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Wishek Hospital


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The community of Wishek has been designated as Cardiac Ready Community.


Our Mission is to provide the highest possible standard of health care in a compassionate and professional manner for the people in our region.

Our Vision is to be the area’s leader in providing access to high quality health care in the communities we serve.

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a look at the gackle clinic

What is now the Gackle Clinic started through the initiative of the Gackle community, and has since developed by their support.   After MeritCare closed its doors, the Gackle Care Center approached the Wishek Hospital and Clinics with their desire to keep medical services alive and well for Gackle residents.   In 1994, the WHC agreed to rent some of their office space for one to two hours a week.  The location was a good fit for ten years before the community voted to make the Gackle Clinic of Rural Health Clinic status, and it was moved to its current location on Main Street in a complex that is shared with the Tri-County News, the Country Rose Beauty Salon, and the Gackle Laundromat.  

Rosemary Hauff, PA-C, has been providing medical care to patients in the Gackle Clinic off and on since it has been managed by the WHC.  The staff has seen some additions since it opened. Originally, only one nurse and medical provider was on staff.  Currently, two nurses, two receptionists, and Rosemary are employed.   Nurse Carrie Giesler is a phlebotomy technician and a certified EMT who volunteers her time with the local ambulance.  In May, she will be a Licensed Practical Nurse.  Nurse Shirley Schlecht has returned to rural North Dakota after her work as an LPN in Jamestown and has also been a nurse at the Wishek Hospital.  Judy Janke, who works at the Kulm Clinic, and Samantha Graber, who also works at the Wishek Clinic, rotates as the Gackle Clinic Receptionist.  For years, the Gackle Clinic was a walk-in clinic where they offered immediate service.  Rosemary says that mentality is still very much a part of the community and it makes the numbers fluctuate, but she generally sees 12 to 20 patients per day.

As well as providing standard clinic services for patients of all ages, the Gackle Clinic offers lab services, allergy and flu shots, EKGs (electrocardiogram – a test that checks for problems with the electrical activity of the heart) and records everything via Electronic Medical Records (EMRs).  “Even though EMRs have been a challenge, they have definitely made patient management much easier in a small town like this because you can access all of their meds, labs, and everything prior to their visit,” comments Rosemary.  “Our Gackle ambulance service is also phenomenal,” she says.   The volunteer team is known to be at the doorstep within minutes of a call.  “Even though Gackle is out there isolated from everything, it’s reassuring to me as a provider because, while we don’t have excess staff, the community has those extra resources available.”

Loyalty of those in the surrounding towns is one unique feature of the Gackle Clinic.  Since Streeter’s clinic closed in 1993, residents have sought their medical services in Gackle.  Others come from Jud, Alfred, Lehr, and Kulm.  “Consistency is my philosophy.  It’s so critical (in rural health care).  Being there consistently, I believe, has preserved the loyalty that is there today,” says Rosemary.

It’s obvious that the pride the community has in their services and buildings has greatly affected the Gackle Clinic.  Rosemary says, “It’s because people care.”  Even their 80-year-old housekeeper, Arlene Rudolph, dedicates time and precision to keep the three exam rooms, lab room, provider’s office, receptionist desk, and waiting room up to high standards.  Their office is stocked with cookies brought from the kitchens of patients and their lobby decorated from the funds donated by a local family.   “It’s almost like a piece of home,” says Rosemary.

Hours of operation of the Gackle Clinic are Wednesdays from 8:00am to 3:00pm.  Call (701) 485-3611 to schedule an appointment.


donate life

Currently, more than 120,000 men, women and children are awaiting organ transplants in the United States.  Honored in April of each year, National Donate Life Month works to encourage Americans to register as organ, eye and tissue donors and to celebrate those that have saved lives through the gift of donation.  Below is a letter from LifeSource, the Organ and Tissue Donating Center, that honors an organ donor from our area who passed away last month (for the purpose of his/her privacy, the donor will be left unnamed).

Thank you, Wishek Community Hospital for your timely referral and collaboration with the recent tissue case . A special thanks to Paige Wilen, GN for making the referral to 24-SHARE, to Charge RN’s Carly and Lori for all of your help, and to Jack for transporting our team back and forth. Thank you to all staff involved for supporting the family through this process, for preparing for the recovery, for the use of your OR, and for your communication back and forth with our donor services center and funeral home. Our tissue team said everyone there was excellent to work with.

This patient documented his intent to be a donor, and the patient’s family wanted to uphold his wishes. They will now be part of our Donor Family Network and receive correspondence for as long as they’d like. Also a family packet was left for them by our tissue team, and was given to them by the funeral director.
Our team recovered bone and connective tissue from the upper and lower extremities, heart valves, saphenous veins, femoral veins, aortal-iliac tissue. These gifts will be used in various transplant procedures including hip and knee replacements, implants with prosthetics, ACL/PCL repair, life-saving valve replacement surgeries, heart bypass surgeries, and more. We estimate at least 60 people will benefit from these gifts.

Your help and expertise ensured that this case could move forward, thanks again!
Please contact me with any follow-up concerns.

Kindest Regards,
Barb Nelson-Agnew
Hospital Liaison

If you are not already an organ donor and would like to register, you can do so by visiting or call 1.888.5.DONATE.


