Behavioral Health Services
Billing Information
Community Case Management
Endoscopy Services
First Impressions, Maternal Child
Home Care Services
Infection Control
Laboratory Services
Online Bill Pay
Radiology Services
Volunteers
BEHAVIORAL HEALTH
Behavioral Health is a broad term for behavioral health disorders such as, but not limited to, eating disorders, gambling addiction, alcohol and drug addiction (chemical dependency), sexual addiction, psychiatric (mental health), etc.
Does the Behavioral Health department provide services for all disorders?
Shepherd Hill, a department of Licking Memorial Hospital, specializes in treating two diseases: Psychiatric Disorders and Chemical Dependency.
PSYCHIATRIC SERVICES
What psychiatric services does Shepherd Hill provide and is there an age limit?
Both inpatient and outpatient services are provided. Adults, 18 years and older, may be admitted to the inpatient unit. Outpatient services are provided to adults.
How do I get admitted to the psychiatric inpatient unit?
Prior to admission potential patients are required to have a mental health assessment. Anyone in crisis may call the Community Crisis and Information Center at (740) 345-4357 for assistance at any time. The Mental Health Emergency Service is available for 24 hours, 7 days a week to provide assessments for the community by calling (740) 522-2828. Shepherd Hill provides physicians on call to assist the Mental Health Emergency Service with admissions. Also, a nurse is available at Shepherd Hill to provide assessments for patients in crisis by calling (740) 348-4888.
If you are interested in more information about the Psychiatric Inpatient Unit or Detoxification, please call (740) 348-4888 or click here .
What outpatient services do you provide for mental health?
The LMHP Outpatient Psychiatric Service offers medication management and therapy to adults.
If you are interested in more information about the Outpatient Psychiatric Services, please call (740) 348-4870 or click here .
CHEMICAL DEPENDENCY
What services does Behavioral Health provide for addiction to alcohol and/or drugs and what is the age limit?
Shepherd Hill provides inpatient detoxification and outpatient treatment including residential services. Shepherd Hill offers treatment to adults beginning at the age of 18.
Does treatment for alcohol & drug addiction really work?
Chemical dependence, or addiction, is a treatable disorder. Through treatment that is tailored to individual needs, patients can learn to control their condition and live normal, productive lives. Like people with diabetes or heart disease, people in treatment for alcohol and drug addiction learn behavioral changes and often take medications as part of their treatment regimen.
For more information about Chemical Dependency treatment please call the admissions nurse at (740) 348-4877 or visit our Web site at www.ShepherdHill.net.
BILLING INFORMATION
Licking Memorial Hospital
Licking Memorial Health Professionals Central Billing
Online Bill Pay
LICKING MEMORIAL HOSPITAL PATIENT ACCOUNTING DEPARTMENT
How do I get a copy of an itemized bill?
You may call the Patient Accounting Department at (740) 348-4500. An itemized bill will be sent within five days.
Will Licking Memorial Hospital accept my insurance?
Licking Memorial Hospital accepts Medicare, Medicaid, and other major insurance carriers. Please contact your insurance company or employer for the specific requirements of your plan.
Will Licking Memorial Hospital bill my insurance company(ies)?
Yes. As a courtesy to you, Licking Memorial Hospital will send a claim to your insurance company(ies). If we do not receive payment from your insurance company(ies) within 60 days, we must look to you for payment of the bill. Your insurance policy is a contract between you and your insurance company. Communication with your insurance company is highly recommended.
Does Licking Memorial Hospital accept credit cards?
Yes. Visa, MasterCard, and Discover are accepted forms of payment. You may also pay by cash, check, or money order.
How can I check on the status of my account?
If it has been at least 30 days since your date of service, contact your insurance carrier for claim status. After speaking with your insurance company, contact the Patient Accounting Department at (740) 348-4500 if you have additional questions regarding the claim.
What should I do if my insurance company denies a claim?
If you feel the claim was denied in error, contact your insurance carrier for instructions on how to appeal their decision. The Patient Accounting Department should also receive an explanation of benefits (EOB) from your insurance company stating the claim was denied. This information will be reflected on your account and you will receive a statement requesting payment in full.
How will I know if my hospital bill has been paid?
Your insurance company should send you an explanation of benefits (EOB) indicating they have processed the claim. The EOB will show any payments made to the hospital and the amount that is your responsibility. You will receive a statement from the hospital once all insurances have been processed. This statement will reflect all insurance payments, adjustments, and the balance remaining. Any remaining balance is your responsibility.
What if I cannot pay my bill?
To set up payment arrangements on your hospital bill, contact the Patient Accounting Department immediately upon receipt of your statement. Call (740) 348-4500 to speak with a patient account representative regarding Licking Memorial Hospital payment guidelines.
How to contact us:
Hospital Bills
For questions regarding your Licking Memorial Hospital bill, please contact us at the number below. Payments and correspondence may also be sent to this address.
Licking Memorial Hospital
Patient Accounting Department
1320 West Main Street
Newark, Ohio 43055-3699
(740) 348-4500
In addition to your hospital bill from Licking Memorial Hospital, you will receive separate bills from the physicians and other professionals who were involved in your care. Please contact them directly if you have any questions regarding their bills for service. A contact list has been provided for your convenience.
Emergency Room Physicians' Bills:
Licking Memorial Emergency Medicine
P.O. Box 4486
Newark, Ohio 43055
(740) 348-4499
Pathology Physicians' Bills:
Licking Memorial Pathology Group
P.O. Box 4056
Newark, Ohio 43058
Billed by APS Medical Billing : (800) 288-8324
Anesthesiology Physicians' Bills:
Licking Memorial Anesthesiology
P.O. Box 0806
Newark, Ohio 43058
Billed by Compudata
(800) 321 - 8145
Radiology Physicians' Bills:
Tri County Radiologists, Inc.
P.O. Box 948
Newark, Ohio 43058-0948
(740) 522-3774
Cardiology Physicians' Bills:
Dr. Bryce Morrice
Dr. Debra Heldman
P.O. Box 550
Lancaster, Ohio 43130
(800) 839-8080
Licking Memorial Health Professionals:
For questions regarding your LMHS physician bills please contact:
Licking Memorial Health Professionals
Central Billing
1915 Tamarack Road
Newark, Ohio 43055
(740) 348-4499
For Assistance in Paying Hospital Bills:
HOSPITAL CARE ASSURANCE PROGRAM
Licking Memorial Hospital provides basic, medically necessary, hospital-level services free of charge to Ohio residents with incomes at or below the federal poverty guidelines who have no third-party coverage. To be eligible for the Hospital Care Assurance Program you must:
COMMUNITY SERVICE ASSISTANCE
In accordance with our mission, LMH also discounts bills to patients who earn no more than 2½ times the federal poverty guidelines. To be eligible for this program you must:
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Be ineligible to receive public assistance.
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Be a Licking County resident.
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The family size and household income must be no more than two times the federal poverty guidelines.
For both programs, “family” is defined as the patient, the patient’s spouse, and all of the patient’s children under the age of 18 (natural or adoptive) who live in the patient’s home. A family’s gross income for the three months or twelve months prior to the date(s) of service will be used to determine eligibility.
An uncompensated care application must be completed by the patient or the responsible party. Applications may be obtained at the Cashier window located directly across from the patient elevators on the first floor of the hospital or by calling (740) 348-4500 to request one.
If you are eligible to have your bill discounted, you will be billed for the remaining balance. Please contact us immediately at (740) 348-4500 to discuss payment options.
Thank you for visiting our website. If we have not answered all of your questions, please contact us at:
Licking Memorial Hospital
Patient Accounting Department
1320 West Main Street
Newark, Ohio 43055-3699
(740) 348-4500
LICKING MEMORIAL HEALTH PROFESSIONALS CENTRAL BILLING
The LMHP Central Billing Office handles the physician billing for the Licking Memorial Health Professionals. The Central Billing Office is open Monday-Friday from 7:30 a.m. to 5:00 p.m.
Billing Inquiries:
At the Licking Memorial Health Professionals, our goal is to provide you with quality healthcare as well as dependable billing services. After reviewing this section, if you still have questions regarding your physician bills, please contact the Central Billing Office at (740) 348-4499 between the hours of 7:30 a.m. and 5:00 p.m., Monday through Friday.
About your physician bill:
Your physician bill includes charges for services provided by the physicians only. These services include physician visits, laboratory, injections, and testing provided by either the physician or the physician practice staff. The physician bill does not include the facility charges for the hospital or other healthcare providers that may be responsible for a portion of treatment.
Frequently asked questions:
How do I get a copy of an itemized bill?
You may call the LMHP Central Billing Office at (740) 348-4499. An itemized bill will be sent within five days.
Will the Licking Memorial Health Professionals accept my insurance?
The Licking Memorial Health Professionals accepts Medicare, Medicaid and other major insurance carriers. Please contact your insurance company or employer for the specific requirements of your plan.
Will the Licking Memorial Health Professionals bill my insurance company(ies)?
Yes. As a courtesy to you, the Licking Memorial Health Professionals will send a claim to your insurance company(ies). If we do not receive payment from your insurance company(ies) within 60 days, we must look to you for payment of the bill. Your insurance policy is a contract between you and your insurance company. Communication with your insurance company is highly recommended.
Does the Licking Memorial Health Professionals accept credit cards?
Yes. Visa, MasterCard, and Discover are accepted forms of payment. You may also pay by cash, check, or money order.
How can I check on the status of my account?
If it has been at least 30 days since your date of service, contact your insurance carrier for claim status. After speaking with your insurance company, contact the LMHP Central Billing Office at (740) 348-4499 if you have additional questions regarding the claim.
What should I do if my insurance company denies a claim?
If you feel the claim was denied in error, contact your insurance carrier for instructions on how to appeal their decision. The LMHP Central Billing Office should also receive an explanation of benefits (EOB) from your insurance company stating the claim was denied. This information will be reflected on your account and you will receive a statement requesting payment in full.
How will I know if my physician bill has been paid?
Your insurance company should send you an explanation of benefits (EOB) indicating they have processed the claim. The EOB will show any payments made to the physician and the amount that is your responsibility. You will receive a statement from the physician once all insurances have been processed. This statement will reflect all insurance payments, adjustments, and the balance remaining. Any remaining balance is your responsibility.
What if I cannot pay my bill?
To set up payment arrangements on your physician bill, contact the LMHP Central Billing Office immediately upon receipt of your statement. Call (740) 348-4499 to speak with a patient account representative regarding LMHP payment guidelines.
How to contact us:
For questions regarding your Licking Memorial Health Professionals bill, please contact us at the number below. Payments and correspondence may also be sent to this address.
Licking Memorial Health Professionals
Central Billing Office
1915 Tamarack Road
P.O. Box 4486
Newark, Ohio 43055-4486
(740) 348-4499
In addition to your physician bill from the Licking Memorial Health Professionals, you will receive separate bills from the hospital and other professionals who were involved in your care. Please contact them directly if you have any questions regarding their bills for service. A contact list has been provided for your convenience.
Pathology Physicians' Bills:
Licking Memorial Pathology Group
P.O. Box 4056
Newark, Ohio 43055
Billed by APS Medical Billing: (800) 288-8324
Anesthesiology Physicians' Bills:
Licking Memorial Anesthesiology
P.O. Box 0806
Newark, Ohio 43055
Billed by Compudata
(800) 321 - 8145
Radiology Physicians' Bills:
Tri County Radiologists, Inc.
P.O. Box 948
Newark, Ohio 43058-0948
(740) 522-3774
Cardiology Physicians' Bills:
Dr. Bryce Morrice
Dr. Debra Heldman
P.O. Box 550
Lancaster, Ohio 43130
(800) 839-8080
Licking Memorial Hospital:
Licking Memorial Hospital
Patient Accounting Department
1320 West Main Street
Newark, Ohio 43055
(740) 348-4500
For Assistance in Paying LMHP Physician Bills:
Uncompensated Care
In accordance with our mission, LMHP also discounts bills to patients who earn no more than 2½ times the federal poverty guidelines. To be eligible for this program you must:
-
Be ineligible to receive public assistance.
