Grays Harbor Community Hospital has many distinct Departments which specialize in a particular area of healthcare, or work to facilitate the ongoing processes within our organization.  Departments include: Cardiac Rehabilitation, Cardiac Cath Lab, Critical Care Unit, Chemical Dependency Services, Diagnostic Imaging, Emergency Department, Family Birthing Center, Physical/Occupational/Speech Therapy, Surgical Services, and Wound Healing Center.

Community Hospital offered at Harbor Regional Health

Provides a wide range of medical specialties, services, and programs to Grays Harbor county.  Includes birthing center, wound care, physical/occupational/speech therapy, cardiac care, imaging, surgical services, and emergency department.

Programs that offer the specialty in which all modalities of radiant energy are used for the detection of abnormalities throughout the body, often following the ingestion or injection of a radioactive or radiopaque substance that functions as a contrast medium. This includes but is not limited to imaging techniques and methodologies utilizing radiation emitted by x-ray tubes, radionuclides, thermagraphic devices, ultrasonic devices and radio-frequency electromagnetic radiation emitted by atoms.

Diagnostic Imaging/Radiology

Programs that are staffed by specialists who provide comprehensive preventive, diagnostic and treatment services that focus on women's reproductive health and care for women during pregnancy, childbirth and the period immediately following childbirth as well as the health of the fetus.

Obstetrics/Gynecology

Programs that offer individual or group therapy sessions which focus on the remediation of specific articulation problems in which speech sounds are omitted, replaced by substitute sounds or distorted; voice problems in which pitch, loudness or quality of voice is affected; or stuttering.

Speech Therapy

Health care facilities that specialize in treating patients who require extensive physiological monitoring, intravenous therapy or postoperative care, intensive rehabilitation, ventilatory care, pulmonary rehabilitation or other medically complex interventions. Forms of treatment warranting this level of care include coma stimulation, dialysis, IV antibiotics, dobutamine and other drips, pain management, hydration, wound care and interventions for oncologic complications, spinal cord and head injuries, neurological impairments, infectious diseases and other complex conditions.

Subacute Care Hospitals

Health care facilities that provide extensive professional nursing care for patients whose illnesses cannot be fully resolved during their acute short-term stay but who no longer need the extensive diagnostic medical technology offered by a traditional acute care hospital. Extended acute care hospitals are not required to offer emergency treatment or critical care services to the community.

Extended Acute Care Hospitals

Programs that are staffed by specialists who provide comprehensive, primary care outpatient services for individuals, from infancy through young adulthood, who do not require hospitalization.

Ambulatory Pediatrics

Health care facilities that are licensed to operate 24 hours per day and offer diagnostic and treatment services as well as emergency and critical care services for people who have any of a variety of illnesses or injuries which require immediate, short-term intervention.

General Acute Care Hospitals

Routine health care provided by internists, pediatricians, family medicine specialists, gynecologists, obstetricians, nurse practitioners, midwives, physicians' assistants or other health care providers who serve as the first point of contact with the health care system. Services focus on the prevention and early detection of health problems through regular physical examinations, blood pressure checks, mammograms and other similar procedures as well as therapeutic services for people who do not require specialty care.

General Medical Care

Programs that provide specialized treatment services for individuals who have chronic skin wounds such as pressure sores or ulcerations associated with diabetes and peripheral vascular disease that have resisted other forms of treatment.

Wound Clinics

Programs that provide facilities and/or necessary medical attention for individuals who are ready to give birth.

Delivery/Childbirth

Hospitals, health centers, police stations, fire houses and other facilities that are willing to accept, without questions, newborn babies delivered by mothers who are unwilling or unable to care for an infant and are thereby at risk for abandonment. Police reports are generally not filed and no attempt is made to contact the mother's family, even in situations where her identity is known. Infant safe haven statutes vary by jurisdiction with regard to who may leave a baby at a safe haven, the age of the baby at the time of relinquishment, the facilities that can be designated as safe havens, the responsibilities of safe haven providers, anonymity protection for parents and the consequences of relinquishment.

