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01 Total Mobility

Total Mobility

Total Mobility is a nationwide scheme designed to help eligible people with impairments to use appropriate transport to help make their community participation better. This help is given in the form of subsidised door-to-door transport services wherever scheme transport providers operate.

In the Bay of Plenty it's run by Bay of Plenty Regional Council. The scheme gives financial assistance by way of a voucher that allows registered users of the scheme to a 50% discount on taxi fares. The user is required to pay the other half of the fare to the taxi driver, at the time the trip is taken. Users of the scheme must carry a Total Mobility photo ID card to be able to use vouchers.

The definition of eligibility for participation in the scheme is as follows:

An eligible applicant must have an impairment that prevents them from undertaking any one or more of the following five components of a journey unaccompanied, on a bus, train or ferry in a safe and dignified manner:

  • getting to the place from where the transport departs
  • getting on the transport
  • riding securely
  • getting off the transport
  • getting to the destination

The following list of disabilities is an aid to assist decision making on the level of mobility impairment which would qualify for eligibility:

  • Inability to walk to the nearest bus stop or board and alight from a bus for reasons such as pain, respiratory problems, sensory disabilities, neurological fatigue, reliance on complex walking aids, or requiring the constant assistance of another person for mobility.
  • Total loss of or severe impairment of vision preventing the independent use of public passenger transport.
  • Intellectual, cognitive or psychiatric disabilities which may necessitate the constant assistance of another person for travel on public passenger transport.
  • People with impairments who meet the criteria for the Total Mobility scheme, and are able to use bus, train or ferry services some of the time, but not all the time, are eligible for the scheme (e.g. people with impairments such as epilepsy or arthritis).
  • People who meet the criteria for the Total Mobility scheme and have an impairment that has lasted, or is expected to last for six months or more are eligible.
  • People with impairments who meet the criteria for the Total Mobility scheme and live in residential care are eligible for the scheme.
  • Children with impairments who meet the criteria for the Total Mobility scheme are eligible.

Phone 0800 884 880 Fax 0800 884 882 Email info@boprc.govt.nz

© 2014 Bay of Plenty Regional Council

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Hand hygiene

Hand hygiene is the single most important way to prevent the spread of harmful germs (bacteria and viruses) that can cause infection.

In hospital you can expect your healthcare workers (doctors, nurses, healthcare assistants and others) to perform excellent hand hygiene before, during and after caring for you.
Healthcare workers should clean their hands:

  • Before they touch you.
  • After they have touched you, before they leave.
  • Directly before and directly after they perform a procedure on you.
  • After they are exposed to body fluids.
  • After touching your surroundings (e.g. bed) if none of the above have occurred.

My 5

It's OK to ask

We take hand hygiene seriously, however, we are not perfect and there may be times when we do not clean our hands as often as we should. If you are worried that a staff member has not cleaned his or her hands properly it is ok to remind us, in fact, we welcome it.

What you can do

Germs are present all around us. When we are ill we are more at risk of developing an infection from harmful bacteria or viruses that we may pick up, either from something we have touched or from someone passing it onto us. The risk of infection being spread from a healthcare worker's hands to you is reduced when they perform correct hand hygiene. In addition, it is important that you clean your own hands at the following times while you are in hospital:

  • Before eating food.
  • After using the bathroom.
  • At any time a healthcare worker has advised you to do so (e.g. caring for your own catheter).

If you have visitors, they can protect you from harmful germs by cleaning their hands:

  • Before they touch you.
  • Before they give you food.
  • After using the bathroom.
  • At any other time a healthcare worker has advised them to do so (e.g. assisting with your wound dressings).

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Moving safely and preventing falls while in hospital

Our "Keeping You Safe from Falls" programme starts when you enter hospital.

Slips, trips and falls can happen to anyone and sometimes patients can fall while in hospital.

Why does this happen?

  • A number of medical conditions can increase your risk of falling.
  • Disorientation due to unfamiliar surroundings.
  • The effect of medications.
  • Problems with walking and balance.

Unfortunately some patients will still fall despite all of us following the advice given on this page. However by working together with you, your relatives and carers, we aim to minimise the risk of falls.

So what will the hospital do?

We may:

  • Move your bed to a more suitable position on the ward to allow us to observe you more closely.
  • Assist you if you are having difficulty with walking, or if you need help with your personal care.
  • Teach you how to move safely with appropriate walking aids. Remember that if you need help, please ask!

