Central Montana Medical Center
408 Wendell Ave, Lewistown, MT 59457
(406) 535-7711
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When are visiting hours to ICU?
Hospital visiting hours are between the hours of 11:00 a.m. to 8:00 p.m. We ask that all visitors who wish to visit someone in ICU, use the call button located on the wall to the right, outside of ICU. There are no limitations as to when family members can visit. We kindly request that famIly members avoid visiting during the hours of 7:00 a.m. - 7:30 a.m. and 7:00 p.m. - 7:30 p.m., during patient report. Family members may call at anytime 538-6260, for progress reports on a patient condition.

When will I see the Doctor? When does the Doctor make his rounds?
Each doctor varies when they make their rounds. It is usually between the hours of 7:30 a.m. - 9:30 a.m. and then they may make another round between the hours of 4:00 p.m. - 5:30 p.m. If there are any concems from the patient about their care or any changes in the patient condition, the Nurse will contact your personal Doctor throughout the day to keep them updated.

When will I get my X-rays?
There is Radiologist available during the week. Results of the X-rays are posted in your chart by 5:00 p.m. Your Doctor may review the results with you when he/she makes his/her rounds. If there are any concerns with your x-rays, the Radiologist will contact your personal Physician and they will plan your care according to the results.

Why do I have to keep the monitor on continuously?
Each of our patients that are admitted to ICU wear a Spacelabs monitor that allows us to closely monitor a patient's condition systematically at a more intensive level that a regular hospital admission. This monitor system allows us to closely assess heart rate/pulse, oxygen saturation and blood pressure. Some monitor equipment can be disconnected for a short time while patients are moving around the room, but must be reconnected to maintain this higher level of care required. For patients that are ordered by their Doctor to ambulate in the hall, we do have a telemetry unit that fits into the pocket of the hospital gown. This unit allows us to monitor a patient's heart rate during increased activity.

Can I have caffeinated coffee when I am in ICU?
Due to the stimulating systemic effects of caffeine, you will be given decaffeinated beverages while in the ICU. Diet orders by the doctor, and their caffeine content, can be quite different and depend on your health status and condition. Patients are invited to discuss diet changes and recommendations with their physician if they prefer caffeinated beverages.

Can family members stay overnight in ICU with a patient?
A spouse, a significant other, or one immediate family member may stay at the patient's bedside. We do have a cot or a recliner available for family members' comfort. Family members are also welcome to stay in the waiting area just outside the ICU area.

What experience level do the nurse's in ICU/CCU have?
All the nurses who have primary responsibility for patient care are Registered Nurses. Most have more than 5 years experience caring for patients with critical illnesses. These nurses have specialized training in heart rhythm analysis, advanced cardiac life support techniques, and the use of all emergency drugs and interventions.

No more than 3 patients are assigned to one nurse at any time.. For critical patients who exhibit unstable vital signs, a 1 to 1 nurse to patient ratio may be used. Often the ICU nurse bas a Certified Nursing Assistant to help provide care to the patients.

What should I do if I think I am having a heart attack?
If you, or someone you know are having symptoms of heart attack ( shortness of breath, pressure or pain in the chest, neck, arms or back, nausea, upset stomach, burning indigestion, or cold sweats), you should come to the hospital Emergency Department as soon as you can. Calling 911 is a safe and rapid method of getting to the Emergency Room.

Our ER doctor will determine what is happening to you at that time. Special tests to determine the health of your heart will be performed. If you are having a heart attack, you may be admitted to the Coronary Care Unit (CCU) for close observation, or flown immediately to a larger hospital for more testing and correction of the problem.

Remember, "Time is muscle!!!". This means that the longer you wait, the more damage your heart may sustain. Call 911 fast if you believe you may need an evaluation.

What if I am a smoker and am admitted to the hospital?
Smoking in the hospital has been prohibited. If you smoke, your doctor may provide you with a low dose nicotine replacement treatment to help with the cravings. You may also be offered medicines that can help with the nervousness some smoker feel when unable to smoke.

How will I know what to do when I get home?
A large part of what your ICU nurses will do during your stay is to educate you about your particular disease process. We have many educational handouts and resources that are available to patients and families. Our goal is to teach you and your family everything you will need to know about how to manage once you are home.

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