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Continuing Care

 
  Complex Care         Newly constructed 49 beds in bright and spacious units with extensive gardens and welcoming common spaces.  Complex continuing care offers extensive, special and clinically complex levels of care.  Therefore, patients require regular medical, nursing and allied health interventions with an average stay of 30 days.  The functional enhancement stream provides low to medium intensity therapy to increase strength and stamina for participation in the high intensity rehabilitation program. 
 

 

Palliative

 

The beautiful palliative unit offers 10 rooms with excellent privacy and comfort with garden views.  Family centered care is exemplified by this service.  The care team is recognized for the exceptional care and expertise in acute pain and symptom management.  Pharmacy plays a key role on this team.  The average stay is under two weeks. 

 

 

Rehabilitation

 

Rehab has 16 designated beds.  A large gym with a view of physiotherapy and motivation, an occupational therapy room, recreation room, relaxing roof terraces and dining space support the program activities.  The patient population is typically recovering from stroke, orthopedic surgery or other musculo-skeletal injury.  The daily regimen is described as strenuous with a typical stay of 14-21 days. 

Critical Care

 
 

Intensive Care

The 8 bed ICU provides critical care medicine, intensive monitoring, and treatment with vasoactive drugs, ventilator and respiratory support and post-surgical care.  Illnesses treated are primarily medical with emphasis on cardiac care.  Trauma is generally referred to tertiary care centers.  The ICU team acts as a resources to other areas though: monitoring telemetry, critical care nursing assessments, difficult IV starts, leading the cardiac arrest team, and critical care transport escort. 
 

 

Emergency

 

The E.D. sees over 44,000 patients (2005/06) in a newly constructed space.  It has large trauma/resuscitation rooms and multiple treatment/exam rooms including specialty rooms for negative pressure (2), casting, eye exams, and secure holding.  There are 12 observation/holding bays and a separate minor acute area.  (Only 4% are triaged at CTAS V).  A Mental Health crisis/triage worker is available to assist.  Fully digital diagnostic imaging and (PACS) assists in emergency care.  The Access Centre provides a case manager to divert some care back to the community. 

Medicine

 
 

Inpatient

This newly constructed unit accommodates 40 general medical patients that require such services as: cardiac monitoring, acute stroke management, fluid, and or metabolic management.  The unit includes a therapy gym and negative pressure isolation rooms. 
 

 

Outpatient

 

Diabetes Education is extremely successful service and recently received additional funding.  It is augmented with a medical clinic for people with no family physician.  Cardio-pulmonary rehab is an 8 week outpatient program focusing on education and lifestyle modification.  Without this service, patients would have to travel on a regular basis to Newmarket. 

Mental Health

 
 

Inpatient

Mandated as a Schedule 1 facility for adults (16 years of age and over0.  The 15 inpatient beds include 3 psychiatric intensive care.  A dedicated interdisciplinary team provides daily group and individualized programming.  Crisis Triage is provided for the emergency department and direct referrals. 
 

 

Day Program

 

The Day Program provides treatment services in a coordinated 6-8 week outpatient format with 5 days per week programming: psycho-educational groups assertiveness, communication skills, problem-solving, stress management, independent living and leisure activities.  It is very successful as an alternative to admission and achieves very high client satisfaction. 

 

 

Counselling

 

Community Counselling services are community mental health services that have recently moved onsite.  Services include adult counseling, case management, early psychosis intervention as well as child an youth sexual abuse response. 

Surgery

 
 

Inpatient

This acute care unit has 32 beds.  The surgical service requires only a portion of these beds resulting in a mixed medical/surgical utilization pattern.  Telemetry is available. 

 

 

Operating Rooms

 

There are 8 operating rooms: general surgery (3), endoscopy (2), orthopedics (1), gynecology (1), and cysto (1).  Outpatient activity is between 80 and 90%.  Cataracts are done in the O.R. as well as laser procedures. 

 

 

Ambulatory Care

 

Clinics include wound clinic, blood transfusion clinic, pre-op clinic, pain clinic, lumps and bumps clinics, hospitalist clinic, women’s health clinic, and a clinic for pre-op assessments of unattached patients.  The fracture clinic was interrupted but has resume.  An After-hours clinic is also onsite.  

Woman & Child

 
 

Obstetrics

With 400-450 births annual, the facility is classified as Level 1 but the obstetricians provide extended care in many cases.  There are 11 obstetrical beds, 8 of which are Labour Delivery, Recovery and Postpartum rooms (LDRP).  The remaining 3 beds are used for ante/post-partum care.  Midwifery is being introduced.  Outpatient non-stress testing is available and a breast feeding clinic is conducted in partnership with the Public Health Unit.  RMH is also a site for the Ontario breast Screening Program. 
 

 

Pediatrics

 

There are 8 pediatric beds in a child friendly environment with the ability to expand into adjacent beds if necessary.

 

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