The anesthesia department of LHHS CAH provides complete anesthesia services, including general, spinal, major regional, and monitored anesthesia sedation (MAC). Anesthesia services are available to inpatients and outpatients of all ages, sexes and races regardless of financial class or elective basis. Policies and procedures are formulated by using information and data obtained from the American Society of Anesthesiologists and the American Association of Nurse Anesthetist as well as information submitted by CRNA to allow for the formulation of policies appropriate to the resources and needs of this facility. Anesthesia services are available 24 hours/day, 7 days/ week through an independent CRNA service. The CRNA is under the supervision of the operating practitioner.
Voluntary auxiliary members operate a gift shop next to the front lobby of the hospital and provide other services to the hospital as needed.
Community Wellness and Nutritional Services
Livingston Hospital and Healthcare Services, Inc. will be involved with as many community events as possible. At these events LHHS will conduct
Health screenings from Blood Pressure to Glucose screenings. LHHS with provide health related information to any participant and will encourage
participants to see their practitioner if screenings are not within normal ranges. The clinical dietician of LHHS provides inpatient and outpatient
services to all patients requiring nutritional intervention. Nutritional care is provided by a registered dietician when ordered by physician
and involves the following:
• Performing an in-depth nutrition assessment of all patients identified as at risk for nutrition related problems.
• Ensuring that physician orders are fully carried out
• Having a clinical dietitian act on consults within 72 hours of receipt
• Developing, implementing, and documenting an individualized plan of care for each patient
• Analyzing subjective and objective information to define nutrition problems and goals
• Monitoring patient response to planned interventions through assessment, addressing previously identified nutrition related problems.
Patients/residents are assessed as necessary for social service/discharge planning needs. Referrals are made as indicated and information is sent to referral agencies to ensure continuity of care.
The dietary department is responsible for nutritional screening, assessment, and reassessment of nutritional needs for all inpatients, observation patients, surgical outpatients, and swing bed residents. There is coordination with the attending physician on developing a plan of care, and prescribing/ordering of the appropriate diet. The department ensures adequate preparation, distribution, and administering of the prescribed diet, along with diet education to inpatients/residents and outpatients. Monitoring of the patient’s response is an integral part of the reassessment process. The department is also responsible for staff meals. The Director of the Dietary Department is a Certified Dietary Manager and Certified Food Protection Professional. An on-site Registered Dietician is available for consult.
Family Care Walk-In Clinic
When it hurts and you can’t wait for help, the LHHS Family Care Walk In Clinic is here for you! You never need an appointment, and we’re easy to find in the LHHS Emergency Department. The LHHS Family Care Walk In Clinic offers non-emergency care for toddlers to seniors. We’ll let your doctor know about your visit should you need follow-up care.
Health Information Management Services
The Health Information Management Services department is responsible for ensuring that all charts are accurate and complete. They provide coding and transcription services for all areas of the hospital.
Housekeeping is responsible for daily sanitation of all areas of the hospital.
The laboratory is responsible for the collection, testing, and reporting of all lab results. They ensure quality of care by performing quality controls, preventative maintenance, and participating in the hospital’s Quality Improvement activities. They are responsible for the Blood Usage function and monitoring of such. They provide patient/family education as appropriate. They serve all locations of the hospital. They provide services to area nursing homes, home health agencies, and physician offices with collection, testing, and reporting. Periodic health fairs provide community services for cholesterol and blood glucose screening. LHHS utilizes LabCorp and Baptist Health for testing that is unable to be performed in-house.
The maintenance department is responsible for construction, arrangement, and maintaining all building and grounds as well as overseeing regular equipment checks and all aspects of the environment of care standards to ensure access to and safety of all patients, residents, visitors, and employees and provide adequate space in the provision of direct services.
Materials management provides supplies to all areas of the hospital. This includes purchasing, tagging, and delivery. They ensure that there are adequate supplies for any type of situation.
Medical Staff Services
Medical staff services are provided by fully credentialed active, courtesy, and consulting staff members. The Emergency Room is staffed 24 hours/day, 7 days/week by an onsite licensed nurse practitioner, physician assistant or physician. An active staff member of the Medical Staff is also on call on a 24-hours-a-day basis for coverage of inpatient emergency needs. For services not available at this facility or should medical condition warrant transfer or per patient’s request, LHHS CAH has a network agreement in place to accommodate the needs of our patients/residents. A Medical Director is available to provide medical direction for health care activities and consultation for the medical supervision of health care staff and participates in developing, executing, and periodically review of written policies. The Medical Director periodically reviews patient records, provides medical orders, and provides medical care services to patients/residents. The hospital employs nurse practitioners at the Grand Lakes Rural Health Clinic and Eddyville Family Medical Clinic who have collaborative agreements with a member of the Active Medical Staff. Nurse Practitioners, clinical nurse specialists, or physician assistants do not currently have admitting privileges.
Nursing services are provided in the Medical/Surgical Unit, Swing Beds, Emergency Room, Observation, and Surgical services. This includes inpatients, outpatients, swing bed residents, and observation patients. Services are provided to fulfill the hospital’s mission. Staffing is maintained and monitored to assure staff is sufficient to provide services to patients/residents. Nursing staff work collaboratively with other departments to carry out the patient focused function and organizational functions of the hospital. These include assessment, planning, treatment, documentation, communication with other departments, education, personal care, rehabilitation, and safety management. Infection control is monitored by the Infection Control Nurse. Employee health and compensation is provided by the employee health nurse in cooperation with administration. Nursing service is also responsible for the main switchboard of the hospital when the Registration department is closed.
