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# Cardiac Rehab
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# Cardiac Rehab (Phase II)
Our Cardiac (Phase II) Rehabilitation program helps to safely strengthen your heart following a heart attack or other cardiac hospitalization—typically initiated 1-3 weeks after hospital discharge.
FCMC’s Cardiac Rehab is a medically supervised program that includes:
* Medical evaluation
* ECG monitoring
* Prescribed exercise
* Cardiac risk factor modification and education
The sessions are approximately 30-60 minutes,  2-3 days per week. This program usually lasts 12 weeks.
#### Cardiac Rehab uses exercise to help your heart work better through:
* Aerobic exercise
* Muscle strengthening
* **!**Stretching
**What can Cardiac Rehab do for me?**
Cardiac Rehab is a safe and effective way to help you:
* Feel better faster and return to important activities
* Reduce stress
* Increase overall strength and endurance
* Reduce risk of future heart problems
* Incorporate regular exercise into your day
* Communicate with your provider
**Cardiac Rehab can help if you have or have had:**
* Chest pain
* Heart attack
* Bypass surgery
* Cardiac catheterization
* Stent placement
* Heart transplant
* Congestive heart failure
* Heart valve repair/replacement
**!**
Talk with your provider about getting a referral or t.
**Cardiac Rehab Director:** Melissa Sudol, MSN RN
**Cardiac Rehab Medical Director:** Byron Beasley, M.D.
**Phone:** (641) 257-4346
**Fax:** (641) 257-4310
*Phase II (Outpatient) Cardiac Rehabilitation is a service provided and billed by Floyd County Medical Center. Medicare and most major medical insurance carriers will pay a portion of the cost. Each participant should contact his or her insurance company to determine coverage.*
* !
  Contact Us:
  641.228.6830
  Follow Us on:
  800 11th Street Charles City, IA
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# Cardiology
## Cardiology
*Our visiting cardiology specialists diagnose and treat a range of cardiac issues, including but not limited to:*
* *Heart defects (from acute to congenital)*
* *Coronary artery disease*
* *Heart failure*
* *Valvular heart disease*
* *Electrophysiology*
**Dr. Byron Beasley, M.D.,**
*Cardiologist- in partnership with MercyOne North Iowa Heart Center*
**Dr. Sepideh Darbandi, D.O.,**
**Dr. David Kabel, MD***Cardiologist- in partnership with UPH-Waterloo Cardiology*
**Hannah Strottman, NP***Cardiologist- in partnership with UPH-Waterloo Cardiology*
###### **Cardiac Services Provided at** **FCMC:**
* EKGs (including Ambulatory EKG Monitoring)
* Echocardiograms (resting and stress)
* Cardiac Rehab-Phase II (for outpatients)
* Calcium Scoring
* Cardiac Nuclear Imaging & Stress Tests
* Lexiscan Stress Test
Contact Cardiac Services Director Melissa Sudol, MSN, RN, at 641-257-4346 with questions or to schedule an appointment.
To request an appointment with a visiting MercyOne Heart Center cardiologist, call 641-494-5300.
To request an appointment with a visiting UnityPoint Health-Waterloo cardiologist, call 319-236-1911
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# Diabetes Management
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Individuals who may benefit from this referral include those recently diagnosed with diabetes or anyone who has previously been diagnosed and whose blood glucose is not within goal. We provide diabetes treatment and education. We will assist patients with insulin pumps, glucometers and managing medications. In addition, we will teach patients how to be active, eat healthy, monitor blood glucose and administer medications. Visits are covered by most insurances.
### Have a Question?
Our diabetic educator would love to connect with you and answer any questions you may have about diagnosis and treatment of diabetes including medication management, meal planning and activity. Your question will be sent to a secure server and will be kept completely confidential. Questions will be responded to on Facebook, not to you directly.
#### Educational Websites:
American Diabetes Association: 
Academy of Nutrition and Dietetics: 
American Heart Association: 
Diabetes Life: 
# Ear, Nose & Throat (ENT)
#### Ear, Nose and Throat Doctor checks patients ear
*FCMC’s visiting ENT specialist treats patients in our Outpatient Specialty Clinic on our campus in Charles City. Call to schedule an appointment with Dr. Dettmer for issues in your ears, nose, and throat as well as related areas in your head and neck.*
If you are experiencing:
* **difficulty with swallowing saliva and/or breathing**
* **pain**
* **raised temperature**
* **ear symptoms or signs such as a discharging ear**
* **vertigo**
* **change/loss of hearing**
* **sinus pain/infection**
ENT doctors use a variety of scopes and other methods, including laboratory testing, to diagnose your condition. Once the diagnosis is made, they will review your treatment options.
