Programs and Services

Programs
& Services

The Credit Valley Hospital Home Page

The Credit Valley Hospital

Programs & Services

Ambulatory Care                                                  Maternal Services

Community Relations & Communications       Mental Health Services

Critical Care                                                           Occupational Therapy

Diabetes Education                                              Oncology

Diagnostic Imaging                                              Pharmacentre

Emergency                                                             Physiotherapy

Food Services                                                       Psychology

Health Information Management                       Rehab Day Hospital

Home Dialysis Unit                                              Rehabilitation

In-Patient Pharmacy                                             Renal Programme

Infection Prevention & Control                          Social Work

Laboratory Medicine                                           Speech and Audiology

Library                                                                    Spiritual & Religious Services

Maternal Care                                                        Surgical Unit

new.gif (1033 bytes)The Credit Valley Rehabilitation Centre


Ambulatory Care

Facts:

The number of outpatient visits to the Ambulatory Care Department in the 1998/99 fiscal year were approximately 42,000.

Features:
The Ambulatory Care Department provides multidisciplinary care in the following specialties:
Gynaecology clinics which include infertility, colposcopy and LEEP; Medicine clinics which include endocrinology, pain, epilepsy, rheumatology and recovery for procedures carried out in imaging such as biopsies; and surgical clinics which include plastics, vascular, general, fracture, breast and ophthalmology.  The ophthalmology clinics include laser treatments, eye, ultrasound, fluoroscein angiography and visual field studies.

Endoscopy

Facts:

The number of outpatient visits to the endoscopy suite in the 1998/99 fiscal year exceeded 4,700.

Features:

The endoscopy suite provides a variety of diagnostic procedures; gastroscopies, duodenoscopies, colonoscopies, flexible sigmoidoscopies, ERCP's, bronchoscopies and other procedures to control haemorrhage in the gastro-intestinal tract as well as dilatation and haemorrhoid banding.  The portability of the systems allows procedures to be done at the bedside for patients in the critical care areas of the hospital.

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Community Relations and Communications

We’re the people behind the scenes who help to make things run smoothly.

We focus on relationships internally and externally…

Here’s What We Do

We Help To Get The Message Out Through…

  • Patient Information brochures (explaining what to expect of a certain procedure, services provided, self-help/self-care assistance etc.)
  • News Releases
  • A Credit To Your Health, our eight page community newspaper
  • A Credit To Your Health video presentation on Roger’s Cable
  • Annual Report / Annual Meeting in June of every year
  • CVH’s Web site at www.cvh.on.ca
  • Special purpose videos
  • Advertising

We Also Do Community Events and Tours Such As…

  • Our Community Education Night Health Series which runs from September through June
  • Special Events/Open Houses: such as our bi-annual Teddy Bear Picnic

We’re Also Video Producers…

  • Writing, producing and directing our own A Credit To Your Health video series
  • As well as other special purpose videos
  • And we sell video footage for external purposes

We’re the "liaison" with…

  • Community
  • Media
  • Social service groups
  • Many other health care organizations and associations
  • Municipal, Provincial and Federal government representatives and agencies
  • And we have a Community Relations Officer (CRO) who greets and assists our patients and visitors as they come through the main lobby

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The Credit Valley Rehabilitation Centre

The Credit Valley Rehabilitation Centre is here to help those on the road to recovery. Providing therapy for musculoskeletal, multiple trauma and catastrophic injuries, the Rehabilitation Centre specializes in individualized, immediate access to professionals in a range of professional disciplines, specifically for Motor Vehicle Accident patients and for those with Insurance Coverage.

For referral information, please call us at 905-813-6181.
Business Hours: Monday to Friday, 8:00 a.m. to 6:00 p.m.

Our Programs Provide:
Immediate access to appropriate multidisciplinary services.
Individualized assessment by registered professionals specializing in soft tissue, trauma and complex, and head injury management.
Emphasis on early intervention and progression of treatment to promote early return to the client's pre-injury activity level (clients will enter the appropriate programme matching their state of recovery).
Frequent verbal and written communication and final report discharge.
Family involvement to include education, case conference, discharge planning and follow-up.

