Our Services

Behavioral Health

Overwhelmed by life's major and minor crises? Unhappiness and stress can take a tremendous toll on your overall sense of well-being, and can even damage your health.

You don't have to try to cope with problems by yourself - in the same way you'd seek treatment for a physical injury or illness, counseling can help you deal with those unseen injuries and illnesses that can keep you from living a full and fulfilling life.

The Counseling Service at Goodland Regional Medical Center offers you and your family help with a broad array of life challenges. Counseling services are provided by Laci Leichliter, LSCSW, and are available five days a week. Laci sees in dividuals, couples, and families.

To schedule an appointment so you can get back on the road to mental health, please call (785) 890-6075

Some Benefits of Counseling
- Ability to set boundaries
- Reduced anxiety
- Better relationships
- Regaining emotional balance
- Greater self-confidence
- Stress relief
- Increased assertiveness
- Trauma resolution
- And More.
Confidentiality Notice

All information shared in counseling sessions is held in strict confidentiality. The only exceptions are cases in which clients are a threat to themselves or others; to report abuse or neglect of children, elderly or disabled persons; or under court subpoena.

Cardiopulmonary Services

The Respiratory Therapy department has Registered or Certified Respiratory Therapists that provides inpatient and outpatient Aerosol therapy, Medical gas therapy, Lung Expansion and Airway Adjunct therapy, Pulmonary Function Testing, Exercise and Overnight Oximetry Testing. We have therapists that are also Certified Asthma Educators and provide Asthma Education to adults and pediatrics.

The Respiratory Therapy department has smoking cessation and tobacco cessation classes. The Respiratory Therapy department also has Outpatient Bronchiolitis Clinic for infants and peds that have been diagnosed with RSV or Bronchiolitis where they are provided with breathing treatments and airway clearance if needed.

Cardiac Rehab is an outpatient service for patients that have been diagnosed with a heart disorder or have had a cardiac event, which include but are not limited to, Coronary Artery Disease, Congestive Heart Failure, Heart Attack, Stent Placement, Valve Replacement, and Cardiac Bypass. Patients get an individualized treatment plan that includes exercise and education to improve heart function, endurance, energy, and overall health.

Pulmonary Rehab is an outpatient service for patients that have been diagnosed with Moderate to Severe COPD. Patients gen an individualized treatment plan that includes exercise and education to improve lung function, endurance, energy, and overall health.

Our Sleep Lab is run by Certified Sleep Disorder Specialists. They provide diagnostic studies for patients that may have a suspected sleep disorder such and Obstructive Sleep Apnea.

The Sleep Lab also provides studies for patients on PAP devices that may need a pressure titration or retitration. Our sleep lab includes two very comfortable bedroom style rooms with queen beds.

Chronic Care

Chronic Care Management (CCM) services include at least 20 minutes of clinical staff time directed by your physician or other qualified healthcare professional, per calendar month with the following required elements:

You must have multiple (two or more) chronic conditions expected to last at least 12 months, or until death.
These chronic conditions place you at significant risk of death, acute exacerbation/decompensation or functional decline.
If you elect to enroll in CCM services, you will have a comprehensive care plan established, implemented, revised as often as needed and monitored by your healthcare provider and our chronic care staff.

Centers for Medicare & Medicaid Services (CMS)
The Centers for Medicare & Medicaid Services (CMS) recognizes the importance of taking care of the patient all of the time, not just at the point of care. Therefore, CCM services are typically provided outside of face-to-face patient visits and focus on:
- A continuous relationship with a designated member of the CCM team.
- Support for chronic diseases to achieve health goals.
- 24/7 patient access to care and health information.
- Preventative care.
- Patient and caregiver education and engagement.
- Timely sharing and use of health information.
- Medication reconciliation.
Initiating Visit

Medicare requires initiation of CCM services to take place during a face-to-face visit with your healthcare provider (physician, certified nurse midwife, clinical nurse specialists, nurse practitioners and/or physician assistants). This can be during an annual wellness visit, initial preventative physical exam or other face-to-face visit for new patients or patients not seen within one year prior to the commencement of CCM services (the initiating visit is not part of the CCM service and is separately billed). Otherwise, enrollment of eligible beneficiaries may take place by phone.
Common Chronic Conditions (Among Medicare Patients)
- Alzheimer’s and Dementia
- Acquired Hypothyroidism
- Heart Failure
- Depression
- Chronic Kidney Disease
- Cataracts
- Anemia
- Diabetes
- Ischemic Heart Disease
- Rheumatoid Arthritis
- Osteoarthritis
- Hyperlipidemia
- Hypertension
- Stroke
- Cancer
- Substance Addiction

Diagnostic Imaging

Diagnostic Imaging, or Radiology, involves the use of various imaging modalities to view the internal structure of the human body. The modalities we offer are diagnostic Radiology, Fluoroscopy, Bone Densitometry, Digital Mammography, Computed Tomography (CT) Scanning, Ultrasound, Magnetic Resonance Imaging (MRI), and Nuclear Medicine. Physician referrals are required for all Diagnostic Imaging examinations, except mammography. Please note that we accept orders from any provider (even providers outside of our facility) and can report the findings of your visit back to your provider, helping you stay closer to home.

