<?xml version="1.0"?>
<feed xmlns="http://www.w3.org/2005/Atom" xml:lang="en">
	<id>https://yk-health.org/api.php?action=feedcontributions&amp;feedformat=atom&amp;user=Administrator</id>
	<title>Guide to YKHC Medical Practices - User contributions [en]</title>
	<link rel="self" type="application/atom+xml" href="https://yk-health.org/api.php?action=feedcontributions&amp;feedformat=atom&amp;user=Administrator"/>
	<link rel="alternate" type="text/html" href="https://yk-health.org/wiki/Special:Contributions/Administrator"/>
	<updated>2026-04-27T17:10:32Z</updated>
	<subtitle>User contributions</subtitle>
	<generator>MediaWiki 1.39.5</generator>
	<entry>
		<id>https://yk-health.org/index.php?title=File:Guidelines2017.pdf&amp;diff=2429</id>
		<title>File:Guidelines2017.pdf</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=File:Guidelines2017.pdf&amp;diff=2429"/>
		<updated>2017-11-13T20:26:06Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;2017 Clinical Guidelines&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Common.js&amp;diff=2042</id>
		<title>MediaWiki:Common.js</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Common.js&amp;diff=2042"/>
		<updated>2017-08-15T20:50:20Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Created page with &amp;quot;/* Any JavaScript here will be loaded for all users on every page load. */  /* collapse / toggle main side menu */ jQuery( document ).ready(function( $ ) {    $(&amp;#039;#mw-navigatio...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;/* Any JavaScript here will be loaded for all users on every page load. */&lt;br /&gt;
&lt;br /&gt;
/* collapse / toggle main side menu */&lt;br /&gt;
jQuery( document ).ready(function( $ ) {&lt;br /&gt;
   $(&#039;#mw-navigation div.body &amp;gt; ul&#039;).not(&#039;#p-navigation div.body &amp;gt; ul&#039;).hide();&lt;br /&gt;
   $(&#039;#mw-navigation h3&#039;).click(function() {&lt;br /&gt;
	   	$(this).next(&#039;.body&#039;).children(&#039;ul&#039;).toggle(&#039;slide&#039;);&lt;br /&gt;
   });&lt;br /&gt;
});&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Common.css&amp;diff=2041</id>
		<title>MediaWiki:Common.css</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Common.css&amp;diff=2041"/>
		<updated>2017-08-15T20:49:34Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Created page with &amp;quot;/* CSS placed here will be applied to all skins */ div#mw-panel div.portal h3 { cursor: pointer; }&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;/* CSS placed here will be applied to all skins */&lt;br /&gt;
div#mw-panel div.portal h3 { cursor: pointer; }&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1998</id>
		<title>MediaWiki:Sidebar</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1998"/>
		<updated>2017-06-15T22:20:44Z</updated>

		<summary type="html">&lt;p&gt;Administrator: testing&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
* navigation&lt;br /&gt;
** mainpage|Home&lt;br /&gt;
** recentchanges-url|recentchanges&lt;br /&gt;
** randompage-url|randompage&lt;br /&gt;
** helppage|help&lt;br /&gt;
* OVERVIEW OF YKHC MEDICAL PRACTICES&lt;br /&gt;
** Category:Overview_of_YKHC_Medical_Practices#General Overview|General Overview&lt;br /&gt;
** CPP_Village_Assignments#CHYI TEMPORARY|Example Page Link&lt;br /&gt;
** Glimpse of YKHC Bush Practice&lt;br /&gt;
* NEW HIRE ORIENTATION&lt;br /&gt;
** Category:Before_Starting_Work_at_YKHC|Before Starting Work at YKHC&lt;br /&gt;
** Category:Orientation_and_Training|Orientation and Training&lt;br /&gt;
** Category:Residents|Residents&lt;br /&gt;
** Category:RAVEN|RAVEN (EHR)&lt;br /&gt;
** Category:Cultural_Orientation|Cultural Orientation&lt;br /&gt;
** Category:YKHC_Guidelines|Guidelines&lt;br /&gt;
** Category:Formularies|Formularies&lt;br /&gt;
** Category:Consults|Consults&lt;br /&gt;
** Category:Telemedicine/AFCHAN|Telemedicine / AFCHAN&lt;br /&gt;
** Category:Chronic Pain|Chronic Pain&lt;br /&gt;
** Category:Outpatient|Outpatient&lt;br /&gt;
** Category:Pediatrics|Pediatrics&lt;br /&gt;
** Category:Ancillary_Services|Ancillary Services&lt;br /&gt;
** Category:SRC_Clinic_Provider_Orientation|SRC Clinic Provider Orientation&lt;br /&gt;
** Category:Women&#039;s_Health|Women&#039;s Health&lt;br /&gt;
** Category:Specialty_Clinics/Services_and_Referrals|Specialty Clinics / Services and Referrals&lt;br /&gt;
** Category:Radio_Medical_Traffic (RMT)|Radio Medical Traffic (RMT)&lt;br /&gt;
** Category:OR|OR&lt;br /&gt;
** Category:Emergency_Room|Emergency Room&lt;br /&gt;
** Category:Medevacs_and_Transport|Medevacs and Transport&lt;br /&gt;
** Category:Inpatient|Inpatient&lt;br /&gt;
** Category:OB_&amp;amp;_Newborn|OB &amp;amp; Newborn&lt;br /&gt;
** Category:CHAP|CHAP&lt;br /&gt;
** Category:Behavioral_Health|Behavioral Health&lt;br /&gt;
** Category:Dental|Dental&lt;br /&gt;
** Category:Optometry|Optometry&lt;br /&gt;
** Category:Domestic_Violence/Abuse/Sexual_Assault|Domestic Violence/Abuse/Sexual Assault&lt;br /&gt;
** Category:Satellite_Facilities|Satellite Facilities&lt;br /&gt;
** Category:Resources|Resources&lt;br /&gt;
** Category:Clinical Protocols and Policies|Clinical Protocols and Policies&lt;br /&gt;
** Category:Patient Care References|Patient Care References&lt;br /&gt;
** Category:Medical Staff Policies|Medical Staff Policies&lt;br /&gt;
* SEARCH&lt;br /&gt;
* TOOLBOX&lt;br /&gt;
* LANGUAGES&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1997</id>
		<title>MediaWiki:Sidebar</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1997"/>
		<updated>2017-06-15T22:10:34Z</updated>

		<summary type="html">&lt;p&gt;Administrator: link test&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
* navigation&lt;br /&gt;
** mainpage|Home&lt;br /&gt;
** recentchanges-url|recentchanges&lt;br /&gt;
** randompage-url|randompage&lt;br /&gt;
** helppage|help&lt;br /&gt;
* OVERVIEW OF YKHC MEDICAL PRACTICES&lt;br /&gt;
** Category:Overview_of_YKHC_Medical_Practices#General Overview|General Overview&lt;br /&gt;
** CPP_Village_Assignments#CHYI TEMPORARY|Village Assignments&lt;br /&gt;
** Glimpse of YKHC Bush Practice&lt;br /&gt;
* NEW HIRE ORIENTATION&lt;br /&gt;
** Practicing Medicine in the Bush-Some ABCs&lt;br /&gt;
** Category:Before_Starting_Work_at_YKHC|Before Starting Work at YKHC&lt;br /&gt;
** Category:Orientation_and_Training|Orientation and Training&lt;br /&gt;
** Category:Residents|Residents&lt;br /&gt;
** Category:RAVEN|RAVEN (EHR)&lt;br /&gt;
** Category:Cultural_Orientation|Cultural Orientation&lt;br /&gt;
** Category:YKHC_Guidelines|Guidelines&lt;br /&gt;
** Category:Formularies|Formularies&lt;br /&gt;
** Category:Consults|Consults&lt;br /&gt;
** Category:Telemedicine/AFCHAN|Telemedicine / AFCHAN&lt;br /&gt;
** Category:Chronic Pain|Chronic Pain&lt;br /&gt;
** Category:Outpatient|Outpatient&lt;br /&gt;
** Category:Pediatrics|Pediatrics&lt;br /&gt;
** Category:Ancillary_Services|Ancillary Services&lt;br /&gt;
** Category:SRC_Clinic_Provider_Orientation|SRC Clinic Provider Orientation&lt;br /&gt;
** Category:Women&#039;s_Health|Women&#039;s Health&lt;br /&gt;
** Category:Specialty_Clinics/Services_and_Referrals|Specialty Clinics / Services and Referrals&lt;br /&gt;
** Category:Radio_Medical_Traffic (RMT)|Radio Medical Traffic (RMT)&lt;br /&gt;
** Category:OR|OR&lt;br /&gt;
** Category:Emergency_Room|Emergency Room&lt;br /&gt;
** Category:Medevacs_and_Transport|Medevacs and Transport&lt;br /&gt;
** Category:Inpatient|Inpatient&lt;br /&gt;
** Category:OB_&amp;amp;_Newborn|OB &amp;amp; Newborn&lt;br /&gt;
** Category:CHAP|CHAP&lt;br /&gt;
** Category:Behavioral_Health|Behavioral Health&lt;br /&gt;
** Category:Dental|Dental&lt;br /&gt;
** Category:Optometry|Optometry&lt;br /&gt;
** Category:Domestic_Violence/Abuse/Sexual_Assault|Domestic Violence/Abuse/Sexual Assault&lt;br /&gt;
** Category:Satellite_Facilities|Satellite Facilities&lt;br /&gt;
** Category:Resources|Resources&lt;br /&gt;
** Category:Clinical Protocols and Policies|Clinical Protocols and Policies&lt;br /&gt;
** Category:Patient Care References|Patient Care References&lt;br /&gt;
** Category:Medical Staff Policies|Medical Staff Policies&lt;br /&gt;
* SEARCH&lt;br /&gt;
* TOOLBOX&lt;br /&gt;
* LANGUAGES&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1996</id>
		<title>MediaWiki:Sidebar</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1996"/>
		<updated>2017-06-15T22:09:31Z</updated>

		<summary type="html">&lt;p&gt;Administrator: test&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
* navigation&lt;br /&gt;
** mainpage|Home&lt;br /&gt;
** recentchanges-url|recentchanges&lt;br /&gt;
** randompage-url|randompage&lt;br /&gt;
** helppage|help&lt;br /&gt;
* OVERVIEW OF YKHC MEDICAL PRACTICES&lt;br /&gt;
** Category:Overview_of_YKHC_Medical_Practices#General Overview|General Overview&lt;br /&gt;
** CPP_Village_Assignments|Village Assignments&lt;br /&gt;
** Glimpse of YKHC Bush Practice&lt;br /&gt;
* NEW HIRE ORIENTATION&lt;br /&gt;
** Practicing Medicine in the Bush-Some ABCs&lt;br /&gt;
** Category:Before_Starting_Work_at_YKHC|Before Starting Work at YKHC&lt;br /&gt;
** Category:Orientation_and_Training|Orientation and Training&lt;br /&gt;
** Category:Residents|Residents&lt;br /&gt;
** Category:RAVEN|RAVEN (EHR)&lt;br /&gt;
** Category:Cultural_Orientation|Cultural Orientation&lt;br /&gt;
** Category:YKHC_Guidelines|Guidelines&lt;br /&gt;
** Category:Formularies|Formularies&lt;br /&gt;
** Category:Consults|Consults&lt;br /&gt;
** Category:Telemedicine/AFCHAN|Telemedicine / AFCHAN&lt;br /&gt;
** Category:Chronic Pain|Chronic Pain&lt;br /&gt;
** Category:Outpatient|Outpatient&lt;br /&gt;
** Category:Pediatrics|Pediatrics&lt;br /&gt;
** Category:Ancillary_Services|Ancillary Services&lt;br /&gt;
** Category:SRC_Clinic_Provider_Orientation|SRC Clinic Provider Orientation&lt;br /&gt;
** Category:Women&#039;s_Health|Women&#039;s Health&lt;br /&gt;
** Category:Specialty_Clinics/Services_and_Referrals|Specialty Clinics / Services and Referrals&lt;br /&gt;
** Category:Radio_Medical_Traffic (RMT)|Radio Medical Traffic (RMT)&lt;br /&gt;
** Category:OR|OR&lt;br /&gt;
** Category:Emergency_Room|Emergency Room&lt;br /&gt;
** Category:Medevacs_and_Transport|Medevacs and Transport&lt;br /&gt;
** Category:Inpatient|Inpatient&lt;br /&gt;
** Category:OB_&amp;amp;_Newborn|OB &amp;amp; Newborn&lt;br /&gt;
** Category:CHAP|CHAP&lt;br /&gt;
** Category:Behavioral_Health|Behavioral Health&lt;br /&gt;
** Category:Dental|Dental&lt;br /&gt;
** Category:Optometry|Optometry&lt;br /&gt;
** Category:Domestic_Violence/Abuse/Sexual_Assault|Domestic Violence/Abuse/Sexual Assault&lt;br /&gt;
** Category:Satellite_Facilities|Satellite Facilities&lt;br /&gt;
** Category:Resources|Resources&lt;br /&gt;
** Category:Clinical Protocols and Policies|Clinical Protocols and Policies&lt;br /&gt;
** Category:Patient Care References|Patient Care References&lt;br /&gt;
** Category:Medical Staff Policies|Medical Staff Policies&lt;br /&gt;
* SEARCH&lt;br /&gt;
* TOOLBOX&lt;br /&gt;
* LANGUAGES&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1995</id>
		<title>MediaWiki:Sidebar</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1995"/>
		<updated>2017-06-15T22:09:01Z</updated>

		<summary type="html">&lt;p&gt;Administrator: testing links&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
* navigation&lt;br /&gt;
** mainpage|Home&lt;br /&gt;
** recentchanges-url|recentchanges&lt;br /&gt;
** randompage-url|randompage&lt;br /&gt;
** helppage|help&lt;br /&gt;
* OVERVIEW OF YKHC MEDICAL PRACTICES&lt;br /&gt;
** Category:Overview_of_YKHC_Medical_Practices#General Overview|General Overview&lt;br /&gt;
** [[CPP_Village_Assignments|Village Assignments]]&lt;br /&gt;
** Glimpse of YKHC Bush Practice&lt;br /&gt;
* NEW HIRE ORIENTATION&lt;br /&gt;
** Practicing Medicine in the Bush-Some ABCs&lt;br /&gt;
** Category:Before_Starting_Work_at_YKHC|Before Starting Work at YKHC&lt;br /&gt;
** Category:Orientation_and_Training|Orientation and Training&lt;br /&gt;
** Category:Residents|Residents&lt;br /&gt;
** Category:RAVEN|RAVEN (EHR)&lt;br /&gt;
** Category:Cultural_Orientation|Cultural Orientation&lt;br /&gt;
** Category:YKHC_Guidelines|Guidelines&lt;br /&gt;
** Category:Formularies|Formularies&lt;br /&gt;
** Category:Consults|Consults&lt;br /&gt;
** Category:Telemedicine/AFCHAN|Telemedicine / AFCHAN&lt;br /&gt;
** Category:Chronic Pain|Chronic Pain&lt;br /&gt;
** Category:Outpatient|Outpatient&lt;br /&gt;
** Category:Pediatrics|Pediatrics&lt;br /&gt;
** Category:Ancillary_Services|Ancillary Services&lt;br /&gt;
** Category:SRC_Clinic_Provider_Orientation|SRC Clinic Provider Orientation&lt;br /&gt;
** Category:Women&#039;s_Health|Women&#039;s Health&lt;br /&gt;
** Category:Specialty_Clinics/Services_and_Referrals|Specialty Clinics / Services and Referrals&lt;br /&gt;
** Category:Radio_Medical_Traffic (RMT)|Radio Medical Traffic (RMT)&lt;br /&gt;
** Category:OR|OR&lt;br /&gt;
** Category:Emergency_Room|Emergency Room&lt;br /&gt;
** Category:Medevacs_and_Transport|Medevacs and Transport&lt;br /&gt;
** Category:Inpatient|Inpatient&lt;br /&gt;
** Category:OB_&amp;amp;_Newborn|OB &amp;amp; Newborn&lt;br /&gt;
** Category:CHAP|CHAP&lt;br /&gt;
** Category:Behavioral_Health|Behavioral Health&lt;br /&gt;
** Category:Dental|Dental&lt;br /&gt;
** Category:Optometry|Optometry&lt;br /&gt;
** Category:Domestic_Violence/Abuse/Sexual_Assault|Domestic Violence/Abuse/Sexual Assault&lt;br /&gt;
** Category:Satellite_Facilities|Satellite Facilities&lt;br /&gt;
** Category:Resources|Resources&lt;br /&gt;
** Category:Clinical Protocols and Policies|Clinical Protocols and Policies&lt;br /&gt;
** Category:Patient Care References|Patient Care References&lt;br /&gt;
** Category:Medical Staff Policies|Medical Staff Policies&lt;br /&gt;
* SEARCH&lt;br /&gt;
* TOOLBOX&lt;br /&gt;
* LANGUAGES&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1994</id>
		<title>MediaWiki:Sidebar</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1994"/>
		<updated>2017-06-15T21:57:33Z</updated>

		<summary type="html">&lt;p&gt;Administrator: test&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
* navigation&lt;br /&gt;
** mainpage|Home&lt;br /&gt;
** recentchanges-url|recentchanges&lt;br /&gt;
** randompage-url|randompage&lt;br /&gt;
** helppage|help&lt;br /&gt;
* OVERVIEW OF YKHC MEDICAL PRACTICES&lt;br /&gt;
** Category:Overview_of_YKHC_Medical_Practices#General Overview|General Overview&lt;br /&gt;
** Team Work&lt;br /&gt;
** Glimpse of YKHC Bush Practice&lt;br /&gt;
* NEW HIRE ORIENTATION&lt;br /&gt;
** Practicing Medicine in the Bush-Some ABCs&lt;br /&gt;
** Category:Before_Starting_Work_at_YKHC|Before Starting Work at YKHC&lt;br /&gt;
** Category:Orientation_and_Training|Orientation and Training&lt;br /&gt;
** Category:Residents|Residents&lt;br /&gt;
** Category:RAVEN|RAVEN (EHR)&lt;br /&gt;
** Category:Cultural_Orientation|Cultural Orientation&lt;br /&gt;
** Category:YKHC_Guidelines|Guidelines&lt;br /&gt;
** Category:Formularies|Formularies&lt;br /&gt;
** Category:Consults|Consults&lt;br /&gt;
** Category:Telemedicine/AFCHAN|Telemedicine / AFCHAN&lt;br /&gt;
** Category:Chronic Pain|Chronic Pain&lt;br /&gt;
** Category:Outpatient|Outpatient&lt;br /&gt;
** Category:Pediatrics|Pediatrics&lt;br /&gt;
** Category:Ancillary_Services|Ancillary Services&lt;br /&gt;
** Category:SRC_Clinic_Provider_Orientation|SRC Clinic Provider Orientation&lt;br /&gt;
** Category:Women&#039;s_Health|Women&#039;s Health&lt;br /&gt;
** Category:Specialty_Clinics/Services_and_Referrals|Specialty Clinics / Services and Referrals&lt;br /&gt;
** Category:Radio_Medical_Traffic (RMT)|Radio Medical Traffic (RMT)&lt;br /&gt;
** Category:OR|OR&lt;br /&gt;
** Category:Emergency_Room|Emergency Room&lt;br /&gt;
** Category:Medevacs_and_Transport|Medevacs and Transport&lt;br /&gt;
** Category:Inpatient|Inpatient&lt;br /&gt;
** Category:OB_&amp;amp;_Newborn|OB &amp;amp; Newborn&lt;br /&gt;
** Category:CHAP|CHAP&lt;br /&gt;
** Category:Behavioral_Health|Behavioral Health&lt;br /&gt;
** Category:Dental|Dental&lt;br /&gt;
** Category:Optometry|Optometry&lt;br /&gt;
** Category:Domestic_Violence/Abuse/Sexual_Assault|Domestic Violence/Abuse/Sexual Assault&lt;br /&gt;
** Category:Satellite_Facilities|Satellite Facilities&lt;br /&gt;
** Category:Resources|Resources&lt;br /&gt;
** Category:Clinical Protocols and Policies|Clinical Protocols and Policies&lt;br /&gt;
** Category:Patient Care References|Patient Care References&lt;br /&gt;
** Category:Medical Staff Policies|Medical Staff Policies&lt;br /&gt;
* SEARCH&lt;br /&gt;
* TOOLBOX&lt;br /&gt;
* LANGUAGES&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1993</id>
		<title>MediaWiki:Sidebar</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1993"/>
		<updated>2017-06-15T21:56:23Z</updated>

		<summary type="html">&lt;p&gt;Administrator: link testing&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
* navigation&lt;br /&gt;
** mainpage|Home&lt;br /&gt;
** recentchanges-url|recentchanges&lt;br /&gt;
** randompage-url|randompage&lt;br /&gt;
** helppage|help&lt;br /&gt;
* OVERVIEW OF YKHC MEDICAL PRACTICES&lt;br /&gt;
** Category:Overview_of_YKHC_Medical_Practices#General Overview|General Overview&lt;br /&gt;
** Team Work&lt;br /&gt;
** Glimpse of YKHC Bush Practice&lt;br /&gt;
** Practicing Medicine in the Bush-Some ABCs&lt;br /&gt;
** Category:Before_Starting_Work_at_YKHC|Before Starting Work at YKHC&lt;br /&gt;
** Category:Orientation_and_Training|Orientation and Training&lt;br /&gt;
** Category:Residents|Residents&lt;br /&gt;
** Category:RAVEN|RAVEN (EHR)&lt;br /&gt;
** Category:Cultural_Orientation|Cultural Orientation&lt;br /&gt;
** Category:YKHC_Guidelines|Guidelines&lt;br /&gt;
** Category:Formularies|Formularies&lt;br /&gt;
** Category:Consults|Consults&lt;br /&gt;
** Category:Telemedicine/AFCHAN|Telemedicine / AFCHAN&lt;br /&gt;
** Category:Chronic Pain|Chronic Pain&lt;br /&gt;
** Category:Outpatient|Outpatient&lt;br /&gt;
** Category:Pediatrics|Pediatrics&lt;br /&gt;
** Category:Ancillary_Services|Ancillary Services&lt;br /&gt;
** Category:SRC_Clinic_Provider_Orientation|SRC Clinic Provider Orientation&lt;br /&gt;
** Category:Women&#039;s_Health|Women&#039;s Health&lt;br /&gt;
** Category:Specialty_Clinics/Services_and_Referrals|Specialty Clinics / Services and Referrals&lt;br /&gt;
** Category:Radio_Medical_Traffic (RMT)|Radio Medical Traffic (RMT)&lt;br /&gt;
** Category:OR|OR&lt;br /&gt;
** Category:Emergency_Room|Emergency Room&lt;br /&gt;
** Category:Medevacs_and_Transport|Medevacs and Transport&lt;br /&gt;
** Category:Inpatient|Inpatient&lt;br /&gt;
** Category:OB_&amp;amp;_Newborn|OB &amp;amp; Newborn&lt;br /&gt;
** Category:CHAP|CHAP&lt;br /&gt;
** Category:Behavioral_Health|Behavioral Health&lt;br /&gt;
** Category:Dental|Dental&lt;br /&gt;
** Category:Optometry|Optometry&lt;br /&gt;
** Category:Domestic_Violence/Abuse/Sexual_Assault|Domestic Violence/Abuse/Sexual Assault&lt;br /&gt;
** Category:Satellite_Facilities|Satellite Facilities&lt;br /&gt;
** Category:Resources|Resources&lt;br /&gt;
** Category:Clinical Protocols and Policies|Clinical Protocols and Policies&lt;br /&gt;
** Category:Patient Care References|Patient Care References&lt;br /&gt;
** Category:Medical Staff Policies|Medical Staff Policies&lt;br /&gt;
* SEARCH&lt;br /&gt;
* TOOLBOX&lt;br /&gt;
* LANGUAGES&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1992</id>
		<title>MediaWiki:Sidebar</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1992"/>
		<updated>2017-06-15T21:55:19Z</updated>

		<summary type="html">&lt;p&gt;Administrator: testing menu changes&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
* navigation&lt;br /&gt;
** mainpage|Home&lt;br /&gt;
** recentchanges-url|recentchanges&lt;br /&gt;
** randompage-url|randompage&lt;br /&gt;
** helppage|help&lt;br /&gt;
* OVERVIEW OF YKHC MEDICAL PRACTICES&lt;br /&gt;
** Category:Overview_of_YKHC_Medical_Practices|General Overview&lt;br /&gt;
** Team Work&lt;br /&gt;
** Glimpse of YKHC Bush Practice&lt;br /&gt;
** Practicing Medicine in the Bush-Some ABCs&lt;br /&gt;
** Category:Before_Starting_Work_at_YKHC|Before Starting Work at YKHC&lt;br /&gt;
** Category:Orientation_and_Training|Orientation and Training&lt;br /&gt;
** Category:Residents|Residents&lt;br /&gt;
** Category:RAVEN|RAVEN (EHR)&lt;br /&gt;
** Category:Cultural_Orientation|Cultural Orientation&lt;br /&gt;
** Category:YKHC_Guidelines|Guidelines&lt;br /&gt;
** Category:Formularies|Formularies&lt;br /&gt;
** Category:Consults|Consults&lt;br /&gt;
** Category:Telemedicine/AFCHAN|Telemedicine / AFCHAN&lt;br /&gt;
** Category:Chronic Pain|Chronic Pain&lt;br /&gt;
** Category:Outpatient|Outpatient&lt;br /&gt;
** Category:Pediatrics|Pediatrics&lt;br /&gt;
** Category:Ancillary_Services|Ancillary Services&lt;br /&gt;
** Category:SRC_Clinic_Provider_Orientation|SRC Clinic Provider Orientation&lt;br /&gt;
** Category:Women&#039;s_Health|Women&#039;s Health&lt;br /&gt;
** Category:Specialty_Clinics/Services_and_Referrals|Specialty Clinics / Services and Referrals&lt;br /&gt;
** Category:Radio_Medical_Traffic (RMT)|Radio Medical Traffic (RMT)&lt;br /&gt;
** Category:OR|OR&lt;br /&gt;
** Category:Emergency_Room|Emergency Room&lt;br /&gt;
** Category:Medevacs_and_Transport|Medevacs and Transport&lt;br /&gt;
** Category:Inpatient|Inpatient&lt;br /&gt;
** Category:OB_&amp;amp;_Newborn|OB &amp;amp; Newborn&lt;br /&gt;
** Category:CHAP|CHAP&lt;br /&gt;
** Category:Behavioral_Health|Behavioral Health&lt;br /&gt;
** Category:Dental|Dental&lt;br /&gt;
** Category:Optometry|Optometry&lt;br /&gt;
** Category:Domestic_Violence/Abuse/Sexual_Assault|Domestic Violence/Abuse/Sexual Assault&lt;br /&gt;
** Category:Satellite_Facilities|Satellite Facilities&lt;br /&gt;
** Category:Resources|Resources&lt;br /&gt;
** Category:Clinical Protocols and Policies|Clinical Protocols and Policies&lt;br /&gt;
** Category:Patient Care References|Patient Care References&lt;br /&gt;
** Category:Medical Staff Policies|Medical Staff Policies&lt;br /&gt;
* SEARCH&lt;br /&gt;
* TOOLBOX&lt;br /&gt;
* LANGUAGES&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Medevacs_and_Transport&amp;diff=1844</id>
		<title>Category:Medevacs and Transport</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Medevacs_and_Transport&amp;diff=1844"/>
		<updated>2016-10-24T21:55:01Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
==OVERVIEW==&lt;br /&gt;
Weather, patient acuity, commercial plane availability and limited medevac resources can make routine, urgent and emergency medical transportation a tremendous challenge on a daily basis. Health aides and more experienced providers can give you ideas on how to get non-emergency patients into Bethel based on weather, plane schedules and sometimes alternative travel options. YKHC also operates LifeMed, a medevac company that provides services statewide. There is a dedicated Bethel-based crew for local Medevacs and Anchorage/Fairbanks based crews for transporting patients to Anchorage 24/7. Emergency Medevacs require careful coordination and collaboration with LifeMed dispatch, activating physicians and ER physicians. Emergency medevacs are a limited resource and patient acuities in the hospital units and in the villages need to be considered, weighed and prioritized on an ongoing basis.&lt;br /&gt;
&lt;br /&gt;
*Always Consult an experienced provider before you make the decision to transfer or medevac a patient until you become familiar with our system. Generally it requires about 6 months of getting advice before medevacs, unless the medevac is obvious (GSW, trauma, sepsis, respiratory failure, etc.)&lt;br /&gt;
&lt;br /&gt;
==Medevacs==&lt;br /&gt;
===Village to Bethel Medevacs===  &lt;br /&gt;
Our Bethel based Lifemed team is made up of two experienced paramedics and a pilot. The paramedics live in Anchorage and rotate through Bethel for five or more days at a time. They are able to resuscitate, intubate, and put chest tubes in both adult and pediatric patients. The team has a single dedicated fixed wing plane and pilot available 24/7. The paramedic team often flies out multiple times in a day. Occasionally the team times out and they are grounded for a period for rest. A second team will then be activated and sent to Bethel to provide relief, but there will be no village to Bethel medevacs available until the new team arrives. When weather is very poor and the regular medevac plane is unable to reach a critical patient, LifeMed dispatch will activate the Rescue Coordination Center (RCC) in Anchorage to potentially activate the National Guard Blackhawk helicopter.&lt;br /&gt;
&lt;br /&gt;
An OB patient in a village will require a medevac to Bethel if she is in labor that can not be stopped and if the gestational age is &amp;lt;34 weeks (or unknown), there is a high-risk pregnancy, or there are concerning maternal/fetal signs. A family practitioner and a pediatrician will accompany the LifeMed team if there is a considered risk of the patient delivering in the village or on the plane. The LifeMed team has a full premature/full term delivery kit and a baby warmer for resuscitation and transportation. The family medicine physician must pick up the OB delivery kit and supplies from OB before leaving the hospital. For more details see [[Village Delivery Orientation|pediatric and family medicine village delivery protocols]] and [[preterm delivery RMT]]&lt;br /&gt;
Note: OB medical control remains with the family medicine physician on the flight or the FP that activates the medevac.&lt;br /&gt;
&lt;br /&gt;
Sick and preterm newborns that deliver in the village and require transfer to ANMC or Providence will benefit from early activation of an Anchorage based PNP/neonatal team to pick up the baby in the village (this occasionally can be arranged) or to meet the team in Bethel to assume care in our nursery or for a ramp transfer if appropriate.&lt;br /&gt;
&lt;br /&gt;
===Bethel to Anchorage Medevacs===&lt;br /&gt;
Anchorage and Fairbanks Medevac teams are comprised of two paramedics on a Lear jet. Thismight be a paramedic and a nurse pair. It takes 1.5 to 3 hours (or longer due to weather or resource availability) to get a plane to Bethel so activate as soon as you know you need to medevac a patient. &lt;br /&gt;
&lt;br /&gt;
If LifeMed is not able to dispatch a LifeMed crew in a timely fashion, they will make arrangements to send another medevac company’s team out to pick up a patient if appropriate.&lt;br /&gt;
&lt;br /&gt;
OB medevacs to Anchorage are possible when a patient is not in active labor and the benefit of a transport outweighs the risk of a possible delivery en route. YKHC does not have a nursery, therefore all high risk OB patients and possible preterm deliveries would benefit from being delivered at a higher level of care for both mother and baby. The FP and the pediatrician can consult with the high risk OB doctor on call, accepting OB physician and the peri-natologist if needed in extremely difficult cases. &lt;br /&gt;
&lt;br /&gt;
Newborn medevacs from YKHC to ANMC or Providence may be done by regular medevac if the baby is very stable and is not expected to require resuscitation, intubation or any specialty care. For babies that are unstable in any way, a NICU PNP with accompany the medevac team to Bethel&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;ANMC to Bethel Inpatient Unit and Bethel Inpatient Unit to village Medevacs.&#039;&#039;&#039; These are unusual occurrences and they must be evaluated and approved on a case-by-case basis. Occasionally ANMC will request a patient return to YKHC inpatient unit to finish up a prolonged course of treatment or an end-of-life YKHC inpatient may want to return to a village and is not able to travel commercially. If this request is made by ANMC or a YKHC inpatient physician, the medevac request will have to be reviewed and pre-approved by YKHC and LifeMed administrators. These medevacs do not require emergency care and are not eligible for reimbursement.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Lifemed Detailed Information for medevac roadblocks and alternative options:&#039;&#039;&#039;&lt;br /&gt;
Lifemed Dispatch, the crew and experienced providers may work together to get patients directly from a village or Subregional Clinic (SRC) to Anchorage without coming to the Bethel ER. In some cases the Bethel-based team will fly to the village and care for the patient until an Anchorage team gets to the village OR a ramp transfer may be arranged at a SRC or Bethel airport. Below are some options and limitations…&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Runway Lights&#039;&#039;&#039;: Most of the villages in the YK Delta have runway lights, which are pilot-controlled. Kwigillingok and Newtok do not have pilot-controlled runway lights, however they do have portable runway lights that are FAA approved for fixed wing aircraft. Legally, we are no longer allowed to land our aircraft in the dark at an airport that does not have FAA approved runway lights. Crooked Creek, Lime Village, Red Devil and Stony River do not have any form of FAA approved runway lights, so we can land our aircraft there only during daylight hours. &lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Rescue Coordination Center&#039;&#039;&#039;: If for some reason LifeMed is unable to complete the medevac, the RCC can help with finding military medevac aircraft. If the Bethel Based Army National Guard is available, the Bethel Lifemed Med Crew may fly with them on their aircraft to complete the medevac. If the Bethel Guard Helicopter is not available, RCC will dispatch an aircraft from somewhere else in the state, usually from the 210 or 211 Rescue Squadron based in Anchorage. LifeMed Dispatch can take care of all of those transportation arrangements for you.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Helicopter Destinations:&#039;&#039;&#039; When a military helicopter transports the patient to Anchorage, they can land only at Providence, Alaska Regional, Elmendorf AFB, and Mat-Su Regional Medical Center. ANMC does not have a helipad, therefore a helicopter cannot land on the ANMC campus. It is an EMTALA violation to have the patient transported directly from the helicopter to ANMC via ground transportation without the receiving hospital doing an initial evaluation of the patient. Therefore, if a patient is sent from the YK Delta to Anchorage on a helicopter, the patient must be seen initially by the hospital the helicopter landed at. Arrangements can then be made between the receiving hospital and ANMC to have the patient transferred to ANMC via ground transportation.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;LifeMed Pilots&#039;&#039;&#039;: LifeMed Pilots make the decision to fly based solely on aviation, weather and runway condition factors. They are not provided any information about the patients in order to prevent them from feeling any pressure to fly based on a patient’s condition. They know only the pick-up point, weight and destination of the patient. The dispatchers will not allow you to speak with a pilot regarding the medevac. If you want to know the reason for a pilot’s decision (i.e. weather, runway condition, etc.), the dispatcher can provide you with that information. &lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Medical Crews on Standby:&#039;&#039;&#039; There are times when either the Bethel-based Caravan crew or the requesting physician place the Anchorage-based Lear Jet on standby. This moves the pilots and medical crew to the hangar to prepare at that time. The pilot can check weather and determine how much fuel will be needed and the medical crew can assemble any additional medical supplies they will need for that medevac. The crew will then be standing by awaiting the call to launch or cancel. Putting the crew on standby will decrease response time by 40-60 minutes because the crew has the aircraft ready to go. Putting the Lear Jet crew on standby allows more patients to be ramp transferred and transported directly to Anchorage without having to be seen at YKHC.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Contacting Medical Crews Directly&#039;&#039;&#039;: Please contact the medical crews thru Dispatch. They know where the crews are in their sleep cycle and whether they are on crew rest. For non-urgent communications, you can contact the crews on the Base Quarter’s phone at 543-5036. The crews turn the ringer off when they are on crew rest. &lt;br /&gt;
&lt;br /&gt;
===Medevac Ride Along/Observers===&lt;br /&gt;
Ride-a-longs are scheduled on a first-come first-serve basis. A [[:media:ridealong-release-form.pdf|LifeMed Rider Observer waiver]] must be filled out prior to a medevac and given to the Bethel Medical Crew. &lt;br /&gt;
&lt;br /&gt;
1. Fill out the form, but leave the date blank.&lt;br /&gt;
&lt;br /&gt;
2. Fax the completed form (minus date) to the medevac house, 5 to dial out then 907-543-1262. Also, keep a copy with you in case it needs to be re-faxed since you are here for 6 to 8 weeks at a time.&lt;br /&gt;
&lt;br /&gt;
3. On the day you want to ride along call the Lifemed house in Bethel 543-5036. They will confirm they have received your Observer form If no one else has requested to ride along they will take your phone number. Give them your resident work cell number to call or another line you are using in Bethel. Confirm the hours that you want them to call you before hanging up.&lt;br /&gt;
&lt;br /&gt;
The medevac team will call you when they get a call and you have 15-20 minutes to make it to the hangar. You must be ready to get in a cab and go the first time to the hangar without going home for rain gear or other gear. After you know where it is, you can drive out there and leave your truck there during the medevac. They will not wait if you are not there when they are ready for takeoff since by definition, the patient waiting is in an emergency situation.&lt;br /&gt;
&lt;br /&gt;
If you are in the ED this process is much easier and you may get a ride from one of the techs.&lt;br /&gt;
&lt;br /&gt;
The most important tip is to come prepared. You may be riding in a boat, snow machine or ATV from the village airport to the clinic. You may also have to spend lots of time outside and so if it is cold, bring the gear. A headlamp is helpful.&lt;br /&gt;
&lt;br /&gt;
==Medevac Activation Process==&lt;br /&gt;
* [[Bethel to Anchorage Medevac Activation]] &lt;br /&gt;
* [[Village to Bethel Medevac Activation]]&lt;br /&gt;
&lt;br /&gt;
Activate Medevacs as soon as possible to avoid delays in patient’s getting to the higher level of care they need. If you are too busy to activate…get someone else to do it for you.&lt;br /&gt;
&lt;br /&gt;
Obtain an accepting physician. For Native (beneficiary) patient’s you must obtain an ANMC accepting physician—even if the patient is going to another facility. For non-native patients you must obtain an accepting physician from a Providence or Alaska Regional ER physician or an on-call specialist.&lt;br /&gt;
* Communicate clearly with the receiving physician the reason for transfer ie deterioration of clinical status, potential surgical intervention, need for diagnostic and specialty care not available in Bethel or need for a higher level of care that is not available in Bethel (this may be nursing). &lt;br /&gt;
* Let the accepting physician know you are calling to transfer the patient to their facility (You are not calling to ask for advice on managing them in Bethel). &lt;br /&gt;
&lt;br /&gt;
NOTE: If you think the patient needs to be transferred to a higher level of care, the on call specialist should not refuse the transfer. If there is any issue with obtaining an accepting physician, page the Clinical Director (CD) on call for assistance.&lt;br /&gt;
&lt;br /&gt;
Activate a medevac by calling LifeMed Dispatch 800-478-5433. (speed dial 96). Please do not call the team directly as they may be busy or sleeping.&lt;br /&gt;
&lt;br /&gt;
Have an accepting doctor and pertinent information including patient name, DOB, weight (and escort weight if indicated) to give to the dispatch center when you make your call&lt;br /&gt;
&lt;br /&gt;
Complete a [[media:ptos.pdf|Patient Transport Form]] (PTO)&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Village to Bethel Medevacs&#039;&#039;&#039; &lt;br /&gt;
* Take the completed PTO to the ER with pertinent patient and sign it out to the ER doc&lt;br /&gt;
* ER doc will place the medevac on the ER white board&lt;br /&gt;
* ER doc will assume medical control except for OB patients and for some pediatric patients where the pediatrician keeps medical control until the patient arrives in the ER OR  the patient has been stabilized and is turned back over to the ER physician for medical control&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Bethel to Anchorage Medevacs&#039;&#039;&#039; (inpatient/OB/ER patients)&lt;br /&gt;
* Complete the PTO and a patient transport packet&lt;br /&gt;
* Talk to med control doctor&lt;br /&gt;
* Write a detailed transfer note&lt;br /&gt;