Our Specialized Services Include:
Medical and Neuropsychological Assessments as required;
Cognitive, Speech and Language, and NeuroMotor Rehabilitation;
Pain Management and Biofeedback Intervention;
Post Traumatic Stress Disorder Management;
Hydrotherapy Intervention;
Functional Capacity Evaluation;
Massage Therapy;
Orthopaedic Physiotherapy Assessment/Treatment;

Our Multidisciplinary Team:
Physicians
Psychologists
Occupational Therapists
Physiotherapists (manual therapy trained)
Speech and Language Pathologists
Nurses
Dietitians
Pharmacists
Massage Therapists
Kinesiologists
Social Workers

Admission Process:
The screening process initiated by a verbal or written referral consists of:
A general review of the client's status.
Clarification of rehabilitation needs.
Summary of assessment and treatment needs.

The Screening Defines:
The appropriateness of the Rehabilitation Programme.
The costs of recommended assessment or treatment plan.

Musculoskeletal - Soft Tissue Injury Programme
The Programme consists of physical therapy intervention with consultation from other disciplines as required.

PHASE I:
Intervention and treatment incorporates education and pain relieving modalities (Electrical therapies, Ultrasound, Hydrotherapy, hot and cold therapies).
Initiation of early individualized functional movement exercises and mobilizations to improve range of motion and flexibility.

PHASE II:
Progression of individualized active exercise programme to include strengthening in functional movements and endurance training.
Focus on restoring client's physical ability to match the pre-injury activity level.

Multiple Trauma - Complex Injury Programme
The Programme is an extension of the physical therapy intervention programme (as outlined above) plus the following activities as required.  Pain management intervention may include:
- education, biofeedback training, hypnosis,
- structured group activities and behavioural strategies.
Functional capacity and ergonomic evaluations at home or at job site.
Treatment and prevention of repetitive strain injury.

Catastrophic - Acquired Brain Injury Programme
The Programme provides a fully comprehensive multidisciplinary focus with the following services as required.
Physical assessment of neuromuscular status with treatment focusing on maximizing the client's mobility and functional level.
Assessment of a client's cognitive abilities with treatment directed at re-establishing pre-trauma levels of functioning.
Functional capacity evaluation, work conditioning, job or home site analysis and management of the return to work process.
Short term psychotherapy to reduce anxiety and disability related to trauma.
Assessment, treatment and management of clients with deficits in speech, language or hearing in order to maximize communicative functioning.
Individual, marital and family counselling, and discharge planning to promote psychosocial adjustment and coping skills.

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Critical Care:  ICU/CCU

Facts:

In the 1998/99 fiscal year, 442 patients were admitted to ICU and 390 patients were admitted to CCU.

Features:
The eight-bed Intensive Care Unit and eight-bed Coronary Care Unit support patients from surgical, cardiology, medical, oncology, renal and maternal child programmes. With access to state-of-the-art equipment, care is provided by a multidisciplinary team including physicians, nurses, nutritionists, pharmacists, respiratory therapists, physical and occupational therapists, social workers and chaplains.

The Intensive Care Unit provides services that include cardiac monitoring, hemodynamic monitoring and ventilator support, continuous veno-venus hemodialysis and peritoneal dialysis.  The Coronary Care Unit provides services that include cardiac monitoring, recovery from heart attacks and other cardiac supports, temporary transvenous pacemaker insertion, heart muscle biopsies, bundle of HIS studies and cardioversions.   Education for both patients and their families is a large component of care in the critical care setting.

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Diabetes Education

Facts:
The Diabetes Education Centre is open from 0800-1600 hours Monday to Friday and during the evening from 1830-2100 hours when the evening group program is in progress, (three evenings per month), patients are accepted with a written referral from a registered physician.
Programs for diabetes management include three half-day group education sessions, group evening programs, individual counseling and ongoing follow-up care. This past year the Diabetes Education Centre registered over 5,700 patient visits.

