Patient Guide

Hosp Phone D ital irectory

Find Information DURING YOUR STAY

Page 4

about Room Service Dining, Reading Materials and much more! Page 7

START PLANNING Your Discharge Now! Page 29 STAY SAFE: Fight Infections, Stop Falls and Prevent DVT. Page 16 ADVICE For the Caregiver. Page 32 REMEMBER TO SPEAK UP: Ask questions and voice concerns. Page 15

434.799.2100 DanvilleRegional.com

Rehabilitation Services Restoring Strength • Regaining Independence

Returning Home When an accident or illness affects your ability to lead an active life, Danville Regional Medical Center can put you on the road to recovery. We are proud to have certified, multi-skilled therapists and other caring staff to serve our patients. These professionals, who bring years of experience to Danville Regional, work closely with each patient to provide complete care based on their specific needs.

Offering a range of therapies available on an inpatient or outpatient basis, we help our patients get back to their daily routines.

For more information call Danville Regional Home Health Services: 434.799.2382 or 800.688.3762

Inpatient Rehab: 434.799.3824 Danville Regional Sports Medicine & Rehab: 434.822.0484 Cardiac Rehab: 434.799.4445

In This Guide Welcome to Danville Regional Medical Center 2 About Us

3

Telephone Directory

4

Hospitalist Program

5-6

During Your Stay

7-12

Your Satisfaction

13-14

Speak Up

15

Stay Safe

16-21

Smoking Cessation

22

Do You Have Pain?

23-24

15 Speak Up Take charge of your care.

Frequently Asked Questions about Surgery 25-26 Condition H Preparing to Leave the Hospital

27-28 29

Billing 30-31 For the Caregiver

32

16 Stay Safe You can contribute to healthcare safety.

Understanding Restraints 33-34 My HealthPoint 35-36

OUR ADDRESS

142 South Main Street Danville, VA 24541 The editorial content displayed here is the responsibility of PatientPoint. This material is for your educational use only. It does not contain, nor should it be construed as containing, medical advice. Talk to your doctor before making any lifestyle or treatment changes. Sponsors are responsible for the material provided, and your healthcare provider’s participation in the program does not represent an explicit or implied endorsement of any material presented. The people shown are models and are not known to have any health condition. Images are for illustrative purposes only. Image credits: Getty Images, iStockphoto. ©2016 PatientPoint ®

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Welcome to Danville Regional Medical Center Mission Statement Providing healthcare excellence close to home.

Patient Satisfaction At the time of your discharge, you will receive a phone call for a confidential patient satisfaction survey. Please take a few minutes to participate. Your feedback is an important part of our goal of improving the care and services we provide. Excellence is Our Standard We C.A.R.E. about our patients.

Our team would like to welcome you to Danville Regional Medical Center. We are committed to delivering the best healthcare available in the region as we seek to make our community healthier. We can assure you that when you seek care at Danville Regional Medical Center, you will find that everyone is working together to provide you with excellent service. We feel privileged to be able to provide quality services with the best outcomes for our patients. Patients can feel at ease knowing that our staff bring years of experience to our hospital, and their competence is combined with compassion and kindness. We know that an important part of patient care is excellent communication. This patient guide is designed to give you information about our hospital. As you read through this guide, please feel free to share your thoughts and opinions with us, as we value your input. Thank you for allowing Danville Regional Medical Center to be your provider of choice. Sincerely, Board of Trustees, Physicians, Volunteers and Employees

Our Values

C.A.R.E. Values Statement C – Commitment to a Culture of Safety A – Actions Speak Louder Than Words R – Respect the Needs of Others E – Everyone Matters

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About Us OUR ADDRESS 142 South Main Street Danville, VA 24541

For more than 120 years, Danville Regional Medical Center has been part of the close-knit fabric of the Dan River community, close at hand when health needs arise. When we’re not feeling our best or our health is threatened, we want to be surrounded by familiar faces and rest comfortably in a familiar place. We want to stay at home. We live and breathe freer knowing that care and compassion is always there, close by when we need it. DRMC is close in so many, many ways. Our staff, nurses and doctors work closely as a team for your health. Because we’re close to you, quality care, leading technology and life-saving techniques are nearby. Because we’re close, your family and circle of friends stay close, too. Because we’re close to you, we care enough to bring the very best to serve your health, whether it be technology, technique, expertise or caring professionals. We’re your neighbors, the people you know from the ball field or the grocery store, the people you go to church with or say “Hi” to at a restaurant. We’re close to you and we care. We’re DRMC. The Right Care. Right Here.

Danville Regional provides over 30 medical specialties to the community and among its many services and technologies, provides: n Acute Care Services n Surgical Services

(Including Outpatient) n Emergency Services n Critical Care Unit n Heart Center n Center for Radiation

Oncology n Women’s and

Children’s Services n Physician Clinics n Home Health n Hospice n Psychiatry &

Behavioral Health n Diagnostic Imaging

(On and Offsite) n Physical, Occupational

& Speech Therapy n Rehabilitative Services

(In and Outpatient) n Vein Center n LabCare Services n Advanced Wound

Center n Community Education

Services n Blood Donor Center

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Telephone Directory MAIN NUMBER & PATIENT INFO 434.799.2100

CARE Line 434.799.2273

Case Management 434.799.3768

Business Office (Billing) 434.799.4452

Room Service Dining 434.799.2200

Security 434.773.7941

Blood Donor Center 434.799.3743

Chaplain Services 434.799.3731

Patient Relations 434.799.4591

Admitting 434.799.2280 Advanced Wound Center 434.799.2282 Blood Donor Center 434.799.3743 or 800.478.0688 Center for Radiation Oncology 434.799.4592 or 866.472.6636 Cardiac Rehab 434.799.4445 Case Management Services 434.799.3768 (Social Workers, Case Managers) Danville Diagnostic Imaging Center 434.793.1043 Endoscopy Services 434.799.3738 Home Health Services 434.799.2382 or 800.688.3762 Hospice Legacy Hospice of the Piedmont 434.799.5317 or 855.799.5313 Human Resources 434.799.3764 Inpatient Rehab 434.799.3824 LabCare I (South Main St.) 434.792.4149 or 800.478.0688 LabCare II (Executive Dr.) 434.791.3597 or 800.478.0688 Medical Outpatient Services (MOPS) 434.799.4416 Medical Records 434.799.2247 434.799.4486 Mother’s Resource Center Outpatient Registration 434.799.4459 One Day Surgery 434.799.4590 Psychiatry & Behavioral Health Services 434.799.4450 or 800.258.7741 Outpatient Speech, Physical and Occupational Therapy 434.822.0484 Volunteer Services 434.799.4489 Women’s and Children’s Center 434.799.2246

Calling a Department WITHIN the Hospital? Dial the last four digits of the number.

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Hospitalist Program In August 2010, Danville Regional Medical Center partnered with Apogee Physicians, one of the nation’s leading hospitalist groups. A hospitalist is a specialist in internal medicine who solely treats patients in the hospital around the clock. Uniquely, Apogee is completely owned and operated by physicians who understand the business of medicine inside and out. The company is obsessively passionate about being the best and is guided by their mission statement, “What’s best for the patient is best for the practice.”

Hospitalist FAQs

What is a hospitalist? A hospitalist is a medical doctor who specializes in caring for hospitalized patients. Hospitalists are trained in general internal medicine and other medical specialties. Because hospitalists do not maintain outside clinics, they can focus their attention on your medical care inside the hospital. What are the benefits of having a hospitalist? Your hospitalist specializes in the kinds of medical conditions that need to be treated in the hospital. Because the hospitalist does not have an outside clinic, he or she has added knowledge of other departments and specialties and is very accessible to hospital nursing staff. The hospitalists can help to speed your recovery and shorten your hospital stay by following up on tests and adjusting your treatment plan throughout the day. Hospitalists

have systems in place to communicate with your family and your primary care doctor as needed, especially at the time of admission and discharge.

Why might I see several Hospitalists physicians during my hospital stay? Hospitalists are a small group of specialists who cover admitted hospital patients 24 hours a day, seven days a week and 365 days a year. Because no one person could do this on his or her own, they work as a team. This may result in you seeing more than one hospitalist during your stay at DRMC. What is the relationship between the hospitalists and my primary care doctor? The hospitalist partners with your primary care doctor to administer and oversee your treatment while you are in the hospital, serving as your regular doctor until you are discharged. The hospitalist will see you daily and manage your conditions, contacting your primary care doctor as appropriate and at the time of discharge. When you are discharged, you will return to your regular doctor or other communitybased caregiver to continue the care plan coordinated between your primary care provider and the hospitalist. Can the hospitalist become my primary care provider? No. Patients retain their primary care provider and return to their regular caregiver after their release from the hospital. The hospitalists’ time is www.danvilleregional.com 434.799.2100 :

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Hospitalist Program continued dedicated to inpatients, and they do not have outside clinics. If you do not have a primary care provider, the hospitalist or other hospital staff can assist you in finding a doctor and the records from your hospital stay can be sent to that provider.

Contact Information

Contact a hospitalist by an Apogee Patient Information Coordinator at 434.799.2225. Phone calls will be returned as soon as possible. For more information on Apogee Physicians, please visit www.apogeephysicians.com.

Notes _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 6

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During Your Stay nO  nce you have made your selection,

your meal will be prepared and delivered to your room at a set time by your host/hostess.

by

At Danville Regional Medical Center (DRMC), we strive to make every aspect of our patients’ stay and care the very best it can be. We recognize that an important part of this is ensuring the availability of tasty and nutritious meals, carefully prepared and quickly served to our patients at their bedside. That’s why we’ve partnered with Sodexo, an international food services expert, to bring to our patients a new personal meal service option called “Expressly For You.” “Expressly For You” gives patients individual service in choosing meals that are tasty and nutritious, but also supports a patient’s nutritional goals as set for him or her by his or her physician.

The Way It Works nU  sing our new menu, a DRMC food services host/hostess will assist you by taking your breakfast, lunch and dinner meal order(s) at your bedside. n Th  e host/hostess will visit your room every morning to get your lunch order, and visit with you again in the afternoon to get your dinner and next day’s breakfast meal order(s). nY  ou can select from our “Chef ’s Special” of the day. You also may choose a lighter meal option.

Our entire nutrition and food services team is here for our patients, family members and visitors. Questions? Please speak with your nurse or host/hostess.

For Diabetes Management

Your meals will be delivered on a schedule to allow for appropriate blood testing and medication dosage. Diabetic guidelines are available upon request. Some items may not be allowed or may be modified. Please let us know if you have any food allergies or questions about your diet.

Your Right to Decide

Please refer to the ‘Your Right to Decide’ booklet to learn more about a Living Will.

Notice of Financial Assistance

If you do not have health insurance and you are worried about how to pay for your bill, please contact us regarding our financial assistance programs at 434.799.3780.

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During Your Stay continued Mail and Flower Delivery

Wireless Internet Access

Reading Materials

Environmental Services

Our dedicated hospital volunteers deliver the mail and flowers sent to our patients. Please address all correspondence to: (Patient’s Full Name) Danville Regional Medical Center 142 S. Main Street Danville, VA 24541 Magazines, newspapers, and other reading materials are available to you through our Volunteer Services. Please call extension 4489 to request your reading material.

Interpreter Services

If it’s difficult for you to communicate for any reason, you can request interpreter services. We have interpreters for foreign languages or for sign language. A webcam is also available for face-to-face interpretation. Please communicate with your nurse if you require this service.

Connect To Guest Network Our Acceptable Usage Policy will appear. After reviewing the policy, you will need to click the “I Agree” button to continue. For assistance, the DRMC Help Desk is available Monday through Friday from 8:00 a.m. to 5:00 p.m. by calling extension 4400. Our goal in Environmental Services (EVS) is to provide you with a clean, germ-free and safe environment, as well as ensure you are satisfied with the cleaning of your room and bathroom daily. If you have any cleaning concerns, please call 3821 and an EVS Tech will gladly come and take care of them.

