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Nursing Department
The Nursing Department at
Wyoming County Community Health System prides itself in the provision of
patient care that strives for a standard of excellence. Our care encompasses
the physical, spiritual, emotional, social, self-care, educational,
environmental and discharge planning needs of each patient. A
non-judgmental, accepting and caring approach coupled with a reputation for
continuity of services in response to recognized needs essential to quality
patient care.
Your nurse is your advocate.
He or she is readily willing to convey any concerns you may have to
the appropriate person(s). As
nurse leaders at WCCHS, we will be rounding daily to be sure your needs are
met during your hospital stay.
If we are unavailable, the charge nurse and the acute nursing supervisor
will be rounding on all shifts to monitor the care that is being provided to
you. Please feel free to let us
know how we are doing and if there are any improvements needed in our care
delivery. We are committed to nursing excellence and your input is important
to us.
During your stay at WCCHS, if you need to speak with
members of the nursing leadership team for any reason, please contact any
one of us listed below. We are
committed to making sure you and your family receives the very best care.
Thank you for choosing our services,
Lori Roche
MSN RN, MBA/HC
Director of Nursing
Acute Units
Extension #4500
|
Charlotte L. Hamon
RN,
BSN,CCRN
Assistant Director of Nursing
ICU & OB/GYN Units
Extension #4471
Beeper #213 |
Dawn James
RN, BSN
Assistant Director of Nursing
Medical/Surgical Unit
Extension
#4857
Beeper #180 |
Our Caregivers Shine
To
recognize the outstanding patient care being provided every day within the
nursing departments we have implemented the Our Caregivers Shine
program. Postcards are provided in patient welcome packets and on
all nursing units for patients and families to complete indicating one or
more caregivers that have excelled in the following areas:
Service – Attitude – Respect – Communication – Caring. Our nurses
and nursing assistants are dedicated to caring for the Wyoming County
Community. The Our Caregivers Shine program is a
wonderful way for patients to participate in caregiver recognition. If
one or more of your caregivers have excelled, please complete the card and
give it to the nurses on the unit or forward it to the Director of Nursing.
Obstetrics
Admission FAQs
Where do I enter/ park when I'm in
labor?
The best place to enter would be the emergency entrance.
This entrance is always open. The admissions clerk at the window will be
happy to provide you with paper work and guidance to the maternity floor.
What are your visiting hours?
For the sake of our mom's
and babies (bonding, eating, sleeping), we limit visitation to 11:00AM to
8:30PM for visitors.
What is your visiting
policy?
All visitors, except for siblings and grandparents must
abide by the visiting hours. Also, all visitors other than siblings and
grandparents must be 12 years of age or older to visit patients on the
maternity floor. No more than two visitors allowed at a time. We also ask if
your visitors are sick, please refrain from visiting our maternity floor, as
our newborn patients are born without immunities to any pathogens that might
be brought in. We thank you in advance for your cooperation.
REVISED VISITING POLICY DURING FLU SEASON
In order to protect
the hospital patients, staff and visitors during the flu season the
Maternity and Women's Health floor will be following these guidelines. No
siblings or children under 16 are allowed on the maternity floor.
Can I have visitors stay over night with me?
There are
cots available for the private rooms should the support person wish to stay
with mom.
Can I have my other children stay over
night with me?
Your other children are more than welcome to visit,
but it best for everyone (mom and other patients) that your children go home
after their visit. Also please remember that care of your children is up to
the care takers that accompany them and not the staff.
Can I order meals outside from the hospital?
You may either
have food brought in the hospital from visitors or from a restaurant that
delivers should you so choose. The hospital will provide you with breakfast,
lunch and dinner every day during your stay. During your stay you will have
the option to have a special celebration dinner (stork dinner) for you and a
guest of your choice.
Is there food available at
night?
There are sandwiches, crackers, cereal, peanut butter,
bread, juice, soda and milk available for the mom's. We always have a pot of
coffee on or you may want to make a cup of tea.
Where do visitors eat?
We have a excellent cafeteria that serves
food 7 days a week. Their hours are: Breakfast (6:30am-10:00), Lunch
(11:00am- 1:30pm), Supper (4:00- 6:00). Our newest addition, located on the
first floor in the hospital lobby, is the Central Perk. They have a variety
of flavored coffees and teas, along with several different kinds of
pastries.
Where are visitors and patients
allowed to smoke?
Wyoming County Community Health Systems, like
most health care facilities, is smoke free. This includes both inside and 25
ft. from the building on hospital grounds.
What
kind of photographs can I take during my stay?
Photographs and
videos of yourself and your family is generally fine. However in the
delivery rooms, each physician may feel different about this. Please check
your physician. Any photos of the delivery must be OK with mom. Photos and
videos must in no way interfere with care. Videos or photography during
resuscitation of baby is prohibited. Videos during cesarean sections is
prohibited. During your stay please keep your photos and videos to the
confines of the moms room or special care nursery.
Do I have to remove body piercings before coming to the hospital?
Depending on where the piercing is, your doctor will recommend they be
removed at some point during your pregnancy. However if you do decide to
keep your piercings in place, we do ask that they be removed prior to
delivery to prevent any damage to the pierced area or aspiration into the
lungs.
What can I expect when I get to the
hospital?
Depending on the situation, you may be placed in a
triage room or may be taken directly to a birthing room. There the medical
staff may perform a physical examination of your abdomen (Leopold's
maneuvers) to determine the size and position of the baby. You will be asked
for your medical history, vital signs will be taken and you will be placed
on a external fetal monitor to monitor the baby's heart rate and your
contractions. Either your physician, midwife or nursing staff will evaluate
your cervix by performing a vaginal exam to check how far dilated you are.
Other things that they can tell from the exam, are how effaced the cervix is
and also how far the baby is down in the pelvis. Depending on the findings
of the exam, you may be admitted or observed. If not admitted, after an
observation time you will be reexamined. If you have no cervical change,
your water remains intact and fetal testing shows that the baby is doing
well, you will be sent home with labor precaution instructions.
If admitted, you will go through the admission process. You will
have urine and blood samples taken. You also may have a intravenous lock, a
thin plastic tube inserted into a vein, that fluids or medications may be
given to you. Intravenous fluids are sometimes given during labor to prevent
dehydration.
Breastfeeding FAQ's
Why is breastfeeding good for babies?
Babies get
all the nutrition they need from breast milk. For the first six months they
can live on breast milk alone, there on a combination of breast milk and
family food until the baby is weaned off the breast.
Breastfed babies
have less heart disease, cancer and adult onset diabetes later is life.
In addition to being the most ecological and economical food source,
breast milk protects babies from illness and infections. Breastfed babies
tend to be sick less often and if they do become sick it is usually less
severe. Some of these include conditions such as asthma, allergies, ear
infections, juvenile diabetes, meningitis and sudden infant death syndrome,
otherwise known as SIDS. Breast milk is dose-responsive: The more a baby
receives, the greater the protective effect.
Breastfed babies receive
optimal nutrition for physical and neurological development. As a result,
some studies show higher IQ's. Also less tooth decay is associated with
children who have been breastfed.
Why is breastfeeding good
for mothers?
Breastfeeding provides the mother and child
with a physical closeness that keeps a strong bond between them.
Mothers
receive immediate health benefits that include reduced bleeding after birth
and mothers return to their pre-pregnancy physical condition much quickly.
Exclusive breastfeeding may also space out pregnancies by delaying
ovulation.
Breastfeeding also reduces the mother's risk of developing
breast and ovarian cancer.
How does the breast produce milk?