-
Be a Licking County resident.
-
The family size and household income must be no more than two times the federal poverty guidelines.
For both programs, “family” is defined as the patient, the patient’s spouse, and all of the patient’s children under the age of 18 (natural or adoptive) who live in the patient’s home. A family’s gross income for the three months or twelve months prior to the date(s) of service will be used to determine eligibility.
An uncompensated care application must be completed by the patient or the responsible party. Applications may be obtained at the Physician Practice, at the Central Billing Office located at 1915 Tamarack Road Newark, or by calling (740) 348-4499 to request one.
If you are eligible to have your bill discounted, you will be billed for the remaining balance. Please contact us immediately at (740) 348-4499 to discuss payment options.
Thank you for visiting our Web site. If we have not answered all of your questions, please contact us at:
Licking Memorial Health Professionals
Central Billing Office
1915 Tamarack Road
PO Box 4486
Newark, Ohio 43055-4486
(740) 348-4499
ONLINE BILL PAY
Can I pay for my hospital bills or doctor visits online?
Yes. When a bill is sent to you, simply log on to the Licking Memorial Web site and click on the Bill Pay tab on the top right hand corner of the screen.
It says the page is directed to www.paypal.com to pay my bill. Do I have to have a PayPal account to pay my bill online?
No. It is not necessary to have a PayPal account to pay your medical bill online. Simply enter your credit card information on the left hand side of the secure bill payment screen.
Is it possible for anyone to gain access to my personal and financial information once I pay my bill?
No. By using the PayPal service, Licking Memorial Health Systems can ensure users a safe and secure environment to pay medical bills.
COMMUNITY CASE MANAGEMENT
What is a Community Case Manager?
A group of medical professionals helping the community to understand chronic illness and how to manage it. They can have multiple roles, including acting as your consultant, advocate and motivator.
How are Community Case Management services obtained
Physicians, hospital, registered nurses, community agencies and family can make a referral.
Do I need an order from my doctor?
Your primary physician must agree to and order Community Case Management services. You will also need to sign a consent on the initial Community Case Management visit.
Will my doctor be involved after the referral?
Your physician will be kept advised of your progress toward the goals you will develop and achieve..
COMMUNITY CASE MANAGEMENT BLOOD PRESSURE CLINIC
When are the Blood Pressure Clinics Held?
On the first Friday of every month from 1 to 3 p.m. A doctor’s order is not needed.
Where are the Clinics Held?
At Glenn’s Market on Fallsburg Road at Wilken’s Corner in Licking County, Ohio.
Who will provide this service?
Registered Nurses.
OTHER CASE MANAGEMENT BLOOD PRESSURE INFORMATION
What is High Blood Pressure?
Pressure of the blood against the walls of the arteries. High blood pressure results from two forces; one is created by the heart as it pumps blood into the arteries and through the circulatory system. The other force is the force of the arteries as they resist the blood flow.
What do blood pressure numbers mean?
The higher number represents the pressure while the heart contracts to pump the blood to the body. The lower number represents the pressure when the heart relaxes between beats. Blood pressure below 120/80 is considered best for adults. A reading of 140/90 is considered high.
How can I tell if I have high blood pressure (hypertension)?
Many people have hypertension without knowing it since there are not usually any symptoms. It is known as a “Silent Killer”. Hypertension does not refer to being tense, nervous or hyperactive. You can be calm and relaxed and still have hypertension. The only way to find out if you have hypertension is to have your blood pressure checked.
What causes hypertension?
In 90 to 95 percent of the cases, scientists are not sure of the cause. They have, however, developed treatments to control hypertension effectively.
What are the risks of developing hypertension?
Heredity, race, males and increasing age can increase risk of hypertension. High sodium (salt) intake is another factor that can put you at risk. Obesity and being overweight (Body Mass Index [BMI] of 30 or higher) can contribute, as well as an inactive lifestyle (you should do 30 minutes of moderate to vigorous physical activity per day). Diabetes, gout and kidney disease are factors for developing hypertension and consumption of medications, steroids, Ibuprofin, cold remedies, diet pills and oral contraceptives can all increase risk as well. To keep hypertension at bay, lower alcohol consumption to no more than two drinks per day.
ENDOSCOPY SERVICES
I’m having a procedure done. Will I be asleep? Will it hurt?
For most endoscopic procedures, we provide conscious sedation. In other words, you are conscious, but sedated. The main goals of performing an endoscopy include providing optimal patient safety, successfully completing the procedure, and having the patient feel comfortable. Conscious sedation is one factor in helping reach these goals and all of our physicians and nurses are trained in conscious sedation and monitoring of the patient. It is important to inform us if you are sensitive to sedatives, or if you have serious medical conditions (heart, lung, liver, vascular diseases) that might make sedation more dangerous for you. Conscious sedation procedures are generally performed with a pain medication in combination with a sedative medication to control pain while relaxing the patient throughout the procedure.
After the procedure, how soon can I eat, drive and return to work?
After an upper endoscopy or colonoscopy, you will be encouraged to drink clear liquids. If you feel fine, then you can eat a light meal and progress to a regular diet. You should not drive for 24 hours, as conscious sedation will impair your reactions, and make your driving unsafe. Because conscious sedation can also result in memory impairment, you are discouraged from working or making business decisions for 24 hours after receiving conscious sedation.
How will I breathe if there’s a “light” or endoscope in my throat?
The endoscope is nine millimeters wide and flexible. In other words, its size is much less than your throat or mouth, so you will be able to breath easily around it. Most patients tolerate the procedure very well with sedation.
I’m coming in for a colonoscopy. Can’t I just take an enema rather than drink the gallon container of preparation?
No – for a good exam of your entire colon, you will need to have your entire colon clean. Enemas only clear out the lowest portion.
What can I do to help drink the gallon of Golytely or Colyte?
Patients sometimes have less difficulty if they use a straw rather than drinking it from the glass. Also, the taste is not as sharp if the liquid is cold. Flavor packages are provided with some of the formulas. Some patients notice that sucking on sugar-free candy between drinks helps.
What’s a clear liquid?
Any liquid that you can see through. Examples include water, tea, soda, Popsicles, apple juice, clear broths, and sports drinks. Black coffee is a clear liquid, while milk is not. Please avoid alcohol.
Why can’t I take aspirin or arthritis pills prior to the procedure?
One of the main complications of an endoscopy is bleeding. Aspirin and arthritis pills inhibit your blood’s ability to clot, and increase your risk for bleeding. Aspirin can have this effect for several weeks, while arthritis medications, including ibuprofen, tend to inhibit clotting for just a few days.
Is the colonoscopy embarrassing?
Our job is successfully completing the procedure, and having the patient feel comfortable. Part of patient comfort is a lack of embarrassment. You can expect to be treated with respect, and have your privacy protected. During the procedure, you will be wearing a gown and sheet in a private exam room with a nurse, a procedure assistant and doctor in attendance. Despite patients’ common fear, patients do not experience incontinence during the procedure. Afterwards, you will have abdominal gas, and in fact, will be encouraged to pass the air before going home. However, keep in mind the air you pass will be room air, without odor.
How do you clean the scopes? Are they safe?
An endoscope must be carefully cleaned and disinfected according to guidelines established by the American Society for Gastrointestinal Endoscopy (ASGE), the Association for Professionals in Infection Control, and the Society for Gastrointestinal Nurses and Associates (SGNA). All of our endoscopes are pre-cleaned immediately after a procedure right in the room, they are then washed down, checked for any leaks, and thoroughly cleaned inside and out prior to placing them into an automatic washer that performs high levels of disinfection through all channels and ports of the scope. We take careful attention to details in the process of cleaning our endoscopes and all staff is trained and competency tested on this process annually. All of our endoscope cleanings are documented and tracked in our computer system for future references. Our endoscopes are checked for preventative maintenance, and we keep the latest up-to-date equipment on the market in our GI Lab.
What organs can you see with the endoscope during these procedures?
During a colonoscopy, flexible sigmoidoscopy (FOPS), and upper endoscopy (EGD), the endoscope can visualize only the gastrointestinal (GI or digestive) tract. An EGD visualizes through the esophagus (throat) into the stomach and the upper portion of the small intestine. A colonoscopy visualizes the rectum and the length of the large intestine, a FOPS visualizes only the rectum and lower third portion of the large intestine. We cannot visualize any other organs outside of the GI tract. The endoscope projects the image of the exam onto the TV monitor for direct visualization of the GI tract and he can also take “snapshot” pictures for record documentation of your procedure.
FIRST IMPRESSIONS, MATERNAL CHILD
Labor & Delivery
Nursery
Mother Baby
Labor & Delivery
Do I need to go to the Registration Desk when coming to the Labor & Delivery department?
No. You will go directly to the Labor and Delivery Department located on the third floor. The registration process will be completed there.
What are the visiting hours for maternity patients?
Family and friends may visit 24 hours a day, 7 days a week. However, to ensure the health and safety of our mothers and babies we ask that visitors who have experienced recent illness not visit during the hospital stay. The nursing staff will screen all children younger than 12 years of age before entering the patient’s room.
How many people may be present during the labor and delivery process?
To ensure a safe environment for our patients we ask that no more than three support persons be present at one time in the labor rooms. We encourage patients to discuss this with their physician prior to admission.
Nursery
If I choose to breastfeed will assistance be available in the hospital?
Yes, a specially trained lactation nurse will be available to assist you and your new baby, to ensure a successful breastfeeding experience.
How will I know when to feed my baby?
Your postpartum nurse will provide complete education on care of yourself as well as care of your baby, including how often and how much your baby will eat. Breastfeeding mothers should feed the baby within the first hour of life and every two to three hours thereafter, while bottle-fed babies will need to eat every three to four hours, with the first feeding being given after admission to the nursery.
Will my son be circumcised while in the hospital?
Yes, most often newborn boys are circumcised before discharge at the mother’s request. Your pediatrician will discuss this with you before the procedure is done.
Will my baby’s hearing be tested before discharge?
Yes, the State of Ohio requires hospitals to perform a hearing screen on all newborns prior to discharge. You will be notified of the screening results before going home.
Should my newborn have the Hepatitis B immunization while in the hospital?
Yes, the American Academy of Pediatrics recommends that all newborns receive the first dose of Hepatitis B immunization prior to discharge.
Mother Baby
How will I obtain the baby’s birth certificate?
While on the postpartum unit, you will be asked to provide information required for the completion of the birth certificate. The formal birth certificate will be completed by our staff and electronically submitted to the Ohio Department of Health. Approximately two weeks after the birth of your child, the birth certificate can be obtained from the Newark City Health Department, located on Price Road. You will receive a complimentary certificate from the hospital, but this is not an official document. It is simply a keepsake.
How long will I be in the hospital following delivery?
Patients who deliver vaginally and experience no complications usually are discharged two days after delivery. Those who require cesarean section delivery are typically discharged in three days providing they experience no complications.
HOME CARE SERVICES
How do I get home care?
Home care requires a doctor’s order. You can call your physician and see if you may qualify for home care services and have your physician call or fax orders for a home evaluation and treatment.
Who pays for home care services?
For patients who meet the criteria, Medicare will pay for Home Care Services. Some private insurance companies also will pay for the services depending on the type of services required.
What criteria do I have to meet to obtain home care services?
You must be homebound which means leaving the home with assistance and effort and leaving home infrequently, (for doctor’s appointments, occasional hair appointments, and church) and requiring the services of a skilled health professional, (R.N., physical therapist, occupational therapist, or speech therapist).
What kinds of services do you provide?
