Resident-Handbook - Affiliate Hospitals

MOUNTAIN STATES HEALTH ALLIANCE JOHNSON CITY MEDICAL CENTER

Johnson City Medical Center (JCMC), MSHA's flagship facility, is a 445-bed regional tertiary referral center for the entire service area. JCMC is one of six Level 1 Trauma Centers in the state of Tennessee. As East Tennessee's leading Heart Hospital, JCMChas been named as a Top 100 Heart Hospitals by Solucient.JCMC is also the leading Cancer Center in the region, enjoying relationships with Harvard, Duke, and Vanderbilt. JCMC is the first and one of two Nurse Magnet hospitals in the State.

Since 1911, Johnson City Medical Center (JCMC) has been dedicated to helping the people of our region attain their highest possible level of health. The second hospital built in Tennessee, JCMC is a comprehensive, acute-care teaching hospital affiliated with East Tennessee State University. JCMC is a major medical referral center and home to Wings Air Rescue, the region's largest fleet of dedicated emergency medical air ambulances with bases in Tennessee, Virginia and Kentucky,

A full range of specialty and subspecialty care services and some of the most advanced diagnostic and surgical techniques are available at the facility. They provide private patient rooms and have separate specialized units for newborn, pediatric, medical and surgical intensive care. JCMC is accredited by The Joint Commission. 

Services offered at JCMC:
24-hour Emergency Department
Bariatric Surgery / Medical Weight Loss
Business and industry services
Cardiology
Children's Emergency Department
Family Childbirth Center
Home Care
Hospice
Joint Replacement
Laboratory Services
Level I Trauma Center
Mountain States Rehab Outpatient Services
Lifeline
Oncology (Cancer)  Orthopedic/neurological/trauma services 
(Joint Replacement, Stroke Center, Spine Center)
Pulmonary Medicine
Radiology (Diagnostic Imaging) 
Surgery/anesthesiology 
Spiritual and Pastoral Care
Sleep Lab Services 
Wings Air Rescue
Women's Health Services 
Wound Care 

Johnson City Medical Center Level 1 Trauma Center
Johnson City Medical Center (JCMC) is a rural Level 1 trauma center delivering the highest level of trauma care available within our region. JCMC provides services for Northeast Tennessee, Southwest Virginia, Eastern Kentucky and Western North Carolina. Our trauma teamprovides immediate care to injured patients 24 hours a day, including emergency services, surgical care, intensive care, step-down care and rehabilitation.

The JCMC Trauma Center is one of six Level 1 state-accredited trauma centers for Tennessee. Providing trauma care is a unique and highly complex system than includes pre-hospital, hospital or acute care, outpatient management and rehabilitation services. JCMC recognizes the importance of each skill set of these areas and seeks to work together in order to provide our customers the best possible care. The JCMC Trauma Center participates in research, quality improvement and injury prevention programs. Our goal is to provide the best evidence-based trauma care and to honor the privilege we are given to care for those who are injured in our region. 

Johnson City Medical Center offers all levels of emergency care including immediate availability of an in-house general surgeon, anesthesiologist and emergency medicine physician. The Emergency Department offers 24-hour emergency medical care that includes surgical, laboratory, radiology and pharmacy services.

The Children's Emergency Department at JCMC is the only pediatric-specific emergency department in the region offering 24-hour emergency care by specially trained personnel focused on providing care to patients from birth to 18 years of age.

The Children's ED is located next to the regular Emergency Department at JCMC, allowing quick access to the Level 1 Trauma Center, Wings Air Rescue and the ambulance. In addition, the Children's ED has eight treatment bays, a child-friendly waiting room and a staff that understands that pediatric patients are not just smaller versions of adult patients.
Centers of Excellence

Bariatric (Weight Loss) Services
At Mountain States Health Alliance, we recommend lifestyle changes and a wellness program as the first method of dealing with obesity. If clinically directed attempts at weight loss through such programs prove to have little success, those suffering from morbid obesity may then consider surgical options. 