The female breast consists mainly of 15 to 20 lobes of milk-secreting
glands embedded in fatty tissue. The ducts of these glands have their outlet
at the nipple, which is surrounded by the areola, the circular area of the
pigmented skin.
During pregnancy estrogen and progesterone, secreted from
the mother's ovaries and placenta, cause the milk-producing glands to
develop and become active. Just before or shortly after childbirth, these
glands first produce a fluid called colostrum, which is rich in
disease-protective factors. A baby nursing on the breast and taking in the
colostrum will stimulate the mother's breast to start producing mature
breast milk.
What would prevent a breast from producing milk?
A breast's ability to produce milk can be hindered due to a structural
defect (insufficient gland tissue) and by medical or cosmetic surgery.
Cosmetic breast enhancement usually does not hinder breast milk production,
but breast reductions operations may reduce the amount of milk that the
breast is able to produce.
What is in breast milk?
Both human milk and formula (modified cow's milk or soy-based milk)
contain carbohydrates, protein, fat, vitamins and minerals in similar
proportions. However, human milk also provides a perfect blend of nutrients,
antibodies and white blood cells that protect the baby against infections.
When is the best time to start breastfeeding?
Usually your baby is the most alert in the first hour after birth, this is
the most opportune time to start breastfeeding. A nurse or a lactation
consultant can help the mother with positions, advice and encouragement.
How can you tell if your newborn is getting enough milk?
During the first few weeks, a newborn should be fed frequently. They may
want to nurse eight to twelve times within a 24-hour period. This means some
times a baby will nurse every two hours in the beginning. Breastfed babies,
especially newborns who are learning to nurse, may look as if they have fed
successfully without actually taking in much milk. If a baby acts hungry a
short time after nursing and shows feeding cues, offer the breast again.
Feeding cues are: balling his or her hands into fists, sucking on hands,
keeping mouth open, sticking tongue out and rooting.
A well-fed baby will
have good weight gain and have at least six wet diapers in a 24-hour period
when your milk comes in.
Because a newborn may have trouble latching
onto the breast after using rubber nipples or a pacifier, avoid using these
products until the newborn has learned to breastfeed well. Most babies have
learned to breastfeed all of the following have occurred:
- The baby
has a steady weight gain.
- The baby can attach easily and properly
to the breast.
- Mother has no nipple or breast pain.
Will my baby
wake-up on his or her own?
Some babies have to be awakened to nurse. If
your baby is sleepy, watch for movements indicating that your baby is in a
light sleep. These include eye movements under the eyelid, mouth movements
or hands at the mouth. It is easier to wake you baby at these times. You may
have to awake your baby, as babies sleep more than they are awake for the
first few days after birth.
How do I wake my baby?
Partially
undressing your baby, talking to your baby while he/she is sitting in your
lap facing you, gently stroking your baby's hands of feet, massaging your
baby's body, touching your bay's cheeks, chin and lips with your fingers and
then tickling the bottom lip to elicit the rooting reflex. Once your baby's
eyes open wide, bring him/her to your breast and begin nursing.
Does your
breastfed baby need any food supplements?
Things like water, sugar water,
vitamins or formula are not necessary. Breast milk contains all the
nutrition and liquid your baby needs for his or her first six months of
life. Talk to your pediatrician first should you think your baby need any
supplements.
What about breastfeeding and the use of alcohol, tobacco or
caffeine?
Theses drugs are passed on to the newborn through breast milk,
but the benefits of breast milk still make breastfeeding a better choice
than switching to formula. However, breastfeeding mothers should limit the
use of alcohol, tobacco or caffeine.
Mothers who use recreational drugs
(marijuana, cocaine, heroin) should not breastfeed their children. These
substances can cause the baby serious injury and possibly death.
Should
breastfeeding hurt?
Sore, blistering, bleeding or cracked nipples are not
normal. Nursing mothers should call for advice if these symptoms are
occurring. They are usually due to poor positioning or the baby or improper
latch-on. All of our staff is knowledgeable on breastfeeding, plus we have
two certified lactation councilors staffed at the hospital. Please feel free
to call with any questions about breastfeeding before or after you deliver.
Engorged breasts (breasts that are hard, hot and hurting) are a sign that
breastfeeding may not be going too well.
Engorgement is not only painful, it
can prevent the baby from sucking properly. In addition, it can signal to
the body to decrease milk production. Treatment for engorgement includes use
of cold packs to reduce swelling followed by breast pumping to remove a
small amount of milk to relieve pressure and make it easier for the baby to
latch on.
When does milk production stop?
The production of milk
depends on milk removal and stimulation (the child's sucking motions). Milk
production can continue for as long as the baby nurses.
When do you call
for professional advice?
Please call anytime you have a question or
concern about breastfeeding. Our staff on the fourth floor are always
available.Care of the Baby in the Delivery Room
The birth of a baby is one of life's most wondrous moments.
Few experiences can compare with this event. Newborn babies have
amazing abilities, yet they are completely dependent on others
for every aspect of their care, such as feeding, warmth, and
comfort.
Amazing physical changes occur with birth. When the baby is
delivered, the umbilical cord is cut and clamped near the navel.
This ends the baby's dependence on the placenta for oxygen and
nutrition. As the baby takes the first breath, air moves into
the lung airways. Before birth, the lungs are not used to
exchange oxygen and carbon dioxide. The fetal circulation sends
most of the blood supply away from the lungs. When a baby begins
to breathe air at birth, the change in pressure in the lungs
helps to redirect the blood supply to the lungs. Now the blood
is pumped to the lungs to help with the exchange of oxygen and
carbon dioxide. Some babies have excess amounts of fluid in
their lungs. Stimulating the baby to cry can help bring the
fluid up where it can be suctioned from the nose and mouth.
Providing warmth for the newborn:
A newborn is wet from the amniotic fluid and easily can
become cold. Drying the baby and using the moms body heat can
prevent heat loss. A knitted hat is placed on the baby's head
and the baby is placed skin-to-skin on the mother's chest to
help keep the baby warm.
Immediate care for the newborn:
Assessments of the new baby begin immediately. One of the
first checks is the Apgar score. This is a scoring system
designed by Dr. Virginia Apgar, an anesthesiologist, to evaluate
the condition of the newborn at one minute and five minutes
after birth. The physicians or the pediatricians will evaluate
the following signs and assign a point value:
A Activity; muscle tone
P Pulse rate
G Grimace; reflex
irritability
A Appearance; skin color
R Respiration
A score of 7 to 10 is considered normal. A score of 4 to 6
may indicate that the baby the needs some resuscitation measures
(oxygen) and careful monitoring. A score of 3 or less indicates
that the baby requires immediate resuscitation and lifesaving
techniques.
Examination and care of the newborn in the delivery
room:
A brief physical exam is performed to check for obvious signs
that the baby is healthy. Other necessary procedures will be
done over the next few minutes to hours. Vital signs, weight and
other measurements will be taken. Small or underweight babies,
as well as very large babies, may need special attention and
care. Footprints are also done. Before a baby leaves the
delivery room, identification bracelets with identical numbers
are placed on baby, mother and father. These should be checked
each time the baby comes or goes from your room.
In the first hour of two after birth, most babies are alert
and wide awake. This is a wonderful opportunity for parents to
get to know their new baby. Also during this time is the best
time to begin breastfeeding. Newborns have an innate ability to
begin nursing right after birth. Some medications and anesthesia
given during labor may effect the baby's ability to suck, but
most healthy babies are able to breastfeed in the first few
hours. This first feeding not only stimulates the breast to
begin milk production, but also causes the mother's uterus to
contract, which helps prevent excessive bleeding.
