
statement of disagreement and will provide you with a copy of
that rebuttal.
C. Right to an Accounting: You have a right to receive an
accounting of the disclosures of your PHI that MercyOne
Siouxland Medical Center has made, except for the following
disclosures:
i. To carry out treatment, payment or health care operations;
ii. To you;
iii. To persons involved in your care;
iv. For national security or intelligence purposes; or
v. To correctional institutions or law enforcement officials.
You must make your request for an accounting of disclosures of
your PHI in writing to MercyOne Siouxland Medical Center.
You must include the time period of the accounting, which may
not be longer than 6 years. In any given 12-month period,
MercyOne Siouxland Medical Center will provide you with an
accounting of the disclosures of your PHI at no charge. Any
additional requests for an accounting within that time period
will be subject to a reasonable fee for preparing the
accounting.
D. Right to Request Restrictions: You have the right to request
restrictions on certain uses and disclosures of your PHI to carry
out treatment, payment or health care operations functions or
to prohibit such disclosure. However, MercyOne Siouxland
Medical Center will consider your request but is not required to
agree to the requested restrictions.
E. Right to Request Restrictions to a Health Plan: You have the
right to request a restriction on disclosure of your PHI to a
׉	 7cassandra://JtjnC_SBQRYhXM2AXLaX2WN2muyoJdgyvwrFJfCU6iMi` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://EainWtHbSQSwlWHxPqz-e79TzmV9Ln3L4Xx7eVOOq-Y ` ׉	 7cassandra://GPzw3_8_qAMj5DrUk7myaNwM-xS8GtKw5WCjBJpYPP0}`s׉	 7cassandra://gFmsX-oBJ4UDLiZib54_GzXGL-bxrOi7UeJxyfGmD_U` ׉	 7cassandra://Fpoa_Odl2sKsphEl-qg5G3JGXzsEqr1Y93A5070GY3cB ͠]_w@dp\*ט  (u׉׉	 7cassandra://q8XDW7nG7y2-vHUpdUFJ2rA3Vr84NCvJ1OfpTOF7pxo 3`׉	 7cassandra://XbRC4huJurnh8L0r_xm982a-DYjewmrdy1vR5anxfFE[`s׉	 7cassandra://bOZXr2jZ7PNIQM0sZLlhGVuKIgK-bGmMDhmKYE55K_c)` ׉	 7cassandra://FhjAMUYTVRCE0_RxSbB4OCUBdy4Koh3tUueV_005f9c.̌͠]_w@dp\+נ_w@dp\- n̷9ׁHhttps://www.mercyone.org/.ׁׁЈ׉Ea18
Patient Guide
health plan (for purposes of payment or health care
operations) in cases where you paid out of pocket, in full, for
the items received or services rendered.
F. Right to Confidential Communications: You have the right to
receive confidential communications of your PHI by alternative
means or at alternative locations. For example, you may
request that MercyOne Siouxland Medical Center only contact
you at work or by mail.
G. Right to Receive a Copy of this Notice: You have the right to
receive a paper copy of this Notice of Privacy Practices, upon
request.
VI. BREACH OF UNSECURED PHI
If a breach of unsecured PHI affecting you occurs, MercyOne
Siouxland Medical Center is required to notify you of the breach.
VII. SHARING AND JOINT USE OF YOUR HEALTH INFORMATION
In the course of providing care to you and in furtherance of
MercyOne Siouxland Medical Center’s mission to improve the
health of the community, MercyOne Siouxland Medical Center will
share your PHI with other organizations as described below who
have agreed to abide by the terms described below:
A. Medical Staff. The medical staff and MercyOne Siouxland
Medical Center participate together in an organized health
care arrangement to deliver health care to you at MercyOne
Siouxland Medical Center. Both MercyOne Siouxland Medical
Center and its medical staff have agreed to abide by the terms
of this Notice with respect to PHI created or received as part of
delivery of health care to you in MercyOne Siouxland Medical
Center. Physicians and allied health care professionals are
members of MercyOne Siouxland Medical Center’s medical
staff will have access to and use your PHI for treatment,
payment and health care operations purposes related to your
care within MercyOne Siouxland Medical Center. The
MercyOne Siouxland Medical Center will disclose your PHI to
the medical staff for treatment, payment and health care
operations.
B. Membership in CHE Trinity Health. MMercyOne Siouxland
Medical Center and other members of MercyOne participate
together in an organized health care arrangement for
utilization review and quality assessment activities. As a part of
MercyOne, a Catholic health care system, MercyOne
Siouxland Medical Center and other hospitals, nursing homes,
and health care providers in MercyOne share your PHI for
utilization review and quality assessment activities of
MercyOne, the parent company, and its members. Members
of MercyOne also use your PHI for your treatment, payment to
MercyOne Siouxland Medical Center and/or for the health
care operations permitted by HIPAA with respect to our mutual
patients. All members of MercyOne have agreed to abide by
the terms of this Notice with respect to PHI created or received
as part of utilization review and quality assessment activities.
