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AA2 Tuesday, September 15, 1981 THE FRESNO BEE • (advertisement) Care Center Continued from Page AA1 virtually incapable of performing any function without the aid of the nurse, have at least one intravenous solution in progress, need constant monitoring and require numerous medications. The Respiratory Care Unit treats those with severe breathing problems. Often every breath will need assistance from the respiratory therapist and nursing staff, who maintain and operate a variety of sophisticated equipment Jo keep airways open and vital signs intact. I Each patient bed in Intensive and Respiratory Care has a complete control panel built ■into the headboard of the bed. From the specially designed panel, many patient needs can be supplied, from providing oxygen, air, suction and light to calling for special services, such as a Code Blue or the nurse. Each room has a private restroom and cabinet for the individual patient's needs. Outside the patient jopms, the entire area is carpeted to provide a quiet atmosphere. t The centralized and spacious nursing station is encircled by the patient rooms. Every patient not only is watched on a monitor, but is also visually viewed by the staff through the glass sliding front walls of each patient's room. The nursing station is one of the most uniquely designed units of its kind, featuring private areas for doctors to dictate patient notes or orders and the most sophisticated hemodynamic monitoring equipment available in the United States. Built by the Hewlett Packard Corporation, the "State of the Art" Computerized Arrhyth- jhia Monitoring system for the Critical Care Center cost $425,000. Dr. Richard Thorp, Chairman of the hospital's Intensive Care Committee, explains that the system has special recall and editing features which combine to provide early detection and warning of a patient's ventricular premature beats. It also :can detect most other unpredictable life : threatening cardiac arrhythmias (irregular heart beats). The system can recall and edit stored waveforms, patient information and provide an outline of the drugs that have been or are to be administered. On specially designed screens, continuous displays of the status of all the monitored patients provides up-to-date information at a glance, says Thorp. "A three level alarm system instantly alerts the staff to significant changes in a patient's condition, enabling them to begin effective treatment before the situation worsens. Trend displays of Electrocardiogram, heart rate and pressures over a nine hour period allows the staff and physicians to instantly evaluate the effect of various therapies." "Waveform recall," continues Thorp, "is another feature of the equipment." Waveform recall assumes control of the particular beat classification of a patient through the editing of significant electrocardiogram events, such as ventricular premature beats, missed beats and ventricular fibrillations for a 24 hour period. The editing of the patient's identifying information assists and streamlines record keeping and clinical studies. "Simply stated, this unique monitoring equipment allows staff to know at a glance exactly what is happening with the patient's vital signs and heart at all times. It also makes a record of such information, with the ability to recall and edit, so as to provide only the specific information the staff needs to make decisions on future treatment, or to find out how effective the current treatment pattern has been." The nursing station in Intensive Care will have a total of five computerized units to handle the patient load. Also, a separate laboratory computer will be located at the console desk. The computer has a direct link to the central laboratory computer. In the center of the circular nurses station is an eight sided desk surrounding a carousel of patient charts. This design allows the staff to have immediate access to patient records without interference with other nursing station activities. Also in the Intensive Care Unit is a special isolation room for the patients who may have a communicable disease, or whose resistance to disease has been significantly lowered. The Coronary Care Unit assists patients who have experienced heart attacks or have heart disease. The coronary care patient requires a great deal of individual attention and close monitoring, particularly during the first 72 hours following a heart attack. Thanks to medical technology and a better understanding of the disease, the chances for today's coronary care patient returning to a normal life are greatly enhanced. The Coronary Care Unit has five private patient rooms which surround the nurses station in a semi-circle fashion. These rooms, as in the Intensive Care Unit, also have the special headboard panel and private restroom. From the Coranary Care nursing station, patients can also be seen at a glance through the sliding glass doors which form the walls facing the nursing station. In the Coronary Care Unit only, each