Radiologist services are provided by Radiology Imaging Associates (RIA), based in Denver. RIA is a group of more than 75 highly-trained and specialized radiologists. Radiologists are available 24 hours a day via phone and teleradiology to read most procedures within minutes of receiving the exams.

Our staff is a friendly, caring group with many years of experience in all the Radiology modalities we offer. Most of our technologists have advanced certifications in these different modalities. We look forward to serving you for all your Diagnostic Imaging examinations.

If you have questions please call (785) 890-6033.

Eagle Med

EagleMed is a privately owned and operated air medical transport service. A subsidiary of Air Medical Group Holdings since August 2009, EagleMed has been in business for over thirty years. The company began operations in 1977 and conducted its first “dedicated” air medical transport patient flight on September 1st, 1981.

EagleMed is accredited by the Commission on Accreditation of Medical Transport Services (CAMTS) and dedicates all facets of the company towards providing the highest quality patient care in the safest environment possible.

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Emergency Room Services

The Emergency Room is open 24 hours 7 days a week. It is staffed by Physician Assistants at all times with a doctor available as needed. The staff is able to treat any symptom or condition that may arise. GRMC’s emergency department also has Avera eCare Telemedicine available. Avera can give the GRMC staff members extra support to improve the quality of healthcare that is provided here in our rural community. (see below)

The Emergency Room staff also has up to date training and has the ability to stabilize a patient so that they can be transferred to a higher level of care, if appropriate. Our goal in the ER is to make the communities we serve healthier while giving compassion, safe patient centered care to every patient and family member that comes through the ER doors.

See ER Providers

Avera eCARE Emergency enhances care by providing:
- Access to board-certified emergency physicians 24 hours a day
- Connects rural communities to highly trained specialists
- Activation of emergency transport teams as early as possible
- Additional support during multiple emergencies
- Fewer transfers so patients can stay close to home
- Collaborative approach allows local caregivers to focus exclusively on patient care

Goodland Family Health Center

The Goodland Family Health Center, adjacent to Goodland Regional Medical Center at 106 Willow Road, is a full-service family practice clinic. To make an appointment with one of the physicians at the Goodland Family Health Clinic, please give is a call.

Telephone: (785) 890-6075
Office Hours: Monday - Friday, 8 a.m. to 5 p.m.

GFHC Services
- Acute Care
- Geriatric Care
- Preventative (Women’s Health, Men’s Health and Well Child Care)
- Prenatal Care to Expectant Mothers and Postpartum Care
- Well Child Visits
- Chronic Disease Management and Education
- Illness Prevention and Education
- Immunization (Adult and Childhood)
- Injections
- Minor Procedures (i.e. minor wound repair)
- Routine Annual Physical Exams
- General Health Maintenance
- Behavioral Health Services
- Specialist Referrals
- Sports Physicals
- Same Day Appointments
Walk-in Clinic Info

Walk-in clinic is for minor illness and/or injury that began within the last three (3) days. A minor illness/injury can be diagnosed rather quickly without extensive lab work or in-depth procedures. If an illness/injury or condition has lasted longer than three (3) days or has the potential of requiring extra time and/or procedures in the clinic, it will require a scheduled appointment with one of our providers.

If you are unsure of what type of care you need, please call and speak with one of our providers or a member of our nursing staff to determine whether or not a walk-in is appropriate or if more time should be dedicated for you during a scheduled same-day appointment.

Our goal is to provide prompt, safe and efficient medical care to all of our patients so in an effort to decrease your wait times if you come for walk-in, we ask that you please follow the above guidelines so we can help ensure all patients are able to receive the medical care they need.

As always, same-day appointments are encouraged and preferred to ensure that everyone is seen in a timely manner.
Walk-In Clinic Hours
- Monday: 8:00 am – 11:00 am and 1:30 pm -4:00 pm
- Tuesday: 7:00 am – 11:00 am and 1:30 pm -4:00 pm
- Wednesday: 7:00 am – 11:00 am and 1:30 pm -4:00 pm
- Thursday: 7:00 am – 11:00 am and 1:30 pm -4:00 pm
- Friday: 8:00 am – 11:00 am and 1:30 pm -4:00 pm
- Saturday: 9:00 am – 11:00 am
Prescription Refills

Please call your pharmacy when you are in need of a prescription refill. Your pharmacy will contact the clinic on your behalf to obtain authorization from your physician for prescription refills. Most prescriptions are refilled electronically and will be filled upon receiving your request.

