Who can admit patients at Winneshiek Medical Center?
Your Mayo Clinic Health System doctors who can admit patients at Winneshiek Medical Center are:
Scott Bohner, D.O.
Emily Connor, M.D.
Andy Goodner, M.D.
Kevin Locke, M.D.
Anna Mark, M.D.
Thomas Marquardt, D.P.M.
Tyler Menke, M.D.
William Remington, M.D.
Caroline Schwickerath, D.O.
Laurie Tope, D.O.
John Vogel, D.O.
Paul Wenner, M.D.
Rick Wilkerson, D.O.
Sarah Wymer, M.D.
Lisa Zittergruen, M.D.
Additional doctors who have privileges to admit patients at Winneshiek Medical Center:
Elizabeth (Libby) Abbas, D.O. – Gundersen Health System
Anthony Coppola, D.O. – Gundersen Health System
Michael LaBelle, M.D. – Gundersen Health System
Janet Ryan, M.D. – Gundersen Health System
Kristy Schilling, M.D. – Gundersen Health System
Elleson Schurtz, M.D. – Gundersen Health System
Kurt Swanson, D.O. – Gundersen Health System
Matthew Thompson, D.O. – Gundersen Health System
Daniel Weintzen, D.O. – Gundersen Health System
Phillip Yee, M.D. – Gundersen Health System
Ask your doctor about health care services that can be performed at Winneshiek Medical Center.
Medical/Surgical/Telemetry/Special Care Unit
The Medical/Surgical/Telemetry/Special Care Unit at Winneshiek Medical Center is where you receive your care if you are admitted to the hospital for medical or surgical care. Nurses on this unit provide the type of skilled nursing care you need, supervised by your doctor. Levels of care criteria (below) have been determined by insurance companies. Depending on the insurance company, reimbursement rates may differ.
Patients are placed in acute care when they meet medical necessity and require medical care generally for more than 24 hours. Winneshiek Medical Center admits patients of all ages with a wide range of medical diagnosis. During acute care, the patient’s condition is changing and there is a need for evaluation of treatment on at least a daily basis. When in acute care, patients are seen daily by physicians, with individualized care coordinated by a care team, which may include nurses, respiratory therapists, physical therapists, occupational therapists, dieticians, lab, and radiology.
Patients that require cardiac functioning monitored are placed on a portable telemetry unit that will transmit their heart rhythm to a central station that is monitored constantly by trained staff. When on telemetry, patients are able to move about and nurses and physicians closely monitor cardiac response to activity. All registered nurses hold certifications in Advanced Cardiac Life Support and Pediatric Advanced Life Support. Telemetry can be ordered in both Acute and Observation levels of care.
Patients are placed in the SCU (Special Care Unit) level of care when more intensive monitoring is required. Care is provided by nurses trained in cardiac monitoring and the use of IV cardiac drip medications.
Skilled Care is a level of care for patients recovering from illness or surgery who no longer need acute care but are not ready to return to independent living. With the focus shifting from an acute issue to a stable rehabilitation focus, providers are available for issues that may arise, but routinely only see the patients weekly. An individualized, coordinated Plan of Care is developed and carried out by a multidisciplinary team of doctors, nurses, social workers, rehabilitation therapists (physical, occupational, speech, respiratory), pharmacists, and dietitians. Some insurance policies do not include skilled care coverage. The health care team can work with the insurance company to determine if criteria are met.
Recovery is an outpatient level of care for surgical patients. Patients typically start in Same Day Services with the goal to be discharged within 24 hours. Patients may be discharged the same day of the procedure or they may stay extended hours if additional monitoring and nursing care is required.
Observation care is a level of care for medical patients with an anticipated stay of less than 24 hours. Short-term treatment, assessment, and re-assessment are on-going to decide if patients can safely be discharged or should be placed in acute care. Determinations are made on an hour-by-hour basis.
Winneshiek Medical Center Hospice has a room on the Med-Surg unit designated for the care of hospice patients needing acute symptom management or respite care. This room has a home-like atmosphere with additional seating and bedroom furniture. Med-Surg staff collaborate with Winneshiek Medical Center Hospice staff in providing care to the patient and meeting the family’s needs.
Hospitalists are physicians who are responsible for the care of patients while they are in the hospital. The hospitalist is available on-site throughout the day to see patients and families to coordinate care and assess readiness for discharge. Both Mayo Clinic Health System and Gundersen Health System physicians have a Hospitalist program.