Auxillary volunteer helps make the time pass faster for: a 1 young Patient. ; Physical ad ustments ... Nothing in a hospital is static. The explosion of technology ‘and new drugs, the changing needs and expectations of the ’ community, the disminishing financial resources call for a ‘ delicate juggling act by the hospital's administration and board of directors. . “Even the physical space of the hospital must be stretched, . reallocated and rearranged to accommodate new equipment ‘and procedures and the increasing concentration of the pa- tient population to only the-most acutely ill. 3: ‘ Over'the past year, badly needed renovations were com- i: pleted in several areas of the hospital. The neurological special * care‘unit, “temporarily” located for 10 years in inadequate * ° quarters, was replaced in a $380,000 renovation that has pro- < duced anew six-bed unit designed forthe specialized, inten- - sive care:needed by victims of strokes and head injuries. - Nowhere is the : technology ‘explosion more’apparent than in| the imaging. services, particularly ultrasound. Both technology and demands for services have grown so rapidly -and dramatically. that enlarged space provided in 1979 was : inadequate within five years, This fall, a $167,700 renovation i project expanded the area’s three procedure rooms to five by «incorporating space occupied by a washroom and female staff ‘locker room, “Both? endoscopy, which is°.concerned primarily with diagnostic procedures ofthe belly and bowels, and the minor surgical treatment area were provided with badly needed space . by carving out pieces of a nurses’ lounge and hallway and jus- -_ gling adjacent areas on the second floor in a $375,000 renova- tion project. The increasing workloads.in these two services reflects both the advancements in technology and the tendency towards performing many examinations and procedures on f diday basis' that used to involve a stay in hospital. 13 New fumishings, paint and lighting have made the neglected .. Staff cafeteria a more pleasant place for hospital workers to take 4 their meals. Quarters for chemotherapy and respiratory services in previously unallocated space on the main floor should be ready -_by Christmas. Advances in chemotherapy and the acquisition ‘Of equipment have greatly enhanced the treatment that LGH “ can offer North’ Shore residents in these two areas. ’ ~ Other plans include the renovation of:a nursing station to serve'as'a prototype. The old-fashioned design of existing nur- sing stations did not antictpate the addition of equipment such as monitors and computers and the cramped spaces are in- adequate and inefficient. - Medium range plans involve changes on the maternity floor in keeping with its emphasis on family involvement. Under con- Sideration are changes in the special care nursery that would both facilitate nursing care and provide more privacy for families. The main nursery, first rome to approximately 1400 babies a year, also needs updatin -The maternity ward is proud of their record of obstetrical excellence and the immediate integration of the new baby in- to the family unit. The success of the temporary “birthing roorn” has convinced the staff of the advantages of a labour/ delivery area — large, pleasant family-oriented rooms where both labour and delivery take place in the same bed instead of moving to a more clinical delivery room. Improved bathroom facilities and a smail kitchen for making snacks would also enhance the family atmosphere of the ward. Long range plans include the main-hospital kitchen, where outdated equipment doesn’t lend itself to optimum efficiency. Renovations will continue as the hospital adjusts to meet the pressures of community needs, changes in the delivery of health care, and increased economic restrictions. The assurance of quality health care for the North Shore depends on the continuation of the experience and foresight and in- novative management of the hospital's administration and board of directors partnered with the continuing interest and support of the community. _C. Donald 31 ~ Sunday, June 21, 1987 - North Shore News “Mos: of our measurable > indic ators. such as number of panents and visits to emergency, con- tinve 'o rise and the imiensity of care we are administering also continues to rise ~ Jotin Borthwick. President, Lions Gate Hospital The Auxiliary to LGH Nowhere is the support for quality health care and the hospital that serves their community better demonstrated than by the activites of the Auxiliary to Lions Gate Hospital. Since its formation in 1921 with 26 members, the Auxiliary has dedicated itself to enhancing the comfort and well-being of the hospital's patients. Last year, the Auxiliarys 437 members dedicated 50,643 hours to activities such as escorting new pa- tients to their rooms, visiting with patients, delivering flowers and food trays, assisting patients who need help with groom- ing or eating, comforting homesick children, giving informa- tion to visitors, knitting for newborns, and working in the hospital Dogwood Shops and off-campus Thrift Shop. They were joined by 85 Candy Stripers/Cadets between the ages of 14 and 18 who donated more than 8,000 hours of after- school and holiday time. The young people are welcome in the Evergreen House extended care unit where they provide companionship, write letters and help with meals. Seven men joined the Auxiliary last year and their presence is appreciated by maie patients, in Emergency and on Evergreen House outings into the community. As the hospital's major fund-raiser, the Auxiliary.has made possible much of the expensive diagnostic and treatment equip- ment that ensures the North Shore community receives the very best up-to-date health care available. Many of the pro- grams and recreational items that enhance the quality of life of patients and Evergreen House residents are also a result of the generosity of the Auxiliary. Last year the Auxiliary pledg- ed $111,234 to the hospital. Board of Directors of the North and West Vancouver Hospital Society 1986/87 ELECTED OFFICERS District of West Vancouver H. Boswell D. Byer H. Clark V. Bennington J. Halley R. Clark P. Mansfield JM, Ware District of North Vancouver City of North Vancouver W. Perrault S. Simpson S. Larson MUNICIPAL REPRESENTATIVES Mayor M. Baker Ald. A. Blair Ald. P. Boname PROVINCIAL GOVERNMENT REPRESENTATIVE PA. White AUXILIARY REPRESENTATIVE V. Sharp MEDICAL STAFF REPRESENTATIVES Chief of Staff President of Staff Dr. N.S. Madill Dr. B. Irish EXECUTIVE STAFF OF LIONS GATE HOSPITAL dohn W. Borthwick President Eric O'Dell Executive Vice-President Dr. Ronald Sears Vice-President Medical Lynette Best Vice-President Nursing Tom E. McMillan Vice-President Gerry A. Martins Vice-President Finance STATISTICS BEDS — Average set up for the fiscal year Acute Extended Care and Discharge Planning Total (excluding bassinets) Newborn INPATIENT ADMISSIONS Acute 14,616 14,526 Long Term Care 103 205 Extended Care and Discharge Planning 89 220 Newborn - 1,561 1,597 Total 16,369 16,548 PATIENT DAYS Acute 139,070 Long Term Care : 9,315 13,285 Extended Care and Discharge Planning . 61,462 115,919 Newborn , 9,357 7,723 Total 219,204 259,336 122,409 OCCUPANCY RATE - Based on average set up during fiscal year Acute 89% 93% Extended Care 100% 100% AVERAGE LENGTH OF STAY (days) _ Acute 9.6 8.4 Newborn 6.0 4.8 EMERGENCY PATIENTS 48,917 49,309 PHARMACY . 148,385 _ ..219,190 (4 of prescriptions} OUTPATIENTS(2) — INPATIENTS(1) and Referred-in . 1982 1987 Laboratory (incl. Lab, ECG & EEG): units 2,549,854 2,644,632 -.2,410,322 2,308,061 1982 - .1987 Imaging (Radiology, Nuclear Medicine, Ultrasound and ‘ Computerized ; Tomography) - visits . 30,571 41,882 MS 29,998 37,148 Rehabilitation Medicine (Physical/Occupational Therapy) — 930 375 777,842(3) 1, gl 693° 1, 262, 538(3) : Surgical Procedures 4,988 7,371 7,774 - 7,679 ’ Medical Day Care Visits 5,998 14,438 Psychiatric Day/Night Care Visits : 12,116 12,316 - - "1982 1987 867,396 955,572 7,116,272 6,729,096 Dietary Meals Laundry - Pounds of Linen Processed Note: (1) Inpatients ~ Those F patients admitted to a hospital . (2) Outpatients ~those patients not admitted toa hospital bed, but who have undergone a treatment or diagnostic procedure at the hospital. (3) Rehabilitation -method of calculating workload unit ledicine value has changed dramatically mak- ing comparisons difficult. The Lions Gate Hospital Report to the North, hore Community is produced annually by the. Lions Gate Hospital. Photos: by Mike Noon and Denise Cherron, LGH, Colleen Manness, LGH Auxiliary, and Jo Bunaway, Writing by Jo Dunaway -