patient will have a special headboard defibrillator to assist in returning the heartbeat to a normal rhythm if needed. The Coronary Care unit also has the Hewlett Packard Arrhythmia monitoring system with all the special features outlined for the Intensive Care Unit. There is, on the average, one Registered Nurse trained in critical care for every two patients. However, some patients will require more intensive care. The staffing for the Critical Care Center will consist of 48 registered nurses, ten monitor technicians and ward clerks, two licensed vocational nurses and three nursing assistants. Directly above the Critical Care Center is a Among the features of the Critical Care Center is a complete control panel built into the headboard of each bed, from which a variety of patient needs can be supplied. Left, Critical Care Manager Judy Schab, R.N.; Dr. Malcolm Masten, chairman of the hospital's Respiratory Care Committee; and Critical Care Supervisor Toni Schneider, R.N., inspect one of the new rooms in the Intensive-Respiratory Care area. new rooftop heliport for easy transport of seriously ill patients via helicopter to the Center. Construction on the Critical Care Center began in November of 1980 in the shelled-in 10th floor of the hospital. The project has been through the Certificate of Need process, gaining unanimous approval from the local and area-wide Health Systems Agency and the State of California. Prior to construction, the units were located on separate floors in areas characterized by crowded conditions and impaired efficiency. The relocation, and consolidation of the units into one continuous, integrated patient care center has created a facility which provides for optimum efficiency in the care of the critically ill. fTn summary," says Dr. Parker Powell, Co-Chairman of the Critical Care Task Force, "the completion of the Critical Care Center marks the culmination of years of effort toward this goal. There's no doubt that the Center fulfills a great need...and that the quality of patient care will be advanced significantly." CRITICAL L_l m Hewlett Packard representative John Wise reviews the operation of the arrhythmia console station with Critical Care staff members Peggy Shreve, R.N. and Rob Lippincott, R.N. Hospital Provides Full Range of Services With the addition of the new Critical Care and Dialysis Centers, more than ever Fresno Community Hospital and Medical Center is a complete and comprehensive regional medical center, serving the total health care needs of the people of the Central Valley. '■ The new patient care centers complement a full range of hospital services, which in addition to complete medical, surgical and pediatric facilities include the following specialized areas: THE LEON S. PETERS REHABILITATION CENTER serves as Central California's major referral center for rehabilitation patients. The Center provides complete in-pa- jtient and out-patient care, including physical, occupational and recreational therapy, speech and hearing diagnosis and treatment, rehabilitation nursing, vocational counseling, psycho- , logical services, social services, home health services, pain clinic, handicapped infant program, and a number of other specialized services and programs. THE DIAGNOSTIC HEART CENTER performs a multitude of tests to help physicians diagnose and evaluate complex heart conditions. Basically a consulting and diagnostic service, the Center also works with the attending physician in the treatment of a pa- .tient. ■. Fresno Community's Mental Health CENTER provides a comprehensive programfor in-patient and out-patient psychiatric care. The Center also operates the Alcohol Recovery Center (ARC); the Avanti Center, an alcohol education and counseling program; a corporate employee assistance program (AID) and the Olive Street Bridge drug abuse counseling and referral treatment center. The staff of THE CANCER TREATMENT CENTER keeps abreast of the newest techniques, drugs, therapy, surgery and equipment in offering the most effective treatment for cancer patients. The hospital's Radiation Therapy Center and Inpatient Oncology Unit work closely together to diagnose and treat cancer. Also included is a comprehensive Tumor Registry. THE CENTER FOR EYE CARE accommodates a majority of the eye surgeries performed in the area. In addition to providing the capabilities for the most highly sophisticated surgical procedures, the Center features the Dwight H. Trowbridge Eye Laboratory and serves as the home for the Lion's Eye Bank of the San Joaquin Valley. THE SHORT STAY SURGERY CENTER offers high quality minor surgery services without overnight hospitalization. Short Stay benefits the patient through lower charges and greater convenience for patients. Complete endoscopic and angiography services are also available in Short Stay Surgery. THE EDUCATION AND TRAINING CENTER offers a multitude of services to patients, hospital staff, physicians and the public. In addition to patient and employee education and continuing education programs for