Send an eCard to Patient

We would be happy to deliver an eCard (email) to a friend or family member who is a patient at our hospital. To send an e-card just fill out an online form with as much information as possible, and we will do the rest! If you do not know Disability Services the patient’s room number, simply call DRMC has been specifically designed our hospital directory at 434.799.2100. to meet the needs of disabled patients Just think how much a patient would and visitors. We are sensitive to meeting love to hear, “you’ve got mail!” Go to your needs, and we follow the Americans DanvilleRegional.com to send an eCard. with Disabilities Act. Floor numbers are indicated in Braille in the elevators. Telecommunication devices (TDD phones) for the hearing impaired are available. Closed captioned television is also available. If you require these services, please ask your nurse or call Patient Relations at extension 4591. 8

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Registered Dietitians

Diet is an integral part of the patient’s treatment program. Registered dietitians work closely with the patient’s physician to develop a dietary program based on each patient’s nutritional requirements. Dietitians also provide patient education and guidance for meal planning.

Family Counseling/ Social Work Services

Discharge planning involves a multidisciplinary team of healthcare professionals who evaluates the patient’s capacity to self-care, the possible need for post-hospital services and the availability of the anticipated post-discharge services. In collaboration with the patient, family and/or other healthcare decision-maker, the hospital can assist in the assessment for eligibility for services such as home health, hospice, nursing home placement and personal care services.

Leave Your Valuables at Home

If you have jewelry or other valuables, please give them to a relative or friend to take care of during your stay. Store contact lenses, eyeglasses, hearing aids and dentures in cup provided when not in use. Please don’t put them on your bed or food tray—they may be damaged or lost.

Valet Parking

Valet parking is available at no charge for our patients and their families. The valet podium is located at our main entrance from 6:00 a.m. – 4:00 p.m. on Monday and Friday.

Escorts to the Parking Lots

Escorts to parking lots are provided upon request. Dial 7941 or 0 (for the operator) from any hospital phone to reach a security officer for an escort.

Cafeteria

Located on the second floor. Monday – Friday 6:30 a.m. – 2:00 p.m. Saturday and Sunday Closed

Subconnection

Now Open: located in the main lobby Monday – Friday 7:00 a.m. – 8:00 p.m. Saturday and Sunday 7:00 a.m. – 7:00 p.m.

Visitation Guidelines

n General Visiting Hours are

10:00 a.m. – 9:00 p.m.

n Patients will be able to continue

interactions with family and significant others. The patient or his/her support person has the right to chose who may visit during the hospital stay. A support person may be a family member, friend or other individual who is there to support the patient during the course of the hospital stay. Any restrictions to visitation are solely based on clinical reasoning or safety concerns and not on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation, or disability. Established visiting guidelines will provide increased safety and control for patients, visitors and www.danvilleregional.com 434.799.2100 :

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During Your Stay continued employees. DRMC operates under a “reasonable expectation rule.” The patient care staff generally establishes reasonable expectations, based upon the needs of the patients. Therefore, the expectations will not necessarily always be the same but will be based upon the needs of individual patients. There are several expectations that are uniform as listed in this policy. n Children less than 16 years of age must be accompanied by, and remain in the presence of, a non-patient adult at all times while in any area of the medical center. n The hospital discourages visitation by children under the age of six years. n Please do not bring food, drinks or medications to the patient until you check with nursing staff. n Please wash your hands before and after you visit every patient. If there is a Precautions sign on the door, please see the nurse before you visit for the first time. n We ask that you refrain from visiting patients if you have a stomach bug, flu or any illness with a fever. n While visitors are encouraged to comfort and support patients, we ask that you not sit or lie in a hospital bed or use the bathroom facilities in a patient’s room. Contact your nurse to see if a sleeper chair is available. n O vernight visitors are permitted in private and semi-private rooms with approval from the nursing staff. n Private Rooms – Only one overnight visitor (18 years or older) is permitted. 10

n All hospital doors, with the exception

of the entrance at the Emergency Department, will be locked or monitored from 9:00 p.m. until 5:00 a.m. Visitors with family emergencies must check in at the Emergency Room for a visitor’s pass. n Danville Regional Medical Center is a tobacco-free facility. Use of tobacco products is not permitted on campus. n

DRMC reserves the right to deny access to any or all persons. Visitors and/or patients may not possess firearms or other weapons nor illegal drugs or alcoholic beverages on the premises. Visitors found to be under the influence of drugs or alcohol will be asked to leave the premises. In order to ensure safety for patients, all associates and visitors’ packages are subject to being searched upon entering and leaving the hospital.

n A “No Visitors” sign may be placed

on the patient’s room door upon request of the patient, family or physician. n As a courtesy to our patients, we can re-label any multi-dose medication prescribed to you during your stay for a minimal cost of $3. This includes medications such as insulin pens, inhalers, eye drops, etc.

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ATM

Located in the main lobby and emergency department waiting area.

Use of the Chapel

Vending Machines

Our Chapel is open at all hours to all people, patients, families and staff. The chapel is an ideal place for sanctuary, to refocus, to find a sense of place, to pray, meditate or just be alone with your thoughts.

Gift Shop

Directions The Chapel is located on the third floor in the “B” building. Take the A or B elevator and turn right, going directly straight ahead to the end of the hallway, past the waiting area.

Located throughout the hospital: adjacent to the Main Lobby, in the Emergency Department waiting area, outside of the cafeteria, and in the waiting areas of critical care, 3D, 4A, 5A and 6A. Located in the main lobby. Open Monday – Friday 9:00 a.m. – 5:00 p.m.

Pastoral Care

At Danville Regional we are committed to bringing people to health and wholeness. The staff of our pastoral care department provides services that are designed to address the spiritual dimensions of illness. Spiritual health is a vital component of our overall sense of health and well-being. To provide these spiritual support services, we have a staff of chaplains drawn from many different denominations. These compassionate men and women have extensive training in theology, psychology and healthcare ministry. Chaplains are available 24 hours a day for patients and families of all faith traditions. To arrange for a chaplain, please ask your nurse or call the Pastoral Care Department at 434.799.3731.

Volunteers

Danville Regional has a dedicated group of adult and teen volunteers who donate thousands of hours each year. Their cheerfulness and dedication add a personal touch, contributing to the comfort and happiness of our patients and families. By volunteering, you become an important and integral part of Danville Regional. It’s easy to begin as a volunteer. We offer a complete orientation program so you can learn about the hospital, the staff and areas where you can help. We train you before you begin and introduce you to our staff. To learn more, contact Volunteer Services at 434.799.4489.

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During Your Stay continued Television Channel Listing 7 8 9 10 12 13 23 24 26 27 28

WDBJ WFXR WSLS ION WSET WWCW ESPN ESPN2 HLN ABC Family HGTV

29 30 31 32 33 40 41 43 44 45 46

Lifetime Nickelodeon TNT FX TWC TBS Discovery CNN Disney TV Land History

47 50 51 52 53 55 56 57 58

Cartoon SciF Golf MSNBC SPEED INSP Hallmark TCM Fox News

Take Notes ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 12

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ALBERT EINSTEIN 1879-1955

Truth is what stands the test of experience.

Your Satisfaction We encourage your feedback to improve care. Your healthcare is our priority. To determine where

improvements are needed, this hospital takes part in the Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) survey. The HCAHPS survey measures your satisfaction with the quality of your care. It is designed to be a standardized tool for measuring and reporting satisfaction across all hospitals in the U.S. After you are released from the hospital, you may be asked to participate in the HCAHPS survey or other surveys specific to your visit. The HCAHPS survey asks multiple choice questions about your hospital stay. Please take the time to participate in the surveys; your feedback is valuable!

What is HCAHPS?

The HCAHPS survey is supported by the U.S. Department of Health and Human Services. The survey is used to improve the quality of healthcare. The results enable healthcare consumers to review and compare hospitals before choosing a healthcare provider.

You are part of the team. COMMUNICATE It’s your health; don’t be afraid to ask your doctors and nurses questions. PARTICIPATE You are the center of your healthcare team so ask questions, understand your treatment plan and medications, and communicate with your doctors and nurses.



Hospital Compare

is a government website that allows users to compare the quality of care provided by hospitals. The information provided on this website is based on HCAHPS survey results. www.medicare.gov/ hospitalcompare

The Joint Commission

has created quality and safety standards for healthcare organizations. The Joint Commission reviews, accredits and certifies healthcare organizations that meet its high standards. Quality reports for all accredited organizations are available on its website. www.qualitycheck.org

Patient Advocate Services

DRMC strives to provide excellent care and service. If we did not meet your expectations, please contact our Patient Advocate by calling 799.2273. The Patient Advocate works to meet the needs of patients and visitors by ensuring that concerns are responded to in an appropriate and effective manner. The Patient Advocate is available each weekday from 8:30 a.m. – 5:00 p.m. After hours and weekends, please contact the Administrative Supervisor at 799.2190.

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Your Satisfaction continued Concerns About Safety Or Quality Of Care

Facts About The Joint Commission

The Joint Commission evaluates and accredits more than 16,000 healthcare organizations and programs in the United States. An independent, not-for-profit organization, The Joint Commission is the nation’s predominant standards-setting and accrediting body in healthcare. Since 1951, The Joint Commission has maintained state-of-the-art standards that focus on improving the quality and safety of care provided by healthcare organizations. The Joint Commission’s Anyone has the right to contact The comprehensive process evaluates an Joint Commission directly if they have organization’s compliance with these a patient safety or quality of care concern standards and other accreditation or that the hospital has NOT addressed. certification requirements. You may send your complaint by email, by fax, or by mail to the addresses Virginia Department of Health listed below. You may also submit a grievance Email: patientsafetyreport@ regarding quality of care, insurance jointcommission.org coverage decisions, or concerns related Fax: Office of Quality and Patient Safety to premature discharge to: 630.792.5636 The Office of Licensure Print a Quality Incident Report & Certification form from the website: Virginia Department of Health www.jointcommission.org 3600 Centre Suite 216 Mail: Office of Quality 3600 West Broad Street and Patient Safety Richmond, VA 23230-4920 The Joint Commission 800.955.1819 – Complaint Hotline One Renaissance Boulevard Oakbrook Terrace, IL 60181 Anyone who has a concern regarding patient safety or quality of care, or a complaint about care or treatment based on race, religion, sex, ethnicity, age, national origin, color or disability is encouraged to contact the Director of Medical Quality Services: Director of Medical Quality Services Danville Regional Medical Center Telephone: 434.799.4511 Fax: 434.799.3822

If you have questions about how to file your complaint you may contact The Joint Commission at this toll free number from 9:30 a.m. – 6:00 p.m., weekdays: 800.994.6610 14

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FRANCIS BACON

Who questions much, shall learn much, and retain much.

Speak Up! Take charge of your care. During your stay, the doctors, nurses and staff of

your hospital will treat you and your family as partners in your own care. One important way that you can be involved is to speak up. Ask questions, voice your concerns, and don’t be afraid to raise any issues relating not only to your care and treatment, but also to overall hospital services. In the pages that follow, you’ll find a step-by-step guide to making the most of your hospital stay—how to stay safe, get the information you need, ask the right questions and interact effectively with your doctors, nurses and hospital staff.

STEP UP & SPEAK UP SPEAK UP: Ask questions and voice concerns.

Remember:

It’s your body, and you have a right to know.

n

 rite down any questions W Choose a support person to communicate with the doctors and staff n K eep a list of doctors you see and of your medicines n

PAY ATTENTION: Make sure you’re getting the right treatments and medicines. EDUCATE YOURSELF: Learn about the medical tests you get and your treatment plan.

FIND AN ADVOCATE: Pick a trusted family member or friend to be your advocate or support person. WHAT MEDICINES & WHY: Know what medicines you take and why you take them.

Don’t Get Overwhelmed, Write It Down!

PARTICIPATE IN YOUR CARE: You are the center of the healthcare team.

Courtesy of The Joint Commission.

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HENRY H. TWEEDY 1868-1953

Fear is the father of courage and the mother of safety.

Stay Safe You can contribute to healthcare safety. While you are in the hospital, many people will enter your room, from doctors and nurses to aides and orderlies. The following information will help make your hospital stay safe and comfortable.

Employee ID All hospital employees wear identification badges. Feel free to ask any staff member for his or her name and job classification. If you do not see an ID badge on an employee, please call your nurse immediately.

Don’t Be Afraid to Ask… A number of people may enter your hospital room. Be sure to: n Ask for the ID of everyone who comes into your room. n Speak up if hospital staff doesn’t ask to check your ID. nA  sk if the person has washed his or her hands before he or she touches you. n I f you are told you need certain tests or procedures, ask why you need them, when they will happen and how long it will be before you get the results. 16

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PATIENT IDENTIFICATION Any time staff members enter your room to administer medications, transport you or perform procedures and treatments, they must verify your identity. At times, you may be asked the same questions repeatedly. We are aware that this may be annoying. Please understand that this verification process is a critical component in our patient safety program in order to guarantee that all of our patients receive the correct medications and treatments.

