Essential Tips for Navigating a Hospital Stay

Written by Brenda Schweitzer, MS, RN

Hospital stays can be frustrating and overwhelming. As a nurse with 14 years of experience, I’ve heard countless stories of “nightmare” stays. From extended waits in emergency departments to confusing procedures and communication breakdowns, navigating a hospital stay requires knowledge and preparation. Here are some essential tips to empower you during this experience.

1. Understand the "Rule Out" Process

Western medicine often relies on "ruling out" potential issues before landing on a diagnosis. This approach leads to numerous tests, labs, and procedures, which can drive up costs. It’s your right to:

  • Ask why certain tests or procedures are being ordered.

  • Request explanations in plain language if medical jargon is unclear.

  • Use patient education resources available in the hospital for detailed information on diagnoses.

2. Know Your Patient Rights

Familiarize yourself with your rights to ensure respectful and informed care. Key rights include:

  • Access to emergency care regardless of ability to pay.

  • Privacy and confidentiality of medical information.

  • The ability to discuss benefits, risks, costs, and alternatives for treatments.

  • The right to refuse treatments or request second opinions.

  • Access to medical records and the right to appeal medical bills.

  • Transparency about conflicts of interest, such as a physician’s ties to specific facilities or labs.

  • Assurance of continuity of care when further treatment is needed.

3. Be an Active Member of the Care Team

When admitted, a care plan will be developed to restore you to your baseline health or adapt to new conditions. Key members of the care team include:

  • Physicians: Focus on diagnosis and medical treatment.

  • Nurses: Provide holistic care and ensure the care plan is implemented.

  • Discharge Planners: Coordinate post-hospital care and insurance matters.

  • Occupational Therapists: Aid recovery for conditions like stroke or trauma.

  • Social Workers: Connect you with community resources.

Your involvement in the care plan ensures your goals and wishes are respected.

4. Use the Chain of Command

If issues arise, escalate concerns through the hospital’s chain of command:

  • Start with the charge nurse, who oversees the floor.

  • If unresolved, contact the house supervisor, who has a broader view of hospital operations.

  • Further escalation can involve the Director of Nursing, VP of Nursing, or VP of Medical Affairs.

  • Many hospitals also have grievance counselors to address complaints.

5. Harness the Power of Mindset

A positive mindset can significantly impact recovery. Patients who believe in their ability to heal often defy expectations. Focus on staying hopeful and proactive during your stay.

6. Seek Support from Key Staff

Some hospital staff members can provide invaluable assistance:

  • Chaplains/Spiritual Care: Offer emotional support regardless of religious affiliation.

  • Discharge Nurses/Planners: Help coordinate your discharge and follow-up care.

  • Social Workers: Provide guidance on resources and address unique needs.

7. Stay Organized During Extended Stays

For longer hospital stays, preparation is crucial:

  • Designate a 24-hour contact person to communicate with the care team.

  • Maintain a log of vitals, medication changes, and procedures.

  • Bring favorite items for comfort, such as clothes or books.

  • Stock snacks and consider home-cooked meals for better nutrition.

By understanding your rights, staying organized, and actively participating in your care, you can turn a potentially overwhelming hospital experience into a manageable and even empowering one.

An RN patient advocate offers assistance, support, and comfort during challenging times. Their medical expertise can be invaluable in working on your behalf.