Cancer Care

Screening and Diagnosis

Colonoscopy: A thin, flexible tube called a colonoscope is used to look at the colon to help find polyps or tumors. We have a full colonoscopy suite with same day results.

Low dose CT: Used to screen for tumors in the lung. Results are read and made available to your physician within 24-48 hours.

Mammography: An X-ray of the breast. We have a full digital mammography suite with results made available within 24-48 hours. Learn more by visiting Digital Mammography.

Plan of Care:

After a diagnosis is made, we offer imaging tools that assist the physician in treatment planning:

CT scan


Diagnostic bone survey

Magnetic Resonance Imaging: Used to find cancer in the body or look for signs that it has spread. An MRI can also be used to help plan cancer treatment, like surgery or radiation. We have a full MRI suite with results made available to your physician with 24-48 hours.

Breast MRI

Nuclear Medicine: Images based on the body's chemistry rather than physical forms like X-rays or MRIs. We can provide a number of nuclear medicine scans:

  • Bone scans
  • Positive emission tomography or PET
  • Thyroid


Infusion Center
The Infusion Center at Riverside Tappahannock Hospital takes pride in the ability to deliver highly personal care and individualized treatment plans that take into account the range of medical, psychological and emotional factors that can affect treatment. All of our infusion nurses are certified in both chemotherapy and bio therapy.

Under the direction of a team of oncologists, you have access to exceptional cancer care, close to home, offering a full range of resources and the best possible plan of care and treatment.

Patient Education: Research shows that patients who take part in their health care are more likely to heal better and faster. To help you take an active role in your treatment, we offer all our new chemotherapy patients an informational session to understand their treatment and how to best manage their symptoms.

Other Infusion Services
In addition to comprehensive oncology care, our infusion staff is trained to administer:

  • Therapeutic phlebotomy
  • Central line care and management such as PICC line flushing and dressing changes
  • Hydration therapy
  • IV therapies such as iron replacement, osteoporosis management, antibiotic therapy, and rheumatoid arthritis management
  • Blood transfusions

The surgical team at RTH is highly trained in surgical procedures for the treatment of cancer in the breast, colon, prostate, stomach and thyroid. All surgical procedures are performed in RTH's state-of-the-art surgical and recovery suites, meaning that high quality, surgical cancer care can be offered close to home.

Cancer treatment can take a toll on the body. At Riverside Physical Therapy in Tappahannock and Warsaw, we offer programs that manage physical conditions that can occur from the cancer itself or the effects of surgery and chemotherapy treatment.

STAR Program (Survivorship Training and Rehabilitation):
This unique program provides a comprehensive, evidence-based approach to rehabilitation that can improve the lives of cancer patients and survivors who are experiencing problems such as pain, fatigue, and loss of movement. The team of physical, occupational and/or speech therapists work with physicians and most importantly the patient, to develop a personalized rehabilitation plan to increase strength and energy, alleviate pain, and improve their quality of life.

Lymphedema Treatment: Swelling occurs in one of the arms or legs, most commonly caused by the removal of or damage to lymph nodes as part of cancer treatment. Our certified therapist can utilize massage, called manual lymph drainage, or wrapping techniques to reduce swelling in the affected arms or legs.


We are able to offer a wide range of diagnostic and testing to detect the causes of chest pain and discomfort. And the faster and more effectively a heart problem is diagnosed and treated, the more likely the use of medical treatment or less invasive surgical procedures. Through our partnership with Virginia Cardiovascular Specialists, you have local access to some of the most respected board-certified cardiologists in the region. Testing available on-site at our hospital includes:

  • Echocardiograph
  • Electrocardiography (EKG)
  • Nuclear medicine
  • Stress testing
  • Permanent pacemaker implantations
  • Holter monitors

Cardiopulmonary Respiratory Therapy Services
Services are provided to patients with chronic and acute disorders of the cardiopulmonary system. These services are rendered to all age groups, but 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 Imaging Services

We are able to offer a wide variety of diagnostic imaging exams on an inpatient and outpatient basis. Our highly trained technologists are to perform ultrasound, digital mammography, magnetic resonance imaging or MRI, computed tomography scans, diagnostic X-ray, fluoroscopy, nuclear medicines, echocardiography and noninvasive vascular imaging.