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CALL - DON'T FALL

What can I do to keep myself safe?

You can:

  • Use your call bell.
  • Keep everything you need within easy reach and reduce clutter by sending home anything that you don't need.
  • Bring with you all your necessary personal items such as your glasses and hearing aids.
  • Bring any walking aids from home and follow the advice provided by therapists, nursing and medical staff.
  • Wear non slip socks, slippers or shoes that fit well - socks alone are slippery.
  • Wear clothes that are not too long or too loose.
  • Take your time when standing or getting out of bed.
  • At night, turn on the light before you get out of bed, and turn on the light in the toilet.
  • Take extra care on wet or slippery floors.
  • Watch out for any clutter or obstacles in your way, and ask one or our team to move them.
  • Do not use hospital furniture for support as it may not support you.

How can my friends and family help?

They can:

  • Tell us if you have had any falls in the past.
  • Put back anything that they may have moved during their visit.
  • Minimise clutter by taking any unnecessary personal items home.

Preventing falls while at Home

Moss, rugs, power cords, chairs and puddles - these are just 5 of the many things responsible for over 280,000 serious falls around New Zealand homes last year.

1. Moss

Moss on outside steps, paths and decks can be very slippery.

Action:

  • Waterblast, scrub or spray these areas with moss removal products
  • Cut trees and shrubs back to prevent shade - conditions which moss thrives in
  • Highlight step edges with painted strips
  • Light any dim outside areas
  • Build new decks with grooved timber
  • When painting decks, use non- slip paint or a grit-additive.

2. Power Cords

Snaking power cords, telephone wires and general clutter are easy to trip over.

Action:

  • Get them out of harm's way with cord clips, quick-release power cords or multi-boxes
  • Secure any loose cords or wires to the wall
  • Tidy away general clutter, use baskets and other storage systems.

3. Rugs & Mats

Unsecured rugs and mats on floors and stairs can cause falls.

Action:

  • Secure them with anti-slip tape or spray on a non-slip coating
  • Use carpet grips for mats
  • Repair damaged carpet on stairs
  • If you're buying a new rug, then look for one with a non-slip backing
  • Wear shoes or slippers (rather than socks) on wooden floors.

4. Chairs

Chairs aren't ladders and are very unstable if you stand on them.

Action:

  • Use a ladder or step-ladder to reach high objects
  • Store heavy, regularly used objects down lower
  • Use long-life smoke alarms and light bulbs so you don't have to change them so often.

5. Puddles

Wet areas are hazardous.

Action:

  • Wipe up spills as soon as they happen with mops, sponges or cloths
  • Use non-slip bath/shower mats
  • Use floor mats to absorb any excess water
  • Install handrails to assist getting out of the bath/shower
  • If renovating, install non-slip flooring in wet rooms (bathroom, kitchen and laundry). 

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Recognising heart attack

Warning signs vary from person to person and they may not always be sudden or severe. Although chest pain or discomfort is the most common symptom, some people will not experience chest pain at all. Symptoms may include pain, pressure, heaviness or tightness in one or more parts of the upper body including chest, neck, jaw, arm(s), shoulder(s) or back in combination with other symptoms such as nausea, shortness of breath, dizziness or a cold sweat.

Knowing the warning signs of heart attack and acting quickly by calling Triple One (111) can reduce damage to your heart and increase your chance of survival. It could save your life, or the life of someone you love.

If you experience the warning signs of heart attack for 10 minutes, or if they are severe or get progressively worse, call Triple One (111) immediately and ask for an ambulance.

Recognising stroke

Is it a stroke? Check it out the FAST way! Call 111 immediately if you suspect a stroke!

The FAST campaign encourages New Zealanders to learn the key signs of stroke and to act fast by calling 111 if they suspect a stroke. Prompt action can save lives, improve recovery and reduce ongoing costs from stroke to families, caregivers and the health services. It is vital to recognise when someone is having a stroke and to start treatment as soon as possible, because the sooner medical treatment begins, the more likely brain damage can be reduced and a better outcome achieved.

What are the symptoms of stroke?

The signs and symptoms of stroke usually come on suddenly. The type of symptoms experienced will depend on what area of the brain is affected.

