All posts tagged project

Newman Regional Health emergency room expansion begins – Emporia Gazette

One turn of a shovel and it was official.

Ground was broken at Newman Regional Health Wednesday, signifying the beginning of its $14.4 million emergency room expansion project.

I want to thank you all for coming out today for the groundbreaking, Bob Wright, Newman Regional Health chief operating officer said. I was looking at the statistics today and, since 2013, our emergency room volume is up 22 percent, which helps explain why this project is so important to our community. We are doubling the number of rooms in our ER and tripling the square footage. We are co-locating express care and our critical decision unit on the same floor of the ER for better access to patients to our diagnostic equipment and their caregivers.

The expansion will increase the size of the emergency room tremendously. The current ER consists of 5,000 square feet with the expansion providing an additional 10,000 square feet. Wright said the expansion will benefit hospital staff and patients.

Just the space is a huge benefit, Wright said. The current rooms are so small we cant get the staff we need in a room. Sometimes you need three staff members in a room and they are too small for three people.

The emergency room will have a centralized nursing station and 19 total rooms the current ER has 10 small rooms. The 19 rooms include three trauma rooms, four fast track rooms and 12 regular examination rooms. The rooms are arranged around the central nursing station, which provides a clear line of sight to all patient rooms, which increases patient and staff safety.

Harold Blits, vice president of facilities at Newman Regional Health, said the emergency room expansion will benefit the community.

Its not so much how its going to benefit the staff. The big benefit is to the community, Blits said. If you have ever been a patient in the ER you know how tight it is, how loud it is, the lack of privacy.

The expansion will also include a waiting room, three exam rooms and a procedure room for express care. As patients enter they will self-determine if they need to be seen in express care or the emergency room. If they begin treatment in express care but the severity level is too high, they will be transferred to the emergency room.

A room for pre- and post-patients using the cath lab is included as well as room for an infusion station for those patients who come to the hospital for IV medications. Two safety rooms, observation rooms, a sexual assault nurse exam room and office space are also included. Staff will have access to a break room, staff bathrooms and locker rooms.

With Wednesdays groundbreaking, Bilts and Wright anticipate the expanded emergency room to open in December of 2019.

We anticipate being open 18 months from today, Bilts said.

I believe the next 18 months will go very quickly and we will be here soon cutting a ribbon, Wright said.

How patients benefit

^ Decrease in wait time

Wait times are expected to decrease with the additional space.

The space allows the ability to turn the patients quicker, Wright said. Waiting times will go down because we can get them in a room quicker. We can lose 20 minutes to an hour while people are in the waiting room and we havent even got them in a room yet.

^ Increased safety

Safety is always a top priority for patients and staff. The new emergency room is designed with safety in mind.

This space is designed for safety, Bilts said. Good line of sight to all patient rooms and a central nursing station.

^ Privacy

Each room in the new emergency room has a private bathroom to increase patient privacy.

Now we have two little bathrooms in the middle of a hallway and you are wandering out there exposed, Bilts said. Every room will have a restroom and there is just so much more privacy.

^ Space for family

The larger room sizes not only accommodate medical equipment and staff but also allow space for family to remain in the room with the patient. Each room will have a sleeper sofa for family members to rest while waiting.

Currently there is no room for family in our ER right now, Bilts said. If the doctor and nurse have to come in, the family member has to stand in the corner and basically hope they dont take up a spot more than 18 inches by 18 inches. Now the rooms will be plenty big enough for family to be there with the patient.

***************** Second Info Box *******************

By the numbers

^ $14.4 million is budgeted for the emergency room expansion

^ 19 total rooms in the emergency room three trauma rooms, four fast track rooms, 12 regular exam rooms

^ 15,000 square feet in the new emergency room

^ 7-percent increase in the number of patients using the emergency room in 2017 over 2016

^ 22 years since the last emergency room renovation was completed in 1995

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Newman Regional Health emergency room expansion begins – Emporia Gazette


HMC unveils new emergency room – Valley morning Star

HARLINGEN Even hospitals can be better prepared for emergencies.

Harlingen Medical Center officials are certain thats the case after unveiling the emergency room phase of their planned $8.5 million overhaul.

Since opening our doors in 2002, almost 15 years now, weve realized about a 50 percent increase in our patient visits to our ED, president and CEO Brenda Ivory told the crowd Thursday morning. The renovation and the expansion project is really driven by our communitys increased demand for emergency services.

