Clinic Nurse
Content
OB-GYN (CLINIC/OFFICE) NURSE
Assess patients to identify appropriate nursing interventions, Dispense and administer medications and treatments as prescribed by a physician, Monitor, assess, address, document and report symptoms and changes in patients' conditions, Provide supportive counselling and life skills programming, Conduct disease screening, Deliver immunization programs Assess patients to identify appropriate nursing interventions, Dispense and administer medications and treatments as prescribed by a physician, Provide health education, Provide supportive counselling and life skills programming OB/GYN nurses provide a variety of functions related to the female reproductive system from menstruation to menopause including childbirth. Some specialize in labor, delivery, neonatal nursing (caring for newborns), and neonatal intensive care, in which they tend to newborns with medical complications, including premature babies. OB/GYN nurses also admit patients, perform administrative duties, take patient's medical histories, and assist OB/GYN physicians and surgeons with gynecological (pelvic) exams, ultrasounds and surgeries, including hysterectomies. They explain procedures, offer advice and care to women who have had miscarriages or stillbirths, and educate women regarding sexually transmitted diseases, birth control and pre-natal care. Those who specialize in obstetrics (OB) prepare mothers for birth and take post-delivery care of mother and child. They review the fetus's development, execute vaginal exams, determine fetal heart tones, monitor contractions, and assist mothers in labor with breathing exercises. They prepare women who need Cesarean sections and assist doctors with administering pain medication. After the baby is born, OB nurses apply the mother and infant's ID bands, weigh and measure the infant, operate OB equipment for nursery care, and assist with the baby's care. They also provide instruction in how to care for the child after leaving the hospital. DYSPLASIA CLINIC PROGRAM Cervical dysplasia is the abnormal growth of cells on the surface of the cervix, the lowest part of a woman's uterus. Although these cells are not cancer, it is considered a precancerous condition. The majority of cervical dysplasia is caused by an infection with Human Papillomavirus (HPV). The Cervical Dysplasia Program may also be referred to as the "Abnormal Pap Smear Program." Our program was established to monitor your condition and may require frequent follow-up visits. You may need treatment or to be followed for several years. By not completing the recommended follow-up as directed by your GYN provider, you may be placing yourself at increased risk for complications such as cervical cancer. Newly diagnosed patients may be referred to our specialty clinic by their Primary Care
Manager (PCM) after they have had an abnormal Pap smear result. Patients with a past history of abnormal Pap smears that are transferring from another base or civilian provider may contact their PCM and request a referral to our Cervical Dysplasia Program for ongoing care. INJECTIONS Depo-Provera and Lupron Depot: Once you have received a prescription for Lupron/Depo-Provera, you can walk into the OB-GYN clinic anytime Monday-Friday (except family days, federal holidays, and the first Wednesday of each month) 0800-1100 and 1300-1500 to receive your injection BLOOD PRESSURE CHECKS No appointment is necessary; walk in Monday-Friday (except family days, federal holidays, and the first Wednesday of each month) 0730-1145 and 1245-1600.
ULTRASOUNDS An ultrasound is a technique to image the baby in the uterus and the pelvic organs by using sound waves. The ultrasound is not a treatment, but is used for diagnostic purposes and is not harmful to the fetus or the mother. In most cases, the first OB appointment will include an ultrasound for fetal dating. At approximately 20 weeks, another ultrasound will usually be done in radiology or off base for fetal anatomy. We do not do ultrasounds to determine the sex of the baby.
CHILDREN For the safety of our patients and their children, we recommend that you bring someone to care for your child during your examination, or make appropriate child care arrangements prior to your appointment. If your appointment requires an internal exam and you do not have a caregiver for your child, your appointment may need to be rescheduled.
PATIENT CONFIDENTIALITY Every patient has the right to a confidential visit with their provider. We request that only one person be present during the patient's exam. MEDICAL RECORDS Only OB records are maintained in the OB-GYN Clinic. If you need a copy of your
records because you are separating or PCSing, please provide the clinic with a copy of your (sponsors) orders, as well as a 48- hour notice to make the copies. If you need a copy because you're being followed by a provider off base, a medical release must be filled out and placed in your chart. It is a HIPAA violation to send, fax, or give out protected health information (PHI) to another medical facility without approved consent. MEDICATION REFILLS Prescriptions with refills should be called in to the Satellite Pharmacy by calling (850) 883-8160. If your prescription has expired, please call 883-8600, to leave a message for a health professional in the clinic between the hours of 7:30 a.m. - 4 p.m. SERVICES
We provide full-service, comprehensive women's health care in a family oriented and empathetic atmosphere. Our primary goal is to provide quality, personal preventive health care for a woman through all stages in her life.