professionals, the department offers a variety of public awareness programs, including the free public health forum series. The Medical Library, the largest and most complete facility of its kind in the Valley, is also a service of the Education and Training Center. THE EMERGENCY DEPARTMENT offers round-the-clock physician coverage to assess the needs, determine treatment and stabilize the emergency patient. Emergency services See Services Page AA4 Respiratory Therapy's Crucial Role Respiratory therapy plays an integral role in the care of the critically ill patient. "Most patients within the Critical Care Unit require some form of repiratory therapy," says Sylvia Willits, Manager of the hospital's Respiratory Therapy Department. "Treatment can range from oxygen therapy to total life support," she explains; the latter requiring mechanical ventilation with constant monitoring of respiratory function. Such therapy calls for highly trained individuals who specialize in assisting the critical care team in the management of various cardiopulmonary ailments. The respiratory therapists have a satellite facility in the Critical Care Center. From this location, the respiratory therapists can have the specialized equipment and staff at the patient's bedside in seconds. Willits says foremost among the services rendered by respiratory therapists is the anticipation, prevention and management of respiratory failure. This may include insertion of artificial airways, airway clearance therapy, maintenance of artificial airways, mechanical ventilatory assistance and monitoring, use of oxygen and administration of medication directly into the lungs. Beyond these primary areas of responsibility, the therapist plays a very active and supportive role in the total care of the critically ill patient. In summary, says Willits, proper treatment for the critically ill patient requires the team concept approach. Fresno Community Hospital and Medical Center's respiratory therapists serve a vital role as a part of this team by providing state of the art respiratory care as prescribed by the physician for the critically ill patient. Highly trained respiratory therapists are vital members of the critical care team, administering treatment ranging from oxygen therapy to total life support. Left, Respiratory Therapist Supervisor Dale Claes demonstrates the use of the volume ventilator used in life support.
Object Description
Title | Scrapbook |
Object type | Photo album |
Physical collection | Leon S. Peters papers |
Folder structure | Biographical_information |
Description
Title | Page 22b |
Date Created | 1981-09-15 |
Physical description | 58.7 cm. x 35.1 cm. |
Full text search | AA2 Tuesday, September 15, 1981 THE FRESNO BEE • (advertisement) Care Center Continued from Page AA1 virtually incapable of performing any function without the aid of the nurse, have at least one intravenous solution in progress, need constant monitoring and require numerous medications. The Respiratory Care Unit treats those with severe breathing problems. Often every breath will need assistance from the respiratory therapist and nursing staff, who maintain and operate a variety of sophisticated equipment Jo keep airways open and vital signs intact. I Each patient bed in Intensive and Respiratory Care has a complete control panel built ■into the headboard of the bed. From the specially designed panel, many patient needs can be supplied, from providing oxygen, air, suction and light to calling for special services, such as a Code Blue or the nurse. Each room has a private restroom and cabinet for the individual patient's needs. Outside the patient jopms, the entire area is carpeted to provide a quiet atmosphere. t The centralized and spacious nursing station is encircled by the patient rooms. Every patient not only is watched on a monitor, but is also visually viewed by the staff through the glass sliding front walls of each patient's room. The nursing station is one of the most uniquely designed units of its kind, featuring private areas for doctors to dictate patient notes or orders and the most sophisticated hemodynamic monitoring equipment available in the United States. Built by the Hewlett Packard Corporation, the "State of the Art" Computerized Arrhyth- jhia Monitoring system for the Critical Care Center cost $425,000. Dr. Richard Thorp, Chairman of the hospital's Intensive Care Committee, explains that the system has special recall and editing features which combine to provide early detection and warning of a patient's ventricular premature beats. It also :can detect most other unpredictable life : threatening cardiac arrhythmias (irregular heart beats). The system can recall and edit stored waveforms, patient information and provide an outline of the drugs that have been or are to be administered. On specially designed screens, continuous displays of the status of all the monitored patients provides up-to-date information at a glance, says Thorp. "A three level alarm system instantly alerts the staff to significant