**Physician:**
###### Dr. Timothy Dettmer, M.D. (Mason City Clinic)
Appointment with Dr. Dettmer: 1-800-622-1411
# Emergency Department
The Floyd County Medical Center Level IV Trauma Center is open 24 hours a day, seven days a week, three hundred and sixty five days a year and ready to serve you. Emergency Department Nurses are certified in Advanced Cardiac Life Support (ACLS), Pediatric Life Support (PALS), Neonatal Resuscitation (NRP), and Trauma Nurse Core Course (TNCC). Along with the Emergency Department physician, we are able to care for the critically ill geriatric, adult, pediatric, and neonatal patient.
Coming to the Emergency Department can be frightening. Here is who you can expect to meet on your journey with us!
#### Check In staff:
* The first person you will see.
* They will obtain your reason for visit, name and DOB and get you initially in our computer system. You may see them again after the physician exam or at discharge when they collect your insurance information.
* They will contact the emergency nurse. Please be aware, all patients are given a triage status and patients with higher acuity or critical needs may be seen before you. You are important to us and we will meet your needs in a timely manner.
#### Emergency Department Nurse:
* Obtains an initial assessment including your reason for visit, medical history, allergies, medications, and full set of vital signs. We do not have access to your family physician’s clinic records so bringing your medications and any pertinent information with you can be very helpful to assist us with your care.
* Contacts emergency department physician.
* Responsible for your care while you are in the emergency department.
#### Emergency Department Physician:
* Performs medical screening exam (MSE) and is responsible for your care while you are in the emergency department.
* Decides what tests or consults should be ordered.
* Decides on your disposition from the emergency department (discharge home, admission, or transfer)
#### Other Staff or Services you may see on your ED journey:
* Radiology, Laboratory, and Surgical staff
* Orthopedic surgeon
* General/trauma surgeon
* Telemedicine services with a face to face consult done via computer (mental health/substance abuse/stroke patients)
You will be involved in your emergency department journey from start to finish. Our goal is to provide quality patient care close to home. We have very qualified, experienced staff ready to care for your emergency.
**For Emergencies, dial 911**
Iowa Statewide Poison Control Center: **1-800-222-1222** or 
For all other concerns dial **641-257-4321** to speak to a nurse.
Our Emergency Department entrance is located on the corner of 13th Street and South Main.
#### IT’S THE LAW!
IF YOU HAVE A MEDICAL EMERGENCY OR ARE IN LABOR, YOU HAVE THE RIGHT TO RECEIVE,
Within the capabilities of this hospital’s staff and facilities:
* An appropriate **MEDICAL SCREENING EXAMINATION**
* Necessary **STABILIZING TREATMENT** (including treatment for an unborn child) and if necessary
* An appropriate **TRANSFER** to another facility, even if
YOU CANNOT PAY **or**
DO NOT HAVE MEDICAL INSURANCE **or**
YOU ARE NOT ENTITLED TO MEDICARE OR MEDICAID
This hospital **DOES** participate in the Medicaid program
# General Surgery Clinic
**Dr. Angela VanGilder, D.O., FACS***General Surgeon, Chief of Surgery*
*Specializing in health conditions such as hernias, breast cancer biopsy, lumpectomy & mastectomy, soft tissue skin lumps, bumps, or lesions, c-sections. Surgical expertise in colonoscopy\* vasectomies, gastrointestinal, vein ablation and varicose veins.*
* **FIRST in NORTH IOWA:** GI Genius™ technology offers 17% increase in early polyp detection–Schedule your AI assisted colonoscopy with Dr. Angela VanGilder
The GI Genius™ intelligent endoscopy module brings the power of artificial intelligence to routine colonoscopy. Using enhanced visualization, this “smart” technology can reduce the risk of undetected polyps by helping to detect them in real time.
