Ask-A-Nurse
Ask-A-Nurse is a free 24-hour healthcare information and referral service staffed by registered nurses. If you need a doctor or answers to healthcare questions, Ask-A-Nurse can help.

It would be nice if we only needed medical attention from 9 to 5. But what can you do when your child wakes up with an earache at four in the morning? Or your spouse complains of a high fever or a persistent cough at midnight? Fortunately, there’s Ask-A-Nurse. Available around the clock, our registered nurses are specially trained to assess your symptoms over the phone, help you decide what to do, and recommend appropriate doctors and health services. We keep the same hours as your body. So call our free hotline anytime, day or night.

Assisted Living
(804) 313-2400

Magnolia Manor is an assisted living facility located on the grounds of The Orchard, Riverside’s long-term care facility in Warsaw. Private suites, spacious dining areas, nutritious snacks, and friendly faces make Magnolia Manor a wonderful place to call home. Assisted living is the perfect environment for individuals who need a little assistance yet do not require the more intensive care provided in a convalescent center. Residents may furnish their apartment with treasures from the past or enjoy the comfortable furnishings provided by the Center. With three meals a day in a restaurant style dining room, nursing staff to administer medications help with daily tasks, housekeeping services, and delightful recreational activities, residents may wonder why they didn’t move here sooner.

Cardiopulmonary Respiratory Therapy Services
(804) 443-6158

Services are provided to patients with chronic and acute disorders of the cardiopulmonary system. These services are rendered to all age groups while the majority of patients come from the adult and elderly populations. Outpatient services provided include: EKGs, pulmonary function testing, pulse oximetry, arterial blood gas testing, holter monitoring.

Diagnostic Cardiology
(804) 443-6044

A full range of state-of-the-art cardiac procedures are available at Riverside Tappahannock Hospital.

• Echocardiography (diagnostic, stress)
• Diagnostic Stress Testing both exercise and pharmacological
• Nuclear Scanning, both resting and exercise
• Noninvasive vascular studies

Riverside Tappahannock Hospital and the physicians of Virginia Cardiovascular Services of Richmond work together to provide the community expert cardiology services 24 hours a day, seven days per week.

To schedule an appointment call Central Scheduling
(800) 675-6368

Emergency Services
(804) 443-6000

The Emergency Department is an area of the hospital specially designed to treat patients who need immediate medical care and cannot wait to be seen by a private physician. Our 24-hour emergency room is staffed by board-certified physicians, specialty trained nurses and other healthcare professionals and sees over 20,000 patients a year. Comprehensive emergency services are provided 24 hours a day, 7 days a week with the support of a wide variety of specialists on-call to meet patient needs.

Gastrointestinal Disorders
(804) 443-6020

At Riverside, we’re able to offer our community several options for diagnosing and treating a wide range of gastrointestinal disorders.

Pill Cam
Capsule Endoscopy, commonly referred to as Pill Cam allows physicians to see the entire 21 feet of the small intestine. Pill Cam is a disposable miniature video camera concealed in a capsule the patient swallows, which then passes through the digestive tract. Pill Cam technology is currently available at Riverside Tappahannock Surgical Associates and performed by Dr. Reginald Mason and Dr. Michael Francis, board-certified general surgeons. For more information, call (804) 443-6232.

Endoscopy
A thin, flexible tube called an endoscope is inserted through the mouth and esophagus into the upper GI tract. It is used to view the interior of the stomach and small intestine to detect reflux, GERD or other abnormalities and obtain tissue samples for analysis.

Colonoscopy
A longer flexible tube is used to visualize the entire colon, remove polyps, and diagnose colon cancer.

Manometry
Esophageal manometry measures pressure within the esophagus. Your doctor may recommend this test to determine if a swallowing problem is due to improperly working muscles in your esophagus. Manometry is performed by Dr. Gregg Valenzuela, board-certified Gastroenterologist.

Golden Care

Golden Care is a program offered at a nominal fee to men and women over the age of 55 that offers special services and discounts. Gain a more complete understanding of programs available to older adults in the area by calling Golden Care’s main number listed above. Some services include:

• Health Insurance Advisory
• Medicare Updates
• Supplemental Insurance Consultations
• Medicare Insurance Billing
• Volunteer Opportunities
• Notary Services
• Lifeline Services

Home Health Care
(804) 443-6276

Home care is now often recommended the most appropriate for medical care. Riverside Tappahannock HomeHealth Agency provides skilled nursing, physical therapy,occupational therapy, home health aides, and medical socialworkers all in the patient’s home. Home tele-monitoring,instruction in disease management, wound care, intravenousantibiotic and chemotherapy are among services provided by Riverside Home Health.

