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Fairfield Ledger Newspaper Archives May 15 1986, Page 5

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Fairfield Ledger (Newspaper) - May 15, 1986, Fairfield, Iowa Prepping for surgery Myrna Holcomb nurse assistant preps Kenneth Lovedy of Stockport for same Day surgery to have a cyst removed from his hand. Keeping the Jefferson county Hospital running smoothly takes the joint Effort of about 175 doctors Cooks nurses housekeepers accountants therapists. Janitors and More. A Ledger photo by Jan Lerling Bennett nurses janitors9 9 Cooks keep Hospital ticking continued from Page in Bill Weaver whose patients Are the a mechanical guts of the Hospital a a anything that does no to bleed a he says. He repairs everything from the tvs to heart monitors to the boiler and has just fixed a res Sci Annie Parker needs for a staff car class. 10 45 . Nurses wheel a bed Down the Hall to the elevator and take the Young patient up to the second floor. She complained of stomach pains earlier and her doctor sent her in for lab work and admission for observation. A More blood tests will be done this afternoon a Derr says. A the symptoms Are 10 55 a a in Ivey is out of surgery and sitting up talking to nurses in the room he was prepped in two hours ago. La . Another patient arrives at or a a you re Here to see or. Berg a Holcomb asks. A have a the waiting area is full. 11 15 . Ottumwa radiologist Jerome Gleich also provides services on a part time basis Here. He and Berg Confer As the patient moves his wrist under the fluoroscopy machine a an a Ray that shows movement. A a it Sall moving together a Berg says of the Bone grafted wrist. A it appears to be he tells the patient he can hit the Golf course in a couple of weeks. The Mobile mammography unit is Here today and technician Alice Daniels says there a a 90 percent Chance of spotting breast cancer with the machine. At other times throughout the month a urologist and neurologist also treat patients Here. 12 15 . The operating rooms Are sterile and silent now after several surgeries this morning. The narrow operating table is surrounded by High tech monitors and surgical equipment. Nearby . Supervisor Nancy Engwall and Margaret Eshelman prepare surgical instrument trays for the 270-degree steam sterilization. Surgeons use anywhere from 15 to 50 instruments during a surgery. Tho weather the weather elsewhere tempera lures indicate previous Days High arid overnight Low to 7 a in cd National temperature extremes High wednesday a lot at Presidio Texas Low thursday morning 22 at Butte Mont Albany, Albuquerque Amarillo Anchorage Asheville Atlanta Atlantic City Austin Baltimore Billings Birmingham Bismarck Boise Boston Brownsville Buffalo Burlington it. Asper Charleston s. C. Charleston a a Charlotten c Cheyenne Chicago Cincinnati Cleveland Columbia so. Columbus Ohio Concord no Dallas Al Worth Dayton Denver Des Moines Detroit Dulu i Al paso Evans vile Fairbanks Fargo Flagstaff grand rapids great Falls Greensboro . Hartford Helena Honolulu Houston Indianapolis Jackson miss Jacksonville Juneau Kansas City Las vegas Little Rock los Angeles Louisville Hilo pre Hill 78 50 in by 53 cd 84 43 04 cd 48 37 cd 70 58 in 81 60 cd 58 54 cd 78 67 50 cd 60 56 cd 57 35 cd 80 74 cd 64 37 cd 50 32 Clr 62 46 cd 86 77 cd 66 56 in 77 54 in 62 30 cd 75 68 Clr 74 58 34 in 64 58 of cd 66 41 03 cd 67 50 cd 75 62 in 77 50 02 in 83 57 Clr 78 63 in 75 34 cd 70 68 cd 77 62 in 74 45 of in 77 58 to cd 76 56 05 cd 50 42 cd 86 56 Clr 84 63 .12 cd 58 37 cd 75 41 cd 70 40 Cit 70 46 .18 cd 40 34 cd 57 55 cd 75 30 cd 50 34 cd 86 71 .20 Clr to 71 of cd 75 60 cd 80 67 cd 82 58 cd 52 42 02 in 77 60 .56 in 03 60 Clr 87 62 .20 cd 70 61 Clr 75 62 .10 in Lubbock 84 54 Clr Memphis 88 72 in Miami Beach 78 72 cd Midland Odessa 84 57 Clr Milwaukee 68 47 cd mils St Paul 73 56 cd Nashville 88 62 cd new Orleans 87 70 04 cd new York City 68 51 in Norfolk a 58 56 la cd North Platte 78 48 36 cd Oklahoma City 77 58 2 48 in Omaha 78 60 cd Orlando 84 64 to Clr Philadelphia 65 56 cd Phoenix 85 68 Clr Pittsburgh Portland Maine 74 54 07 in 63 36 cd Portland Ore. 62 44 cd Providence 64 38 cd Raleigh rapid City 64 58 of cd 58 38 cd Reno 71 41 Clr Richmond 57 56 18 cd Sacramento 83 50 Clr St louts 82 63 51 in Salt Lake City 58 37 Clr san Antonio 80 66 64 cd san Diego 67 60 Clr san Francisco 68 53 Clr san Juan a r. 83 74 in St Ste Marie 66 53 30 cd Seattle 58 44 cd Shreveport Sioux Falls 86 68 cd 80 53 cd Spokane 57 32 to Syracuse 75 58 in Tampa St per Sig Topeka 86 63 Clr 77 62 15 cd Tucson 82 58 Clr Tulsa 60 61 63 in Washington do. 58 56 cd Wichita 78 56 of cd Wilkes Barre 67 53 cd Wilmington Del. 63 55 cd extended forecast saturday through monday fair saturday and monday. A Chance of showers and thunderstorms