Please note: If you call the clinic for a prescription refill, please understand that the process takes time. Please allow at least 48 hours for your request to be processed. An office visit may be required (to monitor your overall health and condition) prior to refilling your medication. We are not able to refill medications we have not prescribed.
Before You Come / Paperwork
- Make sure to bring your driver’s license, insurance cards, list of medications, and completed your paperwork.
Download Paperwork [PDF]
- REMEMBER to come 15 minutes early to your appointment!
- Register at the GFHC Entrance

GRMC Specialty Clinic

At Goodland Regional Medical Center Specialty Clinic you can see specialty providers close to home.

For a list of our Specialty Providers please go here:

See Providers

You can also find our Specialty Clinic Calendar here:

See Calendar

For more information please call (785) 890-3625.

Before You Come To A Specialty Clinic Appointment
- Make sure to bring your driver’s license, insurance cards, list of medications, and completed paperwork.
- REMEMBER to come 15 minutes early to your appointment!
- Register at the Central Registration Lobby Entrance (except on Saturdays where you will register at GFHC Entrance)

High Plains Regional Dialysis

High Plains Regional Dialysis currently has 16 patients running on two shifts, 6 days per week from 5:00 a.m. to 5:00 p.m. To contact the dialysis unit please call (785) 890-4026.

Dialysis and the Process

Healthy kidneys clean your blood and remove extra fluid in the form of urine. They also make substances that keep your body healthy. Dialysis replaces some of these functions when your kidneys no longer work. There are two different types of dialysis - hemodialysis and peritoneal dialysis. In a dialysis center, hemodialysis is usually done 3 times per week for about 4 hours at a time.
When is dialysis needed?

You need dialysis if your kidneys no longer remove enough wastes and fluid from your blood to keep you healthy. This usually happens when you have only 10 to 15 percent of your kidney function left. You may have symptoms such as nausea, vomiting, swelling and fatigue. However, even if you don't have these symptoms yet, you can still have a high level of wastes in your blood that may be toxic to your body. Your doctor is the best person to tell you when you should start dialysis.
How does hemodialysis work?

In hemodialysis, a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean your blood. To get your blood into the dialyzer, the doctor needs to make an access, or entrance, into your blood vessels. This is done with minor surgery, usually to your arm. The dialyzer, or filter, has two parts, one for your blood and one for a washing fluid called dialysate. A thin membrane separates these two parts. Blood cells, protein and other important things remain in your blood because they are too big to pass through the membrane. Smaller waste products in the blood, such as urea, creatinine, potassium and extra fluid pass through the membrane and are washed away.
Can dialysis cure my kidney disease?

In some cases of sudden or acute kidney failure, dialysis may only be needed for a short time until the kidneys get better. However, when chronic kidney disease progresses to kidney failure over time, your kidneys do not get better and you will need dialysis for the rest of your life unless you are able to receive a kidney transplant.
Do I need to eat a special diet?

Yes. Generally speaking, patients on dialysis are advised to increase their protein intake and limit the amount of potassium, phosphorus, sodium, and fluid in their diet. Patients with diabetes or other health conditions may have additional diet restrictions. It's important to talk with you dietitian about your individual diet needs.

Your dialysis care team will monitor your treatment with monthly lab tests to ensure you get the right amount of dialysis and that you are meeting your dietary goals.

*Source: National Kidney Foundation 2019

Home Health

Our mission is to provide quality, compassionate, professional end-of-life care with a family-centered approach, where our team is committed to focusing on your priorities, values and your physical, psychological, and spiritual comfort.

The vision of Hospice and Palliative Care of Northwest Kansas, Inc….a world where individuals and families facing serious illness, death, and grief will experience the best that humankind can offer. Hospice's role is to honor individual wishes, faith and cultural traditions and the natural cycle of life. Hospice volunteers and staff help persons and their families cope daily with difficult decisions and situations.

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Laboratory

The GRMC laboratory includes a wide variety of testing capabilities carried out by a staff of highly trained and versatile technicians. The staff constantly strives to provide pertinent medical data in a timely, accurate and meaningful manner, to insure the best possible care for all patients.

An active quality assurance program is in effect and evaluated daily. The laboratory also undergoes regular federal laboratory certification surveys. Parameters monitored and evaluated include: specimens, reagents, equipment, procedures, control materials, technical competence and documentation. The Lab participates in the CLIA certification program and is a certified lab. We also participate in the American Proficiency Institute (API) external proficiency review program for Chemistry, Hematology, Diagnostic Immunology, Microscopy and Bacteriology.

Employee DOT, non-DOT drug testing and paternity testing collections are additional services that are available. Please contact the laboratory for scheduling.

