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					 January 26, 2009
 January                        Vol. 10 Issue 4
                                Vol.                          Information for Oklahoma Nursing & Health Care Professionals                               
                                                           Locally Published, Owned and Operated Each Week by Metro Publishing LLC

                                                                                                                           Presidents and Poets
                                                                                                                                             by Elizabeth Bussey Sowdal

                                                                                                                          A             mericans, regardless of their politics or party
                                                                                                                                        affiliations, could not help but be stirred this week
                                                                                                                                        by the pomp and grandeur and beauty of the
                                                                                                                                        inauguration of our new president. Millions waited
                                                                  A Steller                                               for noon to strike in Washington, poised to be, each in his own
                                                                                                                          way, a part of history; whether they were standing in the sunny
                                                                                                                          cold, necks craned up toward the giant screens or whether they
                                                               Reputation:                                                sat with eyes on the television while they had their lunch or
                                                                                                                          whether they tuned the radio in the cab of their truck to the
                                                                                                                          news station. We waited for noon and we fixed ourselves in time
                                                            Bone and Joint                                                and place knowing that we would return to this day in stories
                                                                                                                          for our grandchildren, stories about where we were and what we
                                                                                                                          were doing. We Americans were united on Tuesday in a way we
                                                               Hospital at                                                have not been for years and decades, a way that many of us have
                                                                                                                          not been in our lives. We were united in patriotism, united in

                                                            Saint Anthony                                                 pride, but most of all, best of all, united in hope.
                                                                                                                              Our nation and our President face a future which does not
                                                                                                                          seem clear to us. These are uncertain times not only in our own
                                                                   excells                                                country, but for all humanity, all the world. It is becoming
                                                                                                                                               clearer and more certain that Man cannot
                                                                                                                                                   continue in any of the old ways and hope
                                                                                                                                                     to survive to the distant future. We cannot
                                                                                                                                                                         continue to use the
                                                                                                                                                    L a u g h i n g Earth as we have always
                                                                                                                                                    with                used it, taking all we
                                                                                                                                                                        need and
                                                                                                                                                    Elizabeth need, and more than we
                                                                                                                                                                                   leaving what
                                                                                                       by James Cobur
                                                                                                 Photo by James Cobur n                                 is left stripped and poisoned and
 Teamwor k spells success at Bone and Joint Hospital, said Tr acy Lar son, an LPN who has spent her entire 12-
  eamworork                  at           Joint                   acy Larson,          who               entire                                             We cannot continue to kill each
       career at      acility..
 year career at the ffacility.. Conveniently loca ted in the r e vitalized ar ea of midtown, the 102-licensed bed
                      acility Conveniently located           revitalized area       midtown,                                                            other, starve each other, hate each other.
                             more             employees, including
 or thopedic hospital has mor e than 170 employees, inc luding 61 RNs and LPNs on staf f.    staff                                                      We cannot, as a species, continue to
                                                                                                     Bone, Pa
                                                                                                 See Bone, Page 3                                                              See Elizabeth, Page 2
                                                                                                                                                                                   Elizabeth Pa

Nurses must                                                                    of Citizenship.
                                                                                    "We knew it applied to anyone applying for initial licensure," Glazier said of the legislation
                                                                               authored by Moore Rep. Randy Terrill.
                                                                                    "We initiated in November of 2007 a form that when they apply for initial licensure ... but the
prove citizenship                                                              Attorney General's opinion came out and said it applied to renewals."
                                                                                    Glazier said all renewal applications need to be into the Board of Nursing two months prior to
                                                                               the registration deadline to allow time for processing.
    All LPNS and RNs around           who are licensed to practice in               The affidavit that nurses will be receiving in the mail reads:
the state will be required to         the State of Oklahoma provide                 All natural persons 14 years of age or older and present in the United States, applying or holding a license
swear that they are a U.S. Citizen    proof they are a legal U.S. citizen.     with the Oklahoma Board of Nursing, are required by the provisions of 56 O.S. Supp. 2007 § 71 to provide the
on their next license renewal              Kim Glazier, executive director     Board with verification of lawful presence in the United States. If you were licensed in the State of Oklahoma
thanks to immigration law             of the Oklahoma Board of                 prior to November 1, 2007, and you are a U.S. Citizen, U.S. National, or Permanent Legal Resident Alient, you
passed in the Sooner State.           Nursing, said LPNs will be the           must complete the Affidavit of Citizenship Status, sign it in front of a notary public, and submit to the Board
    HB 1804 requires all nurses       first required to sign the Affidavit     office. An addressed envelope is enclosed for your convenience. The Affidavit of Citizenship Status must be
                                                                                               submitted prior to your license renewal period in order for you to complete your renewal. If you
                                                                                               were licensed in the State of Oklahoma prior to November 1, 2007, and you are a qualified alien,
                                                                                               you must present in person at the Board office original, unexpired documentation of your alien
                                                                                               status during your renewal period. This information must be presented during your license
                                                                                               renewal period and prior to your license expiration date; otherwise, you will not be able to
                                                                                               complete your renewal.
                                                                                                    Following the above instructions nurses are asked to provide their Social Security
                                                                                               number, license number, full legal name and mailing address. Nurses will then be
                                                                                               asked to check under penalty of perjury whether they are a U.S. Citizen, U.S. National
                                                                                               or Permanent Legal Resident. The affidavit must be signed in the presence of a
  Oklahoma City, Ok 731                                                                        notary.
        Permit #1                                 MUSTANG, OK 73064                                 Glazier explained LPNs were the first to be required to fill out the form because
         PAID                                                                                  they renew this year. Later in the spring, affidavits will be mailed to RNs, who begin
      U.S. Postage
                                                  P.O. BOX 239                                 their registration in January 2010.
   Presorted Standard                             OKLAHOMA’S NURSING TIMES
                                                                                                                                                                                       Citizen, Pa
                                                                                                                                                                                   See Citizen, Page 3
Page 2   January 26, 2009                                                    Oklahoma’s Nursing Times

                                                                   or much of it, is ready too. Maybe that
                   Elizabeth                                       is not too much to hope.
                                                                       There have been four inaugurations
                   Continued from Page 1
                   Continued from Pa                               in our country’s history at which an
                                                                   inaugural poem was presented. I was
                   tolerate violence and terror and                interested, as I read them, to note that
                   destruction, and hope to survive. It has        three of the four had a common theme.
                   not worked out so well for us to hate           Not so unusual, each being read to
                   each other for differences in religion or       commemorate the same type of ceremony.
                   color or language in the past. Maybe it’s       But the theme they had in common was
                   time for us to learn from that. Surely if       not, as might be expected, the glory and
                   people like Caligula or Hitler or Idi Amin      power of the United States. The theme
                   were here for any purpose, it was to            was hope for the future, for a better
                   show us the futility of hate. It is time to     future. At President Clinton’s inauguration
                   realize, time to acknowledge that we are        in 1993 Maya Angelou read her poem
                   all just the same, we are all just human.       "On the Pulse of Morning": "Lift up your
                   It is time, and past time, to, "do unto         eyes upon The day breaking for you.
                   others. . . ." It is time, and past time, for   Give birth again To the dream." In 1997
                   us to acknowledge that we all want the          Miller Williams read, again for President
                   same things in this life; we want useful        Clinton, his poem "Of History and Hope.”
                   work, enough to eat, a decent place to              This year Elizabeth Alexander read
                   raise and educate our children, freedom         her work "Praise Song for Morning," in
                   to worship. We cannot justify dumping           which she wrote: "In today’s sharp sparkle,
                   milk into the oceans and paying for             this winter air, anything can be made,
                   fields to lay fallow when there is even         any sentence begun, On the brink, on
                   one child still hungry. We, as a species,       the brim, on the cusp, praise song for
                   cannot tolerate violence, slavery,              walking forward in that light."
                   subjugation. It is time, it is past time, for       It is a fine thing to live in a country
                   Man to decide to do better than we have         where we have the privilege to vote for
                   done so far.                                    our leaders. It is a fine thing to think
                        It would be ridiculous to think that       that there may be a better future ahead
                   one man, one new president, could effect        of us. And it would be a fine thing too,
                   all this change and I am not suggesting         to think that our leaders might listen to
                   that he could, nor that one nation, any         our poets, might heed their advise, might
                   nation, could. But I am suddenly and            walk "forward in that light."
                   for the first time in my life filled with
                   optimism for the future. Maybe it is time       Elizabeth Bussey Sowdal is an RN and
                   for a change. Maybe we are ready to             freelance writer who lives and works in
                   change. And maybe the rest of the world,        Oklahoma City.
Oklahoma’s Nursing Times                                 January 26, 2009                                                                            Page 3

                                                                      shoulder care.                               exceptional care for its clinical quality
                           Bone                                            Spine, neck and back procedures
                                                                      are also provided at the hospital.
                                                                                                                   and customer service.
                                                                                                                        "Everyone just puts the patients
                           Continued from Page 1
                           Continued from Pa                               It is prominent in sports medicine,     first. Everyone helps each other,"
                                                                      fractures and pain management.               Larson said.
                           by James Coburn                                 A 1996 graduate of the Kiamichi              "We all work hard and we're a
                           Staff Writer                               Votech in McAlester, Larson is the           team coming together to help the
                                                                      daughter of a nurse who spent her            patients."
                                                                      weekends and holidays working.                    Bone and Joint provides
                                                                           "After high school, I went a            community education programs
                               The average nurse at Bone and          semester to college and I really didn't      ranging from joint replacement to
                           Joint Hospital at St. Anthony has more     know what I wanted to do," Larson            general osteoporosis education.
                           than 10 years of experience. But there's   said.                                             Larson often works in the pre-
                           nothing average about Bone and Joint            "My mom (Joy Trolinger) suggested       admission department, assisting
                           nurses or the hospital.                    that I go to LPN school, and that way        patients with their pre-surgery testing.
                               The right attitude, professionalism    I could work while I went to school.              She instructs them about necessary
                           and friendly customer service combine      And it was something that I really           medication and also which medicines
                           to set it apart in a competitive health    ended up loving to do."                      to stop.
                           care environment.                               Bone and Joint's leadership                  Larson assists about 15 patients
                               "I think it's because we all work      maintains a quality staff with               every day, she said.
                           together as a team," said Tracy Larson,    equipment and supplies needed to excel            "As a patient, I think that you get
                           a licensed practical nurse at Bone in      in their careers and give great care,        more personal care. I think that your
                           midtown Oklahoma City.                     Larson said.                                 nurses spend more time with you,
                               "We're all just really committed to         Larson is grateful that nurses at       compared to other places," she said.
                           providing the best care for our            Bone and Joint took her under their               "You know, that extra bit of care
                           patients."                                 wing when she was a new nurse.               makes you feel like you're not just
                               She has spent her LPN career for            "They were mentors to me, so now        that other patient, that you're a person.
                           nearly 12 years at Bone and Joint.         I feel like when some other young            I hear from patients all the time that
                               Conveniently located in the            nurses come in, I can mentor them            the care here is so good."
                           revitalized area of midtown, the 102-      as well," she said with a smile.                  Larson goes home each day with
                           licensed bed orthopedic hospital has            "I think you can mentor just by         a good feeling about her patients.
                           more than 170 employees, including         setting an example and sharing your          Working at Bone and Joint requires
                           61 registered nurses and licensed          experiences."                                dedication, she said.
                           practical nurses on staff.                      Historically, Bone and Joint has             "I feel like I can ease their anxiety
                               They stay increasingly busy these      maintained a trusted reputation              a little bit," she said.
                           days as patient volumes continue to        resonating with excellence in                     "When I leave from a busy, crazy
                           flourish.                                  Oklahoma and beyond.                         day, I usually leave here with a pretty
                               Bone and Joint is known for                 It's quality standards are recognized   good feeling that I've made a difference
                           providing outstanding knee, hips and       nationwide for leadership and                for someone."
                                                                   will scan the one-page document into a                Sign up for your
                           Citizen                                 nurse's permanent file.
                                                                       The form is available at the Board of              subscription to
                           Continued from Pa
                           Continued from Page 1                   Nursing's         web        site      at         Oklahoma’s Nursing Times
                                                          at the
                                                                   Forms and Applications section.
                                                                                                                          for just $23/yr!
                                Glazier said                                                      Glazier             Join the more than 44,000
                           additional part-time                                              said the state          nursing professionals both in
                           employees have been     Glazier said all renewal currently has                                   and around the
                           brought in to help      applications need to be into 18,000 LPNs
                           process           the                                             renewing and                    OKC metro!
                           paperwork.              the Board of Nursing two nearly 40,000                          Name:
                                Glazier said the   months prior to the RNs setnext                        to
                           board also built in a                                             renew
                           system to help          registration deadline to year.
                           process the affidavits                                                 "Once we         Address:
                           including smaller
                                                   allow time for processing.                get everyone
                           return envelopes so                                               marked in the
                           the affidavits can easily be recognized system ... then we won't have to do that        City:
                           and directed to the right processor who again," Glazier said.
                              AT 10:26 A.M. SANDY HARDWICK                                                         Zip Code:
                            BROUGHT HER 57-YEAR-OLD CARDIAC                                                                 Position (circle one):
                                                                                                                        Registered Nurse, Licensed
                                  PATIENT BACK TO LIFE.                                                                Practical Nurse, Certified
                                                                                                                      Medication Aide, Certified
                                       WHAT DID YOU                                                                     Nurses Aide, Recruiter,
                                                                                                                           Student, or Other
                               ACCOMPLISH THIS MORNING?
                            If you’re not satisfied with your answer, maybe you should be looking                     Fax to: 405-631-5103, Call
                            for a more satisfying career. Nursing is rewarding in more ways than                                    NEW!
                                 you think. Starting salaries are high. There are more generous
                                financial aid packages to help you pay for school. And with over                               or mail to:
                             600,000 openings in the next decade, you’re virtually guaranteed a                       4501 N. Classen Blvd, Suite
                               job when you graduate. So if you are looking for a second career                        106, Oklahoma City, OK
                               where you can make a living and a difference, check out nursing.                                   73118.
                              IF CARING WERE ENOUGH, ANYONE COULD BE A NURSE.                                               It’s That Easy!!
Page 4                                                                             January 26, 2009                                                      Oklahoma’s Nursing Times