Hospice Care
(804) 443-6130

Riverside Hospice provides supportive care to people who have been diagnosed with a terminal illness. In the last stages of an illness, the focus changes from an emphasis on “cure” to an emphasis on “quality of life.” Riverside Hospice provides care in the patient’s home and focuses on pain and symptom management, so that the patient’s last days may be spent with family and friends and with dignity. Family members, care-givers and significant others are very important in the Hospice Philosophy and are provided with support and care during and after the patient’s illness. The Hospice team provides physical, social, spiritual and emotional care during the last stages of illness, during the dying process and during bereavement.

Infusion Center (Chemotherapy)
(804) 443-6137

With the guidance of your physician, the registered oncology nurse at the Infusion Center can perform the following procedures:

• Chemotherapy
• IV Therapy
• Antibiotic Therapy Injections
• Hydration Therapy
• Blood Transfusions
• Therapeutic Phlebotomies
• Portacath Line Care Management

Inpatient Care
(804) 443-3311

Medical/Surgical
Sixty (60) bed capability with telemetry (monitoring of heart patients) availability for 16 beds. The most frequent types of diagnoses include: cardiology (heart attack, congestive heart failure), pulmonary (pneumonia, chronic lung disease), diabetes, orthopedic surgery, gynecological surgery, urological surgery, gastrointestinal surgeries and procedures, respite care and pediatrics.

Intensive Care
The seven (7) bed Intensive Care Unit (ICU) provides specialized nursing care to critically ill patients requiring continuous and comprehensive observation and monitoring. Both the specialized equipment and higher nurse/patient ratio provide ICU patients with more intensive care than on a traditional medical unit. The unit is equipped with state-of-the-art telemedicine equipment allowing consultation from subspecialty physicians in distant locations.

Hospitalist Team
While an inpatient at Riverside Tappahannock Hospital, our experienced team of board-certified physician hospitalists, will take care of your physical health, mental health and home care needs. Because they are located in the hospital, they are readily available to review progress, treat problems and communicate with you and your family.

Laboratory Services
(804) 443-6185

Riverside Tappahannock Hospital offers a full-service reference laboratory, prompt turnaround, reliable results and pathologist consultations. Services provided include, but are not limited to:

• In-House Testing
• Chemistry
• Hematology
• Microbiology
• Transfusion Services
• Urinalysis
• Serology

Lifeline (Emergency Response System)

Lifeline can make you feel safe, secure and happy to be independent in your own home. Whenever you need help, one press of a lightweight, waterproof help button activates a small in-home unit called a communicator. It puts you in touch with a caring Lifeline Monitor who talks to you to find out what kind of help you need. He or she will call one of your friends, a “Responder” who will come to your home to check on you. If you need professional help, your Monitor will call immediately. And if you press your button and can’t speak, your Lifeline Monitor knows exactly what to do.

The equipment is provided at no charge and the monthly monitoring fee for our 24/7 service is $40 which includes service checks, battery replacement and communicator replacement if the need arises. There is a one time $50 application fee.

Lifeline users include:

• People who live alone
• People who may be concerned about their personal safety
• People with ongoing medical conditions
• Disabled or handicapped individuals
• People who have had recent surgery

Lithotripsy
(804) 443-6030

Mobile lithotripsy services are available at Riverside Tappahannock Hospital. Why kidney stones form in some people and not others is one of the mysteries of medical science. For most people, kidney stones begin as crystals that pass harmlessly from the body in the urine. But for others, these crystals stick together to form stones. Once they begin, the stones both stay in the kidney and continue growing or pass, causing excruciating pain.

Fortunately, those who suffer with kidney stones have new hope with lithotripsy. This technique uses high-pressure sound waves to shatter kidney stones into sand-like particles that can easily wash away through urine.

For the patient, what once involved the risks and pain of major surgery can now be accomplished on an outpatient basis, with no overnight stay.

Mammography Services
(804) 443-6044

A mammogram can detect cancerous lumps in the breast before a woman can even feel the lump. In addition to breast self-examinations, mammograms on a recommended schedule are the next line of defense against breast cancer.

When detected early, most breast cancers are very treatable. A screening mammogram is a baseline mammogram that gives your physician an idea of your current breast health. It will be used as a comparison against your next mammogram to determine any important changes. If a mammogram reveals any suspicious lumps or lesions, then you and your physician might decide that a diagnostic mammogram would be in order.

Diagnostic mammograms or breast imaging can pinpoint and help to diagnosis questionable breast masses and lesions.

When a biopsy is necessary, there are a number of alternatives. In addition to surgical biopsy, the minimally invasive technique of stereotactic biopsy is also available in our mammography suite.