The Emergency Department renovation nearly doubles the size of the allotted space, featuring 20 treatment rooms, two trauma bays, fast-track bays, an isolation room and triage rooms. Additional construction over the next eight months will remake space for the cardiac catheter lab, imaging, cysto room, endoscopy and recovery.

Even though were so excited to open our ED, were also just as excited to get on with Phase II of our construction, Ivory said of the project.

Harlingen Medical Center is one of 44 for-profit hospitals in 14 states owned and operated by Prime Healthcare based in California.

In addition to HMC, Prime Healthcare owns and operates Dallas Medical Center, Dallas Regional Medical Center, Knapp Medical Center in Weslaco and Pampa Regional Medical Center.

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HMC unveils new emergency room – Valley morning Star


Emergency room | Children’s Hospital of Wisconsin

If your child is experiencing a medical emergency, call 911 for help now!

Children’s Hospital of Wisconsin is a Level I pediatric trauma center, providing the best care to all injured kids. The American College of Surgeons only grants Level I verification to hospitals that provide the highest quality of care and deliver injury prevention, research and education programs to professionals and the public.

The American College of Surgeons, in making the announcement, commended Children’s Hospital on its continued commitment to provide quality care to all of its trauma patients.

Verified trauma centers must meet certain criteria. Key elements of a Level I Trauma Center status include:

Some facts and figures:

A co-payment will be collected at the time of service.

We care for more injured kids than any otherhospital in Wisconsin – from simple cuts and broken bones tocomplicated, life-threatening injuries. We see more than 60,000patients in our Emergency Room/Trauma Center every year. Of those visits, more than 10,000 are for trauma and we admitapproximately 1,000 of those patients to the hospital.

Injuries we see are a result of things such as:

The trauma team in the ERtreat the most critically injured patients 24 hours a day, 7 days a week. We respond to care for the child’s immediate crisis. A pediatric trauma surgeon leads the team that includes pediatric nurses and physicians from the Emergency Room, critical care,transport teamand operating room.Children’s Hospital has a surgeon on call 24/7 to consult with care providers at other hospitals.

Other team members includepediatric anesthesiologists, respiratory care practitioners, pharmacists, social workers, lab technicians, radiology technicians and security officers.

The trauma medical director, an advanced practice nurse and quality improvement nurse monitor care of every injured patient. They discuss all the critical issues with the care team and refer patients to a trauma physician or a trauma committee made up of experts from multiple specialties to review and identify opportunities for improvement.

The Children’s Hospital trauma program follows protocols developed to minimize radiation in injured children. We monitor the use of the protocols and have decreased the number of CT scans performed in children brought directly to Children’s Hospital from the scene of injury by 10 percent in two years. In two years, we have increased adherence to guidelines by 31 percent. CT scans are performed according to our guidelines in 97 percent of patients brought to Children’s Hospital directly from the scene of injury. If your child requires imaging tests likeX-raysor aCT scan, we make sure your child is exposed to the smallest amount ofradiation as possible.

We have the latest technology and equipment to offer the lowest doses of radiation. We shield and protect sensitive body parts from radiation. We check dose levels on equipment before each scan and inspect dose reports every month. Physicists adjust our equipment every year.

If you want your child treated at Children’s Hospital, ask your local hospital to transfer him or her before any non-urgent diagnostic care is provided.

Learn more about ourImaging Department.

More than 95 percent of pediatric spleen, liver and kidney injuries resulting from trauma can be treated successfully without going to the operating room. Children’s Hospital meets or exceeds this benchmark. In fact, 95 percent of spleen injuries, 99 percent of liver injuries, and 100 percent of renal injuries are treated successfullywithout surgery.

The Children’s Hospital trauma team is concerned about the entire well-being of your child. A child can have emotional trauma or acute stress symptoms from any injury. We screen injured children for possible stress symptoms and teach you what to watch for at home. We offer psychology intervention as needed.

We know that drug or alcohol use can increase the potential for injury. We screen your child for the risk for drug or alcohol use. Understanding that peer pressure pushes many children to use drugs or alcohol, we provide a brief motivational intervention to help them say “no.”