Examination and care of the newborn in the OR:
Babies born by cesarean are assessed by a nurse and the
pediatrician right after delivery. This is often done right near
you in the operating room. Because you are usually awake you
will be able to see and hear your baby.
Once the baby is
assessed, a nurse will wrap the baby and bring the baby to you
to see and touch. The baby will remain with you as long as you
are awake. You may even breastfeed while you are recovering in
the OR.
Formula Feeding FAQ'S
What Are The Various Forms Of Infant Formula?
Baby formula is available in three forms: ready-to-feed,
concentrated liquid and powder. Ready-to-feed is used "as is."
Concentrated liquid (the only liquid that comes in a 13 ounce
can) and powder must be diluted with water according to
instructions on the label. Ready-to-feed and concentrated liquid
baby formulas are commercially sterile. Powdered formulas are
not sterile. Preparation of any form of infant formula
(especially powdered products) requires careful handling to
prevent contamination and minimize growth of microorganisms.
Manufacturer’s instructions should be followed in all cases.
A graphic depicting the addition of water and the statement
"add water" are found on concentrated formula containers.
Because ready-to-feed and concentrated formulas are both
liquids, anyone caring for your child should be made fully aware
of what form of formula you use, and whether or not water must
be added. (Powdered infant formula containers also provide a
graphic depicting the major preparation steps for that formula.)
What Is The Difference Between Milk-Based And
Soy-Based Infant Formulas?
The protein in milk-based formulas comes from cow's milk. The
sugar in milk-based formulas is lactose, unless specifically
manufactured as lactose-free. Soy-based formulas are milk-free
and lactose-free; the protein in these formulas comes from a
soybean. If a baby exhibits signs of lactose intolerance or
certain allergic reactions to milk protein, the physician may
recommend a soy-based formula to help treat these conditions.
Why Shouldn't I Feed Just Plain Cow's Milk To My
Baby?
Cow's milk (e.g., whole, 2%, 1%, 1/2% or skim) is not
appropriate for children under the age of one year, according to
the Committee on Nutrition of the American Academy of
Pediatrics. Cow's milk is a poor source of iron, and iron
deficiency anemia is the most common nutritional problem in
infants. Cow's milk that has not been specially heat processed
(such as the heat processing used in infant formula) can cause
intestinal blood loss in some babies. Iron is lost with the
blood. Also, the levels of protein and sodium in cow's milk are
higher than recommended for infants. Additionally, cow's milk is
low in vitamin C, vitamin E and copper. Further, cow's milk
contains butterfat that is difficult for a baby to digest. For
these reasons, the Committee on Nutrition recommends that
breastfeeding or iron-fortified infant formula be continued
during the first year of life.
Is It Ok To Add Cereal To My Baby's Bottle?
According to the American Academy of Pediatrics, “Cereal
should not be added to bottles except for medically-indicated
reasons (e.g., gastroesophageal reflux) because this practice
deprives children of the opportunity to learn to feed
themselves.” Note, “there is no nutritional indication to add
complementary foods to the diet of the healthy term infant
before age 4 months.”
Should I Stop Using Infant Formula When My Baby
Starts Eating Solid Foods?
No. The nutrient content of various baby foods, either
commercially prepared or homemade, varies considerably.
Additionally, during the period of transition when an infant is
gradually increasing both the type and the amount of solids
being eaten, the formula still contributes substantially toward
meeting the infant's nutrient requirements. During this time,
either breast milk or iron-fortified infant formula can most
appropriately meet these requirements. The Committee on
Nutrition of the American Academy of Pediatrics recommends that
either breastfeeding or iron-fortified infant formula be
continued during the first year of life, even after solids have
been introduced.
Should I Sterilize Bottles And Use Boiled Water When
Making Infant Formula?
Sterilization of all equipment and water used in preparing
infant formula is commonly recommended until a health
professional decides it is unnecessary. Check with your
physician. When you are preparing infant formula, your own
personal cleanliness, as well as that of any utensils that you
use, is important.
The American Dietetic Association does not recommend
preparing formula with boiling hot water due to problems with
physical stability of the formula (e.g., clumping or separation)
and nutrient degradation.
Should I Use An Infant Formula Product Beyond Its
Expiration Date?
No. All infant formula containers carry "use by" or "use
before" dates to ensure that the consumer receives a wholesome,
high-quality product. Formula should not be bought or fed beyond
the expiration date. After the expiration date, some vitamin
levels decrease and changes in physical properties, such as
discoloration and separation of fat, may occur.
How Long Can Infant Formula Be Kept After Opening?
An open can of liquid infant formula can be kept for up to 48
hours, if tightly covered and immediately placed in the
refrigerator. Bottles of formula made from liquid should be
refrigerated and used within 48 hours.
Formula that is
prepared from powder and placed in bottles for feeding should be
refrigerated and used within 24 hours. The remaining powder
should be tightly covered and stored in a cool, dry place and
used within a month after opening.
How Long Can A Bottle Of Infant Formula Remain
Unrefrigerated?
Baby formula that is removed from refrigeration should be
used within two hours or discarded. Because of possible
bacterial contamination, formula remaining in a bottle one hour
after the start of feeding should also be discarded.
Should I Reheat A Bottle After Feeding Part Of It To
My Baby?
No. Once a baby has nursed from a bottle, microorganisms from
the baby's mouth are introduced into the formula. If any unused
portion of formula is refrigerated and reheated, these
microorganisms will have the opportunity to multiply. Neither
refrigeration nor reheating will prevent this growth. Therefore,
you should fill each bottle with only the amount of formula
needed for one feeding. After feeding, if any formula remains
unused in the bottle, it should be discarded.
Should Infant Formula Be Frozen?
The use of infant formula after freezing is not recommended.
Although freezing does not affect nutritional quality or
sterility, physical separation of the product's components may
occur.
Can Infant Formula Be Heated In A Microwave Oven?
Microwave ovens should NEVER be used for heating infant
formulas since there is a danger of overheating the liquid.
During the microwaving process, the bottle may remain cool while
hot spots develop in the formula. Overheated formula can cause
serious burns to the baby.
Labor FAQs
What is the function of the cervix?
The cervix is found in the lower part of the uterus that
projects into the vagina. It is made up of mostly fibrous tissue
and muscle and is circular in shape. During pregnancy the cervix
serves as a barrier and is longer. When labor starts, the cervix
shortens and thins to merge with the uterus. The opening in the
cervix dilates to an opening of 10 centimeters to allow the baby
to pass through.
What is labor?
Labor is a series of continuous, progressive
contractions of
uterus. This helps the cervix to open (dilate) and to thin
(efface), which allows the baby to move through the birth canal.
No one knows exactly what triggers the onset of labor, but it
usually starts two weeks before or after the estimated date of
delivery.
What defines true labor vs. false labor?
True labor is having regular
contractions and showing
cervical change. Sometimes there maybe regular
contractions but
there will be no change to the cervix. True labor also continues
to come in regular intervals regardless of your activity. The
intensity of the contractions increases, along with their
frequency and duration. Contractions typically are felt in the
lower back and radiate around to the front, with cervical change
being made.
False labor is defined as contractions that may
come and go with change in activity which may be uncomfortable,
but with no cervical change.
What are the signs of labor?
Signs of labor may vary from woman to woman and each woman
experiences labor differently. Some of the common signs of labor
include:
Bloody show
- A small amount of mucus, mixed with a small amount of
blood, may be expelled from the vagina
Contractions
- Contractions are uterine muscle spasms that occur
at intervals that are usually less than ten minutes. These
contractions will become more frequent and strong as labor
progresses.