Safe Havens for Abandoned Newborns

Programs that evaluate the task performance skills of individuals who may be having difficulty engaging in self-care, work, play or leisure time activities and help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations). Occupational therapy services typically include an individualized evaluation, during which the individual/family and occupational therapist agree on the person's goals; customized intervention to improve the person's ability to perform daily activities and reach their goals; and an outcomes evaluation to ensure that the goals are being met. Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, helping people recovering from injury to regain skills, and providing supports for older adults experiencing physical and cognitive changes.

Occupational Therapy

Programs that evaluate joint motion, muscle strength and endurance, heart and lung function and the ability of people to perform activities of daily living; and utilize the therapeutic properties of exercise, heat, cold, electricity, ultraviolet, water, manipulation and massage to improve circulation, strengthen muscles, reduce pain and restore mobility to people who have been disabled by a stroke, arthritis, back or spinal cord injuries or other debilitating conditions. Physical therapists practice in a variety of settings including hospitals, private offices, outpatient clinics, rehabilitation centers, developmental centers, home health agencies, schools and pediatric centers.

Physical Therapy

Programs that are staffed by specialists who have expertise in using operative procedures to alleviate problems when a cure is unlikely using medication alone. General surgery can be used for routine procedures performed in a physician’s office, such as a vasectomy, or for more complicated operations requiring a medical team in a hospital setting such as laparoscopic cholecystectomy (removal of the gallbladder). Areas of the body treated by general surgery include the stomach, liver, intestines, appendix, breasts, thyroid gland, salivary glands, some arteries and veins, and the skin.

General Surgery

Programs that are staffed by specialists who provide comprehensive diagnostic and treatment services for individuals who have cancer of any type or other benign or malignant tumors. Medical oncologists decide on and administer chemotherapy for malignancy as well as consult with surgeons and radiotherapists regarding treatment of cancer.

Medical Oncology

Operates a full-service inpatient and outpatient medical center with a 24-hour emergency room.
Offers the following services: 
-  Audiology 
-  Asthma Testing 
-  Birthing Center 
-  Breast Care 
-  Cancer Care 
-  Cardiac Care 
-  Dermatology 
-  Ear, Nose and Throat 
-  24-hour Emergency Room 
-  Foot and Ankle 
-  Gastroenterology 
-  Imaging 
-  Inpatient Rehabilitation and Therapy 
-  Nephrology 
-  Nutrition Counseling 
-  Obstetrics and Gynecology 
-  Occupational Medicine 
-  Pain Management 
-  Pediatric Hospitalists 
-  Rehabilitation and Therapy Services 
-  Urology

Inpatient/Outpatient Services offered at  Kadlec Regional Medical Center

Operates a full-service inpatient and outpatient medical center with a 24-hour emergency room.

Programs that provide comprehensive preventive, diagnostic and treatment services on an inpatient or outpatient basis for individuals who have cancer.

Cancer Clinics

Programs that are staffed by specialists who have expertise in the diagnosis and treatment or management of medical and surgical conditions affecting the urinary tract. In women, this refers to the kidneys, ureter, urethra, and bladder. In men, this additionally includes the reproductive tract with penis, prostate and testicles. Urologists are trained to deal with prostate infections, obstruction, and cancer; incontinence; urinary tract infections including kidney and bladder infections; kidney stones; urologic cancer; and male impotence and infertility.

Urology

Hospitals and other health care facilities that provide 24-hour diagnostic and treatment services for people who have acute, life-threatening injuries or severe illnesses.

Emergency Room Care

Programs that provide health screening and immunization services for infants and toddlers to ensure their physical well-being and healthy development. Preschool aged children are also eligible in some areas.

