Bad Habits_ by wuyunyi


									                                                                                                                                        Recruiter Showcase

January 30, 2009
January                         Vol. 02 Issue 01
                                Vol.                                Information for Oklahoma Nursing & Health Care Professionals                                  
                                                                  Locally Published, Owned and Operated Each Week by Metro Publishing LLC

                                                                                                                               Bad Habits!
                                                                                                                                                  by Elizabeth Bussey Sowdal

                                                                                                                                I           ’ve been unhappy lately about some things and
                                                                                                                                            I’m not too proud to tell you all about it. I’ve
                                                                                                                                            been unhappy about my weight, and there’s a lot
                                                                                                                               to be unhappy about.
                                                                                                                                   I never used to care very much about food – I mean I
                                                                                                                               liked it. There were things I liked better (cookies) than other
                                                                                                                               things (liver), but it wasn’t a problem for me. Not until we
                                                                                                                               had a couple of rough years, illnesses and deaths and job
                                                                                                                               changes, that kind of stressful thing, and then I found out
                                                                                                                               something amazing about food. I found out that if you eat a
                                                                                                                               lot of it, enough that you feel very full, maybe even stuffed,
                                                                                                                               you end up very sleepy and sluggish and then you fall
                                                                                                                               asleep and don’t worry about anything at all for a while.
                                                                                                                                   I learned, quite by accident, that you could anesthesize
                                                                                                                                                      yourself with food. Easy, no moral
                                                                                                                                                       implications, available anywhere at
                                                                                                                                                                        anytime. Food became
                                                                                                              by     Butcher
                                                                                                        Photo by Jim Butcher                           L a u g h i n g my best friend.
          offard, RN,                    Conaw RN, update        electronic          ecords patient Charlie Morris
 Christi Woffard, RN, (left) and Allison Conaway, RN, update the electronic medical records of patient Char lie Mor ris                                with                 Thirty pounds
    Henry                                          eatment Centers
 of Henr yetta, Okla., during a visit to Cancer Treatment Center s of America Tulsa hospital.                                                                          later, and now that
                                                                                                                                                       Elizabeth things have settled
                                                                                                                                                         down again, I no longer find the
                          A Paperless World:                                                                                                             friendship enjoyable in any way. The
                                                                                                                                                         turning point came last weekend
  Tulsa hospitals weigh in on EMRs                                                                                                                       when I went out shopping for a

                                                                                                           EMRs, Pa
                                                                                                       See EMRs, Page 3                                                                 See Elizabeth, Page 2
                                                                                                                                                                                            Elizabeth Pa

                                                                                       The     HOPE
Okmulgee Memorial                                                                 Program is a
                                                                                  geriatric treatment
Hospital provides “HOPE”                                                          program dedicated
                                                                                  to serving the
by Cheryl Schuman                       funeral,” Reagle said. “She was           behavioral and
Staff Writer
                                        delusional and thought her                physical health
                                        children had taken their father           needs of people age
    “She had not been out of            somewhere and he would                    55 and older.
her home for over seven                 return.”                                  Located at the
years,” said Diane Reagle, RN,               Reagle went on to say the            O k m u l g e e
MSN and director of the Hope            woman would not let family                Memorial Hospital,
Unit at Okmulgee Memorial               members into the house. “They             the HOPE Program
Hospital.                               would leave her groceries on              has been caring for
    Reagle went on to explain           the porch and only after they             senior adults and
that the elderly woman had              left would she open the door              providing support
lived in seclusion all that time,       and take them inside”.                    to their families
never venturing out and                      The woman’s children                 since 1989.
depending on her husband to             came to the Hope Unit at                       Reagle said she
grocery shop and take care of           OMH, seeking help. They were              went      to    the
any business the couple had             understandably shaken by                  woman’s home and
outside their home. Then, the           their mother’s behavior,                  for two hours stood
husband died, leaving the               worried for her safety and                on the porch                                                                                                   by Cheryl Schuman
                                                                                                                                                                                           Photo by Cher yl Schuman
woman without any link to               were desperate for a lifeline             talking through the          The HOPE Progr am provides psychiatric care ffor per sons age 55 and older. Pictured are
                                                                                                                           Pro       pro       psychiatric care or persons ag             older. Pictured are
the world beyond the confines           to help their mother.                     door, trying to              staff member s (left to right): LouAnne Walter s, RN; Outpatient Clinical Coordinator Donald
                                                                                                               staff members                               alters     Outpatient              dinator
of her home.                                 That lifeline was the                persuade her to let          Dill, RN, MSW; HOPE Progr am Director Diane Reagle, RN, MSN and Ruth Coe, RN.
                                                                                                                     RN, MSW;        Pro       Director           eag
                                                                                                                                                                Rea le, RN,          Ruth Coe, RN.
    “She did not attend his             HOPE Program.                             her come inside.                                                                                                      Pa
                                                                                                                                                                                              See Skin, Page 6
Page 2                                                                        January 30, 2009                                                         Tulsa’s Nursing News