Rupture of amniotic sac membranes (bag of waters)
- Sometimes labor begins with a gush or leaking of the
amniotic fluid
from the vagina. Women that experience a gush or leaking of
fluid should contact their physician or the hospital
immediately. Most women with ruptured membranes with go into
labor within 24 hours. If labor has not begun after 24
hours, a woman may need to be induced. This step is often
taken to prevent infections and delivery complications.
If a woman feels unsure if labor is begun, she should always
call her physician or midwife.
What are the different stages of labor?
Each labor is different. However, labor typically is divided
into three stages:
First Stage
The first phase of the first stage of labor is called the
latent phase. Some women may not recognize that they are in
labor if their contractions are mild and irregular. Contractions
are usually 5 to 20 minutes apart and discomfort is minimal. The
cervix dilates to approximately three to four centimeters.
The latent phase is usually the longest and least intense
phase of labor. Women usually are asked to come to the hospital
when contractions are 5 to 10 minutes apart, lasting 60 seconds
for an hour.
The second phase of the first stage is called the active
phase. Here the contractions become longer, more severe and more
frequent (usually 3 to 4 minutes apart). The cervix dilates from
4 to 7 centimeters.
The third phase is called transition and is the last phase of
the first stage. Contractions are very strong, occur every 2 to
3 minutes and last 60 to 90 seconds. The cervix dilates from 8
to 10 centimeters and most women feel the urge to push.
In most cases, the active and transition phases are shorter
than the latent phase.
Second Stage
During the second stage the cervix is completely open and
ends with the delivery of the baby. It is also know as the
“pushing” stage. Here the woman becomes actively involved by
pushing the baby through the birth canal to outside the vagina.
When the baby's head is visible at the opening of the vagina, it
is called “crowning.” Pushing is usually shorter than the first
stage and may take between 30minutes to two hours for a woman's
first pregnancy.
Third Stage
During the third stage of labor the baby has been delivered
and the final part is the delivery of the placenta (the organ
that has nourished the baby inside of the uterus). This usually
lasts just a few minutes and involves the passage of the
placenta out of the uterus , through to vagina.
Each labor experience is different, as is the amount of time
in each stage will vary. However, labor in a first pregnancy
usually lasts about 12 to 14 hours. With each subsequent
pregnancies, labor is generally shorter.
What is induction of labor?
Sometimes labor has to be “induced.” This is a process of
stimulating labor to begin. There are many reasons for inducing
labor. Some common reasons for
induction include the following:
- the mother and /or baby are at risk the
- pregnancy has continued too far past the due date
- the mother has pre-eclampsia,
eclampsia, or chronic
hypertension
Some common techniques of
induction include the following:
- inserting a vaginal suppository that contains a
prostaglandin hormone to stimulate
contractions.
- Administering an intravenous infusion of oxytocin (a
hormone produced be the pituitary gland that stimulates
contractions).
- rupturing (artificially) the amniotic sac membranes (bag
of waters).
Pain Management FAQ's
What are pain management options during labor?
You will have several options for managing discomfort that
may occur during labor and the birth of your baby. Together
mothers, physicians and midwives have a plan of care that uses
the safest and most effective method of pain relief for both
mother and baby. The choice will be determined by:
- the physicians or midwives recommendation
- the health of the patient
- the health of the baby
- patient and family preference
There are three main types of pain management during the
labor and birthing process:
- non-medicated measures- these provide comfort and
relieve stress. Women learn special techniques to help them
feel more comfortable and in control during the labor and
birthing process, sometimes referred to as natural
childbirth. Some of these techniques include:
- relaxation - a technique in which one can direct
attention to various muscle groups and relax them in a
series.
- Touch - this includes both massage and/or light
stroking (effurage) to relieve tension. A shower or
jacuzzi tub during labor may also be an effective way to
relieve pain or tension.
- Heat or cold therapy- this is used to help relax
tensed or painful areas.
- Imagery- a technique of using the mind to form
mental pictures that help create a relaxed feeling
- Meditation or focused thinking- by focusing on an
object or task such as breathing helps direct the mind
away from pains and discomforts
- Positioning and movement- changing positions and
moving around during labor helps relieve discomfort and
may even speed labor along. Rocking in a rocking chair,
walking, sitting on a special “birthing ball”, knee
chest and even swaying may be helpful. Your labor nurse
can help you find a comfortable position that is not
only helpful but safe for you and your baby.
- Analgesics- medications to
relieve pain. Your physician or midwife will decide what
kind and how much to give you after you are examined. These
drugs cross the placenta to the baby very easily and need
time to clear from the baby's system before birth.
- Anesthesia- these are medications that are used to
reduce sensation. This includes local block, pudendal block,
epidural analgesic, spinal anesthesia and general
anesthesia.
- Local Block- anesthesia that is injected in to the
perineal area (the area between the vagina and rectum) to
numb the area for repair or
episiotomy.
- Pudendal block- this is also a type of local anesthesia
that is injected into the vaginal area (affecting the
pudendal nerve), causing complete numbness in the vaginal
area without affecting the
contractions of the uterus. Women
can remain active in pushing the baby through the birth
canal without feeling the burning of stretching tissue.
- Epidural analgesia- sometimes called a “walking”
epidural. This involves infusing medication through a thin
catheter that has been inserted into the space that
surrounds the spinal cord in the lower back. The most common
complication of a epidural is a low blood pressure. This is
one reason you will need to have intravenous infusion of
fluids before you received your epidural. The
anesthesiologist will discuss the risks, benefits and other
methods of pain relief with you.
- Spinal Anesthesia- this involves a single dose of
medication that is injected directly into the spinal cord
canal. It acts very quickly and causes complete loss of
sensation and loss of movement of the lower body. It is
often used for cesarean deliveries.
- General anesthesia- this type of pain relief involves
administering an anesthetic agent that causes the woman to
go to sleep. This is used for emergency cesarean deliveries.
GLOSSARY OF TERMS
- Analgesics – Drugs that help
relieve pain without causing unconsciousness.
- Amniotic fluid – Fluid
surrounding the baby. There is approximately a quart of
fluid at full term. About one third of this fluid is
continuously replenished every hour.
- Areola - the darker skin of the
breast which is around the nipple in a circular area.
- Braxton-Hicks
contractions – Uterine contractions that are usually
painless and may occur from about the fifth month on. The
will occur more frequently and become stronger in intensity
as the mother gets closer to the start of true labor.
- Colostrum – The first secretions
of the breast. Colostrum has a high protein content and
provides some immunity properties.
- Contractions – The rhythmic
tightening and relaxing of the uterine muscles that results
in effacement and dilation of the cervix. True labor
contractions usually come in a regular pattern, gradually
get closer together and gradually increase in intensity. The
frequency of contractions is measured from the beginning of
one contraction to the beginning of the next contraction.
- Cervix – The lowest portion of the
uterus that thins out and opens during labor for the
delivery of the baby.
- Dilation – The opening up of the
cervix for delivery of the baby. Dilation is measured in
centimeters from 0-10.
- Eclampsia - Coma or convulsions
in a patient with pre-eclampsia, occurring in late
pregnancy, during labor, or within 24 hours after birth.
- Effacement – The thinning and
shortening of the cervix. Effacement is measured in
percentages from 0- 100%.
- Engorgement – Excessive
fullness, usually referring to the breasts.
- Episiotomy – A small incision
of the perineum made to enlarge the vaginal opening. If an
episiotomy is necessary, it is done just before the birth of
the baby.
- Fetal Heart Tones (FHT)
– The baby's heart beat heard through the abdominal wall
with a Doppler.
- Knee-Chest- The patient rests
on their knees and upper chest. This position uses gravity
to rotate the baby out of a posterior position (causes back
labor).