changes in a patient's condition, enabling them to begin effective treatment before the situation worsens. Trend displays of Electrocardiogram, heart rate and pressures over a nine hour period allows the staff and physicians to instantly evaluate the effect of various therapies." "Waveform recall," continues Thorp, "is another feature of the equipment." Waveform recall assumes control of the particular beat classification of a patient through the editing of significant electrocardiogram events, such as ventricular premature beats, missed beats and ventricular fibrillations for a 24 hour period. The editing of the patient's identifying information assists and streamlines record keeping and clinical studies. "Simply stated, this unique monitoring equipment allows staff to know at a glance exactly what is happening with the patient's vital signs and heart at all times. It also makes a record of such information, with the ability to recall and edit, so as to provide only the specific information the staff needs to make decisions on future treatment, or to find out how effective the current treatment pattern has been." The nursing station in Intensive Care will have a total of five computerized units to handle the patient load. Also, a separate laboratory computer will be located at the console desk. The computer has a direct link to the central laboratory computer. In the center of the circular nurses station is an eight sided desk surrounding a carousel of patient charts. This design allows the staff to have immediate access to patient records without interference with other nursing station activities. Also in the Intensive Care Unit is a special isolation room for the patients who may have a communicable disease, or whose resistance to disease has been significantly lowered. The Coronary Care Unit assists patients who have experienced heart attacks or have heart disease. The coronary care patient requires a great deal of individual attention and close monitoring, particularly during the first 72 hours following a heart attack. Thanks to medical technology and a better understanding of the disease, the chances for today's coronary care patient returning to a normal life are greatly enhanced. The Coronary Care Unit has five private patient rooms which surround the nurses station in a semi-circle fashion. These rooms, as in the Intensive Care Unit, also have the special headboard panel and private restroom. From the Coranary Care nursing station, patients can also be seen at a glance through the sliding glass doors which form the walls facing the nursing station. In the Coronary Care Unit only, each patient will have a special headboard defibrillator to assist in returning the heartbeat to a normal rhythm if needed. The Coronary Care unit also has the Hewlett Packard Arrhythmia monitoring system with all the special features outlined for the Intensive Care Unit. There is, on the average, one Registered Nurse trained in critical care for every two patients. However, some patients will require more intensive care. The staffing for the Critical Care Center will consist of 48 registered nurses, ten monitor technicians and ward clerks, two licensed vocational nurses and three nursing assistants. Directly above the Critical Care Center is a Among the features of the Critical Care Center is a complete control panel built into the headboard of each bed, from which a variety of patient needs can be supplied. Left, Critical Care Manager Judy Schab, R.N.; Dr. Malcolm Masten, chairman of the hospital's Respiratory Care Committee; and Critical Care Supervisor Toni Schneider, R.N., inspect one of the new rooms in the Intensive-Respiratory Care area. new rooftop heliport for easy transport of seriously ill patients via helicopter to the Center. Construction on the Critical Care Center began in November of 1980 in the shelled-in 10th floor of the hospital. The project has been through the Certificate of Need process, gaining unanimous approval from the local and area-wide Health Systems Agency and the State of California. Prior to construction, the units were located on separate floors in areas characterized by crowded conditions and impaired efficiency. The relocation, and consolidation of the units into one continuous, integrated patient care center has created a facility which provides for optimum efficiency in the care of the critically ill. fTn summary," says Dr. Parker Powell, Co-Chairman of the Critical Care Task Force, "the completion of the Critical Care Center marks the culmination of years of effort toward this goal. There's no doubt that the Center fulfills a great need...and that the quality of patient care will be advanced significantly." CRITICAL L_l m Hewlett Packard representative John Wise reviews the operation of the arrhythmia console station with Critical Care staff members Peggy Shreve, R.N. and Rob Lippincott, R.N. Hospital Provides Full Range of Services With the addition of the new Critical Care and Dialysis Centers, more than ever Fresno Community Hospital