We provide skilled nurses, physical therapists and physical therapy assistants, occupational therapists and occupational therapy assistants, speech therapy, medical social workers and certified home health aides.
LABORATORY SERVICES
What are the hours the Laboratory is open for outpatient testing?
The Laboratory is open 24 hours.
What laboratory tests require fasting?
For any tests that measure lipids (Cholesterol, Triglycerides, HDL, LDL), patients should be fasting. Your physician may instruct you to fast for other tests as well.
When instructed to fast, how long should I fast?
It is normally recommended that fasting should be for 12-14 hours. Do not stop taking prescribed medications during the fast, unless instructed to by your physician.
Do I need a physician's order to have laboratory testing done?
Yes, a physician's order is required.
Do I report directly to the Laboratory with my physician's order for testing?
No, please report to the Outpatient Registration area when arriving at Licking Memorial Hospital for your laboratory tests. After the registration staff has obtained the necessary information, you will be directed to the adjacent Outpatient Laboratory.
May I have a copy of my laboratory results?
Yes, patients may have a copy of their results after completing an Authorization for Release of Medical Information form. We encourage patients to discuss their results with their physician.
How long does it take to perform my laboratory tests?
The physician ordering your tests will receive your laboratory results for most tests within 24 - 48 hours. Some tests, such as cultures or tests sent to reference laboratories may take longer.
INFECTION CONTROL
What is the purpose of the Infection Control Program?
The Infection Control program exists to prevent the occurrence of, or to limit, the spread of nosocomial infections in patients, health care workers, visitors and others in the health care environment.
Whom does Infection Control serve?
The Infection Control program strives to reduce risk of infection for all patients, health care workers, visitors and others who have contact with the Licking Memorial Health Systems.
What is the Infection Control Program?
The Infection Control Committee (ICC), as established in the Medical Staff Bylaws, is responsible for the Infection Control program of the Licking Memorial Health System. The goals of the program are:
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The surveillance of potential hospital infections
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The review and analysis of actual infections
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The promotion of preventive and corrective programs designed to minimize infection hazards and the supervision of infection control in all phases of the hospital activities.
One full-time employee manages the program with training in Infection Control (IC). The committee meets at least quarterly (normally bi-monthly) to analyze surveillance data, determine actions necessary to achieve goals of the IC Program, approve policies applicable to IC and to receive input from its members about IC concerns. At least annually the committee reviews the program to determine effectiveness and to define the surveillance activities for the next year.
All results of the Infection Control activities are reported at Infection Control Committee meetings and at the Medical Executive Committee. The Infection Control Manager or other members of the Infection Control Committee report results of activities to the involved departments.
What types of infections does the Infection Control Committee monitor?
The current surveillance activities briefly include:
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Device Associated infection rates that may be benchmarked against rates published by CDC;
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Device Associated Infection rates on nursing units that are benchmarked internally only;
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The rate of appropriate use of prophylactic antibiotics in surgery patients;
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The prevalence and the nosocomial transmission of antibiotic resistant organisms - especially MRSA and VRE.
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The possible transmission of C.difficile infections;
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Antibiotic Susceptibility Profiles – published annually by the Microbiology Department;
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PPD testing compliance and conversion rates among employees; and
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Body Fluid exposures and Communicable Infections among employees.
What other functions does Infection Control perform?
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Routine surveillance of patient care areas of LMH to assure compliance with Infection Control policies. Periodic surveillance of non-patient care areas.
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Communicable disease reporting to the Ohio Department of Health (through the local health department) is through the Infection Control Manager. Reports are based on results obtained from the laboratory and communication from staff.
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Routine review of microbiology reports and admitting diagnoses to recognize clusters of infection or unusual pathogens.
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Provide all Employee Health services involving infectious disease, including:
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Follow up of exposures to Tuberculosis and other infectious organisms
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Follow up of Body Fluid Exposures.
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Follow up of employee illnesses that may require work restrictions.
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Development and ongoing review/revision of policies/procedures with infection control implications – new or revised patient care procedures are reviewed as indicated.
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Evaluate new products that have infection control implications by working closely with the Purchasing Department.
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Provide ongoing education to staff about Infection Control, including:
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New Employee Orientation Infection Control
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Annual review of blood borne pathogen precautions
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Periodic reports to nursing units of surveillance results and Infection Control issues discovered during rounds.
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Periodic in-services to all departments.
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The ICC has the authority, through its chair or any physician member, to institute any appropriate control measure or study when there is considered to be a danger of infection to a patient or personnel.
What are the times that Infection Control can be reached?
The Infection Control Manager is usually available from 7:30 a.m. to 4:30 p.m., Monday though Friday. Alternate sources are always specified when the Infection Control Manager is unavailable.
The phone number for the office is (740) 348-4158.
Voice mail may be left at that number at any time.
Where is Infection Control Located?
The Infection Control Manager’s office is located in the laboratory on the first floor of Licking Memorial Hospital.
Where can I find out what Immunizations are needed for travel outside the U.S.?
The Centers for Disease Control and Prevention (CDC) maintains the most up-to-date information on their Web site:www.cdc.gov. Choose “Traveler’s Health” from the list of topics on the left hand side.
When does Licking Memorial Health Systems add “MRSA” to a patient’s demographic?
When is “MRSA” removed from a patient’s demographics?
After the patient’s MRSA infection has cleared and the patient is no longer on antibiotics, a physician may order a “Nasal Staph Screen” to see whether the patient is still a carrier of the organism. A swab of the anterior nares is sent to the Microbiology laboratory for culture. If no antibiotic resistant Staphylococcus is found, “MRSA” will be removed from the patient’s computer information.
When does Licking Memorial Health Systems add “VRE” to a patient’s demographic?
When a patient is infected with an antibiotic resistant Enterococcus (VRE), the hospital computer information for that patient is marked “VRE”. Even if we find that a patient is colonized (a “carrier” of VRE), we will mark the computer information. This allows us to take special precautions not to spread the organism when we are caring for that patient.
When is “VRE” removed from a patient’s demographics?
After the patient’s VRE infection has cleared and the patient is no longer on antibiotics, a physician may order a “VRE Screen” to see whether the patient is still a carrier of the organism. If three separate cultures of the patient’s feces (or a rectal swab) collected one week apart are negative for VRE, the computer information will be changed.
The following information was written by the Orange County Chapter of the Association for Professionals in Infection Control and Epidemiology
What is MRSA (methicillin resistant Staphylococcus aureus)?
It is a strain of the germ, Staphylococcus aureus (S. aureus), which has developed resistance to most of the antibiotics commonly used to treat staphylococcal infections.
What does "resistant" mean?
It means that the germ, in this case S. aureus, has developed the means to fight off the effects of antibiotics that are usually used to kill them.
What is used to treat MRSA?
Very few antibiotics are effective against the MRSA germ. The most commonly used one is vancomycin. The more it is used, the more chance there is that the MRSA germ will build up resistance to it, just like the MRSA germ has built up resistance to methicillin, oxacillin and nafcillin, the antibiotics that are most effective against non-resistant Staphylococcus aureus.
What is the difference between infection and colonization?
Infection means that there is visible activity of the body reacting to a germ: Fever, redness/swelling and/or pus at the site of the infection. Colonization means that the germ has taken up residence in or on the body; it has become part of the person's normal germ make-up, and is not currently causing infection. Persons who are colonized with MRSA have the potential to transmit the germ to other people, even though they themselves are not ill from it.
How is MRSA transimitted?
MRSA is passed from person to person by contact with someone who has MRSA. A person who is infected or colonized with MRSA may have it in their nose as well as on their hands, and whenever they touch others, they can pass the germ along.
What are the dangers of MRSA?
If MRSA infects someone who is already ill, it can compound the illness, especially if the person is hospitalized. It will take vancomycin, as well as more time in the hospital, to recover. Sometimes, if the person is very ill, it may prolong the hospital stay indefinitely, or may even lead to death.
How is transmission of MRSA prevented?
In the hospital setting, a person infected or colonized with MRSA is placed on "Contact Precautions.” This practice alerts everyone entering the room to use specific barrier protection (such as masks, gloves or gowns) as needed to help prevent spreading the germ from patient to patient, and to them as well. Special attention is paid to hand washing, as this is the most important practice to prevent the spread of this germ.
How is transmission prevented once I go home?
Anyone taking care of you at home (a home health nurse, your family member, etc.) should wear gloves when touching infected areas such as wounds. When the gloves are removed, hands need to be washed.
If you are only colonized, you can help prevent the spread by washing your hands frequently. Remember, you are probably carrying the organism in your nose.
Avoiding development of resistant organisms:
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Do not demand antibiotics from your doctor. They will not help some infections.
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When taking antibiotics, do not discontinue the medicine as soon as you feel better – take them as prescribed and contact your doctor if you feel worse or think the medicine is causing side effects.
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Throw out any unused antibiotics.
In the community, the most important practice to prevent the spread of any organism, including MRSA, is good hand washing.
The following information was written by the Orange County Chapter of the Association for Professionals in Infection Control and Epidemiology.
What is VRE?
VRE stands for vancomycin-resistant enterococcus. Vancomycin is an antibiotic used to treat certain infections, including those caused by most strains of Enterococcus. Enterococcus is an organism found normally in the intestinal tract and, in females, in the vaginal tract. When vancomycin is unable to kill this organism it is called VRE.
Who gets VRE?
People who have been ill, have taken many antibiotics or have weakened immune systems due to illness or age are at higher risk for VRE.
Where may VRE be found?
It is found most often in the stool, but it can be found in the blood, urine, and wounds, or wherever it can be carried by blood.
Colonization vs. infection
Many organisms live on and in the body without causing disease/infection. This is colonization. These same organisms, under the right conditions, can cause disease. This is infection. Colonization does not necessarily require treatment.
VRE can colonize the urinary tract, the intestinal tract, the respiratory tract, and the skin. It can cause infection in the urinary tract, in the respiratory tract, in surgical sites, and in the blood.
How can VRE be spread?
It can be spread to other people by contact between persons. To prevent this from happening, strict isolation is used when VRE colonization or infection is identified. Everyone who comes into the hospital room of a patient with VRE will wear gown and gloves.
VRE is a very hardy organism. It can survive on hard surfaces for seven to10 days and on hands for hours. It is easy to kill with good hand washing and the proper use of disinfectants. It does not travel through the air, so facial masks are not needed.
What do I need to do at home?
If you are infected or colonized at the time of discharge, here are methods for preventing the spread of the organism to your family. You need to do these things until you are told you no longer have VRE.
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Use an antibacterial soap, available in supermarkets or drugstores, throughout the house.
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Everyone should wash their hands after contact with you or items you touch.
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Handling your stool or urine or cleaning the toilet should be done wearing gloves. Hands should be washed after taking the gloves off.
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Handling any of your wounds, dressings or excretions will also require the use of gloves and hand washing.
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Wash your hands before you make any food and before you eat. Everyone should follow this practice.
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Do not share eating utensils, drinking cups, straws, soda cans, etc.
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Wash dishes and eating utensils in hot soapy water or a dishwasher.
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For housekeeping you can use a dilute solution of household bleach and water - 1 part bleach to 10 parts water made up fresh each day. Remember that bleach may discolor fabrics, etc.
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A household disinfectant you can purchase in the supermarket or the drugstore will work just as well.
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VRE and other organisms can be killed on surfaces if you wipe on the solution and let it air dry.
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If possible, you should not share a bathroom with anyone else. If a bathroom will be shared, clean the toilet and sink at least daily with the above solution. Be especially careful to clean after you have a bowel movement.
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Use hot soapy water for laundry.
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No special handling of trash is required.
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Obtain rectal swabs/other cultures as requested by your physician.
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Always tell your physician, paramedics, nurses, or other care providers that you have VRE. This helps prevent transmission to other patients.