sunday. Highs in the Middle 60s to Middle 70s saturday and in the 70s sunday and monday. Lows in the upper 40s to the Middle 50s paying too much for major medical insurance not sure get a quote. Is too too major medical Protection from Golden Rule does your present medical insurance do this a provide up to $1,000,000 maximum Benefit a let you choose the deductible to keep the Cost Down a pay your claims promptly Golden Rule my Dan Rule insurance c company for tut details and quote Call Lantz insurance Agency 515 472-5862 111 last Broadway Fairfield no Coal or obligation 1 30 . Record keeping at the Hospital involves dozens of people and a Maze of paperwork. Fee Lawson is in charge of patient records which Date Back to the first admission in 1912. Later files Are on microfiche. Arlene Konrady is chief accountant for the Hospital which puts her in charge of everything from Billing to payroll. This is pay Day and at 2 15 ., the computer is Busy printing paychecks. 3 00 . The Day is almost Over for the first shift of nurses and Holcomb finishes up one last or chore delivering the laundry to Evelyn Kyle in Central stores. A i love to Wash a says Kyle. A i guess i just love clean that a Good because there a about 2,000 pounds of laundry a Day to run through the 50-Pound capacity Washer and dryers. In her office Parker also is ready to go Home when a nurse comes Down the Hall. A a we be got a Young girl coming in a she says. A possible and the afternoon shift takes Over. Farm forecast new medicare rules bring new services to Hospital by Jan Merling Bennett if Hospital officials had to describe Jefferson county Hospital in one word a a change might Well be the Choice. From admissions through collecting from medicare change has affected numerous facets of the Hospital. Rosemary Brownlee Quality Assurance supervisor says some of the biggest changes Are medicare related. Cost containment for the government is the Bottom line sometimes at the expense of the local Hospital she adds. A Federal Law mandates that because of increasing costs we have a prospective payment system a she says. A in the past if you came in for pneumonia and stayed seven Days you were charged for a room for seven Days drugs for seven Days other medical treatment. As of july 1,1984, pneumonia is one of 468 diagnostic related groups and the payment rate is established on what the Cost had been in earlier years plus wage and Price figures for this area. A a there a a rate for each drug and there a no flexibility to it a she adds. A it puts the Hospital in a bind. If we exceed the amount of Money the government is paying us we can to collect any if the patient is in for three weeks she says the Hospital receives Only a set pneumonia fee. If the patient suffers a stroke while in the Hospital the system does not allow for a re diagnosis and extra funds. Peer review organizations Are another Cost containment tool. The physician based group in Iowa is aimed at monitoring admissions and patient care Quality. Pre admission reviews Are one aspect of that program. Patients now must meet a set of criteria established by the pros to be eligible for admission and medicare benefits. A you have to need a High level of technological care available Only in a Hospital daily monitoring a mrs. Brownlee says. A you have to be very if payment for admission is denied physicians can Appeal. Patients who done to meet the pro criteria Are eligible for same Day stay 24 hours which medicare also will pay for. Up to 200 treatment procedures also must be approved mrs. Brownlee says and the pros make two Day quarterly spot checks. Because pre admission reviews have been Money savers for medicare mrs. Brownlee says other insurers a As Many As 50 percent a Are adopting the policy. New services at the Hospital include a skilled nursing care unit for patients who still need professional care but not a doctors daily monitoring. Medicare will pay up to two weeks if the stay is pro approved. A temporary nursing Home care unit for patients who done to need skilled care but Arentt ready to go Home also is available but patients must foot the Bill for it. Joan tedrow nursing supervisor says the changes at the Hospital reflect medicare changes and the new services Are attempts to stay solvent. A patients Are much sicker now when they come in a she says. A and we done to get to keep them in As Long. Ten years ago maybe 25 percent had ivs now a big percent a maybe 75 percent a do. It acts quicker. A most hospitals today have empty Beds a she says a so they offer All the other services to stay solvent. We do a lot that we be never done before Public car classes wellness programs intermediate jobless payments drop in april Des Moines Iowa apr Job service of Iowa wednesday said the amount of Money paid to