* Make sure patient records and health summary are copied and that x-rays are teleraded to ANMC (unless going to another facility) and a disk is made to go with the patient&lt;br /&gt;
* Stay in touch with the medical control physician if needed. Update them on the condition of the patient prior to LifeMed team assuming care if patient’s status has changed.&lt;br /&gt;
&lt;br /&gt;
==Transportation/Transports==&lt;br /&gt;
Stable patients, that do not require a medevac, can usually be transferred from villages, outpatient clinics, ER, the inpatient unit and the OB/Newborn unit to a higher level of care via commercial flights. These transfers are often needed to obtain diagnostic evaluations not available in a village, SRC or Bethel and to be closer to surgical and intensive care resources if needed. &lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Commercial Flights From Village to Bethel:&#039;&#039;&#039; Patients can be sent to Bethel via regular commercial flights. These flights are expensive. Only patients who are covered by Medicaid or Denali Kid Care have their travel, meals and housing covered. Some patients have medical insurance, but often they have to get reimbursed for travel and there is no coverage for meals and housing. The CHAs and village clinic office staff complete patient travel from village to Bethel. Remember to have CHAs remind patients to bring money, extra cloths, diapers, medications, neb machines, ID etc. in case they have a prolonged stay in Bethel.&lt;br /&gt;
&lt;br /&gt;
If a patient is sick but stable, they must pay their own way in or be managed in the village. If a patient is sick and you feel the patient needs to get to Bethel, the administrator on call may be paged to authorize one-way travel to Bethel. If admin approves travel, the patient will need money for food, cabs and the hostel (or have a place to stay).&lt;br /&gt;
&lt;br /&gt;
If urgent or emergency travel is required (and the patient is stable enough for a commercial flight), the inpatient or ER physician may approve one way travel to the ER without paging the administrator on call.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Commercial Flights From ER/Inpatient to Anchorage:&#039;&#039;&#039; Patients may need to take a commercial flight from Bethel to Anchorage after being discharged from the ER, OB or the inpatient unit. The patient may be going to a specialist f/u appt. the next day, to ANMC ER for re-admission or for further evaluation or the patient might be a direct admission to the pediatric unit, etc. These patients have been discharged from our facility, but YKHC has assisted in the patient’s travel and there is an accepting physician at the next facility expecting the patient with an agreed upon plan of care.&lt;br /&gt;
&lt;br /&gt;
For patients traveling commercially to Anchorage without Medicaid, the travel payment and authorization protocol is the same as it is for the village patients. YKHC travel makes the travel arrangements. Patients will still need funds for cabs plus food and lodging if they are not admitted. Sometimes ANMC can assist the patient with housing on campus once they arrive.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Behavioral Health&#039;&#039;&#039;: The Behavioral Health department and clinicians will arrange for patients who are medically stable to travel from village to Bethel and from Bethel to Anchorage. BH inpatients that require psychiatric hospitalization will be transferred with a BH escort, via a commercial flight, to Alaska Psychiatric Institute (API) after they are medically cleared.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Creative Alternative Transports:&#039;&#039;&#039; When weather is down or there are no flights available, a stable patient might come in to Bethel or an SRC by boat, snow machine, snowmobile, river cab or private vehicle on the ice highway. In extreme situations, a CHA may accompany a very sick patient to another close-by village for more help/supplies/medevac access OR bring them to Bethel if able. Having a CHA leave the village to accompany a patient requires approval of the Community Health Aide Administrator on call (a CHA must not leave the village without appropriate health aide coverage)&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Women%27s_Health&amp;diff=1766</id>
		<title>Category:Women&#039;s Health</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Women%27s_Health&amp;diff=1766"/>
		<updated>2016-10-03T05:54:59Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* FAQ */ Repairing broken link to Catholic Social Services Adoption Program&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Overview==&lt;br /&gt;
Each clinic does Women’s Health Care as able, including PAP smears, breast exams, IUD Implanon placements/removal, and endometrial biopsies. There are several case managers who help with women’s health (see attached list). YKHC has a CDC Breast and Cervical Health Grant that helps YK bring in patients for PAP smears, annual exams and cancer diagnosis of breast or cervical or uterine cancer. The grant will pay for travel, meals and lodging if necessary for any women between the ages of 21-64. &lt;br /&gt;
&lt;br /&gt;
The current YKHC PAP guideline suggests no PAP under 21 and then Q 3 years after that until 30. At 30 years – 65 years of age they need paps Q 5 years—as long as there is no hx of abnormalities.&lt;br /&gt;
&lt;br /&gt;
We now use liquid PAPs (see LAB section). If abnormal PAPs, they are followed on a database by the CDC Breast and Cervical Care Manager: Nina Jones RN.  We follow the ASCCP guidelines for dealing with abnormal PAPs. There is a great app for it on your smart phone. &lt;br /&gt;
&lt;br /&gt;
Any abnormal looking cervixes, endometrial biopsies and skin lesion removals in the perineum that you feel need further work up, can be referred to Women’s Health in Bethel. Feel free to contact the Gynecology Case Manager for that @ 543-6557. Mammograms can begin at age 40 but, our current YKHC guideline is to start at age 45 and do them every 2 years.&lt;br /&gt;
&lt;br /&gt;
For annual exams, you can use Well Woman’s encounter pathway note. Please make sure to document Family History, Procedure History and give Birth Control.&lt;br /&gt;
&lt;br /&gt;
If you have a patient with an abnormal breast exam she will need a mammogram and a breast ultrasound, both must be done prior to the surgeon seeing them. You need to clearly document where the mass is. If she is under 40 they will only do a sono. If she is over 40 they will do both a sono/mammo.&lt;br /&gt;
&lt;br /&gt;
All referrals to ANMC surgery, whether to see the general surgeon in Bethel, in Specialty Clinic and/or a surgeon in Anchorage, need to have a phone consult with an ANMC surgeon and be documented on the specialty referral form. The WH Grant Case Manager (543-6296) will make sure that copies of the mammogram and sono go to ANMC for review prior to the patient’s visit.&lt;br /&gt;
&lt;br /&gt;
==Women’s Health Grant Info==&lt;br /&gt;
&#039;&#039;&#039;PAPs &amp;amp; Mammograms&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
The Women&#039;s Health Grant is funded by the CDC and is not associated with YKHC. They only fund for certain appointments or follow-ups. These appointments are for Annual PAPs, Mammograms and any abnormal follow-ups. But this differs as to exactly what age the patient is.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Ages&#039;&#039;&#039;&lt;br /&gt;
* &#039;&#039;&#039;21-29&#039;&#039;&#039; WH Grant will pay for PAP every three years since last exam (subject to change)&lt;br /&gt;
* &#039;&#039;&#039;30-64&#039;&#039;&#039; WH Grant will pay for PAP &amp;amp; Mammo every three – five years since last exam&lt;br /&gt;
* &#039;&#039;&#039;50-64&#039;&#039;&#039; WH Grant will pay for PAP &amp;amp; Mammo every year since last exam&lt;br /&gt;
* &#039;&#039;&#039;Over 64&#039;&#039;&#039; no coverage from the grant&lt;br /&gt;
&lt;br /&gt;
The Women&#039;s Health Grant does not pay for any trips to Anchorage for OB/GYN related issues, surgeries unless it&#039;s a breast biopsy or LEEP procedure. &lt;br /&gt;
&lt;br /&gt;
Any abnormal Mammos or PAP follow-ups will also be paid for by the Grant.&lt;br /&gt;
&lt;br /&gt;
Any questions please feel free to call Grant Supervisor Roxanne Andersen Ext: 6696&lt;br /&gt;
&lt;br /&gt;
Case Manager Christina Jones RN Ext 6296&lt;br /&gt;
&lt;br /&gt;
WH Grant  Admin Assistant: Ext 6990&lt;br /&gt;
&lt;br /&gt;
===Women’s Health Contact Information===&lt;br /&gt;
====Prenatal Case Manager ====	&lt;br /&gt;
&#039;&#039;&#039;Ann Glasheen&#039;&#039;&#039; WHNP Phone 543-6305 Fax 543-6689 for questions regarding HROB patients, Labs, medications.&lt;br /&gt;
====Prenatal Case Manager’s Secretary====&lt;br /&gt;
&#039;&#039;&#039;Rebecca Martins&#039;&#039;&#039; Phone 543-6189 Fax 543-6689 for prenatal questions/Be-In-Bethel questions/appointments, info on prenatal appointments and Anchorage appointments.&lt;br /&gt;
====OB/GYN Case Manager====&lt;br /&gt;
&#039;&#039;&#039;Brenda A. Lamont, RN&#039;&#039;&#039; Phone 543-6557 Fax 543-6689 for OB/GYN referrals, 17 hydroxy-progesterone medication questions.&lt;br /&gt;
====Women’s Health Grant Care Manager====&lt;br /&gt;
&#039;&#039;&#039;Christina Jones, RN&#039;&#039;&#039; Phone 543-6296 Fax 543-6689 for Women’s Health Grant questions, Colpo questions/scheduling, PAP, breast, mammogram follow-up questions&lt;br /&gt;
====Women’s Health Grant Secretary====&lt;br /&gt;
Phone 543-6990 Fax 543-6689 for Women’s Health Grant appointments, Women’s Health Grant application/questions, OB/GYN appointments (ONLY after a referral has been made)&lt;br /&gt;
&lt;br /&gt;
[[media:Midwifery.pdf|Midwifery In Rural Alaska]]: A 1994 article by former YKHC midwife Joan Koval. Still relevant today. PDF will open in your browser. Click your browser&#039;s back button to return to the wiki.&lt;br /&gt;
Link the Joan Koval article here it is in the women’s health folder…&lt;br /&gt;
&lt;br /&gt;
==Prenatal Information==&lt;br /&gt;
&lt;br /&gt;
Ann Glasheen is the primary resource for the prenatal paperwork. We have a large number of pregnant patients, many who are high risk due to chronic HTN or preeclampsia. At the top of each HPI for a pregnant woman, put a summary sentence like this example.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;Pt is a 32 yr old G5P3 AB1 with a EDC of 12/25/15 at 22 weeks gestation with a history of Cholestasis of Pregnancy and Kell Antibodys.&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Refer to the OB review attached to the end of this document. Use the RAVEN documents and the Ad Hoc Prenatal Flow Sheet and First Prenatal Visit to complete your documentation for each visit. &lt;br /&gt;
&lt;br /&gt;
===Prenatal Appointment Schedule if Uncomplicated===&lt;br /&gt;
&#039;&#039;&#039;Q4 week&#039;&#039;&#039;: Appts until 32 weeks&amp;lt;br /&amp;gt;&lt;br /&gt;
&#039;&#039;&#039;Q2 week&#039;&#039;&#039;: Until be-in-Bethel Date&amp;lt;br /&amp;gt;&lt;br /&gt;
&#039;&#039;&#039;Q1 week&#039;&#039;&#039;: Appts in Bethel and/or Anchorage&amp;lt;br /&amp;gt;&lt;br /&gt;
===Prenatal Labs/Sono Needed===&lt;br /&gt;
&#039;&#039;&#039;1st prenatal&#039;&#039;&#039;&amp;lt;br /&amp;gt;&lt;br /&gt;
(If in SRC do labs): CBC, HepBxAg, RPR, CCUA and urine culture, GC/CT, Rubella. Make Bethel appt. for 1st trimester sono. We want a sono as early as possible on everyone. &amp;lt;br /&amp;gt;&lt;br /&gt;
&#039;&#039;&#039;11-13 weeks&#039;&#039;&#039;: If Advanced Maternal Age, 35 or older, first trimester screening for Down’s. Contact Ann Glasheen for particulars. &amp;lt;br /&amp;gt;&lt;br /&gt;
&#039;&#039;&#039;15-21 weeks&#039;&#039;&#039;: Do Quad screen&amp;lt;br /&amp;gt;&lt;br /&gt;
&#039;&#039;&#039;18-24 weeks&#039;&#039;&#039;: Make a 2nd Sono appt. in Bethel for Anatomy screen&amp;lt;br /&amp;gt;&lt;br /&gt;
&#039;&#039;&#039;24-28 weeks&#039;&#039;&#039;: Prenatal with CBC/GST. If the GST is over 140, will need a GTT ASAP. &amp;lt;br /&amp;gt;&lt;br /&gt;
&#039;&#039;&#039;36 weeks&#039;&#039;&#039;: Into Bethel and/or Anchorage, CBC, GC/CT, and GBS culture&amp;lt;br /&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==STDs==&lt;br /&gt;
We have a very large amount of STDs in the Delta region as well. When someone asks for a STD check, please do Urine or Cervical GC/CT, RPR, and HIV tests. When doing the urine STD test, it needs to be done with dirty urine without having to wipe beforehand. Also ask if they are interested in Hep B, C and Herpes test as well. It’s good to ask whether if the patient is on birth control and what they are using. Educate them in Birth Control. Many women when asked, would like to start on some but, they are too shy to ask for it. We use EPT if pats are positive and using charge nurses to follow up results – fill out the required Partner Information forms . &lt;br /&gt;
	&lt;br /&gt;
==[[HROB Stickers--Problems/Plans]]==&lt;br /&gt;
&lt;br /&gt;
==Pregnancy Termination==&lt;br /&gt;
See the [[attached form]] to fill out. You can hand them this information packet (get from Dr Roll), but they need to make their own appointment into Anchorage for a termination. If they are over 13 weeks and 6 days the termination cannot be done in Anchorage and the patient will have to fly down to Seattle to go to the Cedar Valley Clinic in Renton WA. Medicaid will still pay for it but you need to apply for the emergency Medicaid so it can be done before too late in the pregnancy.&lt;br /&gt;
===FAQ===&lt;br /&gt;
&#039;&#039;&#039;What is an abortion?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
It is the termination of a pregnancy. It can be done medically (abortion pills) or surgically in a clinic setting. All pregnancies are confirmed by doing a dating sonogram prior to either procedure.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Is abortion legal?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Yes. Abortion was made legal in Alaska in 1971. In 1973 the Supreme Court decision known as Roe vs. Wade legalized abortion throughout the United States. The Supreme Court has mandated some restrictions on abortion practices, which vary state to state. In the state of Alaska, a termination can be performed prior to &#039;&#039;&#039;13 weeks and 6 days&#039;&#039;&#039; from the &#039;&#039;&#039;FIRST&#039;&#039;&#039; day of your last menstrual period. Some clinics in Alaska will only perform an abortion up to 12 weeks. Over 13 weeks patients will need to travel to Seattle, Washington.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Are there risk factors?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Yes. As with any medical procedure, there are always some risks involved. Your provider at the clinic you choose will explain these risks to you in detail at your appointment. &lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;What is the difference between a medical and surgical abortion? What is the cost?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
A medical abortion can be done from 4-8 weeks from the first day of your last period. Whether you are considered a candidate for this type of abortion is totally left to the discretion of the clinic you choose. If you are traveling from rural Alaska, you will need to stay in Anchorage or Seattle for at least 2-3 days because follow up in the clinic is necessary. &lt;br /&gt;
&lt;br /&gt;
&#039;&#039;The cost varies in each clinic and if you choose to have additional sedation or pain medication, it may require an additional fee. The average cost is $650-$1500 for either type of abortion. It is always YOUR responsibility to ask about the fees&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;What should I do for my appointment?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Wear comfortable clothing, a two piece outfit that will allow easy access to your arm while blood pressures are being monitored. DO NOT CONSUME ALCOHOL, ASPIRIN PRODUCTS, OR USE ANY RECREATIONAL DRUGS 24 HOURS BEFORE YOUR APPOINTMENT. If possible, decrease or eliminate all tobacco products including cigarettes and chew. Ask the clinic what you may eat/drink before this procedure and if you may continue to take your regular daily medications or vitamins.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Are there any websites to explore more information concerning abortion?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Yes. An Alaskan organization which offers reproductive choices is The Alaska Pro-Choice Alliance. Their website is: http://www.alaskaprochoice.org. Further information is through the state of AK. http://www.hss.state.ak.us/dph/wcfh/informedconsent/default.htm. Another non-local organization is the Feminist Women’s Health Center which provides reproductive health information. Their website is: http://www.fwhc.org/abortion/index.htm. &lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;What if I have difficulty with my decision AFTER the abortion is over?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Each clinic is different, but post abortion counseling may be included as part of the original fee. Please clarify this BEFORE your appointment. Some websites you may want to explore include: http://www.4exhale.org and www.peaceafterabortion.com&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Do I have other options besides abortion?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Yes. You could also consider adoption as an alternative option to abortion. See these websites for more information or contact your provider or the Social Worker at your local hospital. http://www.americanadoptions.com/Alaska or https://www.cssalaska.org/our-programs/adoption-services/ &lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;How do I make an appointment for an abortion?&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
If you have private insurance or you will self pay, you may call and schedule your appointment. If you have no means to pay, you should see if you are eligible for Alaskan Medicaid by applying for Emergency Medicaid. You will need to have your Alaskan Medicaid number BEFORE you can call and make an appointment. The clinics that are available for this procedure are below.&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;In the State of Alaska (must be less than 13 weeks pregnant):&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Colleen Murphy, MD&amp;lt;br /&amp;gt;&lt;br /&gt;
4231 Lake Otis Parkway&amp;lt;br /&amp;gt;&lt;br /&gt;
Anchorage, AK 99508&amp;lt;br /&amp;gt;&lt;br /&gt;
907-563-7228  Fax: 907-563-6278&lt;br /&gt;
&lt;br /&gt;
Susan Lemagie, MD&amp;lt;br /&amp;gt;&lt;br /&gt;
425 E. Dahlia, Suite J&amp;lt;br /&amp;gt;&lt;br /&gt;
Palmer, AK 99645&amp;lt;br /&amp;gt;&lt;br /&gt;
907-745-8379 Fax: 907-745-0153&amp;lt;br /&amp;gt;&lt;br /&gt;
(Does not accept Medicaid) &amp;lt;br /&amp;gt;&lt;br /&gt;
(up to 12 weeks gest. Est: $1440.00)&lt;br /&gt;
&lt;br /&gt;
Planned Parenthood of Alaska-Anchorage&amp;lt;br /&amp;gt;&lt;br /&gt;
4001 Lake Otis Parkway&amp;lt;br /&amp;gt;&lt;br /&gt;
Anchorage, AK 99508&amp;lt;br /&amp;gt;&lt;br /&gt;
907-563-2229 Fax: 907-563-7419&amp;lt;br /&amp;gt;&lt;br /&gt;
1-800-769-0045&lt;br /&gt;
&lt;br /&gt;
Michael Merrick, MD&amp;lt;br /&amp;gt;&lt;br /&gt;
416 Frontage Road, Suite 400&amp;lt;br /&amp;gt;&lt;br /&gt;
Kenai, AK 99611&amp;lt;br /&amp;gt;&lt;br /&gt;
907-283-5487 Fax: 907-283-6062&amp;lt;br /&amp;gt;&lt;br /&gt;
(Patient must stay in area) &amp;lt;br /&amp;gt;&lt;br /&gt;
(up to 12 weeks gest. Est: $700-800)&lt;br /&gt;
&lt;br /&gt;
Alaska Women’s Health Services&amp;lt;br /&amp;gt;&lt;br /&gt;
4100 Lake Otis Parkway&amp;lt;br /&amp;gt;&lt;br /&gt;
Anchorage, AK 99508&amp;lt;br /&amp;gt;&lt;br /&gt;
907-563-7228&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;If you are more than 13 weeks pregnant:&#039;&#039;&#039;&lt;br /&gt;
&lt;br /&gt;
Cedar River Clinic&amp;lt;br /&amp;gt;&lt;br /&gt;
263 Rainier Ave. South, Suite 200&amp;lt;br /&amp;gt;&lt;br /&gt;
Renton, Washington 98057&amp;lt;br /&amp;gt;&lt;br /&gt;
1-800-572-4223 or 425-255-0471&amp;lt;br /&amp;gt;&lt;br /&gt;
Fax: 425-255-0262&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1330</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1330"/>
		<updated>2015-10-09T16:13:16Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Removing displaytitle since it was no longer necessary after the page move&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;[[File:YKDRH.jpg|right]]&amp;lt;strong&amp;gt;Welcome to the online Provider Orientation Manual for the Yukon-Kuskokwim Health Corporation.&amp;lt;/strong&amp;gt; This is manual is intended to be a resource for medical providers considering work at YK, new staff, locums and residents. It is intended to be a resource that is accessible and quickly available from the YK intranet and from outside the system.&lt;br /&gt;
&lt;br /&gt;
For those considering work at YKHC, you can get a preview of the exciting challenges and adventures of working here.&lt;br /&gt;
&lt;br /&gt;
For new hires this manual provides a step-by-step process for starting work at YKHC.&lt;br /&gt;
&lt;br /&gt;
For those working at YKHC already, this manual has become a store house of day to day working tips, pooled experiential knowledge of seasoned YK providers and a single site to access tools and resources to help your ongoing YKHC orientation and work at YKHC as smooth as possible.&lt;br /&gt;
&lt;br /&gt;
Practicing medicine in Bush Alaska has its challenges and also its rewards. This wiki orientation is intended to introduce you to the &amp;quot;YK Way.&amp;quot; It is an evolving, never-ending work in progress, with several sections still under construction. &lt;br /&gt;
&lt;br /&gt;
Browse, go directly to orientation sections you are interested in reading, jump to emergency health aide scenario tips or check out the resource links to guidelines, formularies and important policies.  &lt;br /&gt;
&lt;br /&gt;
Thanks to the many providers that have written large sections of this manual and to all of the providers that have given feedback and edits. &lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
==Contents and Navigation==&lt;br /&gt;
The sidebar to the left lists categories, or chapters, linking to information about our various departments, units, clinics, services and health care programs. The links may be the best route to what you&#039;re looking for, but [[Special:Search|searching]] is also effective. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
Wiki navigation is somewhat primitive. If you find yourself at a dead end or in a standalone pdf document, you may not see the main sidebar menu of the wiki. Use your &#039;&#039;browser&#039;s&#039;&#039; back button to return to the previous page or until you find yourself in familiar territory.&lt;br /&gt;
&lt;br /&gt;
==Editing and Contributing==&lt;br /&gt;
The ePOM is authored by a team of our senior medical staff. Questions, comments and requests can be directed to the Chief of Staff or Medical Director.&lt;br /&gt;
===Redlinks===&lt;br /&gt;
The contents of the ePOM are in flux. Editors can create links before a page is made. These show up in red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will take you to an empty page. If you are logged in as an editor, you can create the page yourself. You can use  your browser&#039;s backbutton to escape if you&#039;re not ready yet. &lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup. You may find this [http://en.wikipedia.org/wiki/Help:Cheatsheet cheatsheet] helpful.&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. Clicking a TOC item takes you to that heading on the page. You can show or hide the TOC.&lt;br /&gt;
===Another Heading===&lt;br /&gt;
[[:category:Residents]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Mainpage&amp;diff=1329</id>
		<title>MediaWiki:Mainpage</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Mainpage&amp;diff=1329"/>
		<updated>2015-10-09T16:12:03Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Updating home link to match new page title&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Guide to YKHC Medical Practices&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=YKHC_ePOM&amp;diff=1328</id>
		<title>YKHC ePOM</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=YKHC_ePOM&amp;diff=1328"/>
		<updated>2015-10-09T16:08:35Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Administrator moved page YKHC ePOM to Guide to YKHC Medical Practices: ePOM wasn&amp;#039;t meaningful to most visitors&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;#REDIRECT [[Guide to YKHC Medical Practices]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1327</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1327"/>
		<updated>2015-10-09T16:08:35Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Administrator moved page YKHC ePOM to Guide to YKHC Medical Practices: ePOM wasn&amp;#039;t meaningful to most visitors&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:Guide to YKHC Medical Practices}}&lt;br /&gt;
[[File:YKDRH.jpg|right]]&amp;lt;strong&amp;gt;Welcome to the online Provider Orientation Manual for the Yukon-Kuskokwim Health Corporation.&amp;lt;/strong&amp;gt; This is manual is intended to be a resource for medical providers considering work at YK, new staff, locums and residents. It is intended to be a resource that is accessible and quickly available from the YK intranet and from outside the system.&lt;br /&gt;
&lt;br /&gt;
For those considering work at YKHC, you can get a preview of the exciting challenges and adventures of working here.&lt;br /&gt;
&lt;br /&gt;
For new hires this manual provides a step-by-step process for starting work at YKHC.&lt;br /&gt;
&lt;br /&gt;
For those working at YKHC already, this manual has become a store house of day to day working tips, pooled experiential knowledge of seasoned YK providers and a single site to access tools and resources to help your ongoing YKHC orientation and work at YKHC as smooth as possible.&lt;br /&gt;
&lt;br /&gt;
Practicing medicine in Bush Alaska has its challenges and also its rewards. This wiki orientation is intended to introduce you to the &amp;quot;YK Way.&amp;quot; It is an evolving, never-ending work in progress, with several sections still under construction. &lt;br /&gt;
&lt;br /&gt;
Browse, go directly to orientation sections you are interested in reading, jump to emergency health aide scenario tips or check out the resource links to guidelines, formularies and important policies.  &lt;br /&gt;
&lt;br /&gt;
Thanks to the many providers that have written large sections of this manual and to all of the providers that have given feedback and edits. &lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
==Contents and Navigation==&lt;br /&gt;
The sidebar to the left lists categories, or chapters, linking to information about our various departments, units, clinics, services and health care programs. The links may be the best route to what you&#039;re looking for, but [[Special:Search|searching]] is also effective. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
Wiki navigation is somewhat primitive. If you find yourself at a dead end or in a standalone pdf document, you may not see the main sidebar menu of the wiki. Use your &#039;&#039;browser&#039;s&#039;&#039; back button to return to the previous page or until you find yourself in familiar territory.&lt;br /&gt;
&lt;br /&gt;
==Editing and Contributing==&lt;br /&gt;
The ePOM is authored by a team of our senior medical staff. Questions, comments and requests can be directed to the Chief of Staff or Medical Director.&lt;br /&gt;
===Redlinks===&lt;br /&gt;
The contents of the ePOM are in flux. Editors can create links before a page is made. These show up in red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will take you to an empty page. If you are logged in as an editor, you can create the page yourself. You can use  your browser&#039;s backbutton to escape if you&#039;re not ready yet. &lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup. You may find this [http://en.wikipedia.org/wiki/Help:Cheatsheet cheatsheet] helpful.&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. Clicking a TOC item takes you to that heading on the page. You can show or hide the TOC.&lt;br /&gt;
===Another Heading===&lt;br /&gt;
[[:category:Residents]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1326</id>
		<title>MediaWiki:Sidebar</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=MediaWiki:Sidebar&amp;diff=1326"/>
		<updated>2015-10-09T16:04:39Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Replacing ePOM site name&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&lt;br /&gt;
* navigation&lt;br /&gt;
** mainpage|Home&lt;br /&gt;
** recentchanges-url|recentchanges&lt;br /&gt;
** randompage-url|randompage&lt;br /&gt;
** helppage|help&lt;br /&gt;
* Guide to YKHC Medical Practices&lt;br /&gt;
** Category:Overview_of_YKHC_Medical_Practices|Overview of YKHC Medical Practices&lt;br /&gt;
** Category:Before_Starting_Work_at_YKHC|Before Starting Work at YKHC&lt;br /&gt;
** Category:Orientation_and_Training|Orientation and Training&lt;br /&gt;
** Category:Residents|Residents&lt;br /&gt;
** Category:RAVEN|RAVEN (EHR)&lt;br /&gt;
** Category:Cultural_Orientation|Cultural Orientation&lt;br /&gt;
** Category:YKHC_Guidelines|YKHC Guidelines&lt;br /&gt;
** Category:Formularies|Formularies&lt;br /&gt;
** Category:Consults|Consults&lt;br /&gt;
** Category:Telemedicine/AFCHAN|Telemedicine / AFCHAN&lt;br /&gt;
** Category:Chronic Pain|Chronic Pain&lt;br /&gt;
** Category:Outpatient|Outpatient&lt;br /&gt;
** Category:Pediatrics|Pediatrics&lt;br /&gt;
** Category:Ancillary_Services|Ancillary Services&lt;br /&gt;
** Category:SRC_Clinic_Provider_Orientation|SRC Clinic Provider Orientation&lt;br /&gt;
** Category:Women&#039;s_Health|Women&#039;s Health&lt;br /&gt;
** Category:Specialty_Clinics/Services_and_Referrals|Specialty Clinics / Services and Referrals&lt;br /&gt;
** Category:Radio_Medical_Traffic (RMT)|Radio Medical Traffic (RMT)&lt;br /&gt;
** Category:OR|OR&lt;br /&gt;
** Category:Emergency_Room|Emergency Room&lt;br /&gt;
** Category:Medevacs_and_Transport|Medevacs and Transport&lt;br /&gt;
** Category:Inpatient|Inpatient&lt;br /&gt;
** Category:OB_&amp;amp;_Newborn|OB &amp;amp; Newborn&lt;br /&gt;
** Category:CHAP|CHAP&lt;br /&gt;
** Category:Behavioral_Health|Behavioral Health&lt;br /&gt;
** Category:Dental|Dental&lt;br /&gt;
** Category:Optometry|Optometry&lt;br /&gt;
** Category:Domestic_Violence/Abuse/Sexual_Assault|Domestic Violence/Abuse/Sexual Assault&lt;br /&gt;
** Category:Satellite_Facilities|Satellite Facilities&lt;br /&gt;
** Category:Resources|Resources&lt;br /&gt;
* SEARCH&lt;br /&gt;
* TOOLBOX&lt;br /&gt;
* LANGUAGES&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1325</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1325"/>
		<updated>2015-10-09T15:55:19Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Changed display title&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:Guide to YKHC Medical Practices}}&lt;br /&gt;
[[File:YKDRH.jpg|right]]&amp;lt;strong&amp;gt;Welcome to the online Provider Orientation Manual for the Yukon-Kuskokwim Health Corporation.&amp;lt;/strong&amp;gt; This is manual is intended to be a resource for medical providers considering work at YK, new staff, locums and residents. It is intended to be a resource that is accessible and quickly available from the YK intranet and from outside the system.&lt;br /&gt;
&lt;br /&gt;
For those considering work at YKHC, you can get a preview of the exciting challenges and adventures of working here.&lt;br /&gt;
&lt;br /&gt;
For new hires this manual provides a step-by-step process for starting work at YKHC.&lt;br /&gt;
&lt;br /&gt;
For those working at YKHC already, this manual has become a store house of day to day working tips, pooled experiential knowledge of seasoned YK providers and a single site to access tools and resources to help your ongoing YKHC orientation and work at YKHC as smooth as possible.&lt;br /&gt;
&lt;br /&gt;
Practicing medicine in Bush Alaska has its challenges and also its rewards. This wiki orientation is intended to introduce you to the &amp;quot;YK Way.&amp;quot; It is an evolving, never-ending work in progress, with several sections still under construction. &lt;br /&gt;
&lt;br /&gt;
Browse, go directly to orientation sections you are interested in reading, jump to emergency health aide scenario tips or check out the resource links to guidelines, formularies and important policies.  &lt;br /&gt;
&lt;br /&gt;
Thanks to the many providers that have written large sections of this manual and to all of the providers that have given feedback and edits. &lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
==Contents and Navigation==&lt;br /&gt;
The sidebar to the left lists categories, or chapters, linking to information about our various departments, units, clinics, services and health care programs. The links may be the best route to what you&#039;re looking for, but [[Special:Search|searching]] is also effective. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
Wiki navigation is somewhat primitive. If you find yourself at a dead end or in a standalone pdf document, you may not see the main sidebar menu of the wiki. Use your &#039;&#039;browser&#039;s&#039;&#039; back button to return to the previous page or until you find yourself in familiar territory.&lt;br /&gt;
&lt;br /&gt;
==Editing and Contributing==&lt;br /&gt;
The ePOM is authored by a team of our senior medical staff. Questions, comments and requests can be directed to the Chief of Staff or Medical Director.&lt;br /&gt;
===Redlinks===&lt;br /&gt;
The contents of the ePOM are in flux. Editors can create links before a page is made. These show up in red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will take you to an empty page. If you are logged in as an editor, you can create the page yourself. You can use  your browser&#039;s backbutton to escape if you&#039;re not ready yet. &lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup. You may find this [http://en.wikipedia.org/wiki/Help:Cheatsheet cheatsheet] helpful.&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. Clicking a TOC item takes you to that heading on the page. You can show or hide the TOC.&lt;br /&gt;
===Another Heading===&lt;br /&gt;
[[:category:Residents]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1317</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1317"/>
		<updated>2015-10-07T00:17:16Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Reverted edits by Administrator (talk) to last revision by Mfaubion&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;[[File:YKDRH.jpg|right]]&amp;lt;strong&amp;gt;Welcome to the online Provider Orientation Manual for the Yukon-Kuskokwim Health Corporation.&amp;lt;/strong&amp;gt; This is manual is intended to be a resource for medical providers considering work at YK, new staff, locums and residents. It is intended to be a resource that is accessible and quickly available from the YK intranet and from outside the system.&lt;br /&gt;
&lt;br /&gt;
For those considering work at YKHC, you can get a preview of the exciting challenges and adventures of working here.&lt;br /&gt;
&lt;br /&gt;
For new hires this manual provides a step-by-step process for starting work at YKHC.&lt;br /&gt;
&lt;br /&gt;
For those working at YKHC already, this manual has become a store house of day to day working tips, pooled experiential knowledge of seasoned YK providers and a single site to access tools and resources to help your ongoing YKHC orientation and work at YKHC as smooth as possible.&lt;br /&gt;
&lt;br /&gt;
Practicing medicine in Bush Alaska has its challenges and also its rewards. This wiki orientation is intended to introduce you to the &amp;quot;YK Way.&amp;quot; It is an evolving, never-ending work in progress, with several sections still under construction. &lt;br /&gt;
&lt;br /&gt;
Browse, go directly to orientation sections you are interested in reading, jump to emergency health aide scenario tips or check out the resource links to guidelines, formularies and important policies.  &lt;br /&gt;
&lt;br /&gt;
Thanks to the many providers that have written large sections of this manual and to all of the providers that have given feedback and edits. &lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
==Contents and Navigation==&lt;br /&gt;
The sidebar to the left lists categories, or chapters, linking to information about our various departments, units, clinics, services and health care programs. The links may be the best route to what you&#039;re looking for, but [[Special:Search|searching]] is also effective. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
Wiki navigation is somewhat primitive. If you find yourself at a dead end or in a standalone pdf document, you may not see the main sidebar menu of the wiki. Use your &#039;&#039;browser&#039;s&#039;&#039; back button to return to the previous page or until you find yourself in familiar territory.&lt;br /&gt;