Hand washing
Special attention is paid to hand washing, as this is the most important practice to prevent the spread of this germ.
Good hand washing includes these steps:
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Use warm running water
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Apply antibacterial soap
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Lather and rub hands together, paying attention to fingertips, cuticles, around rings and under nails
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Spend at least 10 seconds lathering and washing hands
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Rinse thoroughly
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Pat dry
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Use a paper towel to turn off faucet
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Apply lotion several times throughout the day to help prevent dry, cracked skin (which can be an opening for infection)
In the community and in the hospital, the most important practice to prevent the spread of any organism is good hand washing.
The following information was written by the Orange County Chapter of the Association for Professionals in Infection Control and Epidemiology.
What is Clostridium difficile (C. difficile)?
C. difficile are bacteria that live in the intestinal tract of 5 percent of healthy adults and 50 percent of healthy infants. Taking antibiotics kills the many other bacteria types living in the healthy intestine, but C. difficile often survives, reproduces in huge numbers, and begins secreting a toxin (poison) that attacks the lining of the intestine. C. difficile infection is often called antibiotic-associated diarrhea.
What are the symptoms?
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Abdominal pain, tenderness, and cramping
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Diarrhea, sometimes severe, with blood, mucous, or pus
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Fever
How is C. difficile infection spread?
C. difficile is very infectious. It can be spread by people who have the illness or can be present on environmental surfaces. Usually infection occurs:
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When your hands pick up the organism from the environment
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When the organism enters the mouth from the hands during oral contact, such as eating or drinking
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If antibiotics are given, then the C. difficile has the opportunity to “take over,”causing symptoms
Who is at risk?
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Anyone taking antibiotics. Taking multiple kinds increases the risk
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Hospitalized patients, especially older patients
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Rarely, someone who is not on antibiotics
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Persons with other inflammatory bowel diseases
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Persons who have had surgery on the gastrointestinal system
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Persons on chemotherapy for cancer
How is C. difficile diagnosed?
What is the treatment for C. difficile?
Antibiotics should be stopped
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If diarrhea continues, a medicine called metronidazole (Flagyl) is usually effective when taken orally for 10 full days
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If diarrhea persists despite metronidazole, oral treatment with a medicine called vancomycin is recommended for 10 full days
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As many as 20 percent of patients experience a relapse, but most respond to a second course of medicine
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Anti-diarrhea medicines should not be used. The toxin must be excreted to prevent more severe damage to the intestine
How can I keep from getting C. difficile?
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Use antibiotics only when necessary
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Wash hands well, and frequently, with soap and water when in the hospital
How long does the disease last?
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If antibiotics are stopped, 23 percent of cases resolve within two to three days
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If treatment is necessary, diarrhea usually resolves within two to four days of starting the medicine
If I have C. difficile how can I keep from spreading it?
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Maintain excellent hygiene when using the toilet
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Wash hands well and frequently, especially after going to the bathroom
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If possible, use separate restroom
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Lactobacillus (in yogurt and acidophilus milk) may help reduce diarrhea (unproven)
What type of follow-up care do I need?
Once the symptoms have stopped and the full course of medication has been finished, there is no need for follow-up
RADIOLOGY SERVICES
Will a board-certified radiologist interpret my examination?
Yes, the American College of Radiology (ACR) recommends a properly qualified physician to interpret all imaging examinations. A radiologist, who is certified by the American Board of Radiology, will clearly meet this recommendation. In its practice guidelines, the ACR defines alternative pathways for physician qualification.
Is the imaging facility formally accredited to perform my examination?
The ACR has a comprehensive program of facility accreditation for radiation oncology, MRI, CT, Nuclear Medicine and PET, Ultrasound, General Radiology, Breast Ultrasound and Stereotactic Breast Biopsy. Equipment and personnel must meet specific qualifications, and a high level of image quality is required for this accreditation. Other accrediting bodies exist and may also be acceptable, provide their criteria are at least as rigorous as those of the ACR.
Does a qualified medical physicist check the imaging equipment yearly?
Yes, Radiation exposure and equipment performance are two important aspects of patient safety in imaging examinations. Only through a thorough annual equipment examination by a qualified medical physicist can proper safety be ensured.
If I’m getting an injection, does the facility have a formal emergency response plan?
Yes, intravenous injections, which are used to enhance the detail of some imaging examinations, carry a very small risk of serious reaction.
How soon can my examination be done?
The timing of your imaging examination should depend primarily on the urgency of your medical condition. Hospital-based imaging facilities provide imaging for most emergencies 24 hours-a-day, seven days-a-week. For less urgent conditions, a high-quality imaging facility should be able to perform your examination within a reasonable period of time. Unfortunately, due to the high demand for screening mammography, the wait time for these examinations can be up to six months.
Will there be someone there to explain the examination to me?
Yes, staff is available to give you a brief explanation of your examination and to be able to answer any questions you may have.
How soon will my doctor know the results of my examination?
Depending on the urgency of your examination, your doctor should receive the results either immediately or within a few days.
How do you prepare?
Different types of X-rays require different preparations. Ask your doctor or nurse to provide you with specific instructions.
In general, you undress the area of your body that needs examination. You may wear a gown to cover yourself during the exam, depending on what area is being X-rayed. You may also be asked to remove jewelry, eyeglasses and any metal objects that could- like clothing- obscure the X-ray image since these objects can show up on X-ray.
You may wear a lead apron, to shield your sex organs from exposure to X-rays. At very high doses, radiation can damage a woman’s eggs or a man’s sperm. Since you’re exposed to a small amount of radiation during most X-rays, the lead apron is used simply as a precaution.
At high doses, radiation also can be harmful to a fetus. Always inform the X-ray technologist if there’s any possibility that you’re pregnant. Your doctor may suggest you either forgo the X-ray exam, or if one is necessary at the time, take precautions to minimize radiation exposure to the fetus.
Before some types of X-rays, such as a barium enema, you will be given a liquid called a contrast medium, or dye. A contrast medium – barium and iodine are examples – helps to outline a specific area of your body on X-ray film. You may swallow the contrast medium, insert it as an enema or receive it as an injection into a vein. The contrast medium appears opaque on X-ray film, providing a clear outline of structures such as your digestive tract or blood vessels.
If you are to receive a contrast medium before an X-ray, tell your doctor if you have a history of allergy to X-ray dye.
It is important to notify the R.N. or radiographer if you take an oral diabetic medication called Glucophage, if you have any history of kidney disease or if you take an anticoagulant or “blood thinner.”
What can you expect during the test?
X-rays are performed at most doctors’ offices, dentists' offices, emergency rooms and hospitals – wherever an X-ray machine is available. If you need an X-ray, you are brought to a room with a movable machine that produces the X-ray – and table or wall-mounted equipment typically containing a cassette with X-ray film.
You may lie on a table, sit or stand between the X-ray machine and the X-ray film. The technologist or radiologist – a doctor who specializes in interpreting X-rays and other imaging tests – helps position your body to obtain the necessary views. He or she may use pillows or sandbags to help you hold the proper position. The technologist then aims the machine at the area of your body that needs examination. For dental X-rays, the dentist or dental hygienist places a small piece of film in your mouth, behind the section of teeth being X-rayed. You’re asked to bite down on the paper tab around the film, which holds the film in place.
Once you are in the proper position, the technologist enters a control booth. During the X-ray exposure, you remain still and hold your breath to avoid moving, which can cause blurring on the film.
The technologist may take X-rays from multiple angles, for example one of the front of your body and one from the side.
If your young child is having an X-ray, restraints may be used to help keep him or her still. You may be allowed to remain with your child during the test. If you remain in the room during the X-ray exposure, you are typically given a lead apron to wear to shield you from unnecessary exposure.
An X-ray procedure may last from several minutes for a bone X-ray, to about an hour for more involved procedures such as those using a contrast medium.
For most X-rays, you feel no discomfort other than the hardness of the X-ray table or the temperature of the room, which may be kept cool to keep the equipment from overheating. It may be necessary to compress momentarily the body part being examined. This compression may be uncomfortable, but the discomfort lasts only briefly during the X-ray exposure. If you are having a test that requires a contrast medium, ask your doctor what to expect.
After an X-ray, you generally dress and return to your normal activities. Routine X-rays usually have no side effects. However, if you receive an injection of a contrast medium before your X-rays, call your doctor if you experience pain, swelling or redness at the injection site. Ask your doctor about other signs and symptoms to watch for pertaining to your specific X-ray procedure.
Results
X-ray films are usually developed or are viewed on-screen within minutes. A radiologist typically views and interprets the results and sends the findings to your doctor, who then explains the results to you. In an emergency, your X-ray results can be made available to your doctor in minutes.
Risks
You may worry that X-rays are not safe because it is known that high levels of radiation exposure can cause cell mutations that may lead to cancer. But the amount of radiation that you are exposed to during an X-ray is so small that the risk of any damage to cells in your body is extremely low.
So, for most X-ray examinations, the benefits of any medically indicated examination are thought to greatly outweigh the small risk. In addition, great care is taken to use the lowest radiation dose possible to produce the best image for the radiologist to evaluate. No radiation remains after an X-ray examination.
However, if you are pregnant, or suspect that you may be pregnant, inform your doctor before having an X-ray. Though the risk of most diagnostic X-rays to an unborn baby is small, your doctor may consider whether it is better to wait or to use another imaging test such as ultrasound.
Kyphoplasty for Vertebral Compression Fracture
What is a Vertebral Compression Fracture?
Vertebral Compression Fracture (VCF) occurs when the thick block of bone at the front of the vertebra in the spine collapses, which may cause the spine to shorten and fall forward. This may result in thoracic and lumbar spinal deformity and is often seen in elderly people. This spinal deformity, commonly known as a Dowager’s Hump, is also referred to as “kyphosis”.
What causes a VCF?
These types of fractures are most often caused by osteoporosis (“porous bone”), a disease that causes bones to become fragile and easily broken. Additionally, VCFs can be caused by cancer or a traumatic incident, such as a fall or car accident.
How many people are affected by VCFs?
Osteoporosis causes more than 700,000 VCFs each year.
What can KyphX Balloons do for me?
Kyphon products, known as KyphX Balloons, or “Balloons for Bones,” are used on patients who have suffered fractures of the spine, such as Vertebral Compression Fractures. Not all spinal fractures patients can be helped by procedures using KyphX Balloons. Only your health care professional can determine whether you might benefit from the use of these tools.
VOLUNTEERS
What are the benefits to volunteering at Licking Memorial Hospital?
- Meet new people and make friends
- Meal ticket per four hours worked
- Annual Award Luncheon
- National Volunteer Week Celebration
- Service pins, starting at 50 hours
- Volunteer Picnic
- Free Flu Vaccine
Benefits for Volunteens:
- Annual Appreciation Picnic
What areas would I be able to work in as a volunteer?
- Reception Desk
- Registration
- Mail Cart
- Messenger/Volunteer Office/Clerical Support
- Oncology
- Purchasing
How do I volunteer?
- Complete and return a volunteer application.
- When two of the three required references respond, the Volunteer Department will contact you and arrange a time for you to attend an orientation.
- A representative from the Volunteer Department and you will discuss your interests, skills and abilities. Then you will be placed on a permanent assignment in a specific area of the hospital.
Whom do I contact?
- For an application or for more information, please contact the Volunteer Department, (740) 348-4079. You may also download an application and mail the application to:
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Volunteer Services
Licking Memorial Hospital
1320 West Main Street
Newark, Ohio 43055 |
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Behavioral Health Services
Billing Information
Clinics & Outpatient Services
Community Case Management
Endoscopy Services
First Impressions, Maternal Child
Home Care Services
Infection Control
Laboratory Services
Online Bill Pay
Radiology Services
Volunteers
BEHAVIORAL HEALTH
Behavioral Health is a broad term for behavioral health disorders such as, but not limited to, eating disorders, gambling addiction, alcohol and drug addiction (chemical dependency), sexual addiction, psychiatric (mental health), etc.