- Lamaze – The registered name for a
program that teaches childbirth education.
- Leopold's Maneuvers - a
series of four steps used in palpating the abdomen of a
pregnant woman to determine position and presentation of the
fetus.
- Lightening – The sensation the
mother feels when the baby “drops” down or gradually settles
into the pelvis.
- Induction – The process of
starting labor by artificial means.
- Pre-eclampsia -A condition
in pregnancy characterized by a sharp rise in blood
pressure, leakage of large amounts of the protein into the
urine and swelling of the hands, feet, and face. It is the
most common complication of pregnancy. It affects about 5%
of pregnancies. It usually occurs after 20 weeks of
pregnancy.
- Preterm Labor – Labor that
starts before thirty seven weeks gestation.
Oncology
Cancer is a challenge we hope no one must ever face. That's why WCCHS is here to help. We offer an oncology program with references to knowledgeable and dedicated physicians. We can also offer assistance with social workers, pharmacists, dieticians and clergy.
Ophthalmology
UNIVERSITY EYE SPECIALISTS,
P.C. Your Comprehensive Eye Care Physicians.
http://www.universityeyespl.com/
Orthopedics
Please refer to "Medical Staff" directory.
Thank you.
Pain Management
Refer to Physicians listings under Anesthesiology!
Pediatrics
The care of the pediatric population is viewed as a specialty at WCCHS, and not merely as the care of little adults. The designated pediatric beds provide an environment that is aesthetically appropriate for the specific population.
Please see our physician listing for pediatricians at WCCHS.
Psychiatry
Please see "Mental Health
Services".
Thank you.
Physical Therapy
Outpatient Physical Therapy
Frequently Asked Questions
What is
Physical Therapy?
The art and science of assisting
people to recover physically from illness and injury. The primary focus of
physical therapy is to maximize your function. This includes walking,
reaching, lifting and regaining functional movement.
Your condition, needs and goals will be the catalyst in directing
your rehabilitation course.
Where is the Physical Therapy Department?
Physical Therapy services are located at 400 North Main Street Warsaw,
New York 14569 in the outpatient rehabilitation services department located
on the ground floor of Building C.
What
phone number do I call to make an appointment?
(585)786-8940 Extension: 4567 or 4568.
What are the hours of the department?
8:00a.m. –
4:30p.m. Tuesday, Thursday and Friday
8:00a.m. – 8:00p.m. Monday and
Wednesday
Who can I call directly if I
have questions about this service?
Richard Kingston,
PT (585) 786-8940 Extension 4837.
Do I
need a prescription from my doctor?
Yes. Please make
sure you bring your prescription with you on your first visit. Your
prescription contains important information such as your diagnosis and
treatment orders.
Will my insurance pay
for Physical Therapy services?
In most cases yes,
however, you should contact your insurance carrier or reference your policy
to be sure. Some insurance will limit the number of times you can be seen
within a specified time frame. You may also be responsible for co-pays that
can vary from approximately $10.00-$40.00 per visit depending on your
insurance plan.
What if I can’t afford the co-payments?
Your therapist can work with you to come up with a
treatment frequency that meets the needs of the physician orders and you.
Financial arrangements can also be made through the Business office.
Should I arrive early on my first visit?
Yes. Arriving 15-20 minutes prior to your scheduled
appointment time will allow time for you to register (if you have not
already done so) and fill out necessary forms needed for your appointment.
How long will my first visit last?
Approximately 1 hour. At the time of your first visit
you will receive an initial evaluation and some treatment depending on your
orders and the time it takes to complete your initial evaluation.
What should I wear?
Loose, comfortable clothing. The area being evaluated will need to be
exposed for examination and treatment. You should refrain from heavy
colognes or perfumes.
How long will my
treatment sessions last?
A typical treatment session
lasts approximately 45 minutes. When more than 1 area of the body is being
treated, sessions may be longer. Other staff members may work with you
during your treatments to help you achieve your goals.
How long will I have to receive treatments?
Each patient receives an individualized evaluation and
treatment plan tailored to their specific needs. The number of treatment
sessions varies depending on the diagnosis, physician’s orders and the
individuals’ rate of progression.
Will I have discomfort during and after my
treatments?
It is not uncommon to have some
discomfort during and after your treatment sessions depending on your
diagnosis and the necessary treatment. Your therapist will make every effort
to ensure that you are comfortable during the treatments and will educate
you on ways to control your pain between sessions. It is important that you
keep your therapist informed of any pain you experience during and after
treatment sessions. Additionally, you should always follow the orders of
your physician when it comes to taking pain medication and anti-inflammatory
medications. Of further mention, it is equally important to adhere to any
activity restrictions that your physician recommends in order to protect
healing structures from further injury and to reduce inflammation and pain.
If you are unsure of your activity restrictions, you should consult with
your physician.
What diagnoses does
Physical Therapy treat?
- Spinal Injuries including disc herniations, spasms and pain
- Hip, Knee and Ankle injuries including Joint Replacements, cartilage
repairs, strains/sprains & swelling
- Shoulder injuries including Replacements, Rotator cuff repairs and
strains/sprains
- Cumulative Trauma
- Neuromuscular Disorders
- Vestibular/Balance Disorders
- Stroke
- Incontinence
- Wounds
- Chronic Pain
What are the ways Physical Therapy treats my
condition?
- Stretching and joint mobilization
- Strengthening and stabilization
- Coordination training
- Balance training
- Neuromuscular Re-education
- Manual Techniques such as:
- MassageCraniosacral
- therapy
- Accupressure
- Myofascial release
- Modalities such as:
- Electrical Stimulation
- TENS
- Hot and Cold Pack
- IontophoresisParaffin
- Contrast Baths
- UltrasoundPhonophoresis
- Whirlpool
- Traction
How can I be sure my therapist is licensed
to practice?
You can use the New York State Education
Department (NYSED) website to verify that your therapist is registered and
licensed to practice in the state of New York.
www.nysed.gov
Where can I get more information about
Physical Therapy?
You can browse the professional organization website. Our professional
organization is the American Physical Therapy Association (APTA).
www.apta.org
What is Vestibular Rehabilitation?
The treatment of dizziness and imbalance caused by inner ear disorders
or central nervous system lesions.
What causes a Vestibular problem?
Symptoms may result
from pathology within the vestibular system which reduces your ability to
move around in the environment because of imbalance, vertigo and visual
problems.
What are the symptoms of a
vestibular problem?
Primary symptoms may include:
- Dizziness
- Balance Disorder
- Visual Motor disturbances
Many patients may also have secondary symptoms which may include:
- decreased strength and flexibility
- reduced activity levels and endurance
- increased muscle tightness in the neck and shoulder regions
Physical Therapy can help improve both primary and secondary symptoms.
What does Vestibular treatment entail?
It involves exercises designed to decrease or eliminate
dizziness, increase balance and safety, improve visual motor control and
increase activity levels. Patients will also be asked to perform exercises
daily at home so that the benefits of treatment will be optimal.
Radiology Services
Wyoming County Community Health System offers a wide range of diagnostic Radiology procedures. With a full complement of imaging equipment, Spiral CAT Scan, Ultrasound, Nuclear Medicine, Mammography, DEXA and MRI, Bone Density Screening, we are able to provide the vast majority of diagnostic procedures. Our extensive capabilities allow us to perform general diagnostic x-rays and special procedures including myelograms, arthrograms, GI studies, ERCP's, peripheral vascular examinations, and Nuclear cardiac stress testing.