&lt;br /&gt;
==Editing and Contributing==&lt;br /&gt;
The ePOM is authored by a team of our senior medical staff. Questions, comments and requests can be directed to the Chief of Staff or Medical Director.&lt;br /&gt;
===Redlinks===&lt;br /&gt;
The contents of the ePOM are in flux. Editors can create links before a page is made. These show up in red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will take you to an empty page. If you are logged in as an editor, you can create the page yourself. You can use  your browser&#039;s backbutton to escape if you&#039;re not ready yet. &lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup. You may find this [http://en.wikipedia.org/wiki/Help:Cheatsheet cheatsheet] helpful.&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. Clicking a TOC item takes you to that heading on the page. You can show or hide the TOC.&lt;br /&gt;
===Another Heading===&lt;br /&gt;
[[:category:Residents]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1316</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1316"/>
		<updated>2015-10-07T00:13:33Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{DISPLAYTITLE:Guide to YKHC Medical Practices}}[[File:YKDRH.jpg|right]]&amp;lt;strong&amp;gt;Welcome to the online Provider Orientation Manual for the Yukon-Kuskokwim Health Corporation.&amp;lt;/strong&amp;gt; This is manual is intended to be a resource for medical providers considering work at YK, new staff, locums and residents. It is intended to be a resource that is accessible and quickly available from the YK intranet and from outside the system.&lt;br /&gt;
&lt;br /&gt;
For those considering work at YKHC, you can get a preview of the exciting challenges and adventures of working here.&lt;br /&gt;
&lt;br /&gt;
For new hires this manual provides a step-by-step process for starting work at YKHC.&lt;br /&gt;
&lt;br /&gt;
For those working at YKHC already, this manual has become a store house of day to day working tips, pooled experiential knowledge of seasoned YK providers and a single site to access tools and resources to help your ongoing YKHC orientation and work at YKHC as smooth as possible.&lt;br /&gt;
&lt;br /&gt;
Practicing medicine in Bush Alaska has its challenges and also its rewards. This wiki orientation is intended to introduce you to the &amp;quot;YK Way.&amp;quot; It is an evolving, never-ending work in progress, with several sections still under construction. &lt;br /&gt;
&lt;br /&gt;
Browse, go directly to orientation sections you are interested in reading, jump to emergency health aide scenario tips or check out the resource links to guidelines, formularies and important policies.  &lt;br /&gt;
&lt;br /&gt;
Thanks to the many providers that have written large sections of this manual and to all of the providers that have given feedback and edits. &lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
==Contents and Navigation==&lt;br /&gt;
The sidebar to the left lists categories, or chapters, linking to information about our various departments, units, clinics, services and health care programs. The links may be the best route to what you&#039;re looking for, but [[Special:Search|searching]] is also effective. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
Wiki navigation is somewhat primitive. If you find yourself at a dead end or in a standalone pdf document, you may not see the main sidebar menu of the wiki. Use your &#039;&#039;browser&#039;s&#039;&#039; back button to return to the previous page or until you find yourself in familiar territory.&lt;br /&gt;
&lt;br /&gt;
==Editing and Contributing==&lt;br /&gt;
The ePOM is authored by a team of our senior medical staff. Questions, comments and requests can be directed to the Chief of Staff or Medical Director.&lt;br /&gt;
===Redlinks===&lt;br /&gt;
The contents of the ePOM are in flux. Editors can create links before a page is made. These show up in red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will take you to an empty page. If you are logged in as an editor, you can create the page yourself. You can use your browser&#039;s backbutton to escape if you&#039;re not ready yet. &lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup. You may find this [http://en.wikipedia.org/wiki/Help:Cheatsheet cheatsheet] helpful.&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. Clicking a TOC item takes you to that heading on the page. You can show or hide the TOC.&lt;br /&gt;
===Another Heading===&lt;br /&gt;
[[:category:Residents]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1315</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1315"/>
		<updated>2015-10-07T00:09:30Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Changing displayed title&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;[{{DISPLAYTITLE:Guide to YKHC Medical Practices}}[File:YKDRH.jpg|right]]&amp;lt;strong&amp;gt;Welcome to the online Provider Orientation Manual for the Yukon-Kuskokwim Health Corporation.&amp;lt;/strong&amp;gt; This is manual is intended to be a resource for medical providers considering work at YK, new staff, locums and residents. It is intended to be a resource that is accessible and quickly available from the YK intranet and from outside the system.&lt;br /&gt;
&lt;br /&gt;
For those considering work at YKHC, you can get a preview of the exciting challenges and adventures of working here.&lt;br /&gt;
&lt;br /&gt;
For new hires this manual provides a step-by-step process for starting work at YKHC.&lt;br /&gt;
&lt;br /&gt;
For those working at YKHC already, this manual has become a store house of day to day working tips, pooled experiential knowledge of seasoned YK providers and a single site to access tools and resources to help your ongoing YKHC orientation and work at YKHC as smooth as possible.&lt;br /&gt;
&lt;br /&gt;
Practicing medicine in Bush Alaska has its challenges and also its rewards. This wiki orientation is intended to introduce you to the &amp;quot;YK Way.&amp;quot; It is an evolving, never-ending work in progress, with several sections still under construction. &lt;br /&gt;
&lt;br /&gt;
Browse, go directly to orientation sections you are interested in reading, jump to emergency health aide scenario tips or check out the resource links to guidelines, formularies and important policies.  &lt;br /&gt;
&lt;br /&gt;
Thanks to the many providers that have written large sections of this manual and to all of the providers that have given feedback and edits. &lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
==Contents and Navigation==&lt;br /&gt;
The sidebar to the left lists categories, or chapters, linking to information about our various departments, units, clinics, services and health care programs. The links may be the best route to what you&#039;re looking for, but [[Special:Search|searching]] is also effective. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
Wiki navigation is somewhat primitive. If you find yourself at a dead end or in a standalone pdf document, you may not see the main sidebar menu of the wiki. Use your &#039;&#039;browser&#039;s&#039;&#039; back button to return to the previous page or until you find yourself in familiar territory.&lt;br /&gt;
&lt;br /&gt;
==Editing and Contributing==&lt;br /&gt;
The ePOM is authored by a team of our senior medical staff. Questions, comments and requests can be directed to the Chief of Staff or Medical Director.&lt;br /&gt;
===Redlinks===&lt;br /&gt;
The contents of the ePOM are in flux. Editors can create links before a page is made. These show up in red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will take you to an empty page. If you are logged in as an editor, you can create the page yourself. You can use your browser&#039;s backbutton to escape if you&#039;re not ready yet. &lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup. You may find this [http://en.wikipedia.org/wiki/Help:Cheatsheet cheatsheet] helpful.&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. Clicking a TOC item takes you to that heading on the page. You can show or hide the TOC.&lt;br /&gt;
===Another Heading===&lt;br /&gt;
[[:category:Residents]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1304</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=1304"/>
		<updated>2015-09-25T20:48:00Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Testing edit functionality&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;[[File:YKDRH.jpg|right]]&amp;lt;strong&amp;gt;Welcome to the online Provider Orientation Manual for the Yukon-Kuskokwim Health Corporation.&amp;lt;/strong&amp;gt; This is manual is intended to be a resource for medical providers considering work at YK, new staff, locums and residents. It is intended to be a resource that is accessible and quickly available from the YK intranet and from outside the system.&lt;br /&gt;
&lt;br /&gt;
For those considering work at YKHC, you can get a preview of the exciting challenges and adventures of working here.&lt;br /&gt;
&lt;br /&gt;
For new hires this manual provides a step-by-step process for starting work at YKHC.&lt;br /&gt;
&lt;br /&gt;
For those working at YKHC already, this manual has become a store house of day to day working tips, pooled experiential knowledge of seasoned YK providers and a single site to access tools and resources to help your ongoing YKHC orientation and work at YKHC as smooth as possible.&lt;br /&gt;
&lt;br /&gt;
Practicing medicine in Bush Alaska has its challenges and also its rewards. This wiki orientation is intended to introduce you to the &amp;quot;YK Way.&amp;quot; It is an evolving, never-ending work in progress, with several sections still under construction. &lt;br /&gt;
&lt;br /&gt;
Browse, go directly to orientation sections you are interested in reading, jump to emergency health aide scenario tips or check out the resource links to guidelines, formularies and important policies.  &lt;br /&gt;
&lt;br /&gt;
Thanks to the many providers that have written large sections of this manual and to all of the providers that have given feedback and edits. &lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
==Contents and Navigation==&lt;br /&gt;
The sidebar to the left lists categories, or chapters, linking to information about our various departments, units, clinics, services and health care programs. The links may be the best route to what you&#039;re looking for, but [[Special:Search|searching]] is also effective. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
Wiki navigation is somewhat primitive. If you find yourself at a dead end or in a standalone pdf document, you may not see the main sidebar menu of the wiki. Use your &#039;&#039;browser&#039;s&#039;&#039; back button to return to the previous page or until you find yourself in familiar territory.&lt;br /&gt;
&lt;br /&gt;
==Editing and Contributing==&lt;br /&gt;
The ePOM is authored by a team of our senior medical staff. Questions, comments and requests can be directed to the Chief of Staff or Medical Director.&lt;br /&gt;
===Redlinks===&lt;br /&gt;
The contents of the ePOM are in flux. Editors can create links before a page is made. These show up in red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will take you to an empty page. If you are logged in as an editor, you can create the page yourself. You can use your browser&#039;s backbutton to escape if you&#039;re not ready yet. &lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup. You may find this [http://en.wikipedia.org/wiki/Help:Cheatsheet cheatsheet] helpful.&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. Clicking a TOC item takes you to that heading on the page. You can show or hide the TOC.&lt;br /&gt;
===Another Heading===&lt;br /&gt;
[[:category:Residents]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=492</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=492"/>
		<updated>2014-08-06T19:38:11Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* Editing */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. Each &amp;quot;chapter&amp;quot; is a wiki category, which can contain sub-categories and pages. You can always use the links in the left column to navigate the site. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
=== Redlinks ===&lt;br /&gt;
Because the contents of the ePOM are in flux, we have only fleshed-out a few sections. When no page or category has been built yet, its link appears red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will prompt you to create the page yourself. You can back-up if you&#039;re not ready to do so.&lt;br /&gt;
&lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup. You may find this [http://en.wikipedia.org/wiki/Help:Cheatsheet cheatsheet] helpful&lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
YKHC should decide how &amp;quot;atomic&amp;quot; it wants its content to be. Is it better to group single-pages together within a category, or to group all entries into one long page? Examples:&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] is a category, with separate pages for each topic. &lt;br /&gt;
Each approach has its advantages.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. &lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
Many shorter documents lack this internal structure, but it could be useful to introduce a standard set (e.g. &amp;quot;description,&amp;quot; &amp;quot;symptoms,&amp;quot; &amp;quot;treatment,&amp;quot; &amp;quot;resources&amp;quot;)&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
Many terms can have more than one name. Rather than duplicating information, a redirect is used:&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;br /&gt;
* [[Aniak SRC]] is another term for [[Clara Morgan Subregional Clinic]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=480</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=480"/>
		<updated>2014-07-28T18:47:44Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. Each &amp;quot;chapter&amp;quot; is a wiki category, which can contain sub-categories and pages. You can always use the links in the left column to navigate the site. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. You may also wish to see the list of [[Special:AllPages|all pages]].&lt;br /&gt;
&lt;br /&gt;
=== Redlinks ===&lt;br /&gt;
Because the contents of the ePOM are in flux, we have only fleshed-out a few sections. When no page or category has been built yet, its link appears red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will prompt you to create the page yourself. You can back-up if you&#039;re not ready to do so.&lt;br /&gt;
&lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup.&lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
YKHC should decide how &amp;quot;atomic&amp;quot; it wants its content to be. Is it better to group single-pages together within a category, or to group all entries into one long page? Examples:&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] is a category, with separate pages for each topic. &lt;br /&gt;
Each approach has its advantages.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. &lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
Many shorter documents lack this internal structure, but it could be useful to introduce a standard set (e.g. &amp;quot;description,&amp;quot; &amp;quot;symptoms,&amp;quot; &amp;quot;treatment,&amp;quot; &amp;quot;resources&amp;quot;)&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
Many terms can have more than one name. Rather than duplicating information, a redirect is used:&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;br /&gt;
* [[Aniak SRC]] is another term for [[Clara Morgan Subregional Clinic]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=479</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=479"/>
		<updated>2014-07-28T18:45:43Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* Aliases */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. Each &amp;quot;chapter&amp;quot; is a wiki category, which can contain sub-categories and pages. You can always use the links in the left column to navigate the site. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
=== Redlinks ===&lt;br /&gt;
Because the contents of the ePOM are in flux, we have only fleshed-out a few sections. When no page or category has been built yet, its link appears red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will prompt you to create the page yourself. You can back-up if you&#039;re not ready to do so.&lt;br /&gt;
&lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup.&lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
YKHC should decide how &amp;quot;atomic&amp;quot; it wants its content to be. Is it better to group single-pages together within a category, or to group all entries into one long page? Examples:&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] is a category, with separate pages for each topic. &lt;br /&gt;
Each approach has its advantages.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. &lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
Many shorter documents lack this internal structure, but it could be useful to introduce a standard set (e.g. &amp;quot;description,&amp;quot; &amp;quot;symptoms,&amp;quot; &amp;quot;treatment,&amp;quot; &amp;quot;resources&amp;quot;)&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
Many terms can have more than one name. Rather than duplicating information, a redirect is used:&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;br /&gt;
* [[Aniak SRC]] is another term for [[Clara Morgan Subregional Clinic]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=478</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=478"/>
		<updated>2014-07-28T18:43:09Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* Pages with Structure */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. Each &amp;quot;chapter&amp;quot; is a wiki category, which can contain sub-categories and pages. You can always use the links in the left column to navigate the site. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
=== Redlinks ===&lt;br /&gt;
Because the contents of the ePOM are in flux, we have only fleshed-out a few sections. When no page or category has been built yet, its link appears red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will prompt you to create the page yourself. You can back-up if you&#039;re not ready to do so.&lt;br /&gt;
&lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup.&lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
YKHC should decide how &amp;quot;atomic&amp;quot; it wants its content to be. Is it better to group single-pages together within a category, or to group all entries into one long page? Examples:&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] is a category, with separate pages for each topic. &lt;br /&gt;
Each approach has its advantages.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
When a page has more than three headings in it, the wiki automatically generates a table of contents. &lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
Many shorter documents lack this internal structure, but it could be useful to introduce a standard set (e.g. &amp;quot;description,&amp;quot; &amp;quot;symptoms,&amp;quot; &amp;quot;treatment,&amp;quot; &amp;quot;resources&amp;quot;)&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=477</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=477"/>
		<updated>2014-07-28T18:41:01Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* Long Pages vs. Categories */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. Each &amp;quot;chapter&amp;quot; is a wiki category, which can contain sub-categories and pages. You can always use the links in the left column to navigate the site. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
=== Redlinks ===&lt;br /&gt;
Because the contents of the ePOM are in flux, we have only fleshed-out a few sections. When no page or category has been built yet, its link appears red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will prompt you to create the page yourself. You can back-up if you&#039;re not ready to do so.&lt;br /&gt;
&lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup.&lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
YKHC should decide how &amp;quot;atomic&amp;quot; it wants its content to be. Is it better to group single-pages together within a category, or to group all entries into one long page? Examples:&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] is a category, with separate pages for each topic. &lt;br /&gt;
Each approach has its advantages.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=476</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=476"/>
		<updated>2014-07-28T18:38:28Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
== Structure ==&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. Each &amp;quot;chapter&amp;quot; is a wiki category, which can contain sub-categories and pages. You can always use the links in the left column to navigate the site. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
=== Redlinks ===&lt;br /&gt;
Because the contents of the ePOM are in flux, we have only fleshed-out a few sections. When no page or category has been built yet, its link appears red (in the wiki world, these are known as &amp;quot;redlinks&amp;quot;). Clicking on one of those links will prompt you to create the page yourself. You can back-up if you&#039;re not ready to do so.&lt;br /&gt;
&lt;br /&gt;
=== Editing ===&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. As is a lot of simple html, if you&#039;re familiar with basic markup.&lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] breaks individual entries out into separate pages of their own, for more direct access.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=475</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=475"/>
		<updated>2014-07-28T18:24:27Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. You can always use it to navigate content. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
The ePOM uses a lightweight graphical editor to simplify the process of editing pages, but the standard wiki markup you may be familiar with from other wikis is still valid. &lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] breaks individual entries out into separate pages of their own, for more direct access.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=474</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=474"/>
		<updated>2014-07-28T18:23:16Z</updated>

		<summary type="html">&lt;p&gt;Administrator: descriptive copy&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for general information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. You can always use it to navigate content. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
The ePOM uses a lightweight graphical editor, to simplify the process of editing, but standard wiki markup is still valid. &lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] breaks individual entries out into separate pages of their own, for more direct access.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=473</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=473"/>
		<updated>2014-07-28T17:54:33Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. You can always use it to navigate content. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] breaks individual entries out into separate pages of their own, for more direct access.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=472</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=472"/>
		<updated>2014-07-25T19:25:30Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for information on using wiki software.&lt;br /&gt;
&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. You can always use it to navigate content. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|Searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
=== Long Pages vs. Categories ===&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] breaks individual entries out into separate pages of their own, for more direct access.&lt;br /&gt;
&lt;br /&gt;
=== Pages with Structure ===&lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
&lt;br /&gt;
=== Aliases ===&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=471</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=471"/>
		<updated>2014-07-25T19:03:59Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* Long Pages vs. Categories */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for information on using the wiki software.&lt;br /&gt;
&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. You can always use it to navigate content. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|Searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
===Long Pages vs. Categories===&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] breaks individual entries out into separate pages of their own, for more direct access.&lt;br /&gt;
&lt;br /&gt;
===Pages with Structure===&lt;br /&gt;
* [[Botulism]] has an automatically-generatead Table of Contents, because it has internal headings&lt;br /&gt;
* [[Fish Finger]] does not&lt;br /&gt;
&lt;br /&gt;
===Aliases===&lt;br /&gt;
* [[Blubber Finger]] is another term for [[Fish Finger]], and redirects there&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Service_Areas&amp;diff=464</id>
		<title>Category:Service Areas</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Service_Areas&amp;diff=464"/>
		<updated>2014-07-25T17:58:11Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;In addition to our facilities in [[Bethel]], five primary care clinics in the vast Yukon-Kuskokwim Delta Region bring health care as close to the villages as possible while maintaining a strong central system at the [[Yukon-Kuskokwim Delta Regional Hospital]].&lt;br /&gt;
&lt;br /&gt;
[[File:YK-Service-Area-Map-09.png|800px]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=463</id>
		<title>Guide to YKHC Medical Practices</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Guide_to_YKHC_Medical_Practices&amp;diff=463"/>
		<updated>2014-07-25T17:55:15Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;&amp;lt;strong&amp;gt;The Yukon-Kuskokwim Health Corporation electronic Provider Orientation Manual&amp;lt;/strong&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Consult the [//meta.wikimedia.org/wiki/Help:Contents User&#039;s Guide] for information on using the wiki software.&lt;br /&gt;
&lt;br /&gt;
The canonical structure of the ePOM appears in the left-hand navigation. You can always use it to navigate content. However, there are no constraints &#039;&#039;requiring&#039;&#039; documents to be placed in this hierarchy, and some may fall entirely outside of it. Oftentimes, [[Special:Search|Searching]] will be the quickest route to the content you seek. &lt;br /&gt;
&lt;br /&gt;
== Example Content ==&lt;br /&gt;
In addition to the ePOM structure, some data has been entered, to provide a nucleus for discussion. &lt;br /&gt;
&lt;br /&gt;
===Long Pages vs. Categories===&lt;br /&gt;
* [[:Category:Ancillary_Services|Ancillary Services]] is a single, long document&lt;br /&gt;
* [[:Category: Bush Medicine|Bush Medicine]] breaks individual entries out into separate pages of their own, for more direct access.&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=461</id>
		<title>Category:Ancillary Services</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=461"/>
		<updated>2014-07-25T17:16:34Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;== Care Management == &lt;br /&gt;
The Yukon-Kuskokwim Health Corporation provides patients with a Case Manager. Case Managers work with physicians and other providers to help people make decisions about health care. They may assist with Inpatient and Outpatient services, referrals to and work with Social Services to arrange for continued care after discharge. Case Managers may also assist the Utilization Review Coordinator with inquires to and from insurance and other third party payers to give them information needed to provide coverage for the patient. They may also assist patients without coverage to seek funds to assist with payment for their illness or injury or transportation.&lt;br /&gt;
&lt;br /&gt;
Case Managers are available for Kusko Clinic, Yukon Clinic, Obstetrical Services, Specialty Clinic, Oncology, Inpatient, OR and Women’s Health.&lt;br /&gt;
&lt;br /&gt;
== Laboratory Services == &lt;br /&gt;
The Laboratory Department provides acute and out-patient testing services and reports to all clinicians and departments associated with the Yukon-Kuskokwim Health Corporation for patients ranging in age from newborn to geriatric. Testing services and their associated reports are also provided upon written request for those non-YKHC physicians within the State of Alaska with non-beneficiary clients on the Delta. The Laboratory department interfaces with other accredited health care organizations for those tests not analyzed in-house.&lt;br /&gt;
&lt;br /&gt;
Laboratory services consist of hematology and coagulation; serology; microbiology; DNA probes; chemistry, special chemistry and blood gases; urinalysis, screening for drugs of abuse; blood bank; venipuncture, clerical, sendouts; support of the Sub-Regional Clinic and support of Point of Care Testing within the hospital and CHA/Ps. The CHA/Ps draw lab specimens and forward them for processing at the lab at YKDRH. The Laboratory is open 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Radiology/ Diagnostic Imaging == &lt;br /&gt;
Upon receipt of a study requested by an authorized provider, the Diagnostic Imaging Department provides service to any registered patient of YKHC. We do general x-ray exams, computed tomography, contrast studies, mammography and sonograms. Services are provided to all age groups and they are predominantly outpatients.&lt;br /&gt;
&lt;br /&gt;
The department is open from 8:00am to 7:00pm to support Outpatient Clinics and staffed 24/7 with a Technologist able to perform general and computed tomography exams, to support the Emergency Department.&lt;br /&gt;
&lt;br /&gt;
The department is staffed by AART licensed technologists approximately 24 hours a day, 7 days per week (except in extenuating circumstances, when an on-call technologist is designated) for general radiology and computed tomography. An RDMS licensed sonographer performs sonograms 9 hours a day, Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. ACR board-certified Radiologists provide interpretation of all studies.&lt;br /&gt;
&lt;br /&gt;
== Pharmacy == &lt;br /&gt;
=== Outpatient Services === &lt;br /&gt;
Medical history review, interviewing patients for medication history, filling of prescriptions, patient counseling/education including food/nutrient interactions, cytotoxic IV preparation, distribution of medications to village and subregional clinics, drug information.&lt;br /&gt;
&lt;br /&gt;
=== Inpatient Services=== &lt;br /&gt;
Preparation of sterile products (IV admixtures, piggybacks, syringes), medication histories, monitoring of drug therapy, drug information, discharge counseling/education on medications including food/nutrient interactions.&lt;br /&gt;
&lt;br /&gt;
== Diabetes == &lt;br /&gt;
== Wound Care == &lt;br /&gt;
== Tobacco Control == &lt;br /&gt;
== Hospital Community Relations == &lt;br /&gt;
Some of the major duties of this department include providing interpreter services for our Yup’ik speaking patients and providers, and assisting handicapped and Elders throughout the hospital. We also serve as the initial coordinating link and contact person between patients and other areas of the hospital by acting as greeters, providing information to patients and providers on contract health issues and assisting patients with filling out Patient Comment forms, as well as locating wheelchairs and security when necessary for patients.&lt;br /&gt;
&lt;br /&gt;
The Hospital Community Relations department operates 11 hours a day, Monday through Friday, 8:00 AM to 7:00 PM. After hours, weekends, and holidays, personnel are on call. /Translation&lt;br /&gt;
&lt;br /&gt;
== Dental == &lt;br /&gt;
The Dental Department provides a broad range of dental treatment services in Bethel including emergency services, preventive, and basic restorative services. In Bethel we are able to provide root canal treatment and selected cases. The Bethel clinic also provides crown, bridge, and denture services. As in any dental practice some complicated cases have to be referred to specialists. We now have 8 full time Dental Health Aide Therapists (DHATs) so all of the sub regional clinics have a full time DHAT who offers emergency, preventive, and basic restorative services. Our dentist and DHATs make periodic visits to all the 48 villages in the YK Delta.&lt;br /&gt;
&lt;br /&gt;
23 Services in Bethel are provided in the Community Health Services Building (CHSB) dental clinic and in the YKDRH operating room. Community prevention projects are an important aspect of the program. The hours of operation are Monday – Friday 8:00am – 12:00pm, 1pm – 5:00pm. Patients range in age from infants to elderly.&lt;br /&gt;
&lt;br /&gt;
Walk-ins or emergency patients are assessed for their presenting chief complaint. Appointment patients are given an oral examination and x-rays. Based on these assessments, a treatment plan is developed for the patient.&lt;br /&gt;
&lt;br /&gt;
The Dental Department is staffed with 13 full time dentists, 8 Dental Health Aide Therapists (Subregional Clinics based), 2 dental hygienists; 1 Primary Dental Health Aide coordinator, 8 Primary Dental Health Aides, 19 dental assistants; and 5 administration staff. A dentist is assigned to be &amp;quot;on call&amp;quot; for after hours emergencies (via the hospital ER).&lt;br /&gt;
&lt;br /&gt;
Dentist do village clinic…..x per year&lt;br /&gt;
&lt;br /&gt;
== Optometry Department == &lt;br /&gt;
The Optometry Department provides routine eye exams; treatment and management of ocular diseases, i.e. glaucoma, diabetes, and red eyes; diagnosis of ocular abnormalities; follow-up care for surgeries; follow-up care for glaucoma/diabetes, i.e., fundus photo/visual field; scheduling, glass repair, and ordering for patients; provide specialty clinic four times per year; 30 village trips per year to provide eye care; educational needs related to eye care. Patients range in age from pediatric to geriatric.&lt;br /&gt;
&lt;br /&gt;
Optometrist do quarterly SRC visits….&lt;br /&gt;
&lt;br /&gt;
Hours of operation are Monday through Friday, from 8:00 AM to 5:00 PM. Patients are scheduled between 8:00 AM to 5:00 PM.&lt;br /&gt;
&lt;br /&gt;
== Behavioral Health == &lt;br /&gt;
The Mental Health and Substance Abuse and Developmental Disabilities service delivery system at YKHC is comprised of various service components. The components are Crisis Services, Outpatient and Village Services, Residential Services, Developmental Disabilities, and Support Services.&lt;br /&gt;
&lt;br /&gt;
=== Crisis Services === &lt;br /&gt;
Crisis Services will respond to urgent behavioral health services needs that occur in the YK regional and in the YKHC hospital. Urgent behavioral health services needs include responding to Title 47 requests for mental health status evaluations to determine what level of care a patient will need to alleviate an urgent behavioral health crisis. Urgent care walk-in times and primary care consultation services are also provided.&lt;br /&gt;
&lt;br /&gt;
====Emergency Services ==== &lt;br /&gt;
Conduct behavioral health evaluations of individuals who present as being in crisis and to take appropriate steps to initiate the provision of services depending on the outcome of the evaluation. Will assist monitoring of patients, in the hospital northwing, who are involuntarily held for Title 47-related observation and evaluation for further treatment or referral. Village Services directly administers the Emergency Services component. Emergency On-Call Responders-Emergency Services Clinicians and Complex Care Managers are available twenty-four hours per day to respond to behavioral health crisis for all individuals in the Yukon-Kuskokwim service area. The responders provide immediate mental status examinations and work with the primary care providers in the village or hospital to plan care for management of the crisis and follow-up of the individual. On-Call Attendants are available to stay with an individual admitted to the hospital for evaluation when ordered by an admitting physician to provide safety and security for a client. During the evaluation period comprehensive mental health and substance abuse assessments are completed by the Emergency Services Clinician to assess and manage the client within the behavioral health system of care. The Emergency On-Call Response Team is available twenty-four hours per day at 543-6100 or 1-800-478-2642&lt;br /&gt;