Members of MercyOne will abide by the terms of their own
Notice of Privacy Practices in using your PHI for treatment,
payment or health care operations.
Please go to the MercyOne website for a listing of member
organizations at https://www.mercyone.org/. Or, alternatively,
you can call MercyOne Siouxland Medical Center’s Privacy
Official to request the same.
C. Business Associates. MercyOne Siouxland Medical Center will
share your PHI with business associates and their
Subcontractors contracted to perform business functions on
MercyOne Siouxland Medical Center’s behalf, including
MercyOne which performs certain business functions for
MercyOne Siouxland Medical Center.
D. Your Health Care Providers and Care Coordinators. You
receive care from MercyOne Siouxland Medical Center
delivered in an integrated care setting, where patients are
seen by several different providers and in several care settings
as part of continuity of care and coordinated care delivery.
MercyOne Siouxland Medical Center shares your PHI with
other health care providers and care coordinators who work
together to provide treatment, obtain payment and conduct
health care operations. Your PHI is shared electronically in
multiple ways with providers involved in the delivery of care
and care coordination. Your PHI may be shared via a direct
connection to the electronic health record system of other
providers. Your PHI may be shared in a health information
exchange or via technology that enables downstream
providers and care coordinators to obtain your information.
Your PHI may be shared via secure transmission to other
providers’ inboxes.
VIII. CHANGES TO THIS NOTICE
MercyOne Siouxland Medical Center will abide by the terms of the
Notice currently in effect. MercyOne Siouxland Medical Center
reserves the right to make material changes to the terms of its
Notice and to make the new Notice provisions effective for all PHI
that it maintains. MercyOne Siouxland Medical Center will distribute
/ provide you with a revised Notice at your first visit following the
revision of the Notice in cases where it makes a material change in
the Notice. You can also ask MercyOne Siouxland Medical Center
for a current copy of the Notice at any time.
IX. COMPLAINTS
If you believe your privacy rights have been violated, you may file a
complaint with MercyOne Siouxland Medical Center’s Privacy
Official or with the Secretary of the Department of Health and
Human Services. All complaints must be submitted in writing
directly to MercyOne Siouxland Medical Center’s Privacy Official.
MercyOne Siouxland Medical Center assures you that there will be
no retaliation for filing a complaint. You will not be retaliated
against for filing any complaint.
X. PRIVACY OFFICIAL –
QUESTIONS / CONCERNS / ADDITIONAL INFORMATION
If you have any questions, concerns, or want further information
regarding the issues covered by this Notice of Privacy Practice or
seek additional information regarding MercyOne Siouxland
Medical Center’s privacy policies and procedures, please contact
MercyOne Siouxland Medical Center’s Privacy Official: 801 5th
Street Sioux City, IA 51101. Phone: 712-279-5653
׉	 7cassandra://gFmsX-oBJ4UDLiZib54_GzXGL-bxrOi7UeJxyfGmD_U` _w@dp[׉EPatient Guide
19
TV Channel Guide
Channel Network
2
Fox (KPTH)
3 C-Span
4
5
8
9
10
11
12
13
NBC (KTIV)
QVC
6 Inspiration
7
CBS (KMEG)
WGN
ABC (KCAU)
SOO-TV
PBS (IPTV)
Ed Access
CW
14 HSN
18
19
22
Decades
Telemundo
KSXC
23 ESPN2
24 ESPN
25
26
27
28
29
30
31
EWTN
USA
A&E
TLC
Food Network
AMC
32
33
34
Lifetime
CNN HN
The Weather Channel
Nickelodeon
Channel Network
35
36
37
FX
38 TBS
39 TNT
40 Travel
41
Discovery
FS 1
ABC Family
42 SyFy
43 Disney
44
45 FX
46
47 HGTV
48
49
51
TV One Represent
National Geographic
FSN North
TCM
Cartoon Network
52 Hallmark
53
59 MSNBC
60 CNBC
61
67
69
71 Care
72
73
74 BTN
Animal Planet
Fox News
Newborn Channel
Spanish Newborn
Chapel Channel
MercyOne Phone