Features:
The Diabetes Education Centre at The Credit Valley Hospital provides assessment, counseling and education to both inpatients and outpatients with diabetes mellitus (Type 1 and Type 2) and gestational diabetes.
The philosophy of the Diabetes Education Program focuses upon education, teaching, and information sharing. The philosophy encompasses the belief that improved patient understanding, increased patient awareness, health promotion, and professional input into patient problem solving can, and does lead to an improved quality of life for the patient with diabetes.

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Diagnostic Imaging

The Diagnostic Imaging Department will perform over 100,000 examinations this year. This total consists of:

  • 18,000 ultrasound exams
  • 5,000 nuclear medicine exams
  • 8,500 C.T. exams
  • 5,500 mammography exams
  • 65,000 x-ray exams

Features:

The Imaging Department at The Credit Valley Hospital is equipped with state-of-the-art technology which allows us to provide the best service possible to our community. Imaging services are provided on an inpatient, outpatient and emergency basis. Emergency coverage is offered 24 hours a day, seven days a week. The majority of imaging examinations are performed digitally which allows the information to be stored by a computer system. These images can be transferred electronically to many areas of the hospital, to your doctor's office or other medical institutions.

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Emergency

Facts:
Provides optimal level of emergency care to all patients through immediate triage assessment prioritization and intervention.

Provides Emergency Care 24 hours a day, seven days a week.

Annual patient visits are 60,000.  The Credit Valley Hospital Emergency Department is among the busiest "ER's" in Metro and 905/GTA.

Features:

Recent expansion of the Emergency Department was completed in 1998 to increase treatment spaces to 34 within three patient care zones.

Care Centre One:  Provides care for emergent, acutely ill patients, e.g. Trauma, Resuscitation, etc.

Care Centre Two:  Provides care for urgent priority patients requiring care and treatment.

Care Centre Three:  Provides a Clinic Environment for ambulatory patients presenting with non-urgent patients.

Quick Response Program:  QRP staff provide early intervention and discharge planning to assist patients and families to manage care at home with appropriate supports and community services.

Crisis Intervention Team:  The Crisis Intervention Team functions as an integral part of the emergency team for management of patients and families presenting with psychosocial problems.

The type of care provided in the "ER" has shifted over the past several years, with more clinical intervention, diagnostic testing and observation care being provided in the "ER" in place of admission to a hospital bed whenever possible.

Paediatric visits are one-third of the visits to "ER" or approximately 20,000 per year.  The high volume of  paediatric patients requires additional resources and specialized skills among the multidisciplinary team for children and families.

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Food Services

Features:
Cook/Chill Food Production All food production is completed in five days for seven days' service
Skylight Meal Services Operating a "Front Door Barbecue" cart during the summer months. Permanent Pizza & Pasta Bar, and Bakery & Coffee Cafe. Serving 1,200 customers daily with 600 at lunch service. Nutrition Assessment and Education Ontario College of Dietitians' Registered Dietitians provide nutritional expertise for renal, oncology, paediatrics, general medicine clients. Patient meal choices by computerization patient meal selections are computer-driven. To accommodate individual food preferences and dislikes, each patient/client is contacted within 24 hours of admission by a food service representative or a volunteer.

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Health Information Management

Facts:
More than two million lines of medical information is transcribed each year.  A full range of centralized transcription services are available, including:  history and physical examination reports, consultations, operative reports, pathology reports, x-ray reports, etc.

Approximately 300,000 copies of patient-related information are sent out each year.   Millions of pages are scanned into CVH's optical system, to be merged with the electronically created information for viewing in the on-line patient record.

Features:
The Health Information Management Department performs the following functions regarding the information relating to patients:

  • ensures receipt of records
  • signs records in/out
  • files and retrieves paper-based patient records (1985-1996)
  • provides records to authorized users, upon request
  • scans and indexes hand-written documents
  • analyzes records for completion according to relevant legislation
  • maintains an incomplete record management system to assist physicians in ensuring mandatory data capture
  • codes all records accordingly to the ICD-9-CM classification system
  • abstracts relevant data from patient records, for submission to the national reporting agency (CIHI)
  • provides statistical analysis services
  • handles requests for release of information
  • provides copies of patient information to authorized recipients, for purposes of ongoing patient care
  • transcribes dictated reports for inclusion in the electronic health record

Recognized leaders in the electronic record progress, Health Information Management at CVH is among the first hospitals to institute hospital-wide electronic signature for all transcribed reports.  They have two work-from-home projects underway:  medical transcription and coding.  Within the next few months, they will extend their coding to include Emergency Room information.