Hours of operation for out-patients: 7 a.m. to 5:30 p.m. Monday through Friday & Weekends by prearranged draws only, please call (785) 890-6032 or use our fax at (785) 890-6055.

The laboratory is staffed 24 hours for emergency calls by our medical technologists and medical technicians.

Please contact the laboratory for scheduling at (785) 890-6032 or Fax (785) 890-6055

Frequently Asked Questions
- Where do I register? Please register for labs at Central Registration.
- Do I need to fast? Each test is different so please make sure to ask your provider at the time of your appointment.
Test Directory
- Chemistries (BMP, CMP, Lipid, etc.)
- Hematology (CBC, Estimated Sedimentation Rate, etc.)
- Microbiology (Urine cultures, blood cultures, etc.)
- Blood bank (ABO, RH Typing, Cross Matching, etc.)
- EKG (Holter & Event Monitor, etc.)
- Examination of stool specimens
- Urinalysis
- Specimen Collections
- Reference Labs

LifeSave

LifeSave Transport’s mission is to safely provide quality, compassionate air and ground transport for critically ill or injured patients to advanced care. At LifeSave, our values and commitment are the focus of every contact with patient, hospital, community, and employee.

LifeSave’s vision is to transform rural emergency medical transport through a unique system designed to safely provide patients quality care driven by compassion.

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New Beginnings

At Goodland Regional and Goodland Family Health Center we strive to provide the best care for you and your baby, during and after your pregnancy.

Prenatal Medical Care at Goodland Family Health Center
As soon as a woman discovers she is pregnant, she should establish a schedule of prenatal care visits with her healthcare provider. Regular appointments with your healthcare provider throughout your pregnancy are important to ensure the health of you and your baby. In addition to medical care, prenatal care includes education on pregnancy and childbirth, plus counseling and support.

Frequent visits with your healthcare provider allow you to follow the progress of your baby’s development and these visits also give you the opportunity to ask important questions.

What happens during the prenatal care visits?
The goal of prenatal care is not only to provide the best care for the pregnant woman and the unborn child, but also to prepare the mother-to-be for the delivery of a healthy baby. During prenatal visits, tests are performed on both the mother and the baby to assess any potential risks, to treat any maternal or fetal complications, and to keep an eye on the growth and development of the fetus. In addition, counseling and guidance are provided regarding various aspects of pregnancy, including weight gain, exercise, nutrition, and overall health. A typical prenatal visit may include any or all of the following:
- Weight measurement
- Blood pressure measurement
- Measurement of the uterus to check for proper growth of the fetus
- Physical exam of the mother to identify problems or discomforts, like swelling of the hands and feet
- Urine test to measure sugar and protein levels. This can indicate diabetes or preeclampsia (a condition characterized by high blood pressure, proteinuria, and swelling due to fluid retention). However, swelling does not need to be present to make the diagnosis. And having swelling does not always mean a woman has preeclampsia.
- Fetal heart rate measurement (usually beginning in the 10th to 12th week of pregnancy)
- Prenatal screening tests like blood tests to check for anemia
- Additional tests might be required, depending on your individual condition or special needs
For normal pregnancies without significant complications, prenatal exams are usually scheduled as follows:
- Every 4 weeks until the 28th week
- Every 2-3 weeks from the 28th to the 36th week
- Weekly from 36 weeks until delivery
This schedule may vary depending on your personal medical condition and your healthcare provider's preference. Additional prenatal care may be necessary if there are any preexisting medical conditions, like diabetes, present in the mother or if complications arise while carrying the baby to term.

Who provides prenatal care at GFHC?
Prenatal care can be provided by any of our Providers: Dr. Daise, Jade, Jackie and Jonathan.

Labor and Delivery
During the last months, your office visits will include discussions about labor and delivery. Since Goodland Regional Medical Center is not currently providing labor and delivery services, your healthcare provider will discuss your options for establishing care at an alternate facility of your choice where you will deliver. Establishing this care is essential for the continuity of care of both you and your little one.
Post-Delivery Care for Mom at Goodland Family Health Center
Postpartum care is an ongoing process after your delivery and our healthcare providers will ask you to follow-up with us within 3 weeks after delivery and continue to receive follow-up care as needed, including a comprehensive checkup/evaluation by 12 weeks postpartum. The goal is to spot possible problems early since women have a higher risk of serious complications during the weeks after giving birth than at any other time during pregnancy. During these appointments your healthcare provider will check your mood and emotional well-being, discuss contraception and birth spacing, review information about infant care and feeding, talk about your sleep habits and issues related to fatigue and do a physical exam to make sure you're healing well.

You may still be dealing with some pregnancy- or childbirth-related aches and pains, and you may have some questions about how your body has changed. You may also have questions about your labor and delivery and about postpartum issues like breastfeeding, birth control, exercise, sex, and work. This is a great time to talk about any other concerns you might have as well. In addition to your specific concerns, your healthcare provider will likely want to discuss any complications you had during pregnancy and delivery and what bearing, if any, they'll have on future pregnancies and your overall health.