Our Trauma Center staff works closely with Children’s Hospital of Wisconsin Community Health – the lead agency forSafe Kids Wisconsin. We also work closely with theInjury Free Coalition for Kids.

We help reduce the cycle of violence through Project Ujima, which focuses on breaking the cycle of violence by reducing the number of repeat victims.

Transport Team Each year, our Transport Team brings more than 1,000 critically ill or injured children to Children’s Hospital by ambulance, helicopter and fixed-wing plane. Read more>>

Urgent care Children’s urgent care sites are the area’s only walk-in clinics just for kids. The urgent care clinics are open nights and weekends when regular doctors offices are closed. Appointments never are needed. Read more.

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Emergency room | Children’s Hospital of Wisconsin


Report: Opioid use continues to swamp Virginia emergency rooms – Daily Press

In one year, Riverside Regional Medical Center saw an increase of more than 47 percent in emergency room visits related to opioid use.

The Newport News hospital had 26 cases in 2016, compared with 16 in 2015. There were 23 in 2014, hospital spokeswoman Wendy Hetman said in an email.

A national report shows the local hospital is not alone opioid treatment in emergency rooms have surged 99 percent since 2005. There were 1.3 million opioid-related emergency room visits or hospital stays in 2014, the latest year for which complete figures were available.. With the country in the midst of an opioid epidemic, experts expect the numbers to continue to rise, according to the Agency for Healthcare Research and Quality, which released the report.

“Our data tell us what is going on. They tell us what the facts are. But they don’t give us the underlying reasons for what we’re seeing here,” report co-author Anne Elixhauser, a senior research scientist with the agency, told The Washington Post.

The 2014 numbers, the latest available for every state and the District of Columbia, reflect a 64 percent increase for inpatient care and the jump for emergency room treatment compared with figures from 2005, the Post reported.

The sharpest increase in hospitalization and emergency room treatment for opioids was among people ages 25 to 44. The data also show that women are now as likely as men to be admitted to a hospital for inpatient treatment for opioid-related problems.

At least 1,420 people died in Virginia last year from drug overdoses, the fourth year that drugs have outpaced motor vehicle accidents and gun-related incidents as the leading cause of unnatural death, the Virginia Department of Health reports. On Tuesday, the state agency hosted more than 300 health officials, community agencies and law enforcement officers at an opioid summit in Hampton to discuss a drug crisis decades after the “War on Drugs” was declared.

The crowd listened to a series of speakers who talked about coordinating continuous care for drug addicts.

Fred Brason II of the North Carolina-based Project Lazarus, which worked with officials there to create an opioid overdose prevention program, talked about successes the state had with its opioid problems. And he encouraged local officials not to try to copy North Carolina’s program.

“You have to create a program that will work for your communities,” Brason said. “You know your communities and what they need. You have to own it to make it a success.”

Several local agency leaders expressed a need for an agency to coordinate care for people and not just leave them to their own devices to find counseling on their own after facing a crisis. Brason told the crowd if a person is ready and wants treatment, the community has to have services in place to help him or her succeed.

In 2014, fatal overdoses overtook motor vehicle crashes as the most common cause of accidental death in Virginia. Last year, Gov. Terry McAuliffe and state health officials declared the opioid epidemic a public-health emergency in the state.

By this time last year, more than 300 people in Hampton Roads had overdosed on drugs, local police and health officials reported. Sixty-five of those overdoses many of them pertaining to heroin and prescription painkillers were fatal.

When the health department planned the opioid summit, organizers worried they wouldn’t have enough people who wanted to participate, said Dr. Heidi Kulburg, director of the Virginia Beach health department and the Hampton Roads Opioid Working Group.

They were encouraged to see so many people interested in helping, she said.

The Washington Post contributed to this story. Canty can be reached by phone at 757-247-4832.

Report: Opioid use continues to swamp Virginia emergency rooms – Daily Press


State approves new ECMC emergency room – Buffalo News

Erie County Medical Center has received state approval of its plan to construct a new trauma center/emergency department.

The new $58 million facility will stand on ground-level on the west side of the hospital near the ambulance ramp, which will be razed.