                                                                                                                                               There are other nurses who only work

                      CAREERS IN NURSING                                                                                                       the floor.
                                                                                                                                                   “There are certain nurses who only
                                                                                                                                               want to go to the ortho-trauma floor,"
                                                                                                                                               she said.
         Flex Pool RN - OU Medical Center              by Mike Lee, Staff Writer
                                                                                                                                                   It's the flexibility that keeps things
                                                                                                                                               fresh, especially for nurses who get
                                                                                                                                               tired of the same old scene.
                                                                                                                                                   "You get tired and you're like 'man,

                                                                                                                                               I want to do something different.' This
                                                                                                                                               way you can go and do trauma one
          ry to follow OU Medical                                                                                                              day, the next day you can go do
          Center registered nurse                                                                                                              cardiac," McGuire said.
Margie McGuire around at work during                                                                                                               "There are days I get so tired of
any given week and you'll find yourself                                                                                                        just the stress level of the ICU and on
walking the entire hospital.                                                                                                                   occasion I'll tell my boss to send me
    One day she's in the pediatric ICU,                                                                                                        to the floor.
the next she's working the trauma ICU.                                                                                                             “I go up there and I'm like a
Another day she's working the floor.                                                                                                           superhero. I just help them out and
    It's a frenetic schedule but one                                                                                                           then tell them to send me back to the
that McGuire and several of her co-                                                                                                            ICU."
workers sign up for every week.                                                                                                                    McGuire's boss is Judy Owen, RN,
    And the best part about it is she                                                                                                          a nurse for 33 years who serves as the
chooses when and where she's going                                                                                                             director of supplemental staffing.
to work.                                                                                                                                           "Our staff goes to every area in
    McGuire is one of a small group                                                                                                            the hospital from the cath lab to the
of nurses who man the OU Medical                                                                                                               ICU, they go all over," she said.
Center float or flex pool.                                                                                                                         "We have to have competencies in
    In lieu of benefits, flex pool nurses                                                                                                      each of those areas. We have to insure
are given $30 an hour pay rates and                                                                                                            every nurse has a competency for the
the freedom to choose where they will                                                                                                          area we go to."
be working.                                                                                                                                        And that responsibility falls on
    "We basically are like their saving                                                                                                        Nancy Burnett, RN. As the flex pool
grace," McGuire said.                                                                                                                          educator she's in charge of making
    "We go in and work the trauma                                                                                                              sure nurses have a host of skills.
ICU, cardiac ICU, internal medicine                                                                                                                "I think we're indispensible," said
ICU. They come and get us all the                                                                                                              Burnett, who previously worked in
                                                                                                                                 by Mike
                                                                                                                           Photo by Mike Lee
time and we just love to help them.                                                                                                            Edmond.
    “It's cool. If nurses are tired of      Mar gie McGuire, RN, wor ks in the fflex pool at OU Medical Center.
                                            Margie McGuire RN, wororks           lex
                                                                                 le       at            Center.                                    McGuire said there are nurses there
                                                                                                                                               day and night ready to fill in.
                                                                                             doing what they've been doing, they've                "There's a whole night shift of flex
                                                                                             got a little experience and want to               poolers.
                                                                                             make some more money that might                       “These nurses are the best. These
                                                                                             be the way to go."                                nurses are awesome and they know
                                                                                                  McGuire started nursing six years            their stuff."
                                                                                             ago. At Oral Roberts University in Tulsa              McGuire said money can often be
                                                                                             as a computer science major, a couple             a motivator for flex pool nurses.
                                                                                             friends were nursing majors and                        "Me and the girls we usually pull
                                                                                             graduated and got jobs.                           four or five just depending if we need
                                                                                                  "Some of the girls there had trouble         the overtime and that Mathis Brothers
                                                                                             getting into the computer field, but              couch," she said.
                                                                                             not the nurses," McGuire said.                        Kim Hensley floats as well. The
                                                                                                    "They kept telling me 'Margie,             RN has worked flex pool for the past
                                                                                             you'll never go without a job. You'll             18 months and with a seven-year-old
                                                                                             always have a job.' I switched my major           at home, the situation is ideal.
                                                                                             to nursing."                                          "I love it. I enjoy the flexibility
                                                                                                  Her first job was with Oklahoma              with the scheduling and I enjoy going
                                                                                             State at Tulsa Regional hospital                  to the different areas in the hospital,"
                                                                                             working medical/surgical before                   said Hensley, who has been a nurse
                                                                                             switching over to the ICU.                        for three-and-a-half years and worked
                                                                                                  After a move from Tulsa to OKC,              in medical ICU prior to working flex
                                                                                             she started at OU Medical in the flex             pool.
                                                                                             pool.                                                 "If there's a better schedule I have
                                                                                                  Now she makes her own schedule,              not found it and I have looked."
                                                                                             works any day of the week she wants                   Hensley will normally work three
                                                                                             to, and doesn't have to work weekends.            12-hour shifts per week and has
                                                                                                  “It's a huge draw, especially when           worked up to five in a single week.
                                                                                             you have three children," she said.               She says a lot of nurses would probably
                                                                                                  "If you're scheduled for something           enjoy it.
                                                                                             the next day, with 24-hour notice you                 "I think they would like to be
                                                                                             can cancel. It's a great job."                    float pool, but they need the health
                                                                                                  The rules for flex pool are simple.          insurance and when you're in the float
                                                                                             You have to work one shift per week.              pool you don't receive that benefit,"
                                                                                             You have to work one winter and one               she said.
                                                                                             summer holiday and have to have been                  "And some nurses are intimidated
                                                                                             a nurse for at least one year.                    by going to the different areas.
                                                                                                  "You let them know where you                     “There's three ICUs and we float
                                                                                             want to work. Ninety-nine percent of              between them. Some nurses don't want
                                                                                             the time I only work the three ICUs.              to change that frequently."
Oklahoma’s Nursing Times                                                   January 26, 2009   Page 5

CDC promotes revised
guidelines for trauma patients
     Guidelines recently published are aimed at ensuring that trauma patients with
more severe injuries are taken to trauma centers designed to handle such injuries.
The recommendations designed to standardize decision-making at the injury scene
also offer guidance on new technologies such as vehicle crash notification systems,
which alert emergency services that a crash has occurred and automatically summon
     The guidelines in the publication of the Centers for Disease Control and
Prevention were developed by CDC and key experts in trauma care. The report
provides the rationale and development process for the revised 2006 Field Triage
Decision Scheme: the National Trauma Triage Protocol for emergency medical
service (EMS) providers.
     Previous CDC-funded research has shown that decisions made at the scene of
the injury are vital. The risk of death of a severely injured person is 25 percent
lower if the patient receives care at a Level 1 trauma center, which has additional
resources specifically designed for care of severe trauma.
     Other key revisions include:
     ™ Recommendations for the right place and right time to best use crucial
emergency care resources
     ™ Vehicle crash damage criteria which can help determine which patients may
require care at a trauma center
     The Decision Scheme was developed in collaboration with the American College
of Surgeons-Committee on Trauma with support from the National Highway Traffic
Safety Administration (NHTSA). It was reviewed by the 36-member National Expert
Panel on Field Triage, which included representatives from EMS, emergency medicine,
trauma surgery, the automotive industry, public health, and several federal agencies.
     The revised guidelines are in line with the 2006 Institute of Medicine report on
the state of emergency care. The report envisioned a highly coordinated emergency
services system that assures that each patient receives the most appropriate care, at
the optimal location, with the minimum delay. With additional funding from
NHTSA, CDC is developing a companion educational initiative for local EMS
medical directors, state EMS directors, public health officials, and EMS providers.
Educational materials will be tailored to meet the needs of their communities and
include: a user’s guide, poster and pocket card of the Decision Scheme, a slide
presentation for use in trainings, and the MMWR article that includes continuing
education opportunities. Information and free downloads are available from CDC at For a complete copy of the MMWR report, please visit For more information about CDC’s work in injury and violence
prevention, please link to:

           Question of the Week
 Should the distinction between RNs and LPNs be eliminated?
     Currently, there is a definitive difference in the functions, and education,
 of both Registered Nurses and Licensed Practical Nurses. Should LPNs be
 encouraged to further their education and become RNs, which oftentimes can
 lead to better pay? Should the LPN degree be eliminated completely or should
 RN/LPN degrees be combined into one different degree for future nurses?
     What do you think regarding the situation of a RN and LPN degrees?
 Should they stay the way they are or should they transition according to
 current health care needs? What is your opinion on the subject matter?
     Oklahoma’s Nursing Times would like to know your thoughts. Please email
 your response, along with your name, nursing credentials, city, and contact
 information to or fax it to 405-631-5103.
Page 6                                                                         January 26, 2009                                                    Oklahoma’s Nursing Times