Before you go, your healthcare provider will:
- Order lab tests, if necessary. If you were anemic during pregnancy or lost a lot of blood at delivery, for example, your provider will order a blood test to check for anemia. If you had gestational diabetes, you'll need a glucose tolerance test.
- Order any immunizations you may need, such as a tetanus, diphtheria, and pertussis booster shot, a flu shot, or a rubella or chicken pox vaccine. (If you were not immune to rubella or chicken pox before your pregnancy, you should have been vaccinated before you left the hospital after delivery. If that didn't happen, you definitely should get vaccinated now.) The chicken pox vaccine requires two doses, so if you got your first dose immediately postpartum, you'll get the second dose now.
- Take care of necessary paperwork. If you're on maternity leave, for example, you may have forms for your healthcare provider to fill out. (Remember to bring them along.)
- Let you know when you should return for routine gynecological care (including any follow-up for your chosen contraceptive method) and give you any necessary referrals.
Well Child Visits for Baby after Delivery at Goodland Family Health Center

After your child is born, our healthcare providers will ask that you return to the clinic to have his or her first child wellness exam. A well child exam is a very important component of your child’s health from infancy through the adolescents. Well child visits are also key times for communication with your healthcare provider. The following are common topics that are often discussed, normal childhood development, nutrition, sleep, safety, parenting, and education. Make the most of these visits by writing down your most important questions and concerns to bring with you to your child’s exam.

Each visit includes a complete physical examination along with recommended vaccinations. This well child exam will assess your child’s growth and development while identifying underlying conditions that exist. Height, weight, and other important information are recorded in our electronic medical record. Hearing, vision, and other assessments are a part of the well child visit. Such preventive care and immunizations are an important part for raising healthy children.

There are a lot of questions that doctors must ask, in the form of tests and measurements, some of which are more important at different stages of their newborn life. Measuring the newborn is an important part of the examination process. Not only do you want to know how much your newborn weighs and how tall they are, but by taking these measurements every time you visit, you can see how fast he or she is growing throughout the earliest stages of their life.

Nursing Services

Our nursing department is staffed with compassionate nurses. These nurses deliver high quality care, meet the needs of the patient’s, and exceeds their expectations. We strive to meet standards of care for each patient by providing bedside reporting, fall prevention programs, and nursing education.

Our goal is to make the patient feel comfortable in their healing process by including them in their plan of care and treatment. We strive for a patient centered approach.

We continue to grow and progress while still giving care with a small town touch.

Nutritional Services

Dietary
Goodland Regional Medical Center offers a full menu to both patients and staff. We also offer a meals on wheels program that is available to those in need, with in the community. We are able to accommodate a variety of diets. Some of these diets include, Diabetic, Low sodium, Heart Healthy (cardiac), Gluten Free, and Renal. We pride ourselves in food quality and nutrition and do our very best to make sure that, although some diets are very strict, that all of our food is appealing both in looks and taste. We hold the highest standards when it comes to food safety and sanitation, following all FDA regulations and CMS guidelines.

Meals on Wheels
One of the most important roles that the Goodland Regional Medical Center plays in its community is through its involvement with the local “Meals-On-Wheels” program. Since the program’s inception in 1975, the GRMC’s dietary department has been entrusted with the task of seeing to the preparation of the meals that are delivered to homes of subscribers by local volunteers. GRMC was deemed the logical choice to fulfill this key aspect of the program, as its dietary personnel are on duty 7 days a week, 365 days a year. Hospital dietary staff members are also well acquainted with a wide variety of diets as a result of their work in this regard on a daily basis. In addition, all involved meals are carefully planned by a registered dietitian to insure proper nutritional content and balance, often in accordance with a doctor’s order.

Contact the dietary staff for more information at (785) 890-3625 Ext. 3400

Outpatient / Oncology Services

Goodland Regional Medical Center continues its services for patients needing IV therapy, Specialty IM, and SC injections.

Treating but not limited to:
Infection, Osteoporosis, Low Testosterone, Anemia, Red/White Blood cell stimulating Medications, Multiple Sclerosis, Rheumatoid Arthritis, Crohns Disease, Ulcerative Colitis, Immune Deficiency, Bladder Cancer, Prostate Cancer, Monthly Port Care, and Chronic Catheter Care

Partial List of Therapies:
IV Antibiotics, Testosterone, Venofer, Infed, Prolia, Evenity , Reclast, Aranesp, Neulasta , Tysabri, Ocrevus, Depo-Lupron, Remicade, and IVIG

To obtain professional, quality care close to home:

Have ordering physician send order
Allow time for Insurance Authorization
Infusion manager will call to schedule appointment

Pharmacy (Inpatient Only)

The Goodland Regional Hospital Pharmacy is responsible for dispensing medications for hospital patients. They also provide outpatient intravenous therapy for a variety of conditions including:

Oncology
Rheumatoid arthritis
Multiple sclerosis
Immune system problems
Osteoporosis

Rehabilitative Services

To schedule an appointment, please call our direct line at 785-890-6021. Fax 785- 890-6035.