Pastoral Care Services
The Hospital has made provisions to assist the patients/residents who wish to be visited by spiritual counselors of their choice. In addition to its concern for the spiritual welfare of the patients and their families, the Hospital feels the need to provide spiritual care to all employees. All clergymen and ministers will respect the patient’s rights to confidentiality, abide by the Hospital policy on patient confidentiality, and respect the patient’s choice to receive or not to receive spiritual guidance. A volunteer chaplain provides services to the hospital’s employees, patients, and their families on an as needed basis for guidance, comfort, and consultation.
The pharmacy is responsible for medication usage throughout the hospital. The major functions include selection, procurement, and storage of all medications, overseeing monitoring of appropriate prescribing and ordering practices, preparing and dispensing of medication, administration and monitoring of the effects of the medication to the patient. A Registered Pharmacist oversees functions of the Pharmacy.
Livingston Rehab and Therapy Services incorporates the evaluation of the patients’ physical status and functional abilities and provisions of instructions, treatments and patient/family education. These services are available and are based on an assessment of the patient’s needs and are provided by competent professionals, delivered with a written plan for treatment. These services include but are not limited to:
• An initial physical therapy evaluation and assessment for the patient prior to the provision of services;
• The determination and development of treatment goals and plans in accordance with the diagnosis and prognosis, with a treatment program established to aim at preventing or reducing disability or pain and restoring lost function;
• Therapeutic interventions that focus on posture, locomotion, strength, endurance, cardiopulmonary function, balance, coordination, joint mobility, flexibility, pain, and functional abilities in daily living skills;
• The application of modalities that include, but need not be limited to, heat, cold, light, air, water, sound, electricity, massage, mobilization, bronchopulmonary hygiene, and therapeutic exercises with or without assistive devices, and;
• Assessment and training in ambulation, including as appropriate, the use of orthotic, prosthetic, or assistive devices.
Radiology services include routine radiology services, ultrasound, CT services, Mammography, and echocardiography to inpatients, outpatients, and emergency room patients. MRI is provided through a Mobile service that visits the hospital once per week.
Registration is responsible for gathering patient demographic and insurance information on all patients and residents. Other functions include directing patients and visitor to various departments, collections, managing public relations concerning billing procedures, and informing the patient about advance directives, Medicare regulations, HIPAA Privacy notice, and Patient Rights.
Respiratory Therapy Services
Respiratory Therapy provides respiratory therapy, EKG, stress testing with or without echocardiography and medicated, as well as holter monitor services to all inpatients, outpatients, and swing bed residents. They oversee all ordered treatments that include chest percussion, nebulizers, croup tents, oxygen administration and weaning, ventilator management, respiratory emergency care, equipment maintenance, suction, peak flow, blood gas, trach care, pulmonary function testing and oximetry testing. They are responsible to assessment and reassessment of the patients respiratory status.
The Senior Care program of LHHS utilizes the highest levels of knowledge, ability, and integrity in providing behavioral health care to the Senior
Adults of the surrounding area. The Senior Care Program strives to provide improved behavioral health to the individuals they serve by:
• Effectively identifying the need of an individual seeking help
• Formulating, implementing, and tracking individualized multi-disciplinary treatment regimens that are realistic and measurable.
• Promoting significant positive behavioral change over time.
• Providing appropriate discharge planning and follow-up that promotes continued functioning improvement after the individual is discharged from the program.
The Surgical department provides surgery and recovery, endoscopy, minor procedures, and central sterile services, and invasive radiological procedures to inpatients and outpatients Monday through Friday. Surgical personnel and a Surgeon are on-call after hours for emergencies. Surgical procedures are performed in a safe manner by qualified practitioners who have been granted clinical privileges by the Medical Staff and Board in accordance with the Medical Staff and Board Bylaws. Surgeries are performed by a qualified doctor of medicine or a doctor of dental surgery in accordance with approved policies and procedures. The surgeon examines patients prior to surgery to evaluate the risk of anesthesia and the procedure to be performed and also evaluates each patient for proper anesthesia recovery prior to discharge from the surgery department.
Swing Bed Unit
Swing Bed activities include all resident focused functions, and organizational functions that are in compliance with the hospital mission and in accordance to the Swing Bed policies and procedures. Admission to the Swing Bed is based on Skilled Nursing Criteria being met. Residents receive all available services as ordered by the physician, including discharge planning and activities.
Trauma (Level IV)
The Trauma Center at LHHS is designated to rapidly identify, treat and transfer those patients with life threatening injuries. The goal is to have the patient to definitive care within 60 minutes of their injury. Guidelines have been established for identifying seriously injured or potentially seriously injured individuals who will benefit from assessment and care by the trained LHHS Trauma Team. Air ambulances are on stand-by to transfer those who require further care. The goal for the Trauma Team at LHHS is to have a decision about need for transfer of the unstable patient made within 15 minutes since the transport time to the facility must be considered into the total time. The ability to recognize life threatening injuries and provide rapid transport to definitive care can increase survival.