and Medical Center is a complete and comprehensive regional medical center, serving the total health care needs of the people of the Central Valley. '■ The new patient care centers complement a full range of hospital services, which in addition to complete medical, surgical and pediatric facilities include the following specialized areas: THE LEON S. PETERS REHABILITATION CENTER serves as Central California's major referral center for rehabilitation patients. The Center provides complete in-pa- jtient and out-patient care, including physical, occupational and recreational therapy, speech and hearing diagnosis and treatment, rehabilitation nursing, vocational counseling, psycho- , logical services, social services, home health services, pain clinic, handicapped infant program, and a number of other specialized services and programs. THE DIAGNOSTIC HEART CENTER performs a multitude of tests to help physicians diagnose and evaluate complex heart conditions. Basically a consulting and diagnostic service, the Center also works with the attending physician in the treatment of a pa- .tient. ■. Fresno Community's Mental Health CENTER provides a comprehensive programfor in-patient and out-patient psychiatric care. The Center also operates the Alcohol Recovery Center (ARC); the Avanti Center, an alcohol education and counseling program; a corporate employee assistance program (AID) and the Olive Street Bridge drug abuse counseling and referral treatment center. The staff of THE CANCER TREATMENT CENTER keeps abreast of the newest techniques, drugs, therapy, surgery and equipment in offering the most effective treatment for cancer patients. The hospital's Radiation Therapy Center and Inpatient Oncology Unit work closely together to diagnose and treat cancer. Also included is a comprehensive Tumor Registry. THE CENTER FOR EYE CARE accommodates a majority of the eye surgeries performed in the area. In addition to providing the capabilities for the most highly sophisticated surgical procedures, the Center features the Dwight H. Trowbridge Eye Laboratory and serves as the home for the Lion's Eye Bank of the San Joaquin Valley. THE SHORT STAY SURGERY CENTER offers high quality minor surgery services without overnight hospitalization. Short Stay benefits the patient through lower charges and greater convenience for patients. Complete endoscopic and angiography services are also available in Short Stay Surgery. THE EDUCATION AND TRAINING CENTER offers a multitude of services to patients, hospital staff, physicians and the public. In addition to patient and employee education and continuing education programs for professionals, the department offers a variety of public awareness programs, including the free public health forum series. The Medical Library, the largest and most complete facility of its kind in the Valley, is also a service of the Education and Training Center. THE EMERGENCY DEPARTMENT offers round-the-clock physician coverage to assess the needs, determine treatment and stabilize the emergency patient. Emergency services See Services Page AA4 Respiratory Therapy's Crucial Role Respiratory therapy plays an integral role in the care of the critically ill patient. "Most patients within the Critical Care Unit require some form of repiratory therapy," says Sylvia Willits, Manager of the hospital's Respiratory Therapy Department. "Treatment can range from oxygen therapy to total life support," she explains; the latter requiring mechanical ventilation with constant monitoring of respiratory function. Such therapy calls for highly trained individuals who specialize in assisting the critical care team in the management of various cardiopulmonary ailments. The respiratory therapists have a satellite facility in the Critical Care Center. From this location, the respiratory therapists can have the specialized equipment and staff at the patient's bedside in seconds. Willits says foremost among the services rendered by respiratory therapists is the anticipation, prevention and management of respiratory failure. This may include insertion of artificial airways, airway clearance therapy, maintenance of artificial airways, mechanical ventilatory assistance and monitoring, use of oxygen and administration of medication directly into the lungs. Beyond these primary areas of responsibility, the therapist plays a very active and supportive role in the total care of the critically ill patient. In summary, says Willits, proper treatment for the critically ill patient requires the team concept approach. Fresno Community Hospital and Medical Center's respiratory therapists serve a vital role as a part of this team by providing state of the art respiratory care as prescribed by the physician for the critically ill patient. Highly trained respiratory therapists are vital members of the critical care team, administering treatment ranging from oxygen therapy to total life support. Left, Respiratory Therapist Supervisor Dale Claes demonstrates the use of the volume ventilator used in life support. |