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Home Dialysis Unit

Facts:
Each patient is assigned a primary nurse as they join the program. The nurse will assess and plan the care program with the patient and family. Each patient completes a customized in-hospital education programme before performing their own home dialysis.   The program currently has 95 patients.

Features:
Provides a program of nursing care, education and support for patients with end stage renal disease who wish to perform their own dialysis at home.

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In-Patient Pharmacy

Features:
Point of use and automated tablet counter technology utilized as part of the drug distribution system. Comprehensive intravenous admixture service including chemotherapy and total parental nutrition. Drug Use Evaluation programme ensures cost-effective and quality pharmaceutical services. Pharmacists are an integral part of the multidisciplinary team and provide patients with pharmaceutical care. Consolidated pharmaceutical procurement has been introduced to achieve effective inventory management. Fully computerized pharmacy system which is integrated with many other hospital modules.

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Infection Prevention & Control

Facts:

The Infection Prevention & Control Unit is managed by the infection control officer, and laboratory program manager.  Infection control practitioners are responsible for ground level investigation and control, and work in close harmony with the Microbiology Laboratory.  An infectious diseases specialist is also available for consultation.

Features:

The Infection Prevention & Control Unit's mandate is the prevention and control of nosocomial (hospital-acquired) infection in patients, staff and visitors.  This is achieved through continuous surveillance, epidemiological investigation of clusters of infection, education, consultation, policy and procedure development in liaison with hospital programmes and research.

Patients in-hospital, who are found to have infections of certain types may be isolated in various ways, and visitors and family may be requested to assist by paying special attention to handwashing.  These time honored "containment" techniques for infections are simple but powerful, and are increasingly important as all health care facilities face the challenge of organisms that have become resistant to many antibiotics.

The CVH Infection Prevention & Control Unit would like to remind you to get your Influenza A (flu) shot if you fall into one of the following risk groups, or have close contact i.e. family member, with someone who falls into one of the following risk groups.   (The flu shot is given every year in the autumn.):

  • persons age 65 or older
  • anyone with chronic heart, lung or kidney disease
  • anyone who lives or works in a nursing home
  • anyone with diabetes, cancer, a blood disorder or an immune problem
  • children and teenagers (ages 6 months to 18 years) who have been treated with acetylsalicylic acid (aspirin) for long periods

Persons who fall into the above high-risk categories can go to their family physician for the flu shot, free of charge.  All others, including contacts may purchase the vaccine at their local pharmacy. 

As well, persons who fall into the following risk groups below who have not had the pneumococcal vaccine can get this shot at the same time as the Influenza vaccine:

  • persons over age 65
  • adults and children over 2 years with:
  • chronic heart, lung or kidney disease
  • nephrotic syndrome
  • cirrhosis of the liver
  • alcoholism
  • diabetes mellitus
  • chronic cerebrospinal fluid leak
  • HIV infection and AIDS
  • other immunosuppressive diseases
  • no spleen or a spleen that does not work properly
  • sickle cell disease

Your family doctor is the best source of information as to whether or not you should have these vaccines.  Additional information can be found on the Internet:

Influenza vaccination

Pneumococcal vaccination

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Laboratory Medicine

GENERAL OVERVIEW

The Department of Laboratory Medicine at the Credit Valley Hospital serves both an inpatient and outpatient population, performing over two million tests annually. The state of the art laboratory provides all services to assist the physician in diagnosing patients.

TRANSFUSION MEDICINE

The role of transfusion medicine is to provide compatible blood and blood products for medical and surgical patients as well as to perform prenatal and post-partum blood grouping antibody screening for obstetrical patients.