To schedule an appointment, call Central Scheduling
(800) 675-6368

MRI (Open Bore)
(804) 443-6044

MRI is a tool used to take sectional pictures of any part of the body using a strong magnet. It is not an x-ray, but records water molecules within the body that produce radio signals. A computer compiles the information for the signals and displays an image that looks much like an x-ray. The most comfortable and sophisticated MRI experience for all types of patients is now available at Riverside Tappahannock Hospital. The new open design of the MAGNETOM ESPREE accommodates all size patients and eliminates anxiety and claustrophobia. But most importantly, the power is three times greater than the conventional open MRI and assures your doctor secures the most confident diagnosis.

To schedule an appointment, call Central Scheduling
(800) 675-6368

myHealth eLink

myHealth eLink is a highly secure, web-based information system that helps patients and their Riverside Medical Group physician communicate 24 hours a day, 7 days a week. If you have Internet access, sign up for myHealth eLink, it’s FREE and highly secure.

• Access electronic medical records
• Read lab, diagnostic results, and messages sent by your physician
• Access your immunization records
• Request appointments
• Request prescription refills
• Request a referral
• Request billing assistance
• Ask a question

Nursing Home Care
(804) 313-2400

Dogwood Manor, located on the grounds of The Orchard, Riverside’s long-term care facility in Warsaw, provides skilled nursing and rehabilitation services. Residents in skilled care participate in therapeutic as well as social activities to regain their strength and independence. Physical, occupational, and speech therapies are provided to help residents meet their goals and full potential. And for persons requiring 24-hour nursing services, short and extended care is also available in our convalescent center. The resident, physician, family members and our staff work closely to develop a plan of care best suited for each person.

Occupational Therapy
(804) 443-6044

The Riverside Tappahannock Occupational Therapy Department is dedicated to teaching skills of independent living to those persons whose normal lives have been interrupted by physical injury or illness. The definition of occupational is most important when talking about Occupational Therapy. Rather than referring to a person’s employment, occupation means being occupied in meaningful day-to-day living activities including work, leisure and play.

Occupational therapy services include:

• Upper extremity evaluation and treatment to increase function
• Custom and prefabricated splints and slings
• Use of adaptive equipment
• Gross and fine motor coordination training
• Activities of daily living (self-care and homemaking)
• Work simplification and energy conservation, attention, organization, and problem solvin
• Joint protection techniques
• Adaptation/recommendations to eliminate functional barriers
• Sensory stimulation
• Reality orientation

Online Services

By our site, you have access to information on hospital and diagnostic services, directions, overnight accommodations, the gift shop, and can even send a patient a Web Wish.

Hometown Healthcare e-News
By signing up for Hometown Health Care e-news, we’ll forward, via e-mail, information about events, new services, and special offers from all divisions at Riverside Tappahannock Hospital, Riverside Medical Group and The Orchard. You’ll be one of the first to receive the news.

myHealth eLink
A highly secure, web-based information system that helps patients and their Riverside Medical Group physician communicate 24 hours a day, 7 days a week. If you have Internet access, sign up for myHealth eLink, it’s FREE and highly secure.

Pain Management and Rehabilitation Center
(804) 443-6143

Pain is a serious problem and can control every aspect of your life. Whether you’re recovering from surgery, or are experiencing pain from cancer, trauma or a chronic disease, at The Pain Management and Rehabilitation Center we’re dedicated to helping you take back control. With the latest pain management techniques available today, we offer a variety of options for treating chronic pain, including but not limited to:

• Trigger Point Injections
• Fluoroscopically Guided Epidural Injection (cervical, thoracic, and lumbar)
• Nerve Block
• Radio Frequency Nerve Ablation
• Sympathetic Block
• Facet Block
• Joint Injections
• Diagnosis & treatment of neck and back pain.

Pet Scanner
(804) 443-6044

The Positron Emission Tomography (PET) is used for diagnosing certain types of cancer, seizure disorders and determining the extent of damage to the heart muscle after a heart attack. Unlike other tests such as CT scans and MRI, which shows anatomy and the structure of lesions, the PET scan shows the function of tumors or suspicious areas. Combined with CT or MRI, PET allows doctors to identify lesions and focus on suspicious areas and gives them the capability of diagnosing cancer at an earlier stage including melanoma, lymphoma, colorectal, esophageal, head and neck, and some forms of lung cancer. The PET scanner is not only used for diagnosing cancer and other diseases, but is also useful for determining the effectiveness of radiation and chemotherapy.