Annual GYN Exam GYN exams are an integral part of a woman's comprehensive health care and can help you prevent illness, detect cancers (such as cervical, uterine and breast cancer) at an early and potentially more treatable stage, and provide health care before, during and after pregnancy. All of our physicians and nurse practitioners would be pleased to schedule an GYN exam with you. Pregnancy Being pregnant can be a wonderful and exciting time in your life, but can also be filled with questions and concerns. If you're pregnant, or think you might be, our physicians or nurse practitioners are ready to help. Other Services 4-D ultrasound at all locations. 4-D gives you a 3-dimensional video of the baby in the womb. DVD's are available for you to keep. Essure, Implanon, Mirena and many other birth control options. Urinary incontinence diagnosis and treatment What They Do OB/GYN nurses provide a variety of functions related to the female reproductive system
from menstruation to menopause including childbirth. Some specialize in labor, delivery, neonatal nursing (caring for newborns), and neonatal intensive care, in which they tend to newborns with medical complications, including premature babies. OB/GYN nurses also admit patients, perform administrative duties, take patient's medical histories, and assist OB/GYN physicians and surgeons with gynecological (pelvic) exams, ultrasounds and surgeries, including hysterectomies. They explain procedures, offer advice and care to women who have had miscarriages or stillbirths, and educate women regarding sexually transmitted diseases, birth control and pre-natal care. Those who specialize in obstetrics (OB) prepare mothers for birth and take post-delivery care of mother and child. They review the fetus's development, execute vaginal exams, determine fetal heart tones, monitor contractions, and assist mothers in labor with breathing exercises. They prepare women who need Cesarean sections and assist doctors with administering pain medication. After the baby is born, OB nurses apply the mother and infant's ID bands, weigh and measure the infant, operate OB equipment for nursery care, and assist with the baby's care. They also provide instruction in how to care for the child after leaving the hospital. The OB/GYN Department is a Women’s Ambulatory clinic which provides comprehensive women’s health care to women military personnel and eligible beneficiaries. Well woman exams and gynecology services are provided to women from adolescence through post menopause. This includes annual exams, birth control, treatment for sexually transmitted disease, emergency contraception and medical and/or surgical management of women’s health problems. Birth control counseling Obstetric and gynecologic ultrasounds, including early testing for birth defects and 3D/4D imaging when indicated Well women exams (including yearly PAP tests) are performed at the Mary Elizabeth Walker Center (MEWC). Please call 760-380-3124 to schedule a Well Woman Exam. Routine Birth Control, including IUD placement, can be done at the MEWC. Pregnancy Tests: Pregnancy tests are available at the clinic every Monday, Wednesday, and Friday from 0800-1100 hours. Eligible beneficiaries must present a valid government ID. Pregnancy test results are available every Monday, Wednesday, and Friday from 13001600 hours. In order to ensure patient confidentiality, results must be picked up in person by the patient. A valid government ID is required to receive results. If you are new to Fort Irwin, please ensure that you are registered in DEERS prior to coming to the clinic. You need to be in the Weed Army Community Hospital database in
order for us to process the request. OB Registration: Once a pregnancy is confirmed by our lab or you are pregnant transferring from another facility, you must attend OB Registration Class. Upon receipt of your pregnancy test results, you will schedule an appointment for registration. If you are transferring, please call or stop by the clinic to schedule an appointment. Please bring any OB records regarding your current pregnancy with you. You will complete paperwork regarding past medical, surgical, and family histories. You will then review your information with a Licensed Practical Nurse or Registered Nurse. OB Orientation: OB Orientation is offered twice a month on Monday mornings from 0900-1100 hrs at the Blackhorse Chapel (across from the hospital). This is a mandatory class for all newly registered and new OB transfer patients. It provides information on local resources and reviews the expected plan of care. Exception to policy is given to those women that have already delivered at Weed Army Community Hospital within the last 12 months. Your class date will be given to you at OB Registration. OB Emergencies: The OB/GYN clinic does not have same day appointments. Any patients experiencing an emergency less than 20 weeks gestation needs to report to the nearest emergency room. The phone number to the WACH ED is 760-380-3114. Any patient greater than 20 weeks can report directly to the Mother Baby Unit (MBU). The MBU phone number is 760-380-3185. If you have a question and would like to speak to a Registered Nurse, please call the clinic during duty hours. After duty hours, weekends, and holidays you can call the MBU or 1-866-835-1647 (Tricare After-Hours Nurse Triage Line). Patient Education: We offer a variety of educational opportunities to include OB Orientation, Expectant Parent Class, and Breastfeeding Basic Class. Please contact the clinic for dates, time, and location. A Breastfeeding Support Group is offered at the Mary Elizabeth Walker Clinic on a monthly basis. Please contact 760-380-7340 for more information. They provide routine health screening, contraception, pregnancy care and menopause management. They also diagnose and treat specific disorders of the reproductive system including menstrual irregularities, abnormal Pap smear, endometriosis, infertility, high risk pregnancy and gynecologic cancer.
Nurses in OB Associate:They assist the care providers with patient education and counseling, lab tests, surgery scheduling, follow-up calls, and even hospital visits to the OB and surgical patients. Jan is a lactation consultant. You will always find one of them available for a quick call-back if you have any questions or concerns. They stay current with continued education and training. They are a great support system for any patient, from birth control to post menopausal issues. Any expectant mother would also feel secure with these great nurses helping them through pregnancy and after delivery. Certified Nurse Midwife: Yearly gynecological exam, Family Planning, Health Maintenance Counseling for STDs, Menopause, fertility.Prenatal and post partum care. Bedside support in the hospital , labor until birth. Also natural pain control option, can also order pain medication including epidural. Annual Exams • Birth Control • Breast Screening • Infertility • Menopause Clinics • Urinary Leakage • General Gynecological Surgery • Minimally Invasive Surgical and Office Procedures • Osteoporosis (DEXA) • Certified Ultrasound Services • Lab Services. Annual Wellness Exams Pelvic Exam Pap smear Breast Exam Contraception Pills Patch (OrthoEvra) Vaginal ring (Nuvaring) Implant (Implanon) Injection (Depo Provera) IUD (Mirena and Paragard) Diaphragm Ultrasound We offer a screening ultrasound to our pregnant patients at 19-22 weeks. An ultrasound examination at this time of the pregnancy allows an assessment of the baby’s growth and development. Abnormal conditions (congenital anomalies or birth defects) may be detected. The ultrasound also helps confirm the due date. Most insurance companies provide coverage for this type of ultrasound examination. Please be aware that not all birth defects can be detected by ultrasound. Some abnormalities are too small to be seen or appear later in pregnancy. Some organ systems may be more difficult to assess because of the baby’s position or the size of the mother. We do not regard this examination as the making of a keepsake video and do not give out a videotaped copy of the ultrasound. We also do not allow video cameras in the room during the examination. We ask that you limit the number of people that accompany you to three. While there are businesses that perform 3-D and 4-D ultrasound examinations as
keepsakes, these types of ultrasound examinations are usually not medically indicated and are not covered by insurance unless there is a medical reason for performing the exam. We do not perform 3-D and 4-D ultrasounds in our office. Vaccines are recommended for all adults to protect them from infectious diseases. Vaccination is acknowledged to be one of the most cost effective public health strategies available in preventing infectious and communicable infections. Many adults are taking a proactive role in their healthcare these days by eating better and exercising, but forego one of the simplest preventative care measures available, adult vaccinations. On average 50,000 adult Americans die from vaccine-preventable diseases and from complication of influenza, pneumococcal infections, and hepatitis B each year. These diseases and others can be prevented by vaccines and are very effective, but underused. Some adults incorrectly assume that the vaccines they received as children will protect them for the rest of their lives.? This is true for certain diseases, however vaccinations for certain disease must be repeated periodically to maintain immunity.