HAEMATOLOGY

The role of haematology is to test for changes in blood cells in diseases such as anaemia infection and leukemia. This includes examinations of peripheral blood and bone marrow. In addition, this department tests the blood clotting mechanism.

HISTOLOGY/CYTOLOGY

The histology/cytology department has the responsibility for the preparation of all tissue specimens and body fluids removed at surgery, by needle biopsy or aspiration. The prepared tissue is examined by a Pathologist, who then makes a diagnosis.

MICROBIOLOGY

The Microbiology Department is responsible for the isolation, identification and subsequent antimicrobial susceptibility testing of bacteria, fungi, and pathogenic protozoa.

CLINICAL CHEMISTRY

The chemistry department involves testing in the areas of routine chemical constituents, enzymes, lipids, protein, protein electrophoresis, therapeutic drug monitoring, diabetic management, hormone analysis, routine urinalysis and profiles of abusive drugs.

GENETICS

This division includes clinical and laboratory services.  Families are referred for assessment, counseling and testing of many possible genetic conditions.  The programme also offers prenatal diagnosis.  In this Regional Cytogenetics Laboratory human chromosomes from various tissues are analyzed.

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Library

Features:
The library's collection focuses on clinical medicine with supplementary items in nursing, public health and other allied health fields. There is also a specialized consumer health collection which has approximately 300 items and a vertical file collection on medical information for the layperson. The collection is available to the public for reference use only.

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Maternal Care

Features:
One labour room six labour/birthing rooms, The labour/birthing rooms closely resemble the home environment with family involvement encouraged. Two delivery rooms/ORs one assessment room one recovery room

The Obstetrical Nursing Unit offers 39 beds in 27 rooms (19 one-bed rooms, six two-bed rooms and two four-bed rooms).

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Maternal Services

Facts:
Prenatal Education includes: Sibling and multipara classes (refresher). Parenting and postpartum. Tours of obstetrical area. Caesarean section classes. Early pregnancy. Labour and birth preparation.

Features:
Pre-registration for all births. Genetic counseling . Amniocentesis. Post-partum Clinic. Breast-feeding support.

Click here for An Introduction to New Mothers & Babies at The Credit Valley Hospital

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Mental Health Services

2D Inpatient Psychiatry

In 1998/99, the psychiatric team provided inpatient mental health services to enable the acutely ill patient to achieve optimum health, wellness and integration back into the community.

The role of the 2D multidisciplinary team is to deliver specialized programs to Peel residents with severe, acute mental illness or mental health problems.  To support this role, emergency services, short-term inpatient assessments, stabilization, short-term treatment and discharge planning are core components of the 2D inpatient psychiatric program.

Multidisciplinary care and treatment were provided for approximately 500 patients, with an average length of stay of 14.23 days per patient.

The mental health population is particularly vulnerable because of the nature of their problems.  Most experience significant difficulties achieving the basics in life, such as shelter and job, as well as appropriate treatment and community support.  The 2D Nursing staff focus on providing individual and group therapy (goal setting, wellness, life skills, focus, activity, relaxation and exercise) to facilitate improved patient functioning in activities of daily living, adult social, recreational and employment roles and activities.

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Occupational Therapy and Therapeutic Recreation

Facts:

9,684 inpatient; 8,890 outpatient visits to occupational therapy; 6,540 inpatient; 545 outpatient visits to Therapeutic Recreation.

Features:

Occupational Therapy

Assessment and treatment in order to promote, develop or maintain function and independence in daily living skills. Inpatient and outpatient services for individuals of all ages, with impaired functioning due to physical injury or illness, psychiatric illness, psychological problems, developmental delays or the aging process. Interventions are directed toward physical function, sensory retraining, activities of daily living, perceptual/cognitive functions, vocational adjustment, emotional adjustment, splinting, equipment prescription (wheelchairs, assistive devices).

Inpatient services - medicine, surgery, renal, oncology, cardiac, rehabilitation, continuing care, special care nursery, inpatient psychiatry.

Outpatient programs - hands and orthopaedics, paediatrics, rehabilitation day hospital, schizophrenia programme, child and family services, START mental health day hospital and The Credit Valley Rehab Centre.