&lt;br /&gt;
==== Crisis Incident Stress Debriefing ==== &lt;br /&gt;
Coordinate Critical Incident Stress Debriefings (CISD) response teams with other providers throughout the YK –Delta and debrief with trauma first responders. Develops Crisis intervention teams with community partners throughout the YK-Delta. Coordinates the training and certification of the crisis team members. Coordinates all logistics of crisis village-based responses by contacting and deploying team members and ensuring adequate coverage and follow-up.&lt;br /&gt;
&lt;br /&gt;
=== Prevention Services === &lt;br /&gt;
Prevention services, established in January 2012, has established traditional healing and elder consultation as the forums with which to implement community and family support systems in the region’s villages.&lt;br /&gt;
&lt;br /&gt;
==== Family Spirit Program ==== &lt;br /&gt;
The Family Spirit Program grew out of a collaborative effort of the communities of the Yukon-Kuskokwim region, the Department of Health and Social Services, Division of Alcohol and Drug Abuse, Office of Children Services, the YKHC, Association of Village Council Presidents (AVCP), Tundra Women’s Center (TWC), Orutsararmuit Native Council (ONC) and other community providers in the Yukon-Kuskokwim Delta area. The primary purpose of the project is to implement a community development model that strengthens families, using collaborative efforts of regional resources with local resources and traditional family life and values. The primary goal of the program is for children to be safer in their homes.&lt;br /&gt;
&lt;br /&gt;
==== Meth and Suicide Prevention Initiative ==== &lt;br /&gt;
The Meth and Suicide Prevention Initiative (MSPI) is an program that utilizes the Family Spirit model to provide community support, education and training on the issues related to suicide at villages. This program has 2 –full time staff to coordinate MSPI activities.&lt;br /&gt;
&lt;br /&gt;
==== SBIRT (Screening Brief Intervention Referral to Treatment) ==== &lt;br /&gt;
The SBIRT program is an evidence-based program for planning, organizing, and coordinating alcohol abuse screening activities with all YKHC patient care areas to screen and refer primary care patients to substance abuse treatment, as needed. SBIRT tracks progress SBIRT screenings, referrals made, and referrals completed.&lt;br /&gt;
&lt;br /&gt;
==== Sobering Center ==== &lt;br /&gt;
The Sobering Center is created to divert inebriates from the emergency room and jail to a more adequate and safe place to sober up. It utilizes three full time ER technicians and a manager who is responsible for Sobering Center program design, development, management, quality assurance, and evaluation and reporting&lt;br /&gt;
&lt;br /&gt;
== Integrated Outpatient Clinic == &lt;br /&gt;
Services available in the Integrated Outpatient Clinic are:&lt;br /&gt;
&lt;br /&gt;
=== Psychiatric Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs two Psychiatrists on a part time basis. They provide regional psychiatric services by holding specialty clinics in Bethel, as well as, traveling to villages as often as ninety times per year to see clients closer to home. Further, the Yukon-Kuskokwim Health Corporation employs a full time Psychiatric Physician’s Assistant who is located in Bethel to perform psychiatric interventions and medication management for client’s region-wide.&lt;br /&gt;
&lt;br /&gt;
=== Psychological Services === &lt;br /&gt;
The Yukon-Kuskokwim Health Corporation employs one Licensed Clinical Psychologist who provides psychometrics and interpretive reports to assist in the provision of comprehensive diagnostics to specific clients in the region.&lt;br /&gt;
&lt;br /&gt;
=== Children’s Specialty Diagnostic Services === &lt;br /&gt;
Children’s Specialty Diagnostic Services provide two mental health professional clinicians who work directly with children to ensure appropriate diagnosis particularly when multiple contributing factors (including abuse issues, FAS/FAE) must be considered.&lt;br /&gt;
&lt;br /&gt;
=== Outpatient Counseling Services === &lt;br /&gt;
Outpatient Counseling Services are available in the regional clinic as well to supplement services especially to Bethel residents, when a close relative may be the village counselor, and for the villages who may not yet have a counselor. Services available in the villages include: substance abuse assessments; individual, couple and family counseling; substance abuse outpatient and aftercare counseling; anger management sessions; substance abuse treatment groups and other specialty groups are available. These same services are all available through outpatient counseling services in Bethel. &lt;br /&gt;
&lt;br /&gt;
Village Clinicians are Master’s level prepared in Human Services with both experience and specialized training in the fields of Mental Health and Substance Abuse Treatment. They receive culturally appropriate training in supervision of native counselors and work closely with the Village Behavioral Health Aides (BHAs), clients, family and other providers to complete a holistic intake and develop treatment plans for implementation by the village based service providers. This service employs five full time staff members. BHA’s are positioned at many villages to engage community services and make referrals for higher levels of care, as needed.&lt;br /&gt;
&lt;br /&gt;
== Residential Services ==&lt;br /&gt;
&lt;br /&gt;
=== Crisis Respite Center (CRC) === &lt;br /&gt;
CRC is a five-bed program that provides emergency support services for individuals experiencing a life crisis so disruptive it cannot be managed in an outpatient setting. CRC provides evaluation, treatment, psychosocial rehabilitation, cultural activities, and referral in a voluntary setting for those individuals needing to be monitored and protected, or those just needing some temporary help. CRC works closely with the Alaska Psychiatric Institute (State Hospital), Emergency Services, Integrated Outpatient clinic and other residential programs. The alternative setting provided by the Crisis Respite Center, while ensuring the client&#039;s needs are met closer to their home community, can also ensure the client’s needs are met in a culturally sensitive manner.&lt;br /&gt;
&lt;br /&gt;
=== Bautisa House === &lt;br /&gt;
Bautisa House is a home for adults in the region with a severe and persistent mental illness. It is a 10-bed licensed assisted living home. The program serves older and/or more disabled individuals and offers long-term place. Some residents also have a developmental disability. The program teaches them daily living job-seeking and independent living skills as appropriate, and provides access to cultural and community activities.&lt;br /&gt;
&lt;br /&gt;
=== Malone Home === &lt;br /&gt;
Malone Home is a 5-bed assisted living home for adults with moderate to severe mental retardation. The team members work closely with DD services to provide appropriate services and habilitation to the residents. The home provides a long term setting for those that live there.&lt;br /&gt;
&lt;br /&gt;
=== Phillips Ayagnirvik Treatment Center (PATC) === &lt;br /&gt;
The PATC offers a ―new beginning to individuals suffering from the disease of substance abuse or addiction. PATC offers a full continuum of care, including Residential Treatment, Outpatient, Aftercare, and a Therapeutic Court Treatment Program. The PATC Recovery Program regional and statewide referrals with treatment modalities, which combine 12 Step Recovery with research-based treatment methods, and build upon cultural teachings by Elders, and medical or psychiatric services for patient who need them. Positive Native Family Values, Life Skills and Anger Management classes are an integral part of the Treatment Program. Traditional crafts and Subsistence activities are a valuable addition to our services. &lt;br /&gt;
&lt;br /&gt;
==== Residential Program ==== &lt;br /&gt;
PATC operates a ASAM Level III.5 treatment facility with 16 beds for both men and women. We have an ―open enrollment models, with an average 6-week length of stay. ‖ The Program is fully capable of treating co-occuring mental health issues along with all kinds of substance abuse and addiction.&lt;br /&gt;
&lt;br /&gt;
==== Outpatient Programs ==== &lt;br /&gt;
Phillips Ayagnirvik offers two outpatient components. These are both ASAM Level I. Aftercare is offered for those who have completed residential treatment and can access services in Bethel. Outpatient services are provided for those consumers who do not require a residential level of care.&lt;br /&gt;
&lt;br /&gt;
=== McCann Treatment Center === &lt;br /&gt;
McCann Treatment Center is a 14-bed facility that houses two programs for male youth ages 10 – 18. The youth from both programs work together with team members to develop their strengths, learn skills to live at home, and reduce symptoms of emotional disturbance and substance abuse. A key component of McCann is a strong culturally relevant subsistence program. Youth are involved in year round subsistence activities, including winter trapping, summer fishing, fall berry picking and spring ice fishing. ==== Residential Psychiatric Treatment Center ==== The McCann Treatment Center (MTC) is a culturally diverse, individualized, strengthens based program that focused on building self-value and meeting the clients’ needs using an eclectic and comprehensive approach to treatment. As a Residential Psychiatric Treatment (RPTC), with a focus on inhalant and substance abuse, treatment includes complete assessments; individual/group/family psychotherapy; psycho-educational groups on multiple topics; recreational and cultural activities; an accredited school with two certified teachers, comprehensive Subsistence Education Program; and life skills training to help each youth gain confidence and self-value. Our state of the art building has a gym for exercise and therapeutic games, a special Men’s House for activities with elders and families, and a steam to relax and process with elders and staff. ==== Behavior Rehabilitation Services (BRS) program==== Eight beds are available for youth placed in the Behavior Rehabilitation Services (BRS) program. The BRS program services clients that are in the custodial care of the Office of Children’s Services (OCS) or the Department of Juvenile Justice (DJJ). Six beds are available for RPTC or Community Referrals. Clients referred to the PRTC beds, as well as the BRS beds, join together in the treatment process and form a therapeutic community. Length of stay is 12-18 months for both the RPTC and Boys Group Home program.&lt;br /&gt;
&lt;br /&gt;
=== Learning Resource Center === &lt;br /&gt;
The Learning Resource Centeris a day habilitation program for open to all our residential and community consumers. Psychosocial rehabilitation, skills building, groups, and cultural activities are the focus of the program.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays.&lt;br /&gt;
&lt;br /&gt;
Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need.&lt;br /&gt;
&lt;br /&gt;
daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services.&lt;br /&gt;
&lt;br /&gt;
== Respiratory/Cardiopulmonary Services == &lt;br /&gt;
Services provided by this department include: oxygen therapy, BiPAP/CPAP, ventilator management, intubation assist, intubation per physician request, aerosol therapy with medication, chest physiotherapy, volume expansion therapy, EKGs, cardiac stress tests, peripheral I.V. insertion, pulmonary function testing with DLCO, VO2 uptake, spirometry, methacholine challenges, pulmonary stress testing, ABG procurement analysis, bedside spirometry, cardiac event monitoring, 24 hr. Holter monitoring, sputum induction, airway maintenance, patient education, respiratory breathing techniques , staff education, and are members of the ―Code Blue‖ team. Respiratory therapy services are provided to inpatients and outpatients, OB, ED, Specialty / Peds Clinic, and Outpatient Clinics from infancy to geriatrics. The hours of service for the Department Manager are Monday through Friday, emergency call; the Cardiopulmonary Dept. is staffed with therapists 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Anesthesia Services == &lt;br /&gt;
All levels of anesthesia services are provided for our patient population. The clinical ages range from 2 years old to the elderly. We do not offer elective surgery to patients under two except for short procedures, i.e. myringotomies. We do not offer elective services to patients with American Society of Anesthesiologist (ASA) classification 3 or above except in emergency circumstances. The Department of Anesthesiology provides services for elective procedures Monday - Friday, 8 AM - 4:30 PM. Anesthesia services are available on-call for emergencies and emergent cases 24 hours a day, 7 days a week, including holidays. == Audiology == The primary functions provided are diagnostic, audiology evaluations, specialized auditory pathway evaluations, hearing aid dispensing, and auditory rehabilitation. The audiology program maintains theENT Data Base and schedules ENT Specialty Field Clinics. The site for these services are at YKDRH but patients are also seen in the villages and the audiologist works with hearing impaired students in the schools. Clients range in age from birth to elderly. The hours of operation are Monday - Friday, 8:00 AM - 4:30 PM.&lt;br /&gt;
&lt;br /&gt;
== Endoscopy Lab == &lt;br /&gt;
The Endoscopy Lab provides inpatient and outpatient elective, diagnostic, urgent and emergency care to all ages. Elective procedures will be performed from 7:30 a.m. to 4:00 p.m., Monday – Friday. Emergency or urgent care will be provided as needed 24 hours a day, seven days a week. The unit consists of one procedure rooms for upper or lower GI procedures. Endoscopy procedures may be provided in other units, such as the OR. The same standards of care and practice will apply. Treatment activities may include patient assessment, pre procedural teaching, performance of GI procedures, implementation of pre and post operative physician orders, post procedure assessment and care, verification of discharge instructions, discharge teaching and documentation of care provided. Physicians perform the diagnostic and therapeutic procedures.&lt;br /&gt;
&lt;br /&gt;
== Infection Control/Employee Health == &lt;br /&gt;
Infection control oversees surveillance and monitoring of all the facilities of YKHC in order to identify and recognize hospital acquired infections and other adverse events in the facilities so that prevention and control activities can be identified and implemented to minimize the risk for these events.&lt;br /&gt;
&lt;br /&gt;
== Surgical Services/ Operating Room == &lt;br /&gt;
The Operating Room provides inpatient and outpatient elective, urgent and emergency surgical care to patients of all ages (under age 2 for short procedures) Pre and postoperative areas include Pre-OP room and a Phase 1 and Phase 2 Recovery Room. The surgical suite consists of 1 endoscopy room, 1 operating room with a back up operating room in OB for emergent situations. Elective surgeries are scheduled Monday – Friday from 0800 to 1630 depending on patient needs, physician utilization and staffing levels. Emergency or urgent surgeries are provided 24 hours a day, seven days a week. Surgical services are provided for: :Limited General Surgery :Limited Gynecological Surgery :Limited Orthopedic Cases :Dental Surgery :Limited Urology :Limited ENT procedures :Obstetrical Surgery&lt;br /&gt;
&lt;br /&gt;
== Prematernal Home == &lt;br /&gt;
The Prematernal Home provides lodging for pregnant women who have come to Bethel to deliver. The Home offers educational classes, which include breasting feeding, nutrition, diabetes, Healthy Babies and childbirth. Classes offered to clients bring a positive impact to mothers in the Y-K Delta, especially to new mothers who are pregnant for the first time. These courses can reassure women before and after the birth of their child.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays. Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need. A daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services. ;Mechanism Used to Meet Patient Care Needs: :A practicing MD, PA, NP, Community Health Aide or Community Health Aide/&lt;br /&gt;
&lt;br /&gt;
== Qavartarvik (Hostel) == &lt;br /&gt;
Qavartarvik (YKHC&#039;s hostel) is a part of the Travel Management Center, under Support Services. Qavartarvik is available for use by Natives and Non-Natives who are from the Yukon-Kuskokwim Delta Region villages and have come to Bethel for medical care. Lodging is additionally provided for non-Bethel residents when family members are inpatient at YKDRH and medical escorts who are actively involved in patient care.&lt;br /&gt;
&lt;br /&gt;
== Sexual Abuse Response Unit (SARU) == &lt;br /&gt;
;Scope of Service and Staffing: The SARU is a unit staffed and managed by the Emergency Services Department for the purpose of conducting forensic evidence-collection examinations on alleged victims and perpetrators of sexual assault or abuse. The examinations are conducted by specially trained registered nurses – Sexual Assault Nurse Examiners (SANE’S) at the request of either the Bethel Police Department or the Alaska State&lt;br /&gt;
&lt;br /&gt;
== Hospital Social Services == &lt;br /&gt;
Hospital Social Services exists to provide appropriate and timely social services interventions for inpatients and outpatients receiving care at the YKDRH when necessary and/or, requested. The services available include crisis intervention, psychosocial assessments, counseling/therapy, brokerage, advocacy, education, emotional support, complex case management, consultation, problem-solving, investigation and research, specialized discharge planning, and liaison with agencies within the community. Hospital Social Services works closely with a multidisciplinary teamto develop a discharge plan that addresses all needs for post hospitalization care for patients with complex discharge requirements.&lt;br /&gt;
&lt;br /&gt;
Hospital Social Services staff can be called into the hospital during off-hours for deaths and hospital-specific emergent needs. Other issues can wait until the next working day or be addressed by the nursing staff if the concern is minor. The Hospital Social Services department operates 8 hours a day, Monday through Friday, from 8:00 AM to 5:00 PM. The social workers work closely with the nurse care managers in the Outpatient clinics and on inpatient, to provide continuity in patient care.&lt;br /&gt;
&lt;br /&gt;
Troopers depending on whether or not those involved come from Bethel or Delta villages. Counseling and assessment is provided by specially trained clinical social workers. The Sexual Assault Response Unit (SARU) Coordinator is a member of a community-based group who work as a team (Sexual Assault Response Team or SART) to protect and support victims of sexual assault or abuse, prosecute perpetrators, educate the community, and decrease the rate of assaults and abuse within the YK service area.&lt;br /&gt;
&lt;br /&gt;
This issue affects both genders and all ages. An on-call system is maintained to assure availability of a competent examiner with coordination of services supervised by the Emergency Department Nurse Manager. The on-call system eliminates positive variance and the emergency room staff handles negative variance.&lt;br /&gt;
&lt;br /&gt;
== Long Term Care Facility == &lt;br /&gt;
A Long Term Care Facility is currently under construction, with a ground breaking ceremony that occurred in August 2011. This long awaited building will be an eighteen (18) bed facility that will serve the elder population in our region that meet the needed criteria. The anticipated opening of this facility will be October 1, 2013.&lt;br /&gt;
&lt;br /&gt;
== Morgue == &lt;br /&gt;
There are no funeral homes in Bethel. For those patients that die at YKDRH, their bodies are held in the hospital morgue until transported to the village or buried in Bethel. Law Enforcement (Bethel Police Department and State Troopers) also bring bodies to the hospital morgue, awaiting transport to the State Medical Examiner’s Office in Anchorage, for an autopsy. Priority use of the morgue belongs to the hospital. Law Enforcement is responsible for finding their own alternate storage space when the morgue is full. Families of the deceased visit the morgue for viewing and preparing the body for burial. The morgue can accommodate two bodies and is available 24 hours a day, 365 days a year. No autopsies are performed in Bethel. . The hospital Social Services is available to assist as needed 24 hours a day, 365 days a week.&lt;br /&gt;
&lt;br /&gt;
== Medical Nutrition Therapy Department == &lt;br /&gt;
Medical Nutrition Therapy provides nutrition assessment and education for both inpatients and outpatients. Through consults/referrals from health care providers, a Registered Dietitian provides dietary consultation. Patients range from infants to elderly. The Registered Dietitian also oversees the development and implantation of the hospital’s inpatient menu. The hours of operation are from 8:00 am to 5:00 pm, Monday thru Friday. On weekends and holidays the Registered Dietitian carries a pager, and is available for nutrition consults as identified by the physician.&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=459</id>
		<title>Category:Ancillary Services</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=459"/>
		<updated>2014-07-24T23:25:43Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* Psychological Services */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; {{tocright}} &lt;br /&gt;
== Care Management == &lt;br /&gt;
The Yukon-Kuskokwim Health Corporation provides patients with a Case Manager. Case Managers work with physicians and other providers to help people make decisions about health care. They may assist with Inpatient and Outpatient services, referrals to and work with Social Services to arrange for continued care after discharge. Case Managers may also assist the Utilization Review Coordinator with inquires to and from insurance and other third party payers to give them information needed to provide coverage for the patient. They may also assist patients without coverage to seek funds to assist with payment for their illness or injury or transportation.&lt;br /&gt;
&lt;br /&gt;
Case Managers are available for Kusko Clinic, Yukon Clinic, Obstetrical Services, Specialty Clinic, Oncology, Inpatient, OR and Women’s Health.&lt;br /&gt;
&lt;br /&gt;
== Laboratory Services == &lt;br /&gt;
The Laboratory Department provides acute and out-patient testing services and reports to all clinicians and departments associated with the Yukon-Kuskokwim Health Corporation for patients ranging in age from newborn to geriatric. Testing services and their associated reports are also provided upon written request for those non-YKHC physicians within the State of Alaska with non-beneficiary clients on the Delta. The Laboratory department interfaces with other accredited health care organizations for those tests not analyzed in-house.&lt;br /&gt;
&lt;br /&gt;
Laboratory services consist of hematology and coagulation; serology; microbiology; DNA probes; chemistry, special chemistry and blood gases; urinalysis, screening for drugs of abuse; blood bank; venipuncture, clerical, sendouts; support of the Sub-Regional Clinic and support of Point of Care Testing within the hospital and CHA/Ps. The CHA/Ps draw lab specimens and forward them for processing at the lab at YKDRH. The Laboratory is open 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Radiology/ Diagnostic Imaging == &lt;br /&gt;
Upon receipt of a study requested by an authorized provider, the Diagnostic Imaging Department provides service to any registered patient of YKHC. We do general x-ray exams, computed tomography, contrast studies, mammography and sonograms. Services are provided to all age groups and they are predominantly outpatients.&lt;br /&gt;
&lt;br /&gt;
The department is open from 8:00am to 7:00pm to support Outpatient Clinics and staffed 24/7 with a Technologist able to perform general and computed tomography exams, to support the Emergency Department.&lt;br /&gt;
&lt;br /&gt;
The department is staffed by AART licensed technologists approximately 24 hours a day, 7 days per week (except in extenuating circumstances, when an on-call technologist is designated) for general radiology and computed tomography. An RDMS licensed sonographer performs sonograms 9 hours a day, Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. ACR board-certified Radiologists provide interpretation of all studies.&lt;br /&gt;
&lt;br /&gt;
== Pharmacy == &lt;br /&gt;
=== Outpatient Services === &lt;br /&gt;
Medical history review, interviewing patients for medication history, filling of prescriptions, patient counseling/education including food/nutrient interactions, cytotoxic IV preparation, distribution of medications to village and subregional clinics, drug information.&lt;br /&gt;
&lt;br /&gt;
=== Inpatient Services=== &lt;br /&gt;
Preparation of sterile products (IV admixtures, piggybacks, syringes), medication histories, monitoring of drug therapy, drug information, discharge counseling/education on medications including food/nutrient interactions.&lt;br /&gt;
&lt;br /&gt;
== Diabetes == &lt;br /&gt;
== Wound Care == &lt;br /&gt;
== Tobacco Control == &lt;br /&gt;
== Hospital Community Relations == &lt;br /&gt;
Some of the major duties of this department include providing interpreter services for our Yup’ik speaking patients and providers, and assisting handicapped and Elders throughout the hospital. We also serve as the initial coordinating link and contact person between patients and other areas of the hospital by acting as greeters, providing information to patients and providers on contract health issues and assisting patients with filling out Patient Comment forms, as well as locating wheelchairs and security when necessary for patients.&lt;br /&gt;
&lt;br /&gt;
The Hospital Community Relations department operates 11 hours a day, Monday through Friday, 8:00 AM to 7:00 PM. After hours, weekends, and holidays, personnel are on call. /Translation&lt;br /&gt;
&lt;br /&gt;
== Dental == &lt;br /&gt;
The Dental Department provides a broad range of dental treatment services in Bethel including emergency services, preventive, and basic restorative services. In Bethel we are able to provide root canal treatment and selected cases. The Bethel clinic also provides crown, bridge, and denture services. As in any dental practice some complicated cases have to be referred to specialists. We now have 8 full time Dental Health Aide Therapists (DHATs) so all of the sub regional clinics have a full time DHAT who offers emergency, preventive, and basic restorative services. Our dentist and DHATs make periodic visits to all the 48 villages in the YK Delta.&lt;br /&gt;
&lt;br /&gt;
23 Services in Bethel are provided in the Community Health Services Building (CHSB) dental clinic and in the YKDRH operating room. Community prevention projects are an important aspect of the program. The hours of operation are Monday – Friday 8:00am – 12:00pm, 1pm – 5:00pm. Patients range in age from infants to elderly.&lt;br /&gt;
&lt;br /&gt;
Walk-ins or emergency patients are assessed for their presenting chief complaint. Appointment patients are given an oral examination and x-rays. Based on these assessments, a treatment plan is developed for the patient.&lt;br /&gt;
&lt;br /&gt;
The Dental Department is staffed with 13 full time dentists, 8 Dental Health Aide Therapists (Subregional Clinics based), 2 dental hygienists; 1 Primary Dental Health Aide coordinator, 8 Primary Dental Health Aides, 19 dental assistants; and 5 administration staff. A dentist is assigned to be &amp;quot;on call&amp;quot; for after hours emergencies (via the hospital ER).&lt;br /&gt;
&lt;br /&gt;
Dentist do village clinic…..x per year&lt;br /&gt;
&lt;br /&gt;
== Optometry Department == &lt;br /&gt;
The Optometry Department provides routine eye exams; treatment and management of ocular diseases, i.e. glaucoma, diabetes, and red eyes; diagnosis of ocular abnormalities; follow-up care for surgeries; follow-up care for glaucoma/diabetes, i.e., fundus photo/visual field; scheduling, glass repair, and ordering for patients; provide specialty clinic four times per year; 30 village trips per year to provide eye care; educational needs related to eye care. Patients range in age from pediatric to geriatric.&lt;br /&gt;
&lt;br /&gt;
Optometrist do quarterly SRC visits….&lt;br /&gt;
&lt;br /&gt;
Hours of operation are Monday through Friday, from 8:00 AM to 5:00 PM. Patients are scheduled between 8:00 AM to 5:00 PM.&lt;br /&gt;
&lt;br /&gt;
== Behavioral Health == &lt;br /&gt;
The Mental Health and Substance Abuse and Developmental Disabilities service delivery system at YKHC is comprised of various service components. The components are Crisis Services, Outpatient and Village Services, Residential Services, Developmental Disabilities, and Support Services.&lt;br /&gt;
&lt;br /&gt;
=== Crisis Services === &lt;br /&gt;
Crisis Services will respond to urgent behavioral health services needs that occur in the YK regional and in the YKHC hospital. Urgent behavioral health services needs include responding to Title 47 requests for mental health status evaluations to determine what level of care a patient will need to alleviate an urgent behavioral health crisis. Urgent care walk-in times and primary care consultation services are also provided.&lt;br /&gt;
&lt;br /&gt;
====Emergency Services ==== &lt;br /&gt;
Conduct behavioral health evaluations of individuals who present as being in crisis and to take appropriate steps to initiate the provision of services depending on the outcome of the evaluation. Will assist monitoring of patients, in the hospital northwing, who are involuntarily held for Title 47-related observation and evaluation for further treatment or referral. Village Services directly administers the Emergency Services component. Emergency On-Call Responders-Emergency Services Clinicians and Complex Care Managers are available twenty-four hours per day to respond to behavioral health crisis for all individuals in the Yukon-Kuskokwim service area. The responders provide immediate mental status examinations and work with the primary care providers in the village or hospital to plan care for management of the crisis and follow-up of the individual. On-Call Attendants are available to stay with an individual admitted to the hospital for evaluation when ordered by an admitting physician to provide safety and security for a client. During the evaluation period comprehensive mental health and substance abuse assessments are completed by the Emergency Services Clinician to assess and manage the client within the behavioral health system of care. The Emergency On-Call Response Team is available twenty-four hours per day at 543-6100 or 1-800-478-2642&lt;br /&gt;
&lt;br /&gt;
==== Crisis Incident Stress Debriefing ==== &lt;br /&gt;
Coordinate Critical Incident Stress Debriefings (CISD) response teams with other providers throughout the YK –Delta and debrief with trauma first responders. Develops Crisis intervention teams with community partners throughout the YK-Delta. Coordinates the training and certification of the crisis team members. Coordinates all logistics of crisis village-based responses by contacting and deploying team members and ensuring adequate coverage and follow-up.&lt;br /&gt;
&lt;br /&gt;
=== Prevention Services === &lt;br /&gt;
Prevention services, established in January 2012, has established traditional healing and elder consultation as the forums with which to implement community and family support systems in the region’s villages.&lt;br /&gt;
&lt;br /&gt;
==== Family Spirit Program ==== &lt;br /&gt;
The Family Spirit Program grew out of a collaborative effort of the communities of the Yukon-Kuskokwim region, the Department of Health and Social Services, Division of Alcohol and Drug Abuse, Office of Children Services, the YKHC, Association of Village Council Presidents (AVCP), Tundra Women’s Center (TWC), Orutsararmuit Native Council (ONC) and other community providers in the Yukon-Kuskokwim Delta area. The primary purpose of the project is to implement a community development model that strengthens families, using collaborative efforts of regional resources with local resources and traditional family life and values. The primary goal of the program is for children to be safer in their homes.&lt;br /&gt;
&lt;br /&gt;
==== Meth and Suicide Prevention Initiative ==== &lt;br /&gt;
The Meth and Suicide Prevention Initiative (MSPI) is an program that utilizes the Family Spirit model to provide community support, education and training on the issues related to suicide at villages. This program has 2 –full time staff to coordinate MSPI activities.&lt;br /&gt;
&lt;br /&gt;
==== SBIRT (Screening Brief Intervention Referral to Treatment) ==== &lt;br /&gt;
The SBIRT program is an evidence-based program for planning, organizing, and coordinating alcohol abuse screening activities with all YKHC patient care areas to screen and refer primary care patients to substance abuse treatment, as needed. SBIRT tracks progress SBIRT screenings, referrals made, and referrals completed.&lt;br /&gt;
&lt;br /&gt;
==== Sobering Center ==== &lt;br /&gt;
The Sobering Center is created to divert inebriates from the emergency room and jail to a more adequate and safe place to sober up. It utilizes three full time ER technicians and a manager who is responsible for Sobering Center program design, development, management, quality assurance, and evaluation and reporting&lt;br /&gt;
&lt;br /&gt;
== Integrated Outpatient Clinic == &lt;br /&gt;
Services available in the Integrated Outpatient Clinic are:&lt;br /&gt;
&lt;br /&gt;
=== Psychiatric Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs two Psychiatrists on a part time basis. They provide regional psychiatric services by holding specialty clinics in Bethel, as well as, traveling to villages as often as ninety times per year to see clients closer to home. Further, the Yukon-Kuskokwim Health Corporation employs a full time Psychiatric Physician’s Assistant who is located in Bethel to perform psychiatric interventions and medication management for client’s region-wide.&lt;br /&gt;
&lt;br /&gt;
=== Psychological Services === &lt;br /&gt;
The Yukon-Kuskokwim Health Corporation employs one Licensed Clinical Psychologist who provides psychometrics and interpretive reports to assist in the provision of comprehensive diagnostics to specific clients in the region.&lt;br /&gt;
&lt;br /&gt;
=== Children’s Specialty Diagnostic Services === &lt;br /&gt;
Children’s Specialty Diagnostic Services provide two mental health professional clinicians who work directly with children to ensure appropriate diagnosis particularly when multiple contributing factors (including abuse issues, FAS/FAE) must be considered.&lt;br /&gt;
&lt;br /&gt;
=== Outpatient Counseling Services === &lt;br /&gt;
Outpatient Counseling Services are available in the regional clinic as well to supplement services especially to Bethel residents, when a close relative may be the village counselor, and for the villages who may not yet have a counselor. Services available in the villages include: substance abuse assessments; individual, couple and family counseling; substance abuse outpatient and aftercare counseling; anger management sessions; substance abuse treatment groups and other specialty groups are available. These same services are all available through outpatient counseling services in Bethel. &lt;br /&gt;
&lt;br /&gt;
Village Clinicians are Master’s level prepared in Human Services with both experience and specialized training in the fields of Mental Health and Substance Abuse Treatment. They receive culturally appropriate training in supervision of native counselors and work closely with the Village Behavioral Health Aides (BHAs), clients, family and other providers to complete a holistic intake and develop treatment plans for implementation by the village based service providers. This service employs five full time staff members. BHA’s are positioned at many villages to engage community services and make referrals for higher levels of care, as needed.&lt;br /&gt;
&lt;br /&gt;
== Residential Services ==&lt;br /&gt;
&lt;br /&gt;
=== Crisis Respite Center (CRC) === &lt;br /&gt;