                                             Suddenly I could breathe better than                                                      10 days, however, the length can vary,
Elizabeth                                    . . . better than Superman, if he has
                                             super breathing powers. Which he does
                                                                                           Ross                                        with many staying up to two weeks,
                                                                                                                                       sometimes a little longer.
Continued from Page 1
Continued from Pa                            I guess because he can blow airplanes         Continued from Page 1
                                                                                           Continued from Pa                                Reagle said a variety of
                                             out of the sky and stuff. I felt like I                                                   professionals help to evaluate the
                                             could blow airplanes out of the sky                                                       patient.
                                             too – with one nostril closed. It was                                                          “We have a social worker that is
dress. I don’t think I need to go into       the most fabulous feeling. My nose                “She finally let me in,” said Reagle.   working with the individual, and also
any greater detail. Some of you will         was even clearer than it was when I           “The woman was so frightened that           a activities therapist,” said Reagle. “She
know what I am talking about and             didn’t have a cold.                           she had knives hidden behind the            is great and sees what is kind of going
will nod knowingly, and some of you               I used it with wonderful results         door. She saw people that weren’t there     on with the patient and relays that
won’t and will say, "I just love to          on days one, two and three. Then on           and heard voices.”                          information to the doctor.”
shop." Probably while nibbling a carrot      day four I told myself, "no more nasal            Reagle began talking to the woman            The patients thrive on the one-
or some other raw and low calorie            spray, and I mean it." But it was sitting     and told her she knew how afraid            on-one care provided and many will
thing.                                       there on my night stand, glimmering           she was and that if she agreed to go        cry when it is time to leave.
     There’s more. There is television.      in the moonlight as I snuffled and            to the HOPE Program, the doctors and             “We’ve even had some patients act
There is reality television. I never used    snorted and tossed and turned.                the staff would do everything they          up at their nursing homes because they
to watch it. But it turns out that                I stared through the dark at that        could to relieve her anxieties.             think the bad behavior will allow them
television, reality television, is a lot     bottle and it seemed to get bigger. It            “I had to actually get on her level     to return to us,” laughed Reagle.
like food. You’re having a bad day           seemed to expand and contract. Like           and for possibly the first time, she             The HOPE Program has worked
and so you think a cup of hot milk           breathing. Like blissful, clear, effortless   had someone relating to her fears,”         very hard to change the image of the
will help you feel better and then           nose breathing.                               Reagle stated. “We were all surprised       “psych ward” in the community.
you think how nice a cookie would                 I couldn’t resist. Just one more         when she finally agreed to come with             “We want people in the community
be dunked in the milk and the next           time. Just a little. Just to get me           me.”                                        to know that we just don’t have ‘crazy
thing you know you’re making a               through the night and then I promise              After her in-patient stay, the          people’ here,” said Reagle. “These are
grilled cheese sandwich or three and         I am throwing it in the trash first           woman is now involved in the out-           moms and dads, aunts and uncles,
there you go.                                thing in the morning.                         patient program, has moved in with          people they would see every day in
     It was the same way with me and              HA! That’s all I have to say. HA!        her daughter, and became acquainted         every situation.”
television. I watched one little fashion     Day four turned into five turned into,        with grandchildren she had never met.            Reagle is quick to praise her staff
design show and that led to a cooking        I think I am on ten or eleven. And I              Reagle said the change was              of dedicated nurses. One of those is
contest show and that led to some            love it so much! Love, love, love it! I       amazing, “for the first time in seven       LouAnne Walters, RN. Walters said
horrible thing about wicked, stupid,         love it so much that some nights I            years, the woman helped her daughter        psychiatric nursing has been the most
horrible housewives and the next thing       turn off the TV right in the middle of        cook Christmas dinner.”                     rewarding field of nursing she has
you know I have shows that I want            somebody’s souffle or somebody’s                  The HOPE Program is one of five         been involved with and she encourages
to watch every single night of the           shopping spree and go to bed early            gero-psych hospitals in the state of        others in the nursing profession to
week. I hate it! It’s got to stop.           just so I can use the nose spray early.       Oklahoma and about 50% of the               consider working with psychiatric
     And now! Now things are even                 I know, I’m disgusted too. I wish        patients that are admitted to HOPE,         patients.
worse. I’m hitting the bottle. Oh, it’s      I had never ever tried it. But what           are from out of Okmulgee County.                 “Mental illness has long had the
not what you think. You see I had a          am I supposed to do? Just stop using          They are referred to the unit by            stigma of being something kept a
bad cold a couple of weeks ago. After        it? Sure, and I’ll go back to a diet of       primary care physicians, family             secret,” said Walters. “Mental illness
the worst of it was over I found that        fiber and yogurt too and read the             referrals, Adult Protective Services and    is very much misunderstood and if
I still had a terrible and constant stuffy   complete works of Shakespeare and             nursing home facilities.                    you are mentally ill, you are viewed
nose. I didn’t want to take cold             never turn on the TV again.                       HOPE offers therapeutic                 as having no worth. But it is treatable
medicine because half the kinds make              I mean it. This whole vicious cycle      environment for seniors struggling          if the medications are taken correctly.”
me sleepy and half the kinds make            has got to stop. First thing tomorrow.        with the following:                              The HOPE Program provides full
my hair stand on end and my skin             Or, for sure, the day after that.                 ™Problems with appetite or sleep        continuum of care, including inpatient
crawl. But I had such an awful stuffy                                                          ™Excessive nervousness                  and outpatient counseling, treatment,
nose that I couldn’t even sleep at night                                                       ™Excessive crying and /or social        and community referral service.
and during the day I went around                                                           withdrawal                                       “We also realize the importance of
sounding like the Snuffleupagus –                                                              ™Confusion/memory trouble               the family’s role in supporting the
remember him?                                                                                  ™Wandering                              patient”, said Reagle. “It is very much
     Well, I had to do something and                                                           ™ Refusing care, treatment or           a part of the recovery process if the
so I bought a bottle of nasal spray. I                                                     medicines                                   family members participate in the
had heard of the dangers, that it was                                                          ™ Excessive anger and/or                treatment program of their loved one.”
addictive and that you shouldn’t use                                                       combativeness                                    The staff at the HOPE Program is
it for more than three days. I’m not                                                           ™Medication interactions                like an extended family for the patients
stupid, after all. I know when enough        Elizabeth Bussey Sowdal is an RN and              ™Not wanting to live                    they are treating.
is enough.                                   freelance writer who lives and works in           ™ Psychosis (hallucinations,                 “We treat them like they are our
     But my goodness! It works so well!      Oklahoma City.                                delusions, paranoia)                        elderly family members,” said Walters.
                                                                                               Reagle said many of their patients      “We want them to succeed in this
                                                                                           have been on psychiatric drugs that         program.”
            Question of the Week                                                           are not being managed anymore or
                                                                                           they have stopped taking them
                                                                                                                                            For more information about the
                                                                                                                                       HOPE Program, contact Diane Reagle
                                                                                           altogether.                                 at 918-758-3308 or by email at
 Should the distinction between RNs and LPNs be eliminated?                                    An average stay in-patient is 7 to
     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                          Check out our banner ads at
 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                      For special banner ad rates, simply email
 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 request to
 your response, along with your name, nursing credentials, city, and contact
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Tulsa’s Nursing News                                  January 30, 2009                                                                            Page 3