Special Training Equips Staff for Trauma Situations

       At the Wishek Hospital and Clinics, our staff is committed to saving lives. Through additional certifications and trainings, our team constantly expands our medical skills. Currently, our staff is trained in the following:
• CPR (cardiopulmonary resuscitation) – all nurses
• ACLS (advanced cardiac life support) – all nurses
• PALS (pediatric advanced life support) – some nurses
• ATLS (advanced trauma life support) – all physicians and midlevels
       On January 24th and 25th, six of our RNs underwent a trauma nursing core course to further their education in handling emergency situations. This training was supported in part by a grant from the North Dakota Trauma Foundation. Shelly Glaeseman, WHC’s Director of Nursing/Quality Assurance, says it was beneficial to have Wishek native Howard Walth, Trauma Coordinator at St. Alexius, conduct the training. “All six nurses passed their exams and received their certification. Now, every hospital staff RN has the training that will be helpful in trauma situations,” says Shelly.

As we continue our education in order to bring the best of quality care with 
concern and compassion, we want to make sure we are meeting all of the needs 
of our patients. I greatly value your experiences with us and want to hear from 
you directly about how our services and staff can better assist you in the future. 
Please don’t hesitation to contact me with you input at (701) 452-2364 or email Thank you for your faithful support in helping us to 
bring better health to our communities. 

Mark Rinehardt
CEO, Wishek Hospital and Clinics




       Dr. Donald Kosiak Jr. pictured on the eEmergency screen with Stacy Wiest, Director of Outpatient Services (left) and Carly Jonas, RN (right) in Wishek's ER.One of the world's largest telemedicine systems is available right in the Wishek Hospital Emergency Room. It’s called eEmergency. This two-way video technology program directed by Wishek native Dr. Donald Kosiak Jr., makes it possible for rural medical staff to connect with a larger institution for assistance in medical emergencies. The eEmergency room at Avera McKennan Hospital in Sioux Falls, S.D. is staffed with nurses and doctors 24/7, 365 days a year and is available in seconds through the simple push of a button.
       It took about three years for Dr. Kosiak and his team’s dream for eEmergency to become a reality, but within the past five, eEmergency has been launched in 85 medical facilities across seven states. In 2010, Wishek became one of the first pilots of the program in North Dakota. “They went through a lot of a growing pains with us early on, but they have helped us learn what is supportive for a rural hospital and what is not,” said Dr. Kosiak. Much of Dr. Kosiak’s inspiration for eEmergency came from growing up in Wishek. With a father as a local physician, he understood the isolation health care providers sometimes feel. 
       Both Shelly Glaesman, director of nursing, and Polly Benson, PA-C/NP, testify that eEmergency is well utilized by all providers and nursing staff. “It is like having another set of hands, ears, and eyes with specialties,” says Polly. “They are a great support for major trauma.” Immediate X-ray viewing, access to information on the facilities’ medical equipment via electronic medical records, and direct interaction with the patients in the ER are all benefits of eEmergeny that result in the best-educated advice to rural healthcare providers. “I prefer having the comfort at a push  of a button,” says Shelly who commented that the support they give to nurses when the doctor isn't immediately available. 
       Although the eEmergency staff offers advice, it is Wishek’s medical staff that makes the ultimate decision about what to do for the patient. Polly says, “It’s not that we can’t handle things like a heart attack; we can, but when you want another set of eyes or ears, I tell you what, that is when this system is really nice.” Shelly comments that although using eEmergency’s service does not always change the outcome of the patient, it provides large hospital care without having to transport the patient out of Wishek.



Barb Mueller: Meet Napoleon Clinic's Receptionist

     Barb Mueller has had her dose of big-city to small-town transition when she moved from Bismarck to Steele, Wishek, and then Napoleon. She started out as receptionist in the Wishek Clinic in 2001. “I had heard a lot of good things about the facility… and I also thought it would be a great way to meet people in the community.” Barb stayed in Wishek until she transferred to the Napoleon Clinic in 2005.

    As a receptionist, Barb has appreciated being able to do a variety of things in the medical receptionist field. As a certified medical coder, she has managed the coding for the Napoleon Clinic and Nursing Home as well as billing and insurance. One of her favorite parts about working the front desk is “helping patients in any way I can.” Building one-on-one relationships with the people she serves is important to her. “It’s easy to get attached to them,” says Barb.

     Barb’s concern for patients is sometimes the biggest challenge when looking at a full schedule while on the phone with a patient that desperately needs to get in. “It is hard to find enough time in the day when Kay Rau (Napoleon’s midlevel practitioner) is only one person, but there is nothing better than hearing a patient say ‘thanks for squeezing me in,’” says Barb.
     The compassion and care for patients and their community is one of the biggest things that make the WHC stand out from other clinics in Barb’s mind. “The providers are excellent; they treat the patients just like family. Patients are not just a number here. They all mean something to us.” The team of three employees at the Napoleon Clinic prioritizes helping each other so that each one is able to fulfill her job to the fullest. “We work well together and all try to do the best we can for our patients, which is what this is all about.” Kathy Feist, Napoleon Clinic’s RN, says the same about Barb, “I could not do a lot of my job without Barb being efficient in doing hers. She has worked hard to keep things flowing smoothly. It truly is a team effort to work at a small clinic.”
     After living in Napoleon for seven years now, Barb expressed that she feels like this is where she belongs. “The community is just great. The people are all friendly and easy to get along with. I feel like I am a part of this community. “ When Barb is not at work, she spends time with her boyfriend, Gary, camping, riding motorcycles, gardening, canning and taking care of her two cat’s Misty and Simon.