׉	 7cassandra://bOZXr2jZ7PNIQM0sZLlhGVuKIgK-bGmMDhmKYE55K_c)` _w@dp[_w@dp[(בCט   (u׉׉	 7cassandra://-BdR99tFZYzWET04Zkb7XZ8t-COgw45lHncFUVyf56M W`׉	 7cassandra://fyaRrWa6k4B5R0PDB0h0zYOhcAP_Igg-5MwIgmhb8S8P`s׉	 7cassandra://TGGi6hzJV7IWcXHWmqqSNWuIx2RvuzjnnYe16YgfhoQ` ׉	 7cassandra://9sZTDJ2l8zfyjnKXZVXs0BgVW2ADpccjAxe0DgbT35c[͆*͠]_w@dp\.ט  (u׉׉	 7cassandra://YwVVhGgd0G9m8XE-BFPVXZjF6RRnRn3mrrMeBRHeRn4 ` ׉	 7cassandra://hgcNtfQ5LzAqK8TGaSt-JxNl8Lc_k5BwtlqgJ0y0cX0h`s׉	 7cassandra://36zZudCf0akvnvwA33QNqLqrfLW0hbZcSURfJ9U8Tjc` ׉	 7cassandra://HD04gX5Q2dyS0HxFT6G-lbsY2Fu_alipsLImItyMaxsj ͠]_w@dp\0׉E20
Patient Guide
MercyOne Siouxland
Campus Directory
Employee Parking
7th Street
7th Street
MercyOne
Air Med
Accessible Parking
Employee
Entrance Only
Physician
Parking
D▲
▼
Patient Parking
Clinics and
Therapies Entrance
Valet Parking
C▲
▼
North
Building
B▲
▼
6th Street
6th Street
Visitor and
Heart and Vascular Center
Parking Ramp
South
Professional
Office Building
(Central
Medical
Building)
▲
▼
Siouxland
Heart and
Vascular
Center
▲
▼
Ramp
Entrance
5th Street
5th Street
Key:
Parking
Discovery Parking Ramp
Elevator
Building
A▲
▼
Main
Entrance
Valet Parking
Emergency
Valet Parking
Jennings Street
Jennings Street
Jones Street
» Skywalk
Jackson Street
Jackson Street
׉	 7cassandra://TGGi6hzJV7IWcXHWmqqSNWuIx2RvuzjnnYe16YgfhoQ` _w@dp\ ׉EPatient Guide
NORTH BUILDING
Departments
Case Management
Digestive Health
Endocrinology Care
Employee Health
Facilities
Infectious Disease Care
Internal Medicine & Pediatrics
Medical Records
Occupational Therapy
Pain Management
Physical Therapy
Rehabilitation
Respiratory Care
Skilled Care
Speech Therapy
Spiritual Care
Supply Chain
Wound Care
Elevator
D
B
D
D
D
D
D
B
D
B
B
D
D
D
B
Level
7
8
5
7
5
5
8
6
4
6
4
7
6
5
5
5
SOUTH BUILDING
Departments
Admitting
Behavioral Health Care
Buena Vista Room
Cafeteria
D 8 Chapel
D
Dakota Room
Emergency Care
Financial Counseling
Intensive Care
Imaging and Radiology Care
Laboratories
D 6 Leiter Room
Medical
Monona Room
Nutritional Care
Oncology
Neuro/Ortho
Pharmacy
Post Critical Care
PROFESSIONAL OFFICE BUILDING
Departments
Administration
Educational Services
Finance
Foundation
Home Care
Home Medical Equipment
Human Resources
Marketing and Communications
MercyOne Medical Group - Siouxland
Outpatient Behavioral Care
Pennsylvania Room
Reading Room
Short Line Room
YO Room
Level
2
3
1
2
3
1
3
2
2
3
1
1
1
2
Post Surgical/Urology
Recovery (PACU)
Renal Dialysis
Same Day Surgery
The Shop Within
Sleep Medicine
Surgical Care
South Lobby
Trauma Center
Woodbury Room
Elevator
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
HEART AND VASCULAR CENTER
Departments
Cardiac Rehab
Cardiac Testing
Cardiology Clinic
Catherization Lab
Heart Center Conference Room
Pulmonary Rehab
Short Stay Unit
21
Level
1
7
3
3
1
8
4
1
5
4
5
1
6
7
3
7
8
2
6
8
5
7
5
1
2
5
1
4
3
Level
4
4
4
5
5
4
5
As your devoted champions, we’re proud to walk with you every step
of your journey toward living your best life. Thank you for trusting us
to do what works – and most importantly, what’s right for you.
׉	 7cassandra://36zZudCf0akvnvwA33QNqLqrfLW0hbZcSURfJ9U8Tjc` _w@dp\_w@dp\ (בCט   (u׉׉	 7cassandra://6n3oSkaKR3ub4eeX7JQmaXkH-yLBF7O0rH5J-MJgLWw͆` ׉	 7cassandra://52wqjAxNPIyFYjC16CouhIt1KfgXOCQvBK_LZntYW0E`s׉	 7cassandra://x892CzF2PFC09Zs65rzj5mQ0zDdtFVBAUlrNTOAYgb8` ׉	 7cassandra://YGvEGgve8sACxGBGDfAb4Ptk71rTax98n9bp6kMyPVo.͠]_w@dp\2נ_w@dp\4 Ł`9ׁHhttp://mercyone.orgׁׁЈ׉E VSiouxland Medical Center
801 Fifth St.
Sioux City, IA 51101
712-279-2010
mercyone.org
׉	 7cassandra://x892CzF2PFC09Zs65rzj5mQ0zDdtFVBAUlrNTOAYgb8` _w@dp\׈E_w@dp\_w@dp\(, /MercyOne Siouxland Medical Center Patient Guide Our compassionate health care providers are dedicated to caring for you during and after your stay. This guide provides information or answers to your questions. Our goal is to support, educate and  empower you as an active participant in your care._w@.|gq