                                                                  women said it was interesting that            reasons that was not the program St.
                       EMRs                                       many of the hospital staff would
                                                                  express their view of “wanting the
                                                                                                                John wanted.
                                                                                                                     “At one point the hospital decided
                       Continued from Page 1
                       Continued from Pa                          system up as soon as possible. We             on a four-year, phased-in approach and
                                                                  often hear, ‘please don’t make me fill        everything would be running,” Barrett
                                                                  that out ... we don’t want to go back         said, “but then reality set in.” The
                       Jim Butcher                                to paper.’”                                   current paperless system is two and
                       Staff Writer                                     One of the biggest challenges           half years old.
                                                                  CTCA faced was standardization, since              “I don’t know if we will ever be
                                                                  they were integrating three separate          done with this ... technology keeps
                                                                  hospitals in different locations in the       improving ... it moves at the speed of
                            Eliminating paper in medical          United States into one uniformed              light ... you must continually upgrade,”
                       facilities — also known as electronic      operating system.                             said Dolores Morton, RN, BC, MPH,
                       medical records —is on many priority             Other challenges included               CPHIMS, information technology
                       lists, including President Obama’s. He     educating and training hundreds of            clinical analyst.
                       has placed it high, believing that EMR     people with varying degree of skills.              “If you don’t continually tweak it,
                       will help the government and the           “Some people didn’t know how to turn          make it better, you will wake up and
                       American people save money.                on a computer, while others are               find you are behind the times.”
                            After talking to key individuals      computer savvy,” Geuder said.                      Morton said EMR is not going to
                       at St. John Health System and Cancer             Basically, some paper documents         eliminate the need for the bedside
                       Treatment Centers of America in Tulsa      still exist, such as doctors’ prescriptions   nurse.
                       they don’t see it as a major way of        that patients must take to a pharmacy.             She remembers years ago when
                       reducing cost and saving money.                                                                          day and evening shifts
                            “You can’t                                                                                          were distinguished by the
                       put a dollar                                                                                             color of ink on the board
                       amount        on
                       quality patient            “You can’t put a dollar amount on quality                                     ... when they used
                                                                                                                                microfilm for medical
                       care,”      said
                       Tauna Barrett,          patient care,” said Tauna Barrett, BSN, RN,                                      records ... you couldn’t
                                                                                                                                read          someone’s
                       BSN,         RN,        CPHQ, Cerner Liaison Project Nurse at St. John.                                  handwriting.
                       CPHQ, Cerner                                                                                                  Morton           sees
                       Liaison Project                                                                                          electronic medical records
                       Nurse, at St.                              CTCA provides their patients with             a “huge step forward in nursing
                       John. “Investment in EMR is money                                                        practice ... this is a monumental change
                                                                  copies of x-rays on CDs.
                       in the bank.”                                                                            for nurses.”
                                                                       Both St. John and CTCA report
                            CTCA, which has 10 months of                                                             From the nursing point of view,
                                                                  that even though the electronic medical
                       being virtually “paperless’’, approached                                                 they see EMR benefits as you can never
                                                                  records system was installed it is a
                       EMR as “enhancing patient care and                                                       put a price on patient care and safety
                                                                  never-ending task.
                       better access to information and data,”                                                  ... “how can you put a dollar amount
                                                                       There is the constant need of
                       said Denise Geuder, vice president,                                                      on preventive medicine ... ” said
                                                                  upgrading and trying to make it better
                       patient care services.                                                                   Morton.
                                                                  for the patient and for everyone.
                              She explained that on March 28,                                                        There is some financial saving.
                                                                       There are two approaches to EMR.
                       2008, Cancer Treatment Centers of                                                             Waterstradt points to economies of
                                                                       One is the “Big Bang Theory,”
                       America shut down 18 legacy systems                                                      scale for the St. John Health System
                                                                  according to Tauna Barrett at St. John.
                       and switched to a single platform                                                        which includes facilities at Tulsa,
                                                                  “It’s sink or swim,” she said, while
                       electronic health record containing 22                                                   Owasso, Sapulpa, Broken Arrow and
                                                                  the other approach focuses on
                       modules including clinical and revenue                                                   the Jane Phillips Medical Center in
                                                                  development and implementation in
                       cycle management.                                                                        Bartlesville.
                                                                  stages or phases.
                            The initial investment was                                                               “We are not having to reinvent
                                                                       Marsha Waterstradt, RHIA,
                       significant and there is the continual                                                   the wheel at the other hospitals.”
                                                                  information technology clinical analyst,
                       expense of upgrades, additional “IT”                                                          St. John’s EMR is nearing 100
                                                                  explained that local doctors began
                       personnel who keep the system                                                            percent coverage. There are some
                                                                  working toward electronic medical
                       operating and trying to better it better                                                 outpatient areas not included.
                                                                  records in the early 1990s.
                       for everyone, from patient to the                                                             Morton said now nurses don’t have
                                                                       “St. John began its planning in
                       hospital staff.                                                                          to walk up and down the hallway
                                                                  1993 and then kicked off a program
                            Geuder put it this way: “It’s like                                                  looking for a particular document.
                                                                  three years later. For a variety of
                       your PC at home, making upgrades
                       often, getting new software,
                            She said jobs change in EMR.
                                                                     AT 10:26 A.M. SANDY HARDWICK
                       “Medical records people get new skills      BROUGHT HER 57-YEAR-OLD CARDIAC
                       ... no one loses their jobs. Instead, we
                       need support people and two clinical              PATIENT BACK TO LIFE.
                       analysts who work with end users to
                       make it more efficient and make it                     WHAT DID YOU
                       better and faster.
                            Asked if they had any surprises,          ACCOMPLISH THIS MORNING?
                       Pam Doak, inpatient oncology                If you’re not satisfied with your answer, maybe you should be looking
                       manager, said they had a pleasant           for a more satisfying career. Nursing is rewarding in more ways than
                       surprise —no crashes during the past             you think. Starting salaries are high. There are more generous
                       10 months.                                      financial aid packages to help you pay for school. And with over
                            “We anticipated and planned for       600,000 openings in the next decade, you’re virtually guaranteed a job
                       possible system crashes, but so far          when you graduate. So if you are looking for a second career where
                       none.”                                             you can make a living and a difference, check out nursing.
                            They do have scheduled down
                       times for maintenance, and both               IF CARING WERE ENOUGH, ANYONE COULD BE A NURSE.
Page 4   January 30, 2009   Tulsa’s Nursing News
Tulsa’s Nursing News                                                         January 30, 2009                                                                                    Page 5
                                                                        boards as quickly as I can,” Manning stated. “I
Platt College RN student                                                would like to be hired as a school nurse at the
                                                                        beginning of the 2009-2010 school year.”
                                                                             Asked if the state boards are difficult?
looks forward to future                                                 Manning smiled and said, “I hear they are, but
                                                                        they give us an opportunity to take the HESI
                                                                        test, which is a nationalized exam that prepares
by Cheryl Schuman                   RN programs for students’           us for the boards.”
Staff Writer                        convenience. The day program             Manning said if a student does well on the
                                    lasts one year, while the           HESI test, it is a good indication that the student
     Marjorie Manning began         evening program, which begins       will do likewise on the state boards.
her nursing career as an LPN        at 5:00 p.m. until 9:00 p.m. is a        As an RN student at Platt, Manning has
in 1982 and never thought           22 months-long course.              done several clinicals at Southcrest Hospital,
about pursuing her education        Manning attends the evening         OSU Medical Center and at the Little Lighthouse,
any farther, but the more           classes, which allows her to        a school for visually challenged children, which
lucrative RN salary persuaded       continue to work at Laureate.       Manning said was a wonderful experience.
Manning to enroll at Platt               Manning has spent most of           When Manning was asked if she had wanted
College in Tulsa.                   her career in psychiatric           to be a nurse as a child, she answered, “no, I
     Manning said she had           nursing, but she stated that she    really didn’t. However, when I was in Junior
worked as an LPN at Hillcrest       feels it is time to move on to a    High School, I was the school nurse’s aide. It
Hospital in the orthopedic unit     different nursing field as an       was the only class I made an “A”.
for several years and then at a     RN.                                      “I really enjoyed working with the school
nursing home in north Tulsa              “I’m really thinking about     nurse, so I guess I had a little interest in nursing
for about a year.                   school nursing,” Manning said.      back then,” she said.
     “I then went to work at 12     “Taking care of little kids. I’ve        Manning said she didn’t finish high school                                                 by Cheryl Schuman
                                                                                                                                                                  Photo by Cher yl Schuman
and 12, an drug and alcohol         never done anything like that       and left in the middle of her junior year, which Mar jorie Manning star ted her career in nur sing in 1982
                                                                                                                             Marjorie        started    career nur  ursing
rehab center, staying there for     and I think I would enjoy it        was not the brightest decision she ever made. as an LPN. She has wor ked ffor many year s in Psychiatric
                                                                                                                                    LPN.        ork or many year Psychiatric
                                                                                                                                               wor              ears
4 ½ years,” said Manning. “From     very much.”                              “I completed my GED and realized I needed Nur sing. She will receive her RN degree from Platt College
                                                                                                                                 sing.      eceiv
                                                                                                                                           recei         deg from Platt Colleg
there I went to Laureate                 Manning says while school      further schooling, so I wouldn’t just have a July 17, 2009, with hopes of becoming a school nur se.
                                                                                                                             uly                                    school nurse. urse
Psychiatric Clinic and Hospital,    nurses’ salaries are not            minimum wage job for the rest of my life,” said
where I’m still employed.”          comparable to what a hospital       Manning. “I went to Tulsa Vo-Tech and entered
     Manning said she chose         pays its nurses, the perks of       the LPN program. By the time I had been an LPN for a couple of years, I knew I couldn’t imagine
Platt College for the               being off on weekends and in        doing anything else in life.”
convenience it provides its         the summer, and having                   Manning is the mother of two children, 22 years apart in age.
students.                           holidays off, more than offsets          “My daughter is 35 and my youngest is 12,” explained Manning. “I tell everyone that I had
     “I don’t have to run here      the lesser salary.                  two high-risk pregnancies-one when I was too young and the other when I was too old.”
and there each semester                                                      Manning said in this economy today, a person couldn’t make a better choice than a career in
enrolling,” explained Manning.          “If you had those hours in      the medical field.
“Worrying about what classes        a hospital, the pay wouldn’t             “There will always be a job for nurses,” said Manning.
or books I will need. All that      be so great either,” laughed             Manning has nothing but praise for Platt College and the RN program.
is eliminated here at Platt.”       Manning. “Working for the                “I don’t think I would have ever made it through a traditional school,” she said. “The courses
     Continuing Manning said        school system will still pay        are so lengthy and it seems like you spend a lot of time running around that isn’t class related.”
students show up for class, the     significantly more than what I           Manning said Platt College is the ideal school for older students returning to higher education.
instructor says “here’s your        make as an LPN.”                         “Especially if you are like me, with children and a full-time job,” she stated. “You don’t have
books and syllabus” and the             Manning and her fellow          time to do all that running around that you’d face at a larger university.”
students go immediately into        RN students will graduate from           Manning is looking forward to graduation in July and beginning her career as an RN. She
lectures.                           Platt College July 17, 2009.        has come a very long way from high school drop- out, to a long career as an LPN and finally that
     The Platt College offers two       “I plan to take my state        coveted RN degree.

                                                                                                               for those patients whose fibrinogen levels are below 50 mg/
FDA approves RiaSTAP for                                                                                       dL, an abnormality known as hypofibrinogememia.
                                                                                                                   The product is not indicated for patients with

patients with rare genetic defect                                                                              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 U.S. Food and Drug              Fibrinogen              is          Fibrinogen deficiency                 The licensing of RiaSTAP was supported by a study of 15
Administration today licensed       manufactured in the liver and       affects only 150 to 300 people         patients with afibrinogenemia who achieved the target level
RiaSTAP, an orphan drug for         circulates in the blood plasma      in the United States and is            of fibrinogen expected to prevent bleeding after they received
the treatment of bleeding in        in a normal concentration of        usually diagnosed at birth             70 mg/kg of the drug.
patients with a rare genetic        250-400 mg/dL.                      when newborns bleed from                   In addition, plasma from 14 of the 15 patients showed
defect known as congenital               “This product offers much-     their umbilical cord site.             increased maximum clot firmness, a surrogate marker likely
fibrinogen deficiency.              needed treatment for the small           Children with the defect          to predict clinical benefit. Fever and headache were the most
     Without treatment, these       number of patients with             need to curtail activities             common adverse reactions.
patients are at risk of             congenital         fibrinogen       because of risk of bleeding                Clinical benefit will be further verified in a postmarketing
potentially life-threatening        deficiency,” said Jesse             from minor trauma.                     study which will include both afibrinogenemic and
bleeding.                           Goodman, M.D., M.P.H.,                   RiaSTAP is an intravenous         hypofibrinogenemic patients.
     People with congenital         director of the FDA’s Center        fibrinogen concentrate made                Orphan drugs are drugs or biologics intended for use in a
fibrinogen deficiency are           for Biologics Evaluation and        from the plasma of healthy             rare disease or condition. Manufacturers are qualified to receive
unable to make sufficient           Research. “                         human blood donors.                    certain government benefits in exchange for developing such
amounts of fibrinogen, which             If bleeding occurs in the           The product is indicated          products.
plays an important role in          brain or other organs and is        for patients who have no                   RiaSTAP [Fibrinogen Concentrate (Human)] was developed
blood coagulation by helping        left untreated, it may lead to      fibrinogen or low levels of the        under the FDA’s accelerated approval regulations.
to form blood clots and             blood loss, organ damage and        substance, an abnormality                  The drug is manufactured by CSL Behring, Marburg,
prevent bleeding.                   death.”                             known as afibrinogenemia, or           Germany.
Page 6                                                                              January 30, 2009                                                                    Tulsa’s Nursing News