Plans call for a 54,000-square-foot facility with 54 treatment stations including four dedicated trauma rooms, two behavioral health safe rooms, two isolation rooms and four medical resuscitation rooms. That’s compared to the current 34 rooms in 26,000 square feet

ECMCs emergency department was initially built in the 1970s and later renovated in the mid-1990s to treat an expected 45,000 patients per year. In 2016, the emergency department cared for about 70,000 patients, according to the medical center. ECMC officials forecast increased emergency room visits over the next few years as a result of such forces as the growing proportion of elderly people in the area and a shortage of primary care doctors.

Erie County Legislature approves ECMC deal after a raucous debate

Pike Construction has been selected as the project general contractor. The estimated construction timetable includes starting site preparation in the fall and completing work in 2019.

$58 million ECMC plan aims to alleviate cramped, dated ER

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State approves new ECMC emergency room – Buffalo News


MU Health Care begins expansion of emergency department | Local … – Columbia Missourian

COLUMBIA MU Health Care began construction on a $16 million expansion of University Hospital’s emergency department Tuesday.

The project will add 6,335 square feet to the emergency department, and 20,972 square feet of the total space will be renovated. By the time the work is done at the end of 2018, the emergency room will include 17 more exam rooms for a total of 38, 10 new fast-track exam rooms and a second triage area, according to an MU Health Care news release.

“One innovative feature of this project is fast-track exam rooms that will help us continue to shorten wait times,” Matthew Robinson, interim chair of the Department of Emergency Medicine at the MU School of Medicine, said in the release. The fast-track rooms will be able to quickly serve patients with lesser injuries such as cuts that require stitches or broken bones.

Jonathan Curtright, interim chief executive officer of MU Health Care, said the project is necessary because of the rising number of patients the ER sees.

“In 2016, University Hospital’s emergency department provided care for more than 49,000 patients; up from 37,000 in 2011,” Curtright said. “That is a 30 percent increase in our emergency department patient volumes in five years, and we expect that growth to continue.”

Curtright said the hospital is on track to provide emergency care to more than 52,000 patients in 2017.

The expanded emergency department will include the only American College of Surgeons-verified Level I Trauma Center in mid-Missouri: the Frank L. Mitchell Jr., M.D., Trauma Center.

University Hospital’s emergency room will remain open at all times during the construction, but there will be some changes. The Missouri Psychiatric Center entrance on Deans Drive will serve as the temporary emergency room entrance. Patients coming to the ER will be able to park in the Tiger Avenue Parking Structure beginning at 7 a.m. next Tuesday, and parking escorts will be available. The current ambulance entrance will remain open.

The hospital is also renovating another 11,355 square feet of space and adding 24 new inpatient rooms for patients with medical and behavioral issues. It will add another 5,108 square feet to the second floor to make room for equipment.

The total cost of the combined projects is about $22.6 million.

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MU Health Care begins expansion of emergency department | Local … – Columbia Missourian


Cotton Swab Injuries Send 34 Kids to the Emergency Room Every Day – Mental Floss

Jacques Mattheij made a small, but awesome, mistake. He went on eBay one evening and bid on a bunch of bulk LEGO brick auctions, then went to sleep. Upon waking, he discovered that he was the high bidder on many, and was now the proud owner of two tons of LEGO bricks. (This is about 4400 pounds.) He wrote, “[L]esson 1: if you win almost all bids you are bidding too high.”

Mattheij had noticed that bulk, unsorted bricks sell for something like 10/kilogram, whereas sets are roughly 40/kg and rare parts go for up to 100/kg. Much of the value of the bricks is in their sorting. If he could reduce the entropy of these bins of unsorted bricks, he could make a tidy profit. While many people do this work by hand, the problem is enormousjust the kind of challenge for a computer. Mattheij writes:

There are 38000+ shapes and there are 100+ possible shades of color (you can roughly tell how old someone is by asking them what lego colors they remember from their youth).

In the following months, Mattheij built a proof-of-concept sorting system using, of course, LEGO. He broke the problem down into a series of sub-problems (including “feeding LEGO reliably from a hopper is surprisingly hard,” one of those facts of nature that will stymie even the best system design). After tinkering with the prototype at length, he expanded the system to a surprisingly complex system of conveyer belts (powered by a home treadmill), various pieces of cabinetry, and “copious quantities of crazy glue.”