Check ID

STAY SAFE

Know Your Meds While you are hospitalized, your doctor may prescribe medications for you. Be sure that you understand exactly what they are and why they are being prescribed. Use this checklist to help you get the information you need from your doctor: What is the name of the medicine? What is its generic name? Why am I taking this medicine? What dose will I be taking? How often, and for how long? When will the medicine begin to work? What are the possible side effects? Can I take this medicine while taking my other medications or dietary supplements? Are there any foods, drinks or activities that I should avoid while taking this medicine? Should I take my medicine at meals or between meals? Do I need to take the medicine on an empty stomach or with food or a whole glass of water? What should I do if I forget to take the medicine and miss a dose?



Medication Safety Be sure that all of your doctors know what medications you have been taking, including prescription drugs, over-thecounter medications, herbal and vitamin supplements, natural remedies and recreational drugs. Be sure that all of your doctors know of any allergies you may have— to medications, anesthesia, foods, latex products, etc. When you are brought medications or IV fluids, show that person your ID bracelet to verify your identity. Remember—you play an important role in medication safety.

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STAY SAFE

Preventing Falls Hospital patients often fall because they are weak or unsteady due to illness or medical procedures, their medications make them dizzy, or they’ve been sitting or lying down for too long. Danville Regional cares about our patients’ safety. Please help us keep you safe by following these guidelines during your hospital stay: n Do not get out of bed by yourself. Your hospital bed is probably higher and narrower than your bed at home, and you can easily fall while trying to get in or out of it. Please use your nurse call button and ask for assistance. n Keep often-used items—call button, tissues, water, eyeglasses, telephone, TV remote— within easy reach. n Do not walk in bare feet. Wear non-skid socks or slippers. n Make sure your robe or pajamas don’t drag on the floor; they can cause you to trip. n Use the handrails in your bathroom and throughout the hospital at all times. n Ask your nurse to show you how to properly walk with your IV pole, drainage bags or any other equipment. n Be sure your wheelchair is locked when getting in or out of it. Never step on the footrest. n If you see a spill on the floor, report it at once.

DVT: Lower Your Risk Deep-vein thrombosis (DVT) occurs when blood clots form in the legs and block circulation. The clots can lodge in your brain, heart or lungs, causing damage or even death. When you’re hospitalized and in bed with limited physical activity, your risk of DVT increases. Ask your doctor about using compression boots or stockings and/or blood thinners to prevent DVT during your stay. And be sure to tell your doctor or nurse if you have any of the following symptoms: DVT Pain Swelling Discoloration (bluish, purplish or reddish skin color) Warmth Pulmonary Embolism Shortness of breath Chest pain (which may be worse with deep breath) Unexplained cough (may cough up blood) Unexplained rapid heart rate

*Ambulation is an important prevention measure that you participate in during your hospital stay. Ambulation is more PATIENTS OF ALL AGES ARE AT RISK OF FALLS BECAUSE OF MEDICATIONS THAT MAY than walking back and forth to bathroom. Ask how soon and how MAKE THEM DIZZY, WEAK OR UNSTEADY often should I walk?

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• Home Infusion Therapies: TPN, Antibiotics, Antifungals, Antivirals, Steroids, Hydration, Pain Management, IVIG, Enteral Nutrition, and more • IV Central Catheter Declotting, Care, and Maintenance • Administration of SQ and IM Injections by RN • Patient/Caregiver/Family In-Home Education & Training

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I am uncomfortable.

I'm not sure what happens next.

My pain is back.

Speak up You have the right to be heard. Talk to your doctor and nurse. They can't help you if you don't ask.

PREPARE FOR DISCHARGE

CHECKLIST Do you know when you're going home? Do you know who will pick you up from the hospital? Does your family or other support person know where to park? Do you have comfortable clothes to wear home? Do you have all the belongings you brought with you? Do you have follow-up appointments scheduled? Do you have your discharge prescriptions? Have all your questions been answered?

Need additional healthcare services after your stay?

Choose accredited providers who meet patient safety and quality standards.

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147 Deer Run Road Danville, VA 24540

434-791-2240 www.annieshouse.org

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• Daily Snacks and Hot Lunch Provided • Weekly Physical and Mental Assessments

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7/13/2015 11:25:34 AM

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STAY SAFE

Questions for My Doctor Be Informed

You and your caregiver need to stay informed about your medical condition and treatments while you are hospitalized. Once you are released from the hospital, it is important to have this information available so you can share it with your primary care physician during your next visit. These checklists will help you ask questions while in the hospital and keep track of vital health and medication information.

About My Medicines

Once you are discharged from the hospital, your pharmacist can help answer your questions about medications, including what the label on the medicine bottle means. Ask your pharmacist to put your medicines in easy-to-open containers, and ask for large-print labels.

About My Medical Tests

4 Why do I need this test? 4 What will this test show about my health? 4 What will the test cost? Will my health insurance cover the costs? 4 What do I need to do to get ready for the test? 4 How is the test done? What steps does the test involve? 4 Are there any dangers or side effects? 4 How will I find out the results of my test? How long will it take to get the results? 4 What will we know after the test? 4 Will I get a written copy of the test results?



About My Condition

4 What effect did my hospitalization have on my condition? Is it cured or just under control for now? 4 How can my condition be treated or managed, or made better? 4 How will this condition affect me? Will I need to change some of my activities? 4 Are there long-term effects of my condition? 4 How can I learn more about my condition?

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STAY SAFE

Fighting Infections The single most important thing you can do to help prevent infections is to wash your hands and make sure that everyone who touches you—including your doctors and nurses—washes his or her hands, too.

You, your family and friends should wash hands: 1. after touching objects or surfaces in the hospital room 2. before eating 3. after using the restroom

It is also important that your healthcare providers wash their hands with either soap and water or an alcohol-based hand cleaner every time, both before and after they touch you. Healthcare providers know to practice hand hygiene, but sometimes they forget. You and your family should not be afraid or embarrassed to speak up and ask them to wash their hands.

Happy Birthday to You! Wash your hands with soap and warm water for 15 to 20 seconds. That’s about the same amount of time that it takes to sing the “Happy Birthday” song twice.

Be sure to:

n Cover your mouth and nose to prevent the spread

of infection to others. Many diseases are spread through sneezes and coughs. n Use a tissue! But be sure to throw the used tissue away and clean your hands after coughing or sneezing. If you don’t have a tissue, cough/sneeze into the bend of your elbow. n Make sure that your vaccinations are current—even for adults. Check with your doctor about shots you may need.

Doctors, nurses and other healthcare providers come into contact with a lot of bacteria and viruses. So before they treat you, ask them if they’ve cleaned their hands.

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No Soap? No Problem. Alcohol-based hand cleaners are as effective as soap and water in killing germs. To use, apply the cleaner to the palm of your hand and rub your hands together. Keep rubbing over all the surfaces of your fingers and hands until they are dry.

STAY SAFE

Prevent the Spread of

Multi-Drug Resistant Organisms When you are admitted into the hospital you may have a nasal swab done to determine if you have MRSA (methicillinresistant Staphylococcus aureus). This is a multi-drug-resistant organism (MDRO) that is frequently found in patients. MDROs are bacteria that are resistant to antimicrobial drugs (antibiotics), so precautions must be taken to ensure that the MDRO isn’t spread. If your culture is positive, you will be placed on isolation. This means staff will wear gowns, gloves or masks when they treat you. Your family and visitors are expected to do the same to help prevent the spread of bacteria. These are the most common types of MDROs:

MRSA: Methicillin-Resistant Staphylococcus Aureus

MRSA is a bacterium that is carried on the skin or in the noses of healthy people and is a common cause of minor skin infections. It can also cause surgical wound infections, bloodstream infections and pneumonia. To prevent the spread of MRSA: n Cover your wound: Keep areas of affected skin covered with clean, dry bandages. n Clean your hands: Anyone in close contact should clean hands with soap and warm water or an alcohol-based sanitizer. n Do not share personal items: Avoid sharing clothing, towels or razors. n Talk to your doctor: Tell any of your healthcare providers that you have a MRSA infection. If you have a wound that does not heal or a boil or “spider bite” that looks infected, see your doctor.

E. coli: Escherichia coli E. coli is a type of bacteria found in your intestines and is usually harmless. This bacteria, highly resistant to antibiotics, can spread outside of your gut, and cause an infection. In hospitals, E. coli infections spread through contact with wounds or stool. To help prevent E. coli infections: n Tell your medical team if you were treated in another hospital or country recently. n Make sure that all healthcare providers clean their hands before and after caring for you. n Be sure to clean your hands often. n Take antibiotics only as prescribed.

VRE: VancomycinResistant Enterococci Enterococci are bacteria that are normally present in the intestines and in the female genital tract. Vancomycin is an antibiotic that is often used to treat infections cause by enterococci. When enterococci become resistant to vancomycin (not killed by it) it is called VRE. VRE can cause infections of the urinary tract or the bloodstream, or of wounds. Most VRE infections can be treated with antibiotics other than vancomycin. If you develop VRE while on a urinary catheter, removal of the catheter can help get rid of the infection. www.danvilleregional.com 434.799.2100 :

21

Smoking Cessation In the United States, tobacco use is responsible for nearly one in five deaths. Tobacco use accounts for at least 30 percent of all cancer deaths and 80 percent of lung cancer deaths. Besides lung cancer, tobacco use also increases the risk for other cancers. Each year, about 3,400 non-smoking adults die of lung cancer as a result of breathing secondhand smoke. (Source: Cancer Facts & Figures 2014) When you quit smoking, the risk of lung cancer, other cancers, heart attack, stroke, and chronic lung disease decreases.

American Cancer Society Advice on How to Quit

Step One: Decide to Quit nP  ick the date and mark it on your calendar. nT  ell friends and family about your Quit Day. Create a support system plan and let your support system know how it can help you before your quit date. nG  et rid of all the cigarettes and ashtrays in your car and workplace. n Stock up on oral substitutes—sugarless gum, carrot sticks, hard candy, cinnamon sticks, coffee stirrers, straws and/or toothpicks.

nC  ravings to smoke usually last about 20

minutes. To help resist a craving, you can call a friend, chew gum or have a healthy snack, take a walk, brush your teeth, take a shower and keep your hands busy.

Step Four: Stick With It nM  ake healthy choices. nD  on’t let a slip stop you. nA  void triggers such as alcohol and caffeine. nA  sk others not to smoke around you while you are trying to quit. nB  e proud of yourself !

After You Quit

Your sense of smell and taste return. The annoying smoker’s cough goes away. You can breathe easier and climb stairs without becoming short of breath. You will be free from the mess and smell and the feeling of needing a cigarette. You will have less chance of heart disease, stroke, lung disease and cancer. To learn more talk to you doctor, nurse or other healthcare provider. Look for programs or services to help you quit. Services available are: Quit Now Virginia: 1-800-QUIT-NOW (1-800-784-8669)

Step Two: On your Quit Date nW  et and throw out all cigarettes, ashtrays, American Cancer Society:1-800-227-2345 lighters and matches. or www.cancer.org Step Three: Understand Withdrawal Symptoms nY  our withdrawal symptoms—cravings to smoke, trouble sleeping, or feeling irritable—will be strongest in the first few days. They may even disappear entirely within a few weeks. 22

American Lung Association: 1-800-548-8252 or www.lungusa.org OR http://smokefree.gov/talk-to-an-expert

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TORI AMOS QUOTES B.1963

Healing takes courage, and we all have courage, even if we have to dig a little to find it.

Do You Have Pain? Our staff is committed to providing appropriate, safe pain management. We wish to

offer you the highest level of pain relief that can be realistically and safely delivered.

You are an important part of the healthcare team!

You have a right to effective pain relief and continued pain management in the manner appropriate to your condition. Please use these guidelines to help us provide you with the most appropriate therapeutic pain control. Make a point to discuss these things with your caregivers: n Ask your doctor or nurse how much pain to expect n Tell us how you have best dealt with pain in the past n Ask for pain medicine when the pain first begins

USE THE PAIN RATING SCALE BELOW TO TELL YOUR DOCTOR OR NURSE HOW YOUR PAIN IS AFFECTING YOU.