Ambulatory OB/GYN Nursing
This Conference will enable you to better: Assess and manage common and complex women’s health problems, including PCOS, pelvic pain, abnormal vaginal bleeding, sexual dysfunction, and abnormal pap test. Identify contemporary management strategies for a variety of high-risk obstetric complications, including obesity, hypertensive disorders, first trimester complications, gestational diabetes, perinatal infections, and OB office emergencies. Examine common myths and misconceptions related to contraceptive management and plan to revise protocols based on the evidence. Provide appropriate pharmacotherapy for select women’s health and obstetric conditions. Describe common areas of medical-legal risk in ambulatory OB/GYN care.
OUR UNIVERSITY TRAINED OB GYN SPECIALISTS ARE PLEASED TO OFFER YOU PROFESSIONAL SERVICES WITH CARE COMPASSION AND SKILL
Services We Are Proud To Offer: OBSTETRICS HIGH RISK PRENATAL CARE LOW RISK PRENATAL CARE
OFFICE ULTRASOUND EVALUATIONS GYNECOLOGY ABDOMINAL HYSTERECTOMY ABDOMINAL SACROCOLPOPEXY ABNORMAL BLEEDING BLADDER PROBLEMS BREAST EXAMS CONTRACEPTION INTRAUTERINE DEVICES COLPOSCOPY CRYOSURGERY DEPO PROVERA ECTOPIC PREGNANCY EMERGENCY CONTRACEPTION ENDOMETRIAL BIOPSIES ENDOMETRIOSIS EXCISION OF MOLES/SKIN TAGS ESSURE OFFICE STERILIZATION FAMILY PLANNING GENERAL GYNECOLOGY HORMONAL IMBALANCE HOSPITAL CONSULTS HUMAN PAPILLOMA VIRUS INFERTILITY LAPAROSCOPIC BURCH PROCEDURES LAPAROSCOPIC HYSTERECTOMY LAPAROSCOPY LASER TREATMENT LEEP EXCISION OFFICE TREATMENT LIBIDO/SEXUAL DYSFUNCTION ISSUES MENOPAUSAL MANAGEMENT NORPLANT REMOVAL NOVASURE OFFICE ENDOMETRIAL ABLATIONS OFFICE CONSULTS OFFICE GYNECOLOGY OFFICE PERMANENT STERILIZATION OFFICE SURGERY OVARIAN CYSTS PAP SMEARS PRECONCEPTUAL CARE PREMENSTRUAL STRESS SYNDROME ROUTINE PHYSICAL EXAM SEXUALLY TRANSMITTED DISEASE TESTING &TREATMENT
STERILIZATION PROCEDURES SUPRACERVICAL HYSTERECTOMY TREATMENT OF FIBROIDS UROGYNECOLOGY VAGINAL HYSTERECTOMY VAGINAL SURGERY VAGINITIS WEIGHT LOSS WELL WOMEN PHYSICALS
Obstetrical Services
Natural Labor And Childbirth Tell me more → Pain Relief In Labor Tell me more → Inductions Of Labor Tell me more → Vaginal Births After Cesarean Sections Tell me more → Cesarean Sections Tell me more → Twins Tell me more → High-Risk Pregnancies Tell me more → Ultrasound Tell me more → Home-Birthing Consultation/Transport Tell me more → Transfer Patients We accept transfer patients who have had previous prenatal care and are less than 35 gestational weeks on a case by case basis. This is to ensure that all transfer patients are able to fully gain the experience of our collaborative model. Gynecological Services Annual Well-woman Exams Tell me more → Abnormal Bleeding Tell me more → Pelvic Pain / Endometriosis Tell me more → Family Planning / Contraception Tell me more → Infertility Evaluation / Treatment Tell me more → Abnormal Pap Smears / Colposcopy Tell me more → Menopausal Care / Bioidentical Hormones Tell me more → Excellence is our goal, and our patients can expect the best possible medical care. We provide a full range of services, including: Nurse Practitioner: Laura has previously practiced in a family practice office, allergy clinic, and urgent care center. Gynecological services provided include: Care pre and post menopause, including hormone replacement Prescriptions Birth control counseling and management (including Mirena IUD, Paraguard IUD, and the NuvaRing) Evaluation and treatment of common infections
Health and wellness counseling Annual physical exams, including Pap smears Screening and referral for other health problems STD screening and follow-up Annual GYN Exams Premarital Exams Cancer Screening Abnormal Periods Abnormal Pap Smears Endometriosis Birth Control Breast Exams Infertility Full Obstetrical Services In-Office Ultrasound In-Office Ablation Laparoscopic Surgeries Menopause Management Bladder Control Problems Treatment of Pelvic Pain SERVICES OFFERED at Women's Health and Perinatal Center Annual Exams (Pap smears) Birth Control Methods Natural Family Planning Menstrual Irregularities Postmenopausal Bleeding Breast Complaints Pelvic Pain Annual Pelvic and Breast Exams: During the annual exam the provider will routinely perform a breast exam and a PAP smear. While doing the PAP smear the provider may also perform a rectal exam. If you are uncomfortable with any aspects of the exam please let your provider know. The annual exam may not include other important tests/exams you may need on an annual basis. Please see your PCM to schedule a yearly physical exam. SUB-SPECIALITY SERVICES PROVIDED IN THE WOMEN'S HEALTH CLINIC INCLUDE: Reproductive Endocrinology and Infertility Urogynecology Gynecology