Continued Education
                                       the understanding of recent            approved for 40 hours of                  Evidence Based Practice                 accessing the legal nurse
      February                         advances in medical
                                       management of acute stroke.
                                                                              continuing nursing education
                                                                              credit. The University of Oklahoma
                                                                                                                        for Clinical Nurses Online
                                                                                                                                                                consultant classroom.
                                                                                                                                                                For      more      infor mation,
                                       The primary focus is the               is an approved provider of                                              
                    NEW!               continuum of care and the
                                       importance of establishing
                                                                              continuing education by the
                                                                              Colorado Nurses Association, an
                                                                                                                        The purpose of this online instruc-
                                                                                                                        tor-led course is to provide the nuts
                                       communication channels for             accredited approver by the                and bolts needed to use EBP in
02/04/09 Hemodynamic                   immediate consultation and             American Nurses Credentialing             the clinical setting. Course partici-
                                       referrals for “drip and ship”          Center’s Commission on                    pants will work through the EBP
Monitoring                             treatment and possible transfer        Accreditation. For more                                                           HBDI Application
                                                                                                                        process from beginning to end.
                                       of acute ischemic stroke patients      information, visit our Website at         Participants progress at their own
Approved for 6 contact hours,          in Oklahoma. Featured Speakers: To                                                  In this workshop, participants will
CERP Category A. The                                                                                                    pace as they learn how to apply         complete several exercises de-
                                       Charles Morgan, M.D., Lawrence         enroll, please contact Sandra             EBP to clinical practice. Nursing
Hemodynamic Monitoring course          Davis, M.D., Harold P. Adams,          McConnell at (405)271-2062 or                                                     signed to help them apply the in-
is a one-day program designed to                                                                                        CE credit-16 contact hours.To reg-      formation covered in the HBDI
                                       M.D., David L. Gordon, M.D., Lee       send an e-mail to                         ister or for more information visit
introduce the student to the           Schwamm, M.D., James R.       The                                                          Whole Braining Thinking class. We
waveforms and readings obtained                                                                                         our        web          site       at   will address such topics as com-
                                       Daniel of the Stroke Center at         University of Oklahoma is an     or contact
with hemodynamic monitoring            Integris Southwest Medical             equal opportunity institution.                                                    munication, productivity and stra-
equipment. Specific areas                                                                                      at           tegic thinking. Fulfills Preceptor CE
                                       Center, and Cerebrovascular &                                                    ( 405)-271-2062). Cost $150. The
discussed include Systemic             Stroke Center at Integris Baptist                                                                                        Requirement. Location: NRHS
Arterial monitoring, and                                                                                                University of Oklahoma is an equal      Education Center. Call HealthLink
                                       Medical Center Contact: Pam                                                      opportunity institution.
Pulmonary Arterial Catheters           Forducey, PhD., ABPP, Director                                                                                           for next date/time at 405-440-8802
revealing Right Atrial, Right          of Neuroscience Institute and
Ventricular, Pulmonary Arterial,       Telehealth Ph: 405-713-4433.
and Pulmonary Capillary Wedge          Fax: 405-951-8851. Email:
readings. Cardiac output               Pam.Forducey@integris-                 CPR (BLS) Core Instructor
measurements and the calculated                                                                                                              Toolkit for Nurturing
cardiovascular parameters of                                                  Class
                                                                                                                        Psychopharmacology                      Excellence at End of Life
cardiac index, vascular resistance,                                                                                                                             Transition
and stroke work indices are                                                   American Heart Association one-           Course for Advanced
presented in detail. Through case
studies, students have opportunity
                                                 March                        day course designed to provide
                                                                              the opportunity for instructors to
                                                                                                                        Practice Nurses
                                                                                                                                                                The TNEEL-SS program is
                                                                                                                                                                designed to help caregivers
to apply the information learned in                                           improve their instructional skills.       This course provides a basic
                                                                              The completion of this course by          comprehension of chemical               improve palliative care for patients
the program to actual patient care                                                                                                                              across the life span. The course
decisions. Certificates of                                                    Internet or CD-ROM is required            neurotransmission               and
                                       03/26/09 AWHONN                        before taking other AHA Instructor        neurotransmitter systems that form      has open entr y, affording
participation are presented at the                                                                                                                              par ticipants the opportunity to
conclusion of the workshop. For        Advanced Fetal Heart                   courses. There are no prerequi-           the pharmacological basis for drug
                                                                              sites for this course. Anyone who         action in the prevention of illness,    begin at any time and offers a
more information, visit www.osu-       Monitoring Principles and              wants to become an AHA Instruc-                                                   range from 2 to 49 CEU contact                                                                                                          restoration, and maintenance of
                                       Practices Workshop                     tor can take this course. Date(s):        health in advanced practice             hours. The cost is $20 per CE hour.
                                       (AFHMPP)                               Self-paced by CD-ROM or Internet          psychiatric and mental health           Participants may choose to take
                    NEW!                                                      AHA Site Coordinator 405-307-             nursing. Dr ug       interactions,      either 2 CE or 8 CE programs in
                                       Advanced FHMPP is a one-day            1777 Fees: $25.00 for all partici-        adverse      effects, safety      in    any of the following areas: 1. Pain
                                       workshop (9.9 contact hours)           pants.                                    prescribing psychotropics and           and symptom management
02/05/09 & 02/06/09 ACLS               focusing on the application of                                                   ethical considerations as well as       (Comfort) 2. Clinician-to-patient
                                       advanced fetal heart monitoring                                                  methods of evaluating psychiatric       communication                 skills
Provider                               knowledge and skills in                                                                                                  (Connections) 3. Legal and ethical
                                                                                                                        drug information will be presented.
                                       intrapartum nursing practice                                                     This course is designed for             issues at the end-of-life (Ethics &
Approved for 13 contact hours,         (contact hour credit includes                                                    Advanced Practice Psychiatric           Law) 4. A comprehensive
CERP Category A. The ACLS              independent study in preparation                                                 Nurses. Content is aimed at             understanding of grief 5. The
Provider Course is a 2-day             for the workshop). The content         Oklahoma       Statewide                  Psychiatr ic Clinical Nurse             economic and emotional impact of
                                       presented in this workshop builds      Nurse Refresher Course                    Specialists and Psychiatric Nurse       death (Impact) 6. Alternative
program designed to provide the                                                                                                                                 therapies for the patient’s well-
                                       on the essential knowledge and         (160 contact hours)                       Practitioners. This         course
knowledge and skills needed to         skills gained through the FHMPP                                                  is appropriate for any Advanced         being (Well-Being). . For more
evaluate and manage the first 10       two-day workshop. The AFHMPP                                                     Practice Registered Nurse who           information contact (405) 271-
                                                                              For RNs and LPNs- Sponsored by                                                    2062 ext 49180.
minutes of an adult ventricular        Workshop uses a case study             the University of Oklahoma Col-           prescribes psychiatric medications
fibrillation/ventricular tachycardia   approach focusing on the analysis      lege of Nursing and Participating         to gain a more thorough
(VF/VT) arrest. Providers are          of complicated FHM patterns/           Career Technology Centers. This           understanding of psychotropic
                                       charateristics and related case        course offers three components: 1)        drugs. Course options include 30
expected to learn to manage 10         information. Contact Hours or                                                    contact hours (Cost $300) or 15
core ACLS cases: a respiratory                                                an instructor assisted self-paced                                                 Case Management Series
                                       Certification Received: 12 contact     online nursing theoretical course         contact hours (cost $150) CE
emergency, 4 types of cardiac          hours awarded by AWOHNN                2) a nursing skills lab and 3) a clini-   credit (36 or 18 contact hours          The Case Management series of
arrest (simple VF/VT, complex VF/      (Association of Women’s Health,        cal module. This course can be            pharmacology credit approved by         courses prepare the learner with
VT, PEA, and asystole), 4 types of     Obstetric and Neonatal Nurses),        completed in as little as six weeks       Oklahoma Board of Nursing). For         essential knowledge needed to
                                       and 10 CMEs. Successful                or as long as six months. It meets        more information please visit our       take one of the national case man-
pre-arrest emergencies                 completion of written                                                            web site or
                                                                              requirements of the Oklahoma                                                      agement certification exams. The
(bradycardia, stable tachycardia,      examinations and performance of                                                  contact                    Sandra-      series features three courses: Part
                                                                              Board of Nursing as an approved
unstable tachycardia, and acute        skills evaluations are                 nurse refresher course and in-   at (405)-            I: Case Management Principles
coronary syndromes), and stroke.       requirements for completing the        cludes faculty supervision for all        271-2062.                               and Practice 60 contact hours , 10
Prerequisites include: 1. Current      program and earning continuing         course components. Total course                                                   week introductory course to ex-
                                       education credit. Participants who     cost: $2,500. Currently licensed                                                  plore the concept of case manage-
BLS-HCP Card 2. Completed              attend the full workshop and           Oklahoma nurses who would like                                                    ment as the timely coordination of
written pre-test 3. Reading and        successfully pass the skills and                                                                                         quality healthcare services to meet
                                                                              an update about nursing knowl-
evaluating ECGs 4.                     written tests earn 9.9 contact         edge have the option of taking only                                               specific health care needs in a
Understanding of ACLS                  hours of continuing education          the online theory course from OU                                                  cost-effective manner to
medications and algorithms.            credit. No partial credit is           College of Nursing. Contact your          Legal Nurse Consulting                  promote positive client
                                       awarded. For more information,         local participating Career Technol-       Certificate Program                     outcomes (Cost $500);Par t II:
Successful course completion           visit           ogy Center: Canadian Valley Tech-                                                 Practicum in
measured through written exam                                                                                                                                   Case Management 40 contact
                                                                              El Reno- Sharon Mitchell (405)            To pursue study and acquire the
and satisfactory skill performance.                                           422-2342; Mer idian Tech-                 knowledge and skills needed to          hour web-enhanced clinical
Course completion cards awarded
for successful completion. For
                                                Online                        Stillwater-Rena Hines (405-)377-
                                                                              3333; Pontotoc Tech-Ada-Andrea
                                                                                                                        practice legal nurse consulting.
                                                                                                                        This area of specialty practice is
                                                                                                                                                                practicum course focusing on the
                                                                                                                                                                application of case management
more information, visit www.osu-                                              Pogue (580)310-2236; Tulsa Tech-          growing all the time and many           principles and practices (cost
                                       NurseBiz: Business                     Tulsa- Elaine Hintze (918) 828-           nurses are using their skills to        $300); and Part III: Advanced Con-                         Planning for Nurse                                                                                                       cepts of Case Management 30
                                                                              1083; Metro Tech- OKC-Deborah             practice full or part time in this
                                       Entrepreneurs                          Weiss (405)605-4770; Southern             area. This certificate course is        contact hours CE credit over a 5
                                                                              Tech-Ardmore-Brooke Baxter                formatted for 90 contact hours of       week period web-based course
                                       Have you ever thought of starting      (580)223-2070; High Plains Tech-          self-paced study. Upon completion       designed to explore advanced con-
02/07/09 3rd Annual                    your own nursing business? This        Woodward-Sue Mitchell (580)571-           of the course, participants will be     cepts, issues and trends of rel-
                                       online course is designed to help      6159. For more information please         awarded the Certificate in Legal        evance to the practice of case
Statewide Conference -                 assess your entrepreneurial            visit     our     web      site     at    Nurse Consulting. The program           management (cost $250).
Extending Evidence-                    characteristics and to help you (contact             has been approved for 90 contact        To register or for more information
based Stroke Care to                   develop a detailed business plan       Ned Gray at (405)-743-5568) or            hours of education credit by the        visit     our    web      site   at
Oklahoma Community                     for strategic planning or to provide              American College of Legal Nurse or contact
Hospitals                              to potential investors or business at             Consulting. Requirement for this at
                                       partners. Business planning            (405)-271-2062. The University of         cer tification course is state          ( 405)-271-2062). The University of
This one day educational event         software and texts are included        Oklahoma is an equal opportunity          registration as a Registered Nurse.     Oklahoma is an equal opportunity
has been designed to increase          with course tuition. The course is     institution.                              Students receive instructions for       institution.
Tulsa’s Nursing News   January 30, 2009   Page 7
Page 8                                                                                                   January 30, 2009                                                                                         Tulsa’s Nursing News