                                                                                                the State
                                                                                            information to deny benefits, raise         woman who took the test in December.
OMRF offers a unique                                                                        insurance premiums or to make decisions
                                                                                            about hiring or firing.
                                                                                                                                             “But without this opportunity, I
                                                                                                                                        never could have afforded to do this.

benefit to their employees                                                                       The results will be made available
                                                                                            only to those taking the tests - not to
                                                                                            OMRF or insurance companies. And
                                                                                                                                        I’m grateful to OMRF for providing
                                                                                                                                        me with this chance to look into my
     In today’s workplace, insurance and     were offered the testing at a significantly    those who take the test will have access         For more information about
retirement benefits are expected. Health     reduced cost - a $20 co-pay while OMRF         to genetic counselors, which will be        OncoVue, visit or
insurance, dental and vision plans are       paid the balance of the costs.                 available to help them interpret their      call 1-866-662-6883.
commonplace as well. But at the                   “We are offering the testing to our       test results.                                    OMRF ( is an independent,
Oklahoma Medical Research Foundation,        employees for two reasons,” said OMRF                “I hope this test will help me gain   nonprofit biomedical research institute
employees and their families can take        President Stephen Prescott, M.D.               information for myself and that I can       dedicated to understanding and
advantage of a unique employee benefit            “First, we wanted to give them an         pass on to my daughters,” said one          developing more effective treatments for
- a breast cancer risk assessment test.      opportunity to take advantage of a             woman who took the test at the              human disease.
     Recently, 80 women - OMRF               technology they helped create, either          December session.                                Chartered in 1946, its scientists focus
employees and spouses - took the             in the lab or as volunteers. Plus, as                “I’ve always wanted to take this      on such critical research areas as
OncoVue breast cancer risk assessment        part of our wellness initiative, this is       test because of my family history and       Alzheimer’s disease, cancer, lupus and
test. This will be the second installment    just one more way to help our employees        for my children’s sake,” said another       cardiovascular disease.
of testing at OMRF.                          and their families take charge of their
     When OMRF first offered the testing     health.”
in December, the session filled up in
less than a day, necessitating a second
session. All told, more than 150 women
                                                  Dr. Craig Shimasaki, president of
                                             InterGenetics, the Oklahoma company
                                             that produces the OncoVue test, said
                                                                                                   OKC Thunder partners
will be tested as part of OMRF’s
                                             OMRF is setting a precedent that other
                                             employer should follow.
                                                    “As the first Oklahoma company
                                                                                                    with Integris Health
     More than 15 years ago, scientists
at OMRF began to look at genetic factors     to offer OncoVue testing as a wellness
present in women who developed breast        benefit, OMRF is taking a proactive
cancer.                                      stance for the health and well-being of          Team’s practice facility to carry Integris name
     After gathering and analyzing           its employees,” he said.
samples from more than 10,000                     “And their decision to provide this
volunteers, they developed a test that       test is more than a perk. It could literally         The Oklahoma City Thunder has announced a multi-year partnership
gives a woman reliable assessment of         save lives down the road.”                      with Oklahoma-owned Integris Health.
her lifetime risk for breast cancer. That         Melissa Craft, the genetic counselor            Under the agreement, Integris Health becomes the official health care
test, OncoVue, is now available in           who will conduct the testing,                   provider of the Thunder. Thunder Chairman Clay Bennett, Integris Health
selected clinics nationwide and costs        emphasized that the test does not               President and CEO Stanley Hupfeld and Thunder Executive Vice President
approximately $400.                          identify cancer itself.
                                                                                             and General Manager Sam Presti made the announcement today at the
     OMRF employees and their spouses             “OncoVue helps a woman predict
                                             her risk of developing breast cancer in         newly-named Integris Health Thunder Training Center in north Oklahoma
                                             her lifetime,” she said.                        City.
                                                  “Because 80 percent of breast cancers           “We’re delighted to have Integris Health as our official health care
                                             occur in women with no family history,          provider and are very excited about the longterm partnership,” Bennett
                                             it’s important for all women to know            said.
                                             their personal degree of risk.                       “Integris represents the very best in health care. By bringing the
                                                  “The statistics tell us which factors      Integris medical professionals together with the Thunder’s highly skilled
                                             a patient has in her genetic makeup,            team of doctors and trainers, we are able to offer our players, coaches and
                                             and we can advise her about what                staff the finest medical care available.”
                                             precautions to take if her risk is                   Integris Health encourages healthy, active lifestyles and as the official
                                             especially high.”                               health care provider, Integris will offer health care services to both the
                                                  In the past, people often avoided          employees and the families of the Thunder organization. Integris Health
                                             genetic testing for fear of being refused       and the Thunder will also work closely on a number of community
                                             insurance coverage or turned down for           initiatives.
                                             employment if testing showed them at                 “Integris Health is proud to be named as the official health care
                                             high risk of developing a particular            provider for the Oklahoma City Thunder,” said Hupfeld, president and
                                             disease.                                        CEO of Integris Health.
                                                  But last year, Congress passed the              “Encouraging healthy and active lifestyles within our community is a
                                             Genetic Information Nondiscrimination           vital part of the Integris mission. We are honored to offer health care
                                             Act, which prohibits using genetic              services to the players, employees and the families of the Thunder
                                                                                             organization and wish them success as we partner with them in this
                                                                                             exciting endeavor.”
       Oklahoma’s Nursing Times . . .                                                             The partnership also includes naming rights for Integris Health for the
         ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○         permanent Thunder practice facility, scheduled to be completed in 2010.
                                                                                                  Integris Health owns, manages or leases hospitals, primary care clinics,
       We haven’t changed our rates in years!                                                mental health facilities, rehabilitation centers, fitness centers, hospice services,
     We have never changed our ad format/sizes!                                              home health agencies and independent living centers throughout the state
                                                                                             of Oklahoma. Integris Health is an Oklahoma-owned, not-for-profit
              We are still state-wide!                                                       corporation.
         ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○              Their mission is to improve the health of the people and communities
                                                                                             they serve. More information about Integris Health facilities and services is
         Just a Few Reasons To Look To Us                                                    available at or by calling the Integris HeathLine at
                                                                                             (405) 951-2277 or toll free at 1 (888) 951-2277.
          For All Your Recruitment Needs!
Oklahoma’s Nursing Times   January 26, 2009   Page 7
Page 8                                                                                                     January 26, 2009                                                                     Oklahoma’s Nursing Times

                                                            1 2 4 CERTIFIED NURSES                                                                                            1 4 0 GENERAL NURSING 1 4 0 GENERAL NURSING

                                                             Daytime CNA
                                                            Brookhaven Extensive Care
                                                               1050 Rambling Oaks,
                                                                   Norman, OK
                                                                 (405) 292-2273,
                                                                FAX 405-292-4040

                                                            Dayshift openings
                                                               FOR CNA's.
                                                              MCMAHON TOMLINSON
                                                                  NURSING CENTER
                                                               Dayshift openings FOR                                                                                                                              Full-time LPN
                                                              CNA's. Great new salary
                                                              scale! Excellent benefit
                                                                                                                                                                                                                      or RN
      ASSISTANT               ASSISTANT                     package available. Per diem                                                                                                                            NEEDED!
                                                             in lieu of benefits offered.                                                                                                                           Salary + Benefits.
                                                            Apply in person at 3126 NW                                                                                                                          OB/GYN Experience a plus
    Certified                  NOW HIRING                      Arlington, Lawton, OK                                                                                                                             Call 405-360-1264 or Fax
                                                            73505. (580) 357-3240. M-F,                                                                                                                          Resume’ to 405-321-8683
   Medication                  FOR CMA’s.                          between 8a-5p.                                                                                                                                 Women's Healthcare Of
  Aides. Great                   Full time                                                                                                                                                                      Norman. 500 E Robinson St
                                                                                                                                                                                                                    Norman, OK 73071
 Pay! $250 Sign
                              available, 2pm-
   on BONUS
  after 6 Mos. 3p - 11p,        10pm shift.
                                                            CNA M - F
                                                              Full-time with Benefits                                                                                             CMA's and                      CNA/CMA
 Mon - Fri w/Wkends Off      Excellent benefits and PTO.    Full Circle Senior Adult Day                                                                                            LPNs
    Apply in person at
     Noble Healthcare,
                                Apply in person at The        Care. 1185 E Main ST
                                                                 Norman, OK 73071
                                                                                                                                                                                Magnolia Manor Nursing          Employment
                             Sterling House of Claremore.                                                                                                                     Center. 310 W Broadway St
        1501 N 8th
 Noble, OK. 405-872-7102
                                 1605 N. Highway 88,                405-447-2955
                                                                                                                                                                                  Lexington, OK 73051           Opportunities,
                                    Claremore, OK.                                                                                                                             Has Full Time & Part Time           all shifts available and
                                                                                                                                                                                 Positions Available For         doubles on the weekends.
                                                                                                                                                                               CMA's and LPNs To Join a         Week-end/Shift differential.
                                                            1 4 0 GENERAL NURSING                                                                                                Great Team. Offering           Med. Insurance, including
                                                                                                                                                                                Competitive Wages and           dental & vision options, sick
                                                                                                                                                                                Benefits. Call Deanna at        leave, vacation & holiday pay.
                                                                                                                                                                                    (405) 527-6519              Longevity Bonus. Apply in
                                                             LPN and CNA                                                                                                                                        person or contact Sheila
                                                            NOW HIRING: part time LPN,                                                                                                                          Thompson at Glenhaven
                                                            full time CNAs. Apply in person:
                                                                                                                                                                              CMA and CNA                       Retirement Village 3003 W
                                                                                                                                                                                                                Iowa Ave. Chickasha, OK
 Index to Classifieds                                       Parkview Manor, 600 E
                                                            California St, Walters, OK, or
                                                            fax resume to 580-875-3574.
                                                                                                                                                                                positions                       73018 (405) 224-0909
1 0 0 Ambulatory                                                                                                                                                              Inola Healthcare Center has
                                                                                                                                                                                CMA and CNA positions
1 0 8 Administrative                                                                                                                                                          available. Excellent pay and
1 1 3 Case Management                                          NOW                                                                                                              medical benefits. Please            ARE YOU
                                                                                                                                                                                apply in person at: 400
1 1 5 Chemical Dependency                                                                                                                                                                                         READING THIS?
1 1 8 Clinical Instructors                                  CURRENTLY                                                                                                          North Broadway, Inola, OK.
                                                                                                                                                                                     918-543-8800.                So are more than 44,000
1 1 9 Collection
1 2 1 Critical Care
                                                              HIRING                                                                                                                                               RNs, LPNs, and other
                                                                                                                                                                                                                     healthcare workers
                                                            Personal Care Aides                                                                                                                                    throughout Oklahoma.
1 2 3 Certified Medical Assistant                               Moore and Norman
                                                                                                                                                                                FULL TIME                         Recruiters - call
1 2 4 Certified Nurses Aide                                    Full-time & Part-time
                                                                                                                                                                                position for                      631-5100 Today!
1 2 7 CRNA                                                   No Experience Necessary                                                                                           RNs or LPNs.
1 2 9 Dental                                                  Must Be Able To Pass                                                                                                  Case management
                                                             OSBI Background Check                                                                                               certification preferred but
1 3 0 Dialysis                                                Healthcare Innovations                                                                                          not required. Willing to travel
1 3 1 Dietary                                                   108 W Broadway St                                                                                               to Washington and Osage          LPN and CNA
                                                                  Lexington, OK                                                                                                                                    Gregston Nursing Home
1 3 7 Education                                               Call Lynn at 527-3494
                                                                                                                                                                                    County. Healthcare
                                                                                                                                                                                                                    located at 711 South
                                                                                                                                                                              Innovations Private Services
1 4 0 General Nursing                                                                                                                                                          5800 S Lewis Ave Ste 287.           Broadway. Marlow, OK.
1 4 3 Geriatrics and Long Term Care                                                                                                                                             Tulsa, OK 74105. Contact         (580) 658-2319. Accepting
                                                                                                                                                                              Marla Copeland toll free 866-           Applications For:
1 4 6 HMO                                                    RN, LPN, CNA                                                                                                     660-4424, or (918) 496-3300.       -LPNs 10-6 Monday-Friday
1 4 9 Home Health                                           NEWKIRK NURSING Center is                                                                                                        EEO.                        -CNA 10-6
                                                            accepting applications for LPN                                                                                                                             New Pay Rate.
1 5 2 Hospice                                               2pm - 10pm, or 10pm - 6am                                                                                                                                New Sign-On Bonus
1 5 4 Housekeeping                                          shifts, CNA’s all shifts, part
1 5 5 Infection Control                                     time RN and kitchen help. Apply
                                                            in person at 1351 West                                                                                            Needing
1 5 8 IV Therapy
1 6 1 Licensed Practical Nurse
                                                            Peckham Road, Newkirk, OK.
                                                            (580) 362-3277                                                                                                    Part-time help                    now hiring
1 6 4 Managerial
                                                                                                                                                                              HEALTHCARE INNOVATIONS
                                                                                                                                                                              Private Services Needing Part-
                                                                                                                                                                              time help with flexible hours,
                                                                                                                                                                                                                nurses for
1 6 5 Massage Therapy
1 6 7 Medical/Surgical                                      LPN, CNA/MAT                                                                                                      incentive pay, in the Miami/
                                                                                                                                                                              Commerce Area, consisting of
                                                                                                                                                                                                                 all shifts
                                                                                                                                                                              Light housekeeping chores, WOOD MANOR NURSING
1 7 0 Nurse Practitioner                                    CMA Full-Time                                                                                                     some personal care, errands Home is now hiring nurses
1 7 3 OB/Gyn                                                 MAJOR MEDICAL                                                                                                    and safety supportive help. for all shifts. New graduates
                                                                                                                          Recruiters...                                       $7.00 an hour. Call Healthcare  welcome. Apply at 2800
1 7 6 Occupational Health                                   BENEFITS OFFERED 1 4 0 GENERAL NURSING                                        Ask about internet advertising at                                    North Hickory Street
                                                                                                                                                                              Innovations-Private Services
1 7 9 Office                                                  We are looking for YOU to
                                                                                                                                             at (866) 216-2611 or (918) 824- Claremore, OK 74017,
                                                             join our GOOD NEIGHBOR                                                                                                                                918-341-4365.
1 8 2 Oncology                                                                                                                                                                2611 Mon-Fri, 8-5 . 1115 Ne
1 8 5 O.R./PACU
                                                                TEAM. Apply at 1060
                                                            Rambling Oaks DR. Norman,          RN - DON
                                                                                                 50K-60K, housing &
                                                                                                                          More than180,000 hits per month
                                                                                                                          Call 405-631-5100
                                                                                                                                                                              1st St. Pryor, OK 74361. HCIS
                                                                                                                                                                              is an EOE.
                                                             OK 73026 or Call 405-360-
1 8 8 Orthopedic                                            4755. You Will Be Glad That        Benefits! Cherokee Manor
                                                                                                   1100 Memorial Dr
                                                                                                                                                                                                                  CNAs, CMAs
1 9 0 Pediatric                                               You Are Part Of The Good
                                                                                                 Cherokee, OK 73728                                                                                                 & LPNs
1 9 1 Pharmacist                                              Neighbor Care community.

                                                                                                                            Oklahoma’s Nursing Times
                                                                                               580-603-1057 or 580-603-                                                                                         Colonial Lodgeis now taking
1 9 2 Physicians Assistant                                                                            1477 • EOE                                                                                                applications for CNAs, CMAs
1 9 7 Public Health                                                                                                                                                                                                & LPNs. Call Joetta at
2 0 0 Rehabilitation                                        Now Hiring                                                           We haven’t changed our rates in years!
                                                                                                                                                                                                                  918-423-6011 or apply in

2 0 4 Registered Nurse
                                                            Direct Care                        RN, LPN,                                                                                                           person 614 W. Harrison.
                                                                                                                                                                                                                       McAlester, OK
2 0 7 Research
2 1 0 Sales Representative                                     Staff                            CNA                         We have never changed our ad format/sizes!
                                                                                                                                                                                                                RN and CNA
2 1 3 Service                                                  Able Community Based             RN Needed, 2-10 Shift                                                                                           Ryan Nursing Home located
2 1 7 School Nurse                                           Services located at 303 E
                                                               Tonhawa, Norman, OK
                                                                                               Weekends only. Mon.-Fri.
                                                                                                shifts no weekends, no
                                                                                                                                            We are still state-wide!                                              at 703 E Lee. Ryan, OK.
                                                                                                                                                                                                                    (580) 757-2517 Now
2 2 0 Spec Producers                                         73069. Medical and Dental          nights, LPN’s & CNA’s                                                                                            accepting applications for
                                                                                                                                                                                                                weekend RN. CNA positions
2 2 3 Support Staff                                          beneifits. Must be able to
                                                              pass OSBI and Drug test
                                                                                               needed. Kenwood Manor
                                                                                               Apply in person at 502 W              Just a Few Reasons To Look To Us                                              also available. Please
2 2 5 Traveling Nurse                                        Call 405-329-3922 for more
                                                                                               Pine Ave. Enid, OK 73701
                                                                                                     (580) 234-1503
                                                                                                                                      For All Your Recruitment Needs!                                            contact Retta Thompson,
                                                                                                                                                                                                                  Assistant Administrator
2 2 6 Miscellaneous
Oklahoma’s Nursing Times                                                                                         January 26, 2009                                                                                                                Page 9

                                                                1 4 0 GENERAL NURSING 1 4 0 GENERAL NURSING                                                                                                                    1 4 0 GENERAL NURSING

                                                                  LPN or RN
                                                                CNAs & CMAs
                                                                                                                                                                                                                               2 2 6 MISCELLANEOUS
                                                                Full / Part Time
                                                                  All Shifts
                                                                    Especially 10pm-6am                                                                                                                                          Seeking Part
                                                                  Hire on Bonus. Weekend
                                                                   differential. Competitive
                                                                                                                                                                                                                                Time/Full Time
                                                                wages & benefits. Call Gayle                                                                                                                                        AMERI MED REHAB
                                                                  Thorpe, HR Director 580-                                                                                                                                      Seeking Part Time/Full Time
1 4 0 GENERAL NURSING 1 4 0 GENERAL NURSING                         402-1734. Greenbrier                                                                                                                                            PTA McAlester and
                                                                 Nursing Home is located at                                                                                                                                     surrounding areas Contact:
                                                                1119 E Owen K Garriott Rd.                                                                                                                                          Ralph 918-426-3700
                                                                       Enid, OK 73701.                                                                                                                                            405 E Chickasaw Ave.
                                                                                                  1 6 1 LICENSED                  1 6 1 LICENSED                 204 REGISTERED                    204 REGISTERED
   CNA’s,                           FT Experienced                                                      PRACTICAL      NURSE            PRACTICAL     NURSE       NURSE                             NURSE
                                                                                                                                                                                                                                   Mcalester, OK 74501
LPN’s, Relief                      For Busy OBGYN 1 6 1 LICENSED                                                                                                                                                                       RN / OR
RN’s, Dietary                       Great Benefits & Pay
                                  Fax Resume to 405-364-                 LPN     Evening
                                                                        PRACTICAL NURSE                                                                          Weekend RN                        FT RN NEEDED                 Cert. Scrub Tech /OR
                                                                                                                                                                                                  at Lindsay Municipal Hospital 1 year experience. Great
    and                              3480. DR. STEVEN
                                                                                    LPN                                                                          Colonial Lodge is now taking     Night shift. LMH offers pay +benefits, medical, 401

                                   JIMERSON, M.D., INC.
                                1407 N Porter Ave Norman,
                                           OK 73071
                                                                 LPN’s positions Brookhaven                                                                      applications for Weekend RN.
                                                                                                                                                                 Call Joetta at 918-423-6011
                                                                                                                                                                 or apply in person at 614 W.
                                                                                                                                                                                                  competitive salary along with (k),...Southwestern Medical
                                                                                                                                                                                                  benefits and retirement plan. Center. 5602 SW Lee Blvd.
                                                                                                                                                                                                                                      Lawton, OK 73505

                                                                Needed available Extensive Care
                                                                                                                                                                                                  Please apply at 1305 W
WILLOW HAVEN Nursing                  Tel: 405-360-2809                                                                                                          Harrison. McAlester, OK          Cherokee, Lindsay, OK or fax          (580) 531-4994
Center looking for CNA’s,                                                                                                                                                                         your resume to 405-756-1802
LPN’s, Relief RN’s, Dietary and                                                                   Inola Healthcare Center has        1050 Rambling                                                (Attention Human Resources)
Housekeeping. Call 580-628-                                                                       LPN positions available.         Oaks, Norman, OK               ASSISTANT
2529, or apply at 1301 North
Fifth, Tonkawa, OK 74653.
                                     RN and                     Employment Opportunity
                                                                doubles on weekends 7-3, 3-       Excellent pay, major medical
                                                                                                  and other benefits. Please      (405) 292-2273, FAX
                                                                                                                                                                                                                                  Now Hiring All
                                                                                                                                                                                                                                 Dietary Positions
                                                                11 shift. Med. Insurance,
                                                                including dental & vision         apply in person at: 400 North       405-292-4040               DIRECTOR OF Now hiring
                                                                                                                                                                                                                                    (All Shifts)
                                                                options, sick leave, vacation     Broadway, Inola, OK. 918-
                                                                                                                                                                   NURSING   Part time RN
                                      Case                      & holiday pay, longevity bonus.
                                                                Apply in person or contact
                                                                                                                                                                 McMahon-Tomlinson Nursing
                                                                                                                                                                 Center is seeking a full-time
                                                                                                                                                                                                                                Cedar Creek Living Center
                                                                                                                                                                                                  Rest Haven Nursing Home is 600 24th Ave SW, Norman,
                                                                                                                                                                                                                                   OK. 405-329-6771
                                                                                                                                                                                                   now hiring a Part time RN.
    applications:                    Manager                    Sheila       Thompson
                                                                Glenhaven Retirement Village
                                                                                                                                                                   R.N. to fill the position of
                                                                                                                                                                     Assistant Director of
                                                                                                                                                                                                     Pay commensurate with
                                                                                                                                                                                                   experience. Great working
                                MED-CORP HOME HEALTH 3003 W Iowa Ave. Chickasha,
    Weekend RN Services located at 506 W OK 73018 (405) 224-0909             Accepting needed for                                                                 Nursing. The candidate will
                                                                                                                                                                  have good communication
                                                                                                                                                                                                    environment dedicated to
   LPN's, CNA's, Blue Starr Dr Claremore, OK.                                                                                                                          skills and a strong
                                                                                                                                                                                                   excellent care. Come talk
                                                                                                                                                                                                   with us and learn how your
          CMA's                 Now hiring for RN and Certified
                                Case Manager. Home health                   applications Doctor’s                                                                  supervisory background
                                                                                                                                                                   preferably with long-term
                                                                                                                                                                                                    skills and enthusiasm for   Day Cook
     New starting wages,        experience preferred but not    Experienced                   office.                                                             care experience. Excellent
                                                                                                                                                                                                   quality care can work with
                                                                                                                                                                                                                                  Shanoan Springs
   double holiday pay after
      90 days, drug free
                                required. M-F 8:00 to 4:30,
                                Holidays off, competitive        3-11 LPN’s  for LPN’s Full-time, benefits. Send                                                 benefits available. Per diem
                                                                                                                                                                                                     us! Apply in person at
                                                                                                                                                                                                  310 E. Central, Cushing, OK.        Residence
      facility. Team spirit     wages, benefits, and mileage.                                     BILLINGS FAIRCHILD Center         resume to McCauley,            in lieu of benefits. Apply     Ask for Stephanie (918) 225- 2500 S. 12th, Chickasha,
                                                                                                                                                                 Mon - Fri, (8 a.m.- 5 p.m.) at                                OK 73018. Experienced
   required, dependable &       Contact: Amy 918-342-2003 Shanoan Springs Residence               is accepting applications for      Jon M MD. 4 E Clark
                                                                                                                                                                 3126 NW Arlington, Lawton,
                                                                                                                                                                                                  1477. Caring for your family
                                                                                                                                                                                                                                 Day Cook. Apply in
   caring. Apply in person,                                       2500 S. 12th, Chickasha,                                            Bass Blvd, #203,                                                    like our family!
                                                                           OK 73018                 LPN’s who want to join a                                      OK 73505. (580) 357-3240                                     Person. (405) 224-1397
    please, Hugo Health &                                                                           great team. Call Doris for      McAlester, OK 74501.                                                   EOE/M/F/V/H
     Rehabilitation Center                                        Experienced 3-11 LPN’S                                               (918) 423-8200
                                                                 Full time positions available.   more information at 580-725-
  located at 1001 Heritage                                                                         3533. 202 E Maple. Billings,
        Way, Hugo, OK.
                                   Visit The Web                        Apply in Person.
                                                                                                        OK 74630. EOE
        (580) 326-7771
                                                                         (405) 224-1397
                                                                                                                                                                         Oklahoma’s Nursing Times
                                       or call                                                                                     Seeking
 MEDICAL                           (405) 631-5100                    The Oklahoma’s                                                LPN’s for                           CLASSIFIED RATES
   Part-time position, good
                                                                      Nursing Times                                                all shifts                               Effective January 1, 2003
                                                                                                                                  Beare Manor seeking
  working conditions, small
private practice office. Bring
 resume, apply in person at        Personal                             WORKS!                                                    LPN’s for all shifts. If you
                                                                                                                                  are interested Please            Per Line, Per Insertion
  Dr. Gary Gramolini, DOCS                                                                                                        apply in person 1300 N.
 Weight Loss Clinic located
 at 505 NW Sheridan, Suite
                                   Care Aide                       “I wanted to let you know about                                Drive, Hartshorne, OK,
                                                                                                                                  ask for Jan. (918) 297-
                                                                                                                                                                     Open 4x 12x 26x 48x
       A, Lawton, OK.               Healthcare Innovations         the great response we had from
                                                                                                                                                                    $5.01 $4.41 $4.22 $3.93 $3.66
                                       108 W Broadway St                                                                          7000
       (580) 355-2818
                                          Lexington, OK
                                       Personal Care Aide
                                                                   the our ad. This was the best
                                         Blanchard Area            response we have every had
 Personal Care
                                   Call Lynn @ 405-527-3494.
                                                                   from running an ad in the paper                                   LPN                           Classified Display: 14 lines to an inch.
                                                                   for an RN. I don’t know if it was                              $1500 sign                         Color
located at 506 W Blue Starr
Dr Claremore, OK. Now hiring
                                    CMA Needed                     the timing or what.                                             on bonus                           Spot: $75 for each color                   Full Color: Only $125
in your area, Personal Care
Assistants. Need caring,
dependable people to assist
                                   all shifts                      But I really think it was the                                   WESTHAVEN NURSING &
                                                                                                                                   REHAB is hiring for: LPN
                                                                                                                                   (weekend doubles) $1500
                                                                                                                                                                                                  (color as available)
                                                                   Oklahoma’s Nursing Times ad.”
                                                                                                                                                                     WORLD-WIDE! YOUR AD ONLINE
the Elderly, Disabled with daily     St Katharine Drexel                                                                                  sign on bonus
chores. No certification                 Retirement                                                                                     Apply in person at
required. Contact: Amy             301 W Wade St, El Reno,                                                                               1215 S Western
                                                                   -Kathy Black, Executive Director
                                                                                                                                                                     FOR ONLY .32 EXTRA PER LINE!
or Samantha 918-342-2003,                OK 73036                                                                                 Stillwater, OK 74074 Or call
800-719-9043                           (405) 262-2920                                                                               Teresa at 405-743-1140
                                                                                                                        Recruiter Showcase

January 26, 2009
January                   Vol.
                          Vol. 02 Issue 01       Information for the Tulsa and Green Country Nursing & Health Care Professionals.
             Servicing Northeast Oklahoma, Southeast Kansas, Southwest Missouri, & Northwest Arkansas. Published each week by Metro Publishing L.L.C.

  A Paperless World:
 Tulsa hospitals weigh
      in on EMRs
Jim Butcher
Staff Writer

    Eliminating paper in medical facilities — also known as
electronic medical records —is on many priority lists, including
President Obama’s. He has placed it high, believing that EMR
will help the government and the American people save
    After talking to key individuals at St. John Health System
and Cancer Treatment Centers of America in Tulsa they don’t
see it as a major way of reducing cost and saving money.
    “You can’t put a dollar amount on quality patient care,”
said Tauna Barrett, BSN, RN, CPHQ, Cerner Liaison Project
Nurse, at St. John. “Investment in EMR is money in the
    CTCA, which has 10 months of being virtually “paperless’’,
approached EMR as “enhancing patient care and better access
to information and data,” said Denise Geuder, vice president,
patient care services.
      She explained that on March 28, 2008, Cancer Treatment
Centers of America shut down 18 legacy systems and switched
to a single platform electronic health record containing 22
modules including clinical and revenue cycle management.
    The initial investment was significant and there is the
continual expense of upgrades, additional “IT” personnel who
keep the system operating and trying to better it better for                                                                                                                    by     Butcher
                                                                                                                                                                          Photo by Jim Butcher
everyone, from patient to the hospital staff.
    Geuder put it this way: “It’s like your PC at home,                        offard, RN,                      Conaw RN, update         electronic           ecords patient Charlie
                                                                      Christi Wof f ard, RN, (left) and Allison Conaw ay, RN, update the electronic medical r ecords of patient Char lie
making upgrades often, getting new software, maintenance.”            Mor ris of Henr yetta, Okla., during a visit to Cancer Treatment Center s of America Tulsa hospital.
                                                                      Morris Henry                                              eatment Centers
                                                                                                                                                                             EMRs, Pa
                                                                                                                                                                         See EMRs, Page 2

Okmulgee Memorial Hospital provides
“HOPE” for patients, families
by Cheryl Schuman                   of her home.
Staff Writer                            “She did not attend his funeral,” Reagle said.
                                    “She was delusional and thought her children had
                                    taken their father somewhere and he would return.”
    “She had not been out of            Reagle went on to say the woman would not let
her home for over seven             family members into the house. “They would leave
years,” said Diane Reagle, RN,      her groceries on the porch and only after they left
MSN and director of the Hope        would she open the door and take them inside”.
Unit at Okmulgee Memorial               The woman’s children came to the Hope Unit at
Hospital.                           OMH, seeking help. They were understandably shaken
    Reagle went on to explain       by their mother’s behavior, worried for her safety
that the elderly woman had          and were desperate for a lifeline to help their mother.
lived in seclusion all that time,       That lifeline was the HOPE Program.
never venturing out and                 The HOPE Program is a geriatric treatment
depending on her husband to         program dedicated to serving the behavioral and
grocery shop and take care of       physical health needs of people age 55 and older.                                                                                         by Cheryl Schuman
                                                                                                                                                                        Photo by Cher yl Schuman
any business the couple had         Located at the Okmulgee Memorial Hospital, the
outside their home. Then, the       HOPE Program has been caring for senior adults                                              psychiatric care or persons ag
                                                                                                The HOPE Progr am provides psychiatric care ffor per sons age 55 and older. Pictured
                                                                                                            Pro      pro                                                    older. Pictured
husband died, leaving the           and providing support to their families since 1989.         are staff members                               alters     Outpatient               dinator
                                                                                                ar e staff member s (left to right): LouAnne Walter s, RN; Outpatient Clinical Coordinator
woman without any link to               Reagle said she went to the woman’s home and            Donald Dill, RN, MSW; HOPE Progr am Director Diane Reagle, RN, MSN and Ruth Coe,
                                                                                                             RN, MSW;           Pro      Director       Rea le, RN,
                                                                                                                                                          eag                    Ruth Coe,
the world beyond the confines       for two hours stood on the porch talking through            RN.                                                                           Hope, Pa
                                                                                                                                                                          See Hope, Page 6
Tulsa’s Nursing News                                                         January 26, 2009                                                                         Page 2

                                            United States into one uniformed              stages or phases.                           and find you are behind the times.”
EMRs                                        operating system.
                                                  Other challenges included
                                                                                              Marsha Waterstradt, RHIA,
                                                                                          information technology clinical analyst,
                                                                                                                                           Morton said EMR is not going to
                                                                                                                                      eliminate the need for the bedside
Continued from Page 1
Continued from Pa                           educating and training hundreds of            explained that local doctors began          nurse.
                                            people with varying degree of skills.         working toward electronic medical                She remembers years ago when day
                                            “Some people didn’t know how to turn          records in the early 1990s.                 and evening shifts were distinguished
                                            on a computer, while others are                   “St. John began its planning in         by the color of ink on the board ...
     She said jobs change in EMR.           computer savvy,” Geuder said.                 1993 and then kicked off a program          when they used microfilm for medical
“Medical records people get new skills            Basically, some paper documents         three years later. For a variety of         records ... you couldn’t read someone’s
... no one loses their jobs. Instead, we    still exist, such as doctors’ prescriptions   reasons that was not the program St.        handwriting.
need support people and two clinical        that patients must take to a pharmacy.        John wanted.                                     Morton sees electronic medical
analysts who work with end users to         CTCA provides their patients with                 “At one point the hospital decided      records a “huge step forward in
make it more efficient and make it          copies of x-rays on CDs.                      on a four-year, phased-in approach          nursing practice ... this is a
better and faster.                                Both St. John and CTCA report           and everything would be running,”           monumental change for nurses.”
     Asked if they had any surprises,       that even though the electronic medical       Barrett said, “but then reality set in.”         From the nursing point of view,
Pam Doak, inpatient oncology                records system was installed it is a          The current paperless system is two         they see EMR benefits as you can never
manager, said they had a pleasant                                                                                                     put a price on patient care and safety
surprise —no crashes during the past                                                                                                  ... “how can you put a dollar amount
10 months.                                       “You can’t put a dollar amount on quality                                            on preventive medicine ... ” said
     “We anticipated and planned for                                                                                                  Morton.
possible system crashes, but so far           patient care,” said Tauna Barrett, BSN, RN,                                                  There is some financial saving.
none.”                                                                                                                                     Waterstradt points to economies of
     They do have scheduled down              CPHQ, Cerner Liaison Project Nurse at St. John.                                         scale for the St. John Health System
times for maintenance, and both                                                                                                       which includes facilities at Tulsa,
women said it was interesting that                                                                                                    Owasso, Sapulpa, Broken Arrow and
many of the hospital staff would            never-ending task.                            and half years old.                         the Jane Phillips Medical Center in
express their view of “wanting the               There is the constant need of                “I don’t know if we will ever be        Bartlesville.
system up as soon as possible. We           upgrading and trying to make it better        done with this ... technology keeps              “We are not having to reinvent
often hear, ‘please don’t make me fill      for the patient and for everyone.             improving ... it moves at the speed of      the wheel at the other hospitals.”
that out ... we don’t want to go back            There are two approaches to EMR.         light ... you must continually upgrade,”         St. John’s EMR is nearing 100
to paper.’”                                      One is the “Big Bang Theory,”            said Dolores Morton, RN, BC, MPH,           percent coverage. There are some
     One of the biggest challenges          according to Tauna Barrett at St. John.       CPHIMS, information technology              outpatient areas not included.
CTCA faced was standardization, since       “It’s sink or swim,” she said, while          clinical analyst.                                Morton said now nurses don’t have
they were integrating three separate        the other approach focuses on                     “If you don’t continually tweak         to walk up and down the hallway
hospitals in different locations in the     development and implementation in             it, make it better, you will wake up        looking for a particular document.

                                            They are referred to the unit by                  The patients thrive on the one-         very much misunderstood and if you
Hope                                        primary care physicians, family
                                            referrals, Adult Protective Services and
                                                                                          on-one care provided and many will
                                                                                          cry when it is time to leave.
                                                                                                                                      are mentally ill, you are viewed as
                                                                                                                                      having no worth. But it is treatable if
Continued from Page 1
Continued from Pa                           nursing home facilities.                          “We’ve even had some patients act       the medications are taken correctly.”
                                                HOPE offers therapeutic                   up at their nursing homes because they           The HOPE Program provides full
                                            environment for seniors struggling            think the bad behavior will allow them      continuum of care, including inpatient
the door, trying to persuade her to         with the following:                           to return to us,” laughed Reagle.           and outpatient counseling, treatment,
let her come inside.                            ™ Problems with appetite or sleep             The HOPE Program has worked             and community referral service.
    “She finally let me in,” said Reagle.       ™ Excessive nervousness                   very hard to change the image of the             “We also realize the importance of
“The woman was so frightened that               ™ Excessive crying and /or social         “psych ward” in the community.              the family’s role in supporting the
she had knives hidden behind the            withdrawal                                        “We want people in the community        patient”, said Reagle. “It is very much
door. She saw people that weren’t there         ™ Confusion/memory trouble                to know that we just don’t have ‘crazy      a part of the recovery process if the
and heard voices.”                              ™ Wandering                               people’ here,” said Reagle. “These are      family members participate in the
    Reagle began talking to the woman           ™ Refusing care, treatment or             moms and dads, aunts and uncles,            treatment program of their loved one.”
and told her she knew how afraid            medicines                                     people they would see every day in               The staff at the HOPE Program is
she was and that if she agreed to go            ™ Excessive anger and/or                  every situation.”                           like an extended family for the patients
to the HOPE Program, the doctors and        combativeness                                     Reagle is quick to praise her staff     they are treating.
the staff would do everything they              ™ Medication interactions                 of dedicated nurses. One of those is             “We treat them like they are our
could to relieve her anxieties.                 ™ Not wanting to live                     LouAnne Walters, RN. Walters said           elderly family members,” said Walters.
    “I had to actually get on her level         ™ Psychosis (hallucinations,              psychiatric nursing has been the most       “We want them to succeed in this
and for possibly the first time, she        delusions, paranoia)                          rewarding field of nursing she has          program.”
had someone relating to her fears,”             Reagle said many of their patients        been involved with and she encourages            For more information about the
Reagle stated. “We were all surprised       have been on psychiatric drugs that           others in the nursing profession to         HOPE Program, contact Diane Reagle
when she finally agreed to come with        are not being managed anymore or              consider working with psychiatric           at 918-758-3308 or by email at
me.”                                        they have stopped taking them                 patients.                         
    After her in-patient stay, the          altogether.                                       “Mental illness has long had the
woman is now involved in the out-               An average stay in-patient is 7 to        stigma of being something kept a
patient program, has moved in with          10 days, however, the length can vary,        secret,” said Walters. “Mental illness is
her daughter, and became acquainted         with many staying up to two weeks,
with grandchildren she had never met.       sometimes a little longer.
    Reagle said the change was
amazing, “for the first time in seven
years, the woman helped her daughter
                                                Reagle said a variety of
                                            professionals help to evaluate the
                                                                                                                   Check out
cook Christmas dinner.”
    The HOPE Program is one of five
                                                “We have a social worker that is
                                            working with the individual, and
gero-psych hospitals in the state of        also a activities therapist,” said Reagle.
Oklahoma and about 50% of the               “She is great and sees what is kind of
                                                                                             For special banner ad rates, simply email your
patients that are admitted to HOPE,         going on with the patient and relays            request to!
are from out of Okmulgee County.            that information to the doctor.”
Page 12                                                                          January 26, 2009                                                        Oklahoma’s Nursing Times

Continued Education
                                     critical care nurses who are          NurseBiz: Business                     3333; Pontotoc Tech-Ada-Andrea        Evidence Based Practice
     February                        seeking a comprehensive review
                                     of the core knowledge base for
                                                                           Planning for Nurse
                                                                                                                  Pogue (580)310-2236; Tulsa Tech-
                                                                                                                  Tulsa- Elaine Hintze (918) 828-
                                                                                                                                                        for Clinical Nurses Online
                                     bedside practice. It is helpful for                                          1083; Metro Tech- OKC-Deborah
                                     those preparing for the AACN          Have you ever thought of starting      Weiss (405)605-4770; Southern         The purpose of this online instruc-
                                     PCCN certification exam.              your own nursing business? This        Tech-Ardmore-Brooke Baxter            tor-led course is to provide the
02/05/09 Epidural                    Speakers: Belinda Lechtenberg,                                               (580)223-2070; High Plains Tech-
Analgesia Management                                                       online course is designed to help                                            nuts and bolts needed to use EBP
                                     RN, BSN, CCRN and Pamela              assess your entrepreneurial            Woodward-Sue Mitchell (580)571-       in the clinical setting. Course par-
(non-obstetric)                      McNatt, RN, BSN, PCCN, CCRN.          characteristics and to help you        6159. For more information please     ticipants will work through the EBP
                                     Event times are 7:30am - 4:30pm.      develop a detailed business plan       visit     our   web     site   at     process from beginning to end.
This training class on epidural      Sponsored by: South Central OK        for strategic planning or to provide (contact         Participants progress at their own
management was developed to          AACN Chapter. The course will be      to potential investors or business     Ned Gray at (405)-743-5568) or        pace as they learn how to apply
meet the Oklahoma Board of           held in the Auditorium at Norman      partners. Business planning            EBP to clinical practice. Nursing
Nursing guidelines for training on   Regional Hospital, 901 N. Porter      software and texts are included at         CE credit-16 contact hours.To reg-
the care of non-obstetric patients   Ave., Norman, Oklahoma. Cost          with course tuition. The course is     (405)-271-2062. The University of     ister or for more information visit
using epidural analgesia. In         includes continental breakfast,       approved for 40 hours of               Oklahoma is an equal opportunity      our         web         site      at
addition to the objectives listed    handouts, and CEU certificate.        continuing nursing education           institution.                 or contact
below, hands-on training with the    Free Parking. AACN National           credit. The University of                                           at
APM II pump will be offered.         Member $100, Local AACN               Oklahoma is an approved                                                      ( 405)-271-2062). Cost $150. The
Review OBN Guidelines related        Chapter Member $75, Non-AACN          provider of continuing education                                             University of Oklahoma is an equal
to Epidural Analgesia (non-          member $125. For Further              by the Colorado Nurses                                                       opportunity institution.
obstetric) - Review Anatomy and      Information call: Gayle Sturgis at    Association, an accredited
Physiology of the spinal cord and    405-307-3021 or email:                approver by the American Nurses
column, location of catheter                                                         Psychopharmacology
                                                                           Credentialing Center’s                 Course for Advanced
placement - Discuss purpose of                                             Commission on Accreditation. For
the epidural catheter for pain                                             more information, visit our
                                                                                                                  Practice Nurses
management - Discuss                                                       Website at http://                                                           Toolkit for Nurturing
pharmacologic effects of the                                                                                      This course provides a basic          Excellence at End of Life
                                                                  To enroll,      comprehension of chemical
drugs administered via the                                                 please contact Sandra McConnell                                              Transition
epidural route - Discuss nursing                                                                                  neurotransmission              and
                                                                           at (405)271-2062 or send an e-         neurotransmitter systems that
management of untoward effects                                             mail to                                                 The TNEEL-SS program is
of medications - Review signs/                                                                                    form the pharmacological basis for    designed to help caregivers
                                                                           The University of Oklahoma is an       drug action in the prevention of
symptoms of catheter                 02/28/09 12 Lead EKG                  equal opportunity institution.                                               improve palliative care for patients
misplacement Primarily for RNs       Interpretation Course                                                        illness,     restoration,      and    across the life span. The course
and LPNs working with non-           (Advanced)                                                                   maintenance of health in              has open entr y, affording
obstetric epidural patients. This                                                                                 advanced practice psychiatric and     par ticipants the opportunity to
class may be required for some       An in depth look at abnormal 12                                              mental health nursing. Dr ug          begin at any time and offers a
Ortho/Neuro staff. For more          lead tracings. Participant should                                            interactions,             adverse     range from 2 to 49 CEU contact
information call HealthLink at       have attended a Basic 12 lead                                                effects, safety in prescribing        hours. The cost is $20 per CE hour.
440-8802.                            class at some point prior to                                                 psychotropics       and    ethical    Participants may choose to take
                                     attending this class. Class                                                  considerations as well as methods     either 2 CE or 8 CE programs in
                                                                                                                  of evaluating psychiatric drug        any of the following areas: 1. Pain
                                     includes topics such as WPW           CPR (BLS) Core Instructor              information will be presented. This
                                     syndrome, Wellen’s syndrome and       Class                                                                        and symptom management
                                     identifying Wide Aberrancy SVT                                               course is designed for Advanced       (Comfort) 2. Clinician-to-patient
                                     VS V-TACH. No charge to NRHS                                                 Practice Psychiatric Nurses.          communication                 skills
02/07/09 3rd Annual                                                        American Heart Association one-        Content is aimed at Psychiatric
Statewide Conference -               employees or Critical Care            day course designed to provide                                               (Connections) 3. Legal and ethical
                                     Consortium Members but pre-                                                  Clinical Nurse Specialists and        issues at the end-of-life (Ethics &
Extending Evidence-                  registration is required. $45 for
                                                                           the opportunity for instructors to     Psychiatric Nurse Practitioners.      Law) 4. A comprehensive
based Stroke Care to                                                       improve their instructional skills.    This course is appropriate for any
                                     outside registration. Payment is      The completion of this course by                                             understanding of grief 5. The
Oklahoma Community                   due prior to the class. Make                                                 Advanced Practice Registered          economic and emotional impact of
Hospitals                                                                  Internet or CD-ROM is required         Nurse who prescribes psychiatric
                                     checks payable to Norman              before taking other AHA Instructor                                           death (Impact) 6. Alternative
                                     Regional Health System. 405-440-                                             medications to gain a more            therapies for the patient’s well-
                                                                           courses. There are no prerequi-        thorough understanding of
This one day educational event       8802                                  sites for this course. Anyone who                                            being (Well-Being). . For more
has been designed to increase                                                                                     psychotropic dr ugs. Course           information contact (405) 271-
                                                                           wants to become an AHA                 options include 30 contact hours
the understanding of recent                                                                                                                             2062 ext 49180.
advances in medical
management of acute stroke.                   Online                       Instructor can take this course.
                                                                           Date(s): Self-paced by CD-ROM
                                                                           or Internet AHA Site Coordinator
                                                                                                                  (Cost $300) or 15 contact hours
                                                                                                                  (cost $150) CE credit (36 or 18
                                                                                                                  contact hours pharmacology credit
The primary focus is the                                                   405-307-1777 Fees: $25.00 for all
continuum of care and the                                                                                         approved by Oklahoma Board of
                                                                           participants.                          Nursing). For more information        Case Management Series
importance of establishing
communication channels for                                                                                        please visit our web site
immediate consultation and           Gero 580-95                                                         or contact       The Case Management series of
referrals for “drip and ship”                                                                            at          courses prepare the learner with
treatment and possible transfer      The University of Louisiana at                                               (405)-271-2062.                       essential knowledge needed to
of acute ischemic stroke patients    Monroe is offering a new online                                                                                    take one of the national case man-
in Oklahoma. Featured                graduate course this spring for                                                                                    agement certification exams. The
Speakers: Charles Morgan,            professionals who provide long-                                                                                    series features three courses: Part
                                     term and acute care to persons        Oklahoma      Statewide                                                      I: Case Management Principles
M.D., Lawrence Davis, M.D.,
Harold P. Adams, M.D., David L.      suffering conditions of dementia.     Nurse Refresher Course                                                       and Practice 60 contact hours , 10
Gordon, M.D., Lee Schwamm,           The long-term care concentration      (160 contact hours)                                                          week introductory course to ex-
M.D., James R. Daniel of the         in the university’s gerontology                                                                                    plore the concept of case manage-
Stroke Center at Integris            graduate program is the first in      For RNs and LPNs- Sponsored by         Legal Nurse Consulting                ment as the timely coordination of
Southwest Medical Center, and        the nation to be accredited.          the University of Oklahoma Col-        Certificate Program                   quality healthcare services to meet
Cerebrovascular & Stroke Center      Gerontologists, nurses, counse-       lege of Nursing and Participating                                            specific health care needs in a
at Integris Baptist Medical          lors and other professional           Career Technology Centers. This        To pursue study and acquire the       cost-effective manner to
Center Contact: Pam Forducey,        caregivers may benefit from the       course offers three components:        knowledge and skills needed to        promote positive client
PhD., ABPP, Director of              valuable information provided in      1) an instructor assisted self-        practice legal nurse consulting.      outcomes (Cost $500);Par t II:
Neuroscience Institute and           the course, a class which will        paced online nursing theoretical       This area of specialty practice is    Practicum in
Telehealth Ph: 405-713-4433.         raise questions about many            course 2) a nursing skills lab and     growing all the time and many         Case Management 40 contact
Fax: 405-951-8851. Email:            commonly held assumptions             3) a clinical module. This course      nurses are using their skills to      hour web-enhanced clinical
Pam.Forducey@integris-               about Alzheimer’s and related         can be completed in as little as six   practice full or part time in this    practicum course focusing on the                          conditions, according to Chris        weeks or as long as six months. It     area. This certificate course is      application of case management
                                     Johnson, Ph.D., professor of          meets requirements of the Okla-        formatted for 90 contact hours of     principles and practices (cost
                                     sociology and gerontology.The         homa Board of Nursing as an ap-        self-paced study. Upon completion     $300); and Part III: Advanced Con-
                                     course considers theories that        proved nurse refresher course and      of the course, participants will be   cepts of Case Management 30
                                     neurodegenerative conditions          includes faculty supervision for all   awarded the Certificate in Legal      contact hours CE credit over a 5
                                     should not claim the elderly, nor     course components. Total course        Nurse Consulting. The program         week period web-based course
                                     should they dominate them or          cost: $2,500. Currently licensed       has been approved for 90 contact      designed to explore advanced
                                     degrade their humanity. The           Oklahoma nurses who would like         hours of education credit by the      concepts, issues and trends of
                                     three-credit hour course costs just   an update about nursing knowl-         American College of Legal Nurse       relevance to the practice of case
                                     over $700 and is part of ULM’s        edge have the option of taking only    Consulting. Requirement for this      management (cost $250).
02/26/09 & 02/27/09 PCCN             Gateway to Online Degrees             the online theory course from OU       cer tification course is state        To register or for more information
Certification Review                 Program; visit the ULM GOLD           College of Nursing. Contact your       registration as a Registered Nurse.   visit     our     web     site   at
Course “With                         website at               local participating Career Technol-    Students receive instructions for or contact
Confidence”                          onlinedegrees. For more informa-      ogy Center: Canadian Valley Tech-      accessing the legal nurse    at
                                     tion about the course, contact        El Reno- Sharon Mitchell (405)         consultant classroom.                 ( 405)-271-2062). The University
This two day review course is        Chris Johnson at (318) 342-1465       422-2342; Mer idian Tech-              For       more       infor mation,    of Oklahoma is an equal opportu-
intended for progressive and         or e-mail           Stillwater-Rena Hines (405-)377-              nity institution.
Oklahoma’s Nursing Times                                                        January 26, 2009                                                                               Page 13


FDA approves RiaSTAP for
patients with rare genetic defect
     The U.S. Food and Drug Administration today licensed RiaSTAP, an orphan drug for the
treatment of bleeding in patients with a rare genetic defect known as congenital fibrinogen
deficiency. Without treatment, these patients are at risk of potentially life-threatening bleeding.
     People with congenital fibrinogen deficiency are unable to make sufficient amounts of
fibrinogen, which plays an important role in blood coagulation by helping to form blood clots
and prevent bleeding. Fibrinogen is manufactured in the liver and circulates in the blood plasma
in a normal concentration of 250-400 mg/dL.
     “This product offers much-needed treatment for the small number of patients with congenital
fibrinogen deficiency,” said Jesse Goodman, M.D., M.P.H., director of the FDA’s Center for
Biologics Evaluation and Research. “If bleeding occurs in the brain or other organs and is left
untreated, it may lead to blood loss, organ damage and death.”
     Fibrinogen deficiency affects only 150 to 300 people in the United States and is usually
diagnosed at birth when newborns bleed from their umbilical cord site. Children with the defect
need to curtail activities because of risk of bleeding from minor trauma.
     RiaSTAP is an intravenous fibrinogen concentrate made from the plasma of healthy human
blood donors. The product is indicated for patients who have no fibrinogen or low levels of the
substance, an abnormality known as afibrinogenemia, or for those patients whose fibrinogen
levels are below 50 mg/dL, an abnormality known as hypofibrinogememia.
     The product is not indicated for patients with dysfibrinogenemia, who may have normal
fibrinogen levels but defective fibrinogen function. Patients such as these are at risk for both
bleeding and clotting complications.
     The licensing of RiaSTAP was supported by a study of 15 patients with afibrinogenemia who
achieved the target level of fibrinogen expected to prevent bleeding after they received 70 mg/kg
of the drug.
     In addition, plasma from 14 of the 15 patients showed increased maximum clot firmness, a
surrogate marker likely to predict clinical benefit. Fever and headache were the most common
adverse reactions.
     Clinical benefit will be further verified in a postmarketing study which will include both
afibrinogenemic and hypofibrinogenemic patients.                                                                          Check out our banner ads at
     Orphan drugs are drugs or biologics intended for use in a rare disease or condition.                       !
Manufacturers are qualified to receive certain government benefits in exchange for developing
such products. RiaSTAP [Fibrinogen Concentrate (Human)] was developed under the FDA’s
                                                                                                                    For special banner ad rates, simply email
accelerated approval regulations.                                                                                                your request to
     The drug is manufactured by CSL Behring, Marburg, Germany.                                             

Oklahoma’s Nursing Times
Hospice Directory
                                                                            Frontier Hospice:                   Gwyn Gilkeson, Volunteer              OKC; Jennifer Berkenbile, Enid;
                                                                            Pat McGowin, Volunteer              Coordinator, 405-848-3555             Volunteer Coordinators, 405-321-
                                                                            Coordinator, 405-789-2913                                                 3262
~ another free service provided by Oklahoma’s Nursing Times ~
                                                                                                                Local Hospice, Inc.:
                                                                            Full Life Hospice:                  Todd A. Robertson, Volunteer          Russell Mur r ay Hospice:
                                          Beth Huntley, Volunteer           Vicki Barnhart, Volunteer           Coordinator, 918-790-2277             Christina Ketter, Volunteer
 Alleve Hospice:
 Allev                                    Coordinator, 405-942-8999
 Barbara Strickland, Volunteer                                              Coordinator, 405-418-2659                                                 Coordinator, 405-262-3088
 Coordinator,                             Companion Hospice:                                                    Mercy Hospice:
                                          Steve Hickey, Volunteer                   pherd
                                                                            Good Shepherd Hospice:              Courtney Owens, Volunteer             SolAmor Hospice:
 405-605-7787                             Coordinator, Guthrie: 405-282-    Julie Williams, Volunteer           Coordinator, 405-486-8600             Rick Haug, Life Care Coordinator
                                          3980; Edmond: 405-341-9751        Coordinator, 405-943-0903                                                 405-602-6473
 Autumn Bridge Hospice:
 405-440-2440                                                                                                   Mission Hospice:
                                          Compassionate Care
                                          Compassionate Care                Harbor Light Hospice:               Mary Little, Volunteer Coordinator,          Hospice, LLC:
                                                                                                                                                      Sooner Hospice, LLC:
 Autumn Light Hospice:                    Hospice:                          Tom White, Volunteer Coordinator,   405-848-3779                          R.K. Hood, Volunteer Coordinator,
                                          Amy Legare, Bereavement/          405-949-1200                                                              405-608-0555
 580-252-1266                             Volunteer Coordinator, 405-948-                                       Odyssey
                                                                                                                  yssey    HealthCare &
                                          4357                              Hear tland Hospice:
                                                                            Heartland                           Odyssey
                                                                                                                Odysse     House:                     Valir Hospice Care:
 Car ter Healthcare & Hospice:
 Carter Healthcare
 Adam Colvin, Volunteer Coordinator,                                        Shawnee: Karen Cleveland, 405-      Kelly Morris, Mngr. Volunteer         OKC Metro: 405.609.3636
 405-947-7705,                            Crossroads Hospice:
                                          Crossr                            214-6442; Norman: Christine Yeo,    Services, 405-879-3400                Chandler/Shawnee/Cushing:
                                          Dara Evans, Volunteer             405-579-8565                                                              405.258.2333
 ext 134                                  Coordinator, 405-632-9631                                             Palliative Hospice:
                                                                                                                 alliati                              Toll Free: 888.901.6334
 Centennial Hospice:                                                        Hospice of OK County:               Janet Lowder, Seminole, & Sabrina
 Bonnie Lovett, Volunteer                 Excell Hospice:                   Ruth Ann Frick, Volunteer           Johnson, Durant, 800-648-1655
                                          Marissa Fisher, Volunteer         Coordinator, 405-848-8884
 Coordinator, 405-562-1211                Coordinator, 405-631-0521                                             Physician’s Choice Hospice:
 Chisholm Hospice:                                                                  by Loving Care:
                                                                            Hospice by Loving Care:             Tim Clausing, Volunteer Coordinator
 Tiffany Thorne, Volunteer                Faith Hospice of OKC:
                                                           OKC:             Andrea Washburn, Volunteer          405-936-9433
                                          Jill Johnson-Kliewer, Volunteer   Coordinator, 405-872-1515
 Coordinator, 580-251-8764                Coordinator, 405-840-8915                                                                                   To have your hospice listed at no
                                                                                                                Quality Life Hospice:                 charge, call Oklahoma’s Nursing
 Choice Home Health &                                                                  ritory
                                                                            Indian Ter ritor y Home             Cody Cox, LCSW, Volunteer
 Hospice:                                 Fr eedom Hospice:                 Health & Hospice: Brad              Coordinator 405-767-9033              Times at 405-631-5100, fax your
                                          Tulsa: 918-493-4930; Claremore:   Middleton, Dir., 866-279-3975                                               information to 405-631-5103
 Please call: 405-879-3470                918-343-0493; Tollfree: 866-                                                                                         or email us at
                                                                                                                Ross Health Care:
                                          476-7425                                  Healthcare
                                                                            Interim Healthcare Hospice:         Andi Douthitt, Norman, Chickasha,
 City Hospice:
Page 14                                                                            January 26, 2009                                                         Oklahoma’s Nursing Times

                                                                                                 Association (AMA) and the pharmaceutical       want to lose money, but they also don’t
Chinese Herbalism – What                                                                         houses are such strong lobbyists, many
                                                                                                 insurance companies are slow to reimburse
                                                                                                                                                want to pay out more in claims than
                                                                                                                                                they have to either. If you can
                                                                                                 these modalities. To circumvent this           demonstrate that the treatments you are
You Need to Know                                                                                 problem, many alternative practitioners
                                                                                                 fought long and hard for recognition
                                                                                                                                                receiving are more cost-effective than the
                                                                                                                                                traditional route, and your condition is
                                               innate healing abilities to prevent any           within the medical community and have          either improving or resolving, then there
Health Care Reform...                          manifestations elsewhere body.                    within the last decade been able to bill       is a good chance the insurance will pay
by Dr. Linda Mundorff MPH, MSN, ND, RN, CNC,        Chinese herbalism is often confusing         for and receive reimbursement.                 for the treatments. It’s certainly worth
CTN                                            and misunderstood and, because of this,                But since the practice of Chinese         the attempt as the worst thing that could
                                               its acceptance into Western alternative           herbalism is currently not licensed in         happen is they deny the claim.
                                               health has been debatable. First, the plants      this country reimbursement is not                   In any event, always proceed with
                                               needed to prepare the herbal remedies             available. So not only will the client have    caution, check on the credentials and
                          The practice of      are not indigenous to the United States.          to pay for the visit, and all of the           ask for references before you start and
                          Chinese medicine     Therefore if a client wants to even try           subsequent follow-up visits, he will also      type of treatment. Just because something
                          goes         back    the remedy a specialist would have to be          be financially responsible for all herbal      is touted to be natural doesn’t mean you
                          thousands of         located and the cost of such treatment            preparations. Additionally, if the treatment   can’t get sick from it. Allergic reactions
                          years and the        could be expensive.                               is new and reimbursement is non-existent       and adverse drug interactions could occur
                          focus is on               Licensed practitioners of this ancient       could the client also be financially           and make your situation worse. You can’t
                          balancing two        healing art are difficult to find as most         responsible for medical care resulting from    make an informed decision without all
                          major forces,        have learned the art as a rite of passage         adverse reactions to the remedies?             of the information. Don’t pay for any
                          called the yin and   within the family structure. In addition,              It would not be the first time an         visits or treatments upfront, you never
Dr.       Mundorff RN,
Dr. Linda Mundorff RN, yang.          These    since English is not the primary language         insurance company denied a claim.              know if the practice is a scam.
MPH, MSN, ND              forces         are   spoken by these lay-practitioners, barriers       Insurance companies are not in the                  If the product is not available and
                          measured via         to communication are formed making                business of losing money. Some of the          you are required to pay for it upfront,
energy levels referred to as qi and travel     proper diagnosis and treatment difficult.         hardest hit is the small business owner        then don’t do it. Once they have your
throughout the body in channels called         Because these herbs are not commonly              and the self-funded insurance groups.          money the motivation to do more is often
meridians. Illness occurs when this energy     utilized in western herbal remedies it is         To have an employee put a financial            gone. Lastly, find out who is
balance is disrupted.                          difficult to assess for potential side-effects.   drain on the company’s health insurance        manufacturing the remedy and do your
     Yin conditions are classified as cold          More importantly, lack of data would         fund could negatively impact everyone          research. The Food and Drug
and damp, and yang, hot and dry. To            make assessing drug-herbal interactions           else in the company.                           Administration (FDA) does not regulate
rebalance qi, and realign yin and yang,        difficult, resulting in potential harm to              Prior to becoming a nurse I worked        herbal remedies and because of this there
Chinese herbal remedies are used. These        the unsuspecting client. Like any other           in the insurance industry and I have           are many unethical people who will take
herbs are combined into formulas that          herbal remedy, allergic reactions are             seen a lot. So I like to err on the side of    advantage of the unsuspecting client.
are carefully commingled to work to            possible and because these preparations           caution. My recommendation is to do all             Remember the phrase, buyer beware,
rebalance the internal and external            are often given in larger doses, a potential      of your homework before you start any          because your legal remedy might be
environments of the body.                      allergic response could be serious. Still,        new health regimen. It doesn’t matter if       limited.
     For example, an allergy is viewed as      many people swear by the remedy                   the treatment is under the supervision
an invasion of wind, an attack against         reporting that no other treatment worked          of a licensed medical doctor or licensed
the body’s immune system. The treatment        as well or as quickly as the Chinese              alternative practitioner; check to see if
is geared towards strengthening the entire     herb.                                             the treatment is a covered benefit under
body to combat the allergy. These                   Alternative medicine, although not           your insurance.
protective tools provide a strong barrier      new, is still encased with doubt and                   In addition, if the treatment is not a
against the offending allergen or invader,     suspicion as many within the medical              covered benefit, make sure you will not
and by eliminating the actual cause of         community are slow to embrace its healing         be penalized if you get sick from those        Dr. Mundorff is a Board Certified Naturopath,
the problem; the body is able to use its       abilities. Because the American Medical           treatments. Insurance companies don’t          and not a medical doctor. The information in
                                                                                                                                                this column is for educational purposes only
                                                                                                                                                and should not be used to self-diagnose and
                                                                                                     OU Medical Center                          treat diseases. Naturopathy is a complementary
Nurses’ opinions differ on                                                                           Oklahoma City, Okla.                       practice to health care and should be used in
                                                                                                                                                conjunction with a competent health care

LPN, RN distinctions                                                                                  Dear Editor,
                                                                                                      They should stay the same as they
                                                                                                                                                practitioner. Please consult your physician
                                                                                                                                                before starting any alternative modalities.
Editor’s Note: The following letter is in          Dear Editor,                                  are now. I just became an LPN, I am
response to Oklahoma’s Nursing Times’              I do feel that there is a need for            really not ready to go back to school,             Oklahoma’s Nursing Times
January 19, 2009 Question of the Week,         both LPN’s and RN’s, however when I               nor do I think I will or can.
“Should the distinctions between RNs and
LPNs be eliminated?”
                                               was in nursing school 25 years ago there
                                               was talk of grandfathering in LPN’s
                                                                                                      Sherri Lyons-Kramer                       Board of Commentary
                                               with the clinical skills in time of need.              LPN
                                                   At the time I attended school the                  Oklahoma City, Okla.                             Vicki L. Mayfield, M.Ed., RN, LMFT
                                               LPN program had more hours than the                                                                                Eileen Doherty
     Dear Editor,                                                                                                                                              Mary Jo Fay, RN, MS
     Absolutely not. There should be a         associates RN program had did. The LPN
                                               program still has many more hands on                                                                              Colleen Folsch
distinctive difference because the                                                                   Dear Editor,
                                               opportunity in caring for patients.                                                                          Virginia Gillispie, RN, ND
educational levels are not the same. RN’s                                                            Merge LPNs to associates degreed
                                                   Sincerely,                                                                                                     Vickie Jenkins
are growing every day to utilize                                                                 RNs. Dissolve LPN programs into RN
                                                   Lynne Zepeda, LPN, ADON                                                                                     Sherry L. Ray, CPCC
techniques that are evidenced-based and                                                          programs. Pay the difference for RNs             Linda Mundorff(Rener), RN, MPH, MSN, NDc
appreciate the rationales. Why should an           Epworth Villa
                                                   Oklahoma City, Okla.                          (Associates vs. Bachelors.) Increase funding                Carol Shenold, RN, CIC
RN become anything less than the                                                                 to merge LPNs into RNs - their choice of                     Elizabeth Sowdal, RN
profession expects?                                                                              an Associates or BSN.
     If LPN’s want the same duties and                                                                                                                    Deresa Claybrook, MS, RHIT
                                                                                                     Sincerely,                                                Licia McCurdy, LPN
level of professionalism, they can go back         Dear Editor,                                      Alicia Conner-Todd, RN MSN
to school and learn to be life long learners       I believe that LPNs should be                                                                              Angela Lash, RN, CM
                                                                                                     SouthCrest Hospital Recruiter
like RN’s.                                     considered a Tech II or III or some other             Tulsa, Okla.
     Sincerely,                                terminology like Licensed Professional                                                            Opinions expressed in columns and letters to
     Shelly R. Sichak BSN, RN                  Technician. Or, perhaps just level the                                                            the editor are not necessarily the opinions of
     Nursing Education Instructor –            nurses.                                                                                           employees, ownership of this newspaper or
     Western Oklahoma State College                Sincerely,                                    Editor’s Note: Any thoughts and/or responses    the publishing company.
     Altus, Okla.                                  Lynn Waters, RN, MSN                          should be sent to
Oklahoma’s Nursing Times                                                          January 26, 2009                                                                                Page 15

What's one of your biggest            What would you do with two           Each week we visit with health care         Where would you go if you         What's your favorite
                                                                          professionals throughout Oklahoma.
goals for 2009?                       weeks off?                                                                       could take a cruise?              springtime activity?
 “It's probably one of everyone       “Spend a week in San Antonio                                                     “I would like to go to the        “Travel. I like to got out and see
 else's and that's to lose weight.”   and then some odds and ends                                                      Bahamas. I like warm and I want   things blooming.”
                                      around the house and catch up.”                                                  to lay on the beach and forget
                                                                                                                       things for a while.”

                                                                        If you would like us to visit your facility,
                                                                               please email the Editor at:
                                                                        Please let us know...
                                                                          Thoughts or comments regarding Nurse Talk?
Kristie Davis                         Br enda Lessing
                                      Brenda                             or mail to Oklahoma’s Nursing Times           Beverl
                                                                                                                       Bever ly Sales                    Stacy Mitchell
                                                                                                                                                         Stacy Mitc hell
LPN                                   LPN                                   4501 N. Classen Blvd., Ste. 106            LPN                               LPN
       Healthcare Chickasha
Ross Healthcar e - Chickasha                Healthcare Chickasha
                                      Ross Healthcar e - Chickasha                  OKC, OK 73118.                          Healthcare Chickasha
                                                                                                                       Ross Healthcar e - Chickasha           Healthcare Chickasha
                                                                                                                                                         Ross Healthcar e - Chickasha
                                                                                                    by Mike
                                                                                 Photos & Questions by Mike Lee

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