CRC is a five-bed program that provides emergency support services for individuals experiencing a life crisis so disruptive it cannot be managed in an outpatient setting. CRC provides evaluation, treatment, psychosocial rehabilitation, cultural activities, and referral in a voluntary setting for those individuals needing to be monitored and protected, or those just needing some temporary help. CRC works closely with the Alaska Psychiatric Institute (State Hospital), Emergency Services, Integrated Outpatient clinic and other residential programs. The alternative setting provided by the Crisis Respite Center, while ensuring the client&#039;s needs are met closer to their home community, can also ensure the client’s needs are met in a culturally sensitive manner.&lt;br /&gt;
&lt;br /&gt;
=== Bautisa House === &lt;br /&gt;
Bautisa House is a home for adults in the region with a severe and persistent mental illness. It is a 10-bed licensed assisted living home. The program serves older and/or more disabled individuals and offers long-term place. Some residents also have a developmental disability. The program teaches them daily living job-seeking and independent living skills as appropriate, and provides access to cultural and community activities.&lt;br /&gt;
&lt;br /&gt;
=== Malone Home === &lt;br /&gt;
Malone Home is a 5-bed assisted living home for adults with moderate to severe mental retardation. The team members work closely with DD services to provide appropriate services and habilitation to the residents. The home provides a long term setting for those that live there.&lt;br /&gt;
&lt;br /&gt;
=== Phillips Ayagnirvik Treatment Center (PATC) === &lt;br /&gt;
The PATC offers a ―new beginning to individuals suffering from the disease of substance abuse or addiction. PATC offers a full continuum of care, including Residential Treatment, Outpatient, Aftercare, and a Therapeutic Court Treatment Program. The PATC Recovery Program regional and statewide referrals with treatment modalities, which combine 12 Step Recovery with research-based treatment methods, and build upon cultural teachings by Elders, and medical or psychiatric services for patient who need them. Positive Native Family Values, Life Skills and Anger Management classes are an integral part of the Treatment Program. Traditional crafts and Subsistence activities are a valuable addition to our services. &lt;br /&gt;
&lt;br /&gt;
==== Residential Program ==== &lt;br /&gt;
PATC operates a ASAM Level III.5 treatment facility with 16 beds for both men and women. We have an ―open enrollment models, with an average 6-week length of stay. ‖ The Program is fully capable of treating co-occuring mental health issues along with all kinds of substance abuse and addiction.&lt;br /&gt;
&lt;br /&gt;
==== Outpatient Programs ==== &lt;br /&gt;
Phillips Ayagnirvik offers two outpatient components. These are both ASAM Level I. Aftercare is offered for those who have completed residential treatment and can access services in Bethel. Outpatient services are provided for those consumers who do not require a residential level of care.&lt;br /&gt;
&lt;br /&gt;
=== McCann Treatment Center === &lt;br /&gt;
McCann Treatment Center is a 14-bed facility that houses two programs for male youth ages 10 – 18. The youth from both programs work together with team members to develop their strengths, learn skills to live at home, and reduce symptoms of emotional disturbance and substance abuse. A key component of McCann is a strong culturally relevant subsistence program. Youth are involved in year round subsistence activities, including winter trapping, summer fishing, fall berry picking and spring ice fishing. ==== Residential Psychiatric Treatment Center ==== The McCann Treatment Center (MTC) is a culturally diverse, individualized, strengthens based program that focused on building self-value and meeting the clients’ needs using an eclectic and comprehensive approach to treatment. As a Residential Psychiatric Treatment (RPTC), with a focus on inhalant and substance abuse, treatment includes complete assessments; individual/group/family psychotherapy; psycho-educational groups on multiple topics; recreational and cultural activities; an accredited school with two certified teachers, comprehensive Subsistence Education Program; and life skills training to help each youth gain confidence and self-value. Our state of the art building has a gym for exercise and therapeutic games, a special Men’s House for activities with elders and families, and a steam to relax and process with elders and staff. ==== Behavior Rehabilitation Services (BRS) program==== Eight beds are available for youth placed in the Behavior Rehabilitation Services (BRS) program. The BRS program services clients that are in the custodial care of the Office of Children’s Services (OCS) or the Department of Juvenile Justice (DJJ). Six beds are available for RPTC or Community Referrals. Clients referred to the PRTC beds, as well as the BRS beds, join together in the treatment process and form a therapeutic community. Length of stay is 12-18 months for both the RPTC and Boys Group Home program.&lt;br /&gt;
&lt;br /&gt;
=== Learning Resource Center === &lt;br /&gt;
The Learning Resource Centeris a day habilitation program for open to all our residential and community consumers. Psychosocial rehabilitation, skills building, groups, and cultural activities are the focus of the program.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays.&lt;br /&gt;
&lt;br /&gt;
Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need.&lt;br /&gt;
&lt;br /&gt;
daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services.&lt;br /&gt;
&lt;br /&gt;
== Respiratory/Cardiopulmonary Services == &lt;br /&gt;
Services provided by this department include: oxygen therapy, BiPAP/CPAP, ventilator management, intubation assist, intubation per physician request, aerosol therapy with medication, chest physiotherapy, volume expansion therapy, EKGs, cardiac stress tests, peripheral I.V. insertion, pulmonary function testing with DLCO, VO2 uptake, spirometry, methacholine challenges, pulmonary stress testing, ABG procurement analysis, bedside spirometry, cardiac event monitoring, 24 hr. Holter monitoring, sputum induction, airway maintenance, patient education, respiratory breathing techniques , staff education, and are members of the ―Code Blue‖ team. Respiratory therapy services are provided to inpatients and outpatients, OB, ED, Specialty / Peds Clinic, and Outpatient Clinics from infancy to geriatrics. The hours of service for the Department Manager are Monday through Friday, emergency call; the Cardiopulmonary Dept. is staffed with therapists 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Anesthesia Services == &lt;br /&gt;
All levels of anesthesia services are provided for our patient population. The clinical ages range from 2 years old to the elderly. We do not offer elective surgery to patients under two except for short procedures, i.e. myringotomies. We do not offer elective services to patients with American Society of Anesthesiologist (ASA) classification 3 or above except in emergency circumstances. The Department of Anesthesiology provides services for elective procedures Monday - Friday, 8 AM - 4:30 PM. Anesthesia services are available on-call for emergencies and emergent cases 24 hours a day, 7 days a week, including holidays. == Audiology == The primary functions provided are diagnostic, audiology evaluations, specialized auditory pathway evaluations, hearing aid dispensing, and auditory rehabilitation. The audiology program maintains theENT Data Base and schedules ENT Specialty Field Clinics. The site for these services are at YKDRH but patients are also seen in the villages and the audiologist works with hearing impaired students in the schools. Clients range in age from birth to elderly. The hours of operation are Monday - Friday, 8:00 AM - 4:30 PM.&lt;br /&gt;
&lt;br /&gt;
== Endoscopy Lab == &lt;br /&gt;
The Endoscopy Lab provides inpatient and outpatient elective, diagnostic, urgent and emergency care to all ages. Elective procedures will be performed from 7:30 a.m. to 4:00 p.m., Monday – Friday. Emergency or urgent care will be provided as needed 24 hours a day, seven days a week. The unit consists of one procedure rooms for upper or lower GI procedures. Endoscopy procedures may be provided in other units, such as the OR. The same standards of care and practice will apply. Treatment activities may include patient assessment, pre procedural teaching, performance of GI procedures, implementation of pre and post operative physician orders, post procedure assessment and care, verification of discharge instructions, discharge teaching and documentation of care provided. Physicians perform the diagnostic and therapeutic procedures.&lt;br /&gt;
&lt;br /&gt;
== Infection Control/Employee Health == &lt;br /&gt;
Infection control oversees surveillance and monitoring of all the facilities of YKHC in order to identify and recognize hospital acquired infections and other adverse events in the facilities so that prevention and control activities can be identified and implemented to minimize the risk for these events.&lt;br /&gt;
&lt;br /&gt;
== Surgical Services/ Operating Room == &lt;br /&gt;
The Operating Room provides inpatient and outpatient elective, urgent and emergency surgical care to patients of all ages (under age 2 for short procedures) Pre and postoperative areas include Pre-OP room and a Phase 1 and Phase 2 Recovery Room. The surgical suite consists of 1 endoscopy room, 1 operating room with a back up operating room in OB for emergent situations. Elective surgeries are scheduled Monday – Friday from 0800 to 1630 depending on patient needs, physician utilization and staffing levels. Emergency or urgent surgeries are provided 24 hours a day, seven days a week. Surgical services are provided for: :Limited General Surgery :Limited Gynecological Surgery :Limited Orthopedic Cases :Dental Surgery :Limited Urology :Limited ENT procedures :Obstetrical Surgery&lt;br /&gt;
&lt;br /&gt;
== Prematernal Home == &lt;br /&gt;
The Prematernal Home provides lodging for pregnant women who have come to Bethel to deliver. The Home offers educational classes, which include breasting feeding, nutrition, diabetes, Healthy Babies and childbirth. Classes offered to clients bring a positive impact to mothers in the Y-K Delta, especially to new mothers who are pregnant for the first time. These courses can reassure women before and after the birth of their child.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays. Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need. A daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services. ;Mechanism Used to Meet Patient Care Needs: :A practicing MD, PA, NP, Community Health Aide or Community Health Aide/&lt;br /&gt;
&lt;br /&gt;
== Qavartarvik (Hostel) == &lt;br /&gt;
Qavartarvik (YKHC&#039;s hostel) is a part of the Travel Management Center, under Support Services. Qavartarvik is available for use by Natives and Non-Natives who are from the Yukon-Kuskokwim Delta Region villages and have come to Bethel for medical care. Lodging is additionally provided for non-Bethel residents when family members are inpatient at YKDRH and medical escorts who are actively involved in patient care.&lt;br /&gt;
&lt;br /&gt;
== Sexual Abuse Response Unit (SARU) == &lt;br /&gt;
;Scope of Service and Staffing: The SARU is a unit staffed and managed by the Emergency Services Department for the purpose of conducting forensic evidence-collection examinations on alleged victims and perpetrators of sexual assault or abuse. The examinations are conducted by specially trained registered nurses – Sexual Assault Nurse Examiners (SANE’S) at the request of either the Bethel Police Department or the Alaska State&lt;br /&gt;
&lt;br /&gt;
== Hospital Social Services == &lt;br /&gt;
Hospital Social Services exists to provide appropriate and timely social services interventions for inpatients and outpatients receiving care at the YKDRH when necessary and/or, requested. The services available include crisis intervention, psychosocial assessments, counseling/therapy, brokerage, advocacy, education, emotional support, complex case management, consultation, problem-solving, investigation and research, specialized discharge planning, and liaison with agencies within the community. Hospital Social Services works closely with a multidisciplinary teamto develop a discharge plan that addresses all needs for post hospitalization care for patients with complex discharge requirements.&lt;br /&gt;
&lt;br /&gt;
Hospital Social Services staff can be called into the hospital during off-hours for deaths and hospital-specific emergent needs. Other issues can wait until the next working day or be addressed by the nursing staff if the concern is minor. The Hospital Social Services department operates 8 hours a day, Monday through Friday, from 8:00 AM to 5:00 PM. The social workers work closely with the nurse care managers in the Outpatient clinics and on inpatient, to provide continuity in patient care.&lt;br /&gt;
&lt;br /&gt;
Troopers depending on whether or not those involved come from Bethel or Delta villages. Counseling and assessment is provided by specially trained clinical social workers. The Sexual Assault Response Unit (SARU) Coordinator is a member of a community-based group who work as a team (Sexual Assault Response Team or SART) to protect and support victims of sexual assault or abuse, prosecute perpetrators, educate the community, and decrease the rate of assaults and abuse within the YK service area.&lt;br /&gt;
&lt;br /&gt;
This issue affects both genders and all ages. An on-call system is maintained to assure availability of a competent examiner with coordination of services supervised by the Emergency Department Nurse Manager. The on-call system eliminates positive variance and the emergency room staff handles negative variance.&lt;br /&gt;
&lt;br /&gt;
== Long Term Care Facility == &lt;br /&gt;
A Long Term Care Facility is currently under construction, with a ground breaking ceremony that occurred in August 2011. This long awaited building will be an eighteen (18) bed facility that will serve the elder population in our region that meet the needed criteria. The anticipated opening of this facility will be October 1, 2013.&lt;br /&gt;
&lt;br /&gt;
== Morgue == &lt;br /&gt;
There are no funeral homes in Bethel. For those patients that die at YKDRH, their bodies are held in the hospital morgue until transported to the village or buried in Bethel. Law Enforcement (Bethel Police Department and State Troopers) also bring bodies to the hospital morgue, awaiting transport to the State Medical Examiner’s Office in Anchorage, for an autopsy. Priority use of the morgue belongs to the hospital. Law Enforcement is responsible for finding their own alternate storage space when the morgue is full. Families of the deceased visit the morgue for viewing and preparing the body for burial. The morgue can accommodate two bodies and is available 24 hours a day, 365 days a year. No autopsies are performed in Bethel. . The hospital Social Services is available to assist as needed 24 hours a day, 365 days a week.&lt;br /&gt;
&lt;br /&gt;
== Medical Nutrition Therapy Department == &lt;br /&gt;
Medical Nutrition Therapy provides nutrition assessment and education for both inpatients and outpatients. Through consults/referrals from health care providers, a Registered Dietitian provides dietary consultation. Patients range from infants to elderly. The Registered Dietitian also oversees the development and implantation of the hospital’s inpatient menu. The hours of operation are from 8:00 am to 5:00 pm, Monday thru Friday. On weekends and holidays the Registered Dietitian carries a pager, and is available for nutrition consults as identified by the physician.&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=458</id>
		<title>Category:Ancillary Services</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=458"/>
		<updated>2014-07-24T23:23:45Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* Phillips Ayagnirvik Treatment Center (PATC) */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; {{tocright}} &lt;br /&gt;
== Care Management == &lt;br /&gt;
The Yukon-Kuskokwim Health Corporation provides patients with a Case Manager. Case Managers work with physicians and other providers to help people make decisions about health care. They may assist with Inpatient and Outpatient services, referrals to and work with Social Services to arrange for continued care after discharge. Case Managers may also assist the Utilization Review Coordinator with inquires to and from insurance and other third party payers to give them information needed to provide coverage for the patient. They may also assist patients without coverage to seek funds to assist with payment for their illness or injury or transportation.&lt;br /&gt;
&lt;br /&gt;
Case Managers are available for Kusko Clinic, Yukon Clinic, Obstetrical Services, Specialty Clinic, Oncology, Inpatient, OR and Women’s Health.&lt;br /&gt;
&lt;br /&gt;
== Laboratory Services == &lt;br /&gt;
The Laboratory Department provides acute and out-patient testing services and reports to all clinicians and departments associated with the Yukon-Kuskokwim Health Corporation for patients ranging in age from newborn to geriatric. Testing services and their associated reports are also provided upon written request for those non-YKHC physicians within the State of Alaska with non-beneficiary clients on the Delta. The Laboratory department interfaces with other accredited health care organizations for those tests not analyzed in-house.&lt;br /&gt;
&lt;br /&gt;
Laboratory services consist of hematology and coagulation; serology; microbiology; DNA probes; chemistry, special chemistry and blood gases; urinalysis, screening for drugs of abuse; blood bank; venipuncture, clerical, sendouts; support of the Sub-Regional Clinic and support of Point of Care Testing within the hospital and CHA/Ps. The CHA/Ps draw lab specimens and forward them for processing at the lab at YKDRH. The Laboratory is open 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Radiology/ Diagnostic Imaging == &lt;br /&gt;
Upon receipt of a study requested by an authorized provider, the Diagnostic Imaging Department provides service to any registered patient of YKHC. We do general x-ray exams, computed tomography, contrast studies, mammography and sonograms. Services are provided to all age groups and they are predominantly outpatients.&lt;br /&gt;
&lt;br /&gt;
The department is open from 8:00am to 7:00pm to support Outpatient Clinics and staffed 24/7 with a Technologist able to perform general and computed tomography exams, to support the Emergency Department.&lt;br /&gt;
&lt;br /&gt;
The department is staffed by AART licensed technologists approximately 24 hours a day, 7 days per week (except in extenuating circumstances, when an on-call technologist is designated) for general radiology and computed tomography. An RDMS licensed sonographer performs sonograms 9 hours a day, Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. ACR board-certified Radiologists provide interpretation of all studies.&lt;br /&gt;
&lt;br /&gt;
== Pharmacy == &lt;br /&gt;
=== Outpatient Services === &lt;br /&gt;
Medical history review, interviewing patients for medication history, filling of prescriptions, patient counseling/education including food/nutrient interactions, cytotoxic IV preparation, distribution of medications to village and subregional clinics, drug information.&lt;br /&gt;
&lt;br /&gt;
=== Inpatient Services=== &lt;br /&gt;
Preparation of sterile products (IV admixtures, piggybacks, syringes), medication histories, monitoring of drug therapy, drug information, discharge counseling/education on medications including food/nutrient interactions.&lt;br /&gt;
&lt;br /&gt;
== Diabetes == &lt;br /&gt;
== Wound Care == &lt;br /&gt;
== Tobacco Control == &lt;br /&gt;
== Hospital Community Relations == &lt;br /&gt;
Some of the major duties of this department include providing interpreter services for our Yup’ik speaking patients and providers, and assisting handicapped and Elders throughout the hospital. We also serve as the initial coordinating link and contact person between patients and other areas of the hospital by acting as greeters, providing information to patients and providers on contract health issues and assisting patients with filling out Patient Comment forms, as well as locating wheelchairs and security when necessary for patients.&lt;br /&gt;
&lt;br /&gt;
The Hospital Community Relations department operates 11 hours a day, Monday through Friday, 8:00 AM to 7:00 PM. After hours, weekends, and holidays, personnel are on call. /Translation&lt;br /&gt;
&lt;br /&gt;
== Dental == &lt;br /&gt;
The Dental Department provides a broad range of dental treatment services in Bethel including emergency services, preventive, and basic restorative services. In Bethel we are able to provide root canal treatment and selected cases. The Bethel clinic also provides crown, bridge, and denture services. As in any dental practice some complicated cases have to be referred to specialists. We now have 8 full time Dental Health Aide Therapists (DHATs) so all of the sub regional clinics have a full time DHAT who offers emergency, preventive, and basic restorative services. Our dentist and DHATs make periodic visits to all the 48 villages in the YK Delta.&lt;br /&gt;
&lt;br /&gt;
23 Services in Bethel are provided in the Community Health Services Building (CHSB) dental clinic and in the YKDRH operating room. Community prevention projects are an important aspect of the program. The hours of operation are Monday – Friday 8:00am – 12:00pm, 1pm – 5:00pm. Patients range in age from infants to elderly.&lt;br /&gt;
&lt;br /&gt;
Walk-ins or emergency patients are assessed for their presenting chief complaint. Appointment patients are given an oral examination and x-rays. Based on these assessments, a treatment plan is developed for the patient.&lt;br /&gt;
&lt;br /&gt;
The Dental Department is staffed with 13 full time dentists, 8 Dental Health Aide Therapists (Subregional Clinics based), 2 dental hygienists; 1 Primary Dental Health Aide coordinator, 8 Primary Dental Health Aides, 19 dental assistants; and 5 administration staff. A dentist is assigned to be &amp;quot;on call&amp;quot; for after hours emergencies (via the hospital ER).&lt;br /&gt;
&lt;br /&gt;
Dentist do village clinic…..x per year&lt;br /&gt;
&lt;br /&gt;
== Optometry Department == &lt;br /&gt;
The Optometry Department provides routine eye exams; treatment and management of ocular diseases, i.e. glaucoma, diabetes, and red eyes; diagnosis of ocular abnormalities; follow-up care for surgeries; follow-up care for glaucoma/diabetes, i.e., fundus photo/visual field; scheduling, glass repair, and ordering for patients; provide specialty clinic four times per year; 30 village trips per year to provide eye care; educational needs related to eye care. Patients range in age from pediatric to geriatric.&lt;br /&gt;
&lt;br /&gt;
Optometrist do quarterly SRC visits….&lt;br /&gt;
&lt;br /&gt;
Hours of operation are Monday through Friday, from 8:00 AM to 5:00 PM. Patients are scheduled between 8:00 AM to 5:00 PM.&lt;br /&gt;
&lt;br /&gt;
== Behavioral Health == &lt;br /&gt;
The Mental Health and Substance Abuse and Developmental Disabilities service delivery system at YKHC is comprised of various service components. The components are Crisis Services, Outpatient and Village Services, Residential Services, Developmental Disabilities, and Support Services.&lt;br /&gt;
&lt;br /&gt;
=== Crisis Services === &lt;br /&gt;
Crisis Services will respond to urgent behavioral health services needs that occur in the YK regional and in the YKHC hospital. Urgent behavioral health services needs include responding to Title 47 requests for mental health status evaluations to determine what level of care a patient will need to alleviate an urgent behavioral health crisis. Urgent care walk-in times and primary care consultation services are also provided.&lt;br /&gt;
&lt;br /&gt;
====Emergency Services ==== &lt;br /&gt;
Conduct behavioral health evaluations of individuals who present as being in crisis and to take appropriate steps to initiate the provision of services depending on the outcome of the evaluation. Will assist monitoring of patients, in the hospital northwing, who are involuntarily held for Title 47-related observation and evaluation for further treatment or referral. Village Services directly administers the Emergency Services component. Emergency On-Call Responders-Emergency Services Clinicians and Complex Care Managers are available twenty-four hours per day to respond to behavioral health crisis for all individuals in the Yukon-Kuskokwim service area. The responders provide immediate mental status examinations and work with the primary care providers in the village or hospital to plan care for management of the crisis and follow-up of the individual. On-Call Attendants are available to stay with an individual admitted to the hospital for evaluation when ordered by an admitting physician to provide safety and security for a client. During the evaluation period comprehensive mental health and substance abuse assessments are completed by the Emergency Services Clinician to assess and manage the client within the behavioral health system of care. The Emergency On-Call Response Team is available twenty-four hours per day at 543-6100 or 1-800-478-2642&lt;br /&gt;
&lt;br /&gt;
==== Crisis Incident Stress Debriefing ==== &lt;br /&gt;
Coordinate Critical Incident Stress Debriefings (CISD) response teams with other providers throughout the YK –Delta and debrief with trauma first responders. Develops Crisis intervention teams with community partners throughout the YK-Delta. Coordinates the training and certification of the crisis team members. Coordinates all logistics of crisis village-based responses by contacting and deploying team members and ensuring adequate coverage and follow-up.&lt;br /&gt;
&lt;br /&gt;
=== Prevention Services === &lt;br /&gt;
Prevention services, established in January 2012, has established traditional healing and elder consultation as the forums with which to implement community and family support systems in the region’s villages.&lt;br /&gt;
&lt;br /&gt;
==== Family Spirit Program ==== &lt;br /&gt;
The Family Spirit Program grew out of a collaborative effort of the communities of the Yukon-Kuskokwim region, the Department of Health and Social Services, Division of Alcohol and Drug Abuse, Office of Children Services, the YKHC, Association of Village Council Presidents (AVCP), Tundra Women’s Center (TWC), Orutsararmuit Native Council (ONC) and other community providers in the Yukon-Kuskokwim Delta area. The primary purpose of the project is to implement a community development model that strengthens families, using collaborative efforts of regional resources with local resources and traditional family life and values. The primary goal of the program is for children to be safer in their homes.&lt;br /&gt;
&lt;br /&gt;
==== Meth and Suicide Prevention Initiative ==== &lt;br /&gt;
The Meth and Suicide Prevention Initiative (MSPI) is an program that utilizes the Family Spirit model to provide community support, education and training on the issues related to suicide at villages. This program has 2 –full time staff to coordinate MSPI activities.&lt;br /&gt;
&lt;br /&gt;
==== SBIRT (Screening Brief Intervention Referral to Treatment) ==== &lt;br /&gt;
The SBIRT program is an evidence-based program for planning, organizing, and coordinating alcohol abuse screening activities with all YKHC patient care areas to screen and refer primary care patients to substance abuse treatment, as needed. SBIRT tracks progress SBIRT screenings, referrals made, and referrals completed.&lt;br /&gt;
&lt;br /&gt;
==== Sobering Center ==== &lt;br /&gt;
The Sobering Center is created to divert inebriates from the emergency room and jail to a more adequate and safe place to sober up. It utilizes three full time ER technicians and a manager who is responsible for Sobering Center program design, development, management, quality assurance, and evaluation and reporting&lt;br /&gt;
&lt;br /&gt;
== Integrated Outpatient Clinic == &lt;br /&gt;
Services available in the Integrated Outpatient Clinic are:&lt;br /&gt;
&lt;br /&gt;
=== Psychiatric Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs two Psychiatrists on a part time basis. They provide regional psychiatric services by holding specialty clinics in Bethel, as well as, traveling to villages as often as ninety times per year to see clients closer to home. Further, the Yukon-Kuskokwim Health Corporation employs a full time Psychiatric Physician’s Assistant who is located in Bethel to perform psychiatric interventions and medication management for client’s region-wide.&lt;br /&gt;
&lt;br /&gt;
=== Psychological Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs one Licensed Clinical Psychologist who provides psychometrics and interpretive reports to assist in the provision of comprehensive diagnostics to specific clients in the region.&lt;br /&gt;
&lt;br /&gt;
=== Children’s Specialty Diagnostic Services === provide two mental health professional clinicians who work directly with children to ensure appropriate diagnosis particularly when multiple contributing factors (including abuse issues, FAS/FAE) must be considered.&lt;br /&gt;
&lt;br /&gt;
=== Outpatient Counseling Services === are available in the regional clinic as well to supplement services especially to Bethel residents, when a close relative may be the village counselor, and for the villages who may not yet have a counselor. Services available in the villages include: substance abuse assessments; individual, couple and family counseling; substance abuse outpatient and aftercare counseling; anger management sessions; substance abuse treatment groups and other specialty groups are available. These same services are all available through outpatient counseling services in Bethel. 2. Village Clinicians are Master’s level prepared in Human Services with both experience and specialized training in the fields of Mental Health and Substance Abuse Treatment. They receive culturally appropriate training in supervision of native counselors and work closely with the Village Behavioral Health Aides (BHAs), clients, family and other providers to complete a holistic intake and develop treatment plans for implementation by the village based service providers. This service employs five full time staff members. BHA’s are positioned at many villages to engage community services and make referrals for higher levels of care, as needed.&lt;br /&gt;
&lt;br /&gt;
== Residential Services ==&lt;br /&gt;
&lt;br /&gt;
=== Crisis Respite Center (CRC) === &lt;br /&gt;
CRC is a five-bed program that provides emergency support services for individuals experiencing a life crisis so disruptive it cannot be managed in an outpatient setting. CRC provides evaluation, treatment, psychosocial rehabilitation, cultural activities, and referral in a voluntary setting for those individuals needing to be monitored and protected, or those just needing some temporary help. CRC works closely with the Alaska Psychiatric Institute (State Hospital), Emergency Services, Integrated Outpatient clinic and other residential programs. The alternative setting provided by the Crisis Respite Center, while ensuring the client&#039;s needs are met closer to their home community, can also ensure the client’s needs are met in a culturally sensitive manner.&lt;br /&gt;
&lt;br /&gt;
=== Bautisa House === &lt;br /&gt;
Bautisa House is a home for adults in the region with a severe and persistent mental illness. It is a 10-bed licensed assisted living home. The program serves older and/or more disabled individuals and offers long-term place. Some residents also have a developmental disability. The program teaches them daily living job-seeking and independent living skills as appropriate, and provides access to cultural and community activities.&lt;br /&gt;
&lt;br /&gt;
=== Malone Home === &lt;br /&gt;
Malone Home is a 5-bed assisted living home for adults with moderate to severe mental retardation. The team members work closely with DD services to provide appropriate services and habilitation to the residents. The home provides a long term setting for those that live there.&lt;br /&gt;
&lt;br /&gt;
=== Phillips Ayagnirvik Treatment Center (PATC) === &lt;br /&gt;
The PATC offers a ―new beginning to individuals suffering from the disease of substance abuse or addiction. PATC offers a full continuum of care, including Residential Treatment, Outpatient, Aftercare, and a Therapeutic Court Treatment Program. The PATC Recovery Program regional and statewide referrals with treatment modalities, which combine 12 Step Recovery with research-based treatment methods, and build upon cultural teachings by Elders, and medical or psychiatric services for patient who need them. Positive Native Family Values, Life Skills and Anger Management classes are an integral part of the Treatment Program. Traditional crafts and Subsistence activities are a valuable addition to our services. &lt;br /&gt;
&lt;br /&gt;
==== Residential Program ==== &lt;br /&gt;
PATC operates a ASAM Level III.5 treatment facility with 16 beds for both men and women. We have an ―open enrollment models, with an average 6-week length of stay. ‖ The Program is fully capable of treating co-occuring mental health issues along with all kinds of substance abuse and addiction.&lt;br /&gt;
&lt;br /&gt;
==== Outpatient Programs ==== &lt;br /&gt;
Phillips Ayagnirvik offers two outpatient components. These are both ASAM Level I. Aftercare is offered for those who have completed residential treatment and can access services in Bethel. Outpatient services are provided for those consumers who do not require a residential level of care.&lt;br /&gt;
&lt;br /&gt;
=== McCann Treatment Center === &lt;br /&gt;
McCann Treatment Center is a 14-bed facility that houses two programs for male youth ages 10 – 18. The youth from both programs work together with team members to develop their strengths, learn skills to live at home, and reduce symptoms of emotional disturbance and substance abuse. A key component of McCann is a strong culturally relevant subsistence program. Youth are involved in year round subsistence activities, including winter trapping, summer fishing, fall berry picking and spring ice fishing. ==== Residential Psychiatric Treatment Center ==== The McCann Treatment Center (MTC) is a culturally diverse, individualized, strengthens based program that focused on building self-value and meeting the clients’ needs using an eclectic and comprehensive approach to treatment. As a Residential Psychiatric Treatment (RPTC), with a focus on inhalant and substance abuse, treatment includes complete assessments; individual/group/family psychotherapy; psycho-educational groups on multiple topics; recreational and cultural activities; an accredited school with two certified teachers, comprehensive Subsistence Education Program; and life skills training to help each youth gain confidence and self-value. Our state of the art building has a gym for exercise and therapeutic games, a special Men’s House for activities with elders and families, and a steam to relax and process with elders and staff. ==== Behavior Rehabilitation Services (BRS) program==== Eight beds are available for youth placed in the Behavior Rehabilitation Services (BRS) program. The BRS program services clients that are in the custodial care of the Office of Children’s Services (OCS) or the Department of Juvenile Justice (DJJ). Six beds are available for RPTC or Community Referrals. Clients referred to the PRTC beds, as well as the BRS beds, join together in the treatment process and form a therapeutic community. Length of stay is 12-18 months for both the RPTC and Boys Group Home program.&lt;br /&gt;
&lt;br /&gt;
=== Learning Resource Center === &lt;br /&gt;
The Learning Resource Centeris a day habilitation program for open to all our residential and community consumers. Psychosocial rehabilitation, skills building, groups, and cultural activities are the focus of the program.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays.&lt;br /&gt;
&lt;br /&gt;
Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need.&lt;br /&gt;
&lt;br /&gt;
daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services.&lt;br /&gt;
&lt;br /&gt;
== Respiratory/Cardiopulmonary Services == &lt;br /&gt;
Services provided by this department include: oxygen therapy, BiPAP/CPAP, ventilator management, intubation assist, intubation per physician request, aerosol therapy with medication, chest physiotherapy, volume expansion therapy, EKGs, cardiac stress tests, peripheral I.V. insertion, pulmonary function testing with DLCO, VO2 uptake, spirometry, methacholine challenges, pulmonary stress testing, ABG procurement analysis, bedside spirometry, cardiac event monitoring, 24 hr. Holter monitoring, sputum induction, airway maintenance, patient education, respiratory breathing techniques , staff education, and are members of the ―Code Blue‖ team. Respiratory therapy services are provided to inpatients and outpatients, OB, ED, Specialty / Peds Clinic, and Outpatient Clinics from infancy to geriatrics. The hours of service for the Department Manager are Monday through Friday, emergency call; the Cardiopulmonary Dept. is staffed with therapists 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Anesthesia Services == &lt;br /&gt;