To schedule an appointment, call Central Scheduling
(800) 675-6368

Physical Therapy
(804) 443-6090

The Riverside Tappahannock Physical Therapy Department provides physical therapy services for acute care, outpatient and skilled nursing units. The purpose of physical therapy is to restore function, relieve pain, promote healing and learn to adapt to a disability. The Physical Therapy Department provides services to individuals of all ages, focusing on patients 14 years and older. Conditions addressed include, but are not limited to:

• Orthopedic Disorders
• Neurologic Disorders (including stroke rehab)
• Wound care
• General Rehabilitation
• Pain Management

To schedule an appointment, call Central Scheduling
(800) 675-6368

Radiology
(804) 443-6044

The radiology department at Riverside Tappahannock Hospital conducts a number of x-ray studies and examinations using the latest technology, including:

• Diagnostic Radiology/X-Ray
• CT Scans
• Ultrasounds
• Nuclear Medicine Studies/ PET
• Mammography Stereotactic Biopsy
• Vascular Lab
• Echocardiography
• Bone Densitometry
• Open Bore MRI
• (Digital Mammography coming in 2009)

To schedule an appointment, call Central Scheduling
(800) 675-6368

Senior Living Community
(804) 313-2400

Located in the heart of Warsaw, The Orchard, Riverside’s premier senior living facility is an 85,000 square foot residential community that offers four distinct levels of care. The Orchard was uniquely designed to provide enriched living in Magnolia Manor, specialized and skilled nursing/rehabilitation, convalescent care and secured dementia care in Dogwood Manor. At The Orchard, we know that, like the seasons, people’s needs change. That’s why our community was created, so individuals can easily transition from one area of care to another when needed. By nurturing the mind, body and spirit, The Orchard encourages our residents to live each day to the fullest.

Social Services & Care Management
(804) 443-6056

Care Management and Discharge Planning is a service available to all patients admitted to Riverside Tappahannock Hospital. Care Managers help patients and their families make plans for discharge. This may include helping with nursing home placement, arranging for medical equipment for home use, planning home health care, or assisting with financial arrangements. Many of the tasks involved in relocating a patient require planning and scheduling, and we encourage individuals, their families and doctors to seek help as early as possible.

Speech Therapy
(804) 443-6090

The Riverside Tappahannock Speech Therapy Department provides treatment for difficulty with speech and swallowing as caused by disease, injury or genetics. They address many speech related problems including:

• Difficulty with swallowing
• Articulation Disorders
• Motor Speech Disorders
• Language Disorders
• Voice Disorders
• Fluency Disorders
• Hearing Impairments

Surgery
(804) 443-6030

At Riverside Tappahannock Hospital, we’re proud to offer quality surgical care, close to home. Our skilled and compassionate surgeons work closely with the specially trained operating room professionals to insure that your surgery goes smoothly. Orthopedic, ophthalmic, gynecologic, gastrointestinal, urological, gallbladder and breast cancer surgeries are only a few of the many surgical procedures that can be done at Riverside. Our surgeons utilize the most modern, less invasive techniques possible to meet your surgical needs. State-of-the-art video and laparoscopic equipment provide high quality results for our patients. If your physician chooses, outpatient or one day surgery may be an option and is also provided at Riverside Tappahannock Hospital.

Anesthesia services are provided by board-certified physicians and certified registered nurse anesthetists who specialize in pain management techniques providing for the most comfortable recovery possible.

Riverside Urgent Care
(Opening Soon in 2009)

Riverside Tappahannock Hospital is proud to partner with Riverside Medical Group to offer our community convenient urgent care services. Because of unexpected traumas or complicated emergencies, waiting in an emergency room is often unavoidable. At Riverside Tappahannock Hospital our solution is to offer patients with non-emergent conditions an alternative.

Although not required, if you are a patient at any Riverside Medical Group practice, physicians of Riverside Urgent Care have immediate access to your medical history via our sophisticated electronic medical record.

If your urgent medical need occurs during your doctor’s office hours, call your doctor’s office directly. If not, visit Riverside Urgent Care, and be seen by one of the skilled and experienced physicians of Riverside Medical Group.

Volunteer Services

Riverside Tappahannock Hospital depends on the commitment of our volunteers to help provide quality care to our patients and their families. Their outstanding service to Riverside Tappahannock Hospital and our community is renowned. Volunteering can be an excellent opportunity to give back to your community and make a difference.

Volunteers must be over 18 years of age and be in general good health.

Junior volunteers must be at least 13 years old. The junior volunteer program is a summer program and provides experience in patient services and clerical support to a variety of hospital departments. For young people interested in health careers, it is an opportunity to gain hospital experience.

Riverside Tappahannock Hospital Volunteer Services will provide you with the education and training you need to perform your job.

Web Wish

With Web Wish you can send e-mail to inpatients at Riverside Tappahannock Hospital. The Customer Service Department will print and deliver your message to the patient the next business morning (Monday through Friday). Confidential and sensitive information should not be sent. To send a Web Wish to a patient, you will need the patient’s full name and room number.

To send a Web Wish, visit www.riversideonline.com/rth.