The Diagnostic Radiology Department is comprised of three Radiographic rooms. The mammography department is FDA certified. All of the Mammographers are Registered Mammography Technologists. Nuclear Medicine, state of the art Spiral CAT Scan , DEXA scanning for osteoporosis detection, two ultrasound units and mobile MRI complete the department.
A prescription from your health care provider is necessary for completion of your procedure. Some examinations require pre-authorization from your insurance company, so always check with them prior to your scheduled examinations. Many examinations require an appointment and special preparations. Simply call 786-8940 Ext. 4450, we will schedule your procedure or answer any questions you may have.
Accessibility, convenience and friendly staff are all pluses patients appreciate.
The 4th Thursday of every month, Radiology will be
accepting appointments until 7:30PM for mammograms, DEXA scans and routine
ultrasound exams.
Click here for
more information.
Rehab Therapy Program
Our rehab therapy program offers comprehensive outpatient Physical, Occupational, and Speech services designed to maximize an individual's ability to return to work, recover from surgery, recover from injury and return to normal activities.
Services available through Rehab Therapy:
Inpatient Rehabilitation:
Physical, Occupational, and Speech Therapy - Individualized services provided to patients in the hospital. Individualized services provided to patients in the hospital. The primary focus is to return to mobility and daily function.
Outpatient Physical, Occupation, and Speech Therapy - Each person is evaluated by a Physical, Occupational, or Speech Therapist and a specific treatment plan is developed with the person being treated. Treatment may include exercises, a home exercise program, education, body mechanics training, joint or soft tissue mobilization, custom made hand splints, modalities such as heat, ice, ultrasound, electric stimulation and much more.
Functional Capacity Evaluations (FCE) - These complete evaluations are used to determine a person's ability to perform tasks that may be work related. The therapist uses specific tests and measures that allow a comparison of the subject to the general population. Tests used include: BTE- (Baltimore Therapeutic Equipment), Tool Sort, consistency of effort testing, material handling (lifting, push/pull), Range of Motion, and musculoskeletal evaluation.
Work Conditioning - This Program helps injured persons regain the strength, flexibility, and endurance to transition back to work.
Work Site Assessment - In conjunction with Workplace Health Services, Rehab therapists can assess work stations and work sites to identify areas of risk for safety and strain that are potential hazards to the worker.
Pre-employment Screening - Working with Workplace Health Services, a prospective employee's ability to perform the essential physical functions of lifting and push/pulling can be measured and matched with a particular job.
Personal Care Services - This program assists individuals with problems of incontinence and provides treatment and education on managing bladder leakage and bladder training.
Early Intervention/Preschool Services - In conjunction with the Wyoming County Youth Bureau, this program provides Physical, Occupational, and Speech Therapy Services to children birth through five years of age. These services may be provided in the home, day care setting or least restrictive environment for the child.
Massage Therapy - As greater numbers of people integrate complementary health care modalities into their lives, the demand for massage therapy continues to grow. Health Care Practioners are coming to view massage as a valuable companion therapy to their own and are referring clients to Licensed Massage Therapists.
Hand Therapy Frequently
Asked Questions
What is Hand Therapy?
The definition of “Hand
Therapy” as defined by the Hand Therapy Certification Committee (htcc.org)
“is the art and science of rehabilitation of the upper limb, which includes
the hand, wrist, elbow and shoulder girdle. It is a merging of Occupational
Therapy and Physical Therapy theory and practice that combines comprehensive
knowledge of the structures of the upper limb with function and activity.
Using specialized skills in assessment, planning and treatment, hand
therapists provide therapeutic interventions to prevent dysfunction, restore
function, and/or reverse the progression of pathology of the upper limb in
order to enhance an individual’s ability to execute tasks and to participate
fully in life situations.”
Who is a Certified Hand
Therapist?
A Certified Hand Therapist
also referred to as a (CHT) is an Occupational Therapist or Physical
Therapist who has a minimum of (5) years of clinical experience, including
4,000 hours or more of direct practice in hand therapy. In addition, the
Certified Hand Therapist has successfully passed a comprehensive test of
advanced clinical skills and theory in upper quarter rehabilitation. Because
of changes in the profession, every CHT is required to demonstrate continued
professional development and competency by re-certifying every (5) years.
How common are Hand
Therapists?
As of 2009, there are only
5,213 Certified Hand Therapists worldwide. 85% of Certified Hand Therapists
are Occupational Therapists and only 15% are Physical Therapists. Becoming a
hand therapist is both difficult and demanding and requires an extensive
amount of time and preparation in order to successfully pass the board
certification exam.
What are the benefits
of working with Certified Hand Therapists?
- People value the use of
their hands and any loss of function through injury can devastate lives.
Anyone with an injury wants the very best care and the potential to
achieve the maximum functional outcome possible. Certified Hand
Therapists offer the public the option to receive the highest level of
competency available in evaluating and treating the shoulder, elbow,
wrist and hand.
- The CHT credential is
recognized by many professional organizations as a standard for
excellence in advanced specialty credentialing in health care.
- Many surgeons specializing
in treatment and surgery of the upper extremity prefer their patients to
be treated by CHT’s versus general Occupational and Physical Therapists.
- The intricate anatomy of
the arm and hand frequently requires very delicate and intricate
microscopic surgical techniques performed by Hand Surgeons. Likewise,
the postoperative period also requires a therapist with extensive
knowledge of the surgical techniques, post-operative protocols, and
advanced skills in treatment of the upper extremity.
What are some of the
common diagnoses managed by CHT’s?
- Fractures and dislocations
of the hand, wrist, elbow and shoulder?
- Tendon Repairs
- Tendonitis
- Nerve Compression
Syndromes
- Nerve Injuries
- Arthritis
- Burns
- Amputations of the Upper
Extremity
- Joints Sprains & Strains
- Impingement Syndrome
- Joint Contractures
- Infections & Wounds
- Joint Replacements: Thumb,
Fingers, Wrist, Elbow & Shoulder
- Tumors or Cysts (Upper
Extremity Related)
- Repetitive Trauma
Disorders
- Degloving Injuries
- Crush Injuries
CHT’s are highly skilled in evaluating upper extremity
- Range of Motion
- Sensation
- Edema
- Wounds & Scars
- Strength & Endurance
- Pain
- Work Activities
- Activities of Daily Living
Where is the Hand Therapy Department?
Hand Therapy services are
located at 400 North Main Street Warsaw, New York 14569 in the outpatient
rehabilitation services department located on the ground floor of (Building
“C”).
What phone number do I call to make an
appointment?
(585) 786-8940 Extension: 4567
or 4568.
What are the hours of the department?
7:30 a.m. – 4:30 p.m. Monday
through Friday.
Who can I call directly if I have questions about
this service?
Nicki Fink, MS, OT/L, CHT (585)
786-8940 Extension: 4575
Do I need a prescription from my doctor?
Yes. Please make sure you bring
your prescription with you on your first visit. Your prescription contains
important information such as your diagnosis and treatment orders.
Will my insurance pay for Hand Therapy services?
In most cases yes, however you
should contact your insurance carrier if you are unsure if your policy
covers Occupational Therapy Services. The Hand Therapist at WCCHS is an
Occupational Therapist who is board certified as a Hand Therapist, therefore
you should make sure your insurance plan covers Occupational Therapy
services. You may also be responsible for co-pays that can vary from
approximately $10.00-$40.00 per visit depending on your insurance plan.
Should I arrive early on my first visit?
Yes. Arriving 15-20 minutes
prior to your scheduled appointment time will allow you time to register if
you have not already done so and time to fill out a brief medical history
and other forms needed for your appointment.
How long will my first visit last?
Approximately 1 hour. At the
time of your first visit you will receive an initial evaluation and a
treatment depending on your orders and the time it takes to complete your
initial evaluation.