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Do You Have Pain? continued To more easily tell our caregivers about your pain, we ask you to rate your pain using the pain scale on page 23. This scale helps physicians and nurses measure how well your medications are working for you. By using these words, your caregivers will understand your pain and know how to treat it.

n Tell your doctor or nurse about any concerns you

have about taking your pain medicines

n Tell your doctor or nurse about any side effects

caused by your pain medicines

There are other measures that may help decrease your pain. Please review these methods and discuss them with your doctor or nurse. n Deep Breathing – Take five deep, slow breaths that fill your chest all the way to your stomach n Relaxation – Listen to your favorite book or music on CD. Try using imagery, meditation or prayer. n Distraction – Focus your attention on something else: television, radio, games or talking with others. n Exercise – If you have had surgery, focus on staying active and getting your body moving. Ask your physician or nurse what exercises are appropriate for your physical condition. n Positioning – Correct positioning can be beneficial for muscle, limb or back pain because it reduces strain on muscle groups. You are the expert about how you are feeling. Be sure to tell your doctor or nurse when you have any kind of pain. To help describe your pain, be sure to report: n When the pain began. n Where you feel pain. nH  ow the pain feels—sharp, dull, throbbing, burning, tingling. n If the pain is constant, or if it comes and goes. n What, if anything, makes the pain feel better. n What, if anything, makes the pain feel worse. nH  ow much, if any, pain your medicine is taking away. n I f your medicine helps with the pain, how many hours of relief do you get?

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Frequently Asked Questions About Surgery During your stay, your doctor may recommend that you receive vaccinations for flu or pneumonia.

n May remove some of your hair

immediately before your surgery using electric clippers if the hair is in the same area where the procedure will occur. What is a surgical site infection (SSI)? They should not shave you with a razor. n Wear special hair covers, masks, gowns, A surgical site infection is an infection that occurs after surgery in the part of and gloves during surgery to keep the the body where the surgery took place. surgery area clean. n Give you antibiotics before your Most patients who have surgery do surgery starts. In most cases, you should not develop an infection. However, get antibiotics within 60 minutes infections develop in about 1 to 3 out before the surgery starts and the of every 100 patients who have surgery. antibiotics should be stopped within Some of the common symptoms of 24 hours after surgery. a surgical site infection are: n Redness and pain around the area n Clean the skin at the site of your surgery where you had surgery with a special soap that kills germs. n Drainage of cloudy fluid from your surgical wound What can I do to help prevent SSIs? n Fever Before your surgery: n Tell your doctor about other medical problems you may have. Health Can SSIs be treated? Yes. Most surgical site infections can be problems such as allergies, diabetes, treated with antibiotics. The antibiotic and obesity could affect your surgery given to you depends on the bacteria and your treatment. (germs) causing the infection. Sometimes n Quit smoking. Patients who smoke get patients with SSIs also need another more infections. Talk to your doctor surgery to treat the infection. about how you can quit before your surgery. n Do not shave near where you will What are some of the things that hospitals are doing to prevent SSIs? have surgery. Shaving with a razor can To prevent SSIs, doctors, nurses, and irritate your skin and make it easier to other healthcare providers: develop an infection. n Clean their hands and arms up to their elbows with an antiseptic agent just After your surgery: n Make sure your healthcare providers before the surgery. n Clean their hands with soap and water clean their hands before examining or an alcohol-based hand rub before you, either with soap and water or an and after caring for each patient. alcohol-based hand rub.



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Frequently Asked Questions continued If you do not see your providers clean their hands, please ask them to do so. n Family and friends who visit you

should not touch the surgical wound or dressings. n Family and friends should clean their hands with soap and water or an alcohol-based hand rub before and after visiting you. If you do not see them clean their hands, ask them to clean their hands.

What do I need to do when I go home from the hospital?

n Before you go home, your doctor

or nurse should explain everything you need to know about taking

care of your wound. Make sure you understand how to care for your wound before you leave the hospital. n Always clean your hands before and after caring for your wound. n Before you go home, make sure you know who to contact if you have questions or problems after you get home. n If you have any symptoms of an infection, such as redness and pain at the surgery site, drainage, or fever, call your doctor immediately. If you have additional questions, please ask your doctor or nurse.

Notes _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 26

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Condition

H

Providing the safest care for our patients.

At Danville Regional, we strive to provide the best care and the safest environment possible. In our ongoing efforts to improve patient care, we want to actively partner with patients and their families to ensure the best possible care. To encourage your role in the care process, we have created a program called “Condition H,” which is a nationwide patient safety initiative.

What is Condition H?

Condition H is a program that allows patients and families to call for a Rapid Response Team when they feel they are in an emergency situation and/or their needs are not being recognized or met. “H” stands for HELP.

Why Are We Offering This?

Condition H is a proactive measure to increase patient safety and satisfaction, and solidify the relationship between our patients, families and healthcare team. The program also provides patients and families access to care and the ability to communicate their needs and concerns.

Condition H empowers patients and families around their care, decreases anxiety levels and improves patient safety. The program aims to address immediate needs and increase communication between patients, families and the healthcare team. If you have questions, please discuss them with your healthcare team.

When Could a Patient or Family Member Call Condition H?

n I f a noticeable medical change occurs in the patient and the healthcare team is not

recognizing the concern.

n I f the patient or a family member feels that there is a breakdown in communication

and/or confusion in the plan of care with the healthcare team.

n I f you feel your concerns are not being heard and/or your needs are not recognized

or met.

Patient/Family First Needs To:

How to Call:

n Identify the problem and

n Dial 4507 on any hospital telephone communicate with your primary care and put on the call light. n  nurse and physician. Identify the call as Condition H. n If a problem is still not adequately n Provide your name, location and addressed and you have serious reason for the response request. concerns about how your care is being A Rapid Response Team will respond given, managed or planned, consider activating Condition H. to assess and treat as necessary.

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Rapid Response What You Can Do If You Have Concerns about Your Condition

Our staff at DRMC strives to provide the highest quality of care to you and your loved ones. During your hospital stay, your condition may change and additional resources may be needed. The Rapid Response Team is a group of clinicians who will bring critical care expertise to your bedside to assist your nurse in determining the best treatment for your symptoms. Some of the reasons that assistance may be required are: n sudden changes in your heart rate n sudden change in blood pressure n change in your oxygenation status n change in consciousness n decrease in urine output n significant bleeding n seizure activity n sudden agitation If at any time you or your family becomes worried about these changes or any changes in your condition, PLEASE NOTIFY YOUR NURSE. By activating a Rapid Response, your nurses have direct access to additional assistance from specially trained individuals if your condition appears to be worsening.

Notes _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 28

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Preparing to Leave the Hospital About Your Stay

n Your Physicians and Nurses will coordinate

scheduling of any final tests, such as blood work, X-rays, etc., as may be needed before your departure. Every attempt will be made to have these tests performed on the day before your discharge, or the morning of your discharge, or they may be scheduled as an out-patient test on a later date. n Your Nurse (and Case Manager, if one is assigned), will discuss and assist in making plans for your transportation needs and arrangements for your discharge. n If you are discharged to Home Health, Rehabilitation or a Nursing Home, a Case Manager will make routine visits to you during your stay and assist in making the necessary arrangements to ease you and your family into this transition. n Your Nurse will offer education for any of the following that may apply at the time of discharge: n Medications n Special Diet Instructions n Heart Failure n Diabetes n Rehabilitation n Cardiac Rehab n Transportation During your stay, you will experience several n Care Notes/Restrictions of the important events listed below: n Your Attending Physician and/or any Consulting Physicians will be in to see you If You Disagree You or a relative can appeal your on a regular basis to provide you with an doctor’s discharge decision. If you are a update on your progress and further plans Medicare patient, be sure you are given of care and treatment. “An Important Message from Medicare” n We encourage you and your family’s from the hospital’s discharge planner involvement in your care plan and your or caseworker. This details your rights discharge plans. We want to assure that to remain in the hospital for care and your needs will be met now and as you provides information on who to contact prepare to go home. to appeal a discharge decision. The staff at Danville Regional Medical Center would like to thank you for choosing our hospital for your medical needs. We hope the following information will help you and your family to better understand the Admission to Discharge process. Our highly trained team of Medical Professionals and Staff will work closely together to provide for your daily needs, as well as begin planning in advance for your discharge. The Team will include your physicians, nurses, nursing assistants and all other medical and non-medical staff, all of whom are here to serve you. You have the right to be seen by a member of the Case Management Team for any discharge needs or concerns. They can be reached by calling extension 3768. As always, please feel free to talk to your physician or your nursing staff if you have any questions or concerns related to these guidelines or about your condition, care and/or treatment. In any case in which your concerns are not addressed appropriately, you may contact our Patient Care Advocate. They may be reached by dialing 2273 from any internal telephone.

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Billing Billing: Insurance and Billing Information We apologize for requesting your insurance information each time you register at the hospital, but we have found this to be the best way to ensure accurate billing. Our staff submits claims for all verifiable and assigned health insurance including Medicare and Medicaid. It is important that you provide all related insurance information at the time of registration such as policy number, group number and the correct mailing address for your insurance company. If your insurance company delays settlement of your claim, we may look to you to assist us in encouraging them to pay or for payment. We request payment of co-pay, coinsurance and deducible amounts at the time of service. Discounts are available if you pay within two days of service. To take advantage of this discount offer, please contact our financial counselor at 434-799-2288. Once your insurance company has paid, we will bill you for any remaining amount. If you paid the estimated amount due up front, any remaining balance after insurance will be discounted at the same rate. If you are unable to pay your balance in full, it is important that you contact our Business Office to discuss payment arrangements. You can reach a representative at 434-799-3780.

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Itemized bills are available upon request; please call our Business Office at the number above. If you would like for one of our financial counselors to visit you in the hospital to address questions or concerns with your insurance or payment of your account, please dial 2288 on your room phone. You also may visit our office on the first floor of the hospital near Outpatient Registration.

Other Bills You May Receive

During your visit, there may be services provided by independent physicians operating under contract. Hospitals and doctors charge separately. Therefore, services such as anesthesia administration, emergency room physician care, pathologist, radiologist, cardiologist and hospitalist services will be billed separately.

Precertification

Most insurance plans now require precertification for hospital stays, certain diagnostic tests and outpatient procedures in order for you to be eligible for your full policy benefits. It is important that you verify that this information has been completed prior to receiving your services. If you are unsure of your precertification requirements, we recommend you contact your insurance company as soon as a procedure or test has been scheduled. This could prevent a reduction in the amount your insurance pays.

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Coordination of Benefits

Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are covered by more than one insurance policy. This usually happens when spouses or partners are listed on each other’s insurance policies or both parents have medical insurance and automobile insurance benefits available for payment of your hospital service. Most insurance companies have COB provisions that determine who is the primary payer when medical expenses are incurred. This prevents duplicate payments. COB priority must be identified at admission in order to comply with insurance guidelines. Your insurance company may request a completed COB form from you before paying a claim. The hospital cannot provide this information to your insurance company. You must respond to any request from them before your claim will be paid.

If you are in need of assistance with your hospital bill, call our MedAssist representative at 434-799-2285. He or she will provide information about programs available for people without insurance, including Medicaid and the Health Insurance Marketplace. He or she also can assist you with the application process. Danville Regional provides financial assistance to patients based on their level of income, total acquired assets and general need. In addition, we will assist you in applying for medical assistance programs or arranging a manageable payment plan. Patients meeting our charity care guidelines could have their hospital bill waived in full for non-elective care. The most important thing you can do is let us know if you will have trouble paying your medical bill.

If You Have No Insurance

Danville Regional Medical Center is proud of its mission to make communities healthier and provide quality healthcare to all who need it.

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BUDDHA

In compassion lies the world’s true strength.

For the Caregiver Understand your Your role as a patient advocate.

CAREGIVER...

know what condition your loved one is being treated for.

patient’s rights Know your patient’s rights and responsibilities.

advance directives Know whether or not your loved one has an advance directive and if so, what it specifies.

While your loved one is in the hospital, who will

speak up for him or her? You can, by being the patient’s advocate—the person who will help the patient work with doctors, nurses and hospital staff. To help your loved one make the best decisions about his or her care and treatment, follow the advice in the Caregiver list at right. While you are making sure that your loved one’s needs are being met, don’t neglect your own. Caregiving is a stressful and time-consuming job. You may neglect your diet, your normal exercise routine, and your sleep needs. You may find that you have little or no time to spend with friends, to relax, or to just be by yourself for a while. But downtime is important. Don’t be reluctant to ask for help in caring for your loved one. Take advantage of friends’ offers to help and look into local adult daycare programs. Find out more about how you can ease the stress of caregiving at www.caregiver.org.

