ADAMS COUNTY PUBLIC HOSPITAL DISTRICT #2

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E A R H News

Articles of Interest

2009 Food and Turkey Drive  
Relay for Life Facilities plan available for viewing
Adams County Hospital District #2 Health Fair 2007 Physicians Assistants
2008 Wine Tasting Auction

Importance of Immunizations

2008 Employee and EMT of the year Emergency Room Services
2009 ART Contest Results

MRSA- An informative article on living with MRSA

Dr. Timothy Powers to provide Orthopaedic services

THE SWINE FLU AND YOU!

What is the Swine Flu (H1N1 influenza)?

EARH policy statement concerning the Washington State Death with Dignity Law  
   
   

 

Orthopedic specialist update

Orthopedic specialist James Perry, M.D. will be taking a medical hiatus from both his Spokane practice and his visiting clinic in Ritzville.  In his absence, Timothy Powers, M.D., a colleague of Dr. Perry at Northwest Orthopaedic Specialists, will continue services here along with Dr. Alan Danielson. 

Dr. Powers is a graduate of the University of Virginia School of Medicine.  He completed his Orthopaedic Residency in Grand Rapids, Michigan, followed by a Spine Surgery Fellowship at Ortho Carolina in Charlotte, NC.  Dr. Powers will treat all kinds of orthopedic injuries, but spinal problems are his forte.    He enjoys hunting, fishing and attempting to keep up with his wife Ann, an RN and Ironman Triathlete.  For appointments with Dr. Powers or Dr. Danielson in Ritzville, call toll free 1-888-660-BONE (2663).

 

Relay for Life

 

The Ritzville High School track was once again home for the American Cancer Society Relay for Life on Aug. 15 – 16.  Adams County Public Hospital District sponsored a team and everyone enjoyed a beautiful evening of fellowship raising money for a great cause.
The Hospital District team raised $2,526.18 for the Relay through various fund raising events and they would like to thank everyone that helped with their fundraising.

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Adams County Hospital District #2

Health Fair 2007

Adams County Public Hospital District #2 held its annual Health Fair on Sept. 8, 2007 in Ritzville’s Downtown Plaza.  It was a beautiful fall day and the plaza was full of activity as many people visited the various health and safety booths and activities as well as craft and food vendors at the Farmer’s Market.  Twenty –nine organizations had booths or activities at the Health Fair along with seven Hospital District tables.  Inland Northwest Blood Bank was on site with a blood drive and collected thirty-two pints of blood.  Thirty-eight people had Bone Density Screenings from Sacred Heart’s Women’s Health Center and sixteen people had hearing screenings by a Costco audiologist.   The District EMT’s had fourteen kids participate in a bike rodeo and they gave away 55 bike helmets.  The Hospital laboratory was on site drawing blood for reduced fee lab tests and over three days they had forty-one people take advantage of the discounted fees.  Spokane Injury Prevention personnel were there testing safety of children’s car seats and CHER from Spokane gave health presentations throughout the day.  People visited the many tables and booths lining the Plaza throughout the day and expressed enjoyment of the information available and the street fair atmosphere.  Mark your calendars to join us Sept. 6, 2008 for another fun and informative Health Fair. 

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Facilities Plan

Here you can read about the Facilities Master Plans that have been developed as well as the feasibility studies for both a new facility on the same site and a new facility on a new site.

Facilities Master Plan
1. Cover, Index, Executive Summary
2. Space Program
3. Architect Narrative
4. Drawings
5. MEP Review
6. ME&F Budget
7. Project Budgets


EARH Master Plan Final
EARH Master Plan Final, Rev 1

 

EARH Projections Option 1
EARH Projections Option 2

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Physician Assistants

Physician Assistants (PA) are an important part of the practice for Adams County Public Hospital District #2.  The use of physician assistants started in 1965 doing primary care. Dr. Eugene Stead from Duke University founded the program using Navy Corpsmen after the Vietnam War. Today PA’s are in all specialties of medical practice,  Cardiology, Surgery, Internal Medicine, Pediatrics and of course Family Practice to name a few.  The PA is a licensed health professional who practices medicine under the supervision of a physician.  They are in essence an extension of the physician and the care they provide.  Physician Assistants are allowed to perform physical exams, diagnose health conditions, implement and carry out a treatment plans, which may include prescribing medications.   The PA is allowed to practice under the physician to the scope that is allowed by the physician and state practice laws. 