The GI Genius™ module is the first FDA-cleared computer-aided detection (CADe) system using AI to help identify colorectal polyps. More facts about this technology include:
* + - Has a less than 1% false positive rate per frame
    - Helped physicians achieve 14% absolute increase in adenoma detection rate (ADR)
    - Reduced the miss rate of colorectal neoplasia by roughly 50% compared to standard colonoscopy
**When:** Monday – Friday
**Appointments:** 641-257-4309
# Infusions
## Outpatient Infusion Services offered
| * Antibiotic therapy * Blood product transfusions (including blood, platelets & plasma) * IVIG (immunoglobulin) * Infusion therapy for the following conditions including but not limited to:   + Rheumatoid arthritis   + Multiple Sclerosis   + Crohn’s Disease   + Antirejection   + Iron deficiency anemia * Hydration therapy * Anemia treatment * Therapeutic phlebotomy * Port/PICC line/central venous catheter dressing changes and flushes (including blood draws   from these devices) * PICC line or midline discontinuation * Chemotherapy pump discontinuation * Subcutaneous (SQ) and Intramuscular (IM) injections * Bladder scans * Urinary catheter placement * Steroids * Rhogam * Osteoporosis treatment * Rabies vaccination (First dose in ER) | Infusion Patient 2 Cropped 2 |
| --- | --- |
#### Receive your Infusion care close to home!
FCMC offers a private and comfortable setting to receive your infusion therapy. Our experienced Infusion nurse will provide you with safe, individualized care while you receive treatment.
##### Amenities
* Comfortable reclining chairs for each patient
* Private room
* Free Wi-Fi
* TV with local cable
* Located within the hospital
Contact Marianne Nielsen, RN, at 641-257-4396 (direct) or 641-228-6830 ext 4000
# Levels of Care – Inpatient/Outpatient
### Levels of Care/Services Offered
#### Surgical Day Care
Many minor surgeries are done on this level of care. Sometimes after these surgeries are done a patient may stay overnight for continued monitoring if medically necessary. Usually the stay does not exceed 24 hours, with an average stay of 4-6 hours. Medicare does not cover drugs that can be self-administered in the Surgical Day Care setting. Surgical Day Care is usually covered by Medicare Part B or by private insurance.
#### Outpatient Observation
A patient seen either in the Emergency Department or a physician’s office with medical need to be monitored in the hospital setting may be placed in outpatient observation status. A patient is normally monitored for 24 hours. Your health care provider will reassess your condition and either discharge you home or admit you to acute care. Services used during outpatient observation are covered by Medicare Part B or by private insurance. Medicare does not cover medications that can be self-administered in the outpatient observation setting. You may file under your Medicare prescription supplement for reimbursement of these medications.
#### Acute Care
This level of care is when a patient is acutely ill or has undergone major surgery. The length of stay is determined by your health care provider based on diagnostic testing and your insurance company’s benefit guidelines. Inpatient acute hospital care is covered by Medicare Part A or by private insurance.
#### Swing Bed
The Swing Bed Program provides a unique opportunity for health care providers to care for their patients who may require additional rehabilitation after an illness or injury following a three day acute hospitalization at Floyd County Medical Center or another hospital. We will provide specialized care to aid in recovery and prepare you for an appropriate discharge.
Some examples of Swing Bed Services are speech therapy, physical therapy, occupational therapy, daily dressing changes with our wound and ostomy nurses, and intravenous medication therapy.
Certain criteria must be met prior to a swing bed admission. The Swing Bed length of stay is determined by the patient’s progression toward set goals, daily participation in therapies, and a reevaluation by your health care provider. Swing Bed is usually covered by Medicare Part A or by private insurance.
#### Comfort Care/End of Life Care
We provide compassionate care and support to both the patient and their family during the end of life process. We will work closely with the patient, family, and their health care provider to provide quality home town care during this difficult time.
#### Outpatient Treatment
Examples of outpatient treatments would be blood transfusions, antibiotic or medication therapy administered intravenously, subcutaneously, or intramuscularly, as well as lab draws and medications from PICC’s and implanted ports. Your visit could be from a few minutes to a few hours depending on the type of service needed. Our staff works closely with each patient to ensure safe, high quality care. Services provide during Outpatient Treatment are covered under Medicare Part B or by private insurance. Please call 641-228-6830 to schedule an appointment.
#### Outpatient Diagnostic Tests
This consists of blood tests, x-rays, EKG’s, or any other test done for diagnostic or routine care. Patients must register at the Admissions Office before reporting to the appropriate department for the test as ordered by their health care provider. There services are usually covered by Medicare Part B or by private insurance.
#### Outpatient Specialty Clinics
Floyd County Medical Center is fortunate to have many specialty clinics and services available on a weekly, bi-weekly, or daily basis. These clinics are usually covered by Medicare Part B or private insurance. Some of these services include:
* Audiology
* Cardiology
* Diabetic Education
* Ear, Nose, Throat (ENT)
* Enterostomal Therapy (wound care
* Gastroenterology
* General Surgery
* Nephrology
* Occupational Therapy
* Orthopedic
* Physical Therapy
* Podiatry
* Psychology
* Respiratory Therapy
* Speech Therapy
* Urology