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New technology helps patients determine the best level of care for their health needs. Renown Health just announced a new, digital tool designed to keep our community safe and healthy. Symptom Checker, which launched today, is a user-friendly, web-based platform that assesses patients’ symptoms and seamlessly directs them to the appropriate level of care within the Renown network. Symptom Checker can be accessed 24/7 by visiting Renown Symptom Checker. From there, a patient can identify the area of the body responsible for their discomfort, and specify their symptoms. Upon entering their symptoms, patients receive a detailed health summary and care guide, which helps them determine the most appropriate action to take. Patients are able to schedule a visit at a Renown location directly through the Symptom Checker portal. Patients experiencing a medical emergency should not use Symptom Checker and instead call 911. “Thanks to Symptom Checker, our patients will have around-the-clock support at their fingertips to help them make informed decisions about their healthcare needs,” said Tony Slonim, MD, DrPH, President and CEO of Renown Health. “We understand that determining the right level of care for you or your loved ones may bring about some uncertainty, which is why we are proud to continuously offer new and innovative technologies that make it easier for our community members to live healthier lives.”  “As we continue experiencing cases of COVID-19 in Washoe County, many individuals with COVID are unsure when they should seek medical care, as well as the appropriate location to receive care,” said Melodie Osborn, RN, Chief Quality and Nursing Officer, Health Services. “With Symptom Checker, people can easily input their symptoms, and include the symptom severity, to be directed to the best level of care for their individual health needs—making it an extremely valuable tool as we fight to keep our community safe and healthy amidst this pandemic.”  Symptom Checker is free to use and does not require users to be Renown patients. In addition to nearly 200 children and adult symptom care guides, the platform also features 55 first-aid topics, 147 parenting-advice topics, and 25 over-the-counter drug dosage tables for children and adults. The Symptom Checker content is written by medical doctors, Barton Schmitt and David Thompson, who are nursing triage experts; and symptom care guides stem from clinical protocols used by doctors and nurses worldwide. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath and Neurosciences. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.

Read More About Care At Your Fingertips: Renown Launches Virtual Symptom Checker

Renown Urgent Care and Emergency Room teams encourage you to stay safe. Urgent Care is available seven days a week at 10 locations across northern Nevada and Emergency Rooms 24/7.  Millions of people across the West live in areas where air pollution can cause serious health problems. Local air quality can affect our daily lives. Like the weather, it can change from day to day. Northern Nevada Public Health’s (NNPH) Air Quality Management Division (AQMD) has issued an Air Quality Advisory due to the Davis Fire burning in southern Washoe County. Air monitors for the most region hit the “Moderate” range Saturday night, which is 151-200 on the Air Quality Index (AQI). That means some members of the public may experience health effects. All residents in impacted areas are encouraged to regularly monitor the air quality nearest them at www.airnow.gov and limit outdoor exposure when they see or smell smoke. Exposure to elevated PM2.5 (fine particulate matter in smoke) concentrations can result in eye and throat irritation, headaches, nausea, shortness of breath, congestion, coughing, impaired lung function and chest pain, especially among sensitive individuals such as the elderly, children, people with asthma, people with heart or lung conditions, pregnant women and anyone who is exercising or working hard outdoors.   Aleise Whitlock, APRN, Section Chief for Renown Urgent Care advises that there are people more likely to be affected when fine particle pollution reaches an unhealthy level, including: People with asthma or breathing conditions like Chronic Obstructive Pulmonary Disease. People who have heart disease or high blood pressure. Children and older adults. People doing extended or heavy physical activity like playing sports or working outdoors. “Everyone should take precautions when the air quality is unhealthy. Air pollution can aggravate heart and cardiovascular disease as well as lung diseases like asthma and COPD. When the air quality is unhealthy, people with these conditions may experience symptoms like chest pain, shortness of breath, wheezing, coughing, or fatigue. If you are experiencing any of these symptoms, use your inhalers as directed and contact your health care provider,” says Ms. Whitlock. “If you do not have a health care provider, we are happy to see you. Renown Urgent Care offices are on almost every corner, with providers ready to see you.” She advises to take it easy and listen to your body, and: Limit, change, or postpone your physical activity level. Drink plenty of water.  Stay away from local sources of air pollution like busy roads and wood fires. Use a damp cloth or mask to reduce smoke inhalation if you must go outside. If you have asthma or other breathing conditions like COPD keep your relief/rescue inhaler with you. People with asthma should review and follow guidance in their written asthma action plan. Make an appointment to see your health provider to be sure you have an asthma action plan. When to Visit the Emergency Department Bret Frey, MD, President, Western Emergency Physicians and Renown Health Emergency Departments, says, “Seek emergency care if you or someone you know is experiencing any of the following symptoms due to smoke exposure: Severe shortness of breath or difficulty breathing-If breathing becomes labored or painful, you cannot catch your breath even after resting, this may be a sign of serious respiratory distress. Chest pain or tightness- Any discomfort in the chest, particularly if it is associated with breathing, should be evaluated immediately.  Persistent coughing or wheezing- If a cough doesn’t improve or worsens, or if you develop wheezing, you should seek emergency medical attention.  Confusion, dizziness or fainting- These can be signs of oxygen deprivation, and immediate care is critical. Bluish lips or face- A clear indicator that oxygen levels are dangerously low and emergency medical treatment is needed.  Burns or smoke inhalation from a fire- Individuals who have been exposed to fire, or smoke in a confined space, should be evaluated for potential lung damage and other complications.  “Even just one hour of smoke exposure can affect our lungs and hearts, and these consequences can reach people far beyond the direct area endangered by the fire. Children, older adults, pregnant women, people with preexisting cardiopulmonary disease, communities of color, economically disadvantaged communities, and people with preexisting chronic health conditions like asthma, diabetes, and obesity are all especially vulnerable to the air pollution that wildfires cause," says Dr. Frey. Renown Urgent Care provides treatment for a wide range of minor injuries, illnesses and medical concerns that are urgent but not life-threatening, that require same-day medical attention and are more affordable than the emergency room at 10 convenient sites, including Reno, Sparks, Carson City, USA Parkway, Fallon and Fernley. You can walk-in or book ahead online at www.renown.org.  Emergency Care If you have an emergency, call 911. The Renown Regional Emergency Room and Renown Children’s Emergency Room, located at 1155 Mill St, Reno, NV, are equipped to handle a wide range of emergencies, and Regional is the only Level II Trauma Center between Sacramento and Salt Lake City. Renown South Meadows Emergency Room is located at 10101 Double R Blvd, Reno, NV 89521. Wait times for triage are generally less than 15 minutes and can be viewed here. The dedicated team is ready to provide immediate attention with empathy and professionalism 24 hours a day, 365 days a year.      About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

Read More About Where There is Smoke; There May Be Headaches, Nausea and Coughing

Renown Health now offers urgent care services to patients with Medicaid insurance at the locations on USA Parkway, Los Altos and in Carson City.  Renown’s 10 Urgent Care locations see patients 365 days a year for medical concerns that are urgent but not life-threatening. Renown has recently expanded the number of urgent care sites accepting Medicaid insurance to include the USA Parkway, Los Altos and Carson City locations. Medicaid provides health coverage to thousands of Nevadans, including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid is now accepted at six Renown Health Urgent Care locations at the following addresses: 440 NV-439 #1, USA Parkway 202 Los Altos Pkwy, Sparks 2814 N. Carson St., Ste 101, Carson City 975 Ryland St., Reno 1343 W. Newlands Dr., Fernley 560 E. Williams Ave., Fallon “As Reno’s only not-for-profit health care provider, we see all patients, regardless of their ability to pay. Increasing access to urgent care medical services remains a priority for us,” said Brian Erling, MD, MBA, Renown Health President, and CEO. “With a lack of medical providers and long wait lists for care in Washoe County, many people may not seek treatment when ill, and their conditions become more advanced, making treatment more difficult and costlier. We are working to hire additional physicians and medical providers to meet the need. We are pleased to help reduce barriers to care by accepting people with Medicaid insurance at six urgent care locations in Reno-Sparks and in our neighboring communities.” Government initiatives like Medicaid are designed to help uninsured individuals secure health care coverage. Medicaid is the largest health insurance provider in the United States, providing coverage to millions of Americans. As of July 2023, 835,888 Nevadans have enrolled in Medicaid and CHIP (Children’s Health Insurance Program). Statistics show that 21% of people in Washoe County have Medicaid coverage (2021). “We continue to seek new ways to meet the healthcare needs of everyone in our community,” said Rahul Mediwala, MD, CPE, Renown Medical Group CEO. “Our skilled providers at all Renown Urgent Care locations are able to diagnose and treat a variety of non-life-threatening illnesses, including respiratory illness; allergic reactions; minor burns, cuts and bites; sprains; urinary tract infections and more.” For life-threatening emergencies and when urgent care locations are closed, the Emergency Rooms at Renown Regional Medical Center, Renown South Meadows Medical Center and Renown Children’s Hospital are ready to treat and care for all patients, 24/7. The current hours of operation for all Renown Health locations are available at renown.org/locations. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health.

Read More About Three More Renown Urgent Cares Now Accepting Patients with Medicaid for a Total of Six Locations Across Northern Nevada

Wearing headphones or earbuds is a daily activity for many of us. Listening to music, podcasts, meetings, phone calls; there are endless reasons to stick them in or on your ears. However, if your ears start to feel plugged, full; or you feel dizzy, lightheaded or hear ringing in your ears; you may be experiencing ear wax build up where your ear canals become blocked and affect your hearing. If you’ve tried to clean your ears (please don’t use Q-Tips®), but still have symptoms, pain, or hearing loss, it’s time to see your physician, nurse practitioner, physician assistant or visit Renown Urgent Care. “Ear wax isn’t dirty. It’s normal,” says Ryan Bristol, APRN, Advanced Practitioner of Nursing at Renown Urgent Care. “Ears are self-cleaning miracles, and naturally clean themselves with the help of jaw movement and skin migration. However, wearing headphones or earbuds for hours blocks earwax from naturally draining from the ear. Additionally, the dirt and bacteria that these headphones often carry can cause an infection on their own, and earwax buildup can trap dirt in the ear and block the canal completely. The snug fit of headphones can create a conducive environment for the accumulation of ear wax. It's crucial for individuals to be mindful of this and take necessary precautions to prevent complications." “Individuals experiencing symptoms such as ear pain, decreased hearing, or a sensation of fullness in the ears are encouraged to seek evaluation and treatment at their nearest urgent care facility,” says Rahul Mediwala, MD, CEO of Renown Medical Group. “By addressing ear wax build-up promptly, individuals can mitigate the risk of complications and maintain optimal ear health. Fortunately, prompt, pain-free and effective treatment is available at Renown Urgent Care. We offer professional ear wax removal procedures performed by trained staff, providing relief to those experiencing discomfort or hearing impairment due to excessive ear wax build-up.” The experts at Renown Health gave us some background. What is ear wax and why is it healthy? Ear wax is a protective substance called sebum made of fat, skin cells and sweat. Ear wax is produced by glands in the ear canal. It helps protect the ear from germs and dirt and prevents the sensitive skin of the ear canal from becoming irritated. It is normal and healthy to have a thin lining of ear wax on the canal. Ear wax will sometimes accumulate and move to the outer ear canal, where it would typically fall out or be wiped away. This is also normal. When should I seek care? An ear canal has too much wax if the ear feels plugged or hearing is affected. The accumulation of wax happens very gradually, so ears do not necessarily feel waxy. The problem is usually noticed because of changes in hearing. Over the counter remedies may offer relief. However, in some cases, the earwax has built up or become impacted, and ears need to be treated. What is the treatment? At Renown Urgent Care, we offer professional ear wax removal procedures performed by trained staff, providing relief to those experiencing discomfort or hearing impairment due to excessive ear wax build-up. Wax is flushed from the ear canal using a syringe filled with warm water and saline or diluted hydrogen peroxide. Most patients find the procedure is fast, pain free and effective. How can I prevent earwax buildup from headphones and ear buds? Most people who wear headphones or use earbuds occasionally or intermittently don’t have difficulties with excessive ear wax. Wax accumulation also depends on the size of the ear canals and the productivity of the oil glands in the ear canal. You can choose to use over the ear headphones. If you prefer to use in-ear headphones, the best modes of excess ear wax prevention are to: Clean headphones and earbuds regularly with a cloth or disinfectant wipes; Avoid sharing headphones or earbuds with other people; Take breaks from headphones and earbuds so ears can breathe and get back to normal; Pay attention to your ear health. Should we talk about Q-tips? Yes! Q-tips (and similar products) are rarely helpful for managing ear wax. The cotton on the end of the Q-tip is usually unable to pull the wax out of the canal. Worse, they can push the wax deep inside the ear canal, and it can end up impacted. Where should I seek care? Individuals experiencing symptoms such as ear pain, decreased hearing, or a sensation of fullness in the ears are encouraged to seek evaluation and treatment at a medical facility. By addressing ear wax build-up promptly, individuals can mitigate the risk of complications and maintain optimal ear health. Renown Urgent Care sees patients 365 days a year for medical concerns that are urgent but not life-threatening at many locations across northern Nevada. Book ahead to reserve a time slot at one of our ten urgent care locations. If you do not see time slots that work for you, you can still go to any location that has "walk-ins available" listed. For more information, or to book an appointment, go to renown.org/Health-Services/Urgent-Care. Renown Health is the region’s locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,200 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health.