Therapeutic Recreation

Treatment, education and recreation participation to enable persons with physical, cognitive, emotional or social limitations to acquire and/or maintain the skills, knowledge and behaviour that will allow them optimal enjoyment of their leisure time and participate as fully as possible in society.

Interventions include leisure assessment, leisure education and counseling, leisure skills development and adaptation, resources for community reintegration, community outings, participation opportunities.

Inpatient services - rehabilitation, continuing care.

Outpatient services - rehabilitation day hospital and The Credit Valley Rehab Centre.

Palliative Care Program - Music Therapy is available to inpatients to promote mental, physical, emotional and spiritual health.

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Oncology

The oncology programme at The Credit Valley Hospital is committed to caring for those patients requiring acute chemotherapy and supportive care using a multidisciplinary approach.  The overall goal of the program is to provide comprehensive treatment within our community.

Our recently expanded oncology clinic operates five days per week.  Although radiation therapy is not currently available, site specific clinics have been established to facilitate radiation treatment at provincial cancer centres.

Patients requiring inpatient treatment may be admitted to a dedicated oncology nursing unit.

The Ministry of Health has reaffirmed its commitment to build a regional cancer centre on The Credit Valley Hospital campus.  This centre, the Peel Regional Cancer Centre, will provide systemic and radiation therapy in addition to surgical oncology.

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Valley Cornfield Pharmacentre

Facts:
Accredited Retail Pharmacy opened in December 1994.
Hours of Operation: 9 a.m. to 11 p.m. Monday to Friday; 10 a.m. to 9 p.m. Saturdays; 11 a.m. to 7 p.m. Sundays; 10 a.m. to 7 p.m. Holidays.

Features:
Prescription and front shop services are available to outpatients of the hospital, staff and to the community.

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Physiotherapy

Physiotherapists focus on evaluating, restoring and maintaining physical function and movement.  Working as your partner and often with other healthcare professionals, a physiotherapist helps you achieve and maintain optimal health and well being.  Physiotherapists understand how the body works, and encourage their clients to improve their physical condition and increase control over their lives.

Specially educated to assess and improve movement and function, a physiotherapist can help relieve your pain by assessing your physical condition, diagnosing the problem and then working with you to develop a goal-directed strategy for change.

Physiotherapists at The Credit Valley Hospital work in both the inpatient and outpatient setting.

Specialized services offered at The Credit Valley Hospital Physiotherapy department include:

  • Outpatient orthopaedic assessment and treatment
  • Inpatient rehabilitation - neurological, medical and orthopaedic
  • Inpatient acute care - respiratory, paediatric, medical and post surgical
  • Hydrotherapeutic pool
  • Specialized outpatient fibromyalgia program
  • Specialized rheumatology program
  • Ultra violet light for dermatological referrals
  • Neurological therapy for outpatients
  • Respiratory therapy for outpatients
  • Recreation pool program for patients who have been discharged from active treatment but still would benefit from pool therapy.

The physiotherapy department is open from 0730 daily.   Evening hours are available Tuesdays and Thursdays.  For more information about our services or programs, call the department at (905) 813-1571.

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Psychology

Facts:

Over 9,000 visits annually.

Comprehensive psychological treatment provided within a programme management format.

Features:

Biobehavioural service providing treatment for individuals with chronic pain problems, phobias, post-traumatic stress disorder.

Anxiety disorders service for assessment and treatment of individuals with agoraphobia, panic disorder, social phobia, obsessive-compulsive disorder, post-traumatic stress disorder and generalized anxiety disorder.  Both individual and group treatments are offered.

Health psychology service for individuals experiencing emotional distress related to illness and disability.

Neuropsychology service for both children and adults with cognitive, emotional and personality disturbance due to brain injury.

Parenting groups for community families.

Psychotherapy training for community mental health professionals.

Supervision and training of psychology interns.

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Rehab Day Hospital

Provides rehabilitation services to the disabled of all ages, the frail and the elderly in order to maximize patient independence.

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Rehabilitation

Facts:
Anticipate approximately 25,000 patient attendances per year.