X-rays and CTs are performed 24 hours a day, seven days a week for inpatient and emergency services. The department is open for regular outpatient imaging from 8 a.m. to 4 p.m. Monday through Friday.

Map and directions: Riverside Tappahannock Hospital - Tappahannock (PDF)

Diagnostic Laboratory Services

The Riverside Tappahannock Hospital laboratory provides a comprehensive menu of diagnostic testing in the areas of hematology, chemistry, microbiology, coagulation, urinalysis, immunology, pathology, and blood banking with transfusion services. The lab is accredited by the American college of American Pathologists and staffed by certified laboratory professionals who are dedicated to delivering quality services to the hospital's inpatients as well as to local health care providers and their patients.

The laboratory conducts testing 24 hours a day, seven days a week. The outpatient lab is open for routine specimen collection from 7 a.m. to 5:30 p.m. Monday through Friday.

Emergency Services


If you are experiencing chest pain, call 9-1-1 IMMEDIATELY. Do NOT Drive or operate a motor vehicle.

Emergencies happen. And when they do, the emergency department is there 24 hours and day, seven days a week. With highly trained physicians and staff and access to high-level diagnostic services and testing, we can quickly address serious or life threatening conditions.


Gastroenterology deals with the diagnosis and treatment of liver and digestive disorders as well as diseases of the gastrointestinal tract. Services include colonoscopy, endoscopy, and treatments for acid reflux, Crohn's disease, irritable bowel syndrome, and other liver and gastrointestinal issues.

Inpatient and outpatient procedures are performed at Riverside Tappahannock Hospital by board certified gastroenterologists and general surgeons.

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 Surgical Specialists. 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.

General Surgery

Our surgeons and surgical teams are committed to providing exceptional, personalized and compassionate medical care to each surgical patient. Our highly trained and experienced surgeons are able to treat an array of conditions and diseases that impact your life:

  • Colon and intestine surgery
  • Laparoscopic surgeries –including appendix, gallbladder and colon
  • Hernia repair
  • Surgical treatment of hemorrhoids
  • Placement of venous access devices for dialysis or chemotherapy
  • Surgical treatment of GERD (gastro esophageal reflux disease)

Inpatient Care

Medical/Surgical: The Medical-Surgical Unit at Riverside Tappahannock Hospital provides assessment, diagnosis, planning, implementation and evaluation of acute and chronically ill patients and surgical patients. The Medical-Surgical Unit is capable of transitioning patients to and from the Intensive Care Unit, receiving post-operative patients for recovery and care, and providing around the clock care for acutely ill patients arriving from the Emergency Department.

The department also features patient care technology for continuous bedside monitoring, 24 hour cardiac telemetry monitoring, and electronic charting. Other services such as respiratory therapy, dietary and physical therapy work together with the unit to provide the best care and recovery.

Intensive Care: The Intensive Care Unit, or ICU, provides specialized nursing care to critically ill patients requiring continuous and comprehensive observation and monitoring. The ICU is equipped with state-of-the-art telemedicine equipment allowing consultation from specialty physicians in distant locations.

Hospitalist Team: Hospitalists manage the care of patients during their hospital stay. Our experienced team of board-certified hospitalists work with the patient and their primary care physician or specialty physician to coordinate care until the patient is discharged. There are several advantages to having a hospitalist manage care:

  • Hospitalists are generally internal medicine or family medicine physicians, or advanced practice providers who have acquired particular expertise in the evaluation and management of common medical conditions that lead to hospital admissions.
  • Because hospitalists are on-site around the clock, they are able to closely monitor a patient's condition and make treatment, testing, or medication adjustments quickly.
  • Hospitalists are available to answer questions and communicate with the patient's family.
  • When discharged, the hospitalist will coordinate care with the patient's primary care provider to ensure a seamless transition back to outpatient care.