What should I wear?
A loose fitting shirt is the
best. The area being evaluated will need to be exposed for examination and
treatment.
How long will my treatment
sessions last?
A typical treatment session lasts
approximately 45 minutes depending on the type of treatment performed.
Occasionally, treatments can last up to 1 hour if more than 1 area of the
upper extremity is being treated.
How long will I have to receive treatments?
Each patient receives an
individualized evaluation and treatment plan tailored to their specific
needs. The number of treatment sessions varies from one patient to the next
depending on the diagnosis and physician’s orders.
Will I have discomfort during and after my
treatments?
It is not uncommon to have some discomfort during and
after your treatment sessions depending on your diagnosis and the necessary
treatment. Your therapist will make every effort to ensure that you are
comfortable during the treatments and will educate you on ways to control
your pain between sessions. It is important that you keep your therapist
informed of any pain you experience during and after treatment sessions.
Additionally, you should always follow the orders of your physician when it
comes to taking pain medication and anti-inflammatory medications. Of
further mention, it is equally important to adhere to any activity
restrictions that your physician recommends in order to protect healing
structures from further injury and to reduce inflammation and pain. If you
are unsure of your activity restrictions, you should consult with your
physician.
Skilled Nursing Facility
We combine the highest quality medical care with personalized, comprehensive support services, enabling each resident to achieve optimal physical and emotional health and well-being in a friendly atmosphere.
Few decisions in life are as important as where to obtain personal health care services. The peace of mind that comes from making the right choice can make all the difference in the world. Whether you are in need of short term rehabilitation, after surgery, or require long term care assistance, your choice of the Wyoming County Skilled Nursing Facility is the right one.
Our comprehensive support services enable each resident to achieve optimal physical and emotional health and well-being in a friendly and caring atmosphere.
Wyoming County Skilled Nursing Facility is the only local Not-For-Profit provider of short term rehabilitation and long term care services. This means that your loved one receives more hours of care for residents, more resources, and significantly fewer deficiencies resulting from annual state inspections.
Approved by the Joint Commission on Accreditation of Health Care Organizations.
We are caring people providing quality care.
Speech Pathology
Speech Language Pathology
Frequently Asked Questions
What is a Speech
Language Pathologist?
An individual with a master’s degree or higher who has advanced knowledge
and skills in evaluating, diagnosing and treating speech, language,
cognitive-communication and swallowing disorders in individuals of all ages,
from infants to the elderly. Speech- Language Pathologists often work as a
part of a team, which may include teachers, physicians, audiologists,
psychologists, social workers and others (ASHA, 2010).
What is Speech Language Pathology?
The ability to communicate is one of the most important aspects of human
life. However, the ability to talk to our family members or to talk on the
phone is something that we frequently take for granted. For over 14 million
Americans these commonplace activities may seem impossible to attain.
Speech, language and swallowing disorders take many forms. Babies can be
born with these disorders. Accidental injury or illness may cause them at
any age. Speech and language disorders can limit academic achievement,
social adjustment, and career advancement.
Speech Pathologists have dedicated themselves to helping individuals with
many speech and language disorders. Even when a problem cannot be
eliminated, a Speech Pathologist can develop strategies and techniques to
assist a patient to live more independently.
Speech Pathologists provide treatment for individuals who have difficulty
swallowing. Speech Pathologists evaluate, adapt diets, and teach techniques
to decrease difficulty and increase patient safety and independence during
meals (ASHA, 1998; 2001).
What types of
services are offered at Wyoming County Community Health System?
Wyoming County Community Health System offers Speech Language Pathology
services in acute care, Wyoming County Skilled Nursing Facility, outpatients
and in the (homecare setting via the Wyoming County Health Department).
Services include:
- Aphasia Therapy
- Swallowing Therapy: Adult and Pediatric
- Traumatic Brain Injury
- Speech Production
- Cognitive/Linguistic Therapy
- Voice Therapy/Laryngectomy
- Augmentative Communication
- Treatment following Oral Cancer
- Accent Modification
- Fluency
- Auditory Processing
- Videoflouroscopic Swallow Studies
- Newborn Hearing Screening
Additional medical diagnoses that may require Speech Language Pathology
Services
- CVA,TIA
- Head/Neck Cancer
- Huntington’s Chorea
- Parkinson’s
- Pneumonia
- Amyotrophic Lateral Sclerosis
- Multiple Sclerosis
- Alzheimer’s
Where is the Speech Therapy Department?
Speech Therapy services are located at 400 North Main Street Warsaw, New
York 14569 in the outpatient rehabilitation services department located on
the ground floor of (Building C).
What phone
number do I call to make an appointment?
(585) 786-8940 Extension: 4567 or 4568.
What
are the hours of the department?
7:30 a.m.-4:30 p.m. Monday through Friday.
Who can I call directly if I have questions about this service?
Kelly Venezia, MA-CCC Extension: 4572
Do I
need a prescription from my doctor?
Yes. Please make sure you bring your prescription with you on your first
visit. Your prescription contains important information such as your
diagnosis and treatment orders.
Will my
insurance pay for Speech Therapy Services?
In most cases yes, however you should contact your insurance carrier if
you are unsure if your policy covers Speech Therapy Services.
You may also be responsible for co-pays that
can vary from approximately $10.00-$40.00 per visit depending on your
insurance plan.
Should I arrive early on my
first visit?
Yes. Arriving 15-20 minutes prior to your scheduled appointment time will
allow you time to register if you have not already done so and time to fill
out a brief medical history and other forms needed for your appointment.
How long will my first visit last?
It takes approximately 1 hour to complete the initial evaluation testing.
How long will my treatment sessions last?
A typical treatment session lasts approximately 45 minutes depending on
the type of treatment performed.
How long will I
have to receive treatments?
Each patient receives an individualized evaluation and treatment plan
tailored to their specific needs. The number of treatment sessions varies
from one patient to the next depending on the diagnosis and physician’s
orders.
Surgical Services
 Welcome
to the Surgical Services Department of Wyoming County Community Health
System. The Surgical Services department is staffed by Advanced Cardiac Life
Support certified RN’s and LPN’s Monday –Friday from 6:00am -6:00pm. We
provide preoperative, intraoperative and postoperative care for a variety of
patients. Surgical Services provided include orthopedic, Ear Nose
Throat(ENT), urology, ophthalmology, Gynecological (GYN), gastroenterology,
and general surgery. We can be reached at 585-786-8940 Ext 4605. The
Director of Surgical Services is Cynthia Elbow who can be reached at
585-786-8940 Ext. 4665. Cindy invites potential customers to contact her
with questions or concerns.
The Surgical Service Department is
located on the second floor of the hospital. We encourage patients to park
in the front lot of the health system near the nursing facility, which
assists with discharging when a wheelchair is required. All of our patients
are preregistered for surgery and undergo a thorough prescreening, nursing,
and medical history prior to surgery. Our department is equipped to handle
emergency issues and has 24-hour anesthesia coverage.
The Surgical
Services Department invites you to tour the department prior to your
procedure so you have the chance to meet the qualified staff that will be
providing your care and to answer questions regarding your surgical
procedure.
Pre-Op Instructions
You will be notified by telephone 48 business hours before surgery to tell
you what time you are to arrive on the day of surgery. If you know that you
will not be at home, you may call 585-786-8940 Ext. 4605 for your time after
2:00pm. This is the time you should arrive at the hospital it is not your
surgical start time.
Before Surgery
Your physician should discuss your operation with
you and what you can and should expect this could include pre-op diagnostic
testing and anesthesia consultation.
