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.
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.
return to
top
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.
return to
top
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.
return to top
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.
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!!
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.
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.
The
employees of Adams County Public Hospital District #2
donated their 2009 Charity Fund money to the Ritzville, Lind
and Washtucna Park & Recreation Districts to pay for swim
passes for children in need. Each Park & Rec. District
received $155 to use for the passes.
2009
Employee of the Year
Kim
Yerbich
has been named Employee of the Year for Adams County
Public Hospital District #2. Kim is the Patient
Accounts Manager for the District and has been an
employee for 8 years. Kim has also been an EMT for
the District for 7 years.
2009
EMT of the Year
EMT of the Year for the District is Neva Malby.
Neva has been an EMT and a Certified Nurse’s Aide for
the District for nine years.
December 16, 2009
Administrator’s
Message
Adams County
Public Hospital District #2
Paul Lewis,
Administrator
As we near
the conclusion of 2009 I thank our patients, district
residents and partnering agencies for their continued
support of our hospital district. The upcoming year
promises to be one of change and new opportunities for
healthcare providers on both national and local levels.
While the federal healthcare debate continues we remain
committed to providing accessible, quality care close to
home.
Emergency Medical Services
We are
fortunate to have skilled EMTs stationed in Washtucna, Lind
and Ritzville who dedicate a large portion of their time to
be on standby and provide immediate response to medical
emergencies. The EMS program would not be possible without
our EMTs and we appreciate their continued dedication and
commitment to answering calls where and when needed. We
also rely on multiple community partners and we appreciate
the collaborative efforts of city representatives, EMS
associations, local fire districts, dispatch services and
law enforcement agencies that provide rapid access to
ambulances and a coordinated response to emergencies. An
EMT training course will start later this month and will
provide additional EMTs to each community.
Facility Development
Our
facility development program continues to be one of the key
strategic objectives for the district. We face growing
challenges associated with patient access, regulatory
requirements, technology infrastructure and aging mechanical
systems in our current hospital building. Earlier this year
the Board of Commissioners established a Physical Facilities
Committee to gather information on facility development,
land requirements and capital equipment needs. Committee
membership includes two district commissioners, medical and
administrative leaders and five district residents. The
committee is currently working with an architect firm to
evaluate new facility models and determine future land
requirements. A committee report is provided at the regular
board meetings and information will also be available on the
district web site. As more information is gathered, public
forums will be scheduled to present updated information and
receive community input regarding the district’s future
facility development.
Thank you
for your continued support of Adams County Public Hospital
District #2. We appreciate the opportunity to provide
quality healthcare services in our local communities.