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The Miriam Hospital
Centers and Services
Nursing at The Miriam Hospital
Patient Care Areas: Ambulatory/Cancer Services
Fain Cancer Center
Fain 3 is the outpatient Hematology/Oncology Suite. The purpose of this Cancer Center is to assess, plan, and implement Oncology care, while educating patients and their family members. This process is accomplished from the collaborative team members of 7 Hematologists/Oncologists, 16 RNs, 2 Social Workers, Lab Technicians, CNAs, LPN, hospital pharmacists, clinical manager, and Practice manager. The Suite design allows 19 reclining chairs and 3 beds in a circular treatment area. The specially trained RN's administer Chemotherapy, Blood products, and multiple IV drugs. They monitor and provide interventions for pain and symptom management. formal education classes are presented to the patient and family prior to the initiation of the Chemotherapy. In addition, the nursing staff arranges community care, such as Visiting Nurse Home care, and IV Infusion care. The Cancer Center offers an RN who is available to accept phone triage. There are 2 RNs who work closely with the Oncologists in various Chemotherapy Research Protocols. The Suite also provides services to other Miriam physician's patients, such as injections, Blood products and IV medications.
The Suite C Clinic located on Fain-2 provides coordinated, patient-centered care in an educational environment to improve the health status of the community. Suite C staff consists of three full-time nurses, two full-time secretaries and a part-time secretary. The nurses, who provide care to medical, surgical and neurology patients, are also responsible for answering and triaging patient calls on the nurse line. A certified diabetes educator provides information on dietary management, exercise, glucose self-monitoring and diabetes management resources.
Under the supervision of an attending physician, The Miriam Hospital's medical residents provide care in the Medical Clinic. There are four sessions per week. Patients may self-refer, or be referred from other services, such as the Emergency Department, or for post-discharge follow-up. Patients receive acute and long-term follow-up care, as well as blood pressure screening, immunizations, and blood glucose monitoring for disease prevention and health promotion.
A physician's assistant and surgical residents provide care in the Surgical Clinic under the supervision of an attending physician. Surgical Clinic meets twice per week. Patients may self-refer, or be referred from other services, such as the Emergency Department, or for post-discharge follow-up. Some minor surgical procedures, such as incision and drainage of small superficial abscesses, excision of small benign skin lesions and superficial biopsies may be performed in Surgical Clinic.
Attending neurologists provide care in the Neurology Clinic on a rotating basis. There is one Neurology Clinic session per month. Patients may self-refer, or be referred from other services, such as the Emergency Department, or for post-discharge follow-up. Patients receive acute and long-term follow-up neurological care.
The Tuberculosis Clinic is located in the RISE building. It is an off-site clinic affiliated with The Miriam Hospital's department of ambulatory care. It is the only TB clinic in Rhode Island. It is partially supported by the Rhode Island Department of Health as a public health clinic. The Clinic sees about 40 to 50 active TB patients yearly, as well as patients with latent TB infection. The Clinic has approximately 7,500 patient visits per year. Medical coverage for five to six weekly clinic sessions is provided by a part-time medical director and two part-time physicians. The clinical staff consists of one full-time nurse, two part-time nurses and three per diem nurses. There are two full-time secretaries and a part-time Spanish interpreter. The Clinic has a fill-time administrative coordinator and an RN clinical supervisor. Another component of the TB program is the Directly-Observed Therapy Program (DOT), an outreach effort. Under this program, medications are packaged by The Miriam Hospital pharmacy, are dispensed to patients in their homes on a daily basis by R. I. Department of Health outreach workers, and the patients are monitored by RISE TB Clinic nurses. The R.I. Department of Health uses the Clinic to conduct weekly PPD testing. Patients found to have a positive PPD are referred to the RISE TB Clinic for evaluation.
Men's Health Center
The Men's Health Center staff consists of two physicians, a psychologist, a research nurse and supportive staff. Patients may self-refer or be referred from other services. Patients receive comprehensive clinical services and supportive therapy related to male and female sexual health and dysfunctions.