Features:

  • Occupational Therapy
  • Physiotherapy - Will provide day and evening appointments.
  • Therapy pool
  • Cardiac rehab program
  • Recreation therapy
  • Rehab day hospital - Provides rehabilitation services to the disabled, frail and elderly in order to maximize patient independence.
  • Speech and Audiology - Diagnose communicative disorders, treat patients with communicative deficits, develop and restore communicative skills.

Rehabilitation Unit

A 32 bed unit offering two primary programs:  acute adult rehabilitation (27 beds) and acute geriatric assessment (5 beds).  The rehabilitation unit is a hospital-based centre of expertise for the assessment and care plan formulation and implementation to enable the patient to attain optimum health and independence.  The rehabilitation multidisciplinary team collaborates closely with the community and health providers to facilitate the ongoing care of our patients after hospital discharge.

In 1998/99, the rehabilitation team provided inpatient rehabilitation programs and services to enable the physically and cognitively challenged patient to achieve optimum health and independence.  Multidisciplinary care and treatment was provided for 280 patients, with an average length of stay of 39 days per patient.  83% of the Rehab patients returned home.

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Renal Programme

Features:
A 42 station outpatient unit provides hemodialysis treatment. This provides 780 treatments per week to a caseload of approximately 260 patients.  A 27 bed inpatient unit has 13 nephrology beds.

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Social Work

Facts:

Master's level social workers provide service in 20 inpatient and outpatient programs throughout the hospital community.

Members of the multidisciplinary team, provide psycho-social assessment, treatment and access to community services.  As well, social workers facilitate discharge plans.

Features:

Crisis Intervention Team:

Consultation service to ER physicians, providing psychosocial assessment, referral, brief treatment and follow-up to patients in crisis.

Alcohol and Drug Treatment:

Structured day treatment program for outpatients.

Other components include: information night, relapse prevention, family intervention series and community outreach.

Quick Response Program:

Helps to avoid unnecessary hospitalization by maintaining individuals presenting in ER, at home, through community-based supports and services.

Provides mechanism for early identification of admitted patients needing discharge planning assistance.

Works in conjunction with the crisis intervention team.

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Speech and Audiology

Speech-Language Pathology Services

Special programs include family and staff education, swallowing assessments and augmentative communication aids.
Services are provided to outpatients (ages preschool to age 5 years, and adults 18+ years) and inpatients of all ages, individually or in groups.

Paediatrics: The paediatric speech language pathologists in the department provide assessment, evaluation, treatment and management for preschool children with a variety of communication difficulties including problems with articulation and phonology, language, fluency, voice and resonance are seen up until the age of 5 years. (School-age children are serviced through their school boards).

Facts:
The department provides services in a regular program, as well as in a team setting in Child and Family Services.  All of our paediatric staff members work in conjunction with therapists from Peel Regional Preschool Speech and Language Services.  This coordination of staff  allows for children to be seen much sooner than in previous years.

Features:
A new service delivery model was designed in mid-1998, when the Peel Regional Preschool Speech and Language Services program was implemented. The goal is to provide improved services for the previously under-serviced preschool population.  Emphasis was placed on establishing a central referral base and waitlist, combined with coordination of speech language pathology services throughout the Peel Region.   Intensive training workshops have been established for parents in order to teach family members how to encourage development of language skills, correct sound production, or fluent speech.  A significant emphasis is placed on home programming.  Direct therapy continues to be available to those children who require a more intensive approach, both in group formats as well as on an individual basis.

Adult Services: Adult services are provided on an inpatient and outpatient basis, for communication and swallowing disorders. A variety of communication disorders are treated, including dysarthria, dyspraxia, aphasia, voice and cognitive communication difficulties. Patients require a physician referral, and are prioritized according to the severity of the problem.

Facts:
Approximately 80 - 90% of the inpatients referred to the speech language pathologists require intervention around swallowing, in addition to any communication difficulties they are experiencing.

Features:
The department also provides services in several team settings, for patients with communication and swallowing disorders, on the acute care and rehabilitation units (in-patients) and in the rehabilitation day hospital (out-patients).

