Category:Ancillary Services: Difference between revisions

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==Contents==
==Contents==
* [[Anesthesia Services]]
* [[Audiology]]
* [[Behavioral Health Services]]
* [[Case Management]]
* [[Case Management]]
* [[lab|Laboratory Services]]
* [[Community Relations/Translation]]
* [[Radiology|Radiology / Diagnostic Imaging]]
* [[:category:Dental|Dental]]
* [[Pharmacy]]
* [[Respiratory|Respiratory / Cardiopulmonary Services]]
* [[Physical Therapy]]
* [[Wound Care]]
* [[Diabetes]]
* [[Diabetes]]
* [[Social Services]]
* [[Hospital Community Relations|Community Relations/Translation]]
* [[Tobacco Cessation]]
* [[Dietary]]
* [[Dietary]]
* [[WIC]]
* [[Dental]]
* [[Optometry]]
* [[Audiology]]
* [[Behavioral Health]]
* [[Anesthesia Services]]
* [[Endoscopy Lab]]
* [[Endoscopy Lab]]
* [[Family Infant Toddler (FIT)]]
* [[Infection Control|Infection Control / Employee Health]]
* [[lab|Laboratory Services]]
* [[LTC|Long Term Care Facility (YK Elders Home)]]
* [[Morgue]]
* [[Morgue]]
* [[Infection Control|Infection Control / Employee Health]]
* [[Optometry]]
* [[SART|Sexual Abuse Response Unit]]
* [[OR|Surgical Services / Operating Room]]
* [[OR|Surgical Services / Operating Room]]
* [[Pharmacy]]
* [[Physical Therapy]]
* [[Prematernal Home]]
* [[Prematernal Home]]
* [[Qavartarvik Hostel]]
* [[Qavartarvik Hostel]]
* [[LTC|Long Term Care Facility (YK Elders Home)]]
* [[Radiology|Radiology / Diagnostic Imaging]]
 
* [[Respiratory/Cardiopulmonary Services]]
== Pharmacy ==
* [[SART|Sexual Abuse Response Unit]]
=== Outpatient Services ===
* [[Social Services]]
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.
* [[Tobacco Cessation]]
 
* [[Women Infant Children (WIC)]]
=== Inpatient Services===
* [[Wound Care]]
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.
 
== Respiratory/Cardiopulmonary Services ==
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.
 
== Physical Therapy ==
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.
 
daily walk-in clinic is provided from 1-3 p.m. Monday - Friday to care for patients in acute pain or those from villages who may have difficulty returning to Bethel for services.
 
== Wound Care ==
 
== Diabetes ==
 
==Social Services==
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.
 
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 a.m. to 5 p.m. The social workers work closely with the nurse care managers in the Outpatient clinics and on inpatient, to provide continuity in patient care.
 
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.
 
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.
 
== Tobacco Cessation ==
 
==Dietary==
===Medical Nutrition Therapy===
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.
 
==WIC==
 
==Community Relations/Translation==
 
 
== Anesthesia Services ==
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.
 
== Endoscopy Lab ==
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.
 
== Infection Control/Employee Health ==
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.
 
== Surgical Services/ Operating Room ==
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
 
== Prematernal Home ==
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.
 
== Qavartarvik (Hostel) ==
Qavartarvik (YKHC'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.
 
== Sexual Abuse Response Unit (SARU) ==
;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
 
== Long Term Care Facility ==
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.
 
== Morgue ==
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.

Revision as of 20:34, 14 February 2019

Pages in category "Ancillary Services"

The following 13 pages are in this category, out of 13 total.