Common first symptoms of stroke include:

  • sudden weakness and/or numbness of face, arm and/or leg especially on one side of the body
  • sudden blurred or loss of vision in one or both eyes
  • sudden difficulty speaking or understanding what others are saying
  • sudden loss of balance or an unexplained fall or difficulty controlling movements, especially with any of the other signs.

How can you tell if someone is having a stroke?

By learning to recognise the symptoms of stroke you could save a life! Learn the FAST check.

Stroke is always a medical emergency. Even if the symptoms go away quickly or don't cause pain call 111 immediately.

F A S T

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Flu VaccineFlu

Have you had your flu vaccine?

Influenza spreads very easily and up to 1 in 5 of us come in contact with influenza every year.

At its worst, influenza can put you in hospital and can even be fatal. In many cases, influenza can keep you in bed for a week or two, and drain your energy keeping you from work, sport or just about anything that requires leaving the house.

For adults with long-term health conditions and people aged 65 years and older, influenza can be a serious illness. For this reason the influenza immunisation is provided FREE to these groups.


Don't take the risk! Call your local general practice or medical clinic to arrange a FREE vaccination if you are in any of the following groups:

  • regularly use an asthma preventer
  • 06 Free Flu Vaccinehave diabetes
  • have heart disease
  • have kidney problems
  • have cancer
  • have a serious medical condition
  • are aged 65 years or over

If you do not have one of these eligible conditions, you still benefit from an influenza immunisation. available at a small cost. Flu vaccines are administered free between the 1st March - 31st August each year, beginning and start dates however can change.

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Your rights and responsibilities

Patients Code Of Responsibilities

How to feedback to the Bay of Plenty District Health Board

Why Feedback?

At the Bay of Plenty District Health Board we understand that being in a hospital, whether it is yourself or for a loved one, can be a very distressing experience. We welcome feedback as it provides us with an opportunity to review the services we offer and guides us to make quality improvements as we strive for health excellence.

Ways to provide Feedback

If you wish to provide feedback, make a compliment, comment or complaint, there are a number of ways you can do so:

  • Speak to any staff member, Nurse, or Doctor
  • Speak to Regional Māori Health Services Kai Awhina (07) 579 8737 or Regional Maori Health Services, Tauranga Hospital (07) 579 8560 or Te Pou Kokiri Māori Health Services, Whakatane Hospital (07) 306 0954.
  • Complete our "Would you like to tell us something?" form available throughout the hospital and leave it at any reception
  • Phone the Quality & Patient Safety Team by calling the on-call Quality Coordinator on 021 791 864, or calling the telephone operator on (07) 579 8000 and ask to be put through to the on-call Quality Coordinator, or call (07) 579 8176
  • Fill out an online form on the BOPDHB website at http://www. bopdhb.govt.nz/your-dhb/quality-and-patient-safety/feedback- on-patient-care/feedback-on-patient-care-form/
  • Write a letter to:
    Quality & Patient Safety Administrator
    Bay of Plenty District Health Board
    Level 2, Tauranga Hospital
    Private Bag 12024
    Tauranga 3143
  • Email the Quality and Patient Safety Administrator on: Qualityandpatientsafety@bopdhb.govt.nz

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Health benefits when you quit smoking

Every hour, day week, month and year that you go without smoking, your health will improve.

When you quit, your body starts to repair itself straightaway - you'll notice the difference! Quitting is a great thing to do at any age - you'll live longer, and your quality of life will improve.

Health benefits when you quit smoking

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Basic life support

08 Basic Life Support

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Useful contacts and links

In the event of an emergency dial 111 Ministry of Health Healthline 0800 611 116
If you or a family member are feeling unwell but not sure whether you need to see a doctor, you can call the Healthline for free advice from trained registered nurses 24 hours a day, 7 days a week.

If you require an appointment to see a doctor, contact your GP. For after-hours medical centres and pharmacies in your area please see the BOPDHB website.

 

Arthritis Nz 

Arthritis NZ

0800 663 463

Age Concern

 

Age Concern

07 578 2631

Family Violence

 

Family Violence

0800 456 450

Nzfdic

 

Disability Information Centre

0800 693 342

Hdc

 

Health & Disability Commission

www.hdc.org.nz

Quitline

 

Quitline

www.quit.org.nz 0800 778 778

St John

St Johns Health Shuttle (Tauranga only) 

0800 785 646

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Last updated: February 27, 2017