Read More About Let Those Ears Breathe! Increased Headphone and Ear Bud Use Leads to Ear Wax Build Up; Renown Urgent Cares Offer Relief

See b-roll of the Renown Regional Transfer and Operations Center here. Renown Transfer and Operations Center team coordinates care across a patient’s journey, serving 27 counties across northern Nevada, Lake Tahoe and northeast California. Today, Renown Health announced the opening of the Renown Transfer and Operations Center (RTOC). Powered by Renown doctors, nurses, technicians and national technology partners, this state-of-the-art facility helps ensure seamless care for patients and providers for 27 counties across northern Nevada, Lake Tahoe and northeast California. The Transfer and Operations team ensures a better experience for every Renown patient and family. Through this highly coordinated care logistics system, Renown is now able to customize health care to the needs of every patient; delivering the right care, at the right time and place across the integrated delivery system. This system enables providers to provide care closer to home, in lower-cost ambulatory, outpatient surgical and skilled nursing settings- instead of the hospital, and to deliver a sizeable portion of care to patients- where they want to be- in their homes. We at Renown are proud of our national reputation as an innovator – and our ability to bring better systems of care to Nevada,” said Tony Slonim, MD, Dr.PH, President & CEO. “Our extraordinary clinical experts are leading the way, partnering with the nation’s top technology firms to transform care and demonstrate value to patients. Putting the patients of Nevada first, we have opened the Transfer Operation Center to make health care more accessible and affordable. This facility is amongst the largest in the country, and this team is a gift for clinicians across the state, allowing them to dedicate more time to serving patients, and improving outcomes- and leaving the logistics to other experts. The Renown Transfer and Operations Center, the grandest facility of its type, is pleased to serve as a model of coordinated patient care for the nation.” “Similar to how air traffic controllers manage traffic in and out of airports, the Renown Transfer and Operations Center (RTOC) team sees a birds-eye view of what’s happening across our entire integrated delivery system,” explained RTOC Director, Melanie Morris, MSN, RN. “Having access to real-time information is critical because every action we take is tied to improving the health and well-being of our patients. Time and accuracy is always of the essence, and this Center drastically improves the efficiency of the entire health care system.” “Renown Regional Medical Center is the region’s only Level II Trauma Center. Our caregivers and specialists are prepared to care for high-acuity patients including those who have suffered heart attacks and strokes,” said Paul Sierzenski, MD, MSHQS, CPE, FACEP, Chief Medical Officer, Acute Services. “Serving over 1 million people, the Transfer and Operations Center assists in caring for patients in both urban and rural communities. We now work together, in one location, to ensure we have the appropriate care teams and facilities ready to serve patients- immediately and upon their arrival at Renown Regional Medical Center, Renown South Meadows Medical Center, Renown Children’s Hospital and Renown Rehabilitation Hospital, as well as our emergency and urgent care sites.” “We are excited for our next stage- bringing electronic intensive care unit (e-ICU) remote monitoring capacity within the Transfer and Operations Center,” said Jacob Keeperman, MD, FACEP, FAAEM, FAEMS, FCCM, Medical Director and Intensivist in Critical Care Medicine at Renown. “This e-ICU technology, supported by high-definition two-way cameras, video monitors, microphones, and smart alarms — is constantly monitored by ICU physicians and experienced nurses — and will enable patients requiring intensive care to receive it from the convenience of the community hospitals near their homes. Not only will this advanced technology improve the patient’s experience, recovery and clinical outcomes, it also preserves the critical care beds at Renown for those who are most in need of specialized quaternary care. We will assist our rural partners in keeping patients in their home communities, close to family support and their primary care providers.” “Remote ‘hospital at home’ monitoring systems are a game-changer in improving patient care at Renown,” said Mitchell Fong, Director, Telehealth. "We are now able to provide appropriate patients with a telehealth solution using wearable, continuous pulse oximetry, allowing patients the convenience of being in their own homes, with the confidence and security of knowing that Renown clinical staff are closely monitoring their health data, and regularly communicating with them through their recovery process.” The Transfer and Operations Center spans 6,000 square feet, and is one of the largest centers of its kind in the nation, equipped with 28 high-definition dashboards on the front wall, two in the center of the room and four hanging monitors toward the back. Large plasma screens display important metrics such as patient vital signs, bed availability, facility capacity, staffing, technology and more. Registered Nurses and dispatchers continuously monitor activity around the clock, across Renown’s 100,000 square mile service area, 100+ locations and partner facilities to make the best decisions for patients, providers and care teams. "In addition to offering the most advanced technology, the team supporting the Transfer and Operations Center works in the most beautiful setting; one that inspires good health. The Center features large windows with views of the surrounding mountains, natural light, sound proof barriers, under-desk exercise equipment, a full kitchen and guest hoteling work spaces,” said manager, Kelli McDonnell, MSN, RN. “All these elements contribute to building a collaborative and enjoyable work environment for our health care teams to do their best work.” Benefits of the Renown Transfer and Operations Center include: Coordinating all incoming patients transferred from neighboring hospitals and 27 counties across northern Nevada, Lake Tahoe, northeast California and neighboring states, as well as direct patient admissions into Renown Health and partner ambulatory, outpatient surgical, skilled nursing and rehabilitation facilities; Matching patients to the most appropriate bed placement using diagnostic, triage and Epic electronic medical record clinical information in conjunction with medical staff expertise to outline a plan of care that determines the best bed assignment given the patient’s needs, matching this to the most appropriate unit or facility, and estimating a discharge date. Dashboard metrics measure efficiency — including patients receiving treatment, being admitted or ready for departure, the number of procedures performed and the quantity of laboratory and radiological services performed; Providing in-house hospitality. An environmental service dispatcher ensures that every patient receives a clean and sanitized hospital room in a timely manner, and a centralized transport dispatcher provides patients with smooth and efficient transport to the right place at the right time. Patients may receive additional transportation assistance as needed, as they depart the hospital for home or another sub-acute care facility; and a REMSA Health "care coordinator" may arrange for air flight or ground emergency medical services as needed. Coordinating Video-Enabled Telehealth monitoring capabilities for Renown’s four Intensive Care Units (ICUs), facilitating clinical collaboration and communication around all aspects of patient care, as well as Renown patient Telehealth and virtual visits. Monitoring Remote Home systems with Masimo, where some patients may now receive hospital-level care in the comfort of their own homes while Renown clinicians monitor and evaluate their data and plan of care. Serving emergency and disaster management for area hospitals, first-responders and the community with local, regional and statewide emergency and disaster management for sudden-onset emergencies. As a non-profit organization, Renown and the Transfer and Operations Center are funded, in part, by generous donors. Individuals wishing to support future innovation and life-saving work performed at this Center may submit a charitable donation to the Renown Health Foundation at renown.org/give, 775-982-5545,Venmo: @RenownFoundation.     About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown has a long tradition and commitment to improving the care and the health of our community. For more information, visit renown.org. For the fourth year in a row, Renown Health earned the “Digital Most Wired” honors by the College of Healthcare Information Management Executives (CHIME). The CHIME annual survey accesses how effectively health care organizations apply core and advanced technologies into their clinical and business programs to improve health and expand access to care in their communities.

Read More About Delivering The Right Care, at the Right Time and Place: Renown Opens Transfer Operation Center