Get documents about "Bad Habits_
Shared by: wuyunyi
-
Stats
- views:
- 8
- posted:
- 9/25/2012
- language:
- English
- pages:
- 11
Document Sample
Recruiter Showcase
January 30, 2009
January Vol. 02 Issue 01
Vol. Information for Oklahoma Nursing & Health Care Professionals www.okcnursingtimes.com
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
recor
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
Coordina
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 hope@okmulgeehospital.com.
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? www.tulsanursingnews.com!
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
information to news@tulsanursingnews.com or fax it to 405-631-5103. advertising@tulsanursingnews.com!
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,
maintenance.”
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
Nursing
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.
Nation
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
Course
consultant classroom.
For more infor mation,
The primary focus is the is an approved provider of visitwww.redlandscc.edu.
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: http://nursing.ouhsc.edu/CE/. 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. NursingCE@ouhsc.edu. 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 ce.nursing.ouhsc.edu or contact
with hemodynamic monitoring Integris Southwest Medical equal opportunity institution. munication, productivity and stra-
equipment. Specific areas Sandra-McConnell@ouhsc.edu 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 health.com. 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
NEW!
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
medcenter.com. 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 ce.nursing.ouhsc.edu 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- McConnel@ouhsc.edu 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 www.osu-medcenter.com. 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-
medcenter.com. 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 www.okcareertech.org (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 ce.nursing.ouhsc.edu(contact American College of Legal Nurse ce.nursing.ouhsc.edu or contact
Hospitals to potential investors or business Sandra-McConnell@ouhsc.edu at Consulting. Requirement for this Sandra-McConnell@ouhsc.edu 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
AIDE
Daytime CNA
Position
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
1 2 3 CERTIFIED MEDICAL 1 2 3 CERTIFIED MEDICAL
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
EOE
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
Available
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.
EEO.
-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 www.tulsanursingnews.com 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@ gmail.com. 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
RN/LPN
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
LPN’s
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
Certified
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
Accepting
Case & holiday pay, longevity bonus.
Apply in person or contact
www.osu-medcenter.com Or
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
LPN
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:
skeith@hillcrest.com Equal
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
Residence
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,
resume
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
RN
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
www.tulsanursingnews.com
(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.
MEDICAL
LPN needed
(405) 631-5100 for home part time available.
time and
health agency. Full
LPN’s for
Owasso, OK 74055.
CLASSIFIED RATES
ASSISTANT
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.
Assistants
MED-CORP PLUS, INC.
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 resumes@medprosllc.com.
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
OPINION
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:
news@tulsanursingnews.com
Please let us know...
Thoughts or comments regarding Nurse Talk?
Email: news@tulsanursingnews.com
Clev
Lisa Cleveland Megan O'Neal
Meg or mail to Tulsa’s Nursing News Rayforord
Tretha Rayford Cindy Albright
Cindy
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