Physician Assistants are used throughout the United States and many other countries.  PA’s are going to be utilized more often due to the aging population, the utilization of the health care system, and the predicted shortage of physicians.  According to USA Today by the year 2020 there will be a shortage of 85,000 to 200,000 physicians.  We will start to notice the shortage across the nation as early as 2011.  Currently there are areas in Washington that are having a shortage of physicians.  PA’s are essential to maintaining health care services in our area. 

The clinic and hospital are fortunate to have 2 regular PA’s employed who cover clinic practice and hospital practice as well as 1 additional PA that provides coverage as needed. The physicians and the PA’s provide 24 hour coverage 365 days per year. The physicians have worked with the PA’s for many years and place a great amount of confidence in them and extend to them the freedom to practice knowing that should any questions arise the PA’s will consult them.  The PA’s along with the physicians, make up the leadership of the healthcare team which includes nursing, radiology, laboratory, specialists, and all others who impact your health care needs. The PA’s working for the communities in the district have a firm knowledge base and understanding of medicine.  John Valeri and Marnie Boyer are both Certified Physician Assistants.  They maintain their certification by completing 100 hours of continuing medical education every 2 years.  Then every 6 years they have to retake the National Certification exam. When you call to make an appointment and we have a PA available remember that they are an extension of the physician and have communication with the physician as needed to develop a plan of care to ensure better health for you.

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IMPORTANCE OF IMMUNIZATIONS

Before vaccines, parents in the United States could expect every year over the course of the 20th century:

 

               Polio would paralyze 10,000 children.

 

               Rubella would cause birth defects and mental retardation in as many as 20,000

               newborns.

 

               Measles would infect about 4 million children, killing, 3,000.

 

               Diphtheria would be one of the most common causes of death in school-aged

               children.

 

               A bacterium called Haemophilus influenzae typ b (HIB) would cause meningitis  

               in 15,000 children, leaving many with permanent brain damage.

         

               Pertussis (whooping cough) would kill thousands of infants.

 

Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations before.

 

Disease prevention is the key to public health.  It is better to prevent a disease than to treat it.  Vaccines prevent the disease in the people who receive them and protect those who come in contact with unvaccinated individuals.  Vaccines help prevent infectious diseases and save lives.

 

It is true that newborn babies are immune to many diseases because they have antibodies they got from their mothers.  However, the duration of this immunity may last only a month to about a year.  Young children do not have maternal immunity against some vaccine-preventable diseases, such as whooping cough.

 

If a child is not vaccinated and is exposed to a disease, the child’s body may not be strong enough to fight the disease.

 

Vaccines are not just for babies and young children.  As children get older, the protection provided by some early childhood vaccines can wear off.  Don’t assume that your child received all recommended vaccinations in the past. Parents need to keep good records.  Save your vaccine cards for each child and bring them to all well child visits with your provider.  This will prevent having to repeat any vaccines.  This is extremely important if families move around a lot.

 

As an adult, you need protection by immunization, as well.  Vaccines can prevent diseases such as measles, mumps, rubella, tetanus, diphtheria, pneumococcal disease, influenza, varicella, hepatitis A and B.

Many people think some diseases have been wiped out.  This is not the case.  In 1995, at least 39 percent of all reported measles cases in the U.S. occurred in persons 20 years of age or older.

 

If you were never immunized or never had these vaccine-preventable diseases, you are at risk.  If you were immunized as a child you may need updating because some of the immunizations loose their effectiveness over time.

 

Remember… immunizations are not just kids’ stuff.

 

Today, vaccines are held to the highest standard of safety.  The United States currently has the most effective vaccine supply in history.  Years of testing are required by law before a vaccine can be licensed.  Once in use, vaccines are continually monitored for safety and efficacy.