Social Services & Care Management
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.


Ophthalmology is the branch of medicine that focuses on the anatomy, physiology and diseases of the eye. At Riverside Tappahannock Hospital, we have partnered with local ophthalmologists to keep your eyes healthy and clear. We are able to offer comprehensive eye care including outpatient cataract removal surgery.


At Riverside, we are dedicated to providing comprehensive and personalized orthopedic care from diagnosis and treatment through rehabilitation. Our goal is to get patients back to their everyday life quickly and with as little pain as possible.

Orthopedic capabilities at Riverside Tappahannock Hospital include treatment for bone, muscle and joint problems including:

  • Fracture repair
  • Arthroscopic joint repair of hips, knees and shoulders
  • Total joint replacement of hips, knees and shoulders

Joint University: Joint University is an educational program to help you understand the various aspects of your joint replacement procedure. The classroom style program lasts approximately two hours and covers the entire process including:

  • The preoperative appointment
  • The day of your surgery
  • Your hospital stay
  • Your discharge and continued recovery -- evaluate your need for home recovery (walkers, canes, etc.) or home health services, which can include physical therapy

We will partner with you to meet the goals you hope to achieve, from the initial consultation with your surgeon, through recovery in the hospital and at home, and continued wellness.

Pain Management

Persistent, chronic pain, if left untreated, can control almost every aspect of your life. Day to day tasks, work, recreation and emotional health are gravely affected for those who suffer from pain. Pain management is offered on an outpatient basis. We are able to offer a variety of innovative interventional treatment options designed to meet your pain control needs, which may include:

  • Epidural steroid injections
  • Trigger point injections
  • Hip/knee/shoulder injections
  • Radio frequency ablation
  • Nerve blocks
  • Facet blocks

Physical Therapy

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

Pulmonology/Sleep Disorders

Pulmonologists are physicians who diagnose and treat disorders the affect the respiratory system. They specialize in pulmonary medicine. Some of the most common disorders are chest infections, pneumonia, asthma, tuberculosis and emphysema.

Some pulmonologists also specialize in sleep disorders, such as sleep apnea, which is difficulty breathing during sleep. At Riverside Tappahannock Hospital, our Sleep Disorders Center provides comprehensive evaluation and treatment options for people with a variety of sleep disorders. Our sleep lab, a hotel-like private room, allows for a thorough analysis of your sleep patterns by our sleep specialists, leading to a personalized treatment plan. Our Sleep Disorders Center offers inpatient and outpatient care under the direction of board-certified physicians at Riverside Pulmonary & Sleep Specialists in Newport News.

Riverside Nurse
1-800-675-6368 toll free

It would be nice if we only needed medical attention from 9 to 5. Unfortunately, that is not always the case. What can you do when your child wakes up with an earache at four in the morning or you experience a persistent cough at midnight? Call Riverside Nurse, a free service of Riverside Health System available 24 hours a day, seven days a week. A registered nurse specially trained in telephone triage will answer your symptom-based question and, if needed, refer you to a physician for treatment. Riverside Nurse also provides general health information and Riverside physician and service referrals.

If you are inquiring about a health related problem, it is important for you to seek timely health care. Please consult a physician or if it is a life-threatening situation call 911 or your local emergency response system.

Our nurses can only triage patients who reside in our local Virginia service area which includes: Peninsula, Middle Peninsula, Northern Neck, Williamsburg, Isle of Wight and Eastern Shore areas. If you are outside our service area, please call your local physician or hospital.


Urologists treat disorders of the urinary tract in both men and women; adults and children. They are trained to diagnose and treat common urological disorders such as urinary incontinence, impotence, enlarged prostate, prostate cancer, and kidney stones. Both inpatient and outpatient urological care is performed at Riverside Tappahannock Hospital.

Lithotripsy: Mobile lithotripsy services are available at the 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.