January 26, 2009
January Vol. 10 Issue 4
Vol. Information for Oklahoma Nursing & Health Care Professionals www.okcnursingtimes.com
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
Elizabeth need, and more than we
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
See Bone, Page 3 See Elizabeth, Page 2
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
P.O. BOX 239 their registration in January 2010.
Presorted Standard OKLAHOMA’S NURSING TIMES
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
www.youroklahoma.com/nursing 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:
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,"
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
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
www.cdc.gov/FieldTriage. For a complete copy of the MMWR report, please visit
www.cdc.gov/mmwr. For more information about CDC’s work in injury and violence
prevention, please link to: www.cdc.gov/injury.
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 firstname.lastname@example.org or fax it to 405-631-5103.
Page 6 January 26, 2009 Oklahoma’s Nursing Times
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 www.oncovuetest.com 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 (omrf.org) 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
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 www.integrisOK.com 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
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Dayshift openings FOR Full-time LPN
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CMA's and LPNs To Join a Week-end/Shift differential.
1 4 0 GENERAL NURSING Great Team. Offering Med. Insurance, including
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LPN and CNA person or contact Sheila
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full time CNAs. Apply in person:
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HIRING RNs, LPNs, and other
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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
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
Private Services Needing Part-
time help with flexible hours,
1 6 5 Massage Therapy
1 6 7 Medical/Surgical LPN, CNA/MAT incentive pay, in the Miami/
Commerce Area, consisting of
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
1 7 9 Office We are looking for YOU to
www.okcnursingtimes.com 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
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
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.
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
For All Your Recruitment Needs! contact Retta Thompson,
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
Especially 10pm-6am Seeking Part
Hire on Bonus. Weekend
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,
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
11 shift. Med. Insurance,
including dental & vision apply in person at: 400 North 405-292-4040 DIRECTOR OF Now hiring
options, sick leave, vacation Broadway, Inola, OK. 918-
NURSING Part time RN
Case & holiday pay, longevity bonus.
Apply in person or contact
Center is seeking a full-time
Cedar Creek Living Center
Rest Haven Nursing Home is 600 24th Ave SW, Norman,
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
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
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
Personal Care Aide
the our ad. This was the best
Blanchard Area response we have every had
Call Lynn @ 405-527-3494.
from running an ad in the paper LPN Classified Display: 14 lines to an inch.
MED-CORP PLUS, INC.
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
January 26, 2009
Vol. 02 Issue 01 Information for the Tulsa and Green Country Nursing & Health Care Professionals. www.tulsanursingnews.com
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
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
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. email@example.com.
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
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 firstname.lastname@example.org!
are from out of Okmulgee County. that information to the doctor.”
Page 12 January 26, 2009 Oklahoma’s Nursing Times
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 www.okcareertech.org (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 ce.nursing.ouhsc.edu(contact EBP to clinical practice. Nursing
Nursing guidelines for training on Regional Hospital, 901 N. Porter software and texts are included Sandra-McConnell@ouhsc.edu 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. ce.nursing.ouhsc.edu or contact
below, hands-on training with the Free Parking. AACN National credit. The University of Sandra-McConnell@ouhsc.edu 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 email@example.com. Psychopharmacology
Credentialing Center’s Course for Advanced
placement - Discuss purpose of Commission on Accreditation. For
the epidural catheter for pain more information, visit our
management - Discuss Website at http:// Toolkit for Nurturing
pharmacologic effects of the This course provides a basic Excellence at End of Life
nursing.ouhsc.edu/CE/. 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 NursingCE@ouhsc.edu. 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 ce.nursing.ouhsc.edu or contact The Case Management series of
referrals for “drip and ship” Sandra-McConnel@ouhsc.edu 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-
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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
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course considers theories that proved nurse refresher course and of the course, participants will be cepts of Case Management 30
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should not claim the elderly, nor course components. Total course Nurse Consulting. The program week period web-based course
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degrade their humanity. The Oklahoma nurses who would like hours of education credit by the concepts, issues and trends of
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Certification Review Program; visit the ULM GOLD College of Nursing. Contact your registration as a Registered Nurse. visit our web site at
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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
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. www.okcnursingtimes.com!
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. email@example.com.
Oklahoma’s Nursing Times
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Pat McGowin, Volunteer Coordinator, 405-848-3555 Volunteer Coordinators, 405-321-
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Coordinator, Companion Hospice: Mercy Hospice:
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Compassionate Care Harbor Light Hospice: Mary Little, Volunteer Coordinator, Hospice, LLC:
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OKC: Andrea Washburn, Volunteer 405-936-9433
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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 email@example.com.
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
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
Photos & Questions by Mike Lee