Family Birth Center/Obstetrics
The Family Birth Center is dedicated to the following philosophy: “The Family Birth Center supports the mission and vision of Good Samaritan. We believe that a family is the cornerstone of society, and that each client individually defines her family structure. We believe that birth is a milestone event in the lives of families, and we view birth as a normal, healthy event. Our professional team is committed to providing caring, competent, compassionate, family-centered care, and empowering families to determine the best course for their birth event.”
Educational opportunities, active family participation and appropriate community resources are utilized to promote role development to new parents, grandparents and siblings and to acquire skills for the newborn's health maintenance.
The newborn nursery provides 24-hour routine care of newborns. The Level II Neonatal Intensive Care Unit provides care for infants who need additional assistance to adapt to extrauterine life. The major clinical function of the NICU is the provision of nursing and medical interventions to meet the infant's needs.
This 11-bed unit serves all aspects of pediatric medical and surgical care. These medical/surgical procedures and conditions may include, but are not limited to, appendectomies, respiratory difficulties, tonsillectomies and adenoidectomies, orthopedic problems, failure to thrive, gastroenteritis, urinary problems and seizure disorders. The number of children with oncology diagnoses has begun to rise, and this unit has increased its skills to include chemotherapy and implanted port care. During the winter months, care is primarily given to patients with a large variety of respiratory illnesses such as RSV, croup, pneumonia, bronchiolitis, bronchitis and asthma. During the summer months care is provided to patients with elective surgeries, summer accidents and trauma.
Nursing Fourth floor (4 South/4 Central) specializes in the care of patients with cancer at any stage of the disease. These oncology nurses offer expertise in the fields of pain management, central line care and management, chemotherapy administration and emotional support for the patient and their family. This unit also cares for patients who have had cancer-related surgical procedures such as mastectomy and colon resection. Inpatient hospice care is also provided by this department. In addition, oncology care is provided in our free-standing Cancer Center that opened in 2004. This center offers patients beautifully decorated and comfortable settings for receiving cancer treatment, skilled staff that specialize in the spectrum of cancer care from prevention to treatment, as well as advanced technology for treating cancer.
Second floor north (2 North) specializes in the care of patients with urological disorders as well as other medical/surgical recovery needs. Nurses on this unit treat a variety of problems including, but not limited to, outpatient hernia repair surgery, outpatient gallbladder surgery, patients with Chronic Obstructive Pulmonary Disease (COPD) and patients with infections. The staff on this unit provide expertise in urological nursing that is used throughout the hospital including, but not limited to, catheter insertion, bladder ultra sound and self-catheterization teaching.
Intensive Care Unit (ICU)
The Intensive Care Unit (ICU) at Good Samaritan is a 16-bed unit that provides highly specialized care for the critically ill. Housed on the second floor of Good Samaritan's West Tower which opened in 2005, the ICU is truly a state-of-the-art unit that was designed around nursing staff's specifications. Nursing services provided here include neuro-trauma, complex surgical, invasive and noninvasive cardiovascular services and complex multi-organ system patients. These services are aimed at the restoration of physiologic stability, complication prevention and maintaining optimal responses
Transitional Care Unit (TCU)
The Transitional Care Unit (TCU) cares for many types of patients, and is often the last unit on which patients are cared for within Good Samaritan. These patients are people who are recovering from surgeries, acute illnesses or have chronic health problems that need nursing attention. Many nursing services such as IV therapy, intricate dressing changes, pain management, chemotherapy, occupational therapy, speech therapy, physical therapy and several other services are provided on TCU. Hospice patients that do not have adequate support at home can receive terminal/comfort cares here as well.
A very effective work team is found on TCU whose employees collectively have many years of experience. A unit-based staff council helps make departmental decisions, along with the department director. The unit's interdisciplinary team meets every week to discuss in detail each patient's progress. Family members are always welcome to attend meetings for their loved ones, and visiting hours for family are very flexible.
Home Care Services
Home Care Services consists of three departments: Home Health , Home Infusion and Hospice.
Home Health delivers skilled care to people of all ages in their homes. Disciplines that are available to help in the delivery of care are nursing, psychiatric nursing, aide, physical therapy, occupational therapy, speech
therapy, wound care nurses, diabetic nurses, social worker, and pharmacist. Home Health strives to keep people independent and living safely in their own environments.
Home Infusion strives to teach patients and families how to administer parenteral medications or nutrition, or enteral nutrition, in their own homes.
Hospice serves patients of all ages who have a terminal illness. A multidisciplinary care delivery
process is in place; physician, nursing, aide, social worker, pharmacist, pastoral counselors, and volunteers. Hospice staff feel privileged to help patients and families make life's last journey as comfortable as possible.
Progressive Care Unit (PCU)
This 40-bed medical and stepdown unit provides 24-hour nursing care to a variety of critically ill populations with an emphasis on the cardiac patient. PCU is located on the third floor of Good Samaritan's West Tower that opened in 2005. All patient rooms on PCU are private and were designed with separate places for the patient to recover, caregivers to work and family members to be comfortable as well. PCU provides bedside cardiac monitoring as well as unit-based and housewide telemetry monitoring. In addition, nurses on the PCU care for patients requiring interventional cardiology services.
Medical/Surgical Unit Nursing
The 38-bed medical/surgical unit for adolescents and adults is located on third floor north (3 North) at Good Samaritan. Patients with medical/surgical conditions requiring orthopedic, gynecologic, neurologic and/or general surgical interventions are admitted to this unit. The major clinical functions performed in this unit include, but are not limited to, pain management, maintenance of skin integrity, maintenance of fluid and nutritional needs, patient safety, infection control, patient and family education and discharge planning.