Physical Therapy is a health profession that specializes in treatment and specific training and exercises for physical limitations and musculoskeletal injuries. We offer physical modalities for pain relief, swelling relief, and muscle relaxation; and therapeutic exercises for improving joint mobility, muscle strength, cardio-vascular and muscle endurance, walking ability, and other functional limitations.

Many of our patients receive directed programs for total joint replacements, sports injuries, back and neck injuries, stroke and neurological injuries, balance difficulties, and weakness and limited self-care from other diseases or surgery.

Our licensed Physical Therapists and Certified Physical Therapist Assistants at GRMC are ready to serve you. Also, now being offered is Self-Referral Access. This means that provider orders are not needed in most cases. Medicaid patients will need a provider order and prior authorization. Ask the department or any of the staff about this program.

The Physical Therapy Department at GRMC offers a wide variety of modalities for pain management, to decrease muscle spasms, and improve flexibility.

Treatments Include:

Electrical Stimulation
Manual Therapy
Moist heat
Cryotherapy
Cervical traction
Pelvic traction
Iontophoresis
Ultrasound
Deep Oscillation Therapy- HIVAMAT

Physical Therapy treatments may also include:

Therapeutic exercises
Home Exercise Programs
Gait training
Education of assistive devices
Balance training
Joint Mobilizations
Kinesis Taping
Vertigo
Concussion baselines and screenings

GRMC Physical Therapy Department also offers Women's Health programs to retrain your muscles, allowing you to live a worry free life:

Stress Urinary Incontinence
Urge Urinary Incontinence
Mixed Urinary Incontinence
Pelvic Floor Dysfunctions

What is occupational therapy?
Occupational therapy is a health profession that focuses on helping individuals of all ages gain independence in their daily lives. Occupational therapists have specialized training in adapting environments, modifying activities, and addressing client factors that may influence a person's participation in everyday life. Occupational therapy services may be appropriate for individuals with a wide variety of needs and diagnoses. This list may include, but is not limited to: strokes, joint replacements, general weakness, hand and upper extremity injuries/conditions/surgeries, cognitive impairments, sensory processing concerns, decreased activity tolerance, developmental delays and more. Services may be provided in the hospital or outpatient clinic.

What can occupational therapy do for you?
The occupational therapy team offers treatments and training that may address activities that are necessary to daily living such as bathing, dressing, grooming, feeding, etc. A wide variety of other activities like home management, cooking, play and leisure activities can also be addressed. We may also teach therapeutic exercises for improving joint mobility, muscle strength, and endurance which often cause limitations to participating in
daily life habits, routines, and activities. Additionally, occupational therapists may offer physical agent modalities to address pain, edema, or muscle relaxation to help meet patient goals.

Examples of Occupational therapy services:
• Individualized evaluations in the hospital or outpatient therapy clinic
• Collaborative goals between the OT and individual, which focus on participation in daily life.
• Activities of daily living training to gain independence i.e. dressing, bathing, toileting,
grooming, etc.
• Home assessments to assess safety before discharging from swing bed services
• Custom orthotic fabrication for the upper extremity.
• Therapeutic exercises
• Home exercise programs
• Education and training of assistive devices and adaptive equipment
• Interventions to increase play and participation in daily life for pediatrics
• Manual treatment to address pain and limited range of motion such as scar massage, joint mobilizations, soft tissue mobilization.
• Modalities to address pain or swelling, such as: paraffin, moist heat, ultrasound, electric stimulation, etc.

What steps do I take to receive occupational therapy services?
A doctor’s order must be obtained to begin treatment. Once a doctor’s order is obtained, your occupational therapist can complete an evaluation, helping determine each individual’s unique needs to form an individualized treatment plan. Occupational therapy goals for treatment are designed around each person’s own wants, needs and goals. Occupational therapy services may be covered by Medicare, Medicaid and most other insurance carriers. Please contact your insurance company for more information on your benefits for occupational therapy.

The occupational therapy team at GRMC is trained to work with patients from infants through geriatrics. If you have any questions or would like to make an appointment, please call us at 785-890-4042, or fax 785-890-6035.

Speech therapy is a health profession specializing in evaluation and treatment of people who have speech, language, voice, fluency or swallowing disorders that affect their ability to communicate.