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ask questions If your loved one is too ill or reluctant to ask questions, make note of his or her concerns and any you may have and don’t be afraid to speak up (see Speak Up! on page 15).

help track medications Your loved one may be prescribed medications while in the hospital and may be seen by several doctors. Keep track of it all with a small notebook.

what’s next? Will your loved one need home care or care at another facility? Ask to speak with a case manager or social worker to find out what your options are.

Understanding Restraints A Guide for Patients and Families

A restraint is any device that limits or restricts freedom of movement, physical activity or normal access to the body. Even raised bed rails (on all sides) used to prevent a patient from getting up from bed is considered a form of restraint.

Why a Restraint May Be Necessary

When a patient is unable to cooperate with his or her care, restraints may help prevent injury to the patient or others. Restraints might be indicated when a patient: n Attempts to remove or dislodge tubes and lines n Picks at surgical wounds n Threatens or carries out violent or self-harm actions that put the patient, healthcare workers, other patients or visitors in jeopardy. Restraints are NEVER used for reasons of convenience, to punish a patient or to reduce the need for frequent patient checks.

Alternatives First

Because we value patient rights and dignity, the healthcare team tries alternative actions before using restraint. First and foremost, we recognize the importance of adequately managing pain, nausea, shortness of breath and other bothersome symptoms. We also want to make sure that the patient’s hunger, thirst and toileting needs are met.



Other actions will be specific to the patient. For instance, reducing noise in the room may help one patient while another might be better served through the distraction of a favorite TV program or music. Some patients who pull at lines or tubes may be redirected by encouraging simple activities that keep hands busy (folding towels, for instance). If alternative methods are not successful, we use the least-restrictive restraint approach for the shortest time possible.

During Restraints

For safety reasons, members of the healthcare team frequently check on any patient who requires restraint. We make sure the restraint is not constricting circulation or causing any other problems. We also provide the patient with nourishment, liquids, medications and other treatments in keeping with the patient’s medically prescribed plan.

Removal of Restraints

Restraints will be removed as soon as this can be accomplished safely. Our goal is to be restraint free, but shortterm use of restraints may be necessary for the safety of a patient or others. This flyer will explain why restraints may be used, how alternatives may help prevent the need for restraint, and ways that family and friends can help.

www.danvilleregional.com 434.799.2100 :

33

Understanding Restraints Questions?

If you have questions or concerns about restraints, please bring them to the attention of your nurse or other healthcare team member. We encourage you to write down your questions— whether about restraint usage or any other concern—because this will help you remember everything you need to discuss with your doctor or nurse.

What Family And Friends Can Do

Family and friends are important to helping patients remain calm and comfortable: n Some patients, especially those who are elderly or mentally disabled, become confused when placed in an unfamiliar environment. Having a family member nearby can help reduce anxiety and confusion. n It is important to give the staff members contact names and telephone numbers of family members or friends so they can be called if needed. n If possible, have someone familiar stay with the patient as much as possible. In addition, let the nurse know when the patient will be left alone. n Tell the healthcare team about the patient’s usual behavior, alertness and ability to follow directions. Let the team know if he/she seems more confused than usual or if you notice something different. Also tell the healthcare team about things you feel may help calm the patient.

34

n Bring a familiar object from home,

such as a favorite photograph.

n Be sure the patient has glasses or

hearing aids if needed.

n Talk calmly to the patient. Remind

him or her of their surroundings, time of day, etc. and that he or she has tubes, drains, dressings, etc. in place. n Ask him or her if he or she is comfortable and tell the nurse or physician if you feel he or she may be in pain or have other needs. n Offer activities the patient may find enjoyable such as listening to music, watching television, looking at a magazine, knitting, putting together a simple puzzle, etc. n NEVER remove or loosen restraints yourself. n Do not bring potentially harmful items to the patient (cigarettes, matches, knives).

: P HYSI C I A N REFE R R A L 1 .8 0 0 .4 2 4 .DO C S (3 6 2 7 )

Introducing My HealthPoint

Get secure, free, fast, and confidential access to information about your recent hospital stay.

My HealthPoint was created with you, the patient, in mind. By agreeing to participate and providing your email address to us, you will have access to important information about your recent hospital stay including: n Procedures performed during your stay n List of current and past medical issues n Discharge instructions nL  ist of current medications and your medication history n Laboratory test results n Additional valuable information My HealthPoint is an effort to enhance communication and coordination of care with our patients. By creating a platform where you can access the important health information related to your stay, our hope is that you will feel better prepared to take an active role in your care. This is the first phase of development for My HealthPoint, and new features will continually be added to enhance your experience in the future. At this time, My HealthPoint is only available to those patients 18 years and older who were seen in our Emergency Department or those who were inpatients in our hospital. We hope to make it available to outpatients in the near future.

www.danvilleregional.com 434.799.2100 :

35

My HealthPoint continued Setting up Your Account

As a patient who has recently been discharged from our facility, all you need to do is register with My HealthPoint. If you’ve provided us your email address, you should receive a welcome message from our hospital in your email inbox. Simply click the link in that email and follow the instructions on the screen.

My HealthPoint is powered by our partner, RelayHealth. If you have any questions or need technical assistance, please contact RelayHealth Customer Service at 1-866-RELAY-ME (1-866-735-2963), the Patient Portal Coordinator at 434-799-4476, or by email at [email protected]. We hope you find this new tool helpful. Thank you for choosing us as your trusted healthcare provider.

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: P HYSI C I A N REFE R R A L 1 .8 0 0 .4 2 4 .DO C S (3 6 2 7 )

We do more than just care for you. We care about you.

Riverside Health & Rehab Offers Services for:

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• Stroke • Heart Failure • Pneumonia • Post-Surgical Recovery

Spend less time recovering,

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• Physical, Occupational & Speech Therapy • Hip or Knee Replacement • Cardiovascular Illness

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And more time living.

ATED REC

Riverside Health & Rehabilitation Center 2344 Riverside Drive • Danville, VA 24540 434-791-3800 • www.RiversideHealthRehab.com