Well Baby Care

Health care facilities staffed by physicians, nurses and support staff with training in pediatrics that provide specialized care in an inpatient setting for infants, children and adolescents who are ill or injured.

Children's Hospitals

Programs that are staffed by specialists who provide comprehensive preventive, diagnostic and treatment services for individuals who have benign and malignant disorders of the skin and related tissues of the mouth, external genitalia, hair and nails as well as advice regarding the care of normal skin. Dermatologists use a variety of diagnostic procedures including microscopic and microbiologic examination of the skin and its secretions and treatment methods which may include externally applied, injected and internal medications; selected x-ray and ultraviolet light therapy; and a range of surgical procedures using instruments which include the scalpel, surgical curette, electrosurgical unit, freezing surgical unit and laser.

Dermatology

Programs that provide comprehensive assessment, diagnostic and/or treatment services for individuals who have asthma, a respiratory disorder that is characterized by recurrent episodes of difficulty breathing.

Asthma Clinics

Programs that are staffed by specialists who provide comprehensive preventive, diagnostic and treatment services for people who have diseases and conditions such as abdominal pain, ulcers, diarrhea, cancer or jaundice that affect the digestive system including the stomach, bowels, liver, gallbladder and related organs.

Gastroenterology

Programs that establish the nature and extent of an individual's hearing loss in order to devise an appropriate treatment plan. Evaluations may include pure tone and speech audiometry which measure hearing in terms of reception of calibrated test tones or spoken words which are presented at controlled levels of intensity; impedence tests which measure the integrity of the middle ear system and rule out conductive pathology; and auditory brain stem tests which utilize equipment similar to an EKG to measure neurological activity in response to auditory stimuli.

Audiological Evaluations

Programs that are staffed by specialists who provide comprehensive medical management including preventive, diagnostic and treatment services for individuals who have diseases or other conditions that affect the heart, lungs and blood vessels. Cardiologists manage complex cardiac conditions such as heart attacks and life threatening abnormal heart beat rhythms in settings such as coronary care units of hospitals.

Cardiovascular Medicine

Programs that are staffed by specialists who provide comprehensive preventive, diagnostic, and treatment services for individuals who have diseases of or injuries to the feet. Conditions treated may include bacterial and fungal infections, skin and nail disorders, benign and cancerous tumors, congenital and acquired foot deformities and foot problems caused by illnesses such as diabetes, arthritis and cardiovascular diseases. Treatment includes use of surgical procedures, casting or other forms of immobilization and the prescription of corrective devices, oral and locally injected medication and physical therapy. Included are services provided by podiatrists, chiropodists and other foot care specialists. Foot care may also be provided by nurses. Podiatrists are health professional specialists with a Doctor of Podiatric Medicine degree.

Podiatry/Foot Care

Programs that offer the screening procedure for the early detection of breast cancer which involves an X-ray picture of the breast area which can be studied for abnormalities.

Mammograms

Programs that are staffed by specialists who provide medical management including comprehensive preventive, diagnostic and treatment services for individuals who have disorders of the kidney, hypertension or fluid and mineral imbalances.

Nephrology

Programs that are staffed by specialists who have expertise in the study, prevention, diagnosis and treatment of diseases and conditions that are common in individuals who are in their teens.

Adolescent Medicine

Multidisciplinary programs that specialize in the treatment of individuals who have chronic, severe pain of organic origin that has not responded to medical or surgical therapy. Treatment is individualized and may include occupational therapy, muscle relaxation, behavior modification, stress management, biofeedback, psychological and psychosocial counseling, nutrition counseling, food allergy testing, exercise programs and a variety of physical intervention techniques including electrical stimulation of selected peripheral nerves and laser biostimulation.