unemployed iowans dropped sharply in april largely because a program for the chronically unemployed has been stopped. A no one in Iowa is eligible for that program now a said Robert Schutt a Job service analyst. A they began phasing that out last Schutt said his Agency paid slightly More than $15 million in jobless benefits during april almost $5 million less than March and $2.2 million less than april of 1985 Schutt said $1.8 million of the decline came because the Federal program providing benefits to iowans who have been out of work for Long periods of time has been phased out. Seasonal factors such As increased activity in construction and agriculture also contributed to the decline in payments. Job service officials have said the states employment picture has been brightened by an Early Spring which allowed construction to begin sooner than Normal and gave Farmers an Early Start on planting this years crops. Schutt said a switch at Job service that has angered organized labor also was partially responsible for the payment drop. Job service last month began paying jobless benefits on a biweekly basis rather than weekly. Officials said they could save millions of dollars in accounting and postage costs because of the switch but organized labor opposed the change. Labor officials said Many jobless iowans had set a family budget based on the weekly payments and it Wasny to fair to change the rules. In addition they contended unemployed iowans frequently live hand to Mouth and two weeks can be a Long time to wait for a Check. Schutt said the biweekly payment meant some iowans did no to qualify for a payment during the month. By the associated press tonight relative humidity will increase to 80 to 90 percent. Scattered showers and thunderstorms Are anticipated with �?~/8 to Inch rainfalls. Northeast wind 5 to to Mph Are forecast Over the Northwest half with a Southwest wind at to Mph Over the Southeast third. Friday percent of possible Sunshine will Range from 20 to 40 percent. Relative humidity will decrease to 50 to 60 percent. Scattered to numerous showers Ana thunderstorms Are forecast. Winds will be northerly at to to 20 Mph. The 4 Inch soil temperatures As of wednesday evening ranged from 57 degrees at Estherville to 79 at Ankeny. Most readings were in the Middle 60s to lower 70s. The Outlook for tuesday through Friday Calls for below Normal temperatures and near Normal rainfall. Service master the meaning people who care a emf a water Cut up a or a Satki gamete a Fhi Stamatis a services is to by Wilson 472-8225 Reward still More showers storms by the associated press a weak cold front from Central Minnesota to Northwest Kansas will move slowly to the East today covering half of Iowa on a Northeast to Southwest Diagonal by tonight. By Friday night it will leave the state. As a result periods of showers and thunderstorms will be prevalent throughout the upper Midwest through Friday. Temperatures will be near Normal with 60s and 70s for highs common. The forecast Calls for a Good Chance of showers and thundershowers in the Eastern half of the state today. Otherwise it will be mostly Cloudy with a Chance of showers West. Cloudy with a Chance of showers and thunderstorms tonight and Friday. Lows tonight in the 50s with highs Friday in the 70s. The extended forecast for the weekend Calls for fair conditions saturday and monday with a Chance of showers sunday. Team owner Dies Toronto apr John f. Bassett who had owned football teams in the United states and Canada died wednesday of cancer. Undelivered school orders nationwide sewing machine distributing company education department placed orders in anticipation of previous year sales. Due to budget cuts those sales Ore undelivered. These machines must be sold All Rochmes offered Ore new and the most modern machines and in new Cartons. Those machines 5" w in 0,1 Mobrici to vis Canvas upholstery Nylon stretch Vinyl silk Ivin sew on leather this 1986 swing machine has open for doing pants cuffs and sleeves. These machines or new with a 25-Yeor Narra not. With this new 1986 Belco 101 free sewing machine you just set the color coded dial and see magic happen straight sewing Zig Zag buttonholes any size. Invisible Blind hem Monogram Satin stitch embroidery applique sew on buttons and snaps to stitch elastic stitch All of this and in Ore without the need of old fashioned coms or programmers. Your Price with this of $138, without this and $529. Mastercard and Vise accepted your checks Welcome. Layaway accepted m00-221-4652 Trade ins accepted nationwide service policy included phone orders accepted 4 hours Only a saturday May 17 9 . I . 3 .-7 . . Best Western Motel 201 s. Jefferson 2200 w. Burlington of. Pleasant Iowa Fairfield Iowa

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