                                                          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:
                                                          Parkview Manor, 600 E                                                                                                        CMA and CNA                       Retirement Village 3003 W
                                                                                                                                                                                                                         Iowa Ave. Chickasha, OK
                                                          California St, Walters, OK, or
                                                          fax resume to 580-875-3574.
                                                                                                                                                                                         positions                       73018 (405) 224-0909
                                                                                                                                                                                       Inola Healthcare Center has
                                                                                                                                                                                         CMA and CNA positions
                                                                                                                                                                                       available. Excellent pay and
                                                             NOW                                                                                                                         medical benefits. Please
                                                                                                                                                                                         apply in person at: 400
                                                                                                                                                                                                                             ARE YOU
                                                                                                                                                                                                                           READING THIS?
                                                          CURRENTLY                                                                                                                     North Broadway, Inola, OK.
                                                                                                                                                                                              918-543-8800.                So are more than 44,000
                                                            HIRING                                                                                                                                                          RNs, LPNs, and other
                                                                                                                                                                                                                              healthcare workers
                                                          Personal Care Aides                                                                                                                                               throughout Oklahoma.
                                                              Moore and Norman
                                                                                                                                                                                         FULL TIME                         Recruiters - call
                                                             Full-time & Part-time
                                                                                                                                                                                         position for                      631-5100 Today!
                                                           No Experience Necessary                                                                                                      RNs or LPNs.
                                                            Must Be Able To Pass                                                                                                             Case management
                                                           OSBI Background Check                                                                                                          certification preferred but
                                                            Healthcare Innovations                                                                                                     not required. Willing to travel
                                                              108 W Broadway St                                                                                                          to Washington and Osage          LPN and CNA
                                                                Lexington, OK                                                                                                                County. Healthcare             Gregston Nursing Home
                                                            Call Lynn at 527-3494                                                                                                      Innovations Private Services          located at 711 South
                                                                                                                                                                                        5800 S Lewis Ave Ste 287.           Broadway. Marlow, OK.
                                                                                                                                                                                         Tulsa, OK 74105. Contact         (580) 658-2319. Accepting
                                                                                                                                                                                       Marla Copeland toll free 866-           Applications For:
                                                           RN, LPN, CNA                                                                                                                660-4424, or (918) 496-3300.
                                                                                                                                                                                                                          -LPNs 10-6 Monday-Friday
                                                                                                                                                                                                                                  -CNA 10-6
                                                          NEWKIRK NURSING Center is
                                                          accepting applications for LPN                                                                                                                                        New Pay Rate.
                                                          2pm - 10pm, or 10pm - 6am                                                                                                                                           New Sign-On Bonus
                                                          shifts, CNA’s all shifts, part
                                                          time RN and kitchen help. Apply
                                                          in person at 1351 West                                                                                                       Needing
                                                          Peckham Road, Newkirk, OK.
                                                          (580) 362-3277                                                                                                               Part-time help                    now hiring
                                                                                                                                                                                       HEALTHCARE INNOVATIONS
                                                                                                                                                                                       Private Services Needing Part-
                                                                                                                                                                                       time help with flexible hours,
                                                                                                                                                                                                                         nurses for
                                                          LPN, CNA/MAT                                                                                                                 incentive pay, in the Miami/
                                                                                                                                                                                       Commerce Area, consisting of
                                                                                                                                                                                                                          all shifts
                                                                                                                                                                                       Light housekeeping chores, WOOD MANOR NURSING
                                                          CMA Full-Time                                                                                                                some personal care, errands Home is now hiring nurses
                                                           MAJOR MEDICAL                                                                                                               and safety supportive help. for all shifts. New graduates
                                                                                                                         Recruiters...                                                 $7.00 an hour. Call Healthcare  welcome. Apply at 2800
                                                          BENEFITS OFFERED 1 4 0 GENERAL NURSING                                              Ask about internet advertising at
                                                                                                                                                                                       Innovations-Private Services     North Hickory Street
                                                            We are looking for YOU to                                                                                                  at (866) 216-2611 or (918) 824- Claremore, OK 74017,
                                                           join our GOOD NEIGHBOR                                                                    2611 Mon-Fri, 8-5 . 1115 Ne          918-341-4365.
                                                              TEAM. Apply at 1060
                                                          Rambling Oaks DR. Norman,          RN - DON Call 405-631-5100
                                                                                               50K-60K, housing &
                                                                                                                                                                                       1st St. Pryor, OK 74361. HCIS
                                                                                                                                                                                       is an EOE.
                                                           OK 73026 or Call 405-360-
                                                          4755. You Will Be Glad That        Benefits! Cherokee Manor
                                                                                                 1100 Memorial Dr
                                                                                                                                                                                                                           CNAs, CMAs
                                                            You Are Part Of The Good
                                                            Neighbor Care community.           Cherokee, OK 73728       1 4 0 GENERAL NURSING 1 4 0 GENERAL NURSING 1 4 0 GENERAL NURSING                                    & LPNs
                                                                                             580-603-1057 or 580-603-                                                                                                    Colonial Lodgeis now taking
                                                                                                    1477 • EOE                                                                                                           applications for CNAs, CMAs
                                                                                                                                                                                                                            & LPNs. Call Joetta at
                                                          Now Hiring                                                     Free Training                  LPN                              Needs RN                          918-423-6011 or apply in