Here’s a video showing the current system running at low speed:

The key part of the system was running the bricks past a camera paired with a computer running a neural net-based image classifier. That allows the computer (when sufficiently trained on brick images) to recognize bricks and thus categorize them by color, shape, or other parameters. Remember that as bricks pass by, they can be in any orientation, can be dirty, can even be stuck to other pieces. So having a flexible software system is key to recognizingin a fraction of a secondwhat a given brick is, in order to sort it out. When a match is found, a jet of compressed air pops the piece off the conveyer belt and into a waiting bin.

After much experimentation, Mattheij rewrote the software (several times in fact) to accomplish a variety of basic tasks. At its core, the system takes images from a webcam and feeds them to a neural network to do the classification. Of course, the neural net needs to be “trained” by showing it lots of images, and telling it what those images represent. Mattheij’s breakthrough was allowing the machine to effectively train itself, with guidance: Running pieces through allows the system to take its own photos, make a guess, and build on that guess. As long as Mattheij corrects the incorrect guesses, he ends up with a decent (and self-reinforcing) corpus of training data. As the machine continues running, it can rack up more training, allowing it to recognize a broad variety of pieces on the fly.

Here’s another video, focusing on how the pieces move on conveyer belts (running at slow speed so puny humans can follow). You can also see the air jets in action:

In an email interview, Mattheij told Mental Floss that the system currently sorts LEGO bricks into more than 50 categories. It can also be run in a color-sorting mode to bin the parts across 12 color groups. (Thus at present you’d likely do a two-pass sort on the bricks: once for shape, then a separate pass for color.) He continues to refine the system, with a focus on making its recognition abilities faster. At some point down the line, he plans to make the software portion open source. You’re on your own as far as building conveyer belts, bins, and so forth.

Check out Mattheij’s writeup in two parts for more information. It starts with an overview of the story, followed up with a deep dive on the software. He’s also tweeting about the project (among other things). And if you look around a bit, you’ll find bulk LEGO brick auctions onlineit’s definitely a thing!

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Cotton Swab Injuries Send 34 Kids to the Emergency Room Every Day – Mental Floss


Augusta Health eyes $22 million ER expansion | Business … – The Daily Progress

FISHERSVILLE Augusta Health’s emergency room trafficgrew to nearly 62,000 patients last year almost twice the number it was built to serve when the hospital opened more than 20 years ago.

The community hospital’s emergencydepartment was built to serve 35,000 patients, so with the increase in traffic, some patients end up having to be served in hallways or corridors during especially busy times in the ER.

In addition to the increase in patient visits, the past two decades have seen signficant innovations in both medical equipment and technology in the emergency department. That’s been a blessing from a health perspective, but a challenge given the space requirements some of the new devices and procedures require.

But the space crunch will soon be a thing of the past. Augusta Health on Wednesday announced plans for a $22 million expansion and renovation of the emergency department. A groundbreaking adjacent to the existing emergency department was also held Wednesday in conjunction with the announcement.

The plans call for a 33,000-square-foot, two-story addition, along with the renovation of the existing 17,500 square feet. The addition will include 16,288 square feet of “shelled space” for future use. Completion of the project is set for 2019.

“This will give us a better space to take care of patients,” said Dr. Adam Rochman, medical director of the emergency department. Rochman said treating patients in a hallway “is less than ideal.”

The project calls for 48 large, walled, private rooms and dedicated areas for stroke, heart attack and other trauma cases. Family consultation areas for private conversations and meetings with doctors are included in the plans, as is enhanced work space for EMS, police and mental health professionals. A new ambulatory entrance with a canopy will also be built.

Augusta Health President and CEO Mary Mannix said the hospital is not only seeing more patients, but patients of “higher acuity with trauma, strokes and heart attacks.”

Mannix said the addition and renovation will allow the hospital to grow along withe the communities it serves.

“We are really excited to up our game,” she said.

Approximately $20 million of the emergency department upgrade has been approved by the hospital board. And a $2 million capital campaign has been authorized by the Augusta HealthFoundation board of directors.

Leading the $2 million “Moments Matter” campaign is Jim Perkins, the retired president of Blue Ridge Community College.

“This is a very important project forour community,” said Perkins, who saidseveral members of his family havevisited theemergency department over the years, including his 95-year-old mother.

And while Perkins praised “the tremendous care” of the emergency department’s doctors and nurses, he said the present cramped facilityis not indicative of the high standard of care the hospital offers.

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Augusta Health eyes $22 million ER expansion | Business … – The Daily Progress