All levels of anesthesia services are provided for our patient population. The clinical ages range from 2 years old to the elderly. We do not offer elective surgery to patients under two except for short procedures, i.e. myringotomies. We do not offer elective services to patients with American Society of Anesthesiologist (ASA) classification 3 or above except in emergency circumstances. The Department of Anesthesiology provides services for elective procedures Monday - Friday, 8 AM - 4:30 PM. Anesthesia services are available on-call for emergencies and emergent cases 24 hours a day, 7 days a week, including holidays. == Audiology == The primary functions provided are diagnostic, audiology evaluations, specialized auditory pathway evaluations, hearing aid dispensing, and auditory rehabilitation. The audiology program maintains theENT Data Base and schedules ENT Specialty Field Clinics. The site for these services are at YKDRH but patients are also seen in the villages and the audiologist works with hearing impaired students in the schools. Clients range in age from birth to elderly. The hours of operation are Monday - Friday, 8:00 AM - 4:30 PM.&lt;br /&gt;
&lt;br /&gt;
== Endoscopy Lab == &lt;br /&gt;
The Endoscopy Lab provides inpatient and outpatient elective, diagnostic, urgent and emergency care to all ages. Elective procedures will be performed from 7:30 a.m. to 4:00 p.m., Monday – Friday. Emergency or urgent care will be provided as needed 24 hours a day, seven days a week. The unit consists of one procedure rooms for upper or lower GI procedures. Endoscopy procedures may be provided in other units, such as the OR. The same standards of care and practice will apply. Treatment activities may include patient assessment, pre procedural teaching, performance of GI procedures, implementation of pre and post operative physician orders, post procedure assessment and care, verification of discharge instructions, discharge teaching and documentation of care provided. Physicians perform the diagnostic and therapeutic procedures.&lt;br /&gt;
&lt;br /&gt;
== Infection Control/Employee Health == &lt;br /&gt;
Infection control oversees surveillance and monitoring of all the facilities of YKHC in order to identify and recognize hospital acquired infections and other adverse events in the facilities so that prevention and control activities can be identified and implemented to minimize the risk for these events.&lt;br /&gt;
&lt;br /&gt;
== Surgical Services/ Operating Room == &lt;br /&gt;
The Operating Room provides inpatient and outpatient elective, urgent and emergency surgical care to patients of all ages (under age 2 for short procedures) Pre and postoperative areas include Pre-OP room and a Phase 1 and Phase 2 Recovery Room. The surgical suite consists of 1 endoscopy room, 1 operating room with a back up operating room in OB for emergent situations. Elective surgeries are scheduled Monday – Friday from 0800 to 1630 depending on patient needs, physician utilization and staffing levels. Emergency or urgent surgeries are provided 24 hours a day, seven days a week. Surgical services are provided for: :Limited General Surgery :Limited Gynecological Surgery :Limited Orthopedic Cases :Dental Surgery :Limited Urology :Limited ENT procedures :Obstetrical Surgery&lt;br /&gt;
&lt;br /&gt;
== Prematernal Home == &lt;br /&gt;
The Prematernal Home provides lodging for pregnant women who have come to Bethel to deliver. The Home offers educational classes, which include breasting feeding, nutrition, diabetes, Healthy Babies and childbirth. Classes offered to clients bring a positive impact to mothers in the Y-K Delta, especially to new mothers who are pregnant for the first time. These courses can reassure women before and after the birth of their child.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays. Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need. A daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services. ;Mechanism Used to Meet Patient Care Needs: :A practicing MD, PA, NP, Community Health Aide or Community Health Aide/&lt;br /&gt;
&lt;br /&gt;
== Qavartarvik (Hostel) == &lt;br /&gt;
Qavartarvik (YKHC&#039;s hostel) is a part of the Travel Management Center, under Support Services. Qavartarvik is available for use by Natives and Non-Natives who are from the Yukon-Kuskokwim Delta Region villages and have come to Bethel for medical care. Lodging is additionally provided for non-Bethel residents when family members are inpatient at YKDRH and medical escorts who are actively involved in patient care.&lt;br /&gt;
&lt;br /&gt;
== Sexual Abuse Response Unit (SARU) == &lt;br /&gt;
;Scope of Service and Staffing: The SARU is a unit staffed and managed by the Emergency Services Department for the purpose of conducting forensic evidence-collection examinations on alleged victims and perpetrators of sexual assault or abuse. The examinations are conducted by specially trained registered nurses – Sexual Assault Nurse Examiners (SANE’S) at the request of either the Bethel Police Department or the Alaska State&lt;br /&gt;
&lt;br /&gt;
== Hospital Social Services == &lt;br /&gt;
Hospital Social Services exists to provide appropriate and timely social services interventions for inpatients and outpatients receiving care at the YKDRH when necessary and/or, requested. The services available include crisis intervention, psychosocial assessments, counseling/therapy, brokerage, advocacy, education, emotional support, complex case management, consultation, problem-solving, investigation and research, specialized discharge planning, and liaison with agencies within the community. Hospital Social Services works closely with a multidisciplinary teamto develop a discharge plan that addresses all needs for post hospitalization care for patients with complex discharge requirements.&lt;br /&gt;
&lt;br /&gt;
Hospital Social Services staff can be called into the hospital during off-hours for deaths and hospital-specific emergent needs. Other issues can wait until the next working day or be addressed by the nursing staff if the concern is minor. The Hospital Social Services department operates 8 hours a day, Monday through Friday, from 8:00 AM to 5:00 PM. The social workers work closely with the nurse care managers in the Outpatient clinics and on inpatient, to provide continuity in patient care.&lt;br /&gt;
&lt;br /&gt;
Troopers depending on whether or not those involved come from Bethel or Delta villages. Counseling and assessment is provided by specially trained clinical social workers. The Sexual Assault Response Unit (SARU) Coordinator is a member of a community-based group who work as a team (Sexual Assault Response Team or SART) to protect and support victims of sexual assault or abuse, prosecute perpetrators, educate the community, and decrease the rate of assaults and abuse within the YK service area.&lt;br /&gt;
&lt;br /&gt;
This issue affects both genders and all ages. An on-call system is maintained to assure availability of a competent examiner with coordination of services supervised by the Emergency Department Nurse Manager. The on-call system eliminates positive variance and the emergency room staff handles negative variance.&lt;br /&gt;
&lt;br /&gt;
== Long Term Care Facility == &lt;br /&gt;
A Long Term Care Facility is currently under construction, with a ground breaking ceremony that occurred in August 2011. This long awaited building will be an eighteen (18) bed facility that will serve the elder population in our region that meet the needed criteria. The anticipated opening of this facility will be October 1, 2013.&lt;br /&gt;
&lt;br /&gt;
== Morgue == &lt;br /&gt;
There are no funeral homes in Bethel. For those patients that die at YKDRH, their bodies are held in the hospital morgue until transported to the village or buried in Bethel. Law Enforcement (Bethel Police Department and State Troopers) also bring bodies to the hospital morgue, awaiting transport to the State Medical Examiner’s Office in Anchorage, for an autopsy. Priority use of the morgue belongs to the hospital. Law Enforcement is responsible for finding their own alternate storage space when the morgue is full. Families of the deceased visit the morgue for viewing and preparing the body for burial. The morgue can accommodate two bodies and is available 24 hours a day, 365 days a year. No autopsies are performed in Bethel. . The hospital Social Services is available to assist as needed 24 hours a day, 365 days a week.&lt;br /&gt;
&lt;br /&gt;
== Medical Nutrition Therapy Department == &lt;br /&gt;
Medical Nutrition Therapy provides nutrition assessment and education for both inpatients and outpatients. Through consults/referrals from health care providers, a Registered Dietitian provides dietary consultation. Patients range from infants to elderly. The Registered Dietitian also oversees the development and implantation of the hospital’s inpatient menu. The hours of operation are from 8:00 am to 5:00 pm, Monday thru Friday. On weekends and holidays the Registered Dietitian carries a pager, and is available for nutrition consults as identified by the physician.&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=457</id>
		<title>Category:Ancillary Services</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=457"/>
		<updated>2014-07-24T23:23:19Z</updated>

		<summary type="html">&lt;p&gt;Administrator: /* Phillips Ayagnirvik Treatment Center (PATC) */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; {{tocright}} &lt;br /&gt;
== Care Management == &lt;br /&gt;
The Yukon-Kuskokwim Health Corporation provides patients with a Case Manager. Case Managers work with physicians and other providers to help people make decisions about health care. They may assist with Inpatient and Outpatient services, referrals to and work with Social Services to arrange for continued care after discharge. Case Managers may also assist the Utilization Review Coordinator with inquires to and from insurance and other third party payers to give them information needed to provide coverage for the patient. They may also assist patients without coverage to seek funds to assist with payment for their illness or injury or transportation.&lt;br /&gt;
&lt;br /&gt;
Case Managers are available for Kusko Clinic, Yukon Clinic, Obstetrical Services, Specialty Clinic, Oncology, Inpatient, OR and Women’s Health.&lt;br /&gt;
&lt;br /&gt;
== Laboratory Services == &lt;br /&gt;
The Laboratory Department provides acute and out-patient testing services and reports to all clinicians and departments associated with the Yukon-Kuskokwim Health Corporation for patients ranging in age from newborn to geriatric. Testing services and their associated reports are also provided upon written request for those non-YKHC physicians within the State of Alaska with non-beneficiary clients on the Delta. The Laboratory department interfaces with other accredited health care organizations for those tests not analyzed in-house.&lt;br /&gt;
&lt;br /&gt;
Laboratory services consist of hematology and coagulation; serology; microbiology; DNA probes; chemistry, special chemistry and blood gases; urinalysis, screening for drugs of abuse; blood bank; venipuncture, clerical, sendouts; support of the Sub-Regional Clinic and support of Point of Care Testing within the hospital and CHA/Ps. The CHA/Ps draw lab specimens and forward them for processing at the lab at YKDRH. The Laboratory is open 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Radiology/ Diagnostic Imaging == &lt;br /&gt;
Upon receipt of a study requested by an authorized provider, the Diagnostic Imaging Department provides service to any registered patient of YKHC. We do general x-ray exams, computed tomography, contrast studies, mammography and sonograms. Services are provided to all age groups and they are predominantly outpatients.&lt;br /&gt;
&lt;br /&gt;
The department is open from 8:00am to 7:00pm to support Outpatient Clinics and staffed 24/7 with a Technologist able to perform general and computed tomography exams, to support the Emergency Department.&lt;br /&gt;
&lt;br /&gt;
The department is staffed by AART licensed technologists approximately 24 hours a day, 7 days per week (except in extenuating circumstances, when an on-call technologist is designated) for general radiology and computed tomography. An RDMS licensed sonographer performs sonograms 9 hours a day, Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. ACR board-certified Radiologists provide interpretation of all studies.&lt;br /&gt;
&lt;br /&gt;
== Pharmacy == &lt;br /&gt;
=== Outpatient Services === &lt;br /&gt;
Medical history review, interviewing patients for medication history, filling of prescriptions, patient counseling/education including food/nutrient interactions, cytotoxic IV preparation, distribution of medications to village and subregional clinics, drug information.&lt;br /&gt;
&lt;br /&gt;
=== Inpatient Services=== &lt;br /&gt;
Preparation of sterile products (IV admixtures, piggybacks, syringes), medication histories, monitoring of drug therapy, drug information, discharge counseling/education on medications including food/nutrient interactions.&lt;br /&gt;
&lt;br /&gt;
== Diabetes == &lt;br /&gt;
== Wound Care == &lt;br /&gt;
== Tobacco Control == &lt;br /&gt;
== Hospital Community Relations == &lt;br /&gt;
Some of the major duties of this department include providing interpreter services for our Yup’ik speaking patients and providers, and assisting handicapped and Elders throughout the hospital. We also serve as the initial coordinating link and contact person between patients and other areas of the hospital by acting as greeters, providing information to patients and providers on contract health issues and assisting patients with filling out Patient Comment forms, as well as locating wheelchairs and security when necessary for patients.&lt;br /&gt;
&lt;br /&gt;
The Hospital Community Relations department operates 11 hours a day, Monday through Friday, 8:00 AM to 7:00 PM. After hours, weekends, and holidays, personnel are on call. /Translation&lt;br /&gt;
&lt;br /&gt;
== Dental == &lt;br /&gt;
The Dental Department provides a broad range of dental treatment services in Bethel including emergency services, preventive, and basic restorative services. In Bethel we are able to provide root canal treatment and selected cases. The Bethel clinic also provides crown, bridge, and denture services. As in any dental practice some complicated cases have to be referred to specialists. We now have 8 full time Dental Health Aide Therapists (DHATs) so all of the sub regional clinics have a full time DHAT who offers emergency, preventive, and basic restorative services. Our dentist and DHATs make periodic visits to all the 48 villages in the YK Delta.&lt;br /&gt;
&lt;br /&gt;
23 Services in Bethel are provided in the Community Health Services Building (CHSB) dental clinic and in the YKDRH operating room. Community prevention projects are an important aspect of the program. The hours of operation are Monday – Friday 8:00am – 12:00pm, 1pm – 5:00pm. Patients range in age from infants to elderly.&lt;br /&gt;
&lt;br /&gt;
Walk-ins or emergency patients are assessed for their presenting chief complaint. Appointment patients are given an oral examination and x-rays. Based on these assessments, a treatment plan is developed for the patient.&lt;br /&gt;
&lt;br /&gt;
The Dental Department is staffed with 13 full time dentists, 8 Dental Health Aide Therapists (Subregional Clinics based), 2 dental hygienists; 1 Primary Dental Health Aide coordinator, 8 Primary Dental Health Aides, 19 dental assistants; and 5 administration staff. A dentist is assigned to be &amp;quot;on call&amp;quot; for after hours emergencies (via the hospital ER).&lt;br /&gt;
&lt;br /&gt;
Dentist do village clinic…..x per year&lt;br /&gt;
&lt;br /&gt;
== Optometry Department == &lt;br /&gt;
The Optometry Department provides routine eye exams; treatment and management of ocular diseases, i.e. glaucoma, diabetes, and red eyes; diagnosis of ocular abnormalities; follow-up care for surgeries; follow-up care for glaucoma/diabetes, i.e., fundus photo/visual field; scheduling, glass repair, and ordering for patients; provide specialty clinic four times per year; 30 village trips per year to provide eye care; educational needs related to eye care. Patients range in age from pediatric to geriatric.&lt;br /&gt;
&lt;br /&gt;
Optometrist do quarterly SRC visits….&lt;br /&gt;
&lt;br /&gt;
Hours of operation are Monday through Friday, from 8:00 AM to 5:00 PM. Patients are scheduled between 8:00 AM to 5:00 PM.&lt;br /&gt;
&lt;br /&gt;
== Behavioral Health == &lt;br /&gt;
The Mental Health and Substance Abuse and Developmental Disabilities service delivery system at YKHC is comprised of various service components. The components are Crisis Services, Outpatient and Village Services, Residential Services, Developmental Disabilities, and Support Services.&lt;br /&gt;
&lt;br /&gt;
=== Crisis Services === &lt;br /&gt;
Crisis Services will respond to urgent behavioral health services needs that occur in the YK regional and in the YKHC hospital. Urgent behavioral health services needs include responding to Title 47 requests for mental health status evaluations to determine what level of care a patient will need to alleviate an urgent behavioral health crisis. Urgent care walk-in times and primary care consultation services are also provided.&lt;br /&gt;
&lt;br /&gt;
====Emergency Services ==== &lt;br /&gt;
Conduct behavioral health evaluations of individuals who present as being in crisis and to take appropriate steps to initiate the provision of services depending on the outcome of the evaluation. Will assist monitoring of patients, in the hospital northwing, who are involuntarily held for Title 47-related observation and evaluation for further treatment or referral. Village Services directly administers the Emergency Services component. Emergency On-Call Responders-Emergency Services Clinicians and Complex Care Managers are available twenty-four hours per day to respond to behavioral health crisis for all individuals in the Yukon-Kuskokwim service area. The responders provide immediate mental status examinations and work with the primary care providers in the village or hospital to plan care for management of the crisis and follow-up of the individual. On-Call Attendants are available to stay with an individual admitted to the hospital for evaluation when ordered by an admitting physician to provide safety and security for a client. During the evaluation period comprehensive mental health and substance abuse assessments are completed by the Emergency Services Clinician to assess and manage the client within the behavioral health system of care. The Emergency On-Call Response Team is available twenty-four hours per day at 543-6100 or 1-800-478-2642&lt;br /&gt;
&lt;br /&gt;
==== Crisis Incident Stress Debriefing ==== &lt;br /&gt;
Coordinate Critical Incident Stress Debriefings (CISD) response teams with other providers throughout the YK –Delta and debrief with trauma first responders. Develops Crisis intervention teams with community partners throughout the YK-Delta. Coordinates the training and certification of the crisis team members. Coordinates all logistics of crisis village-based responses by contacting and deploying team members and ensuring adequate coverage and follow-up.&lt;br /&gt;
&lt;br /&gt;
=== Prevention Services === &lt;br /&gt;
Prevention services, established in January 2012, has established traditional healing and elder consultation as the forums with which to implement community and family support systems in the region’s villages.&lt;br /&gt;
&lt;br /&gt;
==== Family Spirit Program ==== &lt;br /&gt;
The Family Spirit Program grew out of a collaborative effort of the communities of the Yukon-Kuskokwim region, the Department of Health and Social Services, Division of Alcohol and Drug Abuse, Office of Children Services, the YKHC, Association of Village Council Presidents (AVCP), Tundra Women’s Center (TWC), Orutsararmuit Native Council (ONC) and other community providers in the Yukon-Kuskokwim Delta area. The primary purpose of the project is to implement a community development model that strengthens families, using collaborative efforts of regional resources with local resources and traditional family life and values. The primary goal of the program is for children to be safer in their homes.&lt;br /&gt;
&lt;br /&gt;
==== Meth and Suicide Prevention Initiative ==== &lt;br /&gt;
The Meth and Suicide Prevention Initiative (MSPI) is an program that utilizes the Family Spirit model to provide community support, education and training on the issues related to suicide at villages. This program has 2 –full time staff to coordinate MSPI activities.&lt;br /&gt;
&lt;br /&gt;
==== SBIRT (Screening Brief Intervention Referral to Treatment) ==== &lt;br /&gt;
The SBIRT program is an evidence-based program for planning, organizing, and coordinating alcohol abuse screening activities with all YKHC patient care areas to screen and refer primary care patients to substance abuse treatment, as needed. SBIRT tracks progress SBIRT screenings, referrals made, and referrals completed.&lt;br /&gt;
&lt;br /&gt;
==== Sobering Center ==== &lt;br /&gt;
The Sobering Center is created to divert inebriates from the emergency room and jail to a more adequate and safe place to sober up. It utilizes three full time ER technicians and a manager who is responsible for Sobering Center program design, development, management, quality assurance, and evaluation and reporting&lt;br /&gt;
&lt;br /&gt;
== Integrated Outpatient Clinic == &lt;br /&gt;
Services available in the Integrated Outpatient Clinic are:&lt;br /&gt;
&lt;br /&gt;
=== Psychiatric Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs two Psychiatrists on a part time basis. They provide regional psychiatric services by holding specialty clinics in Bethel, as well as, traveling to villages as often as ninety times per year to see clients closer to home. Further, the Yukon-Kuskokwim Health Corporation employs a full time Psychiatric Physician’s Assistant who is located in Bethel to perform psychiatric interventions and medication management for client’s region-wide.&lt;br /&gt;
&lt;br /&gt;
=== Psychological Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs one Licensed Clinical Psychologist who provides psychometrics and interpretive reports to assist in the provision of comprehensive diagnostics to specific clients in the region.&lt;br /&gt;
&lt;br /&gt;
=== Children’s Specialty Diagnostic Services === provide two mental health professional clinicians who work directly with children to ensure appropriate diagnosis particularly when multiple contributing factors (including abuse issues, FAS/FAE) must be considered.&lt;br /&gt;
&lt;br /&gt;
=== Outpatient Counseling Services === are available in the regional clinic as well to supplement services especially to Bethel residents, when a close relative may be the village counselor, and for the villages who may not yet have a counselor. Services available in the villages include: substance abuse assessments; individual, couple and family counseling; substance abuse outpatient and aftercare counseling; anger management sessions; substance abuse treatment groups and other specialty groups are available. These same services are all available through outpatient counseling services in Bethel. 2. Village Clinicians are Master’s level prepared in Human Services with both experience and specialized training in the fields of Mental Health and Substance Abuse Treatment. They receive culturally appropriate training in supervision of native counselors and work closely with the Village Behavioral Health Aides (BHAs), clients, family and other providers to complete a holistic intake and develop treatment plans for implementation by the village based service providers. This service employs five full time staff members. BHA’s are positioned at many villages to engage community services and make referrals for higher levels of care, as needed.&lt;br /&gt;
&lt;br /&gt;
== Residential Services ==&lt;br /&gt;
&lt;br /&gt;
=== Crisis Respite Center (CRC) === &lt;br /&gt;
CRC is a five-bed program that provides emergency support services for individuals experiencing a life crisis so disruptive it cannot be managed in an outpatient setting. CRC provides evaluation, treatment, psychosocial rehabilitation, cultural activities, and referral in a voluntary setting for those individuals needing to be monitored and protected, or those just needing some temporary help. CRC works closely with the Alaska Psychiatric Institute (State Hospital), Emergency Services, Integrated Outpatient clinic and other residential programs. The alternative setting provided by the Crisis Respite Center, while ensuring the client&#039;s needs are met closer to their home community, can also ensure the client’s needs are met in a culturally sensitive manner.&lt;br /&gt;
&lt;br /&gt;
=== Bautisa House === &lt;br /&gt;
Bautisa House is a home for adults in the region with a severe and persistent mental illness. It is a 10-bed licensed assisted living home. The program serves older and/or more disabled individuals and offers long-term place. Some residents also have a developmental disability. The program teaches them daily living job-seeking and independent living skills as appropriate, and provides access to cultural and community activities.&lt;br /&gt;
&lt;br /&gt;
=== Malone Home === &lt;br /&gt;
Malone Home is a 5-bed assisted living home for adults with moderate to severe mental retardation. The team members work closely with DD services to provide appropriate services and habilitation to the residents. The home provides a long term setting for those that live there.&lt;br /&gt;
&lt;br /&gt;
=== Phillips Ayagnirvik Treatment Center (PATC) === &lt;br /&gt;
The PATC offers a ―new beginning to individuals suffering from the disease of substance abuse or addiction. PATC offers a full continuum of care, including Residential Treatment, Outpatient, Aftercare, and a Therapeutic Court Treatment Program. The PATC Recovery Program regional and statewide referrals with treatment modalities, which combine 12 Step Recovery with research-based treatment methods, and build upon cultural teachings by Elders, and medical or psychiatric services for patient who need them. Positive Native Family Values, Life Skills and Anger Management classes are an integral part of the Treatment Program. Traditional crafts and Subsistence activities are a valuable addition to our services. ==== Residential Program ==== PATC operates a ASAM Level III.5 treatment facility with 16 beds for both men and women. We have an ―open enrollment models, with an average 6-week length of stay. ‖ The Program is fully capable of treating co-occuring mental health issues along with all kinds of substance abuse and addiction.&lt;br /&gt;
&lt;br /&gt;
==== Outpatient Programs ==== &lt;br /&gt;
Phillips Ayagnirvik offers two outpatient components. These are both ASAM Level I. Aftercare is offered for those who have completed residential treatment and can access services in Bethel. Outpatient services are provided for those consumers who do not require a residential level of care.&lt;br /&gt;
&lt;br /&gt;
=== McCann Treatment Center === &lt;br /&gt;
McCann Treatment Center is a 14-bed facility that houses two programs for male youth ages 10 – 18. The youth from both programs work together with team members to develop their strengths, learn skills to live at home, and reduce symptoms of emotional disturbance and substance abuse. A key component of McCann is a strong culturally relevant subsistence program. Youth are involved in year round subsistence activities, including winter trapping, summer fishing, fall berry picking and spring ice fishing. ==== Residential Psychiatric Treatment Center ==== The McCann Treatment Center (MTC) is a culturally diverse, individualized, strengthens based program that focused on building self-value and meeting the clients’ needs using an eclectic and comprehensive approach to treatment. As a Residential Psychiatric Treatment (RPTC), with a focus on inhalant and substance abuse, treatment includes complete assessments; individual/group/family psychotherapy; psycho-educational groups on multiple topics; recreational and cultural activities; an accredited school with two certified teachers, comprehensive Subsistence Education Program; and life skills training to help each youth gain confidence and self-value. Our state of the art building has a gym for exercise and therapeutic games, a special Men’s House for activities with elders and families, and a steam to relax and process with elders and staff. ==== Behavior Rehabilitation Services (BRS) program==== Eight beds are available for youth placed in the Behavior Rehabilitation Services (BRS) program. The BRS program services clients that are in the custodial care of the Office of Children’s Services (OCS) or the Department of Juvenile Justice (DJJ). Six beds are available for RPTC or Community Referrals. Clients referred to the PRTC beds, as well as the BRS beds, join together in the treatment process and form a therapeutic community. Length of stay is 12-18 months for both the RPTC and Boys Group Home program.&lt;br /&gt;
&lt;br /&gt;
=== Learning Resource Center === &lt;br /&gt;
The Learning Resource Centeris a day habilitation program for open to all our residential and community consumers. Psychosocial rehabilitation, skills building, groups, and cultural activities are the focus of the program.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays.&lt;br /&gt;
&lt;br /&gt;
Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need.&lt;br /&gt;
&lt;br /&gt;
daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services.&lt;br /&gt;
&lt;br /&gt;
== Respiratory/Cardiopulmonary Services == &lt;br /&gt;
Services provided by this department include: oxygen therapy, BiPAP/CPAP, ventilator management, intubation assist, intubation per physician request, aerosol therapy with medication, chest physiotherapy, volume expansion therapy, EKGs, cardiac stress tests, peripheral I.V. insertion, pulmonary function testing with DLCO, VO2 uptake, spirometry, methacholine challenges, pulmonary stress testing, ABG procurement analysis, bedside spirometry, cardiac event monitoring, 24 hr. Holter monitoring, sputum induction, airway maintenance, patient education, respiratory breathing techniques , staff education, and are members of the ―Code Blue‖ team. Respiratory therapy services are provided to inpatients and outpatients, OB, ED, Specialty / Peds Clinic, and Outpatient Clinics from infancy to geriatrics. The hours of service for the Department Manager are Monday through Friday, emergency call; the Cardiopulmonary Dept. is staffed with therapists 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Anesthesia Services == &lt;br /&gt;
All levels of anesthesia services are provided for our patient population. The clinical ages range from 2 years old to the elderly. We do not offer elective surgery to patients under two except for short procedures, i.e. myringotomies. We do not offer elective services to patients with American Society of Anesthesiologist (ASA) classification 3 or above except in emergency circumstances. The Department of Anesthesiology provides services for elective procedures Monday - Friday, 8 AM - 4:30 PM. Anesthesia services are available on-call for emergencies and emergent cases 24 hours a day, 7 days a week, including holidays. == Audiology == The primary functions provided are diagnostic, audiology evaluations, specialized auditory pathway evaluations, hearing aid dispensing, and auditory rehabilitation. The audiology program maintains theENT Data Base and schedules ENT Specialty Field Clinics. The site for these services are at YKDRH but patients are also seen in the villages and the audiologist works with hearing impaired students in the schools. Clients range in age from birth to elderly. The hours of operation are Monday - Friday, 8:00 AM - 4:30 PM.&lt;br /&gt;
&lt;br /&gt;
== Endoscopy Lab == &lt;br /&gt;
The Endoscopy Lab provides inpatient and outpatient elective, diagnostic, urgent and emergency care to all ages. Elective procedures will be performed from 7:30 a.m. to 4:00 p.m., Monday – Friday. Emergency or urgent care will be provided as needed 24 hours a day, seven days a week. The unit consists of one procedure rooms for upper or lower GI procedures. Endoscopy procedures may be provided in other units, such as the OR. The same standards of care and practice will apply. Treatment activities may include patient assessment, pre procedural teaching, performance of GI procedures, implementation of pre and post operative physician orders, post procedure assessment and care, verification of discharge instructions, discharge teaching and documentation of care provided. Physicians perform the diagnostic and therapeutic procedures.&lt;br /&gt;
&lt;br /&gt;
== Infection Control/Employee Health == &lt;br /&gt;
Infection control oversees surveillance and monitoring of all the facilities of YKHC in order to identify and recognize hospital acquired infections and other adverse events in the facilities so that prevention and control activities can be identified and implemented to minimize the risk for these events.&lt;br /&gt;
&lt;br /&gt;
== Surgical Services/ Operating Room == &lt;br /&gt;
The Operating Room provides inpatient and outpatient elective, urgent and emergency surgical care to patients of all ages (under age 2 for short procedures) Pre and postoperative areas include Pre-OP room and a Phase 1 and Phase 2 Recovery Room. The surgical suite consists of 1 endoscopy room, 1 operating room with a back up operating room in OB for emergent situations. Elective surgeries are scheduled Monday – Friday from 0800 to 1630 depending on patient needs, physician utilization and staffing levels. Emergency or urgent surgeries are provided 24 hours a day, seven days a week. Surgical services are provided for: :Limited General Surgery :Limited Gynecological Surgery :Limited Orthopedic Cases :Dental Surgery :Limited Urology :Limited ENT procedures :Obstetrical Surgery&lt;br /&gt;
&lt;br /&gt;
== Prematernal Home == &lt;br /&gt;
The Prematernal Home provides lodging for pregnant women who have come to Bethel to deliver. The Home offers educational classes, which include breasting feeding, nutrition, diabetes, Healthy Babies and childbirth. Classes offered to clients bring a positive impact to mothers in the Y-K Delta, especially to new mothers who are pregnant for the first time. These courses can reassure women before and after the birth of their child.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays. Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need. A daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services. ;Mechanism Used to Meet Patient Care Needs: :A practicing MD, PA, NP, Community Health Aide or Community Health Aide/&lt;br /&gt;
&lt;br /&gt;
== Qavartarvik (Hostel) == &lt;br /&gt;
Qavartarvik (YKHC&#039;s hostel) is a part of the Travel Management Center, under Support Services. Qavartarvik is available for use by Natives and Non-Natives who are from the Yukon-Kuskokwim Delta Region villages and have come to Bethel for medical care. Lodging is additionally provided for non-Bethel residents when family members are inpatient at YKDRH and medical escorts who are actively involved in patient care.&lt;br /&gt;
&lt;br /&gt;
== Sexual Abuse Response Unit (SARU) == &lt;br /&gt;
;Scope of Service and Staffing: The SARU is a unit staffed and managed by the Emergency Services Department for the purpose of conducting forensic evidence-collection examinations on alleged victims and perpetrators of sexual assault or abuse. The examinations are conducted by specially trained registered nurses – Sexual Assault Nurse Examiners (SANE’S) at the request of either the Bethel Police Department or the Alaska State&lt;br /&gt;
&lt;br /&gt;
== Hospital Social Services == &lt;br /&gt;
Hospital Social Services exists to provide appropriate and timely social services interventions for inpatients and outpatients receiving care at the YKDRH when necessary and/or, requested. The services available include crisis intervention, psychosocial assessments, counseling/therapy, brokerage, advocacy, education, emotional support, complex case management, consultation, problem-solving, investigation and research, specialized discharge planning, and liaison with agencies within the community. Hospital Social Services works closely with a multidisciplinary teamto develop a discharge plan that addresses all needs for post hospitalization care for patients with complex discharge requirements.&lt;br /&gt;