Pain Management

Programs that help people of all ages who have juvenile or adult diabetes understand and manage their illness. Services may include screening programs for early identification of the condition and associated complications; establishment of a treatment regimen; patient education; and self-management skills development assistance which may focus on use of insulin and drugs to control blood sugar levels, blood glucose monitoring, dietary management in different environments (at home, at work, in school, while dining out), menu planning, the role of exercise in relation to food intake, hygienic measures such as foot care and ways to reduce the likelihood of diabetes-related complications which may include heart disease, kidney failure, amputation, nerve damage and blindness. Included are programs that provide comprehensive preventive, diagnostic and treatment services on an inpatient or outpatient basis as well as less formal programs that emphasize education and may provide any combination of supportive services such as case management, assistance in obtaining needed products and services, and assistance in following the prescribed treatment regimen. Diabetes is a chronic, incurable disease in which the pancreas fails to produce enough insulin to allow the body to adequately metabolize sugar.

Diabetes Management Clinics

Programs that evaluate an individual's nutritional history and dietary intake and develop a plan which ensures that the person's nutritional needs are met. The evaluation includes a review of the individual's food habits and preferences, an assessment of his or her feeding skills and eating problems and an analysis of biochemical and anthropometric variables including the person's height and weight and the fat content of his or her body.

Nutrition Assessment Services

Programs that are staffed by specialists who have expertise in the prevention of occupational disease and injury and the evaluation and treatment of people who have these problems.

Occupational Medicine

Programs that utilize any of a wide variety of techniques involving the application of methodical pressure, kneading and friction to manipulate the muscles and surrounding structures of the body to stretch and loosen muscles, increase blood and lymphatic circulation, improve mobility, reduce stiffness and pain, and facilitate general relaxation. Included are manual massage by trained professionals and the utilization of a variety of equipment including hydroneumatic devices and electric vibrators.

Massage Therapy

Offers a general medical care, including fully equipped Level Five trauma emergency room; family practice/primary health care; complete medical center with ambulatory services; physical, occupational, and speech therapy, and MAT services.

Medical Care offered at Cascade Medical Center

Offers a fully equiped Level Five trauma facility capable of stabilizing and transporting patients to Wenatchee, Spokane or Seattle, as needed.

Programs that utilize an endoscope as a means of detecting abnormalities. The endoscope is a device that consists of a tube and an optical system for observing the inside of a hollow organ or cavity. The observation is made through a natural body opening or through a small incision.

Endoscopy

Programs that provide information concerning the basic principles of healthful eating, food handling, food preparation and shopping skills. Included is information about the basic food groups, vitamin and mineral requirements, the relationship of nutrition to the preservation of good health and the prevention of illness, and dietary choices such as vegetarianism.

Nutrition Education

Programs that provide ground vehicles which transport acutely ill or injured individuals to health care facilities for treatment or from one health care facility to another for specialized care. Ambulances are equipped and staffed to provide medical care during transit and, in communities where the municipality contracts with the company as their emergency medical service provider, are dispatched when residents contact 911 with a medical emergency, not accessed directly. Depending on the terms of the contract, the ambulance company may be the municipality's primary first responder, may serve in a backup capacity when the city's service is busy or may handle the transport component of the service while the city's paramedic/EMT service functions as the first responder. Ambulance companies may also provide emergency transport for people who want to go somewhere other than where the municipality's emergency medical service is authorized to take them.

Ambulance Services

Medication assisted treatment (MAT) programs that use Naltrexone (Vivitrol) to help people with an opioid or alcohol use disorder abstain from or reduce their use of opioids or alcohol. The medication comes in a pill form or as an injectable. The pill form of naltrexone (ReVia, Depade) can be taken daily. The injectable extended-release form of the drug (Vivitrol) is administered intramuscular once a month. Naltrexone can be prescribed by any health care provider who is licensed to prescribe medications. To reduce the risk of precipitated withdrawal, patients are warned to abstain from illegal opioids and opioid medication for a minimum of 7-10 days before starting Naltrexone. If switching from methadone to naltrexone, the patient has to be completely withdrawn from the opioids. Naltrexone blocks the euphoric and sedative effects of drugs such as heroin, morphine, and codeine. It works differently in the body than buprenophine and methadone, which activate opioid receptors in the body that suppress cravings. Naltrexone binds and blocks opioid receptors, and is reported to reduce opioid cravings. There is no abuse or diversion potential with naltrexone. Naltrexone can also be used to treat alcohol use disorders. Oral Naltrexone and extended-release injectable Naltrexone can be used for the treatment of alcohol dependence in patients who can abstain from alcohol in an outpatient setting before the initiation of treatment. Naltrexone has not been shown to be effective in patients who are drinking at treatment initiation. Both formulations may have the greatest benefit in patients who can discontinue drinking on their own for several days before treatment initiation.

