Behind the Doors at Piedmont’s Emergency Department

With Piedmont’s recent ribbon cutting ceremony, FYN delved behind the scenes to take a closer look at some of Piedmont’s equipment and changes to the facilities as they move closer to opening their doors to the public.

During their Ribbon Cutting, Piedmont was welcomed into Gilmer County by Commission Chairman Charlie Paris stating, “We’re very thankful to have an ER coming into Gilmer County. In addition to health care considerations, there are a lot of cost savings that will apply…”

One of the biggest upgrades that Piedmont Mountainside CEO, Denise Ray mentioned during the ceremony was a 64-slice CT Scanner with a Double Injector function. This device replaces an older 16-slice scanner allowing for far better detail in the scans. The Double Injector is used during things like PE (Pulmonary Embolism) Studies. Nestor walked us through the aid this provides as the contrast dye is injected into patients needs to be immediately flushed.

The double injector allows the flush without requiring technicians to re-enter the room and provide the flush themselves. The upgrade from 16 to 64-slice also improves speed of the scan translating to patients as less time on the table.

Piedmont is also currently using a portable X-Ray machine in addition to its normal machine. This device can be moved into a patient’s ER room to take an x-ray and utilize that mobility to expedite care to its emergency patients. While Ike Ichite, Director of Imaging, stated the portable x-ray aids greatly in emergency care situations, he is still looking forward to a digital upgrade expected to come early next year. The digital upgrade would allow Doctor’s to quickly view the x-ray results bypassing to time to process the shots in radiology and being instantly accessed on screen of the machine.

The full digital images would also greatly increase image quality according to Jennifer Nestor. Having images of high quality instantly available will even further help doctors immediately respond to issues they find through the x-rays.

Also utilized at the local Emergency Department (ED) is the Ultrasound study. Usually utilized in blood studies such as DVT (Deep Vein Thrombosis), blood clot, or gall bladder issues. This device rounds out the “big three” devices used in Piedmont’s ED.

As the new Emergency Department draws closer to opening its doors, greater attention is drawn daily as Ray even commented an expectation that all of Georgia will be focusing on Gilmer County to see if free-standing ER’s could be a solution to Georgia’s rural hospital problems.

State Speaker David Ralston, in attendance at the Ribbon Cutting, spoke on that subject saying, “The whole issue of Healthcare, particularly in rural Georgia, is very challenging. Over the last three or four years, we’ve had about fifteen or sixteen rural hospitals close in Georgia.”

Ralston jokingly continued saying, “I’ve been able to brag over the last month or two that I’ve got the only one that re-opened.”

However, that was not the only message Speaker Ralston brought to Gilmer County. Thanking the local community for their support in the transition and renovations to the ED, he said, “This whole fear of the clock, the Certificate of Need and the license that was going to expire, is over. It is over, that clock has been turned off.”

The central focus of that fear has been maintaining healthcare in Gilmer County indefinitely.

Piedmont is reinforcing its ED health care with additional support throughout Gilmer County through Medical Offices, local Doctors, as well as an imaging center and local lab, for blood draws and other outpatient studies, located in the Piedmont offices behind Wal-Mart.

These supporting offices will be connected to the ED through Piedmont’s Epic System. This integrated records network will allow for all admissions and care at the Emergency Room to be instantly accessible by Piedmont’s local Doctors as well as vice versa for Emergency Care Physicians to have instant access to the records of Piedmont Doctor’s patients for pertinent information such as drug allergies.

However, Piedmont did say that other Doctors will be able to tie into the Epic System as well. While Emergency Departments can access a Doctor’s Patient files through requests, the Epic System will provide instantaneous access to those reports and files providing an expedited process.

This Epic System will effectively connect the Piedmont “Community of Healthcare” that seems to have been growing in Gilmer County over the last year. State Senator Steve Gooch stressed the importance of healthcare and its growth in community when he said, “It is very important, not only for our health care, but for our economic development, our communities, and our children… We’re grateful to Piedmont for all their investments, millions of dollars that they’ve spent here in Gilmer County.”

Piedmont is also planning to continue their training and classes they offer through Piedmont Mountainside and are expecting to grow this effort through its growth into Gilmer County. Stay with FYN as we continue our series on Piedmont Healthcare and look deeper at some of their plans for Community Growth through classes, internships, training, participation with local entities, and even their hope for the future in the possibility of two acute-care rooms in the Emergency Department.