Does the Behavioral Health department provide services for all disorders?
Shepherd Hill, a department of Licking Memorial Hospital, specializes in treating two diseases: Psychiatric Disorders and Chemical Dependency.
PSYCHIATRIC SERVICES
What psychiatric services does Shepherd Hill provide and is there an age limit?
Both inpatient and outpatient services are provided. Adults, 18 years and older, may be admitted to the inpatient unit. Outpatient services are provided to adults.
How do I get admitted to the psychiatric inpatient unit?
Prior to admission potential patients are required to have a mental health assessment. Anyone in crisis may call the Community Crisis and Information Center at (740) 345-4357 for assistance at any time. The Mental Health Emergency Service is available for 24 hours, 7 days a week to provide assessments for the community by calling (740) 522-2828. Shepherd Hill provides physicians on call to assist the Mental Health Emergency Service with admissions. Also, a nurse is available at Shepherd Hill to provide assessments for patients in crisis by calling (740) 348-4888.
If you are interested in more information about the Psychiatric Inpatient Unit or Detoxification, please call (740) 348-4888 or click here .
What outpatient services do you provide for mental health?
The LMHP Outpatient Psychiatric Service offers medication management and therapy to adults.
If you are interested in more information about the Outpatient Psychiatric Services, please call (740) 348-4870 or click here .
CHEMICAL DEPENDENCY
What services does Behavioral Health provide for addiction to alcohol and/or drugs and what is the age limit?
Shepherd Hill provides inpatient detoxification and outpatient treatment including residential services. Shepherd Hill offers treatment to adults beginning at the age of 18.
Does treatment for alcohol & drug addiction really work?
Chemical dependence, or addiction, is a treatable disorder. Through treatment that is tailored to individual needs, patients can learn to control their condition and live normal, productive lives. Like people with diabetes or heart disease, people in treatment for alcohol and drug addiction learn behavioral changes and often take medications as part of their treatment regimen.
For more information about Chemical Dependency treatment please call the admissions nurse at (740) 348-4877 or visit our Web site at www.ShepherdHill.net.
BILLING INFORMATION
Licking Memorial Hospital
Licking Memorial Health Professionals Central Billing
Online Bill Pay
LICKING MEMORIAL HOSPITAL PATIENT ACCOUNTING DEPARTMENT
How do I get a copy of an itemized bill?
You may call the Patient Accounting Department at (740) 348-4500. An itemized bill will be sent within five days.
Will Licking Memorial Hospital accept my insurance?
Licking Memorial Hospital accepts Medicare, Medicaid, and other major insurance carriers. Please contact your insurance company or employer for the specific requirements of your plan.
Will Licking Memorial Hospital bill my insurance company(ies)?
Yes. As a courtesy to you, Licking Memorial Hospital will send a claim to your insurance company(ies). If we do not receive payment from your insurance company(ies) within 60 days, we must look to you for payment of the bill. Your insurance policy is a contract between you and your insurance company. Communication with your insurance company is highly recommended.
Does Licking Memorial Hospital accept credit cards?
Yes. Visa, MasterCard, and Discover are accepted forms of payment. You may also pay by cash, check, or money order.
How can I check on the status of my account?
If it has been at least 30 days since your date of service, contact your insurance carrier for claim status. After speaking with your insurance company, contact the Patient Accounting Department at (740) 348-4500 if you have additional questions regarding the claim.
What should I do if my insurance company denies a claim?
If you feel the claim was denied in error, contact your insurance carrier for instructions on how to appeal their decision. The Patient Accounting Department should also receive an explanation of benefits (EOB) from your insurance company stating the claim was denied. This information will be reflected on your account and you will receive a statement requesting payment in full.
How will I know if my hospital bill has been paid?
Your insurance company should send you an explanation of benefits (EOB) indicating they have processed the claim. The EOB will show any payments made to the hospital and the amount that is your responsibility. You will receive a statement from the hospital once all insurances have been processed. This statement will reflect all insurance payments, adjustments, and the balance remaining. Any remaining balance is your responsibility.
What if I cannot pay my bill?
To set up payment arrangements on your hospital bill, contact the Patient Accounting Department immediately upon receipt of your statement. Call (740) 348-4500 to speak with a patient account representative regarding Licking Memorial Hospital payment guidelines.
How to contact us:
Hospital Bills
For questions regarding your Licking Memorial Hospital bill, please contact us at the number below. Payments and correspondence may also be sent to this address.
Licking Memorial Hospital
Patient Accounting Department
1320 West Main Street
Newark, Ohio 43055-3699
(740) 348-4500
In addition to your hospital bill from Licking Memorial Hospital, you will receive separate bills from the physicians and other professionals who were involved in your care. Please contact them directly if you have any questions regarding their bills for service. A contact list has been provided for your convenience.
Emergency Room Physicians' Bills:
Licking Memorial Emergency Medicine
P.O. Box 4486
Newark, Ohio 43055
(740) 348-4499
Pathology Physicians' Bills:
Licking Memorial Pathology Group
P.O. Box 4056
Newark, Ohio 43058
Billed by APS Medical Billing : (800) 288-8324
Anesthesiology Physicians' Bills:
Licking Memorial Anesthesiology
P.O. Box 0806
Newark, Ohio 43058
Billed by Compudata
(800) 321 - 8145
Radiology Physicians' Bills:
Tri County Radiologists, Inc.
P.O. Box 948
Newark, Ohio 43058-0948
(740) 522-3774
Cardiology Physicians' Bills:
Dr. Bryce Morrice
Dr. Debra Heldman
P.O. Box 550
Lancaster, Ohio 43130
(800) 839-8080
Licking Memorial Health Professionals:
For questions regarding your LMHS physician bills please contact:
Licking Memorial Health Professionals
Central Billing
1915 Tamarack Road
Newark, Ohio 43055
(740) 348-4499
For Assistance in Paying Hospital Bills:
HOSPITAL CARE ASSURANCE PROGRAM
Licking Memorial Hospital provides basic, medically necessary, hospital-level services free of charge to Ohio residents with incomes at or below the federal poverty guidelines who have no third-party coverage. To be eligible for the Hospital Care Assurance Program you must:
COMMUNITY SERVICE ASSISTANCE
In accordance with our mission, LMH also discounts bills to patients who earn no more than two times the federal poverty guidelines. To be eligible for this program you must:
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Be ineligible to receive public assistance.
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Be a Licking County resident.
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The family size and household income must be no more than two times the federal poverty guidelines.
For both programs, “family” is defined as the patient, the patient’s spouse, and all of the patient’s children under the age of 18 (natural or adoptive) who live in the patient’s home. A family’s gross income for the three months or twelve months prior to the date(s) of service will be used to determine eligibility.
An uncompensated care application must be completed by the patient or the responsible party. Applications may be obtained at the Cashier window located directly across from the patient elevators on the first floor of the hospital or by calling (740) 348-4500 to request one.
If you are eligible to have your bill discounted, you will be billed for the remaining balance. Please contact us immediately at (740) 348-4500 to discuss payment options.
Thank you for visiting our website. If we have not answered all of your questions, please contact us at:
Licking Memorial Hospital
Patient Accounting Department
1320 West Main Street
Newark, Ohio 43055-3699
(740) 348-4500
LICKING MEMORIAL HEALTH PROFESSIONALS CENTRAL BILLING
The LMHP Central Billing Office handles the physician billing for the Licking Memorial Health Professionals. The Central Billing Office is open Monday-Friday from 7:30 a.m. to 5:00 p.m.
Billing Inquiries:
At the Licking Memorial Health Professionals, our goal is to provide you with quality healthcare as well as dependable billing services. After reviewing this section, if you still have questions regarding your physician bills, please contact the Central Billing Office at (740) 348-4499 between the hours of 7:30 a.m. and 5:00 p.m., Monday through Friday.
About your physician bill:
Your physician bill includes charges for services provided by the physicians only. These services include physician visits, laboratory, injections, and testing provided by either the physician or the physician practice staff. The physician bill does not include the facility charges for the hospital or other healthcare providers that may be responsible for a portion of treatment.
Frequently asked questions:
How do I get a copy of an itemized bill?
You may call the LMHP Central Billing Office at (740) 348-4499. An itemized bill will be sent within five days.
Will the Licking Memorial Health Professionals accept my insurance?
The Licking Memorial Health Professionals accepts Medicare, Medicaid and other major insurance carriers. Please contact your insurance company or employer for the specific requirements of your plan.
Will the Licking Memorial Health Professionals bill my insurance company(ies)?
Yes. As a courtesy to you, the Licking Memorial Health Professionals will send a claim to your insurance company(ies). If we do not receive payment from your insurance company(ies) within 60 days, we must look to you for payment of the bill. Your insurance policy is a contract between you and your insurance company. Communication with your insurance company is highly recommended.
Does the Licking Memorial Health Professionals accept credit cards?
Yes. Visa, MasterCard, and Discover are accepted forms of payment. You may also pay by cash, check, or money order.
How can I check on the status of my account?
If it has been at least 30 days since your date of service, contact your insurance carrier for claim status. After speaking with your insurance company, contact the LMHP Central Billing Office at (740) 348-4499 if you have additional questions regarding the claim.
What should I do if my insurance company denies a claim?
If you feel the claim was denied in error, contact your insurance carrier for instructions on how to appeal their decision. The LMHP Central Billing Office should also receive an explanation of benefits (EOB) from your insurance company stating the claim was denied. This information will be reflected on your account and you will receive a statement requesting payment in full.
How will I know if my physician bill has been paid?
Your insurance company should send you an explanation of benefits (EOB) indicating they have processed the claim. The EOB will show any payments made to the physician and the amount that is your responsibility. You will receive a statement from the physician once all insurances have been processed. This statement will reflect all insurance payments, adjustments, and the balance remaining. Any remaining balance is your responsibility.
What if I cannot pay my bill?
To set up payment arrangements on your physician bill, contact the LMHP Central Billing Office immediately upon receipt of your statement. Call (740) 348-4499 to speak with a patient account representative regarding LMHP payment guidelines.
How to contact us:
For questions regarding your Licking Memorial Health Professionals bill, please contact us at the number below. Payments and correspondence may also be sent to this address.
Licking Memorial Health Professionals
Central Billing Office
1915 Tamarack Road
P.O. Box 4486
Newark, Ohio 43055-4486
(740) 348-4499
In addition to your physician bill from the Licking Memorial Health Professionals, you will receive separate bills from the hospital and other professionals who were involved in your care. Please contact them directly if you have any questions regarding their bills for service. A contact list has been provided for your convenience.
Pathology Physicians' Bills:
Licking Memorial Pathology Group
P.O. Box 4056
Newark, Ohio 43055
Billed by APS Medical Billing: (800) 288-8324
Anesthesiology Physicians' Bills:
Licking Memorial Anesthesiology
P.O. Box 0806
Newark, Ohio 43055
Billed by Compudata
(800) 321 - 8145
Radiology Physicians' Bills:
Tri County Radiologists, Inc.
P.O. Box 948
Newark, Ohio 43058-0948
(740) 522-3774
Cardiology Physicians' Bills:
Dr. Bryce Morrice
Dr. Debra Heldman
P.O. Box 550
Lancaster, Ohio 43130
(800) 839-8080
Licking Memorial Hospital:
Licking Memorial Hospital
Patient Accounting Department
1320 West Main Street
Newark, Ohio 43055
(740) 348-4500
For Assistance in Paying LMHP Physician Bills:
Uncompensated Care
In accordance with our mission, LMHP also discounts bills to patients who earn no more than two times the federal poverty guidelines. To be eligible for this program you must:
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Be ineligible to receive public assistance.
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Be a Licking County resident.
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The family size and household income must be no more than two times the federal poverty guidelines.
