St Nicholas Hospital

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Patients > Rights & Responsibilities

Health Information Form
My Medications
Patients Rights & Responsibilities
Spiritual and Pastoral Support Services
Your Opinions

Health Information Form - PDF

My Medications - PDF

Should anything in your room require repair, please notify your nurse so that the repair can be made promptly.

Because your safety is our main concern, the Hospital maintains an active safety program. All personnel are trained to be alert in the area of safety; drills are conducted regularly.

Small UL-approved personal electrical appliances may be used. Notify your nurse if you wish to use a personal electrical appliance in your room or if you have any questions/concerns.

Smoking is prohibited throughout the Hospital and all Hospital grounds. If you choose to smoke off Hospital property, please respect our neighborhood by not littering. The Hospital offers a Smoking Cessation program for inpatients and the public. Ask a staff member for more information.

There are also some things you or your family members/significant others can do to help us keep our patients safe:

Always call a nurse and ask for help rather than attempting anything that might result in an accidental strain or fall.

Wear non-skid slippers; do not walk barefoot.

Ask a nurse for help if you feel dizzy or weak when getting out of bed.

Never attempt to get in or out of a wheelchair by yourself. Ask your nurse for assistance.

Remain lying or seated while waiting for assistance.

If the side rails on your bed are lowered or restraints (see below) are removed by family members, please alert your nurse of the change before leaving the room.

Sometimes a restraint is needed to protect a patient. Restraints are only used when necessary to protect a patient or others from injury. These measures are used only when other, less restrictive interventions have failed. If restraints are necessary, nursing staff will check them frequently to assure you and your loved ones that adequate circulation, skin care, food, fluid, and elimination needs are maintained.

We continually reassess patients for timely release from restraints. When a patient no longer presents a risk of injury to self or others, or when other less restrictive alternatives are effective, restraints are removed.

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Spiritual and Pastoral Support Services
The Hospital Chapel, located on the First Floor, is available to all denominations and is open 24 hours a day. Members of the Pastoral Care Team are available to offer emotional and spiritual comfort to patients and families. As requested, they visit patients regularly and meet the needs of each, whether those needs be for prayer, conversation, or simply a quiet presence. Please inform your nurse if you wish to see a Hospital chaplain, one is available 24 hours a day.

Your Opinions
If something about your stay particularly pleases or concerns you, or if you have a question or worry, please tell us! If there is a problem, we would like to hear about it. If something or someone has helped to make your stay more comfortable and satisfying, we would like to hear about that, too.

Feel free to discuss whatever is on your mind about our services with your nurse or physician. There is a Nurse Director/Coordinator on your unit who is also able to discuss with you the care you are receiving and address any concerns. Additionally, the Hospital Patient Advocate is available to assist with questions, concerns, or complaints and can be reached at 920-459-4620 or by calling the Hospital Operator.

If your concerns cannot be resolved through the Hospital, you may contact the Joint Commission on Accreditation of Healthcare Organizations. The public may contact the Joint Commission's Office of Quality Monitoring to report any concerns or register complaints about a Joint Commission accredited healthcare organization by either calling 1-800-994-6610 or emailing

Complaints may also be filed with the State of Wisconsin Division of Quality Assurance, Department of Health & Family Services, P.O. Box 2969, Madison, WI 53701-2969; 608-266-8084 or 1-800-642-6552. Complaints may also be filed online by visiting

Following your stay, you may be contacted for a telephone survey about your experience. This is done by an independent research firm on behalf of the Hospital. We hope you will participate as your input helps us make improvements in the quality of our service.

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Do-Not-Resuscitate (DNR) > Rights & Responsibilities
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St. Nicholas HospitSt. Nicholas Hospital, 3100 Superior Avenue, Sheboygan, WI Ph:920-459-8300
 100 Superior Avenue
 Sheboygan, WI 53081