Naltrexone Based MAT Programs

Medication assisted treatment (MAT) programs that use buprenorphin to help people with an opioid use disorder abstain from or reduce their use of opioids (usually heroin or painkillers such as oxycondin or morphine). Buprenorphine produces a weaker version of effects (including euphoria and respiratory depression) that are associated with full drugs such as heroin and methadone. The effects increase with each dose until at moderate doses they level off, lowering the risk of misuse, dependency and side effects. Treatment occurs in three phases: a medically monitored start-up phase when the patient is in early stages of withdrawal; a stabilization phase after a patient has discontinued or greatly reduced their misuse of the problem drug, no longer has cravings, and experiences few, if any, side effects; and a maintenance phase when a patient is doing well on a steady dose of buprenorphine. The length of time of the maintenance phase is tailored to each patient and could be indefinite. Once an individual is stabilized, an alternative approach would be to go into a medically supervised withdrawal, which makes the transition from a physically dependent state smoother. People then can engage in further rehabilitation—with or without MAT—to prevent a possible relapse. Ideal candidates for opioid dependency treatment with buprenorphine have an opioid use disorder diagnosis, are willing to follow safety precautions for the treatment, have been cleared of any health conflicts with using the drug and have reviewed other treatment options before agreeing to buprenorphine treatment.

Buprenorphine Based MAT Programs

Programs that inoculate infants and young children to prevent them from contracting diseases to which they are particularly susceptible including diphtheria, tetanus (lockjaw), measles, mumps, chicken pox (varicella), rubella (German measles), whooping cough (pertussis), Hib (haemophilus influenzae type B), hepatitis B, pneumococcal infections and polio. Hepatitis A vaccine is recommended for use in selected locales and for certain high-risk groups. Influenza vaccine is recommended annually for children older than six months with specific risk factors. Rotavirus vaccination (to prevent acute gastroenteritis with vomiting and severe diarrhea) is recommended during the first year of infancy. A baby should receive two or three doses depending on the brand used. Some childhood immunizations involve a series of doses at specific intervals.

Childhood Immunization

Programs that provide comprehensive rehabilitation services that help people who have specific types of injuries or other impairments to achieve their maximum level of functioning.

Condition Specific Rehabilitation Services

Programs that perform a laboratory analysis of body fluids and tissue to determine the presence of irregularities or to identify unknown substances submitted for analysis.

General Laboratory Tests

Programs that provide intensive rehabilitative services on a 24-hour basis for patients who are severely disabled as a result of injury or disease. Services include a thorough evaluation of the person's abilities and disabilities and the development and implementation of a rehabilitation plan which may incorporate physical, occupational, speech and/or other types of therapies; education about modifications in lifestyle which may be necessary including information about diet, exercise and stress reduction; guidance in using adaptive devices which maximize the person's functional abilities; and counseling for the person and/or significant others to facilitate a positive adjustment to the person's current condition. Inpatient rehabilitation services may be provided by general acute care hospitals or skilled nursing facilities.

Inpatient Rehabilitation

Programs that measure the pressure existing in the large arteries at the height of a pulse wave and identify individuals whose blood pressure is higher than normal, and who are thereby susceptible to strokes and other conditions that are related to hypertension.