Ten beds are designated in this unit for the Nebraska Joint Replacement Center, and the nursing process is utilized here, as well, for joint replacement patients.
Inpatient Rehabilitation is a 10-bed unit that is CARF and JACHO accredited, as well as a member of the Brain Injury Association of Nebraska, Inc.
Inpatient Rehab offers a unique specialty practice area of professional nursing. Our comprehensive program made up of nurses, physiatrist, case managers, physical therapists, occupational therapists, speech pathologists, therapeutic recreational specialist, dietitian and chaplain utilizes a holistic team approach to assist the client with disabilities and chronic illness. Our goal is to promote an achievable optimal level of independence, by providing rehabilitation to maximize the potential for return to home, work, school and community. We offer care to those who are recovering from stroke, head injury, amputation, multiple trauma, neuro muscular disorders and other conditions requiring a coordinated intensive therapy approach to rebuilding meaningful lives.
Surgery provides optimal care to over 8,000 cases annually by nursing service members, CRNAs and MDAs. This department offers cardiac, vascular, plastic, urology, orthopedic, podiatry, ophthalmology, gynecology, dental, E.N.T., general and oral surgeries in a modern 10-room surgical suite. We, as a surgical team embrace the acronym, RICE; Reverence, Integrity, Compassion, and Excellence as our core values.
Good Samaritan is a Level II Trauma Center and our Emergency Services department provides regional emergency healthcare and transportation for those who are ill, injured or are outpatient clients. Nurses help to comprise the staff in the 24-hour emergency department that is also staffed at all times with an on-duty physician. Transport services associated with the Emergency Services department include helicopter (staffed by the AirCare flight team), regional ground ambulances for emergent and non-emergent transfers and the Mobile Intensive Care Unit (MICU). Community and professional education and trauma prevention are also provided locally and throughout the region by the staff in this department.
Endoscopy nursing at Good Samaritan provides a variety of endoscopy procedures including gastroscopy, colonoscopy, bronchoscopy, ERCP, PEG placement and removal. These services are provided to both outpatients and inpatients. Our department has regular scheduled hours Monday -Friday with two on call staff available after hours and weekends. A very effective work team is found in Endoscopy whose employees collectively have many years of experience. The Endoscopy Department provides holistic care to every patient we treat. We recognize the importance of each patients' individuality in regard to spiritual, emotional, physical, and social well being. We also focus on the family or significant other to incorporate them into the plan of care.
Post Anesthesia Care Unit (PACU)
The primary function of the Good Samaritan's Post Anesthesia Care Unit (PACU) is to promote high quality care to surgical patients and their families. The unit has 9 beds with additional 3 bed critical care area. Post anesthesia care is provided for critical and general surgeries that require extended hospitalization for general, orthopedic, spine, neurological, vascular, cardiac, urological, ENT, and gynecological patients.
Outpatient Services (OPS)
Outpatient services consists of three areas: Preop Clinic, Surgical AM Admissions (SAMA) and Outpatient Surgery. Each area promotes high quality of care to surgical patients and patients who are receiving invasive tests at Good Samaritan. Assessment skills and promoting patient education from admission to dismissal are high priorities for all staff. Staff take pride in providing holistic care to all who enter the department, including visitors, families, and patients. Staff in Outpatient Surgery assist Post Anesthesia Care Unit with on call staffing.
Nursing Departments at Richard H. Young Hospital
Adolescent Inpatient Psychiatric Program & Adult Inpatient Psychiatric Program
The Child, Adolescent and Adult Inpatient Psychiatric Programs provide a locked treatment environment for individuals 2 through 12, 13-18, and 19 and older years of age, respectively. These programs seek to provide an age appropriate treatment environment for those needing inpatient psychiatric care, facilitate rapid reduction in moderate to severe psychiatric symptoms, and engage the patient and their family in discharge planning.
Nursing provides around the clock coverage for these programs. The nursing staff collects data, identifies problems and plans care through interviewing, behavioral observation, and physical and mental health assessments. Nurses in these programs utilize psychotherapeutic interventions to assist patients in regaining and improving their previous coping skills. Somatic treatments and medications are administered with clinical responses and effectiveness recorded, and the nursing staff also identifies and addresses the health educational needs of the patients.
Registered nurses serve with primary therapists and social workers as treatment coordinators within these programs as well.
Subacute Behavioral Healthcare Program
Often a patient no longer needs acute care but still needs time to stabilize before returning to the community. The Subacute Unit extends our behavioral healthcare services by providing individual care plans that allow us to appropriately meet the needs of our patients.
This level of care helps prepare patients to deal with medication management as well as provide additional time for recovery. After a stay on the Subacute Unit, patients will have a patient-driven discharge plan that will lead to hope and recovery for the future. The average length of stay on the Subacute Unit is approximately 21-30 days.
Residential Treatment Center (RTC)
The Residential Treatment Center program at Richard H. Young Hospital treats teens with severe emotional difficulties and transitions them back to their family, school and community. Nurses are integral members of the treatment team that promotes optimal wellness within a safe, structured, therapeutic living environment by addressing each youth's emotional, physical, spiritual, social, recreational and educational needs.
The RTC is a community-based, structured group living program that emphasizes a family home-like environment. Dual-diagnosis treatment is provided in the RTC. A full range of treatment modalities offered here include, but are not limited to, individual and group therapy, family therapy, school, living skills education, recreation and leisure activities.
Many of the participants in our inpatient programs progress to our outpatient clinic when the intensity of symptoms does not require inpatient hospitalization. Patients may also be referred directly to the outpatient clinic without previously receiving inpatient care.
Advanced Practice Registered Nurses are available to assess patients and provide medication management in the Outpatient Clinic. Whenever possible, the clinic staff refers patients to community resources for additional assistance.