Behavioral Health Services
Behavioral Health Services of Mountain States Health Alliance serves children, adolescents and adults who are suffering from psychiatric disorders and/or chemical dependency. Woodridge Hospital, Johnson City;  Sycamore Shoals Hospital, Elizabethton; and Clearview Psychiatric Center of Russell County Medical Center offer a wide range of inpatient and outpatient services, including individual, group and family therapy; medication management; coping skills; ECT, and anger management. The staff of the Respond program is available 24 hours a day, seven days a week to make assessments and referrals to inpatient and outpatient services. Mountain States Behavioral Health also offers an Employee Assistance Program to assist employees with a wide variety of issues including marital and family conflict, alcohol and drug abuse, financial and legal assistance, depression and grief, and stress and anxiety. 

Cardiovascular Services
Mountain States Cardiovascular Health is designed for patient convenience. Patients may park close to the entrance, and all testing and treatment is performed in the center.

Under the expert direction of cardiologists, radiologists, vascular and cardiothoracic surgeons, the center provides diagnostic testing and therapeutic treatments. Selected Team Members include cardiovascular nurses, radiologic and nuclear technologists, sonographers and cardiovascular technologists. Others on the team may be exercise physiologists, physical therapists, dietitians, social workers, pharmacists, respiratory therapists, case managers and pastoral care. 

Oncology (Cancer) Services
First certified and accredited by the American College of Surgeons Commission on Cancer in 1951, The Regional Cancer Center has been awarded four-year accreditation, which is a shining testament of its experience, expertise and loving care.

The Regional Cancer Center provides the latest in technology and treatment. The affiliations held by The Regional Cancer Center are another statement of the quality care offered to the people of our region. 

Ortho/Neuro Services
The Ortho Neuro Center of Excellence at Mountain States Health Alliance provides quality care for patients with injuries or illnesses relating to the areas of Orthopedics and Neurology. The Center specializes in the care of bone and joint disorders, broken bones from accidents, osteoporosis, knee or hip (joint) replacement, reconstructive knee surgery, head injuries, back and neck problems, stroke or brain injuries or disorders.

Women's Services
Mountain States Health Alliance offers comprehensive women's services, and JCMC is home to one of five Tennessee state-designated regional referral centers for high-risk obstetric and neonatal care, the only designated center in Northeast Tennessee, and also serving Southwest Virginia, Southeast Kentucky and Northwest North Carolina.

Family-centered private birthing suites are available at JCMC, IPMC, JCSH and SSH, and Mountain States offers the latest in mammography screening technology, as well as a full range of testing services. Childbirth classes, fitness and wellness programs and educational sessions are also available.

MSHA has two Breast Imaging Centers of Excellence:
Women's Health and Imaging Center and Indian Path Medical Center Women's Diagnostic Center. 

Niswonger Children's Hospital
Niswonger Children's Hospital in Johnson City, TN, serves more than 200,000 children in a four-state, 29-county region.  It is home to one of only six St. Jude Affiliate Clinics. The 69-bed children's hospital is staffed by pediatric experts who know, love and care about children and their families.  The goal of Niswonger Children's Hospital is to provide safe and child-friendly care that is centered on the patient and family.

Woodridge Hospital
Woodridge Hospital, located in Johnson City, Tennessee, is a 84-bed inpatient provider of mental health and chemical dependency services for adults, adolescents, and children ages 6 and older. The psychiatrist leads a team of professionals that includes mental health therapists, discharge planners, expressive therapists, and psychiatric nurses who will assist the individual with finding the most beneficial level of treatment. Therapy is an integral component of the treatment program. Traditional group, individual, family and couples psychotherapies are available. There is also an expressive therapy department that provides non-traditional therapy in art, music, relaxation, drama and writing.

For the children and adolescents who seek treatment at Woodridge, there is a strong parental or guardian involvement that is encouraged by the treatment team. This team provides specialized educational groups for parents and guardians that help with the transition back home in order to increase positive coping skills outside the hospital. Woodridge Hospital provides a full academic program for children and adolescents licensed by the Tennessee State Department of Education. The adolescent unit at Woodridge is equipped with a classroom to help ensure that the patients do not fall behind in their studies.