 

Your provider is the best one to ask about immunizations.  Next time you have a visit ask if you need any immunizations.  The health department is another source for immunizations and up to date vaccine information.  There are web sites that are great for information.  Two of them are; www.cdc.gov/vaccines (this is also a good site if you are traveling to check what immunizations you may need) and www.immunize.org.

 

Recommended immunizations for ages 0-6;  DTaP, Hib, Hep B, Hep A, Polio, MMR, Rotavirus, Varicella and Pnemonococcal.

 

Recommended immunizations for ages 7-18;  TDaP, Human Papillomavirus, Meningococcal, Influenza, Hep B, Hep. A, (if you haven’t had these).  Catch up vaccines if you haven’t had them previously, as recommended by your provider.

 

Recommended immunizations for adults; TDap, Influenza, Pnemococcal, Hep B, Hep A, (if you haven’t had these) and are at risk.  Catch up vaccines if you haven’t had them previously, as recommended by your provider.

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Emergency Room Services

 

 

The Emergency Room at EARH is staffed 24/7 with a Physician or Physician Assistant, licensed nurse, and certified nurse aide.  Our staff is trained in Advanced Cardiac Life Support (ACLS), Trauma Care (TNCC), and Pediatric Advanced Life Support (PALS). They are very skilled in starting IV’s, blood drawing, wound and suture care, and knowledgeable about most medications (there are new ones coming out every day), not to mention all the many other skills that are too numerous to include here.  Our entire staff maintains certification in all aspects of emergency care.

 

The patients we transfer out are those who require surgery due to injuries or condition or extensive care or treatments not offered at this facility such as; ICU/CCU care, renal dialysis, cardiac care etc.  Our patients are transferred out of this facility by Med Star (helicopter) or by ground ambulance.  The patient’s condition will determine if a licensed nurse will accompany the patient and EMT’s to another facility. 

 

Our recent addition to the level of care offered at EARH is “Cardiac Level 1”.  In conjunction with Sacred Heart and Deaconess Medical Centers in Spokane there is now a protocol followed for a specific cardiac condition called ST Elevation.  EARH staff is now able to transfer our patients from our Emergency Room to the Heart Cath Lab in either Spokane hospital in 90 to 120 minutes, depending on weather conditions and mode of transportation available.

 

The staff at EARH wishes to thank the community and those that travel through for allowing us to care for you in your time of need.  We hope you continue to consider us for all your health care needs.

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Turkey & Food Drive

Adams County Hospital District had a Turkey Drive Nov. & Dec. of 2008. Through the generous donations of employees and community members we were able to donate 550 lb. of food, 38 turkeys and $210 to the Community Food Bank. Thank you to everyone that donated to this effort!!

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Congratulations to Habte Berhane, recognized as the 2008 Employee of the Year and Jan Sullivan as the District EMT of the Year. Both were recognized by peers for providing outstanding patient care and positively supporting their coworkers. We appreciate their dedication and service to patients, staff and communities.
 

Habte Berhane

Jan Sullivan

Thanks Habte and Jan!

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National Hospital Week

ART Contest Winners Announced

Eighteen Students from Ritzville, Lind and Washtucna submitted entries for an art contest sponsored by East Adams Rural Hospital during National Hospital Week, May 10 – 16.  The theme for the contest was “Healthy Activities”.  The winners of each category were

Preschool – 1st grade –   Rachel Nygren – 1st

                                   Sydney Kinch  - 2nd

 

2nd – 4th grade -   Macy Foulkes – 1st

                           Emma Aldrich – 2nd

 

56h – 6th grade – Brooklynn Hostetler – 1st

                         Gail Harder – 2nd

 

 

Adams County Public Hospital District #2 and the Washington State Death with Dignity Act

 

The recent passage of Initiative 1000, the “Washington State Death with Dignity Act”, has raised many questions for patients, physicians, and hospitals. 

 

After careful consideration Adams County Public Hospital District #2 has chosen to not participate under the Death with Dignity Act.  This means that East Adams Rural Hospital’s physicians, employees, and independent contractors will not assist in ending the life of a patient who has been diagnosed with a terminal illness. 