For both programs, “family” is defined as the patient, the patient’s spouse, and all of the patient’s children under the age of 18 (natural or adoptive) who live in the patient’s home. A family’s gross income for the three months or twelve months prior to the date(s) of service will be used to determine eligibility.
An uncompensated care application must be completed by the patient or the responsible party. Applications may be obtained at the Physician Practice, at the Central Billing Office located at 1915 Tamarack Road Newark, or by calling (740) 348-4499 to request one.
If you are eligible to have your bill discounted, you will be billed for the remaining balance. Please contact us immediately at (740) 348-4499 to discuss payment options.
Thank you for visiting our Web site. If we have not answered all of your questions, please contact us at:
Licking Memorial Health Professionals
Central Billing Office
1915 Tamarack Road
PO Box 4486
Newark, Ohio 43055-4486
(740) 348-4499
ONLINE BILL PAY
Can I pay for my hospital bills or doctor visits online?
Yes. When a bill is sent to you, simply log on to the Licking Memorial Web site and click on the Bill Pay tab on the top right hand corner of the screen.
It says the page is directed to www.paypal.com to pay my bill. Do I have to have a PayPal account to pay my bill online?
No. It is not necessary to have a PayPal account to pay your medical bill online. Simply enter your credit card information on the left hand side of the secure bill payment screen.
Is it possible for anyone to gain access to my personal and financial information once I pay my bill?
No. By using the PayPal service, Licking Memorial Health Systems can ensure users a safe and secure environment to pay medical bills.
CLINICS & OUTPATIENT SERVICES
Wound Care
What can I expect at my first appointment?
- You will be sent a welcome letter and an informational form to complete if time permits.Otherwise, the nurse will assist you with simple forms when you arrive at your scheduled appointment time.
- Bring a list of your medications.
- You are welcome to bring someone with you on your visit.
- Please arrive 15-30 minutes before your appointment time, as you may need to complete additional paperwork.
- We will obtain a history and perform an assessment of your health status.
- Your wound(s) will be measured and photographed so that a record of the healing process can begin.
- The physician will examine your wound(s) and will provide treatment at the time of your visit. The physician will work with each patient individually to establish a healing plan for you to follow.
- You may be given prescriptions.
- You will be given thorough home instructions and a follow-up appointment may be made.
COMMUNITY CASE MANAGEMENT
What is a Community Case Manager?
A group of medical professionals helping the community to understand chronic illness and how to manage it. They can have multiple roles, including acting as your consultant, advocate and motivator.
How are Community Case Management services obtained
Physicians, hospital, registered nurses, community agencies and family can make a referral.
Do I need an order from my doctor?
Your primary physician must agree to and order Community Case Management services. You will also need to sign a consent on the initial Community Case Management visit.
Will my doctor be involved after the referral?
Your physician will be kept advised of your progress toward the goals you will develop and achieve..
COMMUNITY CASE MANAGEMENT BLOOD PRESSURE CLINIC
When are the Blood Pressure Clinics Held?
On the first Friday of every month from 1 to 3 p.m. A doctor’s order is not needed.
Where are the Clinics Held?
At Glenn’s Market on Fallsburg Road at Wilken’s Corner in Licking County, Ohio.
Who will provide this service?
Registered Nurses.
OTHER CASE MANAGEMENT BLOOD PRESSURE INFORMATION
What is High Blood Pressure?
Pressure of the blood against the walls of the arteries. High blood pressure results from two forces; one is created by the heart as it pumps blood into the arteries and through the circulatory system. The other force is the force of the arteries as they resist the blood flow.
What do blood pressure numbers mean?
The higher number represents the pressure while the heart contracts to pump the blood to the body. The lower number represents the pressure when the heart relaxes between beats. Blood pressure below 120/80 is considered best for adults. A reading of 140/90 is considered high.
How can I tell if I have high blood pressure (hypertension)?
Many people have hypertension without knowing it since there are not usually any symptoms. It is known as a “Silent Killer”. Hypertension does not refer to being tense, nervous or hyperactive. You can be calm and relaxed and still have hypertension. The only way to find out if you have hypertension is to have your blood pressure checked.
What causes hypertension?
In 90 to 95 percent of the cases, scientists are not sure of the cause. They have, however, developed treatments to control hypertension effectively.
What are the risks of developing hypertension?
Heredity, race, males and increasing age can increase risk of hypertension. High sodium (salt) intake is another factor that can put you at risk. Obesity and being overweight (Body Mass Index [BMI] of 30 or higher) can contribute, as well as an inactive lifestyle (you should do 30 minutes of moderate to vigorous physical activity per day). Diabetes, gout and kidney disease are factors for developing hypertension and consumption of medications, steroids, Ibuprofin, cold remedies, diet pills and oral contraceptives can all increase risk as well. To keep hypertension at bay, lower alcohol consumption to no more than two drinks per day.
ENDOSCOPY SERVICES
I’m having a procedure done. Will I be asleep? Will it hurt?
For most endoscopic procedures, we provide conscious sedation. In other words, you are conscious, but sedated. The main goals of performing an endoscopy include providing optimal patient safety, successfully completing the procedure, and having the patient feel comfortable. Conscious sedation is one factor in helping reach these goals and all of our physicians and nurses are trained in conscious sedation and monitoring of the patient. It is important to inform us if you are sensitive to sedatives, or if you have serious medical conditions (heart, lung, liver, vascular diseases) that might make sedation more dangerous for you. Conscious sedation procedures are generally performed with a pain medication in combination with a sedative medication to control pain while relaxing the patient throughout the procedure.
After the procedure, how soon can I eat, drive and return to work?
After an upper endoscopy or colonoscopy, you will be encouraged to drink clear liquids. If you feel fine, then you can eat a light meal and progress to a regular diet. You should not drive for 24 hours, as conscious sedation will impair your reactions, and make your driving unsafe. Because conscious sedation can also result in memory impairment, you are discouraged from working or making business decisions for 24 hours after receiving conscious sedation.
How will I breathe if there’s a “light” or endoscope in my throat?
The endoscope is nine millimeters wide and flexible. In other words, its size is much less than your throat or mouth, so you will be able to breath easily around it. Most patients tolerate the procedure very well with sedation.
I’m coming in for a colonoscopy. Can’t I just take an enema rather than drink the gallon container of preparation?
No – for a good exam of your entire colon, you will need to have your entire colon clean. Enemas only clear out the lowest portion.
What can I do to help drink the gallon of Golytely or Colyte?
Patients sometimes have less difficulty if they use a straw rather than drinking it from the glass. Also, the taste is not as sharp if the liquid is cold. Flavor packages are provided with some of the formulas. Some patients notice that sucking on sugar-free candy between drinks helps.
What’s a clear liquid?
Any liquid that you can see through. Examples include water, tea, soda, Popsicles, apple juice, clear broths, and sports drinks. Black coffee is a clear liquid, while milk is not. Please avoid alcohol.
Why can’t I take aspirin or arthritis pills prior to the procedure?
One of the main complications of an endoscopy is bleeding. Aspirin and arthritis pills inhibit your blood’s ability to clot, and increase your risk for bleeding. Aspirin can have this effect for several weeks, while arthritis medications, including ibuprofen, tend to inhibit clotting for just a few days.
Is the colonoscopy embarrassing?
Our job is successfully completing the procedure, and having the patient feel comfortable. Part of patient comfort is a lack of embarrassment. You can expect to be treated with respect, and have your privacy protected. During the procedure, you will be wearing a gown and sheet in a private exam room with a nurse, a procedure assistant and doctor in attendance. Despite patients’ common fear, patients do not experience incontinence during the procedure. Afterwards, you will have abdominal gas, and in fact, will be encouraged to pass the air before going home. However, keep in mind the air you pass will be room air, without odor.
How do you clean the scopes? Are they safe?
An endoscope must be carefully cleaned and disinfected according to guidelines established by the American Society for Gastrointestinal Endoscopy (ASGE), the Association for Professionals in Infection Control, and the Society for Gastrointestinal Nurses and Associates (SGNA). All of our endoscopes are pre-cleaned immediately after a procedure right in the room, they are then washed down, checked for any leaks, and thoroughly cleaned inside and out prior to placing them into an automatic washer that performs high levels of disinfection through all channels and ports of the scope. We take careful attention to details in the process of cleaning our endoscopes and all staff is trained and competency tested on this process annually. All of our endoscope cleanings are documented and tracked in our computer system for future references. Our endoscopes are checked for preventative maintenance, and we keep the latest up-to-date equipment on the market in our GI Lab.
What organs can you see with the endoscope during these procedures?
During a colonoscopy, flexible sigmoidoscopy (FOPS), and upper endoscopy (EGD), the endoscope can visualize only the gastrointestinal (GI or digestive) tract. An EGD visualizes through the esophagus (throat) into the stomach and the upper portion of the small intestine. A colonoscopy visualizes the rectum and the length of the large intestine, a FOPS visualizes only the rectum and lower third portion of the large intestine. We cannot visualize any other organs outside of the GI tract. The endoscope projects the image of the exam onto the TV monitor for direct visualization of the GI tract and he can also take “snapshot” pictures for record documentation of your procedure.
FIRST IMPRESSIONS, MATERNAL CHILD
Labor & Delivery
Nursery
Mother Baby
Labor & Delivery
Do I need to go to the Registration Desk when coming to the Labor & Delivery department?
No. You will go directly to the Labor and Delivery Department located on the third floor. The registration process will be completed there.
What are the visiting hours for maternity patients?
Family and friends may visit 24 hours a day, 7 days a week. However, to ensure the health and safety of our mothers and babies we ask that visitors who have experienced recent illness not visit during the hospital stay. The nursing staff will screen all children younger than 12 years of age before entering the patient’s room.
How many people may be present during the labor and delivery process?
To ensure a safe environment for our patients we ask that no more than three support persons be present at one time in the labor rooms. We encourage patients to discuss this with their physician prior to admission.
Nursery
If I choose to breastfeed will assistance be available in the hospital?
Yes, a specially trained lactation nurse will be available to assist you and your new baby, to ensure a successful breastfeeding experience.
How will I know when to feed my baby?
Your postpartum nurse will provide complete education on care of yourself as well as care of your baby, including how often and how much your baby will eat. Breastfeeding mothers should feed the baby within the first hour of life and every two to three hours thereafter, while bottle-fed babies will need to eat every three to four hours, with the first feeding being given after admission to the nursery.
Will my son be circumcised while in the hospital?
Yes, most often newborn boys are circumcised before discharge at the mother’s request. Your pediatrician will discuss this with you before the procedure is done.
Will my baby’s hearing be tested before discharge?
Yes, the State of Ohio requires hospitals to perform a hearing screen on all newborns prior to discharge. You will be notified of the screening results before going home.
Should my newborn have the Hepatitis B immunization while in the hospital?
Yes, the American Academy of Pediatrics recommends that all newborns receive the first dose of Hepatitis B immunization prior to discharge.
Mother Baby
How will I obtain the baby’s birth certificate?
While on the postpartum unit, you will be asked to provide information required for the completion of the birth certificate. The formal birth certificate will be completed by our staff and electronically submitted to the Ohio Department of Health. Approximately two weeks after the birth of your child, the birth certificate can be obtained from the Newark City Health Department, located on Price Road. You will receive a complimentary certificate from the hospital, but this is not an official document. It is simply a keepsake.
How long will I be in the hospital following delivery?
Patients who deliver vaginally and experience no complications usually are discharged two days after delivery. Those who require cesarean section delivery are typically discharged in three days providing they experience no complications.
HOME CARE SERVICES
How do I get home care?
Home care requires a doctor’s order. You can call your physician and see if you may qualify for home care services and have your physician call or fax orders for a home evaluation and treatment.
Who pays for home care services?
For patients who meet the criteria, Medicare will pay for Home Care Services. Some private insurance companies also will pay for the services depending on the type of services required.