                                                          Direct Care                        RN, LPN,                    Available for
                                                                                                                          FT CNA’s.                   positions
                                                                                                                                                                                        Case Mgrs &
                                                                                                                                                                                        Social Worker
                                                                                                                                                                                                                           person 614 W. Harrison.
                                                                                                                                                                                                                                McAlester, OK

                                                             Staff                            CNA                          All Shifts
                                                                                                                                                      available                          Cornerstone Hospice of
                                                                                                                                                                                          Tulsa located at4135 S         RN and CNA
                                                             Able Community Based             RN Needed, 2-10 Shift          $250                                                        100th East Ave Ste 200.         Ryan Nursing Home located
                                                                                             Weekends only. Mon.-Fri.                                  Inola Healthcare Center has     Tulsa, OK 74146 is growing          at 703 E Lee. Ryan, OK.
                                                           Services located at 303 E
                                                             Tonhawa, Norman, OK              shifts no weekends, no    Sign on Bonus                  LPN positions available.        and needs RN Case Mgrs &              (580) 757-2517 Now
                                                           73069. Medical and Dental          nights, LPN’s & CNA’s     after 6 mos FT Employment Excellent pay, major medical         Social Worker. Comp. Salary        accepting applications for
                                                           beneifits. Must be able to        needed. Kenwood Manor      Apply in Person at             and other benefits. Please       & benefits. Fax resume to        weekend RN. CNA positions
                                                            pass OSBI and Drug test          Apply in person at 502 W   Noble Healthcare Center        apply in person at: 400 North    918-641-5198 or email to:           also available. Please
                                                           Call 405-329-3922 for more        Pine Ave. Enid, OK 73701   1501 N 8th St, Noble, OK. 405- Broadway, Inola, OK. 918-        tulsahospice@          contact Retta Thompson,
                                                                   information                     (580) 234-1503       872-7102                       543-8800.                            Ph: (918) 641-5192             Assistant Administrator
Tulsa’s Nursing News                                                                                            January 30, 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.            1 6 1 LICENSED                204 REGISTERED                                                                                   405 E Chickasaw Ave.
                                                                                                                                                                204 REGISTERED                    204 REGISTERED
   CNA’s,                           FT Experienced                                                      PRACTICAL     NURSE      NURSE                           NURSE                             NURSE
                                                                                                                                                                                                                                  Mcalester, OK 74501
LPN’s, Relief                      For Busy OBGYN 1 6 1 LICENSED                                                                RN IN-HOUSE                                                                                           RN / OR
RN’s, Dietary                       Great Benefits & Pay
                                  Fax Resume to 405-364-
                                                                        PRACTICAL NURSE            Evening                       TRAVELER Colonial Lodge is nowRN at Lindsay Municipal Hospital
                                                                                                                                            Weekend                   FT RN NEEDED                                             Cert. Scrub Tech /OR
                                                                                                                                                                                                                                1 year experience. Great
    and                              3480. DR. STEVEN
                                                                                                     LPN                                                       taking                            Night shift. LMH offers pay +benefits, medical, 401
                                   JIMERSON, M.D., INC.                                                                          OSU Medical Center Has         applications for Weekend RN.
                                                                                                                               Immediate Openings For 13                                         competitive salary along with (k),...Southwestern Medical
Housekeeping                    1407 N Porter Ave Norman,
                                           OK 73071                                                    Brookhaven              Week RN In-House Traveler
                                                                                                                                                                Call Joetta at 918-423-6011
                                                                                                                                                                or apply in person at 614 W.
                                                                                                                                                                                                 benefits and retirement plan. Center. 5602 SW Lee Blvd.
                                                                                                                                                                                                 Please apply at 1305 W              Lawton, OK 73505
WILLOW HAVEN Nursing                  Tel: 405-360-2809                                                                         Positions In Critical Care,
Center looking for CNA’s,
LPN’s, Relief RN’s, Dietary and
Housekeeping. Call 580-628-
                                                                Needed                              Extensive Care
                                                                                                     1050 Rambling
                                                                                                                                    Med/Surg, Surgical
                                                                                                                                 Services, And Maternal
                                                                                                                               Child. Oklahoma RN License
                                                                                                                                                                Harrison. McAlester, OK          Cherokee, Lindsay, OK or fax
                                                                                                                                                                                                 your resume to 405-756-1802
                                                                                                                                                                                                 (Attention Human Resources)
                                                                                                                                                                                                                                       (580) 531-4994

                                                                                                   Oaks, Norman, OK                                              ASSISTANT
2529, or apply at 1301 North
Fifth, Tonkawa, OK 74653.
                                     RN and                     Employment Opportunity
                                                                doubles on weekends 7-3, 3-       (405) 292-2273, FAX
                                                                                                                                   And One Year Recent
                                                                                                                                   Hospital Experience
                                                                                                                                                                                                                                 Now Hiring All
                                                                                                                                                                                                                                Dietary Positions
                                                                11 shift. Med. Insurance,
                                                                including dental & vision             405-292-4040             Required. $45 per hour with      DIRECTOR OF Now hiring
                                                                                                                               shift differentials! Qualified                                                                      (All Shifts)
                                                                options, sick leave, vacation                                  Candidates Apply Online At         NURSING   Part time RN
                                      Case                      & holiday pay, longevity bonus.
                                                                Apply in person or contact
                                                                                                                                 Contact: Shawna Keith-
                                                                                                                                                                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
                                                                                             at                                 Feezor OKLAHOMA STATE
                                                                                                                                  UNIVERSITY MEDICAL
                                                                                                                                                                  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,                                                  CENTER 744 W. 9th St.
    Weekend RN Services located at 506 W OK 73018 (405) 224-0909                                                                                                 Nursing. The candidate will       environment dedicated to
   LPN's, CNA's, Blue Starr Dr Claremore, OK.                               needed for                                           Tulsa, OK 74127 Phone:
                                                                                                                                    (918)599-5228 Fax:
                                                                                                                                                                 have good communication
                                                                                                                                                                      skills and a strong
                                                                                                                                                                                                  excellent care. Come talk   Experienced
                                                                                                                                                                                                  with us and learn how your
          CMA's                 Now hiring for RN and Certified
                                Case Manager. Home health
                                                                              Doctor’s                                            (918)599-1736 E-mail:
                                                                                                                                                                  supervisory background
                                                                                                                                                                  preferably with long-term
                                                                                                                                                                                                   skills and enthusiasm for   Day Cook
     New starting wages,
   double holiday pay after
                                experience preferred but not
                                required. M-F 8:00 to 4:30,
                                                                Experienced        office.                                        Opportunity Employer           care experience. Excellent
                                                                                                                                                                                                  quality care can work with
                                                                                                                                                                                                    us! Apply in person at
                                                                                                                                                                                                                                 Shanoan Springs
                                                                                                                                                                benefits available. Per diem
      90 days, drug free
      facility. Team spirit
                                Holidays off, competitive
                                wages, benefits, and mileage.
                                                                 3-11 LPN’s Full-time, to McCauley,
                                                                                       benefits. Send
                                                                                                                                                                  in lieu of benefits. Apply
                                                                                                                                                                                                 310 E. Central, Cushing, OK.
                                                                                                                                                                                                 Ask for Stephanie (918) 225- 2500 S. 12th, Chickasha,
   required, dependable &       Contact: Amy 918-342-2003 Shanoan Springs Residence                  Jon M MD. 4 E Clark        Currently accepting             Mon - Fri, (8 a.m.- 5 p.m.) at   1477. Caring for your family OK 73018. Experienced
   caring. Apply in person,                                       2500 S. 12th, Chickasha,            Bass Blvd, #203,          applications for an             3126 NW Arlington, Lawton,               like our family!       Day Cook. Apply in
    please, Hugo Health &                                                  OK 73018                 McAlester, OK 74501.                                         OK 73505. (580) 357-3240                 EOE/M/F/V/H         Person. (405) 224-1397
     Rehabilitation Center                                        Experienced 3-11 LPN’S               (918) 423-8200
  located at 1001 Heritage                                       Full time positions available.                                    LOCAL HOSPICE, in
                                                                                                                                   Owasso Is currently
        Way, Hugo, OK.
                                   Visit The Web                        Apply in Person.
                                                                                                                               accepting applications for an
        (580) 326-7771
                                                                         (405) 224-1397
                                                                                                                                RN. 8:00-4:30 Call 918-790-
                                                                                                                                2277 or Apply in person at:
                                                                                                                                                                                Tulsa’s Nursing News
                                       or call                                                     Seeking                       12418 E. 86th St. North.