&lt;br /&gt;
Hospital Social Services staff can be called into the hospital during off-hours for deaths and hospital-specific emergent needs. Other issues can wait until the next working day or be addressed by the nursing staff if the concern is minor. The Hospital Social Services department operates 8 hours a day, Monday through Friday, from 8:00 AM to 5:00 PM. The social workers work closely with the nurse care managers in the Outpatient clinics and on inpatient, to provide continuity in patient care.&lt;br /&gt;
&lt;br /&gt;
Troopers depending on whether or not those involved come from Bethel or Delta villages. Counseling and assessment is provided by specially trained clinical social workers. The Sexual Assault Response Unit (SARU) Coordinator is a member of a community-based group who work as a team (Sexual Assault Response Team or SART) to protect and support victims of sexual assault or abuse, prosecute perpetrators, educate the community, and decrease the rate of assaults and abuse within the YK service area.&lt;br /&gt;
&lt;br /&gt;
This issue affects both genders and all ages. An on-call system is maintained to assure availability of a competent examiner with coordination of services supervised by the Emergency Department Nurse Manager. The on-call system eliminates positive variance and the emergency room staff handles negative variance.&lt;br /&gt;
&lt;br /&gt;
== Long Term Care Facility == &lt;br /&gt;
A Long Term Care Facility is currently under construction, with a ground breaking ceremony that occurred in August 2011. This long awaited building will be an eighteen (18) bed facility that will serve the elder population in our region that meet the needed criteria. The anticipated opening of this facility will be October 1, 2013.&lt;br /&gt;
&lt;br /&gt;
== Morgue == &lt;br /&gt;
There are no funeral homes in Bethel. For those patients that die at YKDRH, their bodies are held in the hospital morgue until transported to the village or buried in Bethel. Law Enforcement (Bethel Police Department and State Troopers) also bring bodies to the hospital morgue, awaiting transport to the State Medical Examiner’s Office in Anchorage, for an autopsy. Priority use of the morgue belongs to the hospital. Law Enforcement is responsible for finding their own alternate storage space when the morgue is full. Families of the deceased visit the morgue for viewing and preparing the body for burial. The morgue can accommodate two bodies and is available 24 hours a day, 365 days a year. No autopsies are performed in Bethel. . The hospital Social Services is available to assist as needed 24 hours a day, 365 days a week.&lt;br /&gt;
&lt;br /&gt;
== Medical Nutrition Therapy Department == &lt;br /&gt;
Medical Nutrition Therapy provides nutrition assessment and education for both inpatients and outpatients. Through consults/referrals from health care providers, a Registered Dietitian provides dietary consultation. Patients range from infants to elderly. The Registered Dietitian also oversees the development and implantation of the hospital’s inpatient menu. The hours of operation are from 8:00 am to 5:00 pm, Monday thru Friday. On weekends and holidays the Registered Dietitian carries a pager, and is available for nutrition consults as identified by the physician.&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=456</id>
		<title>Category:Ancillary Services</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=456"/>
		<updated>2014-07-24T23:19:21Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt; {{tocright}} &lt;br /&gt;
== Care Management == &lt;br /&gt;
The Yukon-Kuskokwim Health Corporation provides patients with a Case Manager. Case Managers work with physicians and other providers to help people make decisions about health care. They may assist with Inpatient and Outpatient services, referrals to and work with Social Services to arrange for continued care after discharge. Case Managers may also assist the Utilization Review Coordinator with inquires to and from insurance and other third party payers to give them information needed to provide coverage for the patient. They may also assist patients without coverage to seek funds to assist with payment for their illness or injury or transportation.&lt;br /&gt;
&lt;br /&gt;
Case Managers are available for Kusko Clinic, Yukon Clinic, Obstetrical Services, Specialty Clinic, Oncology, Inpatient, OR and Women’s Health.&lt;br /&gt;
&lt;br /&gt;
== Laboratory Services == &lt;br /&gt;
The Laboratory Department provides acute and out-patient testing services and reports to all clinicians and departments associated with the Yukon-Kuskokwim Health Corporation for patients ranging in age from newborn to geriatric. Testing services and their associated reports are also provided upon written request for those non-YKHC physicians within the State of Alaska with non-beneficiary clients on the Delta. The Laboratory department interfaces with other accredited health care organizations for those tests not analyzed in-house.&lt;br /&gt;
&lt;br /&gt;
Laboratory services consist of hematology and coagulation; serology; microbiology; DNA probes; chemistry, special chemistry and blood gases; urinalysis, screening for drugs of abuse; blood bank; venipuncture, clerical, sendouts; support of the Sub-Regional Clinic and support of Point of Care Testing within the hospital and CHA/Ps. The CHA/Ps draw lab specimens and forward them for processing at the lab at YKDRH. The Laboratory is open 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Radiology/ Diagnostic Imaging == &lt;br /&gt;
Upon receipt of a study requested by an authorized provider, the Diagnostic Imaging Department provides service to any registered patient of YKHC. We do general x-ray exams, computed tomography, contrast studies, mammography and sonograms. Services are provided to all age groups and they are predominantly outpatients.&lt;br /&gt;
&lt;br /&gt;
The department is open from 8:00am to 7:00pm to support Outpatient Clinics and staffed 24/7 with a Technologist able to perform general and computed tomography exams, to support the Emergency Department.&lt;br /&gt;
&lt;br /&gt;
The department is staffed by AART licensed technologists approximately 24 hours a day, 7 days per week (except in extenuating circumstances, when an on-call technologist is designated) for general radiology and computed tomography. An RDMS licensed sonographer performs sonograms 9 hours a day, Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. ACR board-certified Radiologists provide interpretation of all studies.&lt;br /&gt;
&lt;br /&gt;
== Pharmacy == &lt;br /&gt;
=== Outpatient Services === &lt;br /&gt;
Medical history review, interviewing patients for medication history, filling of prescriptions, patient counseling/education including food/nutrient interactions, cytotoxic IV preparation, distribution of medications to village and subregional clinics, drug information.&lt;br /&gt;
&lt;br /&gt;
=== Inpatient Services=== &lt;br /&gt;
Preparation of sterile products (IV admixtures, piggybacks, syringes), medication histories, monitoring of drug therapy, drug information, discharge counseling/education on medications including food/nutrient interactions.&lt;br /&gt;
&lt;br /&gt;
== Diabetes == &lt;br /&gt;
== Wound Care == &lt;br /&gt;
== Tobacco Control == &lt;br /&gt;
== Hospital Community Relations == &lt;br /&gt;
Some of the major duties of this department include providing interpreter services for our Yup’ik speaking patients and providers, and assisting handicapped and Elders throughout the hospital. We also serve as the initial coordinating link and contact person between patients and other areas of the hospital by acting as greeters, providing information to patients and providers on contract health issues and assisting patients with filling out Patient Comment forms, as well as locating wheelchairs and security when necessary for patients.&lt;br /&gt;
&lt;br /&gt;
The Hospital Community Relations department operates 11 hours a day, Monday through Friday, 8:00 AM to 7:00 PM. After hours, weekends, and holidays, personnel are on call. /Translation&lt;br /&gt;
&lt;br /&gt;
== Dental == &lt;br /&gt;
The Dental Department provides a broad range of dental treatment services in Bethel including emergency services, preventive, and basic restorative services. In Bethel we are able to provide root canal treatment and selected cases. The Bethel clinic also provides crown, bridge, and denture services. As in any dental practice some complicated cases have to be referred to specialists. We now have 8 full time Dental Health Aide Therapists (DHATs) so all of the sub regional clinics have a full time DHAT who offers emergency, preventive, and basic restorative services. Our dentist and DHATs make periodic visits to all the 48 villages in the YK Delta.&lt;br /&gt;
&lt;br /&gt;
23 Services in Bethel are provided in the Community Health Services Building (CHSB) dental clinic and in the YKDRH operating room. Community prevention projects are an important aspect of the program. The hours of operation are Monday – Friday 8:00am – 12:00pm, 1pm – 5:00pm. Patients range in age from infants to elderly.&lt;br /&gt;
&lt;br /&gt;
Walk-ins or emergency patients are assessed for their presenting chief complaint. Appointment patients are given an oral examination and x-rays. Based on these assessments, a treatment plan is developed for the patient.&lt;br /&gt;
&lt;br /&gt;
The Dental Department is staffed with 13 full time dentists, 8 Dental Health Aide Therapists (Subregional Clinics based), 2 dental hygienists; 1 Primary Dental Health Aide coordinator, 8 Primary Dental Health Aides, 19 dental assistants; and 5 administration staff. A dentist is assigned to be &amp;quot;on call&amp;quot; for after hours emergencies (via the hospital ER).&lt;br /&gt;
&lt;br /&gt;
Dentist do village clinic…..x per year&lt;br /&gt;
&lt;br /&gt;
== Optometry Department == &lt;br /&gt;
The Optometry Department provides routine eye exams; treatment and management of ocular diseases, i.e. glaucoma, diabetes, and red eyes; diagnosis of ocular abnormalities; follow-up care for surgeries; follow-up care for glaucoma/diabetes, i.e., fundus photo/visual field; scheduling, glass repair, and ordering for patients; provide specialty clinic four times per year; 30 village trips per year to provide eye care; educational needs related to eye care. Patients range in age from pediatric to geriatric.&lt;br /&gt;
&lt;br /&gt;
Optometrist do quarterly SRC visits….&lt;br /&gt;
&lt;br /&gt;
Hours of operation are Monday through Friday, from 8:00 AM to 5:00 PM. Patients are scheduled between 8:00 AM to 5:00 PM.&lt;br /&gt;
&lt;br /&gt;
== Behavioral Health == &lt;br /&gt;
The Mental Health and Substance Abuse and Developmental Disabilities service delivery system at YKHC is comprised of various service components. The components are Crisis Services, Outpatient and Village Services, Residential Services, Developmental Disabilities, and Support Services.&lt;br /&gt;
&lt;br /&gt;
=== Crisis Services === &lt;br /&gt;
Crisis Services will respond to urgent behavioral health services needs that occur in the YK regional and in the YKHC hospital. Urgent behavioral health services needs include responding to Title 47 requests for mental health status evaluations to determine what level of care a patient will need to alleviate an urgent behavioral health crisis. Urgent care walk-in times and primary care consultation services are also provided.&lt;br /&gt;
&lt;br /&gt;
====Emergency Services ==== &lt;br /&gt;
Conduct behavioral health evaluations of individuals who present as being in crisis and to take appropriate steps to initiate the provision of services depending on the outcome of the evaluation. Will assist monitoring of patients, in the hospital northwing, who are involuntarily held for Title 47-related observation and evaluation for further treatment or referral. Village Services directly administers the Emergency Services component. Emergency On-Call Responders-Emergency Services Clinicians and Complex Care Managers are available twenty-four hours per day to respond to behavioral health crisis for all individuals in the Yukon-Kuskokwim service area. The responders provide immediate mental status examinations and work with the primary care providers in the village or hospital to plan care for management of the crisis and follow-up of the individual. On-Call Attendants are available to stay with an individual admitted to the hospital for evaluation when ordered by an admitting physician to provide safety and security for a client. During the evaluation period comprehensive mental health and substance abuse assessments are completed by the Emergency Services Clinician to assess and manage the client within the behavioral health system of care. The Emergency On-Call Response Team is available twenty-four hours per day at 543-6100 or 1-800-478-2642&lt;br /&gt;
&lt;br /&gt;
==== Crisis Incident Stress Debriefing ==== &lt;br /&gt;
Coordinate Critical Incident Stress Debriefings (CISD) response teams with other providers throughout the YK –Delta and debrief with trauma first responders. Develops Crisis intervention teams with community partners throughout the YK-Delta. Coordinates the training and certification of the crisis team members. Coordinates all logistics of crisis village-based responses by contacting and deploying team members and ensuring adequate coverage and follow-up.&lt;br /&gt;
&lt;br /&gt;
=== Prevention Services === &lt;br /&gt;
Prevention services, established in January 2012, has established traditional healing and elder consultation as the forums with which to implement community and family support systems in the region’s villages.&lt;br /&gt;
&lt;br /&gt;
==== Family Spirit Program ==== &lt;br /&gt;
The Family Spirit Program grew out of a collaborative effort of the communities of the Yukon-Kuskokwim region, the Department of Health and Social Services, Division of Alcohol and Drug Abuse, Office of Children Services, the YKHC, Association of Village Council Presidents (AVCP), Tundra Women’s Center (TWC), Orutsararmuit Native Council (ONC) and other community providers in the Yukon-Kuskokwim Delta area. The primary purpose of the project is to implement a community development model that strengthens families, using collaborative efforts of regional resources with local resources and traditional family life and values. The primary goal of the program is for children to be safer in their homes.&lt;br /&gt;
&lt;br /&gt;
==== Meth and Suicide Prevention Initiative ==== &lt;br /&gt;
The Meth and Suicide Prevention Initiative (MSPI) is an program that utilizes the Family Spirit model to provide community support, education and training on the issues related to suicide at villages. This program has 2 –full time staff to coordinate MSPI activities.&lt;br /&gt;
&lt;br /&gt;
==== SBIRT (Screening Brief Intervention Referral to Treatment) ==== &lt;br /&gt;
The SBIRT program is an evidence-based program for planning, organizing, and coordinating alcohol abuse screening activities with all YKHC patient care areas to screen and refer primary care patients to substance abuse treatment, as needed. SBIRT tracks progress SBIRT screenings, referrals made, and referrals completed.&lt;br /&gt;
&lt;br /&gt;
==== Sobering Center ==== &lt;br /&gt;
The Sobering Center is created to divert inebriates from the emergency room and jail to a more adequate and safe place to sober up. It utilizes three full time ER technicians and a manager who is responsible for Sobering Center program design, development, management, quality assurance, and evaluation and reporting&lt;br /&gt;
&lt;br /&gt;
== Integrated Outpatient Clinic == &lt;br /&gt;
Services available in the Integrated Outpatient Clinic are:&lt;br /&gt;
&lt;br /&gt;
=== Psychiatric Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs two Psychiatrists on a part time basis. They provide regional psychiatric services by holding specialty clinics in Bethel, as well as, traveling to villages as often as ninety times per year to see clients closer to home. Further, the Yukon-Kuskokwim Health Corporation employs a full time Psychiatric Physician’s Assistant who is located in Bethel to perform psychiatric interventions and medication management for client’s region-wide.&lt;br /&gt;
&lt;br /&gt;
=== Psychological Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs one Licensed Clinical Psychologist who provides psychometrics and interpretive reports to assist in the provision of comprehensive diagnostics to specific clients in the region.&lt;br /&gt;
&lt;br /&gt;
=== Children’s Specialty Diagnostic Services === provide two mental health professional clinicians who work directly with children to ensure appropriate diagnosis particularly when multiple contributing factors (including abuse issues, FAS/FAE) must be considered.&lt;br /&gt;
&lt;br /&gt;
=== Outpatient Counseling Services === are available in the regional clinic as well to supplement services especially to Bethel residents, when a close relative may be the village counselor, and for the villages who may not yet have a counselor. Services available in the villages include: substance abuse assessments; individual, couple and family counseling; substance abuse outpatient and aftercare counseling; anger management sessions; substance abuse treatment groups and other specialty groups are available. These same services are all available through outpatient counseling services in Bethel. 2. Village Clinicians are Master’s level prepared in Human Services with both experience and specialized training in the fields of Mental Health and Substance Abuse Treatment. They receive culturally appropriate training in supervision of native counselors and work closely with the Village Behavioral Health Aides (BHAs), clients, family and other providers to complete a holistic intake and develop treatment plans for implementation by the village based service providers. This service employs five full time staff members. BHA’s are positioned at many villages to engage community services and make referrals for higher levels of care, as needed.&lt;br /&gt;
&lt;br /&gt;
== Residential Services ==&lt;br /&gt;
&lt;br /&gt;
=== Crisis Respite Center (CRC) === &lt;br /&gt;
CRC is a five-bed program that provides emergency support services for individuals experiencing a life crisis so disruptive it cannot be managed in an outpatient setting. CRC provides evaluation, treatment, psychosocial rehabilitation, cultural activities, and referral in a voluntary setting for those individuals needing to be monitored and protected, or those just needing some temporary help. CRC works closely with the Alaska Psychiatric Institute (State Hospital), Emergency Services, Integrated Outpatient clinic and other residential programs. The alternative setting provided by the Crisis Respite Center, while ensuring the client&#039;s needs are met closer to their home community, can also ensure the client’s needs are met in a culturally sensitive manner.&lt;br /&gt;
&lt;br /&gt;
=== Bautisa House === &lt;br /&gt;
Bautisa House is a home for adults in the region with a severe and persistent mental illness. It is a 10-bed licensed assisted living home. The program serves older and/or more disabled individuals and offers long-term place. Some residents also have a developmental disability. The program teaches them daily living job-seeking and independent living skills as appropriate, and provides access to cultural and community activities.&lt;br /&gt;
&lt;br /&gt;
=== Malone Home === &lt;br /&gt;
Malone Home is a 5-bed assisted living home for adults with moderate to severe mental retardation. The team members work closely with DD services to provide appropriate services and habilitation to the residents. The home provides a long term setting for those that live there.&lt;br /&gt;
&lt;br /&gt;
=== Phillips Ayagnirvik Treatment Center (PATC) === &lt;br /&gt;
The PATC offers a ―new beginning‖ to individuals suffering from the disease of substance abuse or addiction. PATC offers a full continuum of care, including Residential Treatment, Outpatient, Aftercare, and a Therapeutic Court Treatment Program. The PATC Recovery Program regional and statewide referrals with treatment modalities, which combine 12 Step Recovery with research-based treatment methods, and build upon cultural teachings by Elders, and medical or psychiatric services for patient who need them. Positive Native Family Values, Life Skills and Anger Management classes are an integral part of the Treatment Program. Traditional crafts and Subsistence activities are a valuable addition to our services. ==== Residential Program ==== PATC operates a ASAM Level III.5 treatment facility with 16 beds for both men and women. We have an ―open enrollment models, with an average 6-week length of stay. ‖ The Program is fully capable of treating co-occuring mental health issues along with all kinds of substance abuse and addiction.&lt;br /&gt;
&lt;br /&gt;
==== Outpatient Programs ==== &lt;br /&gt;
Phillips Ayagnirvik offers two outpatient components. These are both ASAM Level I. Aftercare is offered for those who have completed residential treatment and can access services in Bethel. Outpatient services are provided for those consumers who do not require a residential level of care.&lt;br /&gt;
&lt;br /&gt;
=== McCann Treatment Center === &lt;br /&gt;
McCann Treatment Center is a 14-bed facility that houses two programs for male youth ages 10 – 18. The youth from both programs work together with team members to develop their strengths, learn skills to live at home, and reduce symptoms of emotional disturbance and substance abuse. A key component of McCann is a strong culturally relevant subsistence program. Youth are involved in year round subsistence activities, including winter trapping, summer fishing, fall berry picking and spring ice fishing. ==== Residential Psychiatric Treatment Center ==== The McCann Treatment Center (MTC) is a culturally diverse, individualized, strengthens based program that focused on building self-value and meeting the clients’ needs using an eclectic and comprehensive approach to treatment. As a Residential Psychiatric Treatment (RPTC), with a focus on inhalant and substance abuse, treatment includes complete assessments; individual/group/family psychotherapy; psycho-educational groups on multiple topics; recreational and cultural activities; an accredited school with two certified teachers, comprehensive Subsistence Education Program; and life skills training to help each youth gain confidence and self-value. Our state of the art building has a gym for exercise and therapeutic games, a special Men’s House for activities with elders and families, and a steam to relax and process with elders and staff. ==== Behavior Rehabilitation Services (BRS) program==== Eight beds are available for youth placed in the Behavior Rehabilitation Services (BRS) program. The BRS program services clients that are in the custodial care of the Office of Children’s Services (OCS) or the Department of Juvenile Justice (DJJ). Six beds are available for RPTC or Community Referrals. Clients referred to the PRTC beds, as well as the BRS beds, join together in the treatment process and form a therapeutic community. Length of stay is 12-18 months for both the RPTC and Boys Group Home program.&lt;br /&gt;
&lt;br /&gt;
=== Learning Resource Center === &lt;br /&gt;
The Learning Resource Centeris a day habilitation program for open to all our residential and community consumers. Psychosocial rehabilitation, skills building, groups, and cultural activities are the focus of the program.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays.&lt;br /&gt;
&lt;br /&gt;
Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need.&lt;br /&gt;
&lt;br /&gt;
daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services.&lt;br /&gt;
&lt;br /&gt;
== Respiratory/Cardiopulmonary Services == &lt;br /&gt;
Services provided by this department include: oxygen therapy, BiPAP/CPAP, ventilator management, intubation assist, intubation per physician request, aerosol therapy with medication, chest physiotherapy, volume expansion therapy, EKGs, cardiac stress tests, peripheral I.V. insertion, pulmonary function testing with DLCO, VO2 uptake, spirometry, methacholine challenges, pulmonary stress testing, ABG procurement analysis, bedside spirometry, cardiac event monitoring, 24 hr. Holter monitoring, sputum induction, airway maintenance, patient education, respiratory breathing techniques , staff education, and are members of the ―Code Blue‖ team. Respiratory therapy services are provided to inpatients and outpatients, OB, ED, Specialty / Peds Clinic, and Outpatient Clinics from infancy to geriatrics. The hours of service for the Department Manager are Monday through Friday, emergency call; the Cardiopulmonary Dept. is staffed with therapists 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Anesthesia Services == &lt;br /&gt;
All levels of anesthesia services are provided for our patient population. The clinical ages range from 2 years old to the elderly. We do not offer elective surgery to patients under two except for short procedures, i.e. myringotomies. We do not offer elective services to patients with American Society of Anesthesiologist (ASA) classification 3 or above except in emergency circumstances. The Department of Anesthesiology provides services for elective procedures Monday - Friday, 8 AM - 4:30 PM. Anesthesia services are available on-call for emergencies and emergent cases 24 hours a day, 7 days a week, including holidays. == Audiology == The primary functions provided are diagnostic, audiology evaluations, specialized auditory pathway evaluations, hearing aid dispensing, and auditory rehabilitation. The audiology program maintains theENT Data Base and schedules ENT Specialty Field Clinics. The site for these services are at YKDRH but patients are also seen in the villages and the audiologist works with hearing impaired students in the schools. Clients range in age from birth to elderly. The hours of operation are Monday - Friday, 8:00 AM - 4:30 PM.&lt;br /&gt;
&lt;br /&gt;
== Endoscopy Lab == &lt;br /&gt;
The Endoscopy Lab provides inpatient and outpatient elective, diagnostic, urgent and emergency care to all ages. Elective procedures will be performed from 7:30 a.m. to 4:00 p.m., Monday – Friday. Emergency or urgent care will be provided as needed 24 hours a day, seven days a week. The unit consists of one procedure rooms for upper or lower GI procedures. Endoscopy procedures may be provided in other units, such as the OR. The same standards of care and practice will apply. Treatment activities may include patient assessment, pre procedural teaching, performance of GI procedures, implementation of pre and post operative physician orders, post procedure assessment and care, verification of discharge instructions, discharge teaching and documentation of care provided. Physicians perform the diagnostic and therapeutic procedures.&lt;br /&gt;
&lt;br /&gt;
== Infection Control/Employee Health == &lt;br /&gt;
Infection control oversees surveillance and monitoring of all the facilities of YKHC in order to identify and recognize hospital acquired infections and other adverse events in the facilities so that prevention and control activities can be identified and implemented to minimize the risk for these events.&lt;br /&gt;
&lt;br /&gt;
== Surgical Services/ Operating Room == &lt;br /&gt;
The Operating Room provides inpatient and outpatient elective, urgent and emergency surgical care to patients of all ages (under age 2 for short procedures) Pre and postoperative areas include Pre-OP room and a Phase 1 and Phase 2 Recovery Room. The surgical suite consists of 1 endoscopy room, 1 operating room with a back up operating room in OB for emergent situations. Elective surgeries are scheduled Monday – Friday from 0800 to 1630 depending on patient needs, physician utilization and staffing levels. Emergency or urgent surgeries are provided 24 hours a day, seven days a week. Surgical services are provided for: :Limited General Surgery :Limited Gynecological Surgery :Limited Orthopedic Cases :Dental Surgery :Limited Urology :Limited ENT procedures :Obstetrical Surgery&lt;br /&gt;
&lt;br /&gt;
== Prematernal Home == &lt;br /&gt;
The Prematernal Home provides lodging for pregnant women who have come to Bethel to deliver. The Home offers educational classes, which include breasting feeding, nutrition, diabetes, Healthy Babies and childbirth. Classes offered to clients bring a positive impact to mothers in the Y-K Delta, especially to new mothers who are pregnant for the first time. These courses can reassure women before and after the birth of their child.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays. Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need. A daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services. ;Mechanism Used to Meet Patient Care Needs: :A practicing MD, PA, NP, Community Health Aide or Community Health Aide/&lt;br /&gt;
&lt;br /&gt;
== Qavartarvik (Hostel) == &lt;br /&gt;
Qavartarvik (YKHC&#039;s hostel) is a part of the Travel Management Center, under Support Services. Qavartarvik is available for use by Natives and Non-Natives who are from the Yukon-Kuskokwim Delta Region villages and have come to Bethel for medical care. Lodging is additionally provided for non-Bethel residents when family members are inpatient at YKDRH and medical escorts who are actively involved in patient care.&lt;br /&gt;
&lt;br /&gt;
== Sexual Abuse Response Unit (SARU) == &lt;br /&gt;
;Scope of Service and Staffing: The SARU is a unit staffed and managed by the Emergency Services Department for the purpose of conducting forensic evidence-collection examinations on alleged victims and perpetrators of sexual assault or abuse. The examinations are conducted by specially trained registered nurses – Sexual Assault Nurse Examiners (SANE’S) at the request of either the Bethel Police Department or the Alaska State&lt;br /&gt;
&lt;br /&gt;
== Hospital Social Services == &lt;br /&gt;
Hospital Social Services exists to provide appropriate and timely social services interventions for inpatients and outpatients receiving care at the YKDRH when necessary and/or, requested. The services available include crisis intervention, psychosocial assessments, counseling/therapy, brokerage, advocacy, education, emotional support, complex case management, consultation, problem-solving, investigation and research, specialized discharge planning, and liaison with agencies within the community. Hospital Social Services works closely with a multidisciplinary teamto develop a discharge plan that addresses all needs for post hospitalization care for patients with complex discharge requirements.&lt;br /&gt;
&lt;br /&gt;
Hospital Social Services staff can be called into the hospital during off-hours for deaths and hospital-specific emergent needs. Other issues can wait until the next working day or be addressed by the nursing staff if the concern is minor. The Hospital Social Services department operates 8 hours a day, Monday through Friday, from 8:00 AM to 5:00 PM. The social workers work closely with the nurse care managers in the Outpatient clinics and on inpatient, to provide continuity in patient care.&lt;br /&gt;
&lt;br /&gt;
Troopers depending on whether or not those involved come from Bethel or Delta villages. Counseling and assessment is provided by specially trained clinical social workers. The Sexual Assault Response Unit (SARU) Coordinator is a member of a community-based group who work as a team (Sexual Assault Response Team or SART) to protect and support victims of sexual assault or abuse, prosecute perpetrators, educate the community, and decrease the rate of assaults and abuse within the YK service area.&lt;br /&gt;
&lt;br /&gt;
This issue affects both genders and all ages. An on-call system is maintained to assure availability of a competent examiner with coordination of services supervised by the Emergency Department Nurse Manager. The on-call system eliminates positive variance and the emergency room staff handles negative variance.&lt;br /&gt;
&lt;br /&gt;
== Long Term Care Facility == &lt;br /&gt;
A Long Term Care Facility is currently under construction, with a ground breaking ceremony that occurred in August 2011. This long awaited building will be an eighteen (18) bed facility that will serve the elder population in our region that meet the needed criteria. The anticipated opening of this facility will be October 1, 2013.&lt;br /&gt;
&lt;br /&gt;
== Morgue == &lt;br /&gt;
There are no funeral homes in Bethel. For those patients that die at YKDRH, their bodies are held in the hospital morgue until transported to the village or buried in Bethel. Law Enforcement (Bethel Police Department and State Troopers) also bring bodies to the hospital morgue, awaiting transport to the State Medical Examiner’s Office in Anchorage, for an autopsy. Priority use of the morgue belongs to the hospital. Law Enforcement is responsible for finding their own alternate storage space when the morgue is full. Families of the deceased visit the morgue for viewing and preparing the body for burial. The morgue can accommodate two bodies and is available 24 hours a day, 365 days a year. No autopsies are performed in Bethel. . The hospital Social Services is available to assist as needed 24 hours a day, 365 days a week.&lt;br /&gt;
&lt;br /&gt;
== Medical Nutrition Therapy Department == &lt;br /&gt;
Medical Nutrition Therapy provides nutrition assessment and education for both inpatients and outpatients. Through consults/referrals from health care providers, a Registered Dietitian provides dietary consultation. Patients range from infants to elderly. The Registered Dietitian also oversees the development and implantation of the hospital’s inpatient menu. The hours of operation are from 8:00 am to 5:00 pm, Monday thru Friday. On weekends and holidays the Registered Dietitian carries a pager, and is available for nutrition consults as identified by the physician.&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=455</id>
		<title>Category:Ancillary Services</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Ancillary_Services&amp;diff=455"/>
		<updated>2014-07-24T23:17:06Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Created page with &amp;quot;== Care Management ==  The Yukon-Kuskokwim Health Corporation provides patients with a Case Manager. Case Managers work with physicians and other providers to help people make...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;== Care Management == &lt;br /&gt;
The Yukon-Kuskokwim Health Corporation provides patients with a Case Manager. Case Managers work with physicians and other providers to help people make decisions about health care. They may assist with Inpatient and Outpatient services, referrals to and work with Social Services to arrange for continued care after discharge. Case Managers may also assist the Utilization Review Coordinator with inquires to and from insurance and other third party payers to give them information needed to provide coverage for the patient. They may also assist patients without coverage to seek funds to assist with payment for their illness or injury or transportation.&lt;br /&gt;
&lt;br /&gt;
Case Managers are available for Kusko Clinic, Yukon Clinic, Obstetrical Services, Specialty Clinic, Oncology, Inpatient, OR and Women’s Health.&lt;br /&gt;
&lt;br /&gt;
== Laboratory Services == &lt;br /&gt;
The Laboratory Department provides acute and out-patient testing services and reports to all clinicians and departments associated with the Yukon-Kuskokwim Health Corporation for patients ranging in age from newborn to geriatric. Testing services and their associated reports are also provided upon written request for those non-YKHC physicians within the State of Alaska with non-beneficiary clients on the Delta. The Laboratory department interfaces with other accredited health care organizations for those tests not analyzed in-house.&lt;br /&gt;
&lt;br /&gt;
Laboratory services consist of hematology and coagulation; serology; microbiology; DNA probes; chemistry, special chemistry and blood gases; urinalysis, screening for drugs of abuse; blood bank; venipuncture, clerical, sendouts; support of the Sub-Regional Clinic and support of Point of Care Testing within the hospital and CHA/Ps. The CHA/Ps draw lab specimens and forward them for processing at the lab at YKDRH. The Laboratory is open 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Radiology/ Diagnostic Imaging == &lt;br /&gt;