For both child and adult, Woodridge offers a wide variety of groups and therapeutic treatments that are goal-directed and cater to the individual needs of the patient. Woodridge also provides specialized care for the geriatric population through counseling the individual, family interactions and medication options.  (Updated 10/2013) 

WELLMONT HOLSTON VALLEY MEDICAL CENTER

Wellmont Holston Valley Medical Center is a not-for-profit hospital located in Kingsport, Tennessee,  that is licensed for 590 beds.  In 2005, Holston Valley reported 136,712 adjusted patient days and 28,245 adjusted discharges.  Serving the people of east Tennessee, southwest Virginia, eastern Kentucky, and northern North Carolina, it is the largest hospital between Knoxville and Roanoke. Wellmont Holston Valley Medical Center employs over 1,900 full-time personnel.  Holston Valley’s medical staff numbers slightly over 350.  Holston Valley Medical Center has served the Kingsport community for more than 70 years.  The hospital was a founding member of the Wellmont Health System in 1996 when they merged with Bristol Regional Medical Center to create the region’s premier healthcare system.

In 2005, Holston Valley was named one of the nation’s top 100 hospitals for cardiac care by Solucient, a nationally recognized healthcare information company.  Holston Valley houses one of six Tennessee Level I trauma centers.  The hospital’s Level II neonatal intensive care unit heals the region’s sickest babies.  A $100 million renovation and expansion of the facility was recently announced.

Centers of Excellence include:
Christine LaGuardia Phillips Cancer Center
Diabetes Treatment Center
Regional Heart Center
Rehabilitation Services
Regional Children’s Center
Women’s Health 
Level II Neonatal Intensive Care Unit
Outpatient Services
Emergency Department & Level I Trauma Center
Neuroscience

MEDICAL EDUCATION: Rita Forrester is the Medical Program Facilitator.  Medical Education offices are located on the first floor of the hospital in the James H. Quillen College of Medicine section.  This section is located at the rear of the hospital in the B building.

ADMISSION/DISCHARGE PROCEDURES: Admission and discharge procedures vary for each residency program.  The attending physician and/or chief resident will discuss admission/discharge procedures in detail.  Under no circumstances should a resident treat a patient whose chart has an orange sticker indicating they do not wish to participate in the teaching program.  These patients may, however, be treated in an emergency situation.

COMPUTER ACCESS:  Computer terminals with census and lab data are located at all nursing stations, resident lounges, and various other locations throughout the hospital.  Residents are assigned computer codes to access patient data and the Internet.  The DME office keeps track of computer codes and provides computer assistance to residents.

PAGING SYSTEM:  Residents may be reached through the hospital’s paging system 24 hours a day. All Family Medicine, Internal Medicine, and Surgery residents carry beepers.  All faculty carry beepers as well.  The paging operator may be reached inside the hospital by dialing 0; the outside number for the hospital is 224-4000.

CALL ROOM FACILITIES: Call rooms are located on the hospital’s first floor in the B building of the James H. Quillen College of Medicine section.  Rooms are private, and each room has a phone.  Surgery resident call facilities are located in the Trauma House.

LOCKERS:  Lockers are provided, but locks are not.  Lockers should be labeled with your name.  Lockers are located in the James H. Quillen College of Medicine section on the first floor of the hospital in the B building.

DEA NUMBERS:  DEA numbers are assigned to residents by the Medical Education office.  Family Medicine residents assigned to HVMC use two DEA numbers - one for hospitalized patients and one for clinic patients.  The hospital DEA number cannot be used when on rotations at other ETSU-affiliated hospitals.  Internal Medicine and Surgery residents should use the number assigned at HVMC only when on Kingsport rotations.  The other three affiliated hospitals will assign DEA numbers when on rotations at their facilities.  When residents acquire an individual DEA number, it may be utilized.  The DEA numbers assigned for training purposes through the University may not be utilized for other purposes, i.e., moonlighting.  The hospital pharmacy, the DME office, and the department have a record of all DEA assignments.

COPYING: Copying should be done in the practice offices whenever possible.  Also, the Medical Library and Medical Records will allow residents to make copies.

PARKING: Family Medicine residents should park on the first level of the parking garage or in the lot adjacent to the Family Practice Center.  Internal Medicine and Surgery residents should park in the parking garage from the lower 7th level to the upper 4th level.  Limited parking for Surgery residents is available at the Trauma House.