What criteria do I have to meet to obtain home care services?
You must be homebound which means leaving the home with assistance and effort and leaving home infrequently, (for doctor’s appointments, occasional hair appointments, and church) and requiring the services of a skilled health professional, (R.N., physical therapist, occupational therapist, or speech therapist).
What kinds of services do you provide?
We provide skilled nurses, physical therapists and physical therapy assistants, occupational therapists and occupational therapy assistants, speech therapy, medical social workers and certified home health aides.
LABORATORY SERVICES
What are the hours the Laboratory is open for outpatient testing?
The Laboratory is open 24 hours.
What laboratory tests require fasting?
For any tests that measure lipids (Cholesterol, Triglycerides, HDL, LDL), patients should be fasting. Your physician may instruct you to fast for other tests as well.
When instructed to fast, how long should I fast?
It is normally recommended that fasting should be for 12-14 hours. Do not stop taking prescribed medications during the fast, unless instructed to by your physician.
Do I need a physician's order to have laboratory testing done?
Yes, a physician's order is required.
Do I report directly to the Laboratory with my physician's order for testing?
No, please report to the Outpatient Registration area when arriving at Licking Memorial Hospital for your laboratory tests. After the registration staff has obtained the necessary information, you will be directed to the adjacent Outpatient Laboratory.
May I have a copy of my laboratory results?
Yes, patients may have a copy of their results after completing an Authorization for Release of Medical Information form. We encourage patients to discuss their results with their physician.
How long does it take to perform my laboratory tests?
The physician ordering your tests will receive your laboratory results for most tests within 24 - 48 hours. Some tests, such as cultures or tests sent to reference laboratories may take longer.
INFECTION CONTROL
What is the purpose of the Infection Control Program?
The Infection Control program exists to prevent the occurrence of, or to limit, the spread of nosocomial infections in patients, health care workers, visitors and others in the health care environment.
Whom does Infection Control serve?
The Infection Control program strives to reduce risk of infection for all patients, health care workers, visitors and others who have contact with the Licking Memorial Health Systems.
What is the Infection Control Program?
The Infection Control Committee (ICC), as established in the Medical Staff Bylaws, is responsible for the Infection Control program of the Licking Memorial Health System. The goals of the program are:
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The surveillance of potential hospital infections
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The review and analysis of actual infections
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The promotion of preventive and corrective programs designed to minimize infection hazards and the supervision of infection control in all phases of the hospital activities.
One full-time employee manages the program with training in Infection Control (IC). The committee meets at least quarterly (normally bi-monthly) to analyze surveillance data, determine actions necessary to achieve goals of the IC Program, approve policies applicable to IC and to receive input from its members about IC concerns. At least annually the committee reviews the program to determine effectiveness and to define the surveillance activities for the next year.
All results of the Infection Control activities are reported at Infection Control Committee meetings and at the Medical Executive Committee. The Infection Control Manager or other members of the Infection Control Committee report results of activities to the involved departments.
What types of infections does the Infection Control Committee monitor?
The current surveillance activities briefly include:
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Device Associated infection rates that may be benchmarked against rates published by CDC;
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Device Associated Infection rates on nursing units that are benchmarked internally only;
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The rate of appropriate use of prophylactic antibiotics in surgery patients;
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The prevalence and the nosocomial transmission of antibiotic resistant organisms - especially MRSA and VRE.
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The possible transmission of C.difficile infections;
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Antibiotic Susceptibility Profiles – published annually by the Microbiology Department;
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PPD testing compliance and conversion rates among employees; and
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Body Fluid exposures and Communicable Infections among employees.
What other functions does Infection Control perform?
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Routine surveillance of patient care areas of LMH to assure compliance with Infection Control policies. Periodic surveillance of non-patient care areas.
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Communicable disease reporting to the Ohio Department of Health (through the local health department) is through the Infection Control Manager. Reports are based on results obtained from the laboratory and communication from staff.
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Routine review of microbiology reports and admitting diagnoses to recognize clusters of infection or unusual pathogens.
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Provide all Employee Health services involving infectious disease, including:
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Follow up of exposures to Tuberculosis and other infectious organisms
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Follow up of Body Fluid Exposures.
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Follow up of employee illnesses that may require work restrictions.
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Development and ongoing review/revision of policies/procedures with infection control implications – new or revised patient care procedures are reviewed as indicated.
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Evaluate new products that have infection control implications by working closely with the Purchasing Department.
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Provide ongoing education to staff about Infection Control, including:
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New Employee Orientation Infection Control
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Annual review of blood borne pathogen precautions
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Periodic reports to nursing units of surveillance results and Infection Control issues discovered during rounds.
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Periodic in-services to all departments.
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The ICC has the authority, through its chair or any physician member, to institute any appropriate control measure or study when there is considered to be a danger of infection to a patient or personnel.
What are the times that Infection Control can be reached?
The Infection Control Manager is usually available from 7:30 a.m. to 4:30 p.m., Monday though Friday. Alternate sources are always specified when the Infection Control Manager is unavailable.
The phone number for the office is (740) 348-4158.
Voice mail may be left at that number at any time.
Where is Infection Control Located?
The Infection Control Manager’s office is located in the laboratory on the first floor of Licking Memorial Hospital.
Where can I find out what Immunizations are needed for travel outside the U.S.?
The Centers for Disease Control and Prevention (CDC) maintains the most up-to-date information on their Web site:www.cdc.gov. Choose “Traveler’s Health” from the list of topics on the left hand side.
When does Licking Memorial Health Systems add “MRSA” to a patient’s demographic?
When is “MRSA” removed from a patient’s demographics?
After the patient’s MRSA infection has cleared and the patient is no longer on antibiotics, a physician may order a “Nasal Staph Screen” to see whether the patient is still a carrier of the organism. A swab of the anterior nares is sent to the Microbiology laboratory for culture. If no antibiotic resistant Staphylococcus is found, “MRSA” will be removed from the patient’s computer information.
When does Licking Memorial Health Systems add “VRE” to a patient’s demographic?
When a patient is infected with an antibiotic resistant Enterococcus (VRE), the hospital computer information for that patient is marked “VRE”. Even if we find that a patient is colonized (a “carrier” of VRE), we will mark the computer information. This allows us to take special precautions not to spread the organism when we are caring for that patient.
When is “VRE” removed from a patient’s demographics?
After the patient’s VRE infection has cleared and the patient is no longer on antibiotics, a physician may order a “VRE Screen” to see whether the patient is still a carrier of the organism. If three separate cultures of the patient’s feces (or a rectal swab) collected one week apart are negative for VRE, the computer information will be changed.
The following information was written by the Orange County Chapter of the Association for Professionals in Infection Control and Epidemiology
What is MRSA (methicillin resistant Staphylococcus aureus)?
It is a strain of the germ, Staphylococcus aureus (S. aureus), which has developed resistance to most of the antibiotics commonly used to treat staphylococcal infections.
What does "resistant" mean?
It means that the germ, in this case S. aureus, has developed the means to fight off the effects of antibiotics that are usually used to kill them.
What is used to treat MRSA?
Very few antibiotics are effective against the MRSA germ. The most commonly used one is vancomycin. The more it is used, the more chance there is that the MRSA germ will build up resistance to it, just like the MRSA germ has built up resistance to methicillin, oxacillin and nafcillin, the antibiotics that are most effective against non-resistant Staphylococcus aureus.
What is the difference between infection and colonization?
Infection means that there is visible activity of the body reacting to a germ: Fever, redness/swelling and/or pus at the site of the infection. Colonization means that the germ has taken up residence in or on the body; it has become part of the person's normal germ make-up, and is not currently causing infection. Persons who are colonized with MRSA have the potential to transmit the germ to other people, even though they themselves are not ill from it.
How is MRSA transimitted?
MRSA is passed from person to person by contact with someone who has MRSA. A person who is infected or colonized with MRSA may have it in their nose as well as on their hands, and whenever they touch others, they can pass the germ along.
What are the dangers of MRSA?
If MRSA infects someone who is already ill, it can compound the illness, especially if the person is hospitalized. It will take vancomycin, as well as more time in the hospital, to recover. Sometimes, if the person is very ill, it may prolong the hospital stay indefinitely, or may even lead to death.
How is transmission of MRSA prevented?
In the hospital setting, a person infected or colonized with MRSA is placed on "Contact Precautions.” This practice alerts everyone entering the room to use specific barrier protection (such as masks, gloves or gowns) as needed to help prevent spreading the germ from patient to patient, and to them as well. Special attention is paid to hand washing, as this is the most important practice to prevent the spread of this germ.
How is transmission prevented once I go home?
Anyone taking care of you at home (a home health nurse, your family member, etc.) should wear gloves when touching infected areas such as wounds. When the gloves are removed, hands need to be washed.
If you are only colonized, you can help prevent the spread by washing your hands frequently. Remember, you are probably carrying the organism in your nose.
Avoiding development of resistant organisms:
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Do not demand antibiotics from your doctor. They will not help some infections.
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When taking antibiotics, do not discontinue the medicine as soon as you feel better – take them as prescribed and contact your doctor if you feel worse or think the medicine is causing side effects.
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Throw out any unused antibiotics.
In the community, the most important practice to prevent the spread of any organism, including MRSA, is good hand washing.
The following information was written by the Orange County Chapter of the Association for Professionals in Infection Control and Epidemiology.
What is VRE?
VRE stands for vancomycin-resistant enterococcus. Vancomycin is an antibiotic used to treat certain infections, including those caused by most strains of Enterococcus. Enterococcus is an organism found normally in the intestinal tract and, in females, in the vaginal tract. When vancomycin is unable to kill this organism it is called VRE.
Who gets VRE?
People who have been ill, have taken many antibiotics or have weakened immune systems due to illness or age are at higher risk for VRE.
Where may VRE be found?
It is found most often in the stool, but it can be found in the blood, urine, and wounds, or wherever it can be carried by blood.
Colonization vs. infection
Many organisms live on and in the body without causing disease/infection. This is colonization. These same organisms, under the right conditions, can cause disease. This is infection. Colonization does not necessarily require treatment.
VRE can colonize the urinary tract, the intestinal tract, the respiratory tract, and the skin. It can cause infection in the urinary tract, in the respiratory tract, in surgical sites, and in the blood.
How can VRE be spread?
It can be spread to other people by contact between persons. To prevent this from happening, strict isolation is used when VRE colonization or infection is identified. Everyone who comes into the hospital room of a patient with VRE will wear gown and gloves.
VRE is a very hardy organism. It can survive on hard surfaces for seven to10 days and on hands for hours. It is easy to kill with good hand washing and the proper use of disinfectants. It does not travel through the air, so facial masks are not needed.
What do I need to do at home?
If you are infected or colonized at the time of discharge, here are methods for preventing the spread of the organism to your family. You need to do these things until you are told you no longer have VRE.
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Use an antibacterial soap, available in supermarkets or drugstores, throughout the house.
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Everyone should wash their hands after contact with you or items you touch.
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Handling your stool or urine or cleaning the toilet should be done wearing gloves. Hands should be washed after taking the gloves off.
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Handling any of your wounds, dressings or excretions will also require the use of gloves and hand washing.
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Wash your hands before you make any food and before you eat. Everyone should follow this practice.
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Do not share eating utensils, drinking cups, straws, soda cans, etc.
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Wash dishes and eating utensils in hot soapy water or a dishwasher.
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For housekeeping you can use a dilute solution of household bleach and water - 1 part bleach to 10 parts water made up fresh each day. Remember that bleach may discolor fabrics, etc.
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A household disinfectant you can purchase in the supermarket or the drugstore will work just as well.
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VRE and other organisms can be killed on surfaces if you wipe on the solution and let it air dry.