                                                  LPN needed
                                   (405) 631-5100 for home part time available.
                                                  time and
                                                           health agency. Full
                                                                                                   LPN’s for
                                                                                                                                   Owasso, OK 74055.
                                                                                                                                                                      CLASSIFIED RATES
   Part-time position, good
                                                                 Flexible schedule. Excellent
                                                                 pay. Care Plus Home Health
                                                                 Care. 8030 South Memorial
                                                                                                               2 6 M CELLANEOUS
                                                                                                   all shifts 2RNI SClinical                                               Effective January 1, 2009
  working conditions, small                                       Drive, Suite D1, Tulsa, OK Beare Manor seeking                Supervisor
private practice office. Bring
 resume, apply in person at        Personal                       74133 . Phone. (918) 294- LPN’s for all shifts. If you
                                                                    9760 or fax 294-9763.     are interested Please                Seasons Hospice
                                                                                                                                Supervisory experience in         Per Line, Per Insertion
  Dr. Gary Gramolini, DOCS                                                           apply in person 1300 N. Home Health or Hospice
 Weight Loss Clinic located
 at 505 NW Sheridan, Suite
                                   Care Aide                                         Drive, Hartshorne, OK, preferred. Excellent benefits
                                                                FT LPN position open ask for Jan. (918) 297- Fax resume to 918-745-9652
                                                                                                                                                                      Open                 4x            12x            26x             48x
       A, Lawton, OK.               Healthcare Innovations
                                       108 W Broadway St         HOME HEATLHCARE of  7000                       or call 918-745-0222.
       (580) 355-2818
                                          Lexington, OK            Oklahoma has FT LPN                                          Seasons Hospice. 4200 E              $3.69               $3.31           $3.12           $2.93          $2.56
                                       Personal Care Aide        position open in our Tulsa                                     Skelly Dr. Tulsa, OK 74135
                                         Blanchard Area          Office. Competitive Salary
                                                                  and Excellent benefits.
 Personal Care
                                   Call Lynn @ 405-527-3494.
                                                                  Home Health experience
                                                                 preferred but not required.
                                                                                                     LPN                       RN/INFECTION
                                                                                                                                                                  Classified Display: 14 lines to an inch.
                                                                Call Mary at 918-747-1320 to
                                                                 schedule interview or fax
                                                                                                  $1500 sign                     CONTROL                            Color
located at 506 W Blue Starr
Dr Claremore, OK. Now hiring
                                    CMA Needed                   resume to 918-747-6301.
                                                                  HOME HEATLHCARE of               on bonus                      Immediate                           Spot: $75 for each color                   Full Color: Only $125
                                                                 Oklahoma 5319 S Lewis                                         opening for RN
in your area, Personal Care
Assistants. Need caring,
dependable people to assist
                                   all shifts                     Ave Ste 219. Tulsa, OK
                                                                                                   WESTHAVEN NURSING &
                                                                                                   REHAB is hiring for: LPN
                                                                                                   (weekend doubles) $1500
                                                                                                                                  possessing experience
                                                                                                                                 handling infection control.
                                                                                                                                                                                                 (color as available)

                                                                                                                                                                   WORLD-WIDE! YOUR AD ONLINE FOR
the Elderly, Disabled with daily     St Katharine Drexel                                                  sign on bonus        Excellent, pay and benefits.
chores. No certification                 Retirement              LPN Mon.-Fri. 2p-10p                   Apply in person at
required. Contact: Amy             301 W Wade St, El Reno,       Call Teri- DON, at Southern             1215 S Western        Medical Professionals 5154

                                                                                                                                                                      ONLY .25 EXTRA PER LINE!
or Samantha 918-342-2003,                OK 73036                Hills Retirement Community       Stillwater, OK 74074 Or call E Skelly Dr Tulsa, OK 74135.
800-719-9043                           (405) 262-2920            5170 S Vandalia. Tulsa, OK         Teresa at 405-743-1140         Fax: 918-270-7091,
                                                                    74135 (918) 496-3963                                            918-270-7035 EOE
Page 10                                                                         January 30, 2009                                                               Tulsa’s Nursing News

                                                                                             to explain that it upsets the other person      out and say three nice things to each
Don’t Be A B+ Person                                                                         when they are called names. It is hurtful
                                                                                             to them and that she wanted them to be
                                                                                                                                             other. I asked her how that went.
                                                                                                                                                  She told me that they stood there
                                               is really crying for peace. Even the          nice and be more positive. After                for awhile and she had to prompt them,
On the Record...                               American family struggles with trying         explaining, she noticed a blank stare from      but they got the idea and were nice to
Commentary by Deresa Claybrook, MS,            to maintain peace. We want peace with         the oldest child. She could tell that he        each other the rest of the weekend after
RHIT                                           the family, peace with our mate and           really didn’t comprehend the message.           she told them B+ when she heard them
                                               peace at night when we sleep.                 She asked him if he knew what being             arguing. Now she uses the phrase B+
                                                    My daughter and I were on the            positive meant. He told her, “No.” She          when she notices them arguing.
                        The holidays are       phone the other night after the holidays      began to explain it like this.                       I have thought about our conversation
                        over and the kids      and we were talking about peace. She               She asked him if he would rather           several times since then. It is true; we
                        are back in school.    told me that her house was finally back       have an A+ or A- on a school paper. He          are living in uncertain times. We do not
                        For most of us,        to the normal routine after the holidays.     answered that he would rather have an           know if we are going to loose our jobs,
                        we are struggling      She could sense the feeling of peace. She     A+. She asked him, why? He said that            our house, etc. We do not know what
                        with getting back      told me it was hectic for awhile because      the A+ was better than an A-. She said,         the future will bring with a new
                        in the groove of       it seems two of my three grandsons were       “that is right.” The plus means that you        president. The best advice is to be positive.
                        going back to          really at each other over the holiday         are adding to the situation and making          We do not need to take away from the
                        work and our           break. They were just fussing and fighting    it better and the minus means that you          situation and make it worse. We need to
                        regular routines.      and carrying on. She told me that she         are taking something away aiming it             add to it with a good attitude.
Deresa Claybr
           ybrook, MS,
Der esa Claybr ook, MS,      We look to        had to separate them and try to get           negative or minus. She then proceeded
RHIT                    the         daily      them to be nice to each other. She            by stating when I ask you to be positive        Deresa Claybrook, MS, RHIT has over 25
                        newspaper and          explained that most of her efforts were       I am asking you to add something to             years in the health care industry. She is the
the television for signs of hope for our       not working until she decided to try          your brother instead of taking something        president of Positive Resource, which
country since a new president is coming        something new.                                away from him. She then went into the           specializes in Human Resource Management
into office. Will he be able to fix the             She took the two boys and separated      room where the younger child was and            and Health Information Management with a
economy? Will he be able to decrease the       them. She then went in and talked to          gave him the short version of lesson.           special emphasis on transitioning the health
unemployment rate? Will he be able to          them about why they were being so             She also gave them an assignment to             care community to the Electronic Health
restore peace to our nation? Our country       hateful and ugly to each other. She tried     think about. She then made them come            Record.