MEALS:  Meals are provided through the hospital’s cafeteria.  A $5 limit per meal is suggested.   Food is also provided in the residents lounge for residents and medical students.

LOUNGE:  Lounges for residents and medical students are provided in the James H. Quillen College of Medicine area on the first floor of the hospital in the B building.  The kitchen is stocked with food and drinks.  There are phones, TVs, a VCR, computers, and a small reference library in the College of Medicine area.

NURSING SERVICES:  Nursing services are provided in all areas.

PHARMACY SERVICES:  The Pharmacy is located in the basement, and is open 24 hours a day.  There is a staff of 21 pharmacists and 24 technicians, including 2 clinical pharmacists.  The pharmacy has the Micro-Medex system.  Pharmacists respond to all Code Blues.

SIGN OUT PROCEDURES: Residents completing the program or leaving for other reasons are required to complete a check out form.  The form must be signed by the Medical Records Department and the Medical Education office.  All keys, beepers, and ID badges should be turned in prior to check out.  A forwarding address must be given.

MEDICAL EDUCATION COURSES:  Courses in BCLS, ACLS, and PALS are offered by HVMC through the Education Department.  The Education Department is located in the basement of the West Park Professional Building.  ATLS courses are also offered through the ETSU Department of Surgery.  CME programs are offered through the Education Department of the hospital several times a year.  A Tumor Board is conducted every Friday at noon by the Cancer Center of HVMC.  Lunch is provided for Tumor Board, and residents are encouraged to attend.

WELLMONT ID BADGES:  All residents must have a Wellmont ID badge made in order to access the critical care units and ER.  Badges are made in the Human Resources office located on the 9th level of the parking garage.  They are open from 7:30 a.m. until 5:00 p.m. Monday through Friday.  They can be reached at 224-6451 or 224-6454.

DIRECTORY: Listed below are phone numbers residents assigned to HVMC might need:

Family Practice Center 245-9600
ETSU Physicians and Associates 246-7931, 246-4361
Trauma House 224-5825
Medical Education 224-5075
Hospital - Main Number 224-4000

WELLMONT BRISTOL REGIONAL MEDICAL CENTER

Wellmont Bristol Regional Medical Center, a community healthcare provider for nearly eight decades, boasts the region’s newest hospital facility - a state-of-the-art campus completed in January 1992.  The 348-bed hospital is situated on 125 acres and offers a vast spectrum of cutting-edge medical services and technologies.

In 1996, Wellmont Bristol Regional became a founding member of Wellmont Health System, merging with Wellmont Holston Valley Medical Center in Kingsport to form the region’s premier provider of healthcare services.

A medical staff comprised of more than 170 board-certified and board-eligible physicians administers high-quality medical care at Wellmont Bristol Regional.  More than 1,300 employees work in partnership with physicians to deliver the highest level of patient care.

Centers of Excellence include acute care, cancer care, cardiac care, neuroscience, occupational health, outpatient services, rehabilitation services and women’s health.  One of our latest additions to services is the Cyberknife.  Wellmont Bristol Regional offers a Level II Trauma Center and psychiatric care services to meet the community’s needs, as well as a dedicated pediatrics unit.  The hospital is a member of the Children’s Miracle Network.

Select Specialty Hospital - a hospital within a hospital that provides specialized care for patients who require a longer acute stay - is located within the Wellmont Bristol Regional facility.  Both Wellmont Hospice House and the McGlothlin-Street Hospitality House are located on the hospital campus. (Reviewed 10/2013)

DIRECTORY

Medical Education/Ward Service 844-4610
Family  Practice Center 990-3012
Hospital Main Number 844-1121
Medical Library 844-4440
Medical Records 844-3500
Emergency Room 844-2100

JAMES H. QUILLEN VETERANS AFFAIRS MEDICAL CENTER

The James H. Quillen Veterans Affairs Medical Center is a large facility consisting of 31 buildings located on 206 acres immediately adjacent to the university campus and the Johnson City Medical Center. The College of Medicine is located on the VA grounds. In addition to the main 120-bed acute care hospital, there is a 95-bed nursing care unit, a 298-bed domiciliary, and a large outpatient facility. A new medical school building was completed on the VA campus in March 2001.