Tell your surgeon about ALL your medications that
you are taking, including over the counter medications like vitamins,
aspirin, and herbal remedies. Your doctor will tell you which medications
you should continue to take and which medications you should stop taking
before surgery.
If you take insulin or other medications for
diabetes, you may be asked to discuss when to stop your diabetic medications
prior to surgery with your primary care physician.
Two Days Before Your Surgery
Do not shave the area to be operated on for at least
two days prior to surgery. When you shave, it can irritate your skin, and
leave small cuts, which can lead to infection. The operative site will be
prepped according to your surgeons instructions on the day of your scheduled
procedure.
If a change in your physical condition develops
prior to surgery, such as a cold, persistent cough, fever or important
changes in the condition for which you are to have surgery notify your
physician! If you wake up feeling ill the morning of surgery, please call
585-786-2233 and ask to speak to the nursing supervisor
before 6:00 am, after 6:00am ask for Ext. 4605.
The Day Before Surgery
Do not drink alcohol 24 hours prior to your surgery.
Make sure you have clean fresh sheets and
pillowcases on your bed.
The Day Before Surgery continued
Remove ALL nail polish from your fingers and toes.
Shower or bathe the night before surgery using
antimicrobial soap.
Wash your hair with regular shampoo.
Do not apply lotions, powders, creams, hair
products, deodorants, or Vaseline.
The Day of Your Surgery
Do not eat or drink anything after midnight. This
includes water, coffee, food, gum, or hard candy. If you do eat or drink,
your surgery could be cancelled.
Take only those medications that you have been
instructed to take by your surgeon or by your primary care doctor. Use the
smallest amount of water possible to swallow your pills.
You may shower or bathe again using the
antimicrobial soap. Do not apply makeup, jewelry, or hair accessories.
Remove ALL piercings.
Please leave ALL your valuables at home.
Upon arrival to the hospital please report to the
second floor nursing station.
You are encouraged to bring reading materials,
knitting, etc. to keep yourself occupied before and after your procedure.
Wear casual clothing, which can be folded to be put
on after your procedure. Make sure that they will fit over your dressing.
Zippered or button front clothing is usually better than shirts, which need
to be pulled over your head. Bring your crutches, walkers and or splints
with you.
Please make arrangements to have an adult bring you
to the hospital on the day of your procedure and to take you home after you
are discharged from the hospital. Patients will not be allowed to drive
themselves home. You should arrange to have a responsible person to stay
with you for 24 hours after you arrive home.
Children should not be brought to the hospital to
wait while a family member has surgery.
You may receive an antibiotic within one hour of
surgery. This can greatly reduce your chances of getting an infection after
surgery.
Your surgeon will also evaluate your risk of
developing blood clots and initiate measures to prevent them when necessary.
You will also meet your anesthesia provider prior to
your surgery to discuss the type of anesthesia that you will be receiving
and to answer your questions regarding anesthesia.
While you are in the hospital, SPEAK UP!
If you have questions or concerns.
Observe hand washing and glove use by the
professionals taking care of you. Do not be afraid to ask them to wash their
hands prior to providing your care or to use a new pair of gloves.
Discharge: After surgery, you will
remain in the ASU area for a period of time before discharge. This time can
be as short as one hour and as long as 6-8 hours depending on the type of
anesthesia that you received. You will be discharged according to
instructions received from your surgeon. An ASU staff member will review
your discharge instructions verbally with you and you will receive written
discharge instructions prior to your leaving the ASU department. You will be
contacted by an ASU staff member within 72 hours of your discharge to check
on how you are feeling after your surgery.
Billing
There is a set basic charge for your procedure. The
basic charge includes the use of the Ambulatory Surgery facilities,
supplies, drugs, and materials used during your stay. It does not include
the cost of ancillary services such as x-rays or lab tests.
Charges from the surgeon, anesthesiologist,
pathologist, and radiologist will be mailed to you by their own billing
offices as these physicians are self employed. These charges are not
included in the bill that you will receive from the hospital.
Questions
If you have questions about Ambulatory Surgery Unit
charges please call the hospital billing office cashier at
585-786-8940 Ext. 4411.
If you have questions or concerns, regarding care
provided in ASU or in the OR please contact Cynthia Elbow, RN Director of
Surgical Services at 585-786-8940 Ext. 4665.
We look forward to providing your surgical care
before during and after your procedure.
Thank you for choosing Wyoming County Community
Health System.
Urology
Our Urology team offers serious commitment to your urologic concerns and to advancing the field through their research, community involvement and publishing.
You will find Urologists listed under "Medical Staff Directory."
Workplace Health Services
Brief History:
Workplace Health Services
(WPHS) initiated occupational medicine services to the community in 1994. There
existed two basic needs for the service, the ever escalating cost of
compensation and the community voicing a need for this service. During the year
1994, we attended to the medical needs of 6 companies which to date has extended
to over 600 companies.
Mission Statement:
“To be the organization of choice in occupational health services, providing
our clients with cost effective solutions, quickly and efficiently, while
maintaining our standard of excellence”.
General
Description:
We are successful because we concentrate on how to
better assist your company on issues such as, minimizing your risk in hiring the
right person; comprehensive injury management; early return to work; utilization
of the first aid clause of the New York State Worker's Compensation Law and
instituting work station evaluations.
We offer a variety of occupational
medical exams performed at your facility or at the WPHS Department to include:
- OSHA
Respirator Exams
-
Emergency Response Personnel Exams
- Hazmat
Exams
-
Pre-placement Exams
-
Return-to-Work Exams
-
School/sports Exams
- DOT
Exams
- Injury
Exams
We also
offer a variety of supplementary services to include:
- DOT
and non-DOT Drug and Breath Alcohol Testing
-
Audiograms
-
Pulmonary Function Testing
-
Immunizations
-
Physical and Occupational Therapy Evaluations
-
CPR/AED/First Aide Training
-
Participation in Health Fairs
* Any
individual presenting for a drug test should be prepared to provide a picture ID
and potentially stay in the department for up to 3 hours once the test has begun
until the specimen has been collected.
**Please note that at this time,
WPHS does not do paperless drug collections.
***The amount of time to
complete a physical will depend on the type of physical exam and any
supplementary services. When making an appointment, please ask for a general
idea if time is of a concern.
Staffing:
The WPHS team consists of a:
-
Physician Medical Director
-
Registered Nurse Director
-
Mid-level Provider
-
Registered Nurse Case Manager
-
Licensed Practical Nurse
-
Medical Receptionists
Location/Services:
WPHS is located adjacent
to the Outpatient/Admission office on the ground floor of the hospital. It is
also located adjacent to the Emergency Department. Services are available Monday
8am-6pm, Tuesday, Wednesday and Friday 8am-4pm, and Thursday 7am-4pm. Services
are also available off-site and off-hour by appointment. Off-hour injuries are
seen and treated in the emergency department of the hospital and are followed up
by WPHS Case Manager.
Billing:
Each
company is billed directly by WPHS on a fee for service basis. This is a monthly
invoice, which consolidates all services rendered for that company for the
month. Self pay is also available at the time of service.
Parking:
Parking is available in the front of
the hospital (follow the signage). Look for the door entrance labeled “B” for
the easiest access to the department. The Emergency Department parking is
reserved for emergency department patients and ambulances.
To set up an
account or inquire about our services, please give us a call at 585-786-8940
Ext. 4549. We look forward to working with you.
Women's Health Services
Preventing illness is a primary focus of the Wyoming County Community Health System.
Specific to women, are programs on arthritis, diabetes, diet and nutritional counseling, weight control and management.
Please Call: 585-786-8940 Ext. 4546
For more information.
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