                                                                                                                                                  The following October, I was
Looking Back                                   to take Ian to the Mercy After Hours
                                               Clinic. When we got to clinic, I watched
                                               Ian closely while we waited. His
                                                                                             broke down and cried. Dr. Sigler could
                                                                                             see how distraught Jon and I were and
                                                                                             asked if she could pray with us. We
                                                                                                                                             watching a news story about a woman
                                                                                                                                             whose two year old son had developed
                                               breathing was labored. I let the              prayed and they quickly took Ian away.          a bad cough. She took him to his
by Crystal Messiah                             receptionist know I didn’t think Ian was           A couple of hours later, we were           pediatrician and he sent her home with
Special to Oklahoma’s Nursing Times            doing very well. She took one look at         able to see Ian again. He looked totally        some cough medicine. When he didn’t
                                               him and went to get the nurse to take         different and was finally sleeping              get better, she took him to the emergency
     The events that took place in March       his pulse ox. His blood oxygen level was      peacefully. He had tubes coming out of          room. They said it was just the croup
of 2007 will forever be etched in my           only about 70%. They immediately took         his nose, mouth, arms and legs. The             and sent her home. The next day, while
memory. Although these events were             him back. A doctor started Ian on more        machines and drugs were doing all of            taking her older children to school, she
tragic, this is not a tragedy.                 breathing treatments using different          his breathing and operating his body for        looked in her rear view mirror at her
     It was a beautiful spring day and I       medicines than what I had given him at        him. Nurses were constantly in and out          son in his car seat. His face had turned
had just picked up my son, David, from         home. When that didn’t work he gave           checking on him.                                blue and he wasn’t breathing. He had
the lower school. As I sat in the carpool      Ian a couple of shots and put him on               The next morning, a gentleman in           died.
line at the middle school, waiting for         oxygen. They finally got his pulse ox         scrubs came into Ian’s room. He was so               This hit so close to home. My heart
my daughter, Lydia, I remember looking         level to about 90%, but every time they       quiet and gentle as he did his auscultation,    broke for this woman. Her story sounded
in the rear view mirror at my youngest         took him off of the oxygen it would           palpations and percussions. His                 so much like mine, but it was so different.
son, Ian, sitting there with his little nose   drop. When there was nothing else they        movements were very fluid. When he              I wondered why the doctors didn’t
running and thinking to myself “it’s just      could do, the doctor called Baptist           was finished he introduced himself as           recognize the symptoms her little boy
his allergies.” I didn’t give it a second      Hospital’s ER and let them know that          Dr. Griggs. His seven day shift had begun       had. At that very moment, I realized
thought. We went about our normal              we were on our way. I went straight           that morning and he would be taking             how blessed I was to have wonderful
routine that day and the next day Ian          there. When we arrived, they were             care of Ian while he was in the PICU.           doctors and nurses who worked so hard
seemed fine and we had a very busy             waiting for us with a room ready. There            Every morning, when Dr. Griggs             to save Ian’s life. I am even more blessed
weekend planned.                               were doctors and nurses taking his vitals,    came by to do his rounds, he gathered           to still have Ian!
     Saturday morning Ian woke up with         doing breathing treatments and running        his staff: the nurses, pharmacists,
a cough and I gave him a breathing             tests to see what was making Ian so           respiratory therapists and residents. They
treatment as I always do when he gets a        sick. The flu test came back negative.        went over Ian’s situation thoroughly. On                Tulsa’s Nursing News
wheezy cough. A few hours later we             The strep test came back negative. They       Wednesday morning, he let us know that
went to Wal-Mart. Ian was coughing
again and had become very irritable. I
                                               took an x-ray of his chest and it showed
                                               a little pneumonia in one lung, but not
                                                                                             one of the labs tests confirmed Ian had
                                                                                             RSV - Respiratory Syncytial Virus. He
                                                                                                                                             Board of Commentary
finished my shopping and quickly               enough to make him this sick. They            explained to us that normally, RSV only                 Vicki L. Mayfield, M.Ed., RN, LMFT
checked out. I rushed home to give Ian         wanted to keep him overnight.                 adversely affects premature babies. When                           Eileen Doherty
another breathing treatment. Ian was okay           Ian was moved to the pediatric floor.    older kids and adults get it, it’s usually                      Mary Jo Fay, RN, MS
for a while, but later that evening he         There we met Dr. Sigler, the doctor on        like a common cold. The infection had                             Colleen Folsch
needed another breathing treatment.            call that night. As she read through the      gone into Ian’s blood. He decided to                         Virginia Gillispie, RN, ND
     Everyone was pretty tired, so we          charts and checked Ian, her smile slowly      give Ian a blood transfusion and let his                           Vickie Jenkins
went to bed early. Every couple of hours       faded and a look of concern came over         body rest at least five more days.                              Sherry L. Ray, CPCC
Ian woke up coughing. This was unusual,        her face. She called in Dr. Kichi from             The next five days were very long.            Linda Mundorff(Rener), RN, MPH, MSN, NDc
because his treatments normally last 4-6       the Pediatric Intensive Care Unit. They       It was so hard watching Ian lay in that                       Carol Shenold, RN, CIC
hours. Finally, I called the nurse’s triage    took blood gases to figure out what to        bed. His little body was so swollen and                        Elizabeth Sowdal, RN
at Children’s Hospital. I told them Ian’s      do next. It only took about fifteen minutes   I could smell the sickness every time I                    Deresa Claybrook, MS, RHIT
symptoms. They instructed me to give           for the results to come back. The carbon      bent over to kiss him. I missed hearing                         Licia McCurdy, LPN
Ian back to back treatments. I gave Ian        dioxide levels in Ian’s blood were high.      his little voice so much. Ian finally started
                                                                                                                                                            Angela Lash, RN, CM
his first treatment, waited 30 minutes         Dr. Sigler and Dr. Kichi agreed the next      to get better. Dr. Griggs decided to slowly
and gave him a second treatment. That          step was to intubate him and put him in       wean him off of the machines and the
bought us a few more hours of sleep.           a drug induced coma. I remember clearly       drugs. Ian spent a few more days in the          Opinions expressed in columns and letters
When we woke up around 7:30 am, Ian            Dr. Sigler’s exact words, “If we don’t do     hospital and then was released home.             to the editor are not necessarily the
was coughing again and had begun               this Ian’s heart and lungs will give out      He was back to his normal, energetic             opinions of employees, ownership of this
breathing very fast. The skin around his       from having to work so hard.” That            self in about a month. Emotionally, it           newspaper or the publishing company.
mouth was turning pale blue. I decided         statement was so over whelming, I just        took me a lot longer to get over it.
Tulsa’s Nursing News                                                                    January 30, 2009                                                                                         Page 11

 Do you believe T.V. medical            Do you believe T.V. medical             Each week we visit with health care            Do you believe T.V. medical             Do you believe T.V. medical
                                                                                professionals throughout Oklahoma.
 shows reflect reality as you           shows reflect reality as you                                                           shows reflect reality as you            shows reflect reality as you
 know it?                               know it?                                                                               know it?                                know it?
"I think the shows are getting          "Medical reality shows are                                                             "There is some similarity in            "No, they do not reflect reality.
close to real life and try to show      comical relief for me. For a                                                           personal interactions of care           Too often medical show staff's
things that might happen."              nurse, there are parts that we                                                         givers and patients."                   responses are not realistic."
                                        would never do."

                                                                               If you would like us to visit your facility,
                                                                                      please email the Editor at:
                                                                               Please let us know...
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                                        Meg                                       or mail to Tulsa’s Nursing News                     Rayforord
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RN                                      RN                                        4501 N. Classen Blvd., Ste. 106              RN                                      RN
Cancer Tr eatment Center s of America
          eatment Centers               Cancer Treatment Center s of America
                                                 eatment Centers                           OKC, OK 73118.                                eatment Centers
                                                                                                                               Cancer Tr eatment Center s of America            eatment Centers
                                                                                                                                                                       Cancer Treatment Center s of America
                                                                                                            by     Butcher
                                                                                         Photos & Questions by Jim Butcher

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