MEDICAL EDUCATION:

Stephen Culbertson is the Secretary for the ACOS/Education. This is your first stop for turning in paperwork, fingerprinting , ID Cards, turning in annual training certificates, or any other questions you might have in reference to the VA. Stephen can be reached at (423) 926-1171 ext. 7314.

Birgit Goldfarb is the Education Administrative Officer for the ACOS/E; her phone number is (423) 926-1171 ext. 7354. In Stephen's absence, she will be happy to help you with any of the above items.

Dr. Stephen Loyd is the Associate Chief of Staff for Education; he can be reached at (423) 926-1171 ext. 7496.

The Education Office is located in Bldg. 3, Room T138. The telephone number is (423) 926-1171 ext. 7314.

WORK SCHEDULES: Questions concerning work schedules should be directed to the Chief Resident of each program.

COMPUTER ACCESS: Initial contact by residents for computer assistance should be done through the Information Resource Management (IRM) Help Desk at extension 6400. Computer access and Computerized Patient Record Systems training has to be completed prior to the rotation at James H. Quillen VAMC. Background checks and all required education have to be completed prior to receiving access to the computer system.

If the Customer Support Specialist cannot be reached, please call the PAGING SYSTEM: Overhead paging is available in the new part of the hospital only (Bldg. 200). Between 7:45 a.m. and 4:30 p.m. all paging is done through your Service. Paging is accomplished through the Admissions Office after hours by calling extension 7508 or 7509. Please instruct your family and friends to limit paging requests to EMERGENCIES ONLY.

COMPUTER LOG IN: You MUST log into the VA computer system every 90 days to keep your computer accounts active. Login must be done at the VA, you cannot access the VA computer system from your home or at another hospital. This is not voluntary, failure to keep your accounts active will result in your having to repeat computer training and this may delay the start of your rotation.

CALL ROOM FACILITIES: Four call rooms are available and are located on the second floor in Building 200, D Wing.

LIBRARY: The Medical Library for the hospital is located on the ground floor of Bldg. 160 (Ext. 7453). In addition to books, periodicals, and electronic resources, the library has a current collection of videos on clinical topics. Computers and a photocopier also are available. For assistance with library searches or interlibrary loans, call Ext. 7452 or 7453.

COPYING: Equipment is available in the Library (Bldg. 160, ext. 7453) for Library material only.

PARKING: Your initial paperwork will include a form for a parking permit/sticker. After you turn in your paperwork and complete your fingerprinting, you will be directed to Police services to obtain your parking sticker. (Bldg. 69, Ext. 7194). There are designated Physicians Parking Lots in back of Bldg. 200 (Lots D and E). You will receive further instructions concerning parking when you visit with Security.

 PHARMACY SERVICE: The following extensions are provided for various Pharmacy services.
IV Information x 4297
Inpatient information x 4520/4521
Clinical Pharmacy Information x 7158
Quality Assurance/ADP Information x 4574
Outpatient Pharmacy Information x 4498
Procurement Information x 4530/4523
Pharmacy Management x 7162

DIRECTORY: VA phone books are available on all wards. An electronic telephone directory is available in Outlook. (Search the name, email and phone number will come up.)

MEDICAL RECORDS: The Physicians Incomplete Area (Reading Room) is located on the ground floor of Bldg. 204, Room L022 (Ext. 7816) and tracks all inpatient incomplete medical records. A patient's medical record is not complete until all required document are available and signed. CPRS is set up to provide viewer alerts for unsigned documents. In addition to viewer alerts an Incomplete Medical Record listing is provided as a reminder about uncompleted documents and signatures. Delinquent uncompleted documentation is reported to the Chief of Staff. Please stay current on completing your viewer alerts.

MANDATORY TRAINING: You must complete Mandatory Training for Trainees annually. The first session is completed when you fill out your initial paperwork. The training is due again on or before the anniversary of the last completion. If you fail to complete and turn the certificates for this training in to the ACOS/E office at the VA, your computer accounts will be terminated.

BACKGROUND CHECKS: Background checks are required prior to the rotation at the James H. Quillen VAMC. Your first background check will be conducted after you turn in all of your initial VA paperwork. For information in getting this complete, please call the ACOS/Education Office at (423) 926-1171 ext. 7314. (Revised 10/2013)