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If possible, you should not share a bathroom with anyone else. If a bathroom will be shared, clean the toilet and sink at least daily with the above solution. Be especially careful to clean after you have a bowel movement.
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Use hot soapy water for laundry.
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No special handling of trash is required.
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Obtain rectal swabs/other cultures as requested by your physician.
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Always tell your physician, paramedics, nurses, or other care providers that you have VRE. This helps prevent transmission to other patients.
Hand washing
Special attention is paid to hand washing, as this is the most important practice to prevent the spread of this germ.
Good hand washing includes these steps:
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Use warm running water
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Apply antibacterial soap
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Lather and rub hands together, paying attention to fingertips, cuticles, around rings and under nails
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Spend at least 10 seconds lathering and washing hands
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Rinse thoroughly
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Pat dry
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Use a paper towel to turn off faucet
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Apply lotion several times throughout the day to help prevent dry, cracked skin (which can be an opening for infection)
In the community and in the hospital, the most important practice to prevent the spread of any organism is good hand washing.
The following information was written by the Orange County Chapter of the Association for Professionals in Infection Control and Epidemiology.
What is Clostridium difficile (C. difficile)?
C. difficile are bacteria that live in the intestinal tract of 5 percent of healthy adults and 50 percent of healthy infants. Taking antibiotics kills the many other bacteria types living in the healthy intestine, but C. difficile often survives, reproduces in huge numbers, and begins secreting a toxin (poison) that attacks the lining of the intestine. C. difficile infection is often called antibiotic-associated diarrhea.
What are the symptoms?
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Abdominal pain, tenderness, and cramping
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Diarrhea, sometimes severe, with blood, mucous, or pus
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Fever
How is C. difficile infection spread?
C. difficile is very infectious. It can be spread by people who have the illness or can be present on environmental surfaces. Usually infection occurs:
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When your hands pick up the organism from the environment
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When the organism enters the mouth from the hands during oral contact, such as eating or drinking
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If antibiotics are given, then the C. difficile has the opportunity to “take over,”causing symptoms
Who is at risk?
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Anyone taking antibiotics. Taking multiple kinds increases the risk
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Hospitalized patients, especially older patients
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Rarely, someone who is not on antibiotics
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Persons with other inflammatory bowel diseases
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Persons who have had surgery on the gastrointestinal system
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Persons on chemotherapy for cancer
How is C. difficile diagnosed?
What is the treatment for C. difficile?
Antibiotics should be stopped
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If diarrhea continues, a medicine called metronidazole (Flagyl) is usually effective when taken orally for 10 full days
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If diarrhea persists despite metronidazole, oral treatment with a medicine called vancomycin is recommended for 10 full days
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As many as 20 percent of patients experience a relapse, but most respond to a second course of medicine
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Anti-diarrhea medicines should not be used. The toxin must be excreted to prevent more severe damage to the intestine
How can I keep from getting C. difficile?
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Use antibiotics only when necessary
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Wash hands well, and frequently, with soap and water when in the hospital
How long does the disease last?
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If antibiotics are stopped, 23 percent of cases resolve within two to three days
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If treatment is necessary, diarrhea usually resolves within two to four days of starting the medicine
If I have C. difficile how can I keep from spreading it?
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Maintain excellent hygiene when using the toilet
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Wash hands well and frequently, especially after going to the bathroom
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If possible, use separate restroom
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Lactobacillus (in yogurt and acidophilus milk) may help reduce diarrhea (unproven)
What type of follow-up care do I need?
Once the symptoms have stopped and the full course of medication has been finished, there is no need for follow-up
RADIOLOGY SERVICES
Will a board-certified radiologist interpret my examination?
Yes, the American College of Radiology (ACR) recommends a properly qualified physician to interpret all imaging examinations. A radiologist, who is certified by the American Board of Radiology, will clearly meet this recommendation. In its practice guidelines, the ACR defines alternative pathways for physician qualification.
Is the imaging facility formally accredited to perform my examination?
The ACR has a comprehensive program of facility accreditation for radiation oncology, MRI, CT, Nuclear Medicine and PET, Ultrasound, General Radiology, Breast Ultrasound and Stereotactic Breast Biopsy. Equipment and personnel must meet specific qualifications, and a high level of image quality is required for this accreditation. Other accrediting bodies exist and may also be acceptable, provide their criteria are at least as rigorous as those of the ACR.
Does a qualified medical physicist check the imaging equipment yearly?
Yes, Radiation exposure and equipment performance are two important aspects of patient safety in imaging examinations. Only through a thorough annual equipment examination by a qualified medical physicist can proper safety be ensured.
If I’m getting an injection, does the facility have a formal emergency response plan?
Yes, intravenous injections, which are used to enhance the detail of some imaging examinations, carry a very small risk of serious reaction.
How soon can my examination be done?
The timing of your imaging examination should depend primarily on the urgency of your medical condition. Hospital-based imaging facilities provide imaging for most emergencies 24 hours-a-day, seven days-a-week. For less urgent conditions, a high-quality imaging facility should be able to perform your examination within a reasonable period of time. Unfortunately, due to the high demand for screening mammography, the wait time for these examinations can be up to six months.
Will there be someone there to explain the examination to me?
Yes, staff is available to give you a brief explanation of your examination and to be able to answer any questions you may have.
How soon will my doctor know the results of my examination?
Depending on the urgency of your examination, your doctor should receive the results either immediately or within a few days.
How do you prepare?
Different types of X-rays require different preparations. Ask your doctor or nurse to provide you with specific instructions.
In general, you undress the area of your body that needs examination. You may wear a gown to cover yourself during the exam, depending on what area is being X-rayed. You may also be asked to remove jewelry, eyeglasses and any metal objects that could- like clothing- obscure the X-ray image since these objects can show up on X-ray.
You may wear a lead apron, to shield your sex organs from exposure to X-rays. At very high doses, radiation can damage a woman’s eggs or a man’s sperm. Since you’re exposed to a small amount of radiation during most X-rays, the lead apron is used simply as a precaution.
At high doses, radiation also can be harmful to a fetus. Always inform the X-ray technologist if there’s any possibility that you’re pregnant. Your doctor may suggest you either forgo the X-ray exam, or if one is necessary at the time, take precautions to minimize radiation exposure to the fetus.
Before some types of X-rays, such as a barium enema, you will be given a liquid called a contrast medium, or dye. A contrast medium – barium and iodine are examples – helps to outline a specific area of your body on X-ray film. You may swallow the contrast medium, insert it as an enema or receive it as an injection into a vein. The contrast medium appears opaque on X-ray film, providing a clear outline of structures such as your digestive tract or blood vessels.
If you are to receive a contrast medium before an X-ray, tell your doctor if you have a history of allergy to X-ray dye.
It is important to notify the R.N. or radiographer if you take an oral diabetic medication called Glucophage, if you have any history of kidney disease or if you take an anticoagulant or “blood thinner.”
What can you expect during the test?
X-rays are performed at most doctors’ offices, dentists' offices, emergency rooms and hospitals – wherever an X-ray machine is available. If you need an X-ray, you are brought to a room with a movable machine that produces the X-ray – and table or wall-mounted equipment typically containing a cassette with X-ray film.
You may lie on a table, sit or stand between the X-ray machine and the X-ray film. The technologist or radiologist – a doctor who specializes in interpreting X-rays and other imaging tests – helps position your body to obtain the necessary views. He or she may use pillows or sandbags to help you hold the proper position. The technologist then aims the machine at the area of your body that needs examination. For dental X-rays, the dentist or dental hygienist places a small piece of film in your mouth, behind the section of teeth being X-rayed. You’re asked to bite down on the paper tab around the film, which holds the film in place.
Once you are in the proper position, the technologist enters a control booth. During the X-ray exposure, you remain still and hold your breath to avoid moving, which can cause blurring on the film.
The technologist may take X-rays from multiple angles, for example one of the front of your body and one from the side.
If your young child is having an X-ray, restraints may be used to help keep him or her still. You may be allowed to remain with your child during the test. If you remain in the room during the X-ray exposure, you are typically given a lead apron to wear to shield you from unnecessary exposure.
An X-ray procedure may last from several minutes for a bone X-ray, to about an hour for more involved procedures such as those using a contrast medium.
For most X-rays, you feel no discomfort other than the hardness of the X-ray table or the temperature of the room, which may be kept cool to keep the equipment from overheating. It may be necessary to compress momentarily the body part being examined. This compression may be uncomfortable, but the discomfort lasts only briefly during the X-ray exposure. If you are having a test that requires a contrast medium, ask your doctor what to expect.
After an X-ray, you generally dress and return to your normal activities. Routine X-rays usually have no side effects. However, if you receive an injection of a contrast medium before your X-rays, call your doctor if you experience pain, swelling or redness at the injection site. Ask your doctor about other signs and symptoms to watch for pertaining to your specific X-ray procedure.
Results
X-ray films are usually developed or are viewed on-screen within minutes. A radiologist typically views and interprets the results and sends the findings to your doctor, who then explains the results to you. In an emergency, your X-ray results can be made available to your doctor in minutes.
Risks
You may worry that X-rays are not safe because it is known that high levels of radiation exposure can cause cell mutations that may lead to cancer. But the amount of radiation that you are exposed to during an X-ray is so small that the risk of any damage to cells in your body is extremely low.
So, for most X-ray examinations, the benefits of any medically indicated examination are thought to greatly outweigh the small risk. In addition, great care is taken to use the lowest radiation dose possible to produce the best image for the radiologist to evaluate. No radiation remains after an X-ray examination.
However, if you are pregnant, or suspect that you may be pregnant, inform your doctor before having an X-ray. Though the risk of most diagnostic X-rays to an unborn baby is small, your doctor may consider whether it is better to wait or to use another imaging test such as ultrasound.
Kyphoplasty for Vertebral Compression Fracture
What is a Vertebral Compression Fracture?
Vertebral Compression Fracture (VCF) occurs when the thick block of bone at the front of the vertebra in the spine collapses, which may cause the spine to shorten and fall forward. This may result in thoracic and lumbar spinal deformity and is often seen in elderly people. This spinal deformity, commonly known as a Dowager’s Hump, is also referred to as “kyphosis”.
What causes a VCF?
These types of fractures are most often caused by osteoporosis (“porous bone”), a disease that causes bones to become fragile and easily broken. Additionally, VCFs can be caused by cancer or a traumatic incident, such as a fall or car accident.
How many people are affected by VCFs?
Osteoporosis causes more than 700,000 VCFs each year.
What can KyphX Balloons do for me?
Kyphon products, known as KyphX Balloons, or “Balloons for Bones,” are used on patients who have suffered fractures of the spine, such as Vertebral Compression Fractures. Not all spinal fractures patients can be helped by procedures using KyphX Balloons. Only your health care professional can determine whether you might benefit from the use of these tools.
VOLUNTEERS
What are the benefits to volunteering at Licking Memorial Hospital?
- Meet new people and make friends
- Meal ticket per four hours worked
- Annual Award Luncheon
- National Volunteer Week Celebration
- Service pins, starting at 50 hours
- Volunteer Picnic
- Free Flu Vaccine
Benefits for Volunteens:
- Annual Appreciation Picnic
What areas would I be able to work in as a volunteer?
- Reception Desk
- Registration
- Mail Cart
- Messenger/Volunteer Office/Clerical Support
- Oncology
- Purchasing
How do I volunteer?
- Complete and return a volunteer application.
- When two of the three required references respond, the Volunteer Department will contact you and arrange a time for you to attend an orientation.
- A representative from the Volunteer Department and you will discuss your interests, skills and abilities. Then you will be placed on a permanent assignment in a specific area of the hospital.
Whom do I contact?
- For an application or for more information, please contact the Volunteer Department, (740) 348-4079. You may also download an application and mail the application to:
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Volunteer Services
Licking Memorial Hospital
1320 West Main Street
Newark, Ohio 43055 |