The speech language pathologists use a variety of techniques when required for a complete assessment of a patient's swallowing, which may also involve the use of videoflouroscopic procedures.

Patients requiring augmentative communication aids may be either directly serviced by one of our speech language pathologists (for low-tech devices), or the speech language pathologist may act as a facilitator in the assessment provided by external professionals (in the case of high-tech aids).

Audiology Services

The audiologists provide a wide range of services to a diverse age range of patients. There is no restriction on eligibility for service. Services include conventional, sound field or play audiometry, impedance testing (tympanometry, reflexes and reflex decay), auditory evoked potential testing for thresholds and neurological concerns.  They also provide hearing aid evaluation for all ages, with selection and fitting of a complete range of amplification devices.

Facts:
The audiologists see upwards of  2,800 patient visits per year, of which  60% of the patients are paediatric (under the age of 16).

Features:
Infants as young as 3 months of age can be assessed.  The department also oversees the implementation of an Infant Hearing Screening Program which aids in the identification of hearing impairment at an early stage of development.  Follow-up hearing aid re-assessments of the new hearing aids ensure the desired benefit has been obtained, along with subsequent monitoring of the hearing and the hearing aid fitting to ensure the desired benefit has been obtained, and continues, are also part of our audiology services.

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Spiritual & Religious Services

Spiritual & Religious Services is committed to addressing the spiritual and religious need of patients, families and staff.  We seek to help those at The Credit Valley Hospital use their own faith, faith symbols and practices to move them in a direction that is creative, wholesome and healthful.  Thus, we endeavour to generate a warm, caring and trusting environment where relationships can grow.

The co-ordinator of the Spiritual and Religious Services facilitates meeting the spiritual and religious needs of all patients.  On a regular basis, patient visitation, counseling and support for ethical deliberation is provided.

The secretary of Spiritual and Religious Services is available to meet and welcome all visitors to the department.  She receives telephone calls and referrals requesting spiritual assistance, will gather information and contact the appropriate person.  The secretary is available to assist you in locating a particular patient when necessary.

The Spiritual and Religious Services Advisory Committee serves as an advisory body to review, assess and evaluate pastoral care issues both through the resources of the Hospital and the religious community.  The committee is made up of thirteen representatives from the faith community and from hospital staff.

The spiritual and religious  needs of patients and their families may be met through patient visitation conducted by:  the co-ordinator of Spiritual and Religious Services; visitors from the department, trained in dealing with visitation, grief and bereavement; the patient's own religious leader; and representatives from the patient's congregation.  We will contact community faith groups for patients wishing to receive visits from their religious leaders and take referrals from staff who feel spiritual support is required for patients and their families.

The spiritual and religious needs of staff may be met through staff visitation conducted by the co-ordinator of Spiritual and Religious Services.

Weekly Christian interdenominational services are held in the Meditation Lounge on Sundays at 2:00 p.m.  The Meditation Lounge, on Level 2 off the main lobby, is available to everyone as a quiet place for prayer and meditation.  A Christian Communion service is celebrated on the third Wednesday of each month in Nursing Units 1D and 1E at 1:15 p.m.  A Roman Catholic Mass is celebrated in the lounge on the first Thursday of each month at 2:00 p.m.  A special memorial service is held every two months for patients who have died:  families and staff are welcome to attend this service.

Chaplains are on call 24 hours a day to provide support for patients, their families and Hospital staff and volunteers.  The co-ordinator is available Monday to Friday 0830-1630 hours at 813-3984.

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Surgical Unit

Facts:

1B is a 51 bed acute care surgical unit which provides care for the following surgical services: Ear, Nose and Throat, Dental, Opthamology, Thoracic, Orthopedic, Urology, Plastics, Vascular and General Surgery.

Click here for CVH Surgical Unit Pre-Operative Instructions

Click here for CVH Post-Operative Surgical Planners (A-Z)


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Please direct inquiries to:
CVH Webmaster
The Credit Valley Hospital.
2200 Eglinton Avenue West
Mississauga, Ontario, Canada
L5M 2N1
(905) 813-2200

Last updated on 10/04/99

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