Upon receipt of a study requested by an authorized provider, the Diagnostic Imaging Department provides service to any registered patient of YKHC. We do general x-ray exams, computed tomography, contrast studies, mammography and sonograms. Services are provided to all age groups and they are predominantly outpatients.&lt;br /&gt;
&lt;br /&gt;
The department is open from 8:00am to 7:00pm to support Outpatient Clinics and staffed 24/7 with a Technologist able to perform general and computed tomography exams, to support the Emergency Department.&lt;br /&gt;
&lt;br /&gt;
The department is staffed by AART licensed technologists approximately 24 hours a day, 7 days per week (except in extenuating circumstances, when an on-call technologist is designated) for general radiology and computed tomography. An RDMS licensed sonographer performs sonograms 9 hours a day, Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. Certified Mammographers perform mammograms by appointment and walk-in Monday through Friday. ACR board-certified Radiologists provide interpretation of all studies.&lt;br /&gt;
&lt;br /&gt;
== Pharmacy == &lt;br /&gt;
=== Outpatient Services === &lt;br /&gt;
Medical history review, interviewing patients for medication history, filling of prescriptions, patient counseling/education including food/nutrient interactions, cytotoxic IV preparation, distribution of medications to village and subregional clinics, drug information.&lt;br /&gt;
&lt;br /&gt;
=== Inpatient Services=== &lt;br /&gt;
Preparation of sterile products (IV admixtures, piggybacks, syringes), medication histories, monitoring of drug therapy, drug information, discharge counseling/education on medications including food/nutrient interactions.&lt;br /&gt;
&lt;br /&gt;
== Diabetes == &lt;br /&gt;
== Wound Care == &lt;br /&gt;
== Tobacco Control == &lt;br /&gt;
== Hospital Community Relations == &lt;br /&gt;
Some of the major duties of this department include providing interpreter services for our Yup’ik speaking patients and providers, and assisting handicapped and Elders throughout the hospital. We also serve as the initial coordinating link and contact person between patients and other areas of the hospital by acting as greeters, providing information to patients and providers on contract health issues and assisting patients with filling out Patient Comment forms, as well as locating wheelchairs and security when necessary for patients.&lt;br /&gt;
&lt;br /&gt;
The Hospital Community Relations department operates 11 hours a day, Monday through Friday, 8:00 AM to 7:00 PM. After hours, weekends, and holidays, personnel are on call. /Translation&lt;br /&gt;
&lt;br /&gt;
== Dental == &lt;br /&gt;
The Dental Department provides a broad range of dental treatment services in Bethel including emergency services, preventive, and basic restorative services. In Bethel we are able to provide root canal treatment and selected cases. The Bethel clinic also provides crown, bridge, and denture services. As in any dental practice some complicated cases have to be referred to specialists. We now have 8 full time Dental Health Aide Therapists (DHATs) so all of the sub regional clinics have a full time DHAT who offers emergency, preventive, and basic restorative services. Our dentist and DHATs make periodic visits to all the 48 villages in the YK Delta.&lt;br /&gt;
&lt;br /&gt;
23 Services in Bethel are provided in the Community Health Services Building (CHSB) dental clinic and in the YKDRH operating room. Community prevention projects are an important aspect of the program. The hours of operation are Monday – Friday 8:00am – 12:00pm, 1pm – 5:00pm. Patients range in age from infants to elderly.&lt;br /&gt;
&lt;br /&gt;
Walk-ins or emergency patients are assessed for their presenting chief complaint. Appointment patients are given an oral examination and x-rays. Based on these assessments, a treatment plan is developed for the patient.&lt;br /&gt;
&lt;br /&gt;
The Dental Department is staffed with 13 full time dentists, 8 Dental Health Aide Therapists (Subregional Clinics based), 2 dental hygienists; 1 Primary Dental Health Aide coordinator, 8 Primary Dental Health Aides, 19 dental assistants; and 5 administration staff. A dentist is assigned to be &amp;quot;on call&amp;quot; for after hours emergencies (via the hospital ER).&lt;br /&gt;
&lt;br /&gt;
Dentist do village clinic…..x per year&lt;br /&gt;
&lt;br /&gt;
== Optometry Department == &lt;br /&gt;
The Optometry Department provides routine eye exams; treatment and management of ocular diseases, i.e. glaucoma, diabetes, and red eyes; diagnosis of ocular abnormalities; follow-up care for surgeries; follow-up care for glaucoma/diabetes, i.e., fundus photo/visual field; scheduling, glass repair, and ordering for patients; provide specialty clinic four times per year; 30 village trips per year to provide eye care; educational needs related to eye care. Patients range in age from pediatric to geriatric.&lt;br /&gt;
&lt;br /&gt;
Optometrist do quarterly SRC visits….&lt;br /&gt;
&lt;br /&gt;
Hours of operation are Monday through Friday, from 8:00 AM to 5:00 PM. Patients are scheduled between 8:00 AM to 5:00 PM.&lt;br /&gt;
&lt;br /&gt;
== Behavioral Health == &lt;br /&gt;
The Mental Health and Substance Abuse and Developmental Disabilities service delivery system at YKHC is comprised of various service components. The components are Crisis Services, Outpatient and Village Services, Residential Services, Developmental Disabilities, and Support Services.&lt;br /&gt;
&lt;br /&gt;
=== Crisis Services === &lt;br /&gt;
Crisis Services will respond to urgent behavioral health services needs that occur in the YK regional and in the YKHC hospital. Urgent behavioral health services needs include responding to Title 47 requests for mental health status evaluations to determine what level of care a patient will need to alleviate an urgent behavioral health crisis. Urgent care walk-in times and primary care consultation services are also provided.&lt;br /&gt;
&lt;br /&gt;
====Emergency Services ==== &lt;br /&gt;
Conduct behavioral health evaluations of individuals who present as being in crisis and to take appropriate steps to initiate the provision of services depending on the outcome of the evaluation. Will assist monitoring of patients, in the hospital northwing, who are involuntarily held for Title 47-related observation and evaluation for further treatment or referral. Village Services directly administers the Emergency Services component. Emergency On-Call Responders-Emergency Services Clinicians and Complex Care Managers are available twenty-four hours per day to respond to behavioral health crisis for all individuals in the Yukon-Kuskokwim service area. The responders provide immediate mental status examinations and work with the primary care providers in the village or hospital to plan care for management of the crisis and follow-up of the individual. On-Call Attendants are available to stay with an individual admitted to the hospital for evaluation when ordered by an admitting physician to provide safety and security for a client. During the evaluation period comprehensive mental health and substance abuse assessments are completed by the Emergency Services Clinician to assess and manage the client within the behavioral health system of care. The Emergency On-Call Response Team is available twenty-four hours per day at 543-6100 or 1-800-478-2642&lt;br /&gt;
&lt;br /&gt;
==== Crisis Incident Stress Debriefing ==== &lt;br /&gt;
Coordinate Critical Incident Stress Debriefings (CISD) response teams with other providers throughout the YK –Delta and debrief with trauma first responders. Develops Crisis intervention teams with community partners throughout the YK-Delta. Coordinates the training and certification of the crisis team members. Coordinates all logistics of crisis village-based responses by contacting and deploying team members and ensuring adequate coverage and follow-up.&lt;br /&gt;
&lt;br /&gt;
=== Prevention Services === &lt;br /&gt;
Prevention services, established in January 2012, has established traditional healing and elder consultation as the forums with which to implement community and family support systems in the region’s villages.&lt;br /&gt;
&lt;br /&gt;
==== Family Spirit Program ==== &lt;br /&gt;
The Family Spirit Program grew out of a collaborative effort of the communities of the Yukon-Kuskokwim region, the Department of Health and Social Services, Division of Alcohol and Drug Abuse, Office of Children Services, the YKHC, Association of Village Council Presidents (AVCP), Tundra Women’s Center (TWC), Orutsararmuit Native Council (ONC) and other community providers in the Yukon-Kuskokwim Delta area. The primary purpose of the project is to implement a community development model that strengthens families, using collaborative efforts of regional resources with local resources and traditional family life and values. The primary goal of the program is for children to be safer in their homes.&lt;br /&gt;
&lt;br /&gt;
==== Meth and Suicide Prevention Initiative ==== &lt;br /&gt;
The Meth and Suicide Prevention Initiative (MSPI) is an program that utilizes the Family Spirit model to provide community support, education and training on the issues related to suicide at villages. This program has 2 –full time staff to coordinate MSPI activities.&lt;br /&gt;
&lt;br /&gt;
==== SBIRT (Screening Brief Intervention Referral to Treatment) ==== &lt;br /&gt;
The SBIRT program is an evidence-based program for planning, organizing, and coordinating alcohol abuse screening activities with all YKHC patient care areas to screen and refer primary care patients to substance abuse treatment, as needed. SBIRT tracks progress SBIRT screenings, referrals made, and referrals completed.&lt;br /&gt;
&lt;br /&gt;
==== Sobering Center ==== &lt;br /&gt;
The Sobering Center is created to divert inebriates from the emergency room and jail to a more adequate and safe place to sober up. It utilizes three full time ER technicians and a manager who is responsible for Sobering Center program design, development, management, quality assurance, and evaluation and reporting&lt;br /&gt;
&lt;br /&gt;
== Integrated Outpatient Clinic == &lt;br /&gt;
Services available in the Integrated Outpatient Clinic are:&lt;br /&gt;
&lt;br /&gt;
=== Psychiatric Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs two Psychiatrists on a part time basis. They provide regional psychiatric services by holding specialty clinics in Bethel, as well as, traveling to villages as often as ninety times per year to see clients closer to home. Further, the Yukon-Kuskokwim Health Corporation employs a full time Psychiatric Physician’s Assistant who is located in Bethel to perform psychiatric interventions and medication management for client’s region-wide.&lt;br /&gt;
&lt;br /&gt;
=== Psychological Services === &lt;br /&gt;
the Yukon-Kuskokwim Health Corporation employs one Licensed Clinical Psychologist who provides psychometrics and interpretive reports to assist in the provision of comprehensive diagnostics to specific clients in the region.&lt;br /&gt;
&lt;br /&gt;
=== Children’s Specialty Diagnostic Services === provide two mental health professional clinicians who work directly with children to ensure appropriate diagnosis particularly when multiple contributing factors (including abuse issues, FAS/FAE) must be considered.&lt;br /&gt;
&lt;br /&gt;
=== Outpatient Counseling Services === are available in the regional clinic as well to supplement services especially to Bethel residents, when a close relative may be the village counselor, and for the villages who may not yet have a counselor. Services available in the villages include: substance abuse assessments; individual, couple and family counseling; substance abuse outpatient and aftercare counseling; anger management sessions; substance abuse treatment groups and other specialty groups are available. These same services are all available through outpatient counseling services in Bethel. 2. Village Clinicians are Master’s level prepared in Human Services with both experience and specialized training in the fields of Mental Health and Substance Abuse Treatment. They receive culturally appropriate training in supervision of native counselors and work closely with the Village Behavioral Health Aides (BHAs), clients, family and other providers to complete a holistic intake and develop treatment plans for implementation by the village based service providers. This service employs five full time staff members. BHA’s are positioned at many villages to engage community services and make referrals for higher levels of care, as needed.&lt;br /&gt;
&lt;br /&gt;
== Residential Services ==&lt;br /&gt;
&lt;br /&gt;
=== Crisis Respite Center (CRC) === &lt;br /&gt;
CRC is a five-bed program that provides emergency support services for individuals experiencing a life crisis so disruptive it cannot be managed in an outpatient setting. CRC provides evaluation, treatment, psychosocial rehabilitation, cultural activities, and referral in a voluntary setting for those individuals needing to be monitored and protected, or those just needing some temporary help. CRC works closely with the Alaska Psychiatric Institute (State Hospital), Emergency Services, Integrated Outpatient clinic and other residential programs. The alternative setting provided by the Crisis Respite Center, while ensuring the client&#039;s needs are met closer to their home community, can also ensure the client’s needs are met in a culturally sensitive manner.&lt;br /&gt;
&lt;br /&gt;
=== Bautisa House === &lt;br /&gt;
Bautisa House is a home for adults in the region with a severe and persistent mental illness. It is a 10-bed licensed assisted living home. The program serves older and/or more disabled individuals and offers long-term place. Some residents also have a developmental disability. The program teaches them daily living job-seeking and independent living skills as appropriate, and provides access to cultural and community activities.&lt;br /&gt;
&lt;br /&gt;
=== Malone Home === &lt;br /&gt;
Malone Home is a 5-bed assisted living home for adults with moderate to severe mental retardation. The team members work closely with DD services to provide appropriate services and habilitation to the residents. The home provides a long term setting for those that live there.&lt;br /&gt;
&lt;br /&gt;
=== Phillips Ayagnirvik Treatment Center (PATC) === &lt;br /&gt;
The PATC offers a ―new beginning‖ to individuals suffering from the disease of substance abuse or addiction. PATC offers a full continuum of care, including Residential Treatment, Outpatient, Aftercare, and a Therapeutic Court Treatment Program. The PATC Recovery Program regional and statewide referrals with treatment modalities, which combine 12 Step Recovery with research-based treatment methods, and build upon cultural teachings by Elders, and medical or psychiatric services for patient who need them. Positive Native Family Values, Life Skills and Anger Management classes are an integral part of the Treatment Program. Traditional crafts and Subsistence activities are a valuable addition to our services. ==== Residential Program ==== PATC operates a ASAM Level III.5 treatment facility with 16 beds for both men and women. We have an ―open enrollment models, with an average 6-week length of stay. ‖ The Program is fully capable of treating co-occuring mental health issues along with all kinds of substance abuse and addiction.&lt;br /&gt;
&lt;br /&gt;
==== Outpatient Programs ==== &lt;br /&gt;
Phillips Ayagnirvik offers two outpatient components. These are both ASAM Level I. Aftercare is offered for those who have completed residential treatment and can access services in Bethel. Outpatient services are provided for those consumers who do not require a residential level of care.&lt;br /&gt;
&lt;br /&gt;
=== McCann Treatment Center === &lt;br /&gt;
McCann Treatment Center is a 14-bed facility that houses two programs for male youth ages 10 – 18. The youth from both programs work together with team members to develop their strengths, learn skills to live at home, and reduce symptoms of emotional disturbance and substance abuse. A key component of McCann is a strong culturally relevant subsistence program. Youth are involved in year round subsistence activities, including winter trapping, summer fishing, fall berry picking and spring ice fishing. ==== Residential Psychiatric Treatment Center ==== The McCann Treatment Center (MTC) is a culturally diverse, individualized, strengthens based program that focused on building self-value and meeting the clients’ needs using an eclectic and comprehensive approach to treatment. As a Residential Psychiatric Treatment (RPTC), with a focus on inhalant and substance abuse, treatment includes complete assessments; individual/group/family psychotherapy; psycho-educational groups on multiple topics; recreational and cultural activities; an accredited school with two certified teachers, comprehensive Subsistence Education Program; and life skills training to help each youth gain confidence and self-value. Our state of the art building has a gym for exercise and therapeutic games, a special Men’s House for activities with elders and families, and a steam to relax and process with elders and staff. ==== Behavior Rehabilitation Services (BRS) program==== Eight beds are available for youth placed in the Behavior Rehabilitation Services (BRS) program. The BRS program services clients that are in the custodial care of the Office of Children’s Services (OCS) or the Department of Juvenile Justice (DJJ). Six beds are available for RPTC or Community Referrals. Clients referred to the PRTC beds, as well as the BRS beds, join together in the treatment process and form a therapeutic community. Length of stay is 12-18 months for both the RPTC and Boys Group Home program.&lt;br /&gt;
&lt;br /&gt;
=== Learning Resource Center === &lt;br /&gt;
The Learning Resource Centeris a day habilitation program for open to all our residential and community consumers. Psychosocial rehabilitation, skills building, groups, and cultural activities are the focus of the program.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays.&lt;br /&gt;
&lt;br /&gt;
Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need.&lt;br /&gt;
&lt;br /&gt;
daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services.&lt;br /&gt;
&lt;br /&gt;
== Respiratory/Cardiopulmonary Services == &lt;br /&gt;
Services provided by this department include: oxygen therapy, BiPAP/CPAP, ventilator management, intubation assist, intubation per physician request, aerosol therapy with medication, chest physiotherapy, volume expansion therapy, EKGs, cardiac stress tests, peripheral I.V. insertion, pulmonary function testing with DLCO, VO2 uptake, spirometry, methacholine challenges, pulmonary stress testing, ABG procurement analysis, bedside spirometry, cardiac event monitoring, 24 hr. Holter monitoring, sputum induction, airway maintenance, patient education, respiratory breathing techniques , staff education, and are members of the ―Code Blue‖ team. Respiratory therapy services are provided to inpatients and outpatients, OB, ED, Specialty / Peds Clinic, and Outpatient Clinics from infancy to geriatrics. The hours of service for the Department Manager are Monday through Friday, emergency call; the Cardiopulmonary Dept. is staffed with therapists 24 hours a day, 7 days a week.&lt;br /&gt;
&lt;br /&gt;
== Anesthesia Services == &lt;br /&gt;
All levels of anesthesia services are provided for our patient population. The clinical ages range from 2 years old to the elderly. We do not offer elective surgery to patients under two except for short procedures, i.e. myringotomies. We do not offer elective services to patients with American Society of Anesthesiologist (ASA) classification 3 or above except in emergency circumstances. The Department of Anesthesiology provides services for elective procedures Monday - Friday, 8 AM - 4:30 PM. Anesthesia services are available on-call for emergencies and emergent cases 24 hours a day, 7 days a week, including holidays. == Audiology == The primary functions provided are diagnostic, audiology evaluations, specialized auditory pathway evaluations, hearing aid dispensing, and auditory rehabilitation. The audiology program maintains theENT Data Base and schedules ENT Specialty Field Clinics. The site for these services are at YKDRH but patients are also seen in the villages and the audiologist works with hearing impaired students in the schools. Clients range in age from birth to elderly. The hours of operation are Monday - Friday, 8:00 AM - 4:30 PM.&lt;br /&gt;
&lt;br /&gt;
== Endoscopy Lab == &lt;br /&gt;
The Endoscopy Lab provides inpatient and outpatient elective, diagnostic, urgent and emergency care to all ages. Elective procedures will be performed from 7:30 a.m. to 4:00 p.m., Monday – Friday. Emergency or urgent care will be provided as needed 24 hours a day, seven days a week. The unit consists of one procedure rooms for upper or lower GI procedures. Endoscopy procedures may be provided in other units, such as the OR. The same standards of care and practice will apply. Treatment activities may include patient assessment, pre procedural teaching, performance of GI procedures, implementation of pre and post operative physician orders, post procedure assessment and care, verification of discharge instructions, discharge teaching and documentation of care provided. Physicians perform the diagnostic and therapeutic procedures.&lt;br /&gt;
&lt;br /&gt;
== Infection Control/Employee Health == &lt;br /&gt;
Infection control oversees surveillance and monitoring of all the facilities of YKHC in order to identify and recognize hospital acquired infections and other adverse events in the facilities so that prevention and control activities can be identified and implemented to minimize the risk for these events.&lt;br /&gt;
&lt;br /&gt;
== Surgical Services/ Operating Room == &lt;br /&gt;
The Operating Room provides inpatient and outpatient elective, urgent and emergency surgical care to patients of all ages (under age 2 for short procedures) Pre and postoperative areas include Pre-OP room and a Phase 1 and Phase 2 Recovery Room. The surgical suite consists of 1 endoscopy room, 1 operating room with a back up operating room in OB for emergent situations. Elective surgeries are scheduled Monday – Friday from 0800 to 1630 depending on patient needs, physician utilization and staffing levels. Emergency or urgent surgeries are provided 24 hours a day, seven days a week. Surgical services are provided for: :Limited General Surgery :Limited Gynecological Surgery :Limited Orthopedic Cases :Dental Surgery :Limited Urology :Limited ENT procedures :Obstetrical Surgery&lt;br /&gt;
&lt;br /&gt;
== Prematernal Home == &lt;br /&gt;
The Prematernal Home provides lodging for pregnant women who have come to Bethel to deliver. The Home offers educational classes, which include breasting feeding, nutrition, diabetes, Healthy Babies and childbirth. Classes offered to clients bring a positive impact to mothers in the Y-K Delta, especially to new mothers who are pregnant for the first time. These courses can reassure women before and after the birth of their child.&lt;br /&gt;
&lt;br /&gt;
== Physical Therapy == &lt;br /&gt;
The clients seen by Physical Therapy range in age from 2 months to 90+ years of age. A variety of musculoskeletal, neurological and orthopedic cases are seen. Approximately 85 percent of the population seen are outpatients, 98 percent of these patients live on the Yukon-Kuskokwim Delta. Approximately half of the patient population seen in the Physical Therapy Department is from outlying villages. Ten percent of the patients are seen in a sub-regional clinic or off-site facility. Fifteen to twenty-five patients are seen daily, on average. Position titles in the department are Director of Physical Therapy, Senior Physical Therapist, Staff Physical Therapist and Unit Clerk. The Physical Therapy Department operates Monday through Friday, 9:00 am through 5:00 pm, excluding federal holidays. Village trips are scheduled to the sub-regional clinics in Aniak, Emmonak, Hooper Bay, St. Mary’s and Toksook Bay six times per year. Village clinic trips range from 2 to 4 days each, depending on need. A daily walk-in clinic is provided from 1-3 pm M-F to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services. ;Mechanism Used to Meet Patient Care Needs: :A practicing MD, PA, NP, Community Health Aide or Community Health Aide/&lt;br /&gt;
&lt;br /&gt;
== Qavartarvik (Hostel) == &lt;br /&gt;
Qavartarvik (YKHC&#039;s hostel) is a part of the Travel Management Center, under Support Services. Qavartarvik is available for use by Natives and Non-Natives who are from the Yukon-Kuskokwim Delta Region villages and have come to Bethel for medical care. Lodging is additionally provided for non-Bethel residents when family members are inpatient at YKDRH and medical escorts who are actively involved in patient care.&lt;br /&gt;
&lt;br /&gt;
== Sexual Abuse Response Unit (SARU) == &lt;br /&gt;
;Scope of Service and Staffing: The SARU is a unit staffed and managed by the Emergency Services Department for the purpose of conducting forensic evidence-collection examinations on alleged victims and perpetrators of sexual assault or abuse. The examinations are conducted by specially trained registered nurses – Sexual Assault Nurse Examiners (SANE’S) at the request of either the Bethel Police Department or the Alaska State&lt;br /&gt;
&lt;br /&gt;
== Hospital Social Services == &lt;br /&gt;
Hospital Social Services exists to provide appropriate and timely social services interventions for inpatients and outpatients receiving care at the YKDRH when necessary and/or, requested. The services available include crisis intervention, psychosocial assessments, counseling/therapy, brokerage, advocacy, education, emotional support, complex case management, consultation, problem-solving, investigation and research, specialized discharge planning, and liaison with agencies within the community. Hospital Social Services works closely with a multidisciplinary teamto develop a discharge plan that addresses all needs for post hospitalization care for patients with complex discharge requirements.&lt;br /&gt;
&lt;br /&gt;
Hospital Social Services staff can be called into the hospital during off-hours for deaths and hospital-specific emergent needs. Other issues can wait until the next working day or be addressed by the nursing staff if the concern is minor. The Hospital Social Services department operates 8 hours a day, Monday through Friday, from 8:00 AM to 5:00 PM. The social workers work closely with the nurse care managers in the Outpatient clinics and on inpatient, to provide continuity in patient care.&lt;br /&gt;
&lt;br /&gt;
Troopers depending on whether or not those involved come from Bethel or Delta villages. Counseling and assessment is provided by specially trained clinical social workers. The Sexual Assault Response Unit (SARU) Coordinator is a member of a community-based group who work as a team (Sexual Assault Response Team or SART) to protect and support victims of sexual assault or abuse, prosecute perpetrators, educate the community, and decrease the rate of assaults and abuse within the YK service area.&lt;br /&gt;
&lt;br /&gt;
This issue affects both genders and all ages. An on-call system is maintained to assure availability of a competent examiner with coordination of services supervised by the Emergency Department Nurse Manager. The on-call system eliminates positive variance and the emergency room staff handles negative variance.&lt;br /&gt;
&lt;br /&gt;
== Long Term Care Facility == &lt;br /&gt;
A Long Term Care Facility is currently under construction, with a ground breaking ceremony that occurred in August 2011. This long awaited building will be an eighteen (18) bed facility that will serve the elder population in our region that meet the needed criteria. The anticipated opening of this facility will be October 1, 2013.&lt;br /&gt;
&lt;br /&gt;
== Morgue == &lt;br /&gt;
There are no funeral homes in Bethel. For those patients that die at YKDRH, their bodies are held in the hospital morgue until transported to the village or buried in Bethel. Law Enforcement (Bethel Police Department and State Troopers) also bring bodies to the hospital morgue, awaiting transport to the State Medical Examiner’s Office in Anchorage, for an autopsy. Priority use of the morgue belongs to the hospital. Law Enforcement is responsible for finding their own alternate storage space when the morgue is full. Families of the deceased visit the morgue for viewing and preparing the body for burial. The morgue can accommodate two bodies and is available 24 hours a day, 365 days a year. No autopsies are performed in Bethel. . The hospital Social Services is available to assist as needed 24 hours a day, 365 days a week.&lt;br /&gt;
&lt;br /&gt;
== Medical Nutrition Therapy Department == &lt;br /&gt;
Medical Nutrition Therapy provides nutrition assessment and education for both inpatients and outpatients. Through consults/referrals from health care providers, a Registered Dietitian provides dietary consultation. Patients range from infants to elderly. The Registered Dietitian also oversees the development and implantation of the hospital’s inpatient menu. The hours of operation are from 8:00 am to 5:00 pm, Monday thru Friday. On weekends and holidays the Registered Dietitian carries a pager, and is available for nutrition consults as identified by the physician.&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=HLA-B27&amp;diff=450</id>
		<title>HLA-B27</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=HLA-B27&amp;diff=450"/>
		<updated>2014-07-24T22:37:48Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Created page with &amp;quot;HLA-B27 is frequent in this population with all of its associations (reiters syndrome, Rheumatoid  arthritis, and spondylarthopathies are much more common here. We have a rheu...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;HLA-B27 is frequent in this population with all of its associations (reiters syndrome, Rheumatoid  arthritis, and spondylarthopathies are much more common here. We have a rheumatologist who  comes 2x a year and he is always available by phone. We manage much Methotrexate out here  with the common rheumatic arthritis. Remember the labs that need to be done Q 1-2 months –  kidney, liver, and blood count – CBC and Comp Chem. &lt;br /&gt;
&lt;br /&gt;
[[Category: Bush Medicine]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Inpatient_OB&amp;diff=432</id>
		<title>Category:Inpatient OB</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Inpatient_OB&amp;diff=432"/>
		<updated>2014-07-24T21:38:34Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;*[[Overview/Inpatient Unit]]&lt;br /&gt;
*[[FM-Job Description/Duties]]&lt;br /&gt;
*[[Peds—Job Description/Duties]]&lt;br /&gt;
*[[Hospitalist Workflow and Priorities]]&lt;br /&gt;
*[[Admissions]]&lt;br /&gt;
**[[Types of Common Admissions, Peds and Adult]]&lt;br /&gt;
*[[Rounding]]&lt;br /&gt;
*[[Procedures-add?]]&lt;br /&gt;
*[[Transfers]]&lt;br /&gt;
*[[RMT]]&lt;br /&gt;
*[[Medevacs]]&lt;br /&gt;
*[[Team Work]]&lt;br /&gt;
*[[Special Situations]]&lt;br /&gt;
*[[Ancillary Support Services]]&lt;br /&gt;
*[[Consult Services at YK]]&lt;br /&gt;
*[[Consult Services Outside YK]]&lt;br /&gt;
*[[Guidelines for Hospitalist Providers]]&lt;br /&gt;
*[[(Unique/Common Bethel Diseases]] (see [[Bush ABCs]]?)&lt;br /&gt;
*[[YKHC Referrals for Specialty Services and Providers]]: ENT, Surgery, Ortho, Dental, Cardiology, Neurology, Optometry, HIV, TB, Breast Feeding, Wound Care, Pediatric Subspecialists&lt;br /&gt;
*[[Outside YKHC Referral for Specialty Clinics/Services]]&lt;br /&gt;
*[[Overview of What is Available and How to Refer RAVEN, E-Referrals, Paper]]&lt;br /&gt;
*[[OB/Newborn]]&lt;br /&gt;
**[[Overview]]&lt;br /&gt;
**[[Unit Description (Facility)]]&lt;br /&gt;
**[[Job Description/Duties]]&lt;br /&gt;
**[[OB Encounters/Admissions/Scenarios]]&lt;br /&gt;
**[[Newborn Admits/Scenarios]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Maps&amp;diff=431</id>
		<title>Category:Maps</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Maps&amp;diff=431"/>
		<updated>2014-07-24T21:36:36Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Created page with &amp;quot;Maps of the YKHC Service Area&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Maps of the YKHC Service Area&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=File:Ykmap-miles-time.png&amp;diff=430</id>
		<title>File:Ykmap-miles-time.png</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=File:Ykmap-miles-time.png&amp;diff=430"/>
		<updated>2014-07-24T21:36:12Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Map of distance in air miles and flight time between villages and Bethel.&lt;br /&gt;
[[category: Maps]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=File:Ykmap-miles-time.png&amp;diff=429</id>
		<title>File:Ykmap-miles-time.png</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=File:Ykmap-miles-time.png&amp;diff=429"/>
		<updated>2014-07-24T21:35:54Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Map of distance in air miles and flight time between villages and Bethel.&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Map of distance in air miles and flight time between villages and Bethel.&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=File:Ykhc-unit-map.png&amp;diff=427</id>
		<title>File:Ykhc-unit-map.png</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=File:Ykhc-unit-map.png&amp;diff=427"/>
		<updated>2014-07-24T21:27:02Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;YKHC Board of Directors Election Unit map (png)&lt;br /&gt;
[[Category:Maps]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Resources&amp;diff=426</id>
		<title>Category:Resources</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Resources&amp;diff=426"/>
		<updated>2014-07-24T21:26:18Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;*[[Bush_ABCs|Practicing Medicine in Bush Alaska]]—Some ABCs&lt;br /&gt;
*[[Up To Date]]&lt;br /&gt;
*[[YKHC Clinical Guidelines]]&lt;br /&gt;
*[[CME Policy]]&lt;br /&gt;
*[[Resident and Student Supervision Policy]]&lt;br /&gt;
*[[Antibiogram]]&lt;br /&gt;
*[[Formularies]]&lt;br /&gt;
*[[:Category:Maps|Maps]]&lt;br /&gt;
*[[Paper Forms not in RAVEN]]&lt;br /&gt;
*[[Phone Lists]]: Medical Staff, Peds Reference Numbers, VTC Numbers&lt;br /&gt;
*[[Village Video Conference Telephone Numbers]]&lt;br /&gt;
*[[Medica Staff Meeting Schedule]]&lt;br /&gt;
*[[Job Descriptions]]&lt;br /&gt;
*[[Performance Expectations]]&lt;br /&gt;
*[[Orientation Checklists]]&lt;br /&gt;
*[[Medical Staff Bylaws and P&amp;amp;Ps]]&lt;br /&gt;
*[[Preterm Labor in the Village FM Orientation]]&lt;br /&gt;
*[[Delivery in the Village Peds Orientation]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=File:YK-Service-Area-Map-09.png&amp;diff=425</id>
		<title>File:YK-Service-Area-Map-09.png</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=File:YK-Service-Area-Map-09.png&amp;diff=425"/>
		<updated>2014-07-24T21:25:47Z</updated>

		<summary type="html">&lt;p&gt;Administrator: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Services Areas map&lt;br /&gt;
[[Category:Maps]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
	<entry>
		<id>https://yk-health.org/index.php?title=Category:Resources&amp;diff=424</id>
		<title>Category:Resources</title>
		<link rel="alternate" type="text/html" href="https://yk-health.org/index.php?title=Category:Resources&amp;diff=424"/>
		<updated>2014-07-24T21:23:27Z</updated>

		<summary type="html">&lt;p&gt;Administrator: Created page with &amp;quot;*Practicing Medicine in Bush Alaska—Some ABCs *Up To Date *YKHC Clinical Guidelines *CME Policy *Resident and Student Supervision Policy *Ant...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;*[[Bush_ABCs|Practicing Medicine in Bush Alaska]]—Some ABCs&lt;br /&gt;
*[[Up To Date]]&lt;br /&gt;
*[[YKHC Clinical Guidelines]]&lt;br /&gt;
*[[CME Policy]]&lt;br /&gt;
*[[Resident and Student Supervision Policy]]&lt;br /&gt;
*[[Antibiogram]]&lt;br /&gt;
*[[Formularies]]&lt;br /&gt;
*[[Maps]]&lt;br /&gt;
*[[Paper Forms not in RAVEN]]&lt;br /&gt;
*[[Phone Lists]]: Medical Staff, Peds Reference Numbers, VTC Numbers&lt;br /&gt;
*[[Village Video Conference Telephone Numbers]]&lt;br /&gt;
*[[Medica Staff Meeting Schedule]]&lt;br /&gt;
*[[Job Descriptions]]&lt;br /&gt;
*[[Performance Expectations]]&lt;br /&gt;
*[[Orientation Checklists]]&lt;br /&gt;
*[[Medical Staff Bylaws and P&amp;amp;Ps]]&lt;br /&gt;
*[[Preterm Labor in the Village FM Orientation]]&lt;br /&gt;
*[[Delivery in the Village Peds Orientation]]&lt;/div&gt;</summary>
		<author><name>Administrator</name></author>
	</entry>
</feed>