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Emergency Room Phase 1 Opens

By Staff | Feb 17, 2010

Wetzel County Hospital Chief Executive Officer George Couch says the primary trauma room, shown here, exceeds space requirements. The spacious room can easily handle the up to 15 personnel sometimes needed.

Wetzel County Hospital officially opened phase one of its expanded and renovated Emergency Room at Tuesday morning.

“Emergency care in Wetzel, Tyler, and Monroe counties will be greatly enhanced with the opening of this major expansion of our emergency department. This is a great day for Wetzel County Hospital, our employees, and the citizens of the area,” said George Couch, chief executive officer.

Couch reported that six beds and all of the primary services of the new Emergency Department area are in operation as part of the first phase. Phase two includes the complete renovation of the old Emergency Department, which will add the final six private treatment rooms. “The nurses have just been wonderful with all this,” said Marge Knight, R.N. and chief nurse for Emergency and Outpatient Services.

She noted that the new Emergency Department has been expanded from 1,750 square feet to 6,300 square feet. It has its own entrance and large waiting area; reception desk; trauma room; cardiac room; gynecology room; orthopedic/suture room; isolation room; decontamination room; three triage rooms; four treatment rooms; physician office; medication room; clean and soiled utility rooms; private patient bathrooms; and coffee bar. An added feature of the ED is new bedside registration.

The primary trauma room exceeds space requirements with its large 300 square feet. Couch explained that when there is a severe trauma case, up to 15 people could be in that room at one time. The two critical care rooms are in view of the nurses station, for added monitoring. Also, they are equipped with PAX monitors, meaning health care providers can view x-ray images at the time as the radiologist, facilitating better and more rapid communication between the departments.

Wetzel County Hospital Emergency Department staff members, from left, Tina Long, RN; Roger Harrison, RN; Jill Gray, RN; and Dr. Zaveen Kureishy stand behind the new nurses station ready to help the local community.

Other features of the new Emergency Department include a decontamination area, something that is very important given the chemical and fossil fuel industry in the area; public and staff bathrooms; staff break room; a family room for counseling or bereavement, which Knight said was her primary requirement in this renovation; a large nursing station, that Knight says is very user friendly; an upgraded ambulance bay; and an office for hospital security staff that is located to control after-hours access to the hospital. Also, there will be an area for EMS crews to complete needed documentation, a space that is not provided at many hospitals.

The hospital’s mobile M.R.I. trailer area has also been relocated and now includes the area’s first enhanced open M.R.I. service. Final improvements to the hospital’s helipad area, as well as in the construction of a helicopter hanger and crew quarters, are being made to accommodate the area’s first hospital-based 24-hour per day emergency helicopter service, which is a joint venture with Air Evac Lifeteam.

“We are excited to complete this first phase of this project and look forward to serving the residents of our area with the newest and one of the best equipped emergency and trauma centers,” said Bill Grimm, chairman of the Wetzel County Hospital Board of Trustees. “The top priority for the Wetzel County Hospital Board of Trustees, management, and medical staff has been the renovation and expansion ofour Emergency Department.”

Partial funding for the emergency department project came through a grant from the United States Department of Health and Human Resources, Health Resources and Services Administration, in the amount of $853,062 secured with the assistance of United States Senator Robert C. Byrd. The balance of the funding came from the refinancing of Wetzel County Hospital’s long term bonds by WesBanco Bank, along with the cooperation and assistance of the Wetzel County Commission and Wetzel County Building Commission.

The funds secured by Senator Byrd have helped significantly in the first major refurbishing of the facility since 1979, when the hospital opened its doors. For 28 years, Wetzel County Hospital has been working with the same emergency room facility, but with increased patient loads and more challenging cases such as increased incidents of drug abuses and overdoses; all-terrain vehicle (ATV) accidents; chemical exposures; mining disasters; and other industrial accidents, the facility is in need of upgrades. At this time Couch said the staffing of the department will not increase, but if volume increases, that would be the next step in providing efficient, quality care.

“Emergency care has changed dramatically over 28 years. In order to effectively deal with the complicated cases that enter the Emergency Room, the hospital must have the most effective tools and equipment to ensure up-to-date emergency health care,” Byrd said.

“For too long, the health care providers at Wetzel County Hospital have had to jump over major hurdles to provide quality health care to those who walk into its Emergency Room,” Byrd said. “I am proud to have worked with my colleagues to secure this funding. I know that we are making a critical and fundamental investment in the health and welfare of Northern West Virginians.”

“We are deeply grateful to Senator Byrd for his dedication and commitment to this project,” added Knight. “With our advanced skills and the quality of our Emergency Department physicians and staff we will now be able to provide the most modern and advanced equipment and technology, which will in turn enhance the quality of care to the citizens served by Wetzel County Hospital.”

The project was designed by Kreps and Zachwieja Architects from Charleston, W.Va., and R.C. Construction of Charleston, W.Va., is the general contractor.

Also, the West Virginia Department of Health and Human Services recently re-designated Wetzel County Hospital as a Level IV Trauma Center. Wetzel County Hospital is the only trauma-designated facility in Wetzel County and one of only 13 hospitals in West Virginia to receive a full three-year designation.

To earn the designation, the hospital must have the necessary equipment and resources for trauma cases. Hospital staff must constantly review trauma cases, which enables staff to provide care based on the best practices of trauma centers across the country.

Also, the hospital must staff radiology, lab, surgery and other departments to immediately treat trauma patients. Doctors and nurses must pass advanced trauma classes to provide patients with the latest procedures. All Emergency Department nursing staff at Wetzel County Hospital are credentialed in Advanced Cardiac Life Support (ACLS); Pediatric Advanced Life Support (PALS); Neonatal Advanced Life Support (NRP); and advanced Trauma Nurse Core Course (TNCC).

“We have taken great strides as a small rural hospital in providing high quality emergency, inpatient, and outpatient services. Many of our services and technology exceeds that of hospitals in the Wheeling and Parkersburg area. There is no reason for anyone to leave our area for radiology, lab, rehabilitation, or general in-patient surgery and acute care. Even if your doctor orders labs, therapy, or radiology at another hospital, you can bring your order here and be assured that our services meet the highest standards of care and service,” added Knight.