 

Our medical staff and other healthcare professionals will continue to provide compassionate, high quality care to all our patients.  Our providers will be responsive to a patient’s query about life-ending medication with openness and honesty.   Our goal is to provide timely and helpful information that allows patients to make informed decisions about end-of-life care.

  • Adams County Public Hospital District Employees Turkey & Food Drive

Adams County Public Hospital District employees raised $250 during their 2009 Turkey Drive.  The money was donated to the Ritzville Food Pantry to buy turkeys for their holiday food baskets.  In November the employees donated 528 lb of food to the Food Pantry. 

 

H1N1, (swine flu) is a new variety of A-influenza virus, called swine flu because this type of virus can originate in pigs.  Seasonal flu can be an A or B virus with any number of origins, often avian or bird.

The H1N1 (swine flu) spreads quickly, is highly contagious and is transferred person to person by coughing, sneezing or touching an object that an infected person contaminated and then touching your nose, eyes, or mouth. 

The first documented case of H1N1 in the United States was in April of 2009. By June 11, 2009 H1N1 was at a world pandemic level and now is widespread in 21 states.  Washington is listed, at this time, as regional spread level and Adams County has had positive A virus tests and confirmed H1N1 ( 99% of A-virus positive test results are H1N1).

 

What are the symptoms of Swine Flu?

The symptoms of flu-like illness may include:

                 Fever of 100 degrees Fahrenheit or 37.8 degrees centigrade or greater

                 Cough, sore throat (with no other know cause) chills, headache, body ache, fatigue, diarrhea and or vomiting. Having nausea and vomiting does not mean that you have “the flu”…..you may have a gastro-intestinal virus or other gastro-intestinal problem….influenza is primarily a respiratory disease.

                 

What should you do if you have flu-like symptoms?

1.      STAY HOME!!  Stay home from work, school and errands when you are sick. 

2.      Keep sick children at home.  This is a highly contagious virus and there is very little that your doctor can do for you once you are sick. Anti-viral medicines are used to treat people who are sick enough to be hospitalized or who are ill and have a higher risk for developing complications such as pneumonia. People infected with the H1N1 can infect others 1 day before to 7 days after getting sick.

Remember, most people with 2009 H1N1 have had mild illness and have not     needed medical care or antiviral drugs and the same is true of seasonal flu.

3.  Rest, drink plenty of fluids, take fever reducing medicines like Tylenol for headache, body aches, and fever…please no aspirin for children under 12 years of age.

 

If you must leave your home when sick wear a mask. Always cover your cough or sneeze and wash your hands frequently with soap and water or use alcohol based hand sanitizers.

 

What can I do to stay healthy?

1.      Avoid close contact (within 6 feet of someone who has symptoms of illness)

Stay away from crowds or crowded public places.

2.      Wash your hands often with soap and water or use alcohol based hand sanitizers when soap and water are not immediately available.

3.      Avoid touching your eyes, nose or mouth.  Germs are often spread when a person touches a contaminated surface and then touches his or her face.

4.      Practice good health habits:  get plenty of sleep, be physically active, manage your stress, drink plenty of liquids and eat nutritious foods.

5.      Get vaccinations for both H1N1 and seasonal flu.

 

The seasonal flu vaccine is available now.  The first available H1N1 (swine) flu vaccine will most likely be a nasal spray containing a live-attenuated virus and can be given to healthy people 2 to 49 years of age.  This nasal spray is not for pregnant women, children under two, adults over 50 years of age, folks with chronic respiratory disease such as asthma, or people on steroids or other immunosuppressant drugs.

The injectable vaccine for H1N1 should be available sometime in early October.  The priority groups for the injectable H1N1 vaccine are:  Pregnant women, people who have contact with or care for children younger than 6 months of age, healthcare and emergency medical services employees, those over 6 months to 24 years of age, and those with chronic medical problems from age 25-64.

People over 65 are less likely to contract the H1N1 flu, but will be offered the vaccine.  And yes, the H1N1 and seasonal flu vaccine can be given at the same time, but using different injection sites.

Judy Korby,
RNC, Infection Control Nurse

 

Additional information available from the state of Washington by clicking here - http://www.doh.wa.gov/h1n1/

 

Last Modified: 02/16/2010