Why Is Speech Therapy Needed?
Four main causes can create a need for Speech Therapy:
1. Acquired, from a traumatic brain injury such as a car crash or workplace accident.
2. Degenerative, caused by Parkinson's, Alzheimer's, ALS (Lou Gehrig's disease), or head or neck cancer.
3. Neurologic, resulting from a CVA (stroke), leading to aphasia or dysarthria.
4. Developmental, caused by a delay or deficit, either physiological or neurological, such as autism, apraxia, auditory processing difficulties, or cleft palate. Speech and language services can be provided to infants, toddlers and school-aged children.

Swallowing disorders: Early evaluation and treatment of swallowing problems can prevent upper respiratory congestion and/or pneumonia. Speech-language pathologists work closely with radiologists to evaluate swallowing using modified barium swallow studies to help determine the level of severity of a swallowing problem which could result from a stroke, surgery, or GERD (gastro-esophageal reflux).

VitalStim Therapy is a completely new, breakthrough therapeutic intervention for use in the treatment of dysphagia (swallowing disorders). It is a specialized form of neuromuscular electrical stimulation (NMES), specifically designed to treat dysphagia. NMES has a proven, long-term track record in a wide variety of therapeutic and rehabilitative settings.

Services are provided on both an inpatient and outpatient basis. A physician's order must be obtained for evaluation and treatment. Speech Therapy treatment is covered by Medicare, Medicaid and most other insurance carriers. Please contact your insurance company for more information on you benefits for Speech Therapy.

For more information, or an appointment, contact Jesse Guajardo, SLP, at (785) 890-3625 Ext. 4054.

Sherman County EMS

Providing Emergency Medical Services for Sherman County and the Cities of Goodland, Edson, Ruleton, Caruso, and Kanarado. NWKSAS has a dedicated staff of Full time, Part time, and Reserve employees. NWKSAS provides 911 response for Sherman County and Inter-facility transports for surrounding area hospitals.

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Surgical Services

For many surgical procedures, Goodland Regional Medical Center offers a more convenient location for patients to receive services. GRMC surgical services are provided to inpatients and outpatients on an elective, urgent and emergent basis. The surgical procedures performed in Goodland as well as useful instructions to patients and other information regarding the surgical services are listed below.

Surgical specialty areas and procedures at GRMC include:

General surgery
Eye surgery
Colonoscopy and EGD
Gynecology
Chronic pain services
Soft tissue orthopedic
C-Sections
Anesthesia services are CRNAs provided by CPR Anesthesia group, and include general and regional anesthesia, monitored anesthesia care, local anesthesia.

The following is a guide to help patients and families that may utilize the surgical services at GRMC:

What To Expect

On the day of your surgery the nurses provide immediate preoperative preparation for each patient. Your nurses will check your vital statistics with you. These consist of patient identification, (name and date of birth), consents, surgical site verification and correct operation.

The anesthesia provider will visit with you and answer any questions you may have regarding your planned anesthesia. After that the surgical (OR) nurse and anesthesia provider will take you to the operating room.

Following your surgery you will be taken to the Post-Anesthesia Care Unit or recovery room, where nursing care is provided in the immediate post-anesthesia period. You may be taken directly to the recovery room where outpatients will be prepared for discharge postoperatively.
Before Your Surgery

For you, and for us, no surgery or procedure is minor. All surgery requires preparation. Your cooperation is very important. To help us file for insurance, please bring your insurance identification card or information. Visit the medical center for any necessary radiology or lab work as ordered before your scheduled surgery.

A GRMC nurse from the surgery Department will attempt to reach you prior to your procedure to obtain a medical history. The nurse will verify instructions and inform you of the time you need to report for surgery. If you have not been contacted the day before your procedure is scheduled, please call (785) 890-6024.

Some surgeries require history, physical and evaluation prior to surgery. Your physician's office will schedule this. If you routinely take medications for any condition, ask your Day Surgery nurse if you should take them on the day of surgery.

Arrange for someone to drive you home after any surgery and if you become ill or must reschedule your surgery for any reason, notify your physician and the surgery department immediately.
Food & Drink Instructions
It is imperative that you follow specific pre-operative food and fluid instructions. Failure to follow these guidelines could result in the cancellation of your surgery.
- Adults may have absolutely no solid food 6 hours prior to surgery. If your procedure is after noon, a surgery nurse will provide specific instructions.
- You may have clear liquids up to 4 hours before surgery, but no other liquids.
- No chewing gum/tobacco 4 hours before surgery.
Day of Surgery
- Shower or bathe and brush teeth, but do not apply eye makeup.
- Do not bring valuables or money, except payment arranged through our Business Office.
- Wear loose, comfortable clothing that is easy to get on and off, but please, no watch or jewelry.
- Bring a complete list of medications you currently are taking, but leave medications at home. If you wear contact lenses, please bring your container.
- Come in the Central Registration entrance and check in at the registration desk from 7:00 a.m. to 5 p.m. weekdays. After hours and on weekends, enter through the Emergency Room entrance and check in at the Nurse's Station.
- Your surgery time may be moved ahead. Be prepared to come early if we call you. Also, emergencies may cause delays in your scheduled operating time. Please be patient.
- A nurse will admit you and prepare you for surgery. You will be asked to sign necessary forms. A parent or guardian must sign for a minor (under 18). You will meet with your physician and anesthetist prior to surgery.
- Your family members and friends may wait in our lobby while you are in surgery.
- Please be on time to prevent delays.
Please note: If you are not of sound mind, Durable Power of Attorney will need to be present when signing consents the morning of the procedure.
After Surgery