Dysplasia REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY Criteria: Referral from provider An Endocrinologist is a physician with special expertise in offering: Tubal Anastomsis Superovulation In Vitro Fertilization Female Endocrine Disorders Intrauterine Insemination Donor Sperm Donor Egg Donor Embryo NOTE: Although these services are listed, they may involve going to a Network facility and paying a portion of the cost. UROGYNECOLOGY Criteria: Referral from provider A Urogynecologist is a physician with special expertise in problems such as: Loss of Bladder or Bowel Control Difficulty Urinating Pelvic Organ Prolapse Difficulty Defecating Although your PCM may have some knowledge about these problems, an urogynecologist may be able to offer additional expertise. Specialized diagnostic test may be needed for a complete and accurate diagnosis. These tests may include the evaluation of bladder function and vaginal support. If additional expertise and testing is needed, ask your PCM to consider sending a consultation. GYNONCOLOGY Criteria: Referral from provider A Gynecologic Oncologist is a physician with special expertise in female cancer such as Uterine Cancer Ovarian Cancer Vulver Cancer Vaginal Cancer Difficult gynecologic surgeries DYSPLASIA CLINIC:
Criteria: Patient's having an abnormal pap smear are seen in Dysplasia Clinic. If your pap smear has cervical cells that appear to be abnormal, you will be referred to the Dysplasia Clinic for further examination, testing and/or treatment. If your pap smear was completed in the Women's Health Clinic, you will be contacted by the Dysplasia Clinic for scheduling. If your pap smear was performed by your PCM, your PCM nurse or provider will inform you to contact the Dysplasia clinic for scheduling. Two days prior to your Dysplasia Clinic visit, avoid douching, spermicidal foams, creams, jellies, or vaginal medications (except as directed by your physician; such compounds may wash away or hide abnormal cells). A pregnancy test result is required on the majority of patients before the appointment. During a dysplasia appointment the provider will perform a Colposcopy and, if necessary, scrapings or biopsies. It is important to inform the provider of possible pregnancy prior to the exam for this may change your treatment plan. INJECTIONS: Depo-Provera and Lupron depot Shot Administration: Lupron and Depo-Provera injections are given in the Women's Health Center on Monday, Wednesday, and Friday from 8:30 to 9:30. Please call our receptionist at (937) 257-1160 to request your medical records prior to your injection. PERINATAL CLINIC SERVICES INCLUDE: Pregnancy tests Pregnancy care Fetal Monitoring Genetic Counseling Ultrasounds Care Offered: Pregnancy tests are done at the Perinatal Center on a walk-in basis Monday-Friday between the hours of 0800-1200. Please wait until you are two weeks late on your menses (period) before coming for a pregnancy test. If your home pregnancy test was positive, still wait the two weeks to obtain a pregnancy test from the Perinatal Center, this will ensure an accurate test. Prenatal Care will begin after a positive pregnancy test result. If your pregnancy test was performed in the Perinatal Clinic, and the result is positive, we will schedule you for an OB orientation class. This class is an hour in length. During this visit, you will interview with a nurse, fill out paperwork information required for your OB record, and receive a time and date for your new OB appointment with the physician. This appointment is scheduled approximately 10-12 weeks of pregnancy. If you performed a home pregnancy test, which was positive, you are two weeks (or more), late on your menses, and you have not visited the Perinatal Center for a Pregnancy Test, please contact or come visit us right away. MATERNAL-FETAL MEDICINE:
Our Perinatal Center here at Wright-Patterson AFB is proud to have a Maternal Fetal Medicine (MFM) doctor on its staff. An MFM, is a Perinatologist with special expertise in High-Risk pregnancies. Services also include Genetic Counseling, Prenatal Diagnostic Appointments, and a high-risk team to manage complicated OB cases. ULTRASOUND: An ultrasound is a technique to image the baby in the uterus and the pelvic organs by using sound waves. The ultrasound is not a treatment but is used for diagnostic purposes and is not harmful to the fetus or the mother. A pamphlet is available upon your request. Ideally, fetal surveys are conducted at approximately 20 weeks for all OB patients. SUB-SPECIALITY SERVICES PROVIDED IN THE PERINATAL CENTER INCLUDE: Maternal-Fetal Medicine and High Risk OB Genetic Counseling Bereavement Counseling for Perinatal Loss Breastfeeding Coordinator CLASSES OFFERED INCLUDE: Prenatal Breastfeeding Childbirth Lamaze Please contact the Perinatal Center for additional information. BIRTHING CENTER The staff of the OB/GYN Flight at Wright-Patterson has seen their dream come true. The newly renovated facility will provide a "home like" environment for our military population. Our Labor, Delivery, Recovery, Post-partum suites (LDRP) provide a highly technical environment that transforms into a home like surrounding. Our private rooms are equipped with state of the art birthing beds, monitoring capabilities, sophisticated warmers, central monitoring and computerized documentation terminals with flat screens. The same place transforms after the baby's birth: birthing bed with added comfort mattress, cabinets that hide monitors and equipment, dual-purpose warmers, rocking chair for mom to cuddle the baby and lets not forget about the support person: a nice, comfortable chair that transforms into a bed allows your support person to get a few "ZZ"'s while being available to help you with the new baby! A TV with DVD/VCR to listen to your favorite music, watch movies or obtain the additional knowledge needed for selfcare, baby's care and safety through our educational tapes collection.
Assess patients to identify appropriate nursing interventions, Dispense and administer medications and treatments as prescribed by a physician, Monitor, assess, address, document and report symptoms and changes in patients' conditions, Provide supportive counselling and life skills programming, Conduct disease screening, Deliver immunization programs Assess patients to identify appropriate nursing interventions, Dispense and administer medications and treatments as prescribed by a physician, Provide health education, Provide supportive counselling and life skills programming OB/GYN nurses provide a variety of functions related to the female reproductive system from menstruation to menopause including childbirth. Some specialize in labor, delivery, neonatal nursing (caring for newborns), and neonatal intensive care, in which they tend to newborns with medical complications, including premature babies. OB/GYN nurses also admit patients, perform administrative duties, take patient's medical histories, and assist OB/GYN physicians and surgeons with gynecological (pelvic) exams, ultrasounds and surgeries, including hysterectomies. They explain procedures, offer advice and care to women who have had miscarriages or stillbirths, and educate women regarding sexually transmitted diseases, birth control and pre-natal care. Those who specialize in obstetrics (OB) prepare mothers for birth and take post-delivery care of mother and child. They review the fetus's development, execute vaginal exams, determine fetal heart tones, monitor contractions, and assist mothers in labor with breathing exercises. They prepare women who need Cesarean sections and assist doctors with administering pain medication. After the baby is born, OB nurses apply the mother and infant's ID bands, weigh and measure the infant, operate OB equipment for nursery care, and assist with the baby's care. They also provide instruction in how to care for the child after leaving the hospital. DYSPLASIA CLINIC PROGRAM Cervical dysplasia is the abnormal growth of cells on the surface of the cervix, the lowest part of a woman's uterus. Although these cells are not cancer, it is considered a precancerous condition. The majority of cervical dysplasia is caused by an infection with Human Papillomavirus (HPV). The Cervical Dysplasia Program may also be referred to as the "Abnormal Pap Smear Program." Our program was established to monitor your condition and may require frequent follow-up visits. You may need treatment or to be followed for several years. By not completing the recommended follow-up as directed by your GYN provider, you may be placing yourself at increased risk for complications such as cervical cancer. Newly diagnosed patients may be referred to our specialty clinic by their Primary Care
Manager (PCM) after they have had an abnormal Pap smear result. Patients with a past history of abnormal Pap smears that are transferring from another base or civilian provider may contact their PCM and request a referral to our Cervical Dysplasia Program for ongoing care. INJECTIONS Depo-Provera and Lupron Depot: Once you have received a prescription for Lupron/Depo-Provera, you can walk into the OB-GYN clinic anytime Monday-Friday (except family days, federal holidays, and the first Wednesday of each month) 0800-1100 and 1300-1500 to receive your injection BLOOD PRESSURE CHECKS No appointment is necessary; walk in Monday-Friday (except family days, federal holidays, and the first Wednesday of each month) 0730-1145 and 1245-1600.
ULTRASOUNDS An ultrasound is a technique to image the baby in the uterus and the pelvic organs by using sound waves. The ultrasound is not a treatment, but is used for diagnostic purposes and is not harmful to the fetus or the mother. In most cases, the first OB appointment will include an ultrasound for fetal dating. At approximately 20 weeks, another ultrasound will usually be done in radiology or off base for fetal anatomy. We do not do ultrasounds to determine the sex of the baby.
CHILDREN For the safety of our patients and their children, we recommend that you bring someone to care for your child during your examination, or make appropriate child care arrangements prior to your appointment. If your appointment requires an internal exam and you do not have a caregiver for your child, your appointment may need to be rescheduled.
PATIENT CONFIDENTIALITY Every patient has the right to a confidential visit with their provider. We request that only one person be present during the patient's exam. MEDICAL RECORDS Only OB records are maintained in the OB-GYN Clinic. If you need a copy of your
records because you are separating or PCSing, please provide the clinic with a copy of your (sponsors) orders, as well as a 48- hour notice to make the copies. If you need a copy because you're being followed by a provider off base, a medical release must be filled out and placed in your chart. It is a HIPAA violation to send, fax, or give out protected health information (PHI) to another medical facility without approved consent. MEDICATION REFILLS Prescriptions with refills should be called in to the Satellite Pharmacy by calling (850) 883-8160. If your prescription has expired, please call 883-8600, to leave a message for a health professional in the clinic between the hours of 7:30 a.m. - 4 p.m. SERVICES
We provide full-service, comprehensive women's health care in a family oriented and empathetic atmosphere. Our primary goal is to provide quality, personal preventive health care for a woman through all stages in her life.
Annual GYN Exam GYN exams are an integral part of a woman's comprehensive health care and can help you prevent illness, detect cancers (such as cervical, uterine and breast cancer) at an early and potentially more treatable stage, and provide health care before, during and after pregnancy. All of our physicians and nurse practitioners would be pleased to schedule an GYN exam with you. Pregnancy Being pregnant can be a wonderful and exciting time in your life, but can also be filled with questions and concerns. If you're pregnant, or think you might be, our physicians or nurse practitioners are ready to help. Other Services 4-D ultrasound at all locations. 4-D gives you a 3-dimensional video of the baby in the womb. DVD's are available for you to keep. Essure, Implanon, Mirena and many other birth control options. Urinary incontinence diagnosis and treatment What They Do OB/GYN nurses provide a variety of functions related to the female reproductive system
from menstruation to menopause including childbirth. Some specialize in labor, delivery, neonatal nursing (caring for newborns), and neonatal intensive care, in which they tend to newborns with medical complications, including premature babies. OB/GYN nurses also admit patients, perform administrative duties, take patient's medical histories, and assist OB/GYN physicians and surgeons with gynecological (pelvic) exams, ultrasounds and surgeries, including hysterectomies. They explain procedures, offer advice and care to women who have had miscarriages or stillbirths, and educate women regarding sexually transmitted diseases, birth control and pre-natal care. Those who specialize in obstetrics (OB) prepare mothers for birth and take post-delivery care of mother and child. They review the fetus's development, execute vaginal exams, determine fetal heart tones, monitor contractions, and assist mothers in labor with breathing exercises. They prepare women who need Cesarean sections and assist doctors with administering pain medication. After the baby is born, OB nurses apply the mother and infant's ID bands, weigh and measure the infant, operate OB equipment for nursery care, and assist with the baby's care. They also provide instruction in how to care for the child after leaving the hospital. The OB/GYN Department is a Women’s Ambulatory clinic which provides comprehensive women’s health care to women military personnel and eligible beneficiaries. Well woman exams and gynecology services are provided to women from adolescence through post menopause. This includes annual exams, birth control, treatment for sexually transmitted disease, emergency contraception and medical and/or surgical management of women’s health problems. Birth control counseling Obstetric and gynecologic ultrasounds, including early testing for birth defects and 3D/4D imaging when indicated Well women exams (including yearly PAP tests) are performed at the Mary Elizabeth Walker Center (MEWC). Please call 760-380-3124 to schedule a Well Woman Exam. Routine Birth Control, including IUD placement, can be done at the MEWC. Pregnancy Tests: Pregnancy tests are available at the clinic every Monday, Wednesday, and Friday from 0800-1100 hours. Eligible beneficiaries must present a valid government ID. Pregnancy test results are available every Monday, Wednesday, and Friday from 13001600 hours. In order to ensure patient confidentiality, results must be picked up in person by the patient. A valid government ID is required to receive results. If you are new to Fort Irwin, please ensure that you are registered in DEERS prior to coming to the clinic. You need to be in the Weed Army Community Hospital database in
order for us to process the request. OB Registration: Once a pregnancy is confirmed by our lab or you are pregnant transferring from another facility, you must attend OB Registration Class. Upon receipt of your pregnancy test results, you will schedule an appointment for registration. If you are transferring, please call or stop by the clinic to schedule an appointment. Please bring any OB records regarding your current pregnancy with you. You will complete paperwork regarding past medical, surgical, and family histories. You will then review your information with a Licensed Practical Nurse or Registered Nurse. OB Orientation: OB Orientation is offered twice a month on Monday mornings from 0900-1100 hrs at the Blackhorse Chapel (across from the hospital). This is a mandatory class for all newly registered and new OB transfer patients. It provides information on local resources and reviews the expected plan of care. Exception to policy is given to those women that have already delivered at Weed Army Community Hospital within the last 12 months. Your class date will be given to you at OB Registration. OB Emergencies: The OB/GYN clinic does not have same day appointments. Any patients experiencing an emergency less than 20 weeks gestation needs to report to the nearest emergency room. The phone number to the WACH ED is 760-380-3114. Any patient greater than 20 weeks can report directly to the Mother Baby Unit (MBU). The MBU phone number is 760-380-3185. If you have a question and would like to speak to a Registered Nurse, please call the clinic during duty hours. After duty hours, weekends, and holidays you can call the MBU or 1-866-835-1647 (Tricare After-Hours Nurse Triage Line). Patient Education: We offer a variety of educational opportunities to include OB Orientation, Expectant Parent Class, and Breastfeeding Basic Class. Please contact the clinic for dates, time, and location. A Breastfeeding Support Group is offered at the Mary Elizabeth Walker Clinic on a monthly basis. Please contact 760-380-7340 for more information. They provide routine health screening, contraception, pregnancy care and menopause management. They also diagnose and treat specific disorders of the reproductive system including menstrual irregularities, abnormal Pap smear, endometriosis, infertility, high risk pregnancy and gynecologic cancer.
Nurses in OB Associate:They assist the care providers with patient education and counseling, lab tests, surgery scheduling, follow-up calls, and even hospital visits to the OB and surgical patients. Jan is a lactation consultant. You will always find one of them available for a quick call-back if you have any questions or concerns. They stay current with continued education and training. They are a great support system for any patient, from birth control to post menopausal issues. Any expectant mother would also feel secure with these great nurses helping them through pregnancy and after delivery. Certified Nurse Midwife: Yearly gynecological exam, Family Planning, Health Maintenance Counseling for STDs, Menopause, fertility.Prenatal and post partum care. Bedside support in the hospital , labor until birth. Also natural pain control option, can also order pain medication including epidural. Annual Exams • Birth Control • Breast Screening • Infertility • Menopause Clinics • Urinary Leakage • General Gynecological Surgery • Minimally Invasive Surgical and Office Procedures • Osteoporosis (DEXA) • Certified Ultrasound Services • Lab Services. Annual Wellness Exams Pelvic Exam Pap smear Breast Exam Contraception Pills Patch (OrthoEvra) Vaginal ring (Nuvaring) Implant (Implanon) Injection (Depo Provera) IUD (Mirena and Paragard) Diaphragm Ultrasound We offer a screening ultrasound to our pregnant patients at 19-22 weeks. An ultrasound examination at this time of the pregnancy allows an assessment of the baby’s growth and development. Abnormal conditions (congenital anomalies or birth defects) may be detected. The ultrasound also helps confirm the due date. Most insurance companies provide coverage for this type of ultrasound examination. Please be aware that not all birth defects can be detected by ultrasound. Some abnormalities are too small to be seen or appear later in pregnancy. Some organ systems may be more difficult to assess because of the baby’s position or the size of the mother. We do not regard this examination as the making of a keepsake video and do not give out a videotaped copy of the ultrasound. We also do not allow video cameras in the room during the examination. We ask that you limit the number of people that accompany you to three. While there are businesses that perform 3-D and 4-D ultrasound examinations as
keepsakes, these types of ultrasound examinations are usually not medically indicated and are not covered by insurance unless there is a medical reason for performing the exam. We do not perform 3-D and 4-D ultrasounds in our office. Vaccines are recommended for all adults to protect them from infectious diseases. Vaccination is acknowledged to be one of the most cost effective public health strategies available in preventing infectious and communicable infections. Many adults are taking a proactive role in their healthcare these days by eating better and exercising, but forego one of the simplest preventative care measures available, adult vaccinations. On average 50,000 adult Americans die from vaccine-preventable diseases and from complication of influenza, pneumococcal infections, and hepatitis B each year. These diseases and others can be prevented by vaccines and are very effective, but underused. Some adults incorrectly assume that the vaccines they received as children will protect them for the rest of their lives.? This is true for certain diseases, however vaccinations for certain disease must be repeated periodically to maintain immunity.
Ambulatory OB/GYN Nursing
This Conference will enable you to better: Assess and manage common and complex women’s health problems, including PCOS, pelvic pain, abnormal vaginal bleeding, sexual dysfunction, and abnormal pap test. Identify contemporary management strategies for a variety of high-risk obstetric complications, including obesity, hypertensive disorders, first trimester complications, gestational diabetes, perinatal infections, and OB office emergencies. Examine common myths and misconceptions related to contraceptive management and plan to revise protocols based on the evidence. Provide appropriate pharmacotherapy for select women’s health and obstetric conditions. Describe common areas of medical-legal risk in ambulatory OB/GYN care.
OUR UNIVERSITY TRAINED OB GYN SPECIALISTS ARE PLEASED TO OFFER YOU PROFESSIONAL SERVICES WITH CARE COMPASSION AND SKILL
Services We Are Proud To Offer: OBSTETRICS HIGH RISK PRENATAL CARE LOW RISK PRENATAL CARE
OFFICE ULTRASOUND EVALUATIONS GYNECOLOGY ABDOMINAL HYSTERECTOMY ABDOMINAL SACROCOLPOPEXY ABNORMAL BLEEDING BLADDER PROBLEMS BREAST EXAMS CONTRACEPTION INTRAUTERINE DEVICES COLPOSCOPY CRYOSURGERY DEPO PROVERA ECTOPIC PREGNANCY EMERGENCY CONTRACEPTION ENDOMETRIAL BIOPSIES ENDOMETRIOSIS EXCISION OF MOLES/SKIN TAGS ESSURE OFFICE STERILIZATION FAMILY PLANNING GENERAL GYNECOLOGY HORMONAL IMBALANCE HOSPITAL CONSULTS HUMAN PAPILLOMA VIRUS INFERTILITY LAPAROSCOPIC BURCH PROCEDURES LAPAROSCOPIC HYSTERECTOMY LAPAROSCOPY LASER TREATMENT LEEP EXCISION OFFICE TREATMENT LIBIDO/SEXUAL DYSFUNCTION ISSUES MENOPAUSAL MANAGEMENT NORPLANT REMOVAL NOVASURE OFFICE ENDOMETRIAL ABLATIONS OFFICE CONSULTS OFFICE GYNECOLOGY OFFICE PERMANENT STERILIZATION OFFICE SURGERY OVARIAN CYSTS PAP SMEARS PRECONCEPTUAL CARE PREMENSTRUAL STRESS SYNDROME ROUTINE PHYSICAL EXAM SEXUALLY TRANSMITTED DISEASE TESTING &TREATMENT
STERILIZATION PROCEDURES SUPRACERVICAL HYSTERECTOMY TREATMENT OF FIBROIDS UROGYNECOLOGY VAGINAL HYSTERECTOMY VAGINAL SURGERY VAGINITIS WEIGHT LOSS WELL WOMEN PHYSICALS
Obstetrical Services
Natural Labor And Childbirth Tell me more → Pain Relief In Labor Tell me more → Inductions Of Labor Tell me more → Vaginal Births After Cesarean Sections Tell me more → Cesarean Sections Tell me more → Twins Tell me more → High-Risk Pregnancies Tell me more → Ultrasound Tell me more → Home-Birthing Consultation/Transport Tell me more → Transfer Patients We accept transfer patients who have had previous prenatal care and are less than 35 gestational weeks on a case by case basis. This is to ensure that all transfer patients are able to fully gain the experience of our collaborative model. Gynecological Services Annual Well-woman Exams Tell me more → Abnormal Bleeding Tell me more → Pelvic Pain / Endometriosis Tell me more → Family Planning / Contraception Tell me more → Infertility Evaluation / Treatment Tell me more → Abnormal Pap Smears / Colposcopy Tell me more → Menopausal Care / Bioidentical Hormones Tell me more → Excellence is our goal, and our patients can expect the best possible medical care. We provide a full range of services, including: Nurse Practitioner: Laura has previously practiced in a family practice office, allergy clinic, and urgent care center. Gynecological services provided include: Care pre and post menopause, including hormone replacement Prescriptions Birth control counseling and management (including Mirena IUD, Paraguard IUD, and the NuvaRing) Evaluation and treatment of common infections
Health and wellness counseling Annual physical exams, including Pap smears Screening and referral for other health problems STD screening and follow-up Annual GYN Exams Premarital Exams Cancer Screening Abnormal Periods Abnormal Pap Smears Endometriosis Birth Control Breast Exams Infertility Full Obstetrical Services In-Office Ultrasound In-Office Ablation Laparoscopic Surgeries Menopause Management Bladder Control Problems Treatment of Pelvic Pain SERVICES OFFERED at Women's Health and Perinatal Center Annual Exams (Pap smears) Birth Control Methods Natural Family Planning Menstrual Irregularities Postmenopausal Bleeding Breast Complaints Pelvic Pain Annual Pelvic and Breast Exams: During the annual exam the provider will routinely perform a breast exam and a PAP smear. While doing the PAP smear the provider may also perform a rectal exam. If you are uncomfortable with any aspects of the exam please let your provider know. The annual exam may not include other important tests/exams you may need on an annual basis. Please see your PCM to schedule a yearly physical exam. SUB-SPECIALITY SERVICES PROVIDED IN THE WOMEN'S HEALTH CLINIC INCLUDE: Reproductive Endocrinology and Infertility Urogynecology Gynecology
Dysplasia REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY Criteria: Referral from provider An Endocrinologist is a physician with special expertise in offering: Tubal Anastomsis Superovulation In Vitro Fertilization Female Endocrine Disorders Intrauterine Insemination Donor Sperm Donor Egg Donor Embryo NOTE: Although these services are listed, they may involve going to a Network facility and paying a portion of the cost. UROGYNECOLOGY Criteria: Referral from provider A Urogynecologist is a physician with special expertise in problems such as: Loss of Bladder or Bowel Control Difficulty Urinating Pelvic Organ Prolapse Difficulty Defecating Although your PCM may have some knowledge about these problems, an urogynecologist may be able to offer additional expertise. Specialized diagnostic test may be needed for a complete and accurate diagnosis. These tests may include the evaluation of bladder function and vaginal support. If additional expertise and testing is needed, ask your PCM to consider sending a consultation. GYNONCOLOGY Criteria: Referral from provider A Gynecologic Oncologist is a physician with special expertise in female cancer such as Uterine Cancer Ovarian Cancer Vulver Cancer Vaginal Cancer Difficult gynecologic surgeries DYSPLASIA CLINIC:
Criteria: Patient's having an abnormal pap smear are seen in Dysplasia Clinic. If your pap smear has cervical cells that appear to be abnormal, you will be referred to the Dysplasia Clinic for further examination, testing and/or treatment. If your pap smear was completed in the Women's Health Clinic, you will be contacted by the Dysplasia Clinic for scheduling. If your pap smear was performed by your PCM, your PCM nurse or provider will inform you to contact the Dysplasia clinic for scheduling. Two days prior to your Dysplasia Clinic visit, avoid douching, spermicidal foams, creams, jellies, or vaginal medications (except as directed by your physician; such compounds may wash away or hide abnormal cells). A pregnancy test result is required on the majority of patients before the appointment. During a dysplasia appointment the provider will perform a Colposcopy and, if necessary, scrapings or biopsies. It is important to inform the provider of possible pregnancy prior to the exam for this may change your treatment plan. INJECTIONS: Depo-Provera and Lupron depot Shot Administration: Lupron and Depo-Provera injections are given in the Women's Health Center on Monday, Wednesday, and Friday from 8:30 to 9:30. Please call our receptionist at (937) 257-1160 to request your medical records prior to your injection. PERINATAL CLINIC SERVICES INCLUDE: Pregnancy tests Pregnancy care Fetal Monitoring Genetic Counseling Ultrasounds Care Offered: Pregnancy tests are done at the Perinatal Center on a walk-in basis Monday-Friday between the hours of 0800-1200. Please wait until you are two weeks late on your menses (period) before coming for a pregnancy test. If your home pregnancy test was positive, still wait the two weeks to obtain a pregnancy test from the Perinatal Center, this will ensure an accurate test. Prenatal Care will begin after a positive pregnancy test result. If your pregnancy test was performed in the Perinatal Clinic, and the result is positive, we will schedule you for an OB orientation class. This class is an hour in length. During this visit, you will interview with a nurse, fill out paperwork information required for your OB record, and receive a time and date for your new OB appointment with the physician. This appointment is scheduled approximately 10-12 weeks of pregnancy. If you performed a home pregnancy test, which was positive, you are two weeks (or more), late on your menses, and you have not visited the Perinatal Center for a Pregnancy Test, please contact or come visit us right away. MATERNAL-FETAL MEDICINE:
Our Perinatal Center here at Wright-Patterson AFB is proud to have a Maternal Fetal Medicine (MFM) doctor on its staff. An MFM, is a Perinatologist with special expertise in High-Risk pregnancies. Services also include Genetic Counseling, Prenatal Diagnostic Appointments, and a high-risk team to manage complicated OB cases. ULTRASOUND: An ultrasound is a technique to image the baby in the uterus and the pelvic organs by using sound waves. The ultrasound is not a treatment but is used for diagnostic purposes and is not harmful to the fetus or the mother. A pamphlet is available upon your request. Ideally, fetal surveys are conducted at approximately 20 weeks for all OB patients. SUB-SPECIALITY SERVICES PROVIDED IN THE PERINATAL CENTER INCLUDE: Maternal-Fetal Medicine and High Risk OB Genetic Counseling Bereavement Counseling for Perinatal Loss Breastfeeding Coordinator CLASSES OFFERED INCLUDE: Prenatal Breastfeeding Childbirth Lamaze Please contact the Perinatal Center for additional information. BIRTHING CENTER The staff of the OB/GYN Flight at Wright-Patterson has seen their dream come true. The newly renovated facility will provide a "home like" environment for our military population. Our Labor, Delivery, Recovery, Post-partum suites (LDRP) provide a highly technical environment that transforms into a home like surrounding. Our private rooms are equipped with state of the art birthing beds, monitoring capabilities, sophisticated warmers, central monitoring and computerized documentation terminals with flat screens. The same place transforms after the baby's birth: birthing bed with added comfort mattress, cabinets that hide monitors and equipment, dual-purpose warmers, rocking chair for mom to cuddle the baby and lets not forget about the support person: a nice, comfortable chair that transforms into a bed allows your support person to get a few "ZZ"'s while being available to help you with the new baby! A TV with DVD/VCR to listen to your favorite music, watch movies or obtain the additional knowledge needed for selfcare, baby's care and safety through our educational tapes collection.