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Main St, Ste. 3200 • Danville, VA 24541 Family Medicine Medicine Residency Residency Clinic Internal Medicine Associates ily Healthcare Healthcare Centers Centers 723 Piney Forest Rd. • Danville, VA 24540 •Centers Valerie White, FNP tFamily Rd. • Danville, VA 24540 201 S.Medicine Main St, Ste. 3200 •Clinic Danville, VA 24541 201Family S.201 Main St, Ste. 3200 •3200 Danville, VA 24541 ly Healthcare Centers Family Medicine Medicine Residency Residency Clinic Internal Associates amily Family Healthcare Healthcare Centers Centers Forest Rd. •••Danville, VA 24540 S.S.Family Main St, Ste. •Clinic Danville, VA Healthcare k-in, no appointment needed. Forest Rd. Danville, VA 201 Main St, Ste. 3200 •3200 Danville, VA24541 24541 101201 Holbrook St.Medicine •Mon-Fri Danville, VA 24541 Walk-in, no appointment needed. Valerie White, FNP Open: Mon-Fri 8am-5pm • 24540 434.797.2828 Piney Forest Rd. •• Danville, VA• 24540 201 S. Main St, Ste. • Danville, VA 24541 Open: 8am-5pm • 434.799.4488 101 Holbrook St. • Danville, VA 24541 201 S. Main S. Main St., Ste. St., Ste. 3200• 3200• Danville, Danville, VA 24541 VA 24541 -n-Fri Walk-in, no appointment needed. Internal Associates Valerie White, FNP 8am-5pm • 434.797.2828 Open: Mon-Fri 8am-5pm 434.797.2828 Open: Mon-Fri 8am-5pm • 434.799.4488 Open: Mon-Fri 8am-5pm • 434.799.4488 101 Holbrook St. • Danville, VA 24541 201 201 S. Main S. Main St., Ste. St., Ste. 3200• 3200• Danville, Danville, VA 24541 VA 24541 - Healthcare Walk-in, appointment needed.Open: Internal Medicine Associates 8am-5pm ••no 434.797.2828 Mon-Fri 8am-5pm •Residency 434.799.4488 101 Holbrook St. ••Residency Danville, VA 24541 on-Fri 8am-5pm 434.797.2828 Family Family Medicine Medicine Residency Clinic Clinic Internal Medicine Associates amily Family Healthcare Centers Centers Open: Mon-Fri 8am-5pm • 434.799.4488 Forest Rd. • Danville, VA 24540 le Hwy. • Danville, VA 24541 201 S. Main St, Ste. 3200 • Danville, VA 24541 Family Healthcare Centers Open: Mon-Thur 8am-5pm Fri 8am-1pm en: Mon-Fri 8am-5pm • 434.797.2828 Family Family Medicine Medicine Residency Clinic Clinic Internal Medicine Associates Family Family Healthcare Healthcare Centers Centers Open: Mon-Fri 8am-5pm • 434.799.4488 Open: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm • 434. 434. Piney Forest Rd. • Danville, VA 24540 tinsville Hwy. • Danville, VA 24541 201 S. Main St, Ste. 3200 • Danville, VA Healthcare Centers - Piney Walk-in, noForest appointment needed. 390 Forest Rd. •• Danville, VA 24540 Open: Mon-Thur 8am-5pm Fri 8am-1pm 201 S.Mon-Fri Main St, Ste. •8am-1pm Danville, VA24541 24541 rtinsville Hwy. •Hwy. Danville, VA 24541 Open: Open: Mon-Fri 8am-5pm 434. •Danville, 434. 101 Holbrook St.8am-5pm •8am-5pm Danville, VA 24541 Open: Mon-Thur Fri -Family Walk-in, no appointment needed. Valerie White, FNP 723 Piney Rd. •• Danville, VA 24540 201 S. Main St, Ste. 3200 •8am-1pm Danville, VA 2454 Internal Medicine Associates Martinsville • Danville, VA 24541 101 Holbrook St. •8am-5pm Danville, VA 24541 201 201 S. Main S. Main St., Ste. St., Ste. 3200 3200• ••3200 Danville, VA 24541 VA 24541 Walk-in, no appointment needed. ille • Valerie White, FNP Open: Mon-Thur Fri Valerie White, FNP on-Fri 8am-5pm • 434.797.2828 Internal Medicine Associates Open: Mon-Fri 8am-5pm • 434.799.4488 101 Holbrook St. • Danville, VA 24541 201 201 S. Main S. Main St., Ste. St., Ste. 3200 3200• • Danville, Danville, VA 24541 VA 24541 7am-7pm • 434.685.3106 Walk-in, no appointment needed. anville Danville • Valerie White, FNP en: Mon-Fri 8am-5pm • 434.797.2828 434. 792.4041 Open: Mon-Fri 8am-5pm • 434.799.4488 101 Holbrook St. • Danville, VA 24541 ney Forest Rd. • Danville, VA 24540 • Valerie White, FNP 201 S. Main St, Ste. 3200 • Danville, VA 24541 en: Mon-Fri 8am-5pm • 434.797.2828 n-Fri 7am-7pm • 434.685.3106 Open: Mon-Fri 8am-5pm • 434.799.4488 rtinsville Hwy. • Danville, VA 24541 434. 792.4041 Walk-in 723 Piney Forest Rd. • Danville, VA 24540 • Valerie White, FNP on-Fri 7am-7pm • 434.685.3106 Open: Mon-Thur 8am-5pm Fri 8am-1pm 201 S. Main St, Ste. 3200 • Danville, VA 24541 Open: Mon-Fri 8am-5pm • 434.797.2828 101 Holbrook St. • Danville, VA 24541 434. 792.4041 Open: Mon-Fri 8am-5pm • 434.799.4488 Open: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm • 434. • 434. Martinsville Hwy. • Danville, VA 24541 y90 iney Forest Forest Rd. Rd. • Danville, • Danville, VA 24540 VA 24540 Walk-in i en: Mon-Fri 7am-7pm • 434.685.3106 Open: Mon-Thur 8am-5pm Fri 8am-1pm 390 Martinsville Hwy. • Danville, VA 24541 101 Holbrook St. • Danville, VA 24541 434. 792.4041 Open: Open: Mon-Fri Mon-Fri 8am-5pm • 434. • 434. 3 723 Piney Piney Forest Forest Rd. Rd. • Danville, • Danville, VA• Danville, 24540 VA 24540 VAOpen: Open: Mon-Thur 8am-5pm Fri 8am-1pm Mon-Fri 8am-5pm • 434.797.2828 Internal Medicine Associates 10390 Martinsville Hwy. 24541 Mon-Fri 8am-5pm •8am-5pm 434.799.4488 anville Danville •Hwy. Valerie FNP Open: Mon-Thur 8am-5pm Fri 8am-1pm Internal Medicine Associates Open: Mon-Fri 8am-5pm • 434.797.2828 Internal Medicine Associates Open: Mon-Fri 8am-5pm 434.799.4488 Martinsville VA 24541 yen: 7am-12pm on-Fri 7am-7pm •Danville, 434.685.3106 on-Fri :urday Mon-Fri 8am-5pm 8am-5pm ••Rd. •White, Danville Danville •434.797.2828 Valerie White, FNP Internal Medicine Associates Open: Mon-Thur 8am-5pm Fri 8am-1pm 434. 792.4041 Internal Internal Medicine Medicine Associates Associates 723 Piney Forest •434.797.2828 Danville, VA White, 24540 •Hwy. Valerie White, FNP 10390 Martinsville •Rd. VA 24541 7am-12pm 201 S.Medicine Main St, Ste. 3200 ••3200 Danville, VA 24541 Internal Associates Mon-Fri 7am-7pm •Danville, 434.685.3106 pen: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm •Danville, 434.797.2828 •434.685.3106 434.797.2828 Open: Mon-Thur 8am-5pm Fri 8am-1pm 434. 792.4041 Internal Internal Medicine Medicine Associates Associates Walk-in i turday 7am-12pm 723 Piney Forest • Danville, VA 24540 • Valerie FNP en: Mon-Fri 7am-7pm • 201 S. Main St, Ste. • Danville, VA 24541 Internal Medicine Associates Balaji D esai, MD • Sydney Harris, MD 101 Holbrook St. • Danville, VA 24541 434. 792.4041 k-in, no appointment needed. 23 723 Piney Piney Forest Forest Rd. Rd. • Danville, • VA 24540 VA 24540 Walk-in i Saturday 7am-12pm Open: Mon-Fri 7am-7pm • 434.685.3106 101 Holbrook St. • Danville, VA 24541 Balaji D esai, MD • Sydney Harris, MD 101 Holbrook St. • Danville, VA 24541 434. 792.4041 • Valerie White, FNP -Open: Walk-in, no appointment needed. 723 723 Piney Piney Forest Forest Rd. Rd. • Danville, • Danville, VA 24540 VA 24540 Mon-Fri 7am-7pm • 434.685.3106 101 101 Holbrook Holbrook St. • St. Danville, • Danville, VA 24541 VA 24541 Balaji D esai, MD • Sydney Harris, MD 101 Holbrook St. • Danville, VA 24541 434. 792.4041 -turday Walk-in, no appointment needed. Open:Mon-Fri Mon-Fri 8am-5pm •434.685.3106 434.797.2828 Open: Mon-Fri 8am-5pm • 434.799.4488 • Valerie White, FNP 101 Holbrook St. ••St. Danville, VA 24541 7am-7pm •FNP Internal Medicine Associates 101 101 Holbrook Holbrook St. Danville, •8am-5pm Danville, VA 24541 VA 24541 Balaji D esai, MD • Sydney Harris, MD 434. 792.4041 -Martinsville Walk-in, no appointment needed. Open: Mon-Fri 8am-5pm • 434.797.2828 Open: Mon-Fri 8am-5pm • 434.799.4488 10390 Hwy. • Danville, VA 24541 7am-12pm 101 Holbrook St. • Danville, VA 24541 pen: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm • 434.797.2828 • 434.797.2828 Internal Medicine Associates Open: Mon-Thur Fri 8am-1pm lle Hwy. • Danville, VA 24541 Internal Internal Medicine Medicine Associates Associates • Valerie • Valerie White, White, FNP Stephan Jannach, MD • Sanjay Jaswani, MD 10390 Martinsville Hwy. • Danville, VA 24541 Saturday 7am-12pm • Cynthia Wilborne, FNP Internal Medicine Associates Open: Mon-Thur 8am-5pm Fri 8am-1pm Open: Mon-Fri 8am-5pm 8am-5pm •24541 434.797.2828 • 434.797.2828 Open: Mon-Thur 8am-5pm FriMD 8am-1pm rtinsville Hwy. ••Danville, VA Open: Open: Mon-Thur Mon-Thur 8am-5pm 8am-5pm Fri 8am-1pm Fri 8am-1pm Internal Internal Medicine Medicine Associates Associates •Danville, Valerie • 7am-12pm Valerie White, White, FNP FNP Saturday 7am-12pm Stephan Jannach, •8am-5pm Sanjay Jaswani, •Open: Cynthia Wilborne, FNP Internal Medicine Associates Open: Mon-Thur 8am-5pm Fri 8am-1pm Balaji D esai, MD •MD Harris, MD rtinsville Hwy. VA 24541 Saturday 7am-12pm - Walk-in, no Mon-Fri needed. Open: Open: Mon-Thur Mon-Thur 8am-5pm 8am-1pm Fri 8am-1pm Stephan Jannach, MD Sanjay Jaswani, MD Open: Mon-Thur 8am-5pm Fri 8am-1pm Saturday Cynthia Wilborne, FNP Internal Medicine Associates 101 Holbrook St. •Sydney Danville, VA 24541 Balaji D esai, Harris, MD 90 Martinsville Hwy. • Danville, VA 24541 Saturday 7am-12pm • Valerie White, FNP -Mon-Fri no appointment needed. Open: 7am-7pm Stephan Jannach, MD •Fri Sanjay Jaswani, MD Open: Mon-Thur 8am-5pm Fri 8am-1pm •appointment Cynthia Wilborne, FNP 101 101 Holbrook Holbrook St. •MD St. Danville, •••Danville, VA 24541 VA 24541 Balaji D esai, MD •Associates Sydney Harris, MD Internal Medicine 101 Holbrook St. •Sydney Danville, VA 24541 434. 792.4041 - •Walk-in, Walk-in, no appointment needed. 7am-7pm • 434.685.3106 •• 434.685.3106 Valerie White, FNP 101 Holbrook St. • Danville, VA 24541 Open: Mon-Fri 7am-7pm • 434.685.3106 434. 792.4041 434. 434. 792.4041 792.4041 101 101 Holbrook Holbrook St. • St. Danville, • Danville, VA 24541 VA 24541 Balaji D esai, MD • Sydney Harris, MD Balaji D esai, MD • Sydney Harris, MD 434. 792.4041 Walk-in, no appointment needed. er, NP Dianne Elliott, NP • Janet Mill n-Fri 7am-7pm • 434.685.3106 101 Holbrook St. • Danville, VA 24541 434. 792.4041 Walk-in 434. 434. 792.4041 792.4041 on-Fri 7am-7pm • 434.685.3106 Balaji D esai, MD • Sydney Harris, MD rtinsville •Hwy. Danville, VA 24541 • Wilborne, Valerie • •Valerie White, White, FNP FNP er, NP Dianne Elliott, NP ••St. Janet Mill 101 Holbrook St. •Jannach, Danville, VA 24541 434. 792.4041 Stephan Jannach, MD •8am-5pm Sanjay Jaswani, MD •-Hwy. Cynthia FNP Open: Mon-Thur 8am-5pm Fri 8am-1pm Walk-in i Saturday en: Mon-Fri 7am-7pm •Wilborne, 434.685.3106 er, NP Dianne Elliott, NP Janet Mill 90 Martinsville Danville, VA 24541 Open: Mon-Thur 8am-5pm Fri 8am-1pm Open: Mon-Thur Fri 8am-1pm •Danville, Valerie • Valerie White, White, FNPFNP 101 Holbrook • Danville, VA 24541 434. 792.4041 Stephan MD • Sanjay Jaswani, MD • Cynthia FNP Open: Mon-Thur 8am-5pm Fri 8am-1pm 390 Martinsville Hwy. • VA 24541 7am-12pm er, NP Dianne Elliott, NP • Janet Mill Open: Mon-Thur 8am-5pm Fri 8am-1pm Open: Mon-Thur 8am-5pm Fri 8am-1pm Stephan Jannach, MD • Sanjay Jaswani, MD MD Open: Mon-Thur 8am-5pm Fri 8am-1pm • Cynthia Wilborne, FNP Internal Medicine Associates 10390 Martinsville Hwy. • 24541 Danville, VA 24541 Stephan Jannach, MD • Sanjay Jaswani, MD Saturday Cynthia Wilborne, Martinsville Hwy. Danville, VAFNP yturday -7am-12pm Walk-in - Walk-in Stephan Jannach, MD • Sanjay Jaswani, Open: Mon-Thur 8am-5pm 8am-1pm • 7am-12pm Cynthia Wilborne, FNP Open: Mon-Thur Fri 8am-1pm Internal Medicine Associates on-Fri 7am-7pm •Cynthia 434.685.3106 Stephan Jannach, MD •Mill Sanjay Jaswani, MDFri •• Hwy. Wilborne, 10390 Martinsville • •Danville, VAFNP 24541 -7am-12pm Walk-in -• Walk-in 434. 792.4041 434. 792.4041 434. 792.4041 Open: Mon-Thur 8am-5pm Fri 8am-1pm Balaji D esai, MD •NP Sydney Harris, MD Balaji Balaji DBalaji esai, D esai, MD MD •Sydney Sydney •8am-5pm Sydney Harris, Harris, MD MD turday 7am-12pm er, NP Dianne Elliott, NP • Janet en: Mon-Fri 7am-7pm 434.685.3106 Balaji D esai, MD • Harris, MD 434. 792.4041 Walk-in i 434. 792.4041 434. 792.4041 en: Mon-Fri 7am-7pm • 434.685.3106 Balaji D esai, MD • Sydney Harris, MD Balaji D esai, D esai, MD MD • Sydney • Sydney Harris, Harris, MD MD Saturday 7am-12pm er, NP Dianne Elliott, • Janet Mill 101 Holbrook St. • Danville, VA 24541 434. 792.4041 Balaji D esai, MD • Sydney Harris, MD Walk-in i Mon-Fri 7am-7pm • 434.685.3106 0artinsville Martinsville Hwy. Hwy. •7am-7pm Danville, • Hwy. Danville, 24541 VA VA 24541 Open: Mon-Fri 7am-7pm • 434.685.3106 er, NP Dianne NP •St. Janet Balaji D esai, MD •Sanjay Sydney Harris, MD 434. 792.4041 er, NP Dianne Elliott, NP •Elliott, Janet Mill 101 Holbrook • Danville, VA 24541 434. 792.4041 Open: Mon-Fri • Wilborne, 434.685.3106 390 10390 Martinsville Martinsville Hwy. • Danville, •VA Danville, 24541 VA 24541 er, Dianne NP • •Mill Janet Mill Balaji D esai, MD •Sanjay Sydney Harris, MD 434. 792.4041 er, NP Dianne Elliott, NP Janet Mill Stephan Stephan Jannach, Jannach, MD •Sanjay • •Elliott, Sanjay Jaswani, Jaswani, MD MD Stephan Jannach, MD ••Sanjay Jaswani, MD Cynthia 10390 Martinsville Hwy. Danville, VAFNP 24541 turday -•7am-12pm Walk-in - Wilborne, Walk-in Stephan Jannach, MD •MD Jaswani, MD • Cynthia FNP Stephan Stephan Jannach, Jannach, MD MD •Sydney Sanjay Jaswani, Jaswani, MD MDNPMD Open: Mon-Thur Fri 8am-1pm Stephan Jannach, MD Sanjay Jaswani, ••434.685.3106 Cynthia Wilborne, 10390 Martinsville Hwy. • Danville, VAFNP 24541 Saturday -7am-12pm Walk-in Walk-in :on-Fri Mon-Fri 7am-7pm 7am-7pm •-•434.685.3106 • 434.685.3106 Gretna, VA 24557 Stephan Jannach, MD •8am-5pm Sanjay Jaswani, MD Cynthia Wilborne, FNP Saturday 7am-12pm Open: Mon-Thur 8am-5pm Fri 8am-1pm Balaji Balaji D esai, D esai, MD • Sydney • Harris, Harris, MD MD Saturday 7am-12pm Stephan Jannach, MD • Sanjay Jaswani, MD • Cynthia Wilborne, FNP Balaji D esai, MD • Sydney Harris, MD pen: Open: Mon-Fri Mon-Fri 7am-7pm 7am-7pm • • 434.685.3106 n St. • Gretna, VA 24557 Saturday 7am-12pm Balaji Balaji D esai, D esai, MD MD • Sydney • Sydney Harris, Harris, MD MD MD Saturday 7am-12pm er, NP er, NP Dianne Dianne Elliott, Elliott, NP • NP Janet • Janet Mill Mill Stephan Jannach, MD • Sanjay Jaswani, •VA Cynthia FNP Balaji D esai, MD ••Sydney Harris, MD in St. •Open: Gretna, 24557 Open: Mon-Fri 7am-7pm • 434.685.3106 10390 Martinsville Hwy. •Wilborne, Danville, VA 24541 0390 Martinsville Hwy. •VA Danville, 24541 Balaji D•NP esai, MD Sydney Harris, MD 434. 792.4041 er, NP Dianne Elliott, NP ••Harris, Janet Mill er, NP er, NP Dianne Dianne Elliott, Elliott, NP •Janet NP Janet Janet Mill Mill Balaji D esai, MD Sydney MD N. Main St.•Martinsville • Gretna, 24557 er, NP Dianne Elliott, NP •Dianne Janet Mill Mon-Fri 7am-7pm • 434.685.3106 10390 Hwy. • Danville, VA 24541 10390 Martinsville Hwy. •VA Danville, VA 24541 Balaji D esai, MD •Sanjay Sydney 434. 792.4041 er,Harris, NP Elliott, NP Janet Mill Stephan Stephan Jannach, MD MD •Sanjay Sanjay • •Sanjay Jaswani, Jaswani, MD MD MDMD Balaji DJannach, esai, MD •Jannach, Sydney Harris, MDJaswani, er, NP Dianne Elliott, • Mill aturday Saturday 7am-12pm 7am-12pm 8am-5pm 434.656.2224 er, NP Dianne Elliott, NP • Janet Mill Stephan Jannach, MD • Jaswani, MD • Cynthia Wilborne, FNP 125 Executive Dr. #H • Danville, VA 24541 Stephan Stephan Jannach, MD MD • • Sanjay Jaswani, Saturday Saturday 7am-12pm 7am-12pm n-Fri 8am-5pm • 434.656.2224 Open: 7am-7pm • 434.685.3106 pen: Mon-Fri 7am-7pm • 434.685.3106 er, NPMD MD Dianne Elliott, NP •MD Janet Mill in St. •8am-5pm Gretna, 24557 Stephan Jannach, ••Sanjay Jaswani, MD ••VA Cynthia Wilborne, FNP 125 Executive Dr. #H •Jannach, Danville, VA 24541 Saturday 7am-12pm Jannach, MD ••NP Sanjay Jaswani, MD on-Fri •Cynthia 434.656.2224 • Mon-Fri Cynthia Wilborne, FNP Stephan Jannach, MD Sanjay Jaswani, MD MD Cynthia Wilborne, FNP Stephan Main St. •Mon-Fri Gretna, VA 24557 Open: 7am-7pm • 434.685.3106 Open: Mon-Fri 7am-7pm • 434.685.3106 125Dianne Executive Dr. #H • Danville, VA 24541 N. Main St. •8am-5pm Gretna, VA 24557 Saturday 7am-12pm Stephan Jannach, MD • Sanjay Jaswani, en: Mon-Fri • 434.656.2224 er, NP er, NP Dianne Elliott, Elliott, NP Janet • Janet Mill Mill • Wilborne, FNP Stephan MD • Sanjay Jaswani, • Cynthia Wilborne, FNP 5305 N.305 Main St. • Gretna, VA 24557 N. Main St. • Gretna, VA 24557 125 Executive Dr. #H • Danville, VA 24541 er, er, NP Dianne Dianne Elliott, Elliott, NP •Janet NP Janet •Harris, Janet Mill Mill Balaji D esai, MD •NP Sydney MDNP N. Main St.Wilborne, • Gretna, VA 24557 er, NP Dianne Elliott, NP • esai, Janet Mill Open: Mon-Thur 8am-5pm Fri 8am-12pm Balaji D MD • Sydney Harris, MD er, NP Dianne Elliott, • Mill Saturday 7am-12pm Saturday 7am-12pm Dianne Elliott, NP • Janet Mill er, NP on-Fri 8am-5pm • 434.656.2224 Open: Mon-Thur 8am-5pm Fri 8am-12pm er, NP Dianne Elliott, NP • Janet Mill • Cynthia • Cynthia Wilborne, FNP FNP 125 Executive Dr. #H • Danville, VA 24541 Piedmont Piedmont Internal Internal Medicine Medicine Mon-Fri 8am-5pm • 434.656.2224 7am-12pm Saturday 7am-12pm Dianne Elliott, NP •Elliott, Janet Mill er, NP Executive Dr. #HInternal •8am-5pm Danville, VA Open: Mon-Thur Fri 8am-12pm en: Mon-Fri 8am-5pm •VA 434.656.2224 • Mon-Fri er, NPMD Dianne NP •24541 Janet Mill •8am-5pm Cynthia Cynthia Wilborne, Wilborne, FNPFNP FNP 125 125 Executive Dr. #H ••Danville, VA 24541 Piedmont Piedmont Internal Medicine Medicine Open: 434.656.2224 Stephan Jannach, MD • Sanjay Jaswani, en: Mon-Fri 8am-5pm 434.656.2224 •• Cynthia Wilborne, 125 Executive Dr. #H •8am-5pm Danville, VA 24541 Open: Mon-Thur Fri 8am-12pm •Saturday 305 N. Main •VA Gretna, 24557 125 Executive Dr. #H Danville, VAMD 24541 Gretna, VA 24557 Stephan MD •24541 Sanjay Jaswani, Open: Mon-Fri 8am-5pm • 434.656.2224 •••Cynthia Wilborne, FNP •St. N. Main • Gretna, VA 24557 125 Executive Dr. #H •24541 Danville, VA 24541 434.791.1345 n St. ••305 Gretna, 24557 125 125 Executive Executive Dr., Dr., #H8am-5pm •#H Danville, •Jannach, Danville, VA 24541 VA ain St. Gretna, VA•St. 24557 434.791.1345 Open: Mon-Thur 8am-5pm Fri 8am-12pm Open: Mon-Thur Fri 8am-12pm 125 125 Executive Executive Dr., Dr., #H • #H Danville, • Danville, VA VA 24541 N. Main St. • Gretna, VA 24557 FNP 434.791.1345 Dianne Elliott, NP • Janet Mill er, NP Open: Mon-Thur 8am-5pm Fri 8am-12pm Open: Mon-Thur 8am-5pm Fri 8am-12pm Cynthia • Cynthia Wilborne, Wilborne, FNP FNPFNP Piedmont Piedmont Internal Internal Medicine Medicine Open:8am-5pm Mon-Fri 434.656.2224 8am-5pm • •434.656.2224 inson, FNP 434.791.1345 Dianne Elliott, NP •#H Janet Mill er, NP • •8am-5pm 125 Executive Dr. #H •8am-5pm Danville, VA 24541 Open: Mon-Thur Fri 8am-12pm 125 Executive Dr. #H •8am-5pm Danville, VA 24541 •8am-5pm Cynthia •• Cynthia Wilborne, Wilborne, FNP kinson, FNP Piedmont Piedmont Internal Internal Medicine Medicine Open: Mon-Fri • 434.656.2224 n-Fri •VA 434.656.2224 Open: Open: MonMon8am-5pm • 125 Executive Dr. • Danville, VA 24541 Open: Mon-Thur 8am-5pm Fri 8am-12pm 125 Executive Dr. #H • Danville, VA 24541 • on-Fri 8am-5pm • 434.656.2224 ain St. • Gretna, VA 24557 en Wilkinson, FNP Main St. • Gretna, 24557 125 Executive Dr. •8am-5pm VA24541 24541 Open: Open: MonMon8am-5pm • VA 434.791.1345 en: Mon-Fri • •434.656.2224 434.791.1345 N. Main St. •8am-5pm 24557 305 N. Main St. • Gretna, VA 24557 125 Executive Dr. #H ••Danville, VA24541 24541 125 125 Executive Executive Dr.,#H Dr., #H •Danville, #H Danville, •#H Danville, VA 24541 434.791.1345 5 N.305 Main St. •Gretna, Gretna, VA 24557 434.791.1345 Open: Mon-Thur 8am-5pm Fri 8am-12pm Open: Mon-Thur 8am-5pm Fri 8am-12pm 125 125 Executive Executive Dr., Dr., #H Danville, •VA Danville, VA VA 24541 N. Main St.• •434.656.2224 •434.656.2224 Gretna, VA 24557 434.791.1345 434.791.1345 kinson, FNP 434.791.1345 Open: Mon-Thur 8am-5pm Fri 8am-12pm • Dr. Open: Mon-Thur 8am-5pm Fri 8am-12pm Mon-Fri 8am-5pm 434.791.1345 434.791.1345 on-Fri 8am-5pm en Wilkinson, FNP 434.791.1345 125 Executive Dr. #H •8am-5pm Danville, VA 24541 • Open: Mon-Thur Fri 8am-12pm • 125 Executive #H • Danville, VA 24541 • Open: Mon-Fri 8am-5pm • 434.656.2224 en Wilkinson, FNP en: Mon-Fri 8am-5pm • 434.656.2224 Open: Open: MonMon8am-5pm 8am-5pm 125 Executive Dr. #H • Danville, VA 24541 • ain .5en: Main St. • St. Gretna, • Gretna, VA 24557 VA 24557 Open: Mon-Thur 8am-5pm Fri 8am-12pm • • 125 Executive Dr. #H • Danville, VA 24541 Mon-Fri 8am-5pm • 434.656.2224 Wilkinson, FNP 305 N. Main St. • Gretna, VA 24557 • 125 Executive Dr. #H • Danville, VA 24541 Open: Open: MonMon8am-5pm 8am-5pm 305 N.Karen Main N.305 Main St. St. Gretna, • Gretna, VA 24557 VA 24557 434.791.1345 434.791.1345 • Open: Mon-Fri 8am-5pm • 434.656.2224 N. Main •St. • Gretna, VA 24557 Michael 125 Executive Dr. #H8am-12pm • Danville, VA 24541 434.791.1345 434.791.1345 Open: Mon-Thur Fri 8am-12pm Michael Caplan, Caplan, MD MD •8am-5pm Ann •8am-5pm Ann Knight, NP NP •MD 434.791.1345 Open: Mon-Thur Fri 434.791.1345 434.791.1345 Open: Mon-Thur Fri8am-12pm on-Fri :FNP Mon-Fri 8am-5pm 8am-5pm • 434.656.2224 •• 434.656.2224 Michael Michael Caplan, Caplan, MD Ann •8am-5pm Ann Knight, Knight, NPVA NP •Knight, • 8am-5pm inson, FNP 434.791.1345 •8am-5pm Open: Mon-Thur Fri 8am-12pm Open: Mon-Fri •• 434.656.2224 434.791.1345 434.791.1345 kinson, FNP pen: Open: Mon-Fri Mon-Fri 8am-5pm • 434.656.2224 434.656.2224 125 Executive Dr. #H •8am-5pm Danville, 24541 Open: Mon-Thur Fri 8am-12pm -305 - •8am-5pm • Walk-in Open: Mon-Fri 8am-5pm • 434.656.2224 en Wilkinson, FNP 125 Executive Dr. #H • Danville, VA 05 N. Main N. Main St. • St. Gretna, • Gretna, VA 24557 VA 24557 Open: Mon-Thur 8am-5pm Fri24541 8am-12pm • • 434.791.1345 Walk-in • 305305 N. Main N. Main St. St. Gretna, • Gretna, VA 24557 VA 24557 434.791.1345 • 434.791.1345 • 434.791.1345 Open: Mon-Thur 8am-5pm Fri 8am-12pm Michael Michael Caplan, Caplan, MD MD • Ann • Ann Knight, Knight, NP NP • • kinson, FNP 434.791.1345 intment needed. Open: Mon-Thur 8am-5pm Fri 8am-12pm pen: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm • 434.656.2224 • 434.656.2224 Michael Michael Caplan, Caplan, MD MD • Ann • Ann Knight, Knight, NP NP • anklin Tpke. Danville, VA 24540 • •Tpke. •needed. • • en Wilkinson, FNP 434.791.1345 • o2767 appointment en Wilkinson, FNP Open: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm • 434.656.2224 • 434.656.2224 Franklin • Danville, VA 24540 • • • - Walk-in o appointment • Karen Wilkinson, FNP -VA 434.791.1345 - Walk-in Yanceyville Yanceyville Primary Primary Care k-in, appointment needed. •Care -needed. 434.791.1345 Yanceyville Yanceyville Primary Primary Care •Care ke. • no Danville, 24540 -VA Mon-Fri 7am-7pm •Walk-in 434.835.0105 • NC -appointment -•Danville, klin Tpke. • VA 24540 Walk-in o needed. Open: Mon-Fri 7am-7pm • 434.835.0105 ••NC 2767 Franklin Tpke. • Danville, VA 24540 • • 1499 1499 Main Main St. • St. Yanceyville, • Yanceyville, 27379 NC 27379 klin Tpke. Danville, 24540 -appointment k-in, no appointment needed. 2767 Franklin Tpke. VA 24540 • • Danville, •VA 24540 1499 1499 Main Main St. • St. Yanceyville, • Yanceyville, 27379 NC• 27379 77am-7pm Franklin Tpke. • Danville, lk-in, no needed. Yanceyville Yanceyville Primary Primary Care •-no 434.835.0105 Walk-in, appointment needed. intment needed. •Care ranklin Tpke. •Walk-in Danville, VA 24540 24540 Saturday 7am-12pm Walk-in Yanceyville Yanceyville Primary Primary Care Open: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm • • n-Fri 7am-7pm • 434.835.0105 o appointment needed. •Care klin Tpke. • Danville, VA 1499 Main St. • Yanceyville, NC 27379 2767 Franklin Tpke. • Danville, VA 24540 Saturday 7am-12pm Walk-in Walk-in on-Fri 7am-7pm • 434.835.0105 o appointment needed. Open: Mon-Fri 7am-7pm • 434.835.0105 Open: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm • • 7 Franklin Tpke. • Danville, VA 24540 Walk-in 1499 Main St. • Yanceyville, NC 27379 n: Mon-Fri 7am-7pm • 434.835.0105 k-in, no appointment needed. Open: Mon-Fri 7am-7pm • 434.835.0105 1499 1499 Main Main St. •St. Yanceyville, • Yanceyville, 27379 NC 27379 7ke. Franklin Tpke. • 24540 Danville, VA 24540 -• Danville, 1499 Main St. •St.Yanceyville, NCNC 27379 Walk-in - • Danville, 1499 Main St. •Main Yanceyville, NC 27379 •Tpke. Danville, VA nklin Franklin Tpke. ••Tpke. Danville, •Tpke. Danville, VA 24540 VA 24540 1499 1499 Main Main St. •St. Yanceyville, • Yanceyville, 27379 NC 27379 2767 Franklin Tpke. VA 24540 1499 St. • Yanceyville, NC 27379 Mon-Fri 7am-7pm • 434.835.0105 1499 Main • Yanceyville, 27379 klin Tpke. Danville, VA 24540 67 2767 Franklin Franklin • Danville, VA 24540 VA 24540 7am-12pm Open: Mon-Fri 7am-7pm • 434.835.0105 on-Fri 7am-7pm • 434.835.0105 klin Tpke. • Danville, VA 24540 Open: Mon-Fri 8am-5pm •FNP 336.694.6969 ourday appointment 2767 Franklin Tpke. Danville, VA24540 24540 Saturday 7am-12pm -needed. Walk-in - •Walk-in Lindsey Lindsey Strader, Strader, FNP FNP 7am-12pm Open: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm •336.694.6969 • 27379 n: Mon-Fri 7am-7pm • 434.835.0105 7turday Franklin Tpke. •434.835.0105 Danville, VA Open: Mon-Fri 8am-5pm • k-in, no appointment needed. 1499 Main St. • Yanceyville, NC 2767 Franklin Tpke. • Danville, VA 24540 Saturday 7am-12pm 7am-12pm Walk-in Walk-in Lindsey Lindsey Strader, Strader, FNP :on-Fri Mon-Fri 7am-7pm 7am-7pm • • 434.835.0105 en: Mon-Fri 7am-7pm • 434.835.0105 lk-in, no appointment needed. Open: Mon-Fri 8am-5pm • 336.694.6969 Open: Open: Mon-Fri Mon-Fri 8am-5pm 8am-5pm • • Open: Mon-Fri 8am-5pm • 336.694.6969 7am-7pm • 434.835.0105 1499 Main St. • Yanceyville, NC 27379 Saturday 7am-12pm Saturday 7am-12pm en: Open: Mon-Fri Mon-Fri 7am-7pm 7am-7pm • 434.835.0105 • VA 434.835.0105 Open: Mon-Fri 7am-7pm • 434.835.0105 Walk-in, no appointment needed. Open: Mon-Fri 8am-5pm • 27379 336.694.6969 Open: Mon-Fri 8am-5pm • 336.694.6969 n-Fri 7am-7pm 434.835.0105 1499 Main St. •St. Yanceyville, NCNC27379 1499 Main St. • Yanceyville, NC 27379 Saturday 7am-12pm on-Fri 7am-7pm •Danville, 434.835.0105 1499 Main St. •Main Yanceyville, NC klin Tpke. •Tpke. Danville, VA 24540 767 2767 Franklin Franklin Tpke. •••Tpke. •Hai Danville, 24540 VA 24540 1499 St. •27379 Yanceyville, NC 27379 1499 Main St. ••Yanceyville, NC 27379 Stephens, DO •Franklin Jonelle DO Open: Mon-Fri 7am-7pm • •434.835.0105 en: Mon-Fri 7am-7pm •Danville, 434.835.0105 1499 Main • Yanceyville, 27379 7turday Franklin Tpke. VA 24540 1499 Main St. Yanceyville, NC 27379 2767 2767 Franklin Tpke. •gh, Danville, VA 24540 VA 24540 7am-12pm 1499 Main St. •Main Yanceyville, NC Amber Stephens, DO •Danville, Jonelle Hai gh, DO Open: Mon-Fri 7am-7pm •24540 434.835.0105 67 Franklin Tpke. •Danville, VA Open: Mon-Fri 8am-5pm •FNP 336.694.6969 aturday Saturday 7am-12pm 7am-12pm 1499 St. •FNP Yanceyville, NC 27379 Lindsey Lindsey Strader, Strader, Saturday 7am-12pm 1499 Main St. •FNP Yanceyville, NC 27379 DO • Jonelle Haigh, DO 2767 Franklin Tpke. • Danville, VA 24540 Open: Mon-Fri 8am-5pm • 336.694.6969 yon-Fri 7am-12pm Saturday Saturday 7am-12pm 7am-12pm Open: Mon-Fri 8am-5pm • 336.694.6969 Saturday 7am-12pm Lindsey Lindsey Strader, Strader, FNP pen: Open: Mon-Fri Mon-Fri 7am-7pm 7am-7pm • 434.835.0105 • 434.835.0105 Jill Van Horn, DO • Lindsey Strader, FNP Open: Mon-Fri 8am-5pm • 336.694.6969 phens, DO • Jonelle Haigh, DO Open: Mon-Fri 8am-5pm • 336.694.6969 7am-7pm • 434.835.0105 urday 7am-12pm Saturday 7am-12pm Open: Mon-Fri 8am-5pm • 336.694.6969 Saturday 7am-12pm Open: Open: Mon-Fri Mon-Fri 7am-7pm 7am-7pm • 434.835.0105 • 434.835.0105 phens, DO • Jonelle Haigh, DO Jill Van Horn, DO • Lindsey Strader, FNP turday 7am-12pm Open: Mon-Fri 8am-5pm • 336.694.6969 • Dave Smith, PA Jill Van Horn, DO • Lindsey Strader, FNP Open: Mon-Fri 8am-5pm • 336.694.6969 en: Mon-Fri 7am-7pm • 434.835.0105 Open: Mon-Fri 8am-5pm • 336.694.6969 Open: Mon-Fri 8am-5pm • 336.694.6969 1499 Main St. • Yanceyville, NC 27379 Saturday 7am-12pm Horn, DO •St. Lindsey Strader, FNP en: Mon-Fri 7am-7pm •PA 434.835.0105 ber Stephens, DO • Jonelle Haigh, DO Saturday 7am-12pm ••Stephens, Dave Smith, Jill Van Horn, DO • •Lindsey Strader, FNP27379 Open: Mon-Fri 8am-5pm • 27379 336.694.6969 Open: Mon-Fri 8am-5pm • 336.694.6969 1499 Main Yanceyville, NC Amber Stephens, DO •7am-7pm Jonelle Haigh, DOgh, DOJill Van Jill Van Horn, DO • Lindsey Strader, FNP Open: Mon-Fri • 434.835.0105 1499 Main St. •St. Yanceyville, NC 27379 Stephens, DO Jonelle Hai DO 1499 Main St. •Main Yanceyville, NC Amber DOgh, • Jonelle Hai Saturday Saturday 7am-12pm 7am-12pm 1499 St. • 336.694.6969 Yanceyville, NC 27379 •Stephens, Amber Stephens, DO • Haigh, Jonelle Hai gh, DO DO 1499 Main • Yanceyville, NC 27379 phens, DO Jonelle DO 7am-12pm ephens, rturday Stephens, DO DO ••Saturday Jonelle •7am-12pm Jonelle Haigh, Haigh, DO DO Saturday 7am-12pm 7am-12pm • Open: Mon-Fri 8am-5pm • DO Jonelle Haigh, DO Jill Van Horn, DO • Lindsey Strader, FNP ber DO • Jonelle Haigh, Saturday mber Amber Stephens, Stephens, DO DO • Jonelle • Jonelle Haigh, Haigh, DO DO Jill Van Horn, DO • Lindsey Strader, FNP • Open: Mon-Fri 8am-5pm • 336.694.6969 phens, DO Jonelle Haigh, DO ber Stephens, DO • Jonelle Haigh, DO Jill Van Horn, DO • Lindsey Strader, FNP Saturday 7am-12pm • Dave Smith, PA Jill Van Horn, DO • Lindsey Strader, FNP Open: Mon-Fri 8am-5pm • 336.694.6969 Open: Mon-Fri 8am-5pm • 336.694.6969 ephens, DO • Jonelle Haigh, DO • Dave Smith, PA Jill Van Horn, DO • Lindsey Strader, FNP Jill Van Horn, DO • Lindsey Strader, FNP Jill Van Horn, DO • Lindsey Strader, FNP Amber Stephens, DO • Jonelle Haigh, DO Saturday 7am-12pm • Dave Smith, PA Jill Van Horn, DO • Lindsey Strader, FNP FNP Jill Van Horn, DO • Lindsey Strader, FNP Open: Mon-Fri 8am-5pm • 336.694.6969 Open: Mon-Fri 8am-5pm • 336.694.6969 ber Stephens, DO • Jonelle Haigh, DO • Dave Smith, PA Jill Van Horn, DO • Lindsey Strader, FNP • Dave • Dave Smith, Smith, PA PA Jill Van Horn, DO • Lindsey Strader, h, PA Jill Van Horn, DO • Lindsey Strader, FNP • Amber Stephens, DO • Jonelle Haigh, Hai DOgh, DO •• Dave • Dave Smith, Smith, PA h, PA • Amber Stephens, DOPAHaigh, • Jonelle ••Amber e Smith, PA mber Amber Stephens, Stephens, DO DO • Jonelle • Jonelle Haigh, DO DO ephens, DO Jonelle Haigh, DO Amber Stephens, DO DO • Jonelle • Jonelle Haigh, Haigh, DO DO Jill Van Horn, DO •DO Lindsey Strader, FNP • •Jonelle •Stephens, ber Stephens, DO Haigh, DO ber Stephens, DO Jonelle Haigh, DO PA Jill Van Horn, DO •DO Strader, Jill Van Horn, • Lindsey Strader, FNP FNP PA Jill Van Horn, DO •Lindsey Lindsey Strader, FNP Amber Stephens, DO •Smith, Jonelle Haigh, DO •Smith, Smith, Jill Van Horn, • Lindsey Strader, FNP FNP h, PA • •Dave •Dave Dave Smith, Smith, PA PA PAPA eh, PA Jill Van Horn, DO • Lindsey Strader, PA • Smith, •Dave Dave Smith, PA ve Smith, PA eh,Smith, Smith, PA •• PA• Dave Dave •

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