After surgery, you will either be transferred to the Post Anesthesia Care Unit (recovery area), or transferred to the Day Surgery unit to be prepared for discharge. Your length of stay will depend on the type of surgery and your individual recovery. When you have met the recovery guidelines specified by your doctor, you will be discharged.

A responsible adult must drive you home from GRMC. For your safety, you will not be permitted to leave unattended. You should plan to have a responsible adult at home with you for 24 hours after your surgery.

You will be given home care instructions by your doctor and nurse. Once you are home, contact your doctor immediately if you have any problems or surgery-related questions. Do not drink alcoholic beverages for 24 hours after surgery or if taking prescribed medication.

Do not drive a motor vehicle or make any important decisions (including legal decisions) within 24 hours of surgery. Medication may prevent you from thinking clearly. A GRMC nurse will attempt to contact you within three days to make certain your recovery is going smoothly.
Pediatric Patients
If convenient for you and helpful to your child, parents can arrange a tour of GRMC with the Day Surgery nurse who will attempt to contact you prior to surgery. Please bring a favorite stuffed animal, doll, blanket or book for your child, plus a bottle or pacifier, if needed. You are encouraged to remain with your child before and after surgery. Our nursing staff makes every effort to minimize the time you must be separated from your child.

Guidelines for Infants & Children
Your child will be required to go without any food or liquids for several hours prior to surgery.
- May have infant formula or solid foods 6 hours before surgery.
- May have breast milk up to 4 hours before surgery.
- May have clear liquids up to 3 hours before surgery. Infants younger than one year of age should be awakened and offered clear liquid 3 hours prior to surgery.

Swing Bed

What is Swing Bed?
Swing Bed is a Medicare program that allows patients to receive skilled care services at Goodland Regional Medical Center once acute hospital care is no longer required, but the patient continues to need services that cannot be easily provided in the patient's home. The program is designed to assist patients in reaching their highest potential for health and independence prior to returning to their home, or previous living arrangement.

Who is Eligible?
Swing Bed is available to patients who have been hospitalized at Goodland Regional Medical Center, or at other facilities outside of the Goodland area. The program is ideal for patients who require skilled physical therapy, occupational therapy, speech therapy, IV medication therapy, wound care, or other skilled care services.

If you are interested in receiving additional information about Goodland Regional Medical Center's Swing bed program contact the Case Manager at (785) 890-4073 or Social Service/Discharge planner at (785) 890-6059

Swing Bed Admission
Swing Bed admission requires:
- A three day acute care hospital stay immediately prior to admittance into the Swing Bed program.
- Stable medical status
- A daily skilled care need (or five days per week for Rehab), which is directly related to the acute care hospitalization.
- Physician authorization
- Participation in Medicare Part A, or other qualified insurance plan.
Once a patient is admitted into the Swing Bed program, eligibility is reviewed on a daily basis by the Case Management/ Discharge Planning staff. To remain in the program, the patient must be participating and making progress, in addition to the criteria listed above.
How Long Can I Stay?

The Swing Bed program is considered short-term. The average length of stay is generally one to two weeks. For stays longer than 40 days, the services of a long-term care facility may be more appropriate.

While Goodland Regional Medical Center can accept Swing Bed patients from other acute care facilities, we cannot always explain an admission decision. Due to HIPPA requirements, explanation of a patient's eligibility status may only be given by the patient's current acute care facility.

Telemedicine Services

Providing access to physicians, treatments and health care resources to our patients is top priority at Goodland Regional Medical Center.

Local primary care providers and Medical Center staff work hard to identify health services needed in our community and provide those services locally whenever possible. In an effort to provide a wide range of health care services in Goodland, GRMC has created its Telemedicine Services.

The Medical Center began development of this service in 2005 with the help of staff members, a partnership with University of Kansas and technical assistance from S&T Communications. Today, several clinics are available for patients to receive consultation and treatment from specialists who see patients through Internet-TV technology.

For more information about the telemedicine clinics or to schedule an appointment, please contact